2016-08-15T13:17:49-05:00 2015-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2014-10-01 640362400 ANDERSON REGIONAL MEDICAL CENTER ANDE 6015536000 2124 14TH STREET MERIDIAN MS 39301 STEVEN BROWN VP OF FINANCE 6015536000 2016-08-15 1 AMY BIBBY P00445891 8282542254 2014 2016-09-27 15:27:22Z JOHN ANDERSON 2124 14TH STREET MERIDIAN MS 39301 200237810 0 X WWW.ANDERSONREGIONAL.ORG X 1928 MS THE MISSION OF THE HOSPITAL IS TO CONTINUE OUR HERITAGE OF HEALING AND IMPROVING LIFE FOR THE PEOPLE WE SERVE. 8 4 1743 49 5729258 -133112 87100 434897 198488003 195179462 427244 322176 -267850 60357 198734497 195996892 177647 109074 0 0 82218305 77195149 0 0 0 113009679 122724919 195405631 200029142 3328866 -4032250 221615055 225572945 77339340 85329480 144275715 140243465 THE MISSION OF THE HOSPITAL IS TO CONTINUE OUR HERITAGE OF HEALING AND IMPROVING LIFE FOR THE PEOPLE WE SERVE. 0 0 179237901 109074 189450204 SEE SCHEDULE O 179237901 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 227 0 1 1743 1 1 1 0 0 0 0 0 0 0 0 0 X 8 4 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X STEVEN BROWN 6015536647 2124 14TH STREET MERIDIAN MS 39301 DR JOSEPH ANDERSON DIRECTOR - CHAPLAIN 40.00 X 104838 0 15238 GAY HILL DIRECTOR - COMMUNITY RELAT 4.00 X 22299 0 0 JANET G FARRINGTON DIRECTOR - EDUCATION PROGR 6.00 X 28113 0 0 SHAWN ANDERSON DO DIRECTOR 6.00 1.00 X 22182 0 0 THAD QUARLES DIRECTOR 1.00 X 0 0 0 BILL CRAWFORD DIRECTOR 1.00 X 0 0 0 THURMAN EVERETT MD DIRECTOR 2.00 X 13265 0 0 DAVID VOWELL DIRECTOR 1.00 X 10833 0 0 JOHN CLAY DIRECTOR 2.00 X 0 0 0 LELAND RAY HUMPHREYS PRESIDENT/CEO (THROUGH 8/15) 50.00 1.00 X 522912 0 14497 ANTHONY KEITH HEARTSILL VICE PRESIDENT/CFO (THROUGH 8/15) 50.00 1.00 X 302422 0 12290 JOHN ANDERSON PRESIDENT/CEO (BEGAN 5/15) 50.00 2.00 X 198323 0 67745 GEORGE DENTON FARR JR VICE PRESIDENT 50.00 1.00 X 152854 0 49006 WANDA COOPER VICE PRESIDENT 50.00 2.00 X 193706 0 54865 ALPHE D WELLS VICE PRESIDENT (THROUGH 8/15) 50.00 2.00 X 184535 0 19357 MATTHEW J EDWARDS VICE PRESIDENT/CNO 50.00 1.00 X 174992 0 46525 SCOT BELL VICE PRESIDENT 50.00 1.00 X 323104 0 74931 STEVEN BROWN VICE PRESIDENT (BEGAN 9/15) 50.00 1.00 X 115707 0 17952 ROBERT P KING JR SENIOR MEDICAL PHYSICIST 50.00 X 224164 0 24415 MICHAEL B SHROCK PHYSICIAN 50.00 X 306009 0 21944 CHRISADEL G HEATH PHYSICIAN 50.00 X 248659 0 22815 DONALD G GUILD PHYSICIAN 50.00 X 218709 0 7404 DEANNA I PRICE PHYSICIAN 50.00 X 192640 0 24297 3560266 0 473281 45 0 1 0 REHABCARE GROUP EAST INC PO BOX 502096 ST LOUIS MO 63150 MANAGEMENT REHABILITATION 4879209 HOSPITAL HOUSEKEEPING SYSTEMS LLC 216 E FOURTH STREET AUSTIN TX 78701 ENVIROMENTAL 4495855 MORRISON HEALTH CARE INC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 4493778 BLOOD SYSTEM INC PO BOX 621 MERIDIAN MS 39302 WHOLE BLOOD SERVICES 1466003 AMERICAN PROTECTION SERVICES INC 2807 HIGHWAY 11 SOUTH MERIDIAN MS 39307 SECURITY SERVICES 1457686 44 434897 434897 NET PATIENT SERVICE REVENUE 621990 186840237 185390715 1449522 PHARMACY REVENUE 446110 6019829 2211175 3808654 HEALTH & FITNESS REVENUE 713940 1025572 554490 471082 TRAMA CENTER REVENUE 621990 648541 648541 OTHER OPERATING REVENUE 621990 645283 645283 195179462 68312 68312 2923656 4240918 -1317262 -1317262 -1317262 28169 225695 0 0 28169 225695 253864 253864 MISCELLANEOUS REVENUE 900099 985026 985026 TAX CREDITS 900099 299640 299640 VENDING REVENUE 900099 76714 76714 16239 16239 1377619 195996892 189450204 5729258 382533 X 109074 109074 2221368 2221368 281176 281176 62130048 53378260 8751788 1276762 1060075 216687 6695990 5559573 1136417 4589805 3810841 778964 757665 757665 142300 142300 28802776 27400572 1402204 350641 113199 237442 21150781 16510734 4640047 4783262 4783262 231143 190635 40508 12249 12249 988699 522848 465851 10749560 10749560 3614348 3614348 MEDICAL SUPPLIES 31886721 31886721 BAD DEBT EXPENSE 19237384 19237384 17390 17390 200029142 179237901 20791241 0 3188158 2728597 12741642 13810181 21377484 20434477 947726 713791 5780013 6002934 1916935 1865908 281587827 161157540 122845838 120430287 130090 89995 55792 2974267 2694206 49622907 56836772 221615055 225572945 39167564 42705652 37168603 39704859 1003173 2918969 77339340 85329480 X 144275715 140243465 144275715 140243465 221615055 225572945 -4032250 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14540242 14540242 140271245 72274799 67996446 1957552 1405449 552103 124614063 87477292 37136771 204725 204725 120430287 INTERCOMPANY RECEIVABLE 43821687 SELF INSURANCE TRUST FUND 8361055 CSV - RETIREMENT FUNDS (457B) 4355199 OTHER LIMITED AS TO USE ASSETS 298831 56836772 ASSET RETIREMENT OBLIGATIONS 807249 DUE TO AFFILIATE 713635 THIRD PARTY PAYOR SETTLEMENTS 1398085 2918969 X PART X, LINE 2: THE ANDERSON REGIONAL MEDICAL CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3); ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. AS LIMITED LIABILITY COMPANIES, EMEC AND JARMC LEVERAGE'S TAXABLE INCOME OR LOSS IS ALLOCATED TO THE MEMBERS AND IS INCLUDED IN THE CALCULATION OF THEIR TAXABLE INCOME. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. THE MEDICAL CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2015 AND 2014. YEARS ENDING ON OR AFTER SEPTEMBER 30, 2012, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 1 X 1 X 1 X 1 1 1 0 0 1070191 1070191 0.00590 1070191 1070191 0.00590 26 2795 395232 395232 0.00220 2 880 24850 24850 0.00010 1 510312 510312 0.00280 4 216719 216719 0.00120 33 3675 1147113 1147113 0.00630 33 3675 2217304 2217304 0.01220 3 2094 2094 0.00000 2 271 631 631 0.00000 5 271 2725 2725 0 5236671 1532226 76625552 80146343 -3520791 X 1 1 2 1 ANDERSON REGIONAL MEDICAL CENTER 2124 14TH STREET MERIDIAN MS 39301 X X X A 2 ANDERSON REGIONAL MEDICAL CENTER SOUTH 1102 CONSTITUTION AVENUE MERIDIAN MS 39301 X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X 14 1 0 0 1 X SEE DISCLOSURE 0 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X SEE DISCLOSURE X 1 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ANDERSON REGIONAL MEDICAL CENTER, - FACILITY 2: ANDERSON REGIONAL MEDICAL CENTER SOUTH GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE IR ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH CHILDREN LIVE NORMS HAVE SHIFTED PARENTS ALLOW CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICIAL ACTIVITY (E.G., OUTDOOR FREE PLAY). SCHOOLS, OVER THE YEARS, HAVE LIMITED ACCESS TO FREE PLAY AND CEASED REQUIRING STUDENTS TO PARTICIPATE IN PE CLASSES, AND/OR SPORTS. EACH OF THESE, ALONG WITH EXCESSIVE SEDENTARY "SCREEN TIME," HAVE LED TO A YOUTH OBESITY CRISIS THAT IS SURE TO HAVE SIGNIFICANTLY DETRIMENTAL LONG-TERM HEALTH AND ECONOMIC OUTCOMES. GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: IN RESPONSE TO FEDERAL REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS, AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ANDERSON REGIONAL MEDICAL CENTER CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE NEEDS OF THE MERIDIAN AND LAUDERDALE COUNTY MISSISSIPPI HEALTH SERVICE REGION. PROJECT GOALSTHE PRIMARY GOAL OF THIS PROJECT WAS TO ESTABLISH AN ONGOING, EVIDENCE-BASED PROCESS OF IDENTIFYING AND PRIORITIZING LOCAL COMMUNITY HEALTHCARE NEEDS. THE RESULT OF THIS ASSESSMENT WILL ESTABLISH THE BASIS FOR PLANNING APPROPRIATE COMMUNITY BENEFIT PROGRAMS TO ADDRESS THESE IDENTIFIED NEEDS. ADDITIONALLY, THIS INFORMATION WILL BE MADE WIDELY AVAILABLE SO AS TO BETTER INFORMAL COMMUNITY LEADERS AND CITIZENS OF THE HEALTH-RELATED CHALLENGES FACED BY THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENT TENDS TO VARY SUBSTANTIALLY IN THEIR METHODS, SCOPE, AND DEPTH. GUIDELINES STATED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND SUBSEQUENT GUIDANCE ISSUED BY THE IRS, REQUIRE THAT THE ASSESSMENT INCLUDE E "INPUT FROM PERSON WHO REPRESENT THE BOARD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH." BEST PRACTICES IN HEALTH NEEDS ASSESSMENT GENERALLY INCLUDE HEALTHCARE PROVIDERS, PATIENTS/CONSUMERS, BUSINESS LEADERS, AS WELL AS STATE AND/OR LOCAL HEALTH EXPERTS TO MEET THESE GUIDELINES; WE EMPLOYED SEVERALLY METHODS, BOTH QUALITATIVE AND QUANTITATIVE. A SECONDARY ANALYSIS OF EXISTING FEDERAL AND STATE DATA (QUANTITATIVE). INTERVIEWS WITH KEY INFORMANTS REPRESENTING THE BOARD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH (QUALITATIVE). AN ONLINE COMMUNITY HEALTH NEEDS SURVEY (QUANTITATIVE/QUALITATIVE). A BRIEF PAPER-BASED HEALTH NEEDS SURVEY SPECIFICALLY TARGETED AT THE UNDERSERVED (QUANTITATIVE/QUALITATIVE). COMMUNITY DEFINED WHEN ASSESSING HEALTH NEEDS OF A COMMUNITY, THE "COMMUNITY" MUST FIRST BE DEFINED. SOME HOSPITAL, (E.G. SPECIALTY HOSPITALS) MAY DEFINE THEIR COMMUNITY IN TERMS OF GROUPS OF PEOPLE OR DEMOGRAPHIC CATEGORIES. A WOMEN'S HOSPITAL, FOR INSTANCE WOULD BE PRIMARILY CONCERNED WITH HEALTH ISSUES FACING WOMEN, AND WOULD THUS FOCUS A NEEDS ASSESSMENT ACCORDINGLY. COMMUNITY IS MORE TYPICALLY DEFINED AS A GEOGRAPHIC SERVICE AREA FOR WHICH, IN MOST CASES, THE GREATEST CONCENTRATION OF PATIENTS SERVED IS IN THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. ANDERSON REGIONAL MEDICAL CENTER IS LOCATED IN MERIDIAN, THE LARGEST MUNICIPALITY IN LAUDERDALE COUNTY. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, LAUDERDALE COUNTY WILL BE CONSIDERED THE "COMMUNITY" OF FOCUS. MERIDIAN AND LAUDERDALE COUNTY PLAY HOST TO A MULTITUDE OF OTHER HEALTHCARE SERVICE AGENCIES, INCLUDING TWO INPATIENT PSYCHIATRIC HOSPITALS, ONE FEDERALLY QUALIFIES COMMUNITY HEALTH CENTER, ONE COMMUNITY MENTAL HEALTH CENTER, AS WELL AS SEVERAL NURSING HOMES, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES IN. IN FACT, APPROXIMATELY 15 LAUDERDALE COUNTY IS EMPLOYED IN THE HEALTH AND SOCIAL SERVICES SECTOR, MAKING HEALTHCARE SERVICES A VERY IMPORTANT ECONOMIC ENGINE FOR THE REGION. THE COUNTIES SURROUNDING LAUDERDALE COUNTY HAVE A RANGE OF THE HEALTHCARE SERVICE PROVIDERS AS WELL, INCLUDING HOSPITALS, CLINICS, ETC., AND IN MOST CASES, WILL BE CONDUCTING THEIR OWN RESPECTIVE COUNTY-LEVEL ASSESSMENT IN THE FUTURE. YET, IT IS IMPORTANT TO NOTE THAT THE HOSPITALS SPONSORING THIS STUDY SERVE AS TERTIARY CARE CENTERS FOR THE SURROUNDING COUNTIES. THEREFORE, WE HAVE DEFINED OUR COMMUNITY GEOGRAPHICALLY (LAUDERDALE COUNTY) AS WELL AS DEMOGRAPHICALLY (ANY NON-LAUDERDALE CO RESIDENT WHO REGULARLY SEEKS HEALTHCARE SERVICES IN LAUDERDALE CO) THUS WE OPTED TO SEEK INPUT FROM THE SURROUNDING COUNTIES THROUGH AN ONLINE SURVEY. IN AGGREGATE, NON-LAUDERDALE CO PARTICIPANTS REPRESENTED 28.5% OF THE ONLINE SURVEY RESPONDENTS. ALTHOUGH, NO FACE-TO-FACE ASSESSMENT ACTIVITY WAS CONDUCTED OUTSIDE OF LAUDERDALE CO, SEVERAL OF THE KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS REPRESENTED ORGANIZATIONS WHOSE MISSION INVOLVES SERVICE TO MULTIPLE COUNTIES IN EAST MISSISSIPPI. METHODS AND PROCESS AS NOTED ABOVE, THIS ASSESSMENT EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING FEDERAL AND STATE DATA (SECONDARY DATA ANALYSIS) PAIRED WITH NEWLY GATHERED DATA FROM THE COMMUNITY (PRIMARY DATA ANALYSIS). THE INITIAL STEP IN THIS PROCESS WAS TO CONDUCT "KEY INFORMANT" INTERVIEWS. KEY INFORMANTS ARE INDIVIDUALS WHO ARE HEAVILY INVOLVED WITH AND KNOWLEDGEABLE ABOUT THE COMMUNITY OF FOCUS. THIS INCLUDES COMMUNITY LEADERS IN THE PUBLIC AND PRIVATE SECTOR, AS WELL AS INDIVIDUALS WITH SPECIAL EXPERTISE IN HEALTHCARE INFORMATION GATHERED THROUGH THESE INTERVIEWS, PAIRED WITH PUBLIC HEALTH INFORMATION, VITAL STATISTICS, AND ECONOMIC DATA PROVIDE A VERY GOOD SNAPSHOT OF THE COMMUNITY'S HEALTH NEEDS. ADDITIONAL PRIMARY DATA COLLECTION WAS CONDUCTED USING A WEB-BASED (I.E. ONLINE) COMMUNITY HEALTH NEEDS SURVEY. AN ACCEPTABLE SAMPLE WAS ACHIEVED. HOWEVER, UPON EXAMINATION OF THE DEMOGRAPHIC DATA OF THE PARTICIPANTS, IT BECAME CLEAR THAT WE SHOULD TAKE ADDITIONAL STEPS TO UNSURE THAT LOW-INCOME AND UNDERSERVED POPULATIONS WERE BETTER REPRESENT. ASSUMING A LOCK OF AVAILABILITY OF TECHNOLOGICAL RESOURCES FOR THIS SEGMENT OF THE POPULATION, A BRIEF PAPER SURVEY WAS DEVELOPED AND ADMINISTERED IN LOW, MINORITY NEIGHBORHOODS TO FURTHER AUGMENT OUR UNDERSTANDING OF THE NEEDS OF THE UNDERSERVED, A FOCUS GROUP WAS HELD FOR THE SPECIFIC PURPOSE OF GATHERING IDEAS ABOUT HOW TO BETTER SERVE THOSE WITH THE GREATEST HEALTH RISK. LOW-INCOME, ELDERLY, MINORITY, DISABLED, AND CHILDREN/YOUTH POPULATIONS. THIS REPORT PROVIDES AN OVERVIEW OF THE INFORMATION GLEANED FROM THIS EXTENSIVE PROCESS. KEY INFORMANT INTERVIEWS WERE CONDUCTED AND SIMILAR RESPONSES WERE NOTED REGARDING BROAD BASED HEALTH NEEDS IN THIS COMMUNITY AND REGION. THESE "MAJOR THEMES" REFLECTED MUCH OF WHAT IS KNOWN THROUGH STATE AND NATIONAL HEALTH DATABASES. THE INTERVIEWS DID, HOWEVER, YIELD MORE INTERESTING INFORMATION. THE INFORMANTS' PROPOSED CAUSES OF AND SOLUTIONS TO HEALTH PROBLEMS/NEEDS VARIED ACCORDING TO THEIR PERSONAL EXPERIENCE AND THE POPULATION THEY AND THEIR ORGANIZATION SERVE. THE RESULTS OF THESE INTERVIEWS ARE SUMMARIZED HERE:GREATEST HEALTH ISSUES:-LIFESTYLE-RELATED HEALTH PROBLEMS-OBESITY-DIABETES-STROKE-HYPERTENSION-RENAL FAILURE-CHILDREN AND YOUTH/ADOLESCENT ISSUES-OVERWEIGHT/OBESITY-TEEN PREGNANCY-SEXUALLY TRANSMITTED DISEASES-DRUG AND ALCOHOL USE-LACK OF PREVENTIVE CARE -MENTAL HEALTH-ORAL CARE POTENTIALLY ROOT CAUSES:-POVERTY: OFTEN, IT WAS NOTED, THAT POVERTY PLAYS A ROLE IN MAKING IT MORE DIFFICULT TO AFFORD HEALTHCARE SERVICES AND ESPECIALLY MEDICATIONS. LOW INCOME ALSO TENDS TO BE ASSOCIATED WITH SHORT TERM PRIORITIES PREVENTIVE CARE. ROUTINE CHECKUPS ARE NOT TYPICALLY VIEWED AS ONE OF THESE PRIORITIES. LACK OF FINANCIAL RESOURCES CREATES STRESS ON INDIVIDUALS AND FAMILIES, WHICH CAN EXACERBATE MENTAL HEALTH PROBLEMS ALONG WITH ELEVATING POTENTIAL FOR DOMESTIC VIOLENCE. CULTURAL ISSUES PLAY A ROLE THAT SPANS ACROSS INCOME GROUPS. TRADITIONAL SOUTHERN FOOD TEND TO BE HIGH IN FAT AND SUGAR, BOOSTING OVERALL CALORIC INTAKE. THE "FAMILY UNIT" WAS ALSO BROUGHT INTO QUESTION WITH HECTIC LIFESTYLES BEING THE NORM, FAST FOOD DRIVE THROUGH WINDOWS HAVE SUPPLANTED COOKING AT HOME ON MORE THAN ONE OCCASION, IT WAS NOTED THAT LACK OF EXERCISE SEEMS TO ALSO STEM FROM ONE'S CULTURE. FOR EXAMPLE, WOMEN, IN ORDER TO MAINTAIN STYLISH HAIR, OFTEN FORGO EXERCISE SO THAT THEY MAY AVOID SWEATING AND CONSEQUENTLY RUINING THEIR HAIR STYLE. MEN WHO DO MANUAL LABOR OFTEN THINK THAT WORK IS EXERCISE (AND IT IS, TO A GREAT EXTENT). HOWEVER, WITHOUT AEROBIC EXERCISE, THEY STILL MAY EVENTUALLY SUFFER CARDIOVASCULAR PROBLEMS. LACK OF EDUCATION ABOUT THE RELEVANCE AND IMPORTANCE TO PREVENTIVE CARE AND HEALTH LIFESTYLES. CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE IR ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH CHILDREN LIVE NORMS HAVE SHIFTED PARENTS ALLOW CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICIAL ACTIVITY. GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 21C: THE FACILITY OFFERS A 20% DISCOUNT TO ANY UNINSURED PATIENT. THE FACILITY ALSO HAS A CHARITY POLICY THAT IS IN PLACE TO DETERMINE IF THE PATIENT QUALIFIES FOR A CHARITY DISCOUNT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16B WEBSITE: SEE DISCLOSURE PART V, SECTION B, LINE 7A: HTTP://WWW.ANDERSONREGIONAL.ORG/DOCUMENTS/ANDERSON%20REGIONAL%20MEDICA L%20CENTER%202015%20CHNA%20FINAL%20REPORT.PDF PART V, SECTION B, LINE 16B: HTTP://WWW.ANDERSONREGIONAL.ORG/DOCUMENTS/FINANCIAL%20ASSISTANCE%20APP LICATION%20.PDF 1 EAST MISSISSIPPI ENDOSCOPIC CLINIC 1926 23RD AVENUE MERIDIAN MS 39301 OUTPATIENT ENDOSCOPY AMBULATORY SURGICAL PART I, LINE 7: THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE FINANCIAL ASSISTANCE AND MEANS-TEST GOVERNMENT PROGRAM SECTIONS. THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGE AND USED TO DETERMINE THE AMOUNTS FOR PART I, LINE 7A. PART I, LINE 7G: THE SUBSIDIZED SERVICE COST REPORTED AS A COMMUNITY BENEFIT RELATES TO THE HOSPITAL'S SPORTS MEDICINE PROGRAM. THE MAIN FOCUS OF THE PROGRAM IS COVERING SPORTING EVENTS FOR SEVEN SCHOOLS IN LAUDERDALE COUNTY AND THE SURROUNDING AREA WITH EACH SCHOOL HAVING BETWEEN 250 TO 300 SPORTING EVENTS IN A GIVEN YEAR. AT THESE EVENTS, THE TRAINERS FOCUS ON INJURY PREVENTION, EQUIPMENT MAINTENANCE, INJURY EVALUATION, FIRST AID AND REHABILITATION OF INJURIES. THIS IS A FREE SERVICE TO ALL THE COVERED SCHOOLS. WE ALSO HELP THE SCHOOLS WITH VARIOUS HEALTH FAIRS, FIELD DAYS, AND OTHER SCHOOL SPONSORED EVENTS. ALTHLETIC TRAINERS ALSO HELP WITH SEVERAL AREAS OF TEACHING, ESPECIALLY DURING THOSE COMPETITION (HEALTH RELATED ORGANIZATION IN THE SCHOOL) THESE SAME SERVICES ARE ALSO PROVIDED AT COMMUNITY RACES SUCH AS ANDERSON CUP RUN, HEART OF DIXIE RUN, AND HOPE VILLAGE RUN. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE OF $19,237,384 WAS INCLUDED ON FORM 990 PART IX, LINE 25, COLUMN (A) BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. PART II, COMMUNITY BUILDING ACTIVITIES: ANDERSON REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LOCATED IN MERIDIAN, MISSISSIPPI. THE HOSPITAL'S PRIMARY SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVICES THE AREAS OF CHOCTAW AND SUMTER COUNTIES IN WESTERN ALABAMA. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER, ANDERSON REGIONAL CANCER CENTER, IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE HOSPITAL PROVIDES A WIDE ARRAY OF SERVICES INCLUDING MOST MAJOR INPATIENT CLINICAL SERVICES, AN ACUTE CARE SWING BED UNIT, AN INPATIENT REHABILITATION UNIT, AN INPATIENT GERIATRIC PSYCHIATRIC FACILITY, OUTPATIENT SERVICES INCLUDING WOUND CARE SERVICES AND PAIN MANAGEMENT SERVICES, THERAPEUTIC AND DIAGNOSTIC SERVICES, TRAUMA SERVICES AND EMERGENCY SERVICES. ANDERSON PRIDES ITSELF IN BEING THE LEADER IN CARDIOLOGY AND CANCER SERVICES. ANDERSON REGIONAL CANCER CENTER RECENTLY ACQUIRED THE STATE'S ONLY TOMOTHERAPY RADIATION SYSTEM. CARDIOLOGY PROGRAMS:THE CARDIAC SUPPORT GROUP IS A BI-MONTHLY EDUCATIONAL MEETING HELD FOR THE COMMUNITY. THE PROGRAMS CENTER ON CARDIAC CARE SUCH AS THE IMPORTANCE OF EXERCISE AND HEALTHY FOOD CHOICES.ANDERSON REGIONAL MEDICAL CENTER IS A MAJOR FINANCIAL SPONSOR OF THE AMERICAN HEART ASSOCIATION AND THE LOCAL GO RED FOR WOMEN EVENT. ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH FAIRS TO THE COMMUNITY THROUGH ANDERSON PHYSICIAN ALLIANCE (A WHOLLY OWNED SUBSIDIARY) OF THE HOSPITAL. IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY, THE THESE PROGRAMS OFFER FREE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, WEIGHT AND BODY MASS INDEX MEASUREMENTS, AND DISTRIBUTES GENERAL HEALTH EDUCATIONAL MATERIALS. THE HEALTH FAIRS ARE HELD AT VARIOUS COMPANIES THROUGHOUT THE SERVICE AREAS. THE HOSPITAL ALSO PARTICIPATES IN THE MAIN EVENT SPONSORED BY EAST MISSISSIPPI BUSINESS DEVELOPMENT CORPORATION (EMBDC). THIS IS A COMMUNITY WIDE EVENT WHERE WE OFFER FREE BLOOD PRESSURE SCREENINGS. THE HOSPITAL ALSO PARTICIPATES IN THE NESHOBA COUNTY FAIR EACH YEAR. THE HOSPITAL PROVIDES BLOOD PRESSURE SCREENINGS AND FLUIDS FOR THOSE PARTICIPATING IN THIS EVENT. DIABETES PROGRAMS:THE DIABETES SUPPORT GROUP IS A BI-MONTHLY EDUCATIONAL MEETING HELD FOR THE COMMUNITY. THE PROGRAMS CENTER ON DIABETES CARE SUCH AS THE IMPORTANCE OF HEALTHY FOOD CHOICES.THE HOSPITAL ALSO OFFERS A DIABETES MANAGEMENT CENTER THAT EDUCATES THE COMMUNITY ON THE PREVENTION AND TREATMENT OF DIABETES. THE DIABETES CENTER ALSO PARTICIPATES IN THE ANNUAL MISSISSIPPI WALK FOR DIABETES AND SERVES AS VOLUNTEERS FOR THIS EVENT.CANCER PROGRAMS:ANDERSON REGIONAL CANCER CENTER SPONSORS AN ANNUAL FUNDRAISER CALLED THE CHRISTMAS TRIBUTE. ALL THE DONATIONS IN MEMORY OF OR IN HONOR OF VARIOUS PEOPLE IN OUR COMMUNITY GOES TO THE HOSPITAL'S CANCER PATIENT BENEVOLENCE FUND WHICH ASSISTS AREA CANCER PATIENTS WHO ARE IN NEED OF TRANSPORTATION, MEDICINES, PAYMENT OF UTILITY BILLS, ETC. THE MONTHLY MEETINGS OF THE CAREOUSEL BREAST CANCER SUPPORT GROUP ARE HELD IN THE EDUCATION CLASSROOM OF THE CANCER CENTER. THE PURPOSE OF THIS GROUP IS TO PROVIDE INFORMATION AND SUPPORT FOR BREAST CANCER SURVIVORS.THE HOSPITAL IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY SPONSORS THE "LOOK GOOD, FEEL BETTER" PROGRAM. THIS IS A COMMUNITY EDUCATION PROGRAM THAT SUPPORTS AREA CANCER PATIENTS AND FAMILIES TO HELP THEM COPE WITH CANCER, CANCER TREATMENTS, AND EFFECTS.OBSTETRICAL AND GYNECOLOGY PROGRAMS:ANDERSON REGIONAL MEDICAL CENTER IS THE LARGEST PROVIDER OF OBSTETRICAL AND GYNECOLOGY SERVICES IN EAST MISSISSIPPI AND WEST ALABAMA. THE SERVICES INCLUDE THOSE OF A NEONATAL INTENSIVE CARE UNIT AND NEONATAL PHYSICIAN SERVICES. THE FOLLOWING EDUCATIONAL CLASSES ARE OFFERED FREE TO AREA EXPECTANT MOTHERS AND THEIR FAMILIES:BIG BROTHER! BIG SISTER! SIBLING CLASSES INTRODUCES CHILDREN, AGE 12 AND UNDER, TO THE UPCOMING CHANGES IN THE FAMILY DYNAMICS.BREASTFEEDING CLASSES PROVIDE INFORMATION ON THE WHY-TO AND HOW-TO OF BREASTFEEDING TO EXPECTANT PARENTS. BREASTFEEDING SUPPORT GROUP MEETINGS ARE HELD TWICE A MONTH.CHILDBIRTH EDUCATION CLASSES IS AN EDUCATION PREPARATION CLASS THAT ADDRESSES WELLNESS, HEALTH, LABOR/DELIVERY STAGES, COPING STRATEGIES, SURGICAL INTERVENTIONS, AND RECOVERY CARE FOR EXPECTANT MOTHERS.NEWBORN CARE CLASSES GIVE NEW PARENTS THE CONFIDENCE REQUIRED TO CARE FOR A BABY WITH DISCUSSIONS CONCERNING NORMAL NEWBORN BEHAVIOR AND CHARACTERISTICS AT DELIVERY TO PRACTICAL ADVICE FOR DAILY CARE.EDUCATIONAL PROGRAMS:ANDERSON REGIONAL MEDICAL CENTER OFFERS EDUCATIONAL PROGRAMS FOR AREA MEDICAL PERSONNEL, SCHOOLS, BUSINESS AND THE COMMUNITY.ADVANCED CARDIAC LIFE SUPPORT COURSE (ACLS) IS OFFERED AS AN EDUCATIONAL PROGRAM FOR MEDICAL PERSONNEL IN THE AREA. THIS PROGRAM IS OFFERED ONSITE AT THE HOSPITAL.THE HOSPITAL COORDINATES AND OFFERS CONTINUE MEDICAL EDUCATION (CME) PROGRAMS TO AREA PHYSICIANS. THE MAJORITY OF THESE PROGRAMS ARE OPEN TO THE GENERAL PUBLIC.FOR AREA MEDICAL PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER OFFERS A HEALTHCARE PROVIDER COURSE THAT IS DESIGNED TO TEACH CPR SKILLS FOR VICTIMS OF ALL AGES. THIS COURSE IS DESIGNATED FOR HEALTHCARE PROVIDERS. OTHER AMERICAN HEART ASSOCIATION COURSES THAT ARE PROVIDED UPON REQUEST INCLUDE:HEARTSAVER CPR/AED AND/OR HEARTSAVER FIRST AID. THESE CLASSES ARE FOR INDIVIDUALS WHO HAVE A DUTY TO RESPOND TO EMERGENCIES BECAUSE OF JOB REQUIREMENTS OR REGULATORY REQUIREMENTS. HOWEVER, ANY COMMUNITY PERSON MAY ATTEND THE HEARTSAVER COURSES.ANDERSON REGIONAL MEDICAL CENTER CAN ALSO PROVIDE EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE SUCH AS HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS ALSO PROVIDED TO THE AREA HEALTHCARE PROVIDERS.THE INFECTION CONTROL DEPARTMENT OF THE HOSPITAL CONDUCTS FREE INFECTION CONTROL SEMINARS TO INFORM THE COMMUNITY ON THE CAUSES AND PREVENTIONS OF INFECTIONS AND DISEASES. THESE ARE TAUGHT AT MERIDIAN COMMUNITY COLLEGE AND AREA SCHOOLS.THE HOSPITAL OFFERS SAFETY SEMINARS TO AREA BUSINESSES THROUGH ANDERSON PHYSICIAN ALLIANCE. THESE SEMINARS CENTER ON OSHA SAFETY INSTRUCTIONS. A BLOOD PRESSURE CHECK IS ALSO PERFORMED ON THE EMPLOYEES OF THE BUSINESS DURING THIS SEMINARY.SPORTS MEDICINE:ANDERSON REGIONAL MEDICAL CENTER OFFERS A SPORTS MEDICINE PROGRAM THAT PROVIDES ATHLETIC TRAINERS TO LOCAL SCHOOLS. THE TRAINERS PERFORM PHYSICALS AND ASSESS INJURIES ON THE ATHLETES.OTHER PROGRAMS BENEFITTING THE COMMUNITY:ANDERSON REGIONAL MEDICAL CENTER IS THE HOSPITAL OF CHOICE FOR THE CHOCTAW NATION. THE HOSPITAL PROVIDES HEALTHCARE TO APPROXIMATELY 8,000 NATIVE AMERICANS. A PATIENT LIAISON IS A FULL-TIME EMPLOYEE OF THE HOSPITAL IN ORDER TO REPRESENT THE NATIVE AMERICANS. THE LIAISON HELPS THE PATIENT AND FAMILIES WITH ANY HEALTHCARE CONCERNS. WE SUPPORT EFFORTS TO IMPROVE THE HEALTH OF THE CHOCTAW NATION.ANDERSON REGIONAL MEDICAL CENTER ACTIVELY PARTICIPATES AND IS A SPONSOR OF NUMEROUS BLOOD DRIVES THROUGHOUT THE YEAR WITH UNITED BLOOD SERVICES.ANDERSON REGIONAL MEDICAL CENTER'S VOLUNTEER AUXILIARY DONATES MONEY TO MERIDIAN COMMUNITY COLLEGE EACH YEAR FOR THE PURCHASE OF EQUIPMENT TO USE IN THE LEARNING PROCESS FOR NURSING STUDENTS. ANDERSON REGIONAL MEDICAL CENTER IS ACTIVE WITH MIDD (MISSISSIPPI INDUSTRIES FOR THE DEVELOPMENTALLY DISABLED). WE HAVE HOSPITAL PERSONNEL WHO ARE VERY ACTIVE ON THE BOARD OF DIRECTORS OF THIS ASSOCIATION AND ATTEND MONTHLY MEETINGS.ANDERSON REGIONAL MEDICAL CENTER IS AN ACTIVE PARTICIPANT IN THE UNITED WAY OF EAST MISSISSIPPI PACESETTER DRIVE. THE STROKE AND ALZHEIMER'S SUPPORT GROUP ARE PROGRAMS ORGANIZED BY ANDERSON REGIONAL MEDICAL CENTER-SOUTH. THIS GROUP GIVES INFORMATION AND PROVIDES FELLOWSHIP FOR CAREGIVERS OF STROKE AND ALZHEIMER'S SURVIVORS. PART III, LINE 4: THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2. DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE PAYMENTS RECEIVED AFTER BAD DEBTS ARE POSTED TO A BAD DEBT RECOVERY ACCOUNT. THIS ACCOUNT IS NETTED AGAINST THE BAD DEBT EXPENSE ACCOUNT. THE HOSPITAL THINKS $1,532,226 SHOULD QUALITY AS CHARITY CARE. THE FACILITY HAS PROCEDURES IN PLACE TO DERTMINE IF A PATIENT QUALIFIES FOR CHARITY CARE. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $20,688 AND THE PERCENTAGE OF PERSON BELOW THE POVERTY LEVEL FOR THE AREA IS APPROXIMATELY 27.30%. PART III, LINE 8: THE FISCAL YEAR 2015 MEDICARE COST REPORT WAS USED TO DETERMINE THE MEDICARE ALLOWABLE COST AND THE MEDICARE REVENUE. THE MEDICARE REVENUE INCLUDES MEDICARE DISPROPORTIONATE SHARE PAYMENT, REVENUE, COINSURANCE, PATIENT DEDUCTIBLES, OUTLIERS, CAPITAL AND BAD DEBT. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.8% OF THE POPULATION FOR THIS AREA. THE ELDERLY LIVE ON FIXED INCOMES AND FALL INTO LOW INCOME LEVELS FOR THE AREA. ANDERSON REGIONAL MEDICAL CENTER'S PATIENT POPULATION FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2015 WAS MADE UP OF 50% MEDICARE. PART III, LINE 9B: IN EMERGENCY CARE SITUATIONS, CARE IS PROVIDED TO ALL PERSON REGARDLESS OF THEIR ABILITY TO PAY. NON-EMERGENT ELECTIVE PROCEDURES MAY BE DEFERRED DUE TO A PATIENTS INABILITY TO PAY. ANDERSON REGIONAL MEDICAL CENTER'S COLLECTION POLICY OUTLINES THE TYPE OF COLLECTION NOTICES SUCH AS STATEMENTS, LETTERS, AND PHONE CALLS THAT WILL BE SENT TO A PATIENT, THE DETERMINATION OF FINANCIAL ASSISTANCE, AND POSSIBLE FINANCIAL ALTERNATIVES THIS FACILITY MAILS STATEMENTS EVERY 30 DAYS. IF NOT PAYMENT IS RECEIVED ON AN ACCOUNT, THE COLLECTION LETTER PROCESS BEGINS AND A LETTER IS SENT EVERY 30 DAYS DURING THE PROCESS, COLLECTION PHONE CALLS ARE ALSO MADE TO THE PATIENTS WHEN FURTHER COLLECTION ACTION IS DEEMED NECESSARY, AN ACCOUNT IS ASSIGNED TO THE COLLECTION AGENCEY. AS PART OF THE COLLECTION POLICY, ANDERSON REGIONAL MEDICAL CENTER OFFICER FINANCIAL ASSISTANCE TO ITS PATIENTS. PATIENTS WHO ARE UNABLE TO PAY ARE SCREENED FOR ASSISTANCE UNDER MEDICAID AND/OR OTHER GOVERNMENTAL PROGRAMS. PATIENTS WHO DO NOT QUALIFY UNDER THESE PROGRAMS MAY BE ELIGIBLE FOR CHARITY ADJUSTMENTS BASED UPON THE FEDERAL POVERTY GUIDELINES. A CHARITY ADJUSTMENT IS BASED ON THE PATIENT'S INCOME LEVELWHEN THE PATIENT MEETS THE ESTABLISHED GUIDELINES, THE HOSPITAL WILL THEN ADJUST THE BALANCE BY THE APPLICABLE CHARITY PERCENTAGE. PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE ARE ALSO ASSISTED BY THE FACILITY. THE HOSPITAL WILL ASSIST THOSE PATIENTS UNABLE TO MEET THEIR OBLIGATION IN FULL BY ARRANGING PAYMENT ON A MONTHLY BASIS. PART VI, LINE 2: THE ORGANIZATION CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS TO ASSESS THE NEEDS OF THE COMMUNITY. THIS ASSESSMENT TAKES INTO CONSIDERATION INPUT FROM THE COMMUNITY, COMMUNITY LEADERS, AND STATISTICAL INFORMATION. PART VI, LINE 3: PATIENT EDUCATION OF ELEGIBILITY ASSISTANCE IS OFFERED AT THE FACILITY BY VARIOUS MEANS. THE HOSPITAL HAS ON SITE THE OUTSOURCE GROUP THAT WORKS WITH THE PATIENTS WHO DO NOT HAVE INSURANCE TO DETERMINEIF THEY ARE ELIGIBLE FOR MEDICAID OR ANY GOVERNMENT ASSISTANCE. IF THEY ARE NOT ELIGIBLE, THIS GROUP REFERS THE PATIENT TO THE CREDIT DEPARTMENT TO DISCUSS THE CHARITY CARE APPLICATION AND POLICY. ALSO THE HOSPITAL HAS CASE MANAGERS ON SITE THAT SCREENS THE PATIENTS AND REFERS THE PATIENT TO THE CREDIT DEPARTMENT FOR FINANCIAL ASSISTANCE. THE FACILITY HAS FINANCIAL COUNSELORS IN THE EMERGENCY DEPARTMENT THAT SCREENS PATIENTS AND DISTRIBUTES CHARITY CARE APPLICATIONS. PART VI, LINE 4: THE HOSPITAL'S MAIN SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON, AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVIES THE AREAS OF CHOCTAW AND SUMER COUNTIES IN WESTERN ALABAMA. THESE COUNTIESARE LOCATED IN RURAL AREAS OF THE STATES. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.8% OF THE POPULATION FOR THIS AREA. IN JANUARY OF 2012, THE UNEMPLOYMENT RATE IN LAUDERDALE COUNTY WAS 9.7%, WHICH WAS HIGHER THAN THE UNEMPLOYMENT RATE IN MISSISSIPPI STATE AND THE UNITED STATES OVERALL, WHICH HAD AN UNEMPLOYMENT RATE OF 7.9% AND 5.9%, RESPECTIVELY. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $21,346. PART VI, LINE 6: ANDERSON REGIONAL MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE HOSPITAL IS A PARTNER IN A JOINT VENTURE THAT OPERATES AN ENDOSCOPY CENTER AND THE HOSPITAL'S SHARE OF THOSE EXPENSES ARE INCLUDED IN PART I OF SCHEDULE H. 1 MERIDIAN MUSEUM OF ART 628 25TH AVE MERIDIAN MS 39301 646036338 501(C)(3) 5000 OPERATIONAL SUPPORT BOYS & GIRLS CLUB OF EAST MISSISSIPPI 1717 45TH AVE MERIDIAN MS 39307 640728662 501(C)(3) 5000 50224 COST EXPIRED MEDICAL SUPPLIES OPERATIONAL SUPPORT EAST CENTRAL COMMUNITY COLLEGE PO BOX 129 DECATUR MS 39327 640869444 501(C)(3) 14350 COST EXPIRED MEDICAL SUPPLIES EXPIRED MEDICAL SUPPLIES MISSISSIPPI ARTS AND ENTERTAINMENT PO BOX 148 MERIDIAN MS 39302 352193471 501(C)(3) 17500 OPERATIONAL SUPPORT MERIDIAN COMMUNITY COLLEGE 910 HWY 19 N MERIDIAN MERIDIAN MS 39307 646035781 501(C)(3) 5000 COST EXPIRED MEDICAL SUPPLIES EXPIRED MEDICAL SUPPLIES MERIDIAN SYMPHONY ASSOCIATION PO BOX 2171 MERIDIAN MS 39302 646025769 501(C)(3) 5000 OPERATIONAL SUPPORT 6 PART I, LINE 2: THE ORGANIZATION PROVIDED SUPPORT AS PART OF ITS EXEMPT PURPOSE. THE USE OF THE FUNDS WAS MONITORED BY COMMON MANAGEMENT OVERSIGHT. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 LELAND RAY HUMPHREYS PRESIDENT/CEO (THROUGH 8/15) 509548 0 0 0 13364 0 0 0 14497 0 537409 0 0 0 ANTHONY KEITH HEARTSILL VICE PRESIDENT/CFO (THROUGH 8/15) 298422 0 0 0 4000 0 0 0 12290 0 314712 0 0 0 JOHN ANDERSON PRESIDENT/CEO (BEGAN 5/15) 195473 0 0 0 2850 0 53728 0 14017 0 266068 0 0 0 GEORGE DENTON FARR JR VICE PRESIDENT 152132 0 0 0 722 0 27675 0 21331 0 201860 0 0 0 WANDA COOPER VICE PRESIDENT 189474 0 0 0 4232 0 40756 0 14109 0 248571 0 0 0 ALPHE D WELLS VICE PRESIDENT (THROUGH 8/15) 183183 0 0 0 1352 0 0 0 19357 0 203892 0 0 0 MATTHEW J EDWARDS VICE PRESIDENT/CNO 174124 0 0 0 868 0 28173 0 18352 0 221517 0 0 0 SCOT BELL VICE PRESIDENT 322095 0 0 0 1009 0 55593 0 19338 0 398035 0 0 0 ROBERT P KING JR SENIOR MEDICAL PHYSICIST 223679 0 0 0 485 0 5300 0 19115 0 248579 0 0 0 MICHAEL B SHROCK PHYSICIAN 305066 0 0 0 943 0 5300 0 16644 0 327953 0 0 0 CHRISADEL G HEATH PHYSICIAN 248501 0 0 0 158 0 5300 0 17515 0 271474 0 0 0 DONALD G GUILD PHYSICIAN 218551 0 0 0 158 0 0 0 7404 0 226113 0 0 0 DEANNA I PRICE PHYSICIAN 192588 0 0 0 52 0 5300 0 18997 0 216937 0 0 0 PART I, LINE 1A AS PART OF THE EMPLOYMENT CONTRACT WITH L. RAY HUMPHREYS, CEO, THE HOSPITAL PROVIDES A MEMBERSHIP TO NORTHWOOD COUNTRY CLUB. PART I, LINE 4B ARMC PROVIDES CERTAIN EXEUCTIVES AN IRC SEC 457(F), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) PLAN: - JOHN ANDERSON $48,428 - GEORGE DENTON FARR, JR. 24,475 - WANDA COOPER 36,856 - SCOT BELL 51,513 - STEVEN BROWN 1,176 - MATTHEW J EDWARDS 24,577 - JOEL WINDHAM 22,978 - BETTY CRYER 893 JARED ANDERSON TAYLOR FAMILY RELATIONSHIP OF A BOARD MEMBER 13913 COMPENSATION FOR SERVICES 0 TRINITY E FARR FAMILY RELATIONSHIP OF A BOARD MEMBER 81701 COMPENSATION FOR SERVICES 0 WILLIAM J ANDERSON IV FAMILY RELATIONSHIP OF A BOARD MEMBER 44131 COMPENSATION FOR SERVICES 0 STEPHEN A COVINGTON FAMILY RELATIONSHIP OF A BOARD MEMBER 124194 COMPENSATION FOR SERVICES 0 JENNIFER L CHESTNUTT FAMILY RELATIONSHIP OF A BOARD MEMBER 17237 COMPENSATION FOR SERVICES 0 FORM 990, PART VI, SECTION A, LINE 1 A GENERAL EXECUTIVE COMMITTEE OF THE BOARD MAY BE NAMED BY THE BOARD OF DIRECTORS, IN ITS DISCRETION, BY RESOLUTION ADOPTED BY A MAJORITY OF THE WHOLE BOARD, APPOINTING THE MEMBERS THEREOF, AND SPECIFING ITS AUTHORITY AND RESPONSIBILITY. TO THE EXTENT PROVIDED IN SUCH RESOLUTION, OR IN THE ARTICLES OR THESE BYLAWS, SAID EXECUTIVE COMMITTEE MAY HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS, BUT SHALL NOT HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO AMENDING THE ARTICLES, ADOPTING A PLAN OF MERGER OR CONSOLIDATION, RECOMMENDING TO THE SHAREHOLDERS THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION OTHERWISE THAN IN THE USUAL AND REGULAR COURSE OF ITS BUSINESS, RECOMMENDING TO THE SHAREHOLDERS A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF, ELECTING, APPOINTING OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES, OR AMENDING THE ARTICLES OR BYLAWS OF THE CORPORATION. ANY SUCH DESIGNATION OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY MEMBER THERE OF ANY RESPONSIBILITY IMPOSED BY LAW. SUCH COMMITTEE SHALL BY COMPOSED OF NOT LESS THAN THREE (3) MEMBERS OF THE BOARD OF DIRECTORS WHO SHALL SERVE AT THE PLEASURE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL BE ORGANIZED AND SHALL PERFORM ITS FUNCTIONS AS DIRECTED BY THE BOARD AND SHALL REPORT PERIODICALLY TO THE BOARD. THE COMMITTEE SHALL ACT BY MAJORITY OF THE MEMBERS THEREOF, AND ANY ACTION DULY TAKEN BY THE EXECUTIVE COMMITTEE WITHIN THE COURSE AND SCOPE OF ITS AUTHORITY SHALL BE BINDING ON THE CORPORATION. THE EXECUTIVE COMMITTEE MAY BE ABOLISHED AT ANY TIME BY THE VOTE OF THE WHOLE MAJORITY OF THE BOARD OF DIRECTORS, AND DURING THE COURSE OF THE COMMITTEE'S EXISTENCE, THE MEMBERS THEREOF MAY BE INCREASED AND THE AUTHORITY AND DUTIES OF THE COMMITTEE CHANGED BY THE BOARD OF DIRECTORS AS IT MAY DEEM APPROPRIATE. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS HAVE A FAMILY RELATIONSHIP: - DR. JOSEPH ANDERSON - GAY WHITWORTH - DR. SHAWN ANDERSON - JANET FARRINGTON BOARD MEMBER GAY WHITWORTH AND OFFICER DENTON FARR HAVE A FAMILY RELATIONSHIP BOARD MEMBER DR. JOSEPH ANDERSON AND OFFICER JOHN ANDERSON HAVE A FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 ANDERSON REGIONAL MEDICAL CENTER WAS ESTABLISHED IN 1928 AS A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MISSISSIPPI. ON THE DATE OF INCORPORATION, ANDERSON REGIONAL MEDICAL CENTER ISSUED ONE-HUNDRED SHARE OF NONPROFIT CAPITAL STOCK TO FOUR INDIVIDUALS, EACH OF WHOM RECEIVED AN EQUAL NUMBER OF SHARES. CURRENTLY, FOUR INDIVIDUALS, FAMILY MEMBERS OF THE ORIGINAL HOLDERS, HOLD THOSE ORIGINAL ONE-HUNDRED SHARE IN EQUAL PROPORTION. IN ADDITION, THESE FOUR INDIVIDUALS, DISCLOSED BELOW, ARE CURRENTLY VOTING BOARD MEMBERS ON ANDERSON REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS: - DR. JOSEPH ANDERSON - JANET G. FARRINGTON - GAY WHITWORTH - SHAWN ANDERSON, D.O. NOTWITHSTANDING THE FORGOING, IT IS THE INTENT OF THE ANDERSON REGIONAL MEDICAL CENTER AND ITS STOCKHOLDERS THAT THE TERM "STOCKHOLDER" SHALL HAVE THE MEANING OF THE TERM "MEMBER" UNDER MISSISSIPPI NONPROFIT CORPORATION ACT AND THAT NO PART OF THE INCOME OR ASSETS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF ANY STOCKHOLDER, AND NO INCOME OR PROFITS OF THE CORPORATION SHALL BE PAID TO ANY STOCKHOLDER. FORM 990, PART VI, SECTION B, LINE 11 EACH BOARD MEMBER WAS PROVIDED A COPY OF THE FORM 990. THE BOARD MEMBERS WERE ASKED TO REVIEW THE FORM AND SUBMIT QUESTIONS AND COMMENTS PROIR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR IN DECEMBER THE BOARD OF DIRECTORS IS EDUCATED ON CONFLICT OF INTEREST PRINCIPLES AND ASKED TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT IS REVIEWED BY LEGAL COUNSEL FOR THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF ARMC HAS A DESIGNATED THREE (3) PERSON COMMITTEE OF INDEPENDENT BOARD MEMBERS TO REVIEW AND APPROVE COMPENSATION. THE BOARD ALSO HAD A CONTRACT FOR PROFESSIONAL SERVICES WITH MERCER UNTIL JULY 1, 2013 AND CURRENTLY USES SULLIVAN COTTER TO STUDY AND RECOMMEND COMPENSATION FOR THE CEO, THE VICE PRESIDENTS, AND THE DIRECTORS OF THE HOSPITAL. FORM 990, PART VI, SECTION C, LINE 18 IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL'S ARTICLES OF INCORPATION ARE ON FILE AND ARE AVAILABLE TO THE PUBLIC IN THE MISSISSIPPI SECRETARY OF STATE'S OFFICE. THE BYLAWS AND THE CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE. HOWEVER, THE FINANCIAL STATEMENTS OF THE HOSPITAL ARE AVAILABLE TO THE PUBLIC BOTH THROUGH DUNN & BRADSTREET AND AS A PART OF THIS FORM 990. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 3,132,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,132,754. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 4,250. MANAGEMENT AND GENERAL EXPENSES 1,066,614. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,070,864. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 24,263,568. MANAGEMENT AND GENERAL EXPENSES 335,590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,599,158. MEDICAL SUPPORT AND DEVELOPMENT ORGANIATION 122 WOODMONT WAY RIDGELAND MS 39157 640722433 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 11C, III-FI ANDERSON REGIONAL MEDICAL CENTER 1 ANDERSON SUPPORT AND DEVELOPMENT FOUNDATION 7651 POPLAR SPRINGS DR MERIDIAN MS 39305 640730109 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 11D, III-O ANDERSON REGIONAL MEDICAL CENTER 1 MIRACLES OF GRACE FOUNDATION 1827 SUNRISE LANE TOOMSUBA MS 39364 640730366 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 11C, III-FI ANDERSON REGIONAL MEDICAL CENTER 1 CARE CONSISTENCY FOUNDATION INC 7761 MEADOW CIRCLE MERIDIAN MS 39305 640730846 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 11D, III-O ANDERSON REGIONAL MEDICAL CENTER 1 ANDERSON PHYSICIAN ALLIANCE INC 2124 14TH STREET MERIDIAN MS 39301 273274203 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 3 ANDERSON REGIONAL MEDICAL CENTER 1 ANDERSON HOSPITAL PROVIDERS INC 2124 14TH STREET MERIDIAN MS 39301 461305481 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 3 ANDERSON REGIONAL MEDICAL CENTER 1 ANDERSON ANESTHESIA PROVIDERS 2124 14TH STREET MERIDIAN MS 39301 464069816 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 3 ANDERSON REGIONAL MEDICAL CENTER 1 EAST MISSISSIPPI ENDOSCOPY CENTER 1926 23RD AVENUE MERIDIAN MS 39301 440884792 HEALTHCARE MS ANDERSON REGIONAL MEDICAL CENTER RELATED 183218 103833 0 1 0.63430 JARMC LEVERAGE LLC 2124 14TH STREET MERIDIAN MS 39301 272284311 INVESTMENTS MS N/A ARMC HOSPITAL PROF & GEN LLFT 512 22ND AVENUE MERIDIAN MS 39301 206131090 TRUST MS ANDERSON REGIONAL MEDICAL CENTER T 330711 10139017 1.00000 1 0 0 1 0 0 1 0 0 0 1 0 0 0 1 0 1 1 0 0 ANDERSON PHYSICIAN ALLIANCE INC P 3894687 ANDERSON PHYSICIAN ALLIANCE INC N 325415