4A (Expenses $ 19441083 including grants of $ 0) (Revenue $ 21216623)
JOHN C. STENNIS MEMORIAL HOSPITAL, A DIVISION OF RUSH HEALTH SYSTEMS, IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN DEKALB, MS, THAT PROVIDES A WIDE RANGE OF INPATIENT, OUTPATIENT AND EMERGENCY SERVICES. PATIENTS CAN BE ADMITTED TO THE HOSPITAL IF THEIR MEDICAL NEEDS MAKE THAT THE BEST OPTION. DEKALB, MS IS LOCATED IN KEMPER COUNTY, MS. DEKALB HAS A POPULATION OF 1,164 AND KEMPER COUNTY HAS A POPULATION OF 9,742. A VARIETY OF OTHER SERVICES ARE AVAILABLE ON AN INPATIENT AND OUTPATIENT BASIS THROUGH THE HOSPITAL'S IMAGING, LABORATORY AND REHABILITATIVE SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY.PATIENTS ARE CARED FOR UNDER THE DIRECTION OF THEIR PHYSICIAN BY A LICENSED HEALTH CARE TEAM INCLUDING REGISTERED NURSES, PHYSICAL THERAPISTS, SOCIAL WORKERS, DIETITIANS, PHARMACISTS AND OTHER ANCILLARY STAFF, DEPENDING ON THE PATIENT'S MEDICAL NEEDS.AN EMERGENCY DEPARTMENT IS STAFFED WITH QUALIFIED EMERGENCY ROOM HOSPITALISTS AND FAMILY NURSE PRACTITIONERS AND IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK. THE HOSPITALISTS ALSO ACT AS HOSPITAL PHYSICIANS, WHICH MEANS THEY CAN ADMIT AND CARE FOR PATIENTS WHO DO NOT HAVE A PHYSICIAN WHO REGULARLY ADMITS PATIENTS AT THE HOSPITAL.SKILLED NURSING AND REHABILITATIVE CARE ARE AVAILABLE AT JOHN C. STENNIS MEMORIAL HOSPITAL THROUGH THE SWING BED PROGRAM. THOSE RECOVERING FROM SURGERY, A STROKE, A FRACTURE OR AN EXTENDED MEDICAL ILLNESS AND HOSPITALIZATION CAN CHOOSE TO REHABILITATE AT STENNIS, WHETHER OR NOT THEY WERE HOSPITALIZED IN ANOTHER LOCATION. ADDITIONALLY, JOHN C. STENNIS MEMORIAL HOSPITAL HAS SPECIALIZED PROGRAMS FOR SENIOR ADULTS EXPERIENCING PROBLEMS COPING WITH EVERYDAY LIVING DUE TO ANXIETY, GRIEF AND/OR DEPRESSION. SENIOR CARE IS AN INTENSIVE OUTPATIENT PROGRAM THAT HAS HELPED MANY INDIVIDUALS. SENIOR CARE OFFERS FREE ASSESSMENTS BY A NURSE IN THE HOME, AND TRANSPORTATION CAN BE PROVIDED.AS PRESENTED IN THE ATTACHED SCHEDULE H, JOHN C. STENNIS MEMORIAL HOSPITAL PROVIDED FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS DURING 2021 AT A NET COST OF $823,461. ALTHOUGH EQUITABLE PAYMENT FOR SERVICES IS ESSENTIAL TO THE ORGANIZATION'S FINANCIAL VIABILITY, JOHN C. STENNIS MEMORIAL HOSPITAL RECOGNIZES THAT NOT ALL INDIVIDUALS POSSESS THE RESOURCES REQUIRED TO REIMBURSE THE HOSPITAL FOR ALL SERVICES PROVIDED. KEEPING ITS COMMITMENT TO THE COMMUNITY, JOHN C. STENNIS MEMORIAL HOSPITAL PROVIDES FREE CARE AND SUBSIDIZED CARE WITHIN EXISTING RESOURCES WHERE THE NEED FOR SUCH CARE EXISTS.ALONG WITH BEING THE ONE OF THE COUNTY'S LARGEST EMPLOYERS AND A MAJOR ECONOMIC STIMULUS BY VIRTUE OF ITS PAYROLL, JOHN C. STENNIS MEMORIAL HOSPITAL ALSO PROVIDES MANY BENEFITS TO THE BROADER COMMUNITY IN THE AREAS OF CIVIC INVOLVEMENT AND GIVING INCLUDING ACTIVELY SUPPORTING THE AMERICAN CANCER SOCIETY, SUPPORTING THE COMMUNITY WITH IT'S ANNUAL KEMPER DAY PROGRAM, CONDUCTING AND ATTENDING COMMUNITY HEALTH FAIRS AND PROVIDING FREE MEDICAL SCREENING TESTS AND DISSEMINATION OF HEALTH INFORMATION AT CIVIC CLUB MEETINGS AND OTHER COMMUNITY FUNCTIONS.

JOHN C. STENNIS HOSPITAL
PART V, SECTION B, LINE 16J: JOHN C. STENNIS HOSPITALPART V, SECTION B, LINE 5: PLEASE SEE THE COMMUNITY INPUT SECTION OF THE CHNA, FOUND AT: HTTPS://HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=39784FEA-00EB-45EA-B8F9D845CB39602BJOHN C. STENNIS HOSPITAL:PART V, SECTION B, LINE 11: SEE IMPLEMENTATION STRATEGY:HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=585BC8D4-F5AD-4025-9EAAD00A400F4B8F

PART V, SECTION B, LINE 7A
THE CHNA CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/JOHN-C-STENNIS-MEMORIAL-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LINK.

PART V, SECTION B, LINE 10A
THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/JOHN-C-STENNIS-MEMORIAL-HOSPITAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK.

PART I, LINE 7
COSTING METHODOLOGY USED IN THE TABLE ON LINE 7 IS THE RATIO OF PATIENT CARE COST TO CHARGES DERIVED FROM WORKSHEET 2.

PART II, COMMUNITY BUILDING ACTIVITIES:
ALL ACTIVITIES ENGAGED IN BY KEMPER CAH, INC. ARE GEARED TOWARD PROMOTION AND IMPROVEMENT OF THE WELLBEING OF THE CITIZENS OF OUR PRIMARY SERVICE AREA. KEMPER PROMOTES HEALTH EDUCATION THROUGH SUPPORT OF ITS COMMUNITY BASED NURSING AND ALLIED HEALTH PROGRAMS AS WELL AS COMMUNITY HEALTH EDUCATION AND TRAINING SESSIONS. KEMPER ALSO SUPPORTS THE COMMUNITY BY ENSURING THE PROVISION OF MUCH NEEDED EMERGENCY MEDICINE.

PART III, LINE 4:
BAD DEBT EXPENSE IS AS AMOUNT OF CHARGES PER TRIAL BALANCE, THIS AMOUNT IS NETTED WITH REVENUE ON AUDITED FINANCIALS AS AN IMPLICIT PRICE CONCESSION. FOR TAX PURPOSES, BAD DEBT EXPENSE IS MOVED DOWN TO THE EXPENSE SECTION. PER NOTE 1 OF THE FINANCIAL STATEMENTS, PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT ESTIMATED NET REALIZABLE VALUE TAKING INTO ACCOUNT ESTIMATED IMPLICIT AND EXPLICIT PRICE CONCESSIONS. THE ESTIMATED IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES PATIENTS WITH DEDUCTIBLE AND PAYMENT BALANCES FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR EXPLICIT PRICE CONCESSIONS, IF NECESSARY. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE PRICE CONCESSIONS BASED UPON ITS REVIEW OF ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENT EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES, AND OTHER FACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONS TO PATIENT SERVICE REVENUE AND TO ESTABLISH AN APPROPRIATE ESTIMATE FOR PRICE CONCESSIONS. THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES.

PART III, LINE 8:
ALTHOUGH NOT THE CASE THIS YEAR, THE COST OF PROVIDING SERVICES TO MEDICARE PATIENTS HISTORICALLY HAS SIGNIFICANTLY EXCEEDED REVENUE. THIS COST PROVIDES A NECESSARY HEALTH BENEFIT TO THE ELDERLY POPULATION IN THE HOSPITAL'S SERVICE AREA AND SHOULD BE CONSIDERED COMMUNITY BENEFIT.

PART III, LINE 9B:
THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAT ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, THE HOSPITAL MAY UTILIZE OUTSIDE AGENCIES AS APPROPRIATE TO ASSIST IN DETERMINING ACCOUNTS THAT QUALIFY AS CHARITY CARE. ANY ACCOUNTS DETERMINED TO BE CHARITY BASED ON AN AGENCY'S RECOMMENDATION ARE REPORTED AS CHARITY CARE AND REVENUE REDUCED BY THIS AMOUNT AS OPPOSED TO BEING REPORTED AS BAD DEBT EXPENSE.

PART VI, LINE 2:
OUTSIDE CONSULTANTS ARE HIRED TO CONDUCT A COMMUNITY NEEDS ASSESSMENT PERIODICALLY.THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=39784FEA-00EB-45EA-B8F9D845CB39602B

PART VI, LINE 3:
PATIENTS ARE PROVIDED AN APPLICATION FOR CHARITY CARE AND A CRITERIA FOR CHARITY CARE CHECKLIST AS CLOSE TO POINT OF SERVICE AS POSSIBLE. ADDITIONALLY, THE HOSPITAL UTILIZES AN OUTSIDE ELIGIBILITY COMPANY THAT REVIEWS ALL NO INSURANCE PATIENTS FOR POTENTIAL QUALIFICATION FOR OTHER GOVERNMENTAL PROGRAMS SUCH AS MEDICAID.

PART VI, LINE 4:
KEMPER CAH, INC. IS A CRITICAL ACCESS ACUTE-CARE MEDICAL CENTER THAT SERVES INPATIENTS AND OUTPATIENTS, PRIMARILY IN THE MORTON, MISSISSIPPI AREA. AS A CRITICAL ACCESS HOSPITAL, KEMPER TRANSFERS THE EMERGENT AND MORE COMPLICATED CASES THAT REQUIRE SPECIALISTS PRIMARILY TO THE LARGER ACUTE CARE HOSPITALS IN THE MERIDIAN, MS AREA. OF THE COUNTIES SERVED, THE FOLLOWING ARE COUNTIES IDENTIFIED BY HEALTH RESOURCES AND SERVICES ADMINISTRATION OF THE US DEPT OF HEALTH AND HUMAN SERVICES AS HEALTH PROFESSIONAL SHORTAGE AREAS: CHOCTAW AND SUMTER COUNTIES IN ALABAMA; CLARKE, KEMPER, LAUDERDALE, NESHOBA, NEWTON AND SCOTT COUNTIES IN MISSISSIPPI.ADDITIONAL INFORMATION ON THE COMMUNITY SERVED CAN BE FOUND IN THE CHNA. THE CHNA CAN BE ACCESSED VIA THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.OCHSNERRUSH.ORG/INDEX.CFM/_API/RENDER/FILE/?METHOD=INLINE&FILEID=39784FEA-00EB-45EA-B8F9D845CB39602B

PART VI, LINE 5:
ALL MEMBERS OF KEMPER CAH, INC.'S BOARD RESIDE IN KEMBER'S PRIMARY SERVICE AREA. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF EXTENDING PRIVILEGES TO ALL QUALIFIED PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS THAT APPLY FOR PRIVILEGES AND MEET ALL REQUIREMENTS OF CREDENTIALING AND THE MEDICAL STAFF RULES AND REGS AND BY-LAWS. THE FACILITY UTILIZES SURPLUS FUNDS FOR ADDITIONAL MEDICAL TECHNOLOGY, RECRUITMENT OF MEDICAL STAFF THAT IS OTHERWISE UNAVAILABLE (I.E. NEUROSURGERY, MIDWIFERY, ETC.), FUNDING OF LOCAL AREA HEALTHCARE WORKFORCE TRAINING AND ECONOMIC DEVELOPMENT.

PART VI, LINE 6:
KEMPER CAH, INC IS WHOLLY OWNED BY RUSH HEALTH SYSTEMS, A NON-PROFIT ORGANIZATION. WITHIN RUSH HEALTH SYSTEMS ARE THE SPECIALTY HOSPITAL OF MERIDIAN (A LONG TERM ACUTE CARE FACILITY), SCOTT HOSPITAL (A CRITICAL ACCESS HOSPITAL, HC WATKINS HOSPITAL (A CRITICAL ACCESS HOSPITAL), SCOTT HOSPITAL (A CRITICAL ACCESS HOSPITAL), MEDICAL FOUNDATION INC. (A CLINIC ORGANIZATION), AND RUSH MEDICAL GROUP (A CLINIC ORGANIZATION). EACH OF THESE ENTITES COORDINATE TO IMPROVE THE HEALTHCARE OF EAST MISSISSIPPI AND WEST ALABAMA. CLINICAL INTEGRATION BETWEEN OUTLYING CRITICAL ACCESS HOSPITALS, SPECIALIST PHYSICIANS AND THE GENERAL ACUTE CARE HOSPITAL PROVIDE FOR IMPROVED ACCESS AND IMPROVED OUTCOMES FOR THE POPULATION WE SERVE.