TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DON BARRON...................................................................... VICE PRESIDENT	1.0 ................. 0.0	X	X	4,800	0
(2) MARY MARTHA HENSON...................................................................... SECRETARY/TREASURER	1.0 ................. 0.0	X	X	0	0
(3) STEVEN ATES...................................................................... PRESIDENT	1.0 ................. 0.0	X	X	5,164	0
(4) AMBER COLVILLE MD...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		9,806	0
(5) APRIL ANDREWS...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		0	0
(6) AUWILDA POLK...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		4,500	0
(7) BONNIE GRANGER...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		2,550	0
(8) BRIAN FULTON...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		900	0
(9) ERICH NICHOLS...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		3,900	0
(10) GARY EVANS...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		1,200	0
(11) PAMELA LINDSEY...................................................................... BOARD MEMBER	1.0 ................. 0.0	X		4,050	0
(12) SARDAR BABAR...................................................................... CHIEF OF STAFF	1.0 ................. 0.0	X		0	0
(13) GORDON ROUNDTREE...................................................................... Chief Legal and Strategic Affairs Officer through 10/8/2023	1.0 ................. 39.0		X	29,477	0
(14) JAKLYN WRIGLEY...................................................................... CHIEF LEGAL AND STRATEGIC AFFAIRS OFFICER SINCE 10/8/2023	1.0 ................. 39.0		X	382,582	12,792
(15) JASON MCNEIL...................................................................... CFO	1.0 ................. 39.0		X	307,024	13,589
(16) LAURIN ST PE...................................................................... CEO	1.0 ................. 39.0		X	369,657	39,295
(17) TIFFANY MURDOCK...................................................................... CEO THROUGH 07/2023	1.0 ................. 39.0		X	362,163	22,875

(A) Name and business address	(B) Description of services	(C) Compensation
AIR MASTERS SERVICE AMERICA PO BOX 727 GAUTIER,MS39553	REPAIRS & MAINTENANCE	2,047,787
LIFELINC ANESTHESIA PLLC 3340 PLAYERS CLUB PARKWAY SUITE 35 MEMPHIS,TN38125	PHYSICIAN COVERAGE	1,798,320
ENCORE REHABILITATION INC 251 JOHNSTON ST STUTE 200 DECATUR,AL35601	CONTRACT LABOR	1,323,414
EXPRESS SERVICES INC PO BOX 203901 DALLAS,TX75320	CONTRACT LABOR	1,053,863
GIFTED NURSES LLC PO BOX 205426 DALLAS,TX75320	CONTRACT LABOR	930,778
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 24

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

Singing River Gulfport

Employer identification number

85-1538878

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

	(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

(a) Description	(b) Book value
(1)ROU ASSET	4,989,193
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........	4,989,193

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......	1	192,836,417
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................	2e	0
3	Subtract line 2e from line 1..................	3	192,836,417
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................	4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......	5	192,836,417

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........	1	177,262,422
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................	2e	0
3	Subtract line 2e from line 1...................	3	177,262,422
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................	4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......	5	177,262,422

Return Reference	Explanation
Schedule D, Part X, Line 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2023

Open to Public Inspection

Name of the organization

Singing River Gulfport

Employer identification number

85-1538878

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

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) . . .			5,951,220		5,951,220	3.36 %
b	Medicaid (from Worksheet 3, column a) . . . . .			22,583,607	50,243,040	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	28,534,827	50,243,040	5,951,220	3.36 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).					0	0 %
f	Health professions education (from Worksheet 5) . . .					0	0 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .					0	0 %
j	Total. Other Benefits . .	0	0	0	0	0	0 %
k	Total. Add lines 7d and 7j .	0	0	28,534,827	50,243,040	5,951,220	3.36 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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					0	0 %
2	Economic development					0	0 %
3	Community support					0	0 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building					0	0 %
7	Community health improvement advocacy					0	0 %
8	Workforce development					0	0 %
9	Other					0	0 %
10	Total	0	0	0	0	0	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

37,988,550

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. ......

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

Enter total revenue received from Medicare (including DSH and IME).....

17,428,483

Enter Medicare allowable costs of care relating to payments on line 5.....

17,282,016

Subtract line 6 from line 5. This is the surplus (or shortfall)........

146,467

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2023

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)
1	SINGING RIVER GULFPORT 15200 COMMUNITY GULFPORT,MS39503 SINGINGRIVERHEALTHSYSTEM.COM 13-272	X	X

Schedule H (Form 990) 2023

Page 4

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)

	SINGING RIVER GULFPORT
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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

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 .................

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..................................

Yes

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): singingriverhealthsystem.com/about-singing-river/community-information/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): singingriverhealthsystem.com/about-singing-river/public-information/community-information/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SINGING RIVER GULFPORT
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 200.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES

The FAP application form was widely available on a website (list url):

SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES

A plain language summary of the FAP was widely available on a website (list url):
SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	SINGING RIVER GULFPORT
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SINGING RIVER GULFPORT
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

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
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5. COMMUNITY HEALTH NEEDS, REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AND/OR REPRESENT MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS SERVED BY SINGING RIVER GULFPORT HOSPITAL. INTERVIEWS WERE CONDUCTED DURING THE MONTH OF MAY & JUNE 2021. KEY INFORMANTS FROM THE FOLLOWING ORGANIZATIONS PARTICIPATED: - BOAT PEOPLE SOS - COASTAL FAMILY HEALTH CENTER - EL PUEBLO - JACKSON COUNTY CIVIC ACTION - HARRISON COUNTY HEALTH DEPARTMENT - HARRISON COUNTY SCHOOL DISTRICT - MISSISSIPPI STATE DEPARTMENT OF HEALTH, DISTRICT OFFICE FOR PUBLIC HEALTH DISTRICT IX - PASCAGOULA - GAUTIER SCHOOL DISTRICT - PASCAGOULA SENIOR CENTER - PREVENTION AND SAFETY SERVICES - THE SALVATION ARMY KROC CENTER MISSISSIPPI GULF COAST - THE SALVATION ARMY MISSISSIPPI GULF COAST - SINGING RIVER HEALTH SYSTEM PATIENT RESOURCE MANAGEMENT - UNITED WAY FOR JACKSON AND GEORGE COUNTIES - UNITED WAY FOR HARRISON COUNTY INTERVIEW QUESTIONS FOCUSED ON INTERVIEWEE'S INDIVIDUAL/ORGANIZATIONAL BACKGROUND AND EXPERTISE, GREATEST COMMUNITY NEEDS OR CONCERNS, BARRIERS AND CONTRIBUTING FACTORS TO CONSIDER, COMMUNITY RESOURCES, ANY FURTHER CONCERNS FOR THEIR REPRESENTED POPULATION, AND OTHER PERTINENT INFORMATION.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - SINGING RIVER GULFPORT. SINGING RIVER HEALTH SYSTEM, OCEAN SPRINGS HOSPITAL, AND PASCAGULA HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - SINGING RIVER GULFPORT. THE COMMUNITY BENEFIT DEPARTMENT REVIEWED AND ANALYZED ALL PRIMARY AND SECONDARY DATA FOR RECURRING THEMES, SCOPE, SEVERITY, AND URGENCY OF IDENTIFIED HEALTH NEEDS FOR OUR AREA. FEASIBILITY AND EFFECTIVENESS OF POSSIBLE INTERVENTIONS WERE CONSIDERED, AS WELL AS ALIGNMENT WITH THE MISSION OF SINGING RIVER HEALTH SYSTEM, EXISTING PROGRAMS, AND THE IMPORTANCE THAT THE COMMUNITY PLACED ON THE HEALTH NEED. WITH ADDITIONAL INPUT SOLICITED FROM HEALTH SYSTEM LEADERSHIP THIS PROCESS IDENTIFIED THE FOLLOWING PRIORITIZED HEALTH NEEDS FOR THE COMMUNITIES WE SERVE: 1. OBESITY OBESITY IS DEFINED AS A BODY MASS INDEX (BMI) OF 30 OR GREATER. MISSISSIPPI RANKS NUMBER ONE IN THE NATION FOR OBESITY, WITH 39% OF ADULTS BEING OBESE COMPARED TO 27.5 % NATIONALLY. THE COUNTY HEALTH RANKINGS MEASURE OF OBESITY SERVES AS A PROXY METRIC FOR POOR DIET AND LIMITED PHYSICAL ACTIVITY. OBESITY INCREASES THE RISK FOR HEALTH CONDITIONS SUCH AS CORONARY HEART DISEASE, TYPE 2 DIABETES, CANCER, HYPERTENSION, DYSLIPIDEMIA, STROKE, LIVER AND GALLBLADDER DISEASE, SLEEP APNEA AND RESPIRATORY PROBLEMS (SUCH AS ASTHMA), OSTEOARTHRITIS, AND POOR HEALTH STATUS. ACCORDING TO COUNTY HEALTH RANKINGS, JACKSON COUNTY PERFORMS MARGINALLY BETTER THAN THE STATE AT 36% AND COMMUNITY COMMONS REPORTS 35.2% OF JACKSON COUNTY ADULTS ARE OVERWEIGHT (BMI GREATER THAN 30.0). COUNTY HEALTH RANKINGS FURTHER REPORTS THAT 26% OF JACKSON COUNTY ADULTS ARE PHYSICALLY INACTIVE. CURRENT PROGRAMS AND SERVICES THAT ADDRESS OBESITY: -BARIATRIC SURGERY PROGRAM: PROVIDES SURGICAL WEIGHT LOSS PROCEDURES, AS WELL AS OFFERS GUIDANCE TO HELP PATIENTS MAKE LIFESTYLE CHANGES. - BREASTFEEDING RESOURCE CENTERS: RESEARCH HAS SHOWN THAT BREASTFEEDING DECREASES THE RISK OF A CHILD BECOMING OBESE (CDC, 2012). BOTH OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL OFFER BREASTFEEDING RESOURCE CENTERS WHERE BREASTFEEDING SUPPORT IS OFFERED, AS WELL AS BREASTFEEDING SUPPLIES AND PUMPS FOR RENT OR PURCHASE. - HEALTHY PARTNERS: WITH CONVENIENT SCREENINGS, RISK ASSESSMENTS, ON-SITE EVENTS AND OTHER SUPPORT, OUR HEALTHY PARTNER COMPANIES HAVE A DIRECT CONNECTION TO ALL THE RESOURCES OF OUR AWARD-WINNING CARE TEAMS. SCREENINGS FOR THE MOST COMMON CONDITIONS CAN IMPROVE HEALTH AND SAVE LIVES. - HEALTHY REVOLUTION BLUEPRINT WHICH IS A SIMPLE-TO-FOLLOW, NONSURGICAL HEALTHY LIFESTYLE & WEIGHT MANAGEMENT PROGRAM. THERE IS A MISCONCEPTION THAT LOSING A LARGE AMOUNT OF WEIGHT IS DIFFICULT AND CRASH DIETS ARE THE ONLY WAY TO IMPROVE HEALTH. CREATING HEALTHY HABITS AND A FEW LIFESTYLE CHANGES CAN LOWER BLOOD PRESSURE, CHOLESTEROL, AND TRIGLYCERIDE LEVELS THAT CAN HELP AND PREVENT, CONTROL, AND EVEN REVERSE TYPE 2 DIABETES. SINGING RIVER IS ACTIVELY PROMOTING THE HEALTHY REVOLUTION BLUEPRINT AMONG OUR MORE THAN 2,500 EMPLOYEES AND THROUGHOUT OUR COMMUNITY TO REDUCE OBESITY RATES IN OUR REGION. VISIT WWW.SINGINGRIVERHEALTHSYSTEM.COM TO FIND THE FULL 12 WEEK PROGRAM. - HEALTHY REVOLUTION PROGRAM IS A CUSTOMIZED WELLNESS INITIATIVE FOR SINGING RIVER HEALTH SYSTEM EMPLOYEES. THE PROGRAM INCLUDES A UNIQUE BENEFIT PLAN STRUCTURE, UNPRECEDENTED TEAM-BASED REWARDS PROGRAMS, SCREENING PROGRAMS, MULTIPLE NUTRITION INITIATIVES, AND GROUP PROGRAMS FOR HEALTHY LIVING. - HEALTHPLEX: LOCATED IN PASCAGOULA, HEALTHPLEX IS A COMPREHENSIVE HEALTH AND WELLNESS CENTER OFFERING STATE-OF-THE-ART FITNESS EQUIPMENT AND GROUP CLASSES WHILE PROVIDING TRAINED STAFF TO ASSIST INDIVIDUALS WITH CHRONIC CONDITIONS OR THOSE AT RISK OF DEVELOPING THEM. SINGING RIVER ALSO PARTNERS WITH THE MS GULF COAST YMCA FOR HEALTH AND WELLNESS EDUCATION, COMMUNITY PROJECTS AND SUPPORT. - NUTRITION SERVICES: DIETARY CONSULTS ARE AVAILABLE BY APPOINTMENT AT BOTH HOSPITALS WITH PHYSICIAN REFERRAL. - COMMUNITY EDUCATION AND SCREENINGS: SUBJECT MATTER EXPERTS PROVIDE EDUCATIONAL PRESENTATIONS AND SPEECHES ON A VARIETY OF TOPICS IN THE COMMUNITY, INCLUDING PRESENTATIONS FOR SENIOR CENTERS, SCHOOLS, CHURCHES, AND CIVIC GROUPS. REGULAR PARTICIPATION IN HEALTH FAIRS IS ONGOING, WITH SCREENINGS OFFERED FOR BLOOD PRESSURE, BLOOD GLUCOSE, BODY MASS INDEX, AND LUNG FUNCTION. PARTNERSHIPS AND POTENTIAL OPPORTUNITIES: SINGING RIVER HEALTH SYSTEM IS A FOUNDING PARTNER AND ONGOING MEMBER OF THE MISSISSIPPI GULF COAST YOUTH HEALTH COALITION, WHOSE FIRST INITIATIVE "LET'S GO! GULF COAST," AIMS TO COMBAT CHILDHOOD OBESITY BY ENCOURAGING HEALTHY EATING AND ACTIVE LIVING FOR MISSISSIPPI GULF COAST CHILDREN, THEIR FAMILIES, AND THE COMMUNITIES IN WHICH THEY LIVE, LEARN, WORK, AND PLAY. ANTICIPATED IMPACT AND PLAN TO EVALUATE: THE PROGRAMS ARE ANTICIPATED TO IMPROVE THE HEALTH OF PARTICIPANTS BY ASSISTING IN WEIGHT LOSS, HEALTH PROMOTION, PHYSICAL FITNESS EDUCATION, NUTRITION EDUCATION, AND INCREASING AWARENESS OF OVERALL HEALTH. THE PARTNERSHIP WITH THE MISSISSIPPI GULF COAST YOUTH HEALTH COALITION IS ANTICIPATED TO RAISE AWARENESS IN JACKSON COUNTY ABOUT OBESITY AND HOW TO MAKE HEALTHIER CHOICES. THE PLAN TO EVALUATE INCLUDES TRACKING PATIENT PARTICIPATION AND OUTCOMES, WHERE APPLICABLE, AND REASSESSING THE HEALTH NEEDS OF THE COMMUNITY DURING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT. EVALUATION METRICS ARE BUILT-IN TO THE LET'S GO! GULF COAST INITIATIVE AND WILL BE INCLUDED IN THE DATA ASSESSED DURING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT. 2. BEHAVIORAL HEALTH JACKSON COUNTY, ALONG WITH ALL OF COASTAL MISSISSIPPI HAS EXPERIENCED NUMEROUS NATURAL AND ENVIRONMENTAL DISASTERS IN RECENT YEARS SUCH AS HURRICANE KATRINA AND THE BP OIL SPILL. THESE EVENTS, COMBINED WITH THE COVID 19 PANDEMIC ACROSS THE COUNTRY, HAVE LEFT A TOLL ON AN ALREADY ECONOMICALLY DEPRESSED REGION. THIS HAS CREATED A RIPE ENVIRONMENT FOR BEHAVIORAL HEALTH ISSUES SUCH AS DEPRESSION AND ANXIETY. TO COMPOUND THE PROBLEM, THERE IS A LACK OF MENTAL HEALTH PROVIDERS IN THE AREA, WITH A RATIO OF 630 PEOPLE FOR EVERY 1 BEHAVIORAL HEALTH PROVIDER IN JACKSON COUNTY (COUNTY HEALTH RANKINGS, 2021). CURRENT PROGRAMS AND SERVICES THAT ADDRESS MENTAL HEALTH: - EMERGENCY BEHAVIORAL ASSESSMENT: 24-HOUR INTAKE AND EVALUATION FOR ALL AGES WITH SUPPORT FROM OUR CRISIS INTERVENTION PROGRAM TEAM. - INPATIENT MEDICAL-PSYCHIATRIC PROGRAM: PROVIDES ACUTE MEDICAL CARE AS WELL AS PSYCHIATRIC CARE FOR ADULTS WHO REQUIRE 24- HOUR INPATIENT TREATMENT. - PET ASSISTED WELLNESS SERVICES (PAWS). PET THERAPY PROGRAM OFFERED FOR THE EMOTIONAL WELLBEING OF INPATIENTS AT BOTH HOSPITALS. ANTICIPATED IMPACT AND PLAN TO EVALUATE: AS THE NEED FOR BEHAVIORAL HEALTH SERVICES INCREASES, SINGING RIVER IS ACTIVELY WORKING WITH PRIVATE PROVIDERS, GOVERNMENT AND NOT FOR PROFIT AGENCIES TO ADDRESS CAPACITY ISSUES AND ALTERNATIVES TO HOSPITALIZATION WHERE APPROPRIATE. 3. CHRONIC CONDITIONS CHRONIC ILLNESSES SUCH AS DIABETES, HIGH CHOLESTEROL, AND HEART DISEASE (THE LEADING CAUSE OF DEATHS IN THE UNITED STATES) ARE RAMPANT IN JACKSON COUNTY. THESE CONDITIONS SIGNIFICANTLY IMPACT QUALITY OF LIFE, AND MANY ARE THE RESULT OF LIFESTYLE CHOICES AND/OR LACK OF PREVENTIVE CARE DUE TO ACCESS ISSUES. THE HIGH RATE OF OBESITY ALSO PUTS RESIDENTS AT RISK FOR DEVELOPING A CHRONIC CONDITION. CURRENT PROGRAMS AND SERVICES THAT ADDRESS CHRONIC CONDITIONS: - BOARD CERTIFIED GERIATRICIAN: GERIATRIC MEDICINE SPECIALIZES IN THE COMPLEX MEDICAL AND PSYCHOSOCIAL PROBLEMS OF OLDER ADULTS. - CARDIAC CATH LAB: OFFERING CARDIAC DIAGNOSTIC CATHETERIZATION, CORONARY INTERVENTION PROCEDURES, BALLOON ANGIOPLASTY, CORONARY STENTING, ROTATIONAL ATHERECTOMY, PERIPHERAL DIAGNOSTIC CATHETERIZATION AND INTERVENTIONAL PROCEDURES, ELECTROPHYSIOLOGICAL STUDIES AND ABLATIONS, PACEMAKERS AND IMPLANTABLE CARDIOVERTER DEFIBRILLATORS, CAROTID STENTING, AND CARDIAC CALCIUM SCORING. CATH LAB PROCEDURES ARE ALSO PART OF THE BLUE DISTINCTION CENTERS OF EXCELLENCE FOR CARDIAC CARE. -CARDIAC AND PULMONARY REHABILITATION: COMPREHENSIVE PROGRAM FOR PATIENTS WITH CHRONIC HEART AND/OR LUNG DISEASE. - THE CENTER FOR CARDIOVASCULAR SURGERY: OFFERING CORONARY ARTERY BYPASS SURGERY, VALVE REPAIR AND REPLACEMENT, ANEURYSM REPAIR, THORACIC SURGERY, CAROTID ARTERY SURGERY, AND PERIPHERAL VASCULAR SURGERY. OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL WERE NAMED BLUE DISTINCTION CENTERS OF EXCELLENCE FOR CARDIAC CARE BY BLUE CROSS & BLUE SHIELD OF MISSISSIPPI. THE DESIGNATION ACKNOWLEDGES BEST PRACTICE CARE COORDINATION WITH THE GOAL OF HEALTHIER OUTCOMES THROUGH AN EMPHASIS ON QUALITY AND PREVENTION. - COMMUNITY EDUCATION AND SCREENINGS: SUBJECT MATTER EXPERTS PROVIDE EDUCATIONAL PRESENTATIONS AND SPEECHES ON A VARIETY OF TOPICS IN THE COMMUNITY, INCLUDING PRESENTATIONS FOR SENIOR CENTERS, SCHOOLS, CHURCHES, AND CIVIC GROUPS. REGULAR PARTICIPATION IN HEALTH FAIRS IS ONGOING, WITH SCREENINGS OFFERED FOR BLOOD PRESSURE, BODY MASS INDEX, AND LUNG FUNCTION. FREE ONSITE SCREENINGS HAVE ALSO BEEN OFFERED FOR
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - SINGING RIVER GULFPORT. ALPHA TESTING WHICH DETECTS RISK FOR LUNG DISEASE. - CONGESTIVE HEART FAILURE CLINIC: OFFERING SHORT-TERM AND LONG-TERM SYMPTOM MANAGEMENT, DRUG THERAPIES, EDUCATION ON LIFESTYLE MODIFICATION, AND ENHANCED EXTERNAL COUNTERPULSATION. - ENCOURAGE FITNESS: SINGING RIVER HEALTH SYSTEM FOUNDATION, WITH IN-KIND SUPPORT FROM SINGING RIVER HEALTH SYSTEM, HOSTS THE ANNUAL "RUN RUN RUDOLPH 5K AND FUN RUN," AS WELL AS PROMOTING/SUPPORTING OTHER COMMUNITY RUNS AND WALKS IN AN EFFORT TO CULTIVATE A CULTURE OF HEALTHFUL LIVING. - HEALTHPLEX: LOCATED IN PASCAGOULA, HEALTHPLEX IS A COMPREHENSIVE HEALTH AND WELLNESS CENTER OFFERING STATE-OF-THE-ART FITNESS EQUIPMENT AND GROUP CLASSES WHILE PROVIDING TRAINED STAFF TO ASSIST INDIVIDUALS WITH CHRONIC CONDITIONS OR THOSE AT RISK OF DEVELOPING THEM. - HOSPITALISTS: OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL EMPLOY HOSPITALISTS, WHICH ARE PHYSICIANS WHO SPECIALIZE IN THE CARE OF HOSPITALIZED PATIENTS. THIS SPECIALIZED EXPERTISE RESULTS IN BETTER QUALITY OF CARE DURING THE HOSPITAL STAY. - REGIONAL PULMONARY HYPERTENSION CENTER: LOCATED IN OCEAN SPRINGS, THE REGIONAL PULMONARY HYPERTENSION CENTER IS THE ONLY PULMONARY HYPERTENSION CLINIC ON THE MISSISSIPPI GULF COAST. - RETAIL PHARMACY: STARTING IN 2015, OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL NOW OFFER IN-HOUSE RETAIL PHARMACIES. THIS ALLOWS PATIENTS TO BE DISCHARGED WITH THE MEDICATIONS THAT THEY NEED, WHICH HELPS TO ELIMINATE GAPS IN TREATMENT AND PROVIDE CONTINUITY OF CARE. - SINGING RIVER HEALTH SYSTEM CLINICS: THERE ARE FIVE CLINICS TOTAL, WITH LOCATIONS IN HURLEY, OCEAN SPRINGS, PASCAGOULA, AND VANCLEAVE. EXTENDED AND/OR WEEKEND HOURS ARE OFFERED, AS WELL AS SAME DAY APPOINTMENTS AND A BOARD CERTIFIED EMERGENCY PHYSICIAN OFFERING FAST-TRACK SERVICES AT THE PASCAGOULA CLINIC. - SLEEP CENTER: MULTIDISCIPLINARY MEDICAL CLINIC AND SLEEP DIAGNOSTIC LABORATORY. - THE WOUND CARE CENTER: OFFERING SPECIALIZED EQUIPMENT AND A HIGHLY TRAINED STAFF FOR THE MANAGEMENT OF PROBLEM WOUNDS. THIS IS ESPECIALLY HELPFUL FOR PATIENTS WITH DIABETES. POTENTIAL OPPORTUNITIES: -EXPLORE POPULATION HEALTH PROGRAMS TARGETING CHRONIC CONDITIONS WITH A POSSIBLE PILOT PROGRAM FOR EMPLOYEES, WITH THE INTENT OF EXTENDING CORPORATE HEALTH STRATEGIES TO THE COMMUNITY. - DEVELOPING A BETTER BREATHING PROGRAM TO BEGIN AGAIN. ANTICIPATED IMPACT AND PLAN TO EVALUATE: THE INPATIENT AND OUTPATIENT SERVICES ARE EXPECTED TO IMPROVE CARE AND QUALITY OF LIFE OF PEOPLE WITH CHRONIC CONDITIONS, INCLUDING SPECIALIZED CARE FROM HOSPITALISTS AND GERIATRICIANS. CONTINUITY OF CARE SHOULD BE ENHANCED BY THE INTERNAL RETAIL PHARMACY. THE BETTER BREATHERS CLUB IS ANTICIPATED TO IMPROVE THE EMOTIONAL HEALTH AND WELL-BEING OF CHRONIC LUNG DISEASE SUFFERERS, AND COMMUNITY EDUCATION AND SCREENINGS SHOULD ENHANCE HEALTH KNOWLEDGE AND AWARENESS. IMPACT OF THE POTENTIAL POPULATION HEALTH PROGRAM IS NOT POSSIBLE TO DETERMINE AT THIS TIME SINCE THE PROGRAM IS UNDER DEVELOPMENT. THE PLAN TO EVALUATE INCLUDES TRACKING PATIENT PARTICIPATION AND OUTCOMES, WHERE APPLICABLE, AND REASSESSING THE HEALTH NEEDS OF THE COMMUNITY DURING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT. 4. CANCER ACCORDING TO DATA AVAILABLE ON THE COMMUNITY COMMON PLATFORM, JACKSON COUNTY RESIDENTS HAVE A HIGHER INCIDENCE OF ALL CANCERS THAN THE US AVERAGE. THESE SPECIFICALLY INCLUDE BREAST CANCER, LUNG CANCER, AND PROSTATE CANCER. MORE MALES DIE OF CANCER THAN FEMALES IN THE COUNTY, STATE, AND NATION. THE CANCER INCIDENCE RATE IS 459.8 CASES PER 100,000 FOR JACKSON COUNTY. BREAST CANCER IS A LEADING CAUSE OF CANCER DEATH AMONG WOMEN IN THE UNITED STATES. ACCORDING TO THE AMERICAN CANCER SOCIETY, ABOUT 1 IN 8 WOMEN WILL DEVELOP BREAST CANCER AND ABOUT 1 IN 36 WOMEN WILL DIE FROM BREAST CANCER IN OUR REGION. BREAST CANCER IS ASSOCIATED WITH INCREASED AGE, HEREDITARY FACTORS, OBESITY, AND ALCOHOL USE. CURRENT PROGRAMS AND SERVICES THAT ADDRESS CANCER: - DISCOUNTED CANCER SCREENINGS - HEALTHPLEX CANCER EXERCISE PROGRAM: THIS FOUR WEEK EXERCISE AND LIFESTYLE MODIFICATION PROGRAM FOCUSES ON THE INDIVIDUALIZED NEEDS OF THE CANCER PATIENT. - SMOKE-FREE CAMPUS: ALL SINGING RIVER HEALTH SYSTEM PROPERTIES, INCLUDING BOTH HOSPITALS AND OUTLYING FACILITIES, ARE SMOKE-FREE. - AMERICAN CANCER SOCIETY PARTNERSHIPS: SINGING RIVER HEALTH SYSTEM HELPS TO ADVOCATE, SUPPORT AND RAISE FUNDS FOR THE AMERICAN CANCER SOCIETY. - COMMUNITY EDUCATION AND SCREENINGS: SUBJECT MATTER EXPERTS PROVIDE EDUCATIONAL PRESENTATIONS AND SPEECHES ON A VARIETY OF TOPICS IN THE COMMUNITY, INCLUDING PRESENTATIONS FOR SENIOR CENTERS, SCHOOLS, CHURCHES, AND CIVIC GROUPS. - SINGING RIVER HEALTH SYSTEM REGIONAL CANCER CENTER: OUR NATIONALLY ACCREDITED CANCER CENTER OFFERS STATE OF THE ART DIAGNOSTICS AND TREATMENT FOR A WIDE VARIETY OF CANCER RELATED CONDITIONS. WE HAVE RECENTLY EXPANDED ACCESS TO CANCER TREATMENT AND SUPPORT SERVICES WITH THE OPENING OF A NEW REGIONAL CANCER CENTER LOCATION AT OUR SINGING RIVER GULFPORT HOSPITAL LOCATION. CANCER SCREENING & GENETIC TESTING WE UTILIZE CUTTING EDGE PATHOLOGICAL TESTS SUCH AS TUMOR MARKERS, GENETIC TESTING, BONE MARROW TESTING, PERIPHERAL BLOOD TESTING AND AN ASSORTMENT OF BIOPSIES IN THE SEARCH FOR DIAGNOSIS. IMAGING & RADIOLOGY SINGING RIVER HEALTH SYSTEM'S TEAM OF TECHNICIANS, RADIOLOGISTS, SURGEONS, PATHOLOGISTS, AND ONCOLOGISTS DIAGNOSE AND TREAT A VARIETY OF CANCERS WITH THE LATEST TECHNOLOGIES INCLUDING: - 3D DIGITAL MAMMOGRAM - BREAST MRI - CT SCAN - PET SCAN - MRI - NUCLEAR MEDICINE TREATMENTS CANCER TREATMENTS ARE EVER-CHANGING, AND AT SINGING RIVER HEALTH SYSTEM'S CANCER CENTERS, WE ARE ON THE CUTTING EDGE OF THESE TREATMENTS. IN ADDITION TO CHEMOTHERAPY AND RADIATION TREATMENTS, WE EMPLOY IMMUNOTHERAPY AND ORAL CHEMOTHERAPY TREATMENTS THAT TARGET THE CANCER ON A CELLULAR LEVEL. STEREOTACTIC BODY RADIATION THERAPY CANCER PATIENTS WITH SMALLER, ISOLATED TUMORS BENEFIT FROM MINIMALLY INVASIVE, HIGHLY EFFECTIVE STEREOTACTIC BODY RADIATION THERAPY (SBRT) ADMINISTERED BY THE TRILOGY SYSTEM LINEAR ACCELERATOR WITH GATED RAPIDARC. BRACHYTHERAPY HDR BRACHYTHERAPY IS A SAFE, EFFECTIVE TREATMENT FOR CERTAIN TUMORS. DURING THE TREATMENT, THE RADIATION ONCOLOGY TEAM DELIVERS A VERY HIGH DOSE OF RADIATION DIRECTLY INSIDE A TUMOR. THIS HIGHLY LOCALIZED TREATMENT AVOIDS TREATING THE HEALTHY TISSUES THAT SURROUND THE TUMOR, LEADING TO LESS SIDE EFFECTS AND BETTER OUTCOMES. ACCREDITATIONS OUR CANCER CENTERS HAVE BEEN ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER FOR EIGHT CONSECUTIVE YEARS. THE COMMISSION ON CANCER RECOGNIZES CANCER CARE PROGRAMS FOR THEIR COMMITMENT TO PROVIDING COMPREHENSIVE, HIGH-QUALITY, AND MULTIDISCIPLINARY PATIENT-CENTERED CARE. PARTNERSHIPS SINGING RIVER'S CANCER CENTER IS A MEMBER OF THE THE UNIVERSITY OF ALABAMA AT BIRMINGHAM (UAB) HEALTH SYSTEM CANCER COMMUNITY NETWORK. THIS NETWORK INCLUDES COMMUNITY CANCER CENTERS ACROSS ALABAMA, GEORGIA, FLORIDA, MISSISSIPPI, AND TENNESSEE TO PROMOTE COLLABORATION BETWEEN UAB AND COMMUNITY PHYSICIANS IN ORDER TO PURSUE HIGH QUALITY PATIENT OUTCOMES, IMPROVE ACCESS TO EARLY CANCER DETECTION AND TREATMENT, AND OPTIMIZE PATIENT SATISFACTION AT A LOCAL LEVEL. SUPPORT GROUPS: BRAVE AND BEAUTIFUL AND SURVIVORSHIP PROGRAM 5. ACCESS TO HEALTHCARE ACCESS TO AFFORDABLE, QUALITY HEALTH CARE IS IMPORTANT FOR PHYSICAL, SOCIAL, AND MENTAL HEALTH. HEALTH INSURANCE HELPS INDIVIDUALS AND FAMILIES ACCESS NEEDED PRIMARY CARE, SPECIALISTS, AND EMERGENCY CARE, BUT DOES NOT ENSURE ACCESS ON ITS OWN-IT IS ALSO NECESSARY FOR PROVIDERS TO OFFER AFFORDABLE CARE, BE AVAILABLE TO TREAT PATIENTS, AND BE IN RELATIVELY CLOSE PROXIMITY TO PATIENTS. LACK OF HEALTH INSURANCE COVERAGE IS A SIGNIFICANT BARRIER TO ACCESSING NEEDED HEALTH CARE AND TO MAINTAINING FINANCIAL SECURITY. HOSPITALIZATION FOR AMBULATORY-CARE SENSITIVE CONDITIONS, DIAGNOSES USUALLY TREATABLE IN OUTPATIENT SETTINGS, SUGGESTS THAT ACCESS TO QUALITY CARE IN THE OUTPATIENT SETTING WAS LESS THAN IDEAL. THIS MEASURE MAY ALSO REPRESENT A TENDENCY TO OVERUSE EMERGENCY ROOMS AND URGENT CARE PROVIDERS AS A MAIN SOURCE OF CARE. PREVENTABLE HOSPITAL STAYS COULD BE CLASSIFIED AS BOTH A QUALITY AND ACCESS MEASURE, AS SOME LITERATURE DESCRIBES HOSPITALIZATION RATES FOR AMBULATORY CARE-SENSITIVE CONDITIONS PRIMARILY AS A PROXY FOR ACCESS TO PRIMARY HEALTH CARE. CURRENT PROGRAMS AND SERVICES THAT ADDRESS ACCESS TO CARE: - EMERGENCY SERVICES: OCEAN SPRINGS HOSPITAL AND SINGING RIVER HOSPITAL BOTH OFFER 24-HOUR EMERGENCY SERVICES WITH BOARD-CERTIFIED EMERGENCY PHYSICIANS. TO ENSURE ACCESS TO CARE, EMERGENCY SERVICES ARE PROVIDED TO ALL INDIVIDUALS IN JACKSON COUNTY WITHOUT REGARD FOR ABILITY TO PAY. - LAB SERVICES FOR VOLUNTEERS IN MEDICINE GAUTIER: SINGING RIVER HEALTH SYSTEM OFFERS A SET AMOUNT OF FREE LAB SERVICES FOR
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - Singing River Gulfport. PATIENTS OF VOLUNTEERS IN MEDICINE GAUTIER, A FREE COMMUNITY HEALTHCARE CLINIC SERVING UNINSURED ADULTS. - SINGING RIVER HEALTH SYSTEM CLINICS: SINGING RIVER HEALTH SYSTEM PROVIDES ACCESS TO PRIMARY CARE WITH CLINICS IN BILOXI, GULFPORT, HURLEY, OCEAN SPRINGS, PASCAGOULA, AND VANCLEAVE. EXTENDED AND/OR WEEKEND HOURS ARE OFFERED, AS WELL AS SAME DAY APPOINTMENTS AND A BOARD-CERTIFIED ER PHYSICIAN OFFERING FAST-TRACK SERVICES AT THE PASCAGOULA CLINIC. - COMMUNITY EDUCATION AND SCREENINGS: SUBJECT MATTER EXPERTS PROVIDE COMMUNITY EDUCATION AND FREE HEALTH SCREENINGS ON A VARIETY OF TOPICS IN THE COMMUNITY, INCLUDING PRESENTATIONS FOR SENIOR CENTERS, SCHOOLS, CHURCHES, AND CIVIC GROUPS. - SINGING RIVER HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY: WRITTEN POLICY THAT FULLY DESCRIBES THE ELIGIBILITY CRITERIA FOR OBTAINING FREE OR DISCOUNTED MEDICALLY NECESSARY CARE TO ASSIST THOSE UNABLE TO PAY FOR SUCH SERVICES. - SINGING RIVER HEALTH SYSTEM FOUNDATION: SINGING RIVER HEALTH SYSTEM PROVIDES OPERATIONAL SUPPORT FOR THIS NOT-FOR-PROFIT, 501(C)3 CHARITABLE FOUNDATION WHOSE MISSION IS TO PROVIDE PROGRAMS AND SERVICES THAT PROMOTE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. - SINGING RIVER HEALTH SYSTEM IMAGING CENTERS: AVAILABLE IN BOTH OCEAN SPRINGS AND PASCAGOULA, THE IMAGING CENTERS OFFER DIAGNOSTIC IMAGING SERVICES IN A MORE CONVENIENT SETTING THAN ACCESSING THESE SERVICES IN THE HOSPITALS. - SINGING RIVER HEALTH SYSTEM PATIENT TRANSPORTATION SERVICE: PROVIDES FREE TRANSPORTATION TO HEALTHCARE SERVICES WITHIN JACKSON COUNTY; DESIGNED FOR ELDERLY AND/OR DISABLED PATIENTS LACKING SUCH TRANSPORTATION. - SINGING RIVER HEALTH SYSTEM PHYSICIAN RECRUITMENT: PHYSICIANS ARE REQUIRED TO HAVE APPOINTMENTS AVAILABLE FOR MEDICARE AND MEDICAID PATIENTS IN ORDER TO IMPROVE ACCESS TO CARE. - SKILLED NURSING FACILITY: AN AWARD-WINNING, SHORT-STAY TRANSITIONAL UNIT DESIGNED FOR PATIENTS WHO ARE NOT STRONG ENOUGH TO GO HOME AFTER THEIR HOSPITAL STAY BUT ARE NOT SICK ENOUGH TO REMAIN ADMITTED TO THE HOSPITAL. ANTICIPATED IMPACT AND PLAN TO EVALUATE: INPATIENT AND OUTPATIENT SERVICES ARE ANTICIPATED TO IMPACT THOSE NEEDING MEDICAL CARE BY HELPING TO EASE FINANCIAL AND GEOGRAPHIC BARRIERS BY OFFERING FINANCIAL ASSISTANCE AND FACILITIES PLACED IN CONVENIENT LOCATIONS. FREE LAB SERVICES AND PROGRAMS OF THE SINGING RIVER HEALTH SYSTEM FOUNDATION ARE ANTICIPATED TO IMPACT THOSE WHO WOULD HAVE OTHERWISE AVOIDED TESTING, EQUIPMENT, AND/OR MEDICAL CARE. PATIENT TRANSPORTATION SERVICES ARE EXPECTED TO ASSIST THOSE WITH TRANSPORTATION BARRIERS TO ACCESSING MEDICAL CARE. THE PLAN TO EVALUATE INCLUDES TRACKING PATIENT PARTICIPATION AND OUTCOMES, WHERE APPLICABLE, AND REASSESSING THE HEALTH NEEDS OF THE COMMUNITY DURING THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT.

Schedule H (Form 990) 2023

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?8
Name and address		Type of Facility (describe)
1	FAMILY MEDICINE CLINIC - ORANGE GROVE 12121 HIGHWAY 49 GULFPORT,MS39503	FAMILY MEDICINE
2	FAMILY MEDICINE CLINIC - COWAN ROAD 350 COWAN ROAD GULFPORT,MS39507	FAMILY MEDICINE
3	SRG SURGICAL CLINIC 15190 COMMUNITY ROAD STE 240 GULFPORT,MS39503	SURGICAL CLINIC
4	SRG PEDIATRIC CLINIC 15190 COMMUNITY ROAD SUITE 330 GULFPORT,MS39503	PEDIATRIC CLINIC
5	SRG ORTHOPEDIC CLINIC 15190 COMMUNITY ROAD SUITE 350/360 GULFPORT,MS39503	ORTHOPEDIC CLINIC
6	SRG GI CLINIC 15190 COMMUNITY ROAD SUITE 230 GULFPORT,MS39503	GI CLINIC
7	SRG PRIMARY CARE PLUS - SEAWAY 12330 ASHLEY DRIVE GULFPORT,MS39503	PRIMARY CARE
8	SRG CARDIOVASCULAR CLINIC 15190 COMMUNITY ROAD SUITE 260 GULFPORT,MS39503	CARDIOVASCULAR CLINIC
9
10

Schedule H (Form 990) 2023

Page 10

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
Schedule H, Part I, Line 7	SINGING RIVER GULFPORT USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBTS ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PLEASE SEE ATTACHED AUDIT REPORT, NOTE 1.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE COST REPORT WAS USED TO CALCULATE THE MEDICARE ALLOWABLE COSTS. THE ORGANIZATION DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	SINGING RIVER GULFPORT STRIVES TO INFORM AND EDUCATE ALL UNINSURED PATIENTS THAT PRESENT TO OUR FACILITY ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. THE FAP AND FAP SUMMARY ARE AVAILABLE IN REGISTRATION AREAS AND ONLINE. FINANCIAL COUNSELORS ARE AVAILABLE FOR CONSULTATION AND PRE-SERVICE ASSESSMENTS FOR COSTS OF PROCEDURES.
Schedule H, Part V, Section B, Line 16a FAP website	- SINGING RIVER GULFPORT: Line 16a URL: SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES;
Schedule H, Part V, Section B, Line 16b FAP Application website	- SINGING RIVER GULFPORT: Line 16b URL: SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- SINGING RIVER GULFPORT: Line 16c URL: SINGINGRIVERHEALTHSYSTEM.COM/PATIENTS-AND-VISITORS/BILLING-AND-RECORDS/FINANCIAL-SERVICES;
Schedule H, Part VI, Line 2 Needs assessment	RESEARCHING THE COMMUNITY THROUGH INTERACTIONS WITH COMMUNITY LEADERS AND ORGANIZATIONS, AND A COMMUNITY NEEDS ASSESSMENT.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	SINGING RIVER GULFPORT STRIVES TO INFORM AND EDUCATE ALL UNINSURED PATIENTS THAT PRESENT TO OUR FACILITY ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. THE FAP AND FAP SUMMARY ARE AVAILABLE IN REGISTRATION AREAS AND ONLINE. FINANCIAL COUNSELORS ARE AVAILABLE FOR CONSULTATION AND PRE-SERVICE ASSESSMENTS FOR COSTS OF PROCEDURES.
Schedule H, Part VI, Line 4 Community information	SINGING RIVER GULFPORT PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVING JACKSON AND HARRISON COUNTIES IN MISSISSIPPI PLUS SURROUDING AREAS. SINGING RIVER GULFPORT PROVIDES ACUTE CARE SERVICES INCLUDING INPATIENT SERVICES, SURGICAL SERVICES, OUTPATIENT DIAGNOSTICS, AND EMERGENCY SERVICES. SINGING RIVER GULFPORT ALSO HAS A CLINIC NETWORK THAT PROVIDES PRIMARY CARE AND SPECIALTY SERVICES IN GENERAL SURGERY AND ORTHOPEDIC SURGERY. THE SERVICE AREA FOR SINGING RIVER GULFPORT IS HARRISON COUNTY. THE POPULATION OF HARRISON COUNTY IS 210,881. APPROXIMATELY 23.8% OF PEOPLE IN THE SERVICE AREA ARE UNDER THE AGE OF 18, APPROXIMATELY 60.2% ARE BETWEEN THE AGES OF 18 TO 64, AND APPROXIMATELY 16.0% ARE OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA IS $48,341 AND THE POVERTY RATE IS 16%. IN TERMS OF RACE, WHITES WERE THE MAJORITY POPULATION IN EACH ZIP CODE EXCEPT GULFPORT (39501) WHERE BLACK/AFRICAN AMERICANS COMPOSE 58.71% OF THE POPULATION. FOR ETHNICITY, LONG BEACH (39560) HAD THE HIGHEST ESTIMATED PERCENTAGE OF HISPANICS AT 46.55%. FOLLOWED BY BILOXI/D'IBERVILLE (39540) WITH 9.92%.
Schedule H, Part VI, Line 5 Promotion of community health	SINGING RIVER GULFPORT OFFERS EDUCATIONAL SESSIONS FOR VARIOUS MEDICAL DIAGNOSES AND ILLNESSES. DURING THE HEIGHT OF THE PANDEMIC, THE ORGANIZATION OFFERED A VACCINATION DRIVE, TESTING, AND MONOCLONAL INFUSIONS.
Schedule H, Part VI, Line 6 Affiliated health care system	SINGING RIVER GULFPORT (SRG) IS A COMPONENT UNIT OF SINGING RIVER HEALTH SYSTEM. AS THE SOLE MEMBER OF THIS NOT-FOR-PROFIT CORPORATION, THE HEALTH SYSTEM EXERTS CONTROL AND HAS A FINANCIAL BENEFIT RELATIONSHIP. SRG IS A 130-BED, ACUTE CARE HOSPITAL WITH INPATIENT AND RELATED OUTPATIENT CARE AND OTHER FACILITIES PRINCIPALLY LOCATED IN GULFPORT, MISSISSIPPI. SINGING RIVER HEALTH SYSTEM (THE HEALTH SYSTEM) IS A COMPONENT UNIT OF JACKSON COUNTY, MISSISSIPPI, AS DEFINED BY THE GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB). THE HEALTH SYSTEM IS OPERATED BY A NINE-MEMBER BOARD OF TRUSTEES, SEVEN OF WHOM ARE APPOINTED BY THE BOARD OF SUPERVISORS OF JACKSON COUNTY, MISSISSIPPI. ADDITIONALLY, THE CHIEF-OF-STAFF OF THE HEALTH SYSTEM SERVES ON THE BOARD. SRHS AMBULATORY SERVICES, INC. (SRHSAS) IS A COMPONENT UNIT OF THE HEALTH SYSTEM. AS THE SOLE MEMBER OF THIS NOT-FOR-PROFIT ORGANIZATION, THE HEALTH SYSTEM EXERTS CONTROL AND HAS A FINANCIAL BENEFIT RELATIONSHIP. SRHSAS IS OPERATED BY A BOARD OF DIRECTORS, ALL OF WHOM ARE APPOINTED BY THE HEALTH SYSTEM'S BOARD. AS OF SEPTEMBER 30, 2022 SRHSAS HOLDS A NONCONTROLLING OWNERSHIP INTEREST IN TWO AMBULATORY SURGERY CENTERS, MISSISSIPPI COAST ENDOSCOPY AND AMBULATORY SURGERY CENTER, LLC (MCEASC) AND OCEAN SPRINGS SURGICAL AND ENDOSCOPY CENTER, LLC (OSSEC). ANESTHESIA SERVICES, LLC IS A COMPONENT UNIT OF THE HEALTH SYSTEM. ANESTHESIA SERVICES, LLC IS A WHOLLY-OWNED SUBSIDIARY OF THE HEALTH SYSTEM THAT PREVIOUSLY PROVIDED MANAGEMENT, SCHEDULING, AND BILLING AND COLLECTION SERVICES FOR CERTIFIED REGISTERED NURSE ANESTHETISTS. SINGING RIVER HEALTH SYSTEM FOUNDATION (THE FOUNDATION) IS A COMPONENT UNIT OF THE HEALTH SYSTEM. THE FOUNDATION IS A 501(C)(3) NONPROFIT ENTITY THAT SERVES AS A SUPPORTING ORGANIZATION FOR THE HEALTH SYSTEM.
Schedule H, Part VI, Line 7 State filing of community benefit report	MS

Schedule H (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

Singing River Gulfport

Employer identification number

85-1538878

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SINGING RIVER HEALTH SYSTEM 2101 HIGHWAY 90 GAUTIER,MS39553 64-6000515	HEALTHCARE	MS	501(c)(3)	3	NA		No
(2)SRHS AMBULATORY SERVICES INC 2101 HIGHWAY 90 GAUTIER,MS39553 64-0899755	AMBULATORY SERVICES	MS	501(c)(3)	Type I	SRHS	Yes
(3)SINGING RIVER HEALTH SYSTEM FOUNDATION 2101 HIGHWAY 90 GAUTIER,MS39553 64-0864350	SUPPORT	MS	501(c)(3)	Type I	SRHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:	23017437
Software Version:	2023v6.0

1	Briefly describe the organization’s mission or most significant activities: HOSPITAL AND HEALTHCARE SERVICES INCLUDING PHYSICIAN CLINICS AND OUTPATIENT SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	1,252
6	Total number of volunteers (estimate if necessary) .............	6	12
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	48,078
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	754,862	426,274
9	Program service revenue (Part VIII, line 2g) .........	115,212,178	192,051,215
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	51,122	-8,411
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	104,630	367,339
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	116,122,792	192,836,417
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	53,911,239	63,376,480
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	58,635,822	113,885,942
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	112,547,061	177,262,422
19	Revenue less expenses. Subtract line 18 from line 12.......	3,575,731	15,573,995
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	59,687,867	90,493,370
21	Total liabilities (Part X, line 26).............	60,886,667	76,118,175
22	Net assets or fund balances. Subtract line 21 from line 20.....	-1,198,800	14,375,195

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 160,024,901 including grants of $ 0 ) (Revenue $ 192,003,317 )
	SINGING RIVER GULFPORT IS A 130-BED, FULL-SERVICE, ACUTE CARE HOSPITAL, THAT OFFERS A WIDE ARRAY OF INPATIENT AND OUTPATIENT SERVICES TO MEET COMMUNITY HEALTHCARE NEEDS. ON OCTOBER 1ST, 2020, SINGING RIVER HEALTH SYSTEM ACQUIRED THE ASSETS OF THE HOSPITAL THAT BECAME SINGING RIVER GULFPORT. THE HEALTH SYSTEM ACQUIRED THE HOSPITAL TO EXPAND COVERAGE AREA. THE FOLLOWING INCREASES FY24 VERSUS FY24 SURGERIES INCREASED 9%, OUTPATIENT PROCEDURES INCREASED 33% AND CANCER CENTER VISITS INCREASED 613% OVER PRIOR YEAR.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses160,024,901

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) ERIC PLOTT........................................................................ PHYSICIAN	40.0 .......................0.0	X	1,212,841	0	31,981
(19) JAMES CAMPBELL........................................................................ PHYSICIAN	41.0 .......................0.0	X	482,367	0	20,823
(20) PHILIP MYERS........................................................................ PHYSICIAN	40.0 .......................0.0	X	1,135,655	0	39,387
(21) TAMARA HARPER........................................................................ PHYSICIAN	40.0 .......................0.0	X	440,958	0	17,597
(22) WASSEM JUAKIEM........................................................................ PHYSICIAN	40.0 .......................0.0	X	616,281	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	3,888,102	1,487,773	198,339

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	0
e	Government grants (contributions)		1e	426,274

f	All other contributions, gifts, grants, and similar amounts not included above		1f	0

g	Noncash contributions included in lines 1a - 1f:$		1g	0

h Total. Add lines 1a-1f.......		426,274

		Business Code
2a	PATIENT SERVICE REVENUE	622110	185,837,815	185,837,815	0	0
b	PHARMACY REVENUE	446110	4,707,827	4,659,929	47,898	0
c	OTHER PROGRAM REVENUE	622110	1,505,573	1,505,573	0	0
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		192,051,215

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4	0	0	4
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
			(i) Real	(ii) Personal
6a	Gross rents	6a	0	0
b	Less: rental expenses	6b	0	0
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......			0	0		0
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	0	5,700
b	Less: cost or other basis and sales expenses	7b	0	14,115
c	Gain or (loss)	7c	0	-8,415
d	Net gain or (loss).........			-8,415	0	0	-8,415
8a	Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0		0	0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0	0	0	0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0	0	0	0

Business Code
11a	INSURANCE PROCEEDS		900099	135,000	0	0	135,000
b	REBATES		900099	40,215	0	0	40,215
c	GIFT SHOP SALES		900099	1,525			1,525
d	All other revenue ....			190,599	0	180	190,419
e	Total. Add lines 11a–11d ......			367,339
12	Total revenue. See instructions.....			192,836,417	192,003,317	48,078	358,748

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	56,393,159	52,903,449	3,489,710
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	520,296	520,296
9	Other employee benefits .......	2,801,284	2,512,096	289,188
10	Payroll taxes ...........	3,661,741	3,426,239	235,502
11	Fees for services (non-employees):
a	Management ......	4,800,000		4,800,000
b	Legal .........	6,696		6,696
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	13,374,155	12,975,253	398,902	0
12	Advertising and promotion ....	167,329	137,623	29,706
13	Office expenses .......	592,626	136,290	456,336
14	Information technology ......	94,846	94,846
15	Royalties ..
16	Occupancy ...........	1,344,810	1,320,273	24,537
17	Travel ............	8,940	8,940
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	125,466		125,466
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	6,165,984		6,165,984
23	Insurance ...	817,705		817,705
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DRUGS & MEDICAL SUPPLIES	79,035,763	79,035,763
b	REPAIRS & MAINTENANCE	3,301,612	3,226,383	75,229
c	OPERATING SUPPLIES	638,526	633,757	4,769
d	FOOD	583,781	579,746	4,035
e	All other expenses	2,827,703	2,513,947	313,756	0
25	Total functional expenses. Add lines 1 through 24e	177,262,422	160,024,901	17,237,521	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			5,009,219	1	32,258,556
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			16,458,043	4	16,404,025
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			3,492,962	8	2,995,716
9	Prepaid expenses and deferred charges ......			591,221	9	579,569
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	43,268,645
b	Less: accumulated depreciation	10b	10,002,334	27,347,199	10c	33,266,311
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			6,789,223	15	4,989,193
16	Total assets. Add lines 1 through 15 (must equal line 33)...			59,687,867	16	90,493,370

17	Accounts payable and accrued expenses .....	10,148,440	17	7,872,742
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	9,604,045
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	111,573	23	75,387
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	50,626,654	25	58,566,001
26	Total liabilities. Add lines 17 through 25..	60,886,667	26	76,118,175

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	-1,198,800	27	14,375,195
28	Net assets with donor restrictions ...........	0	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	0	31	0
32	Total net assets or fund balances ...........	-1,198,800	32	14,375,195
33	Total liabilities and net assets/fund balances ........	59,687,867	33	90,493,370

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

1a	Land .....	0	2,875,000		2,875,000
b	Buildings ....	0	17,586,171	2,733,144	14,853,027
c	Leasehold improvements	0	1,923,713	1,147,953	775,760
d	Equipment ....	0	17,428,013	6,121,237	11,306,776
e	Other .....	0	3,455,748	0	3,455,748
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					33,266,311

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
DUE TO AFFILIATES	53,593,180
ROU LIABILITY	4,972,821







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	58,566,001
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JASON MCNEIL CFO	(i) (ii)	0 ------------- 264,506	0 ------------- 0	0 ------------- 42,518	0 ------------- 4,667	0 ------------- 8,922	0 ------------- 320,613	0 ------------- 0
2LAURIN ST PE CEO	(i) (ii)	0 ------------- 319,562	0 ------------- 0	0 ------------- 50,095	0 ------------- 8,360	0 ------------- 30,935	0 ------------- 408,952	0 ------------- 0
3JAKLYN WRIGLEY CHIEF LEGAL AND STRATEGIC AFFAIRS OFFICER SINCE 10/8/2023	(i) (ii)	0 ------------- 338,086	0 ------------- 0	0 ------------- 44,496	0 ------------- 0	0 ------------- 12,792	0 ------------- 395,374	0 ------------- 0
4TIFFANY MURDOCK CEO THROUGH 07/2023	(i) (ii)	0 ------------- 282,347	0 ------------- 0	0 ------------- 79,816	0 ------------- 5,497	0 ------------- 17,378	0 ------------- 385,038	0 ------------- 0
5JAMES CAMPBELL PHYSICIAN	(i) (ii)	263,071 ------------- 0	185,724 ------------- 0	33,572 ------------- 0	10,866 ------------- 0	9,957 ------------- 0	503,190 ------------- 0	0 ------------- 0
6TAMARA HARPER PHYSICIAN	(i) (ii)	231,360 ------------- 0	194,052 ------------- 0	15,546 ------------- 0	8,586 ------------- 0	9,011 ------------- 0	458,555 ------------- 0	0 ------------- 0
7WASSEM JUAKIEM PHYSICIAN	(i) (ii)	599,625 ------------- 0	0 ------------- 0	16,656 ------------- 0	0 ------------- 0	0 ------------- 0	616,281 ------------- 0	0 ------------- 0
8PHILIP MYERS PHYSICIAN	(i) (ii)	452,313 ------------- 0	658,334 ------------- 0	25,008 ------------- 0	8,899 ------------- 0	30,488 ------------- 0	1,175,042 ------------- 0	0 ------------- 0
9ERIC PLOTT PHYSICIAN	(i) (ii)	811,362 ------------- 0	354,907 ------------- 0	46,572 ------------- 0	0 ------------- 0	31,981 ------------- 0	1,244,822 ------------- 0	0 ------------- 0

Return Reference	Explanation
Form 990, Part VI, Line 15a	SRHS EXECUTIVE DIRECTOR OF HUMAN RESOURCE GOVERNS THE REVIEW PROCESS FOR ALL EXECUTIVES. THE SRHS BOARD OF DIRECTORS APPROVES ALL EXECUTIVE COMPENSATION.
Form 990, Part VI, Line 15b	SRHS EXECUTIVE DIRECTOR OF HUMAN RESOURCE GOVERNS THE REVIEW PROCESS FOR ALL OFFICERS.
Form 990, Part VI, Line 6 Classes of members or stockholders	SINGING RIVER HEALTH SYSTEM, A RELATED ORGANIZATION, IS THE SOLE MEMBER OF THE CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	SINGING RIVER HEALTH SYSTEM, THE SOLE MEMBER, HAS THE POWERS WITH RESPECT TO THE APPOINTMENT, ELECTION OR REMOVAL OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE BUSINESS OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF DIRECTORS, WHICH MAY EXERCISE ALL POWERS OF THE CORPORATION AND PERFORM ALL ACTS THAT ARE NOT BY LAW, BY THE ARTICLES OF INCORPORATION OR THESE BYLAWS REQUIRED TO BE EXERCISED, PERFORMED OR APPROVED BY THE MEMBERSHIP.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED AND APPROVED BY THE CHIEF FINANCIAL OFFICER.
Form 990, Part VI, Line 12c Conflict of interest policy	ALL MANAGERS, DIRECTORS AND EMPLOYED PHYSICIANS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS BY COMPLETING A CONFLICTS OF INTEREST DISCLOSURE FORM ANNUALLY. THE COMPLIANCE DEPARTMENT WILL EXAMINE THE INFORMATION PROVIDED AND DETERMINE WHETHER A CONFLICT EXISTS. FOLLOWING THE COMPLIANCE DEPARTMENT'S REVIEW, REPRESENTATIVES OF THE COMPLIANCE DEPARTMENT WILL PRESENT ANY INFORMATION RELATED TO POTENTIAL CONFLICTS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES, ALONG WITH A RECOMMENDATION OF HOW TO RESOLVE OR MITIGATE AGAINST THE CONFLICT. THE AUDIT AND COMPLIANCE COMMITTEE SHALL APPROVE ANY RECOMMENDATION AND PRESENT A SUMMARY OF THE CONFLICTS OF INTEREST PROCESS TO THE BOARD OF TRUSTEES, WHICH SHALL RATIFY ANY DECISION BY THE AUDIT AND COMPLIANCE COMMITTEE REGARDING CONFLICTS OF INTEREST OF AN INTERESTED PERSON. WHEN AN INTERESTED PERSON BELIEVES HE/SHE OR A MEMBER OF HIS/HER FAMILY HAS A CONFLICT OF INTEREST, HE/SHE SHOULD, IN ADDITION TO SUBMITTING A DISCLOSURE FORM, ABSTAIN FROM MAKING MOTIONS, VOTING, NEGOTIATIONS, OR TAKING ANY OTHER DIRECT ACTION ON BEHALF OF SINGING RIVER WHERE THE CONFLICT MAY PERTAIN, AND REMOVE HIMSELF/HERSELF FROM THE NEGOTIATIONS, DEALINGS, AND MEETINGS DURING THE DISCUSSION AND/OR VOTE ON THE ISSUE AS TO WHICH HE/SHE HAS ACTUAL OR POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, FINANICAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	MISCELLANOUS REVENUE - Total Revenue: 190599, Related or Exempt Function Revenue: , Unrelated Business Revenue: 180, Revenue Excluded from Tax Under Sections 512, 513, or 514: 190419;