SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
RUSH HOSPITAL - BUTLER INC
 
Employer identification number

64-0655993
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
No
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    738,251   738,251 4.070 %
b Medicaid (from Worksheet 3, column a) . . . . .            
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     738,251   738,251 4.070 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     930   930 0.010 %
f Health professions education (from Worksheet 5) . . .     3,250   3,250 0.020 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     4,180   4,180 0.030 %
k Total. Add lines 7d and 7j .     742,431   742,431 4.100 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy     184   184 0 %
8 Workforce development            
9 Other            
10 Total     184   184 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
1,459,549
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
5,828,788
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,734,840
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
93,948
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 RUSH HOSPITAL - BUTLER INC
410 VANITY FAIR AVENUE
BUTLER,AL36904
HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/
H1201
X       X   X      
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
RUSH HOSPITAL - BUTLER INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V FACILITY INFORMATION
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
RUSH HOSPITAL - BUTLER INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/
b
HTTPS://WWW.OCHSNERRUSH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Billing and Collections
RUSH HOSPITAL - BUTLER INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
RUSH HOSPITAL - BUTLER INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 5: COMMUNITY ENGAGEMENT WAS A VITAL PART OF CONDUCTING THE CHNA. IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY, OCHSNER CHOCTAW GENERAL SOLICITED AND RECEIVED INPUT FROM COMMUNITY LEADERS AND RESIDENTS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THESE OPEN AND TRANSPARENT COLLABORATIVE STUDIES HELP HEALTHCARE PROVIDERS BUILD STRONGER RELATIONSHIPS WITH THEIR COMMUNITIES, IDENTIFY NEEDS, AND DEDICATE FUNDING AND OTHER RESOURCES TOWARD PROGRAMS THAT CLEARLY BENEFIT RESIDENTS. THEY ALSO PROVIDE AN OPPORTUNITY FOR THE HOSPITAL TO IDENTIFY VALUABLE COLLABORATIVE PARTNERS AS WE TRY TO BETTER SERVE THE COMMUNITY AND IMPROVE THE HEALTH OF OUR CITIZENS IN CHOCTAW COUNTY. INPUT WAS COLLECTED BY THE ASSESSMENT TEAM DIRECTLY FROM THE COMMUNITY THROUGH CONVERSATIONS, INTERVIEWS, COMMUNITY FEEDBACK, I.E., THE MOST CURRENT INFORMATION AVAILABLE. A COMMUNITY FOCUS GROUP WAS HELD AT OCHSNER CHOCTAW GENERAL ON NOVEMBER 3, 2022. THE PARTICIPANTS IN THE GROUP WERE CAREFULLY SELECTED BECAUSE THEY EACH REPRESENTED A SPECIFIC SEGMENT OF THE POPULATIONS SERVED. IN ADDITION, THEY CAN ACT AS A CONTINUOUS CONDUIT BETWEEN THE COMMUNITY AND THE LEADERSHIP OF THE HOSPITAL.
RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 11: RESPONSE TO HEALTH STRATEGIES FROM 2019 CHNA INITIATIVE 1: MENTAL HEALTH AWARENESS TO PROVIDE COMMUNITY EDUCATION TO THE GENERAL PUBLIC DURING THE NEXT THREE YEARS THROUGH LUNCH-AND-LEARNS AND OTHER EDUCATIONAL OFFERINGS. ALSO, TO PROVIDE INFORMATION TO THE PUBLIC REGARDING AVAILABLE MENTAL AND BEHAVIORAL HEALTH RESOURCES. CGH WILL PARTNER WITH ALABAMA STATE DEPARTMENT OF HEALTH, PENELOPE HOUSE AND OTHER REGIONAL ORGANIZATIONS TO ADDRESS THIS INITIATIVE. INITIATIVE 2: ACCIDENT PREVENTION IN AN EFFORT TO REDUCE THE TREMENDOUS AMOUNT OF SEVERE INJURIES AND DEATHS DUE TO MOTOR VEHICLE ACCIDENTS, WE WILL PARTNER WITH LOCAL LAW ENFORCEMENT AGENCIES TO IDENTIFY AND EDUCATE ON THE TOP THREE DRIVING DISTRACTIONS. THESE EFFORTS WILL INCLUDE EDUCATION AN AWARENESS ACTIVITIES FOCUSED BOTH ON AUTOMOBILE AND ATV SAFETY. THE TARGET AUDIENCE OF THESE EFFORTS WILL PRIMARILY BE SCHOOL STUDENTS OF DRIVING AGE AND THE GENERAL PUBLIC. INITIATIVE 3: CANCER SCREENINGS AND AWARENESS WE WILL PARTNER WITH UAB CANCER CENTER AND RUSH HEALTH SYSTEMS TO MAKE COMMUNITIES AWARE OF DIAGNOSTIC SCREENINGS AVAILABLE IN OUR AREA. WE WILL OFFER EDUCATIONAL OPPORTUNITIES TO THE APPROPRIATE AUDIENCES FOR THOSE AT GREATEST RISK FOR TRACHEA, BRONCHUS, LUNG CANCER, COLORECTAL CANCER, AND PROSTATE CANCER. INITIATIVE 4: STROKE AND HEART DISEASE AWARENESS AND PREVENTION WE WILL CONTINUE TO WORK WITH OCHSNER NEUROLOGY AND THE TELESTROKE PROGRAM TO PROMOTE STROKE PREVENTION AND AWARENESS. WE WILL ALSO CONDUCT LUNCH-AND-LEARNS ON THE PREVENTION OF HEART DISEASE AND STROKE. DUE THE HOSPITAL'S CHNA DUE DATE COINCIDING WITH THE ONSET OF THE PUBLIC HEALTH EMERGENCY (PHE) KNOWN AS COVID-19, MOST OF THE ACTIVITIES PLANNED FOR THESE INITIATIVES WERE PUT ON HOLD AS THE HOSPITAL BATTLED AGAINST THE COVID-19 VIRUS. INSTEAD, THE HOSPITAL SHIFTED THEIR FOCUS TO KEEPING THE COMMUNITY SAFE DURING TIMES OF UNCERTAINTY.
RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 13H: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL, MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS ON THEIR SPECIFIC CIRCUMSTANCES, FOR EXAMPLE CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF OCHSNER MANAGEMENT.
RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 15E: THE FAP APPLICATION IS PROVIDED TO THE PATIENT OR THEIR REPRESENTATIVE IMMEDIATELY UPON REQUEST.
RUSH HOSPITAL - BUTLER INC. PART V, SECTION B, LINE 16J: THE POLICY IS INCLUDED IN PATIENT BILLING STATEMENTS.
PART V, SECTION B, LINE 7A THE CHNA CAN BE FOUND AT:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-CHOCTAW-GENERAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS ASSESSMENT LINK.
PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY CAN BE FOUND AT:HTTPS://WWW.OCHSNERRUSH.ORG/HOSPITALS/OCHSNER-CHOCTAW-GENERAL/SCROLL DOWN TO THE COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN LINK.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address Type of Facility (describe)
1 1 - OCHSNER HEALTH CENTER - GILBERTOWN
12731 HIGHWAY 17 SOUTH SUITE 3
GILBERTOWN,AL36908
MEDICAL CLINIC
2 2 - OCHSNER HEALTH CENTER - BUTLER
1404 E PUSHMATAHA STREET
BUTLER,AL36904
MEDICAL CLINIC
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS, AT THE DISCRETION OF OCHSNER, FOR CATASTROPHIC ILLNESS ORMEDICAL INDIGENCE, WITH EXCEPTIONS SUCH AS EXPENSIVE MEDICATIONS, TERMINAL ILLNESS, OR MULTIPLE HOSPITALIZATIONS.
PART I, LINE 7: LINE 7E COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS INCLUDES DIRECT EXPENSE INCLUDING EMPLOYEE PAYROLL FOR COMMUNITY INITIATIVES.LINE 7I INCLUDES DIRECT CONTRIBUTIONS TO CHARITIES THAT MEET IDENTIFIED COMMUNITY NEEDS.
PART II, COMMUNITY BUILDING ACTIVITIES: OCHSNER CHOCTAW GENERAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN BUTLER, ALABAMA THAT PROVIDES A WIDE RANGE OF INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. THIS FACILITY IS A HOSPITAL BUILT BY THE COMMUNITY FOR THE COMMUNITY. OPENED IN MARCH 2012, OCHSNER CHOCTAW GENERAL IS PROUD TO BE THE COMMUNITY HOSPITAL FOR THE PEOPLE OF BUTLER AND THE SURROUNDING AREA. PATIENTS ARE CARED FOR UNDER THE DIRECTION OF THEIR PHYSICIAN BY A LICENSED HEALTH CARE TEAM. THIS TEAM INCLUDES REGISTERED NURSES, PHYSICAL THERAPISTS, SOCIAL WORKERS, DIETITIANS, PHARMACISTS, AND OTHER ANCILLARY STAFF DEPENDING ON THE PATIENT'S MEDICAL NEEDS. OCHSNER CHOCTAW GENERAL SUPPORTS EDUCATION OF HEALTH PROFESSIONALS BY OFFERING CLINICAL ROTATIONS AND STUDENT SHADOWING. ADDITIONALLY, LEADERS FROM THE HOSPITAL HAVE PARTICIPATED IN HEALTHCARE COALITIONS TO IMPROVE COMMUNITY HEALTH. HEALTH EDUCATION HAS BEEN OFFERED AT A VARIETY OF COMMUNITY LOCATIONS, INCLUDING FAITH BASED INSTITUTIONS.
PART III, LINE 2: OCHSNER CLINIC FOUNDATION AND ITS SUBSIDIARIES (OCHSNER) RECOGNIZES NET PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT AND ARE SCREENED PRESUMPTIVELY FOR FINANCIAL ASSISTANCE. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF OCHSNER'S UNINSURED AND UNDERINSURED PATIENTS WILL BE INCAPABLE OR RELUCTANT TO PAY FOR THE SERVICES PROVIDED. REMAINING CHARGES IN THE PERIOD THE SERVICES ARE PROVIDED RELATED TO PATIENT RECEIVABLES AND DEDUCTIBLES, CO-PAYMENTS, OR OTHER AMOUNTS DUE FROM INDIVIDUAL PATIENTS WHO HAVE BEEN DEEMED UNWILLING TO PAY MAY BE CONSIDERED BAD DEBT, AND THUS REDUCE PATIENT SERVICE REVENUE. ANY CHARGES RELATED TO BANKRUPTCY ARE WRITTEN OFF AS BAD DEBT EXPENSE. MOST OF THE BAD DEBT REDUCES NET PATIENT REVENUE.NOTE THAT BAD DEBT IS USUALLY THE DIFFERENCE BETWEEN PATIENT CHARGES AND ANY INSURANCE PAYMENTS. THEREFORE, APPLYING THE COST TO CHARGE RATIO TO BAD DEBT WOULD NOT PROPERLY GET TO BAD DEBT AT COST, AS THERE IS NO RELATIONSHIP BETWEEN THE AMOUNT OF BAD DEBT AND THE COST TO PROVIDE CARE. THEREFORE, THE AMOUNT EXPRESSED HERE IS NOT EXPRESSED "AT COST."
PART III, LINE 4: EFFECTIVE JAN. 1, 2018, OCHSNER ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), WHICH OUTLINES A SINGLE COMPREHENSIVE MODEL FOR ENTITIES TO USE IN ACCOUNTING FOR REVENUE ARISING FROM CONTRACTS WITH CUSTOMERS. ASU 2014-09 SUPERSEDED MOST CURRENT REVENUE RECOGNITION GUIDANCE, INCLUDING INDUSTRY-SPECIFIC GUIDANCE, AND REQUIRES EXPANDED DISCLOSURES ABOUT REVENUE RECOGNITION TO ENABLE FINANCIAL STATEMENT USERS TO UNDERSTAND THE NATURE, TIMING, ACCOUNT AND UNCERTAINTY OF REVENUE AND CASH FLOWS ARISING FROM CONTRACTS WITH CUSTOMERS. BAD DEBT IS NO LONGER DISCLOSED IN THE NOTES TO THE FINANCIAL STATEMENTS.
PART III, LINE 8: THE MEDICARE SHORTFALL, IF ANY, IS NOT CONSIDERED COMMUNITY BENEFIT. TOTAL REVENUE FROM MEDICARE AND MEDICARE ALLOWABLE COSTS WERE AGGREGATED FROM THE FISCAL YEAR COST REPORTS FILED WITH CENTERS FOR MEDICARE AND MEDICAID SERVICES FOR ALL HOSPITALS. THEY DO NOT INCLUDE MEDICARE ADVANTAGE OR PAYMENTS RELATED TO EDUCATION OR RESEARCH, IN COMPLIANCE WITH THE INSTRUCTIONS. THE MEDICARE COST REPORT WAS USED TO PULL THE RELATED REVENUES AND ALLOWABLE COSTS.
PART III, LINE 9B: UPON GRANTING APPROVAL FOR 100% ASSISTANCE, ALL COLLECTION EFFORTS FOR THAT ACCOUNT WILL CEASE, THE ACCOUNT WILL NOT BE TURNED OVER TO A COLLECTION AGENCY, AND OCHSNER WILL NOT IMPOSE EXTRAORDINARY COLLECTION EFFORTS SUCH AS WAGE GARNISHMENTS OR LIENS.
PART V, SECTION B THIS LEGAL ENTITY IS RUSH HOSPITAL - BUTLER INC. D/B/A OCHSNER CHOCTAW GENERAL.
PART VI, LINE 3: ALL UNINSURED PATIENTS ARE SCREENED FOR MEDICAID. THE PROCESS TAKES PLACE AT THE TIME OF SERVICE, INPATIENT ADMISSIONS, AND IF THE PATIENT IS NOT SCREENED AT THE TIME, THE PATIENT IS CONTACTED AT HOME TO DETERMINE ELIGIBILITY. IF THE PATIENTS DO NOT QUALIFY FOR MEDICAID, THEN THEY WILL BE EVALUATED UNDER THE FINANCIAL ASSISTANCE POLICY. INTERNAL CUSTOMER SERVICE DEPARTMENTS AND EXTERNAL PARTNERS INCLUDING COLLECTION AGENCIES PROVIDE PATIENTS WITH FINANCIAL ASSISTANCE APPLICATIONS IF PATIENTS EXPRESS CONCERNS ABOUT THE INABILITY TO PAY OUTSTANDING BALANCES. OCHSNER ALSO OFFERS ZERO INTEREST PAYMENT PLAN OPTIONS WITH PAYMENT TERMS RANGING FROM SIX TO 60 MONTHS.
PART VI, LINE 4: OCHSNER CHOCTAW GENERAL'S PRIMARY SERVICE AREA IS CHOCTAW COUNTY, ALABAMA. CHOCTAW COUNTY HAS 913.5 SQUARE MILES OF LAND AREA AND IS THE 13TH LARGEST COUNTY IN ALABAMA BY TOTAL AREA. CHOCTAW COUNTY IS BORDERED BY WAYNE COUNTY, MS; CLARKE COUNTY, AL; MARENGO COUNTY, AL; WASHINGTON COUNTY, AL; SUMTER COUNTY, AL; CLARKE COUNTY, MS; AND, LAUDERDALE COUNTY, MS. THESE SURROUNDING COUNTIES SERVE AS OCHSNER CHOCTAW GENERAL'S SECONDARY SERVICE AREA. CHOCTAW COUNTY HAS A TOTAL POPULATION OF 12,755 CITIZENS, WHILE THE STATE OF ALABAMA HAS A TOTAL POPULATION OF 4,893,186. THE OVERALL POPULATION FOR CHOCTAW COUNTY HAS SEEN A DECREASE IN THE POPULATION GROWTH RATE OVER A 5-YEAR TREND AT 4.78%; ALABAMA HAS SEEN A SLIGHT INCREASE IN THE POPULATION GROWTH RATE OVER A 5-YEAR TREND AT 1.30%. IN COMPARISON, THE UNITED STATES SAW AN INCREASE OF APPROXIMATELY 3.18%. FURTHER ANALYSIS OF CHOCTAW COUNTY'S CENSUS DATA SHOWS THAT THE COUNTY'S POPULATION IS 47.8% MALE AND 52.2% FEMALE. THIS HARDLY DIFFERS FROM THE STATE AVERAGE 48.4% MALE AND 51.6% FEMALE. CHOCTAW COUNTY HAS A MEDIAN AGE OF 46.6 YEARS WHICH IS SIMILAR TO THE STATE'S MEDIAN AGE OF 39.2 YEARS. IN CHOCTAW COUNTY, 56.7% OF THE POPULATION IS WHITE; THIS STAT IS 68.2% FOR THE STATE OF ALABAMA. WHILE CHOCTAW COUNTY AND THE STATE SHARE SIMILAR RACIAL MIXES, THE ETHNIC MIX IN CHOCTAW COUNTY SHOWS LESS DIVERSITY WHEN COMPARED TO THE STATE OF ALABAMA: 0.6% OF THE POPULATION IN CHOCTAW COUNTY IS HISPANIC OR LATINO COMPARED TO 4.2% OF THE POPULATION IN ALABAMA. WHEN EVALUATING RESIDENTS THAT ARE 25 YEARS OR OLDER, 81.4% OF CHOCTAW COUNTY RESIDENTS HAVE A HIGH SCHOOL DIPLOMA (INCLUDES GED) OR HIGHER COMPARED TO 85.7% OF THE RESIDENTS IN THE STATE OF ALABAMA. CHOCTAW COUNTY HAS A HIGHER PERCENTAGE OF EDUCATIONAL ATTAINMENT IN ALL CATEGORIES UP TO "SOME COLLEGE, NO DEGREE," WHILE THE ALABAMA HAS A HIGHER PERCENTAGE OF HIGHER EDUCATION ATTAINMENT. THIS PERCENTAGE IS 23.9% FOR CHOCTAW COUNTY COMPARED TO 33.2% FOR THE STATE OF ALABAMA.
PART VI, LINE 5: RUSH HEALTH SYSTEMS OFFICIALLY MERGED WITH OCHSNER HEALTH TO BECOME OCHSNER RUSH HEALTH. THE MOVE EXPANDS PATIENT ACCESS TO HIGH-QUALITY CARE IN EAST MISSISSIPPI AND WEST ALABAMA AND ANCHORS OCHSNER'S SERVICES AT SEVEN REGIONAL HOSPITALS. ENHANCED PATIENT CARE INCLUDES INCREASED ACCESS TO OCHSNER'S SPECIALTY AND SUBSPECIALTY SERVICES, TECHNOLOGICAL AND DIGITAL CAPABILITIES AND ROBUST CLINICAL RESEARCH NETWORK.ALL MEMBERS OF RUSH HOSPITAL BUTLER, INC'S BOARD RESIDE IN BUTLER, INC'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. OCHSNER HEALTH EXPANDED THE COMMITMENT TO DIVERSITY, EQUITY, & INCLUSION (DEI) TO BETTER SUPPORT STAFF & THE COMMUNITIES THEY SERVE INTO OCHSNER RUSH HEALTH. THE DEI TEAM DEEPENED EMPLOYEE ENGAGEMENT AROUND DEI GOALS & OBJECTIVES, EXPANDED TRAINING PROGRAMS, & IMPLEMENTED NEW MEASURES TO ADVANCE OCF SUPPLIER DIVERSITY GOALS. TO HIGHLIGHT AND BUILD AN APPRECIATION FOR THE DIFFERENCES THAT MAKE EMPLOYEES STRONGER AND TO ADDRESS THE NEED OF EVERY INDIVIDUAL TO FEEL VALUED AND RESPECTED, TEN OCHSNER RESOURCE GROUPS (ORGS) CONTINUE TO BE SUPPORTED WITH RESOURCES ACROSS OCHSNER HEALTH INCLUDING OCHSNER RUSH HEALTH. OCHSNER ALSO PROVIDES EMPLOYEES AT OCHSNER RUSH HEALTH THE OPPORTUNITY TO WORK INSIDE OF THEIR COMMUNITIES THROUGH THE OCHSNERSERVES EMPLOYEE VOLUNTEERISM PROGRAM. OCHSNERSERVES EMPOWERS EMPLOYEES THROUGHOUT THE OCHSNER SYSTEM TO BE COMMUNITY-INVOLVED BY PROVIDING FULL-TIME EMPLOYEES WITH 8 HOURS OF PAID VOLUNTEER TIME EACH YEAR & MAKES IT EASY TO ACCESS VOLUNTEER EVENTS & OPPORTUNITIES THROUGH A CENTRALIZED PORTAL. WE RECOGNIZE THAT THE HEALTH OF OUR ENVIRONMENT IS ESSENTIAL TO THE HEALTH OF OUR PEOPLE AND COMMUNITIES.
PART VI, LINE 6: THE ORGANIZATION IS PART OF OCHSNER HEALTH. OCHSNER HEALTH IS THE LARGEST NON-PROFIT, ACADEMIC, MULTI-SPECIALTY, INTEGRATED HEALTHCARE DELIVERY SYSTEM IN THE GULF COAST REGION. THE ORGANIZATION IS FOUNDED ON PROVIDING THE BEST PATIENT CARE, RESEARCH, AND EDUCATION. OCHSNER OPERATES 26 HOSPITALS AND IS AFFILIATED WITH 19 OTHER HOSPITALS ACROSS LOUISIANA, MISSISSIPPI, AND ALABAMA. OCHSNER EMPLOYS OVER 1,700 PHYSICIANS THAT HAVE OVER 1,500 BOARD CERTIFICATIONS IN APPROXIMATELY 90 SPECIALTIES, TRAINS OVER 1,000 MEDICAL RESIDENTS AND FELLOWS ANNUALLY. IN 2022, MORE THAN 1.3 MILLION PEOPLE FROM ALL 50 STATES AND 62 COUNTRIES VISITED OCHSNER.
PART I, LINE 6A THE COMMUNITY BENEFIT REPORT IS PREPARED BY IT'S PARENT ORGANIZATION, OCHSNER CLINIC FOUNDATION (TIN #72-0502505).
Schedule H (Form 990) 2022
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