2025-10-01T14:21:59-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2024-01-01 370662561 ANDERSON HOSPITAL ANDE 6183916400 6800 STATE ROUTE 162 MARYVILLE IL 62062 PATRICK J GARVEY CPA CFO 6183916421 2025-10-01 1 1 STEPHANIE MCCARTHY P01805699 3149254300 2025-10-01 2024 2025-03-06 01:10:19Z LISA SPENCER 6800 STATE ROUTE 162 MARYVILLE IL 62062 296081099 0 X WWW.ANDERSONHOSPITAL.ORG X 1977 IL OUR COMMUNITY TURNS TO ANDERSON FIRST FOR ALL HEALTHCARE NEEDS. 16 15 1518 166 0 0 2984116 183333 195337730 210743676 7419327 15027921 3201560 3248565 208942733 229203495 39276 67260 0 0 82070125 85823279 0 0 0 105639288 114415350 187748689 200305889 21194044 28897606 251641575 258502672 76001528 78564345 175640047 179938327 TO EXCEED EXPECTATIONS IN PROVIDING PERSONAL, CONVENIENT, QUALITY HEALTHCARE. 0 0 147167647 67260 210799521 NURSING AND ANCILLARY SERVICES FOR 22,120 INPATIENT DAYS, 122,794 OUTPATIENT VISITS, 8,671 OUTPATIENT SURGERIES AND 37,014 EMERGENCY VISITS. 147167647 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 26 0 1 1518 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 IL X PATRICK GARVEY CPA 6183916421 6800 STATE ROUTE 162 MARYVILLE IL 62062 MARK SHASHEK CHAIR 0.50 4.50 X X 0 0 0 JOSEPH SMITH VICE CHAIR 0.25 0.50 X X 0 0 0 ROBERT CIUFERI TREASURER 0.25 0.00 X X 0 0 0 KAY WERNER ASSISTANT SECRETARY 0.25 0.00 X X 0 0 0 LAURA BERNAIX PHD BOARD MEMBER 0.25 0.25 X 0 0 0 GARY CERETTO BOARD MEMBER 0.25 0.00 X 0 0 0 GREGORY COFFEY BOARD MEMBER 0.25 0.50 X 0 0 0 MAX EAKIN BOARD MEMBER 0.25 4.00 X 0 0 0 FRANK FLANIGAN BOARD MEMBER 0.25 0.00 X 0 0 0 JOSEPH HAGERTY BOARD MEMBER 0.25 0.25 X 0 0 0 MARK MAYNARD BOARD MEMBER 0.25 0.00 X 0 0 0 LENDELL PHELPS JR BOARD MEMBER 0.25 4.00 X 0 0 0 NANCY THOMAS BOARD MEMBER 0.25 0.00 X 0 0 0 VIRGINIA TRUCANO BOARD MEMBER 0.25 6.00 X 0 0 0 PATRICK ZIMMERMAN MD BOARD MEMBER 0.25 0.00 X 0 274390 635 JAMES MINOR BOARD MEMBER 0.25 0.00 X 0 0 0 KEITH PAGE ANDERSON HEALTH PRES/CEO THRU 02/24 27.00 16.75 X 0 922691 19262 MICHAEL MARSHALL CEO 27.00 16.75 X 0 473477 54685 PATRICK GARVEY CFO 27.00 16.75 X 0 306997 30836 LISA SPENCER PRESIDENT 35.25 5.00 X 340673 0 24554 JOHN MAGUIRE CHARGE RN 40.00 0.00 X 204062 0 22226 CHARLES LANE MD CHIEF MEDICAL OFFICER 40.00 0.00 X 382456 0 0 SAWYER BRICKER CONTRACT PROGRAM RN 36.00 0.00 X 228215 0 28295 LISA TWESTEN STAFF RN 36.00 0.00 X 176843 0 13482 BRANDY BOWMAN NURSING SUPERVISOR 40.00 0.00 X 176232 0 807 1508481 1977555 194782 123 0 1 0 MIDWEST EMERGENCY DEPARTMENT 320 EAST US HIGHWAY 50 OFALLON IL 622692704 EMERGENCY PHYSICIANS 2839078 AYA HEALTHCARE INC 1200 E CAMPBELL RD SUITE 108 RICHARDSON TX 75081 MEDICAL STAFFING 2580289 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY SERVICES 1979498 QUEST DIAGNOSTICS PO BOX 772976 CHICAGO IL 606770276 LABORATORY SERVICES 1413063 AVADYNE HEALTH 734 W MAIN ST GREENSBURG IN 47240 COLLECTION SERVICES 981552 56 183333 183333 NET PATIENT REVENUE 621110 210743676 210743676 210743676 2944112 2944112 1233735 0 1233735 1233735 1233735 78954441 6972 66877604 0 12076837 6972 12083809 12083809 JV INCOME 621110 1354945 1354945 OTHER 621110 481187 481187 MEDICAL RECORDS FEES 561000 82537 82537 96161 55845 40316 2014830 229203495 210799521 0 18220641 X 67260 67260 1578317 1578317 70690164 49095078 21595086 1313850 1153276 160574 6925810 6075985 849825 5315138 4571018 744120 1651020 1651020 152460 152460 26057249 15894922 10162327 177572 154488 23084 45969133 35855924 10113209 5011941 4360388 651553 5928529 3557118 2371411 103229 82584 20645 786479 786479 7870284 7870284 2980404 2980404 BAD DEBT 17011115 17011115 DUES AND SUBSCRIPTIONS 362332 315229 47103 EQUIPMENT 225844 196485 29359 EDUCATION 68184 68184 59575 51830 7745 200305889 147167647 53138242 0 4330790 3478402 3180459 3471904 22703393 20052375 3582989 3718407 2258438 2292750 181138998 102310963 78472102 78828035 96265945 103888342 32806768 32569601 1736033 1165258 6304658 9037598 251641575 258502672 16945175 19801568 27080347 27306685 31976006 31456092 76001528 78564345 X 175640047 179938327 175640047 179938327 251641575 258502672 X 28897606 -4742532 -19856794 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 40825 0 0 0 40825 0 PART II-B, LINE 1: THE AMOUNT REPRESENTS THE PORTION OF DUES PAID TO PROFESSIONAL ORGANIZATIONS THAT IS ALLOCATED TO THE LOBBYING ACTIVITIES OF THOSE ORGANIZATIONS. 1273864 1273864 115982906 60445001 55537905 2496816 2123990 372826 57168714 39741972 17426742 4216698 4216698 78828035 INVESTMENT- SUBSIDIARY 23155783 F INESTMENT- SURGERY CENTER 4090000 F INVESTMENT- CANCER CENTER 375425 F INVESTMENT- REHAB 4948393 F 32569601 LEASE LIABILITY 1164837 DUE TO THIRD PARTY 10151255 OTHER LIABILITIES 20140000 31456092 SCHEDULE D, PART V, LINE 4: THE FUNDS ARE DESIGNATED FOR CAPITAL IMPROVEMENTS, TO PROVIDE SELF-INSUANCE COVERAGE, TO MEET BOND REQUIREMENTS, AND TO PROVIDE FUNDS FOR HEALTH CARE PROGRAMS. HOWEVER, NONE OF THE FUNDS MEET THE DEFINITION OF AN ENDOWMENT FUND UNDER SFAS 117, THEREFORE, PART V HAS NOT BEEN COMPLETED. 1 1 X 1 X 1 X 600.000000000000 1 1 1 0 1 1 865099 865099 0.00470 33189738 37370263 0 0.00000 34054837 37370263 865099 0.00470 96216 96216 0.00050 3222571 3222571 0.01760 240089 240089 0.00130 3558876 3558876 0.01940 37613713 37370263 4423975 0.02410 1 17011115 10206669 74999128 83983335 -8984207 X 1 1 1 1 ANDERSON HOSPITAL 6800 STATE ROUTE 162 MARYVILLE IL 62062 WWW.ANDERSONHOSPITAL.ORG 0004119 X X X ANDERSON HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X HTTPS://ANDERSONHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 1 24 1 HTTPS://ANDERSONHOSPITAL.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.ANDERSONHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.ANDERSONHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.ANDERSONHOSPITAL.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ANDERSON HOSPITAL PART V, SECTION B, LINE 5: ANDERSON HOSPITAL BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN JANUARY OF 2024. THE ASSESSMENT PROCESS INCLUDED INPUT FROM COMMUNITY MEMBERS AND PARTICIPATION FROM COLLABORATIVE PARTNERSHIPS THROUGHOUT ANDERSON HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. LISTED BELOW ARE THE STEPS TAKEN THROUGH THE ASSESSMENT PROCESS. - PRIMARY SERVICE AREA DEMOGRAPHICS - STAKEHOLDER FOCUS GROUPS - COMMUNITY HEALTH SURVEY - SURVEY DATA - SETTING HEALTH PRIORITIES - COMMUNITY HEALTH PLAN SUMMITA VALUABLE COMPONENT OF DATA COLLECTION AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS PRECEDED BY THE STAKEHOLDER FOCUS GROUP MEETING. THE PURPOSE OF A STAKEHOLDER FOCUS GROUP IS TO OBTAIN PERTINENT INFORMATION FROM OUR COMMUNITY LEADERS AND STAFF MEMBERS TO ESTABLISH KEY HEALTH CONCERNS IN OUR COMMUNITY. A FOCUS GROUP WAS HELD ON FEBRUARY 27TH, 2024. A VARIETY OF LEADERS FROM DIFFERENT ORGANIZATIONS THROUGHOUT ANDERSON HOSPITAL'S COMMUNITY PARTICIPATED IN THE STAKEHOLDER FOCUS GROUP. THE ORGANIZATIONS THAT ATTENDED THE FOCUS GROUP WERE: ANDERSON MEDICAL GROUP, OBSTETRICS DEPARTMENT FROM ANDERSON HOSPITAL, CARDIOVASCULAR SERVICES FROM ANDERSON HOSPITAL, CHESTNUT HEALTH SYSTEMS, MAIN STREET COMMUNITY CENTER, MADISON COUNTY HEALTH DEPARTMENT, SOUTHERN ILLINOIS UNIVERSITY OF EDWARDSVILLE, EDWARDSVILLE YMCA, COLLINSVILLE/MARYVILLE/TROY CHAMBER OF COMMERCE, AND UNIVERSITY OF ILLINOIS EXTENSION.FOLLOWING THE STAKEHOLDER FOCUS GROUP, ANDERSON HOSPITAL'S HEALTH EDUCATION PLANNING COMMITTEE COMPILED DATA FROM THE FOCUS GROUP MEETING TO DEVELOP THE COMMUNITY HEALTH SURVEY. A LIST OF COMMUNITY STAKEHOLDERS CAN BE FOUND ON THE LATEST CHNA.AS ANOTHER INVALUABLE PART OF THE DATA COLLECTION AND ANALYSIS COMPONENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A SURVEY WAS DESIGNED BASED ON THE FEEDBACK FROM THE FOCUS GROUP. THE PURPOSE OF THE SURVEY WAS TO OBTAIN INFORMATION FROM COMMUNITY MEMBERS WHOM ARE LIVING AND/OR WORKING WITHIN ANDERSON HOSPITAL'S PRIMARY SERVICE AREA, OR UTILIZE ANDERSON SERVICES, TO GAIN AN INSIGHT INTO WHAT THEY PERCEIVE TO BE THE MAJOR HEALTH CONCERNS IN OUR COMMUNITY. ON APRIL 1ST, 2024, THE COMMUNITY HEALTH SURVEY WAS DISTRIBUTED THROUGHOUT ANDERSON HOSPITAL'S PRIMARY SERVICE AREA BY E-MAIL, SOCIAL MEDIA, AND THROUGH THE ANDERSON HOSPITAL WEBSITE. ON MONDAY, APRIL 22ND, 2024, THE SURVEY WAS CLOSED AND THE HEALTH EDUCATION PLANNING COMMITTEE COMPILED DATA AND REVIEWED THE RESULTS.ANDERSON HOSPITAL HAS AN INTERDISCIPLINARY TEAM, THE HEALTH EDUCATION PLANNING COMMITTEE, CONSISTING OF HEALTH EDUCATORS FROM VARIOUS DEPARTMENTS OF THE HOSPITAL. ANDERSON HOSPITAL'S HEALTH EDUCATION PLANNING COMMITTEE MEETS ON A QUARTERLY BASIS TO FACILITATE AND MAINTAIN AN ANNUAL DASHBOARD FOCUSED ON THE TOP HEALTH PRIORITIES THAT ARE IDENTIFIED EVERY THREE YEARS THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT.ON WEDNESDAY, AUGUST 28TH, 2024, A COMMUNITY HEALTH PLAN SUMMIT WAS HELD AT ANDERSON HOSPITAL TO REVIEW AND DISCUSS THE 2025-2027 TOP HEALTH PRIORITIES WITH KEY STAKEHOLDERS IN THE COMMUNITY. A TOTAL OF 38 PARTICIPANTS FROM DIFFERENT ORGANIZATIONS THROUGHOUT MADISON COUNTY ATTENDED THE HEALTH SUMMIT TO VOICE THEIR OPINIONS ON CERTAIN OUTCOMES THEY WISH TO SEE IMPLEMENTED IN OUR COMMUNITIES. AFTER RECEIVING BACKGROUND INFORMATION THROUGH PRESENTATIONS ON THE TOP HEALTH PRIORITIES, PARTICIPANTS WERE ASKED TO COLLABORATE AS A GROUP AND COME UP WITH INTERVENTION STRATEGIES THAT COULD POTENTIALLY BE IMPLEMENTED TO PRODUCE CHANGE BASED ON DIFFERENT HEALTH CONCERNS. THE 2025-2027 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED IN NOVEMBER 2024. ANDERSON HOSPITAL PART V, SECTION B, LINE 11: ANDERSON HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT NEEDS AND OBJECTIVES IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA.CARDIOVASCULAR HEALTH PREVENTION AND HEALTH PROMOTION ARE THE KEYS TO LOWERING RISK FOR DISEASE. THERE ARE MANY MODIFIABLE RISK FACTORS TO CHRONIC HEALTH CONDITIONS SUCH AS HEART DISEASE, DIABETES, AND CANCER. THESE RISK FACTORS CAN BE REDUCED BY FOLLOWING A HEALTHY MEAL PLAN, MAINTAINING A NORMAL BODY WEIGHT, AND COMPLETING DAILY EXERCISE TO DECREASE A SEDENTARY LIFESTYLE. PROMOTING HEALTH THROUGH AGE-APPROPRIATE SCREENINGS AIDS IN EARLY DETECTION AND AWARENESS. ANDERSON HOSPITAL OFFERS MANY SCREENING, DIAGNOSTIC, AND EDUCATIONAL OPPORTUNITIES TO SUPPORT OUR COMMUNITY IN DISEASE PREVENTION AND HEALTH PROMOTION. OBJECTIVES:-INCREASE COMMUNITY AWARENESS AND PROVIDE EDUCATION THROUGH SOCIAL MEDIA PLATFORMS, ONLINE RESOURCES, PROACTIVE PARTICIPATION IN HEALTH FAIRS AND COMMUNITY EVENTS, AND PARTNERING WITH LOCAL ORGANIZATIONS. -OFFER SCREENINGS FOR IMPROVED IDENTIFICATION OF HEART DISEASE RISK FACTORS. -PROMOTE THE IMPORTANCE OF CPR AND HANDS ONLY CPR CLASSES AND INFORM THE PUBLIC OF OFFERINGS WITHIN THE COMMUNITY. -IMPROVE COMMUNITY FAMILIARITY AND COMPLIANCE WITH EARLY HEART ATTACK CARE GUIDELINES. PROPER UTILIZATION OF SERVICES AND ACCESS TO CARE PROPER UTILIZATION OF HEALTHCARE SERVICES INVOLVES ENSURING THAT THE RIGHT CARE IS DELIVERED TO PATIENTS AT THE RIGHT TIME AND IN THE RIGHT SETTING. MISUSE OF THE EMERGENCY MEDICAL SYSTEM (EMS), EXPRESS CARES, THE EMERGENCY DEPARTMENT, AND PRIMARY CARE PROVIDERS CAN IMPEDE CARE, CAUSE DELAYS IN TREATMENT, AND CREATE UNNECESSARY COMPLICATIONS. IT CAN ALSO LEAD TO LONGER WAIT TIMES, INCREASED HEALTHCARE COSTS, AND RESOURCE STRAIN, ALL WHICH IMPACT PATIENT OUTCOMES. OBJECTIVES: -EXPLORE INCREASING PROVIDER AVAILABILITY OF NONEMERGENT SERVICES THROUGH EXPANSION OF HOURS, TELEHEALTH OPTIONS, AND OTHER STRATEGIES AS FEASIBLE. -IMPROVE AWARENESS AND PROVIDE EDUCATION ON PROPER UTILIZATION OF ED, EXPRESS CARE, PRIMARY CARE PROVIDERS, EMS, AND SPECIALTY PROVIDERS. -INCREASE AWARENESS OF TRANSPORTATION RESOURCES FOR APPOINTMENTS AND OTHER HEALTHCARE NEEDS. -INVESTIGATE EXPANSION OF PATIENT/FAMILY SUPPORT BEYOND THE HOSPITAL SETTING.SUBSTANCE MISUSE SUBSTANCE MISUSE AND ADDICTION, IN THE FORM OF ALCOHOL AND OTHER ILLICIT DRUGS, IS INCREASING AND TAKING A GREAT TOLL ON OUR SOCIETY. SUBSTANCE MISUSE IS HIGHLY PREVALENT WITHIN OUR COMMUNITY; THEREFORE, ANDERSON HOSPITAL PROACTIVELY WORKS WITH PARTNERSHIPS AND COMMUNITY PROGRAMS TO ADDRESS THE ISSUE.OBJECTIVES:-INCREASE AWARENESS OF TREATMENT AND RECOVERY OPTIONS, NARCAN DISTRIBUTION, AND PROPER DISPOSAL OF MEDICATIONS. -PROVIDE EDUCATION ON THE DANGERS OF SUBSTANCE MISUSE AND THE IMPORTANCE OF REDUCING STIGMA THROUGH SOCIAL MEDIA PLATFORMS, ONLINE RESOURCES, PROACTIVE PARTICIPATION IN HEALTH FAIRS AND COMMUNITY EVENTS, AND INFORMATION PROVIDED TO LOCAL SCHOOLS AND ORGANIZATIONS. -PROVIDE EDUCATION ON MEDICATION ASSISTED TREATMENT OPTIONS FOR ADDICTION.BEHAVIORAL HEALTH MENTAL HEALTH IS AN IMPORTANT FACTOR TO OUR EVERYDAY WELL-BEING. HAVING OPPORTUNITIES THAT PROMOTE WELL-BEING AND REDUCE THE STIGMA SURROUNDING MENTAL HEALTH CAN KEEP A POSITIVE ATMOSPHERE IN THE COMMUNITY. ANDERSON HOSPITAL WORKS WITH OUR COMMUNITY PARTNERS TO IMPROVE THE WELL-BEING OF OUR COMMUNITY MEMBERS.OBJECTIVES:-PROVIDE EDUCATION ON SUICIDE PREVENTION AND AWARENESS. -PROVIDE EDUCATION ON MENTAL HEALTH AND THE IMPORTANCE OF REDUCING STIGMA. -INCREASE AWARENESS OF BEHAVIORAL HEALTH RESOURCES AVAILABLE WITHIN THE COMMUNITY.HEALTHCARE AFFORDABILITYPATIENTS ARE OFTEN CHALLENGED FINANCIALLY WHEN THEY ARE FORCED TO MAKE MEDICAL DECISIONS. THERE ARE A VARIETY OF REASONS FOR FINANCIAL CHALLENGES INCLUDING HIGH-DEDUCTIBLE INSURANCE PLANS, UNEMPLOYMENT, OR EMPLOYERS WHO DO NOT PROVIDE MEDICAL INSURANCE. OTHER CHALLENGES INCLUDE PRICE TRANSPARENCY AND UNDERSTANDING OPTIONS FOR BILL PAYMENT AND FINANCIAL ASSISTANCE. ANDERSON HOSPITAL UNDERSTANDS THE FINANCIAL CONSTRAINTS THAT OUR PATIENTS FACE AND HAVE WORKED HARD TO ASSIST IN APPROPRIATE AND NECESSARY HEALTH CARE FOR ALL MEMBERS OF OUR COMMUNITY.OBJECTIVES:-PROVIDE RESOURCES TO THE COMMUNITY TO ASSIST IN MAKING MORE INFORMED COVERAGE CHOICES. -INCREASE AWARENESS OF THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE THROUGH ANDERSON HEALTHCARE. -PROVIDE EDUCATION ON COMMON INSURANCE AND FINANCIAL RESPONSIBILITY TERMINOLOGY.IN REGARD TO ALL FIVE TOP HEALTH PRIORITIES, ANDERSON HOSPITAL WILL WORK TOWARDS: -RECRUITING EMPLOYEES TO BE ADVOCATES ON TOP HEALTH PRIORITIES. -PARTNERING WITH LOCAL EMS TO ASSIST IN EDUCATION AND COMMUNITY OPPORTUNITIES.-PARTNERING WITH LOCAL SCHOOL DISTRICTS TO EDUCATE YOUTH ON PREVENTION. -ENCOURAGING THE TOP 5 PRIORITIES TO BE DISCUSSED AND PRESENTED AT HEALTH FAIRS AND EVENTS WITHIN THE COMMUNITY. 13 1 - ANDERSON CANCER CENTER 2227 VADALABENE MARYVILLE IL 62062 CANCER TREATMENT 2 - ANDERSON PEDIATRIC CENTER 6820 STATE ROUTE 162 MARYVILLE IL 62062 PEDIATRIC SERVICES 3 - ONCOLOGY TREATMENT CENTER 6836 STATE ROUTE 162 MARYVILLE IL 62062 CANCER TREATMENT 4 - BETHALTO EXPRESS CARE 159 E MCARTHUR BATHALTO IL 62010 ER- OTHER 5 - COLLINSVILLE EXPRESS CARE 1103 BELT LINE RD COLLINSVILLE IL 62234 ER- OTHER 6 - WELLNESS CENTER 2133 VADALABENE DR MARYVILLE IL 62062 REHAB SERVICES 7 - EDWARDSVILLE EXPRESSCARE 3417 ANDERSON HEALTHCARE DRIVE EDWARDSVILLE IL 62025 ER- OTHER 8 - TROY EXPRESS CARE 108 WEST HIGHWAY 40 TROY IL 62294 ER- OTHER 9 - ANDERSON SLEEP CENTER 2809 NORTH CENTER MARYVILLE IL 62062 SLEEP STUDY 10 - ANDERSON SURGERY CENTER 3403 ANDERSON HEALTHCARE DRIVE EDWARDSVILLE IL 62025 OUTPATIENT SURGERY 11 - GOSHEN THERAPY SERVICES 3417 ANDERSON HEALTHCARE DRIVE SUITE 10 EDWARDSVILLE IL 62025 THERAPY SERVICES 12 - ANDERSON REHAB SERVICES 1212 BROADWAY HIGHLAND IL 62249 REHAB SERVICES 13 - ANDERSON HOME HEALTH 6800 STATE ROUTE 162 MARYVILLE IL 62062 HOME HEALTH SERVICES PART I, LINE 3C: IN ADDITION TO FPG, THE ORGANIZATION USES THE FOLLOWING FACTORS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 17,011,115. PART II, COMMUNITY BUILDING ACTIVITIES: ANDERSON HOSPITAL WILL PROVIDE QUALITY HEALTH CARE SERVICES TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY. EACH PERSON WILL BE TREATED AS AN INDIVIDUAL WITH SPECIFIC NEEDS FOR ASSISTANCE WITHOUT REGARD TO PAYMENT. ANDERSON HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE AND STRIVES TO INCREASE ACCESS TO CARE FOR ALL MEMBERS OF THE COMMUNITY. ANDERSON HOSPITAL IS AN EMS RESOURCE HOSPITAL PROVIDING TRAINING AND EDUCATION TO LOCAL EMS PERSONNEL. PART III, LINE 2: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 4: SEE PAGE 11, 17 AND 18 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE SHORTFALLS SHOULD BE RECORDED AS COMMUNITY BENEFIT AS RATES ARE SET BY THE GOVERNMENT AT LEVELS SIGNIFICANTLY BELOW COSTS. 30% OR MORE OF ANDERSON'S TOTAL BUSINESS IS PATIENTS IN OUR COMMUNITY WITH MEDICARE COVERAGE. PART III, LINE 9B: ALL BILLING AND COLLECTION POLICIES AND PRACTICES WILL REFLECT THE MISSION AND VALUES OF ANDERSON HOSPITAL, INCLUDING OUR SPECIAL CONCERN FOR PEOPLE WHO ARE POOR AND VULNERABLE. ANDERSON HOSPITAL EMBRACES ITS RESPONSIBILITY TO SERVE THE COMMUNITIES IN WHICH WE PARTICIPATE BY ESTABLISHING SOUND BUSINESS PRACTICES. ANDERSON HOSPITAL'S BILLING AND COLLECTION PRACTICES WILL BE FAIR AND CONSISTENTLY APPLIED WITHIN EACH ENTITY. PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE ARE PROVIDED THAT ASSISTANCE AND THEIR ACCOUNTS ARE WRITTEN OFF AND NO FURTHER COLLECTION ACTIVITY OCCURS ON THE PORTION OF THE BILL THAT QUALIFIES FOR CHARITY. PART VI, LINE 2: THE COMMUNITY BENEFIT PLAN IDENTIFIES COMMUNITY HEALTH NEEDS AND GAPS THROUGH COMMUNITY, EMPLOYEE, AND VOLUNTEER SURVEYS, PERIOD MEETINGS WITH THE LOCAL MAYOR, AND COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ALIGNS THOSE WITH THE HOSPITAL'S INITIATIVES. THE PLAN IS DEVELOPED BY THE HEALTH EDUCATION PLANNING COMMITTEE IN COLLABORATION WITH THE MADISON COUNTY PARTNERSHIP FOR COMMUNITY HEALTH AND COMMUNITY LEADERS. PART VI, LINE 3: FINANCIAL COUNSELORS ASSIST PATIENTS WITH THEIR HEALTH INSURANCE OR FINANCIAL ASSISTANCE NEEDS. DURING THE BILLING CYCLE, PATIENT FINANCIAL SERVICES WORKS WITH PATIENTS WHO NEED ASSISTANCE OR PAYMENT PLANS. FINANCIAL ASSISTANCE INFORMATION IS POSTED ON THE ANDERSON HOSPITAL WEBSITE. PART VI, LINE 4: ANDERSON HOSPITAL SERVES PATIENTS IN MADISON COUNTY, AND THE ILLINOIS CITIES OF TROY, MARYVILLE, EDWARDSVILLE, GLEN CARBON, GRANITE CITY, AND HIGHLAND. THE COMMUNITY IS MOSTLY A WHITE COLLAR COMMUNITY WITH LITTLE INDUSTRY. PART VI, LINE 5: TO CONTINUE MCPCH INVOLVEMENT WITH COMMITTEE REPRESENTATION FROM ANDERSON HOSPITAL, INCLUDING: MOTOR VEHICLE COMMITTEE, ADDICTIVE BEHAVIOR COMMITTEE, SEXUAL RISK BEHAVIORS COMMITTEE, CANCER COMMITTEE, CARDIOVASCULAR COMMITTEE, AND MCPCH COMMITTEE MEMBERS TO REPORT AT HEPC. TO CONTINUE TO INCREASE AWARENESS OF DISASTER PREPAREDNESS IN THE COMMUNITY BY: AUGMENTING MCPCH COMMUNITY DISASTER PLANS AND PRESENTING TO LOCAL BUSINESSES. TO EDUCATE AND DISSEMINATE INFORMATION TO THE COMMUNITY REGARDING INFECTION CONTROL, TARGETING MRSA, INFLUENZA A, H1N1, AND PREVENTATIVE PRACTICES AND EDUCATION OF THESE TO LOCAL SCHOOLS. TO MAINTAIN PARTNERSHIP WITH LOCAL BUSINESSES AND PUBLIC SERVICES TO MEET THEIR EMPLOYEES' SPECIFIC HEALTHCARE NEEDS. TO EXPAND HEALTH AND WELLNESS EXPOSURE AT ANDERSON HOSPITAL. TO INCREASE COMMUNITY AWARENESS RELATED TO CONGESTIVE HEART FAILURE. IN COLLABORATION WITH COMMUNITY LEADERS, ANDERSON'S COMMUNITY INCLUDES SEMI-ANNUAL MEETINGS WITH THE LOCAL MAYORS TO DISCUSS THE STRATEGIC PLAN OF THE HOSPITAL, PROVIDE UPDATES ON PLANNED CAPITAL SPENDING, DISCUSS NEW SERVICES, AND TO RECEIVE FEEDBACK FROM THE COMMUNITY REGARDING CURRENT SERVICES OR THE NEEDS FOR ADDITIONAL SERVICES. PART VI, LINE 7, REPORTS FILED WITH STATES IL 1 BOYS & GIRLS CLUBS OF GREATER ST LOUIS 324 E CENTRAL ST BETHALTO IL 62010 370911129 501(C)(3) 25000 0 GENERAL GRANT 1 PART I, LINE 2: THE ORGANIZATION ONLY MAKES GRANTS TO PRE-SELECTED CHARITABLE AND GOVERNMENTAL ORGANIZATIONS. 0 1 0 0 0 0 0 0 0 KEITH PAGE ANDERSON HEALTH PRES/CEO THRU 02/24 0 921768 0 0 0 923 0 16406 0 2856 0 941953 0 0 MICHAEL MARSHALL CEO 0 421438 0 40500 0 11539 0 24331 0 30354 0 528162 0 0 CHARLES LANE MD CHIEF MEDICAL OFFICER 375533 0 0 0 6923 0 0 0 0 0 382456 0 0 0 LISA SPENCER PRESIDENT 297635 0 31500 0 11538 0 23154 900 442 58 364269 958 0 0 PATRICK GARVEY CFO 0 268958 0 26500 0 11539 0 0 0 30836 0 337833 0 0 PATRICK ZIMMERMAN MD BOARD MEMBER 0 262851 0 0 0 11539 0 635 0 0 0 275025 0 0 SAWYER BRICKER CONTRACT PROGRAM RN 223215 0 5000 0 0 0 0 0 28295 0 256510 0 0 0 JOHN MAGUIRE CHARGE RN 204062 0 0 0 0 0 6309 0 15917 0 226288 0 0 0 LISA TWESTEN STAFF RN 176843 0 0 0 0 0 4639 0 8843 0 190325 0 0 0 BRANDY BOWMAN NURSING SUPERVISOR 176232 0 0 0 0 0 807 0 0 0 177039 0 0 0 PART I, LINE 4B NAME: KEITH PAGE, DESCRIPTION: 2024 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $23,000. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION NAME: MICHAEL MARSHALL, DESCRIPTION: 2024 ANNUAL CONTRIBUTION, CURRENT YEAR AMOUNT: $23,000. PLAN DESCRIPTION: SECTION 457(F) PLAN OF RELATED ORGANIZATION SCHEDULE J, PART I, LINE 3: THE CEO AND CFO ARE COMPENSATED BY A RELATED ORGANIZATION, WHILE THE PRESIDENT IS COMPENSATED BY ANDERSON HOSPITAL. COMPENSATION FOR ALL THREE IS ESTABLISHED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION USED THE FOLLOWING FACTORS TO ESTABLISH COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE A SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY 371234684 2016-05-17 18258036 SEE PART VI 0 0 0 B VILLAGE OF MARYVILLE ILLINOIS 370922463 2016-06-01 7541971 SEE PART VI 0 0 0 C VILLAGE OF MARYVILLE ILLINOIS 370922463 2016-06-16 8480753 SEE PART VI 0 0 0 D VILLAGE OF MARYVILLE ILLINOIS 370922463 2016-07-01 5175473 SEE PART VI 0 0 0 A 9787383 18258036 300989 17957047 2008 1 1 1 1 B 5877796 7541971 120657 7421314 1999 1 0 1 1 C 5136635 8480753 94614 8386139 2011 1 0 1 1 D 2957344 5175473 59501 5115972 2011 1 0 1 1 A 0 1 1 1 0 0.00500 0.00000 0.00500 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 1 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, LINE A, COLUMN (F): ADVANCE REFUND 2006 BONDS (ORIGINALLY ISSUED ON 12/15/2006) AND CURRENT REFUND 2011B BONDS (ORIGINALLY ISSUED ON 12/29/2011). PART I, LINE B, COLUMN (F): CURRENT REFUND 2011A BONDS (ORIGINALLY ISSUED ON 12/29/2011). PART I, LINE C, COLUMN (F): CURRENT REFUND 2011 BONDS (ORIGINALLY ISSUED ON 8/4/2011). PART I, LINE D, COLUMN (F): CURRENT REFUND 2012 BONDS (ORIGINALLY ISSUED ON 2/17/2012). PART II, COLUMN A, LINE 3: BOND PROCEEDS WERE USED TO REFUND PRIOR BOND ISSUES. AS A RESULT, THERE IS NO "PROJECT PERIOD AND EARNINGS IN THE COSTS OF ISSUANCE ACCOUNT AND ESCROW FUND HAVE NOT BEEN REFLECTED IN TOTAL PROCEEDS. PART II, COLUMN A, LINE 11: THIS AMOUNT REPRESENTS $7,278,188.99 OF BOND PROCEEDS USED TO CURRENT REFUND THE 2011B BONDS, $10,676,029.73 USED TO ADVANCE REFUND THE 2006 BONDS, AND $2,828.14 USED TO PAY INTEREST ON THE BONDS. PART II, COLUMN B, LINE 3: BOND PROCEEDS WERE USED TO REFUND A PRIOR BOND ISSUE. AS A RESULT, THERE IS NO "PROJECT PERIOD AND EARNINGS IN THE COSTS OF ISSUANCE ACCOUNT HAVE NOT BEEN REFLECTED IN TOTAL PROCEEDS. PART II, COLUMN B, LINE 11: THIS AMOUNT REPRESENTS $7,419,803.04 OF BOND PROCEEDS USED TO CURRENT REFUND THE 2011A BONDS AND $1,511.44 USED TO PAY INTEREST ON THE BONDS. PART II, COLUMN C, LINE 3: BOND PROCEEDS WERE USED TO REFUND A PRIOR BOND ISSUE. AS A RESULT, THERE IS NO "PROJECT PERIOD AND EARNINGS IN THE COSTS OF ISSUANCE ACCOUTN HAVE NOT BEEN REFLECTED IN TOTAL PROCEEDS. PART II, COLUMN C, LINE 11: THIS AMOUNT REPRESENTS $8,384,439.87 OF BOND PROCEEDS USED TO CURRENT REFUND THE 2011 BONDS AND $1,699.56 USED TO PAY INTEREST ON THE BONDS. PART II, COLUMN D, LINE 11: THIS AMOUNT REPRESENTS $5,115,115.96 OF BOND PROCEEDS USED TO CURRENT REFUND THE 2012 BONDS AND $856.29 USED TO PAY INTEREST ON THE BONDS. PART III, COLUMN A: PART III HAS BEEN COMPLETED FOR THE PROJECTS ORIGINALLY FINANCED AFTER JANUARY 1, 2003. PART IV, COLUMN A, LINE 2C: ARBITRAGE ANALYSIS COMPLETED AS OF 2/15/2017. PART IV, COLUMN A, LINE 6: BOND PROCEEDS WERE DEPOSITED AND INVESTED IN A YIELD RESTRICTED ESCROW FUND UNTIL THE REDEMPTION OF THE 2006 BONDS. PART I, LINE A, COLUMN (F), ENTITY 2: ACQUIRE, CONSTRUCT, FURNISH AND EQUIP HOSPITAL FACILITIES. PART II, COLUMN A, LINE 3, ENTITY 2: TOTAL PROCEEDS OF THE ISSUE DOES NOT EQUAL ISSUE PRICE REPORTED IN PART I AS A RESULT OF INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. PART II, COLUMN A, LINE 13, ENTITY 2: ALL BOND PROCEEDS WERE SPENT AS OF THE FISCAL YEAR END; HOWEVER, NOT ALL PROJECTS WERE COMPLETED AS OF THE FISCAL YEAR END. PART IV, COLUMN A, LINE 2C, ENTITY 2: ARBITRAGE ANALYSIS COMPLETED AS OF 12/1/2019. PART III, COLUMN B: PART III HAS BEEN COMPLETED FOR THE PROJECTS ORIGINALLY FINANCED AFTER JANUARY 1, 2003. PART III, COLUMN A, LINE 4: AMOUNT REPRESENTS THE MAXIMUM AMOUNT OF BOND PROCEEDS USED IN A PRIVATE BUSINESS USE. PART I, LINE B, COLUMN (F), ENTITY 2: ACQUIRE, CONSTRUCT, FURNISH AND EQUIP HOSPITAL FACILITIES. A SOUTHWESTERN ILLINOIS DEVELOPMENT AUTHORITY 371234684 2019-05-30 15229849 SEE PART VI 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 2024-09-01 5000000 SEE PART VI 0 0 0 A 7886854 15255430 217399 15038031 2019 0 0 1 1 B 151582 5000000 5000000 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS ANDERSON HEALTHCARE, A TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE RIGHT TO APPOINT THE VOTING MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION HAS THE FOLLOWING POWERS AND RESPONSIBILITIES: - REVISIONS TO THE MISSION STATEMENT AND AMENDMENTS TO GOVERNING DOCUMENTS; - APPOINTMENT AND REMOVAL OF MEMBERS OF THE GOVERNING BODY AND THE PRESIDENT/CEO; - APPROVAL OF UNBUDGETED EXPENDITURES IN EXCESS OF AN ESTABLISHED THRESHOLD; - APPROVAL OF THE DISPOSAL OF ASSETS AND INCURRENCE OF DEBT IN EXCESS OF AN ESTABLISHED THRESHOLD; - APPROVAL OF AFFILIATIONS WITH OTHER HEALTHCARE ORGANIZATIONS; - APPROVAL OF ESTABLISHMENT, ACQUISITION, OR AFFILIATIONS OF SUBSIDIARIES AND JOINT VENTURES; - TRUSTEE OF OFFICER INDEMNIFICATION; - USE OF FICTITIOUS NAMES; FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO, CFO, AND CONTROLLER. INFORMATION FOR THE RETURN IS GATHERED BY THE HOSPITAL'S FINANCE DEPARTMENT AND GIVEN TO AN INDEPENDENT AUDITOR FOR FILING PREPARATION. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE OFFICER REVIEWS AND MONITORS THE POLICY ANNUALLY. PERSONS COVERED UNDER THE POLICY INCLUDE TRUSTEES/DIRECTORS/MANAGERS, OFFICERS AND COMMITTEE MEMBERS OF THE ANDERSON HEALTHCARE ENTITIES; DEPARTMENT DIRECTORS, ADMINISTRATIVE DIRECTORS, ASSISTANT DIRECTORS, MEMBERS OF SENIOR MANAGEMENT AND MEDICAL STAFF LEADERS OF ANDERSON HOSPITAL, MEDICAL STAFF MEMBERS AND NON-MANAGEMENT STAFF. CONFLICTS ARE REVIEWED, IDENTIFIED AND MAINTAINED BY THE COMPLIANCE OFFICER. EXPLANATION OF ANY RESTRICTIONS IMPOSED ON PERSONS WITH A CONFLICT: THE COVERED INDIVIDUAL PROMPTLY AND FULLY DISCLOSES THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT THE FOLLOWING TIMES: A. WHEN THE COVERED INDIVIDUAL FIRST BECOMES A COVERED INDIVIDUAL AND AT EVERY ANNUAL MEETING OF THE ANDERSON ENTITY THEREAFTER THROUGH THE SUBMISSION OF A CONFLICT DISCLOSURE STATEMENT AFFIRMING THAT THE COVERED INDIVIDUAL (I) RECEIVED A COPY OF THIS POLICY, (II) READ AND UNDERSTOOD THIS POLICY, AND (III) AGREES TO COMPLY WITH THIS POLICY; B. UPON ANY CHANGES IN CIRCUMSTANCES WHICH GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; AND C. WHEN THE COVERED INDIVIDUAL HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A TRANSACTION OR ARRANGEMENT BEING CONSIDERED AT A BOARD OR COMMITTEE MEETING. FOR MANAGERS AND MEDICAL STAFF LEADERS: THE COVERED INDIVIDUAL PROMPTLY AND FULLY DISCLOSES THE EXISTENCE OF AN ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO THE COMPLIANCE OFFICER AT THE FOLLOWING TIMES: A. WHEN THE COVERED INDIVIDUAL FIRST BECOMES A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER THROUGH THE SUBMISSION OF A CONFLICT DISCLOSURE STATEMENT AFFIRMING THAT THE COVERED INDIVIDUAL (I) RECEIVED A COPY OF THIS POLICY, (II) READ AND UNDERSTOOD THIS POLICY, AND (III) AGREES TO COMPLY WITH THIS POLICY; AND B. UPON ANY CHANGES IN CIRCUMSTANCES WHICH GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; C. WHEN A COVERED INDIVIDUAL HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A TRANSACTION OR ARRANGEMENT BEING CONSIDERED ON BEHALF OF ANDERSON AND THE COVERED INDIVIDUAL IS IN A POSITION TO INFLUENCE THE OUTCOME OF THE CONSIDERATION. DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST MADE AT THE MEETING AT WHICH THE TRANSACTION OR ARRANGEMENT IS BEING CONSIDERED SHALL BE MADE TO ALL INDIVIDUALS PRESENT AT THE MEETING. FOR OTHER MEDICAL STAFF MEMBERS: DISCLOSURE OCCURS AT APPOINTMENT AND REAPPOINTMENT UNLESS THEY ARE BOARD MEMBERS THESE PHYSICIANS FOLLOW THE BOARD OR TRUSTEE REQUIREMENTS. EMPLOYEES NOT IN MANAGEMENT POSITIONS: AT TIE OF HIRE AND AT EACH ANNUAL EMPLOYEE EVALUATION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO SALARY AND BONUS STRUCTURE IS DETERMINED ON AN ANNUAL BASIS BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF TRUSTEES, AND APPROVED BY THE FULL BOARD BASED ON AN EVALUATION DONE BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 8,717,933. MANAGEMENT AND GENERAL EXPENSES 5,573,761. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,291,694. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 275,208. MANAGEMENT AND GENERAL EXPENSES 175,953. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 451,161. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,163,182. MANAGEMENT AND GENERAL EXPENSES 743,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,906,855. AH TAXES MEDICAID ASSESMENT: PROGRAM SERVICE EXPENSES 5,738,599. MANAGEMENT AND GENERAL EXPENSES 3,668,940. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,407,539. FORM 990, PART XI, LINE 9: TRANSFER BETWEEN AFFILIATES -19,856,794. FORM 990, PART XII, LINE 2C: NO CHANGE FROM THE PRIOR YEAR POLICY. ANDERSON SURGERY CENTER LLC 6800 STATE ROUTE 162 MARYVILLE IL 62062 834200085 SURGERY IL -1104641 1683495 ANDERSON HOSPITAL AUXILIARY OF ANDERSON HOSPITAL 6800 STATE ROUTE 162 MARYVILLE IL 62062 376080063 SUPPORT ORGANIZATION IL 501(C)(3) LINE 12D, III-O N/A 0 COMMUNITY HOSPITAL OF STAUNTON 400 N CALDWELL STREET STAUNTON IL 62088 370624255 HOSPITAL IL 501(C)(3) LINE 3 ANDERSON HEALTHCARE 0 ANDERSON HOSPITAL FOUNDATION 6800 STATE ROUTE 162 MARYVILLE IL 62062 274548522 SUPPORT ORGANIZATION IL 501(C)(3) LINE 7 ANDERSON HOSPITAL 1 ANDERSON HEALTHCARE 6800 STATE ROUTE 162 MARYVILLE IL 62062 843965822 HEALTH CARE IL 501(C)(3) LINE 11 N/A 0 FRIENDS OF COMMUNITY MEMORIAL HOSPITAL 400 N CALDWELL STREET STAUNTON IL 62088 363913722 FUNDRAISING IL 501(C)(3) LINE 10 COMMUNITY HOSPITAL OF STAUNTON 0 ANDERSON REHABILITATION INSTITUTE LLC 6800 STATE ROUTE 162 MARYVILLE IL 62062 832844780 REHAB IL ANDERSON HOSPITAL RELATED 1354829 15340682 0 1 0.60000 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 ANDERSON SURGERY CENTER LLC R 200000 CASH ANDERSON HOSPITAL FOUNDATION C 183333 CASH COMMUNITY HOSPITAL OF STAUNTON L 1590480 COST