2023-12-21T18:19:05-06:00 2023-09-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 640362400 ANDERSON REGIONAL MEDICAL CENTER ANDE 6015536000 2124 14TH STREET MERIDIAN MS 39301 STEVEN BROWN VP OF FINANCE/CFO 6015536000 2023-12-21 1 STEVEN BROWN 999009999 0 AMY BIBBY P00445891 8282542254 2023-12-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN ANDERSON 2124 14TH STREET MERIDIAN MS 39301 258377815 0 X WWW.ANDERSONREGIONAL.ORG X 1928 MS TO CONTINUE OUR HERITAGE OF HEALING AND IMPROVING LIFE FOR THE PEOPLE WE SERVE. 7 3 1753 24 5813733 0 19978979 1053672 230434229 252605507 -522127 661827 4199034 31691 254090115 254352697 106306 91306 0 0 87882231 95581425 0 0 0 178620122 178657671 266608659 274330402 -12518544 -19977705 240835255 226616703 69248090 73154391 171587165 153462312 X THE MISSION OF THE HOSPITAL IS TO CONTINUE OUR HERITAGE OF HEALING AND IMPROVING LIFE FOR THE PEOPLE WE SERVE. 0 0 249388952 91306 245723168 SEE SCHEDULE O 249388952 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 180 0 1 1753 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 3 1 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVEN BROWN 6015536647 2124 14TH STREET MERIDIAN MS 39301 JOSEPH M ANDERSON DIRECTOR/CHAPLAIN 40.00 X X 84790 0 13908 SHAWN C ANDERSON DIRECTOR 5.00 1.00 X X 24103 0 0 JANET G FARRINGTON DIRECTOR 5.00 X X 26551 0 0 NELL GAYDEN HILL DIRECTOR 3.00 X X 24051 0 0 BRADLEY RAY HUFF DIRECTOR 3.00 X X 12103 0 0 GARY WILKINSON DIRECTOR 3.00 X X 12067 0 0 DAVID VOWELL DIRECTOR 3.00 X X 13343 0 0 JOHN G ANDERSON PRESIDENT/CEO 50.00 X 405386 0 105760 STEVEN W BROWN VICE PRESIDENT/CFO 50.00 1.00 X 295961 0 81939 WANDA B COOPER VICE PRESIDENT (SECRETARY) 50.00 1.00 X 231434 0 8619 FRANK W GARRISON IV VICE PRESIDENT/CNO 50.00 X 274306 0 50027 THURMAN KEITH EVERETT VICE PRESIDENT/CMO 50.00 1.00 X 369505 0 53944 GEORGE D FARR JR VICE PRESIDENT 50.00 1.00 X 197152 0 56244 CALEB R DULANEY PHYSICIAN 40.00 X 950458 0 17587 HANS H TULIP PHYSICIAN 40.00 X 917221 0 17493 DANIEL D DENISON PHYSICIAN 40.00 X 689141 0 16124 MATTHEW T COKER PHYSICIAN 40.00 X 619963 0 14687 PHILLIP K MCDONALD PHYSICIAN 40.00 X 482771 0 36439 5630306 0 472771 98 0 1 0 MERIDIAN MEDICAL ASSOCIATES PA 2024 15TH STREET MERIDIAN MS 39301 CONTRACT LABOR 9499919 INTERNAL MEDICINE CLINIC PLLC 1600 22ND AVENUE MERIDIAN MS 39301 CONTRACT LABOR 8561162 MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK NY 10087 CONTRACT LABOR 8049981 HOSPITALIST SERVICES OF MERIDIAN PA 4728 SPOTTSWOOD AVE 372 MEMPHIS TN 38117 CONTRACT PHYSICIANS 6459510 MORRISON HEALTH CARE INC PO BOX 102289 ATLANTA GA 30368 DIETARY SERVICES 5620459 58 1040691 12981 1053672 NET PATIENT SERVICE RE 621990 229087395 229087395 OTHER OPERATING REVENU 621990 17408213 17408213 PHARMACY REVENUE 456110 5627911 5627911 HEALTH & FITNESS REVEN 713940 481988 296166 185822 252605507 361370 361370 2565838 4017718 -1451880 -1451880 -1451880 265988 34469 0 0 265988 34469 300457 300457 36275 7400 28875 28875 MISCELLANEOUS REVENUE 900099 710738 710738 MISCELLANEOUS RENT REV 900099 655279 655279 VENDING REVENUE 900099 49021 49021 39658 39658 1454696 254352697 246791774 5813733 693518 X 15000 15000 76306 76306 1975180 1975180 361811 361811 72937415 61127787 11809628 848799 693361 155438 13722117 11209221 2512896 5736103 4685665 1050438 960627 960627 134115 134115 87014696 86022382 992314 361715 103855 257860 18145606 15082531 3063075 6162232 6162232 143213 116455 26758 29423 29423 584693 396354 188339 7874090 6059308 1814782 3254096 3254096 MEDICAL SUPPLIES 41435667 41435667 BAD DEBT EXPENSE 12557498 12557498 274330402 249388952 24941450 0 20582709 11831109 10670999 25124 22157018 24124196 526631 459751 6125643 6066931 3066899 2311862 326528755 242993536 91631980 83535219 1112106 1112106 84961270 97150405 240835255 226616703 46765972 47683389 6150 6967076 9986757 15515042 15478095 69248090 73154391 X 171587165 153462312 171587165 153462312 240835255 226616703 X -19977705 1852852 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14540242 14540242 150350238 105819685 44530553 140672 140672 0 154158966 135527176 18631790 7338637 1506003 5832634 83535219 INTERCOMPANY RECEIVABLE 75272095 SELF INSURANCE TRUST FUND 6001549 CSV - RETIREMENT FUNDS (457B) 5756690 OTHER LIMITED AS TO USE ASSETS 1647736 ROU ASSET 8472335 97150405 ASSET RETIREMENT OBLIGATIONS 992165 THIRD PARTY PAYOR SETTLEMENTS 7462527 ROU LIABILITY 7023403 15478095 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, AND EMEC'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, 2023 AND 2022. 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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 INFORM COMMUNITY LEADERS AND CITIZENS OF THE HEALTH-RELATED CHALLENGES FACED BY THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENTS TEND 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 "INPUT FROM PERSONS WHO REPRESENT THE 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 USED SEVERAL METHODS, BOTH QUALITATIVE AND QUANTITATIVE: A SECONDARY ANALYSIS OF EXISTING FEDERAL AND STATE DATA (QUANTITATIVE). INTERVIEWS WITH KEY INFORMANTS REPRESENTING THE BROAD 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 QUALIFIED COMMUNITY HEALTH CENTER, ONE COMMUNITY MENTAL HEALTH CENTER, AS WELL AS SEVERAL NURSING HOMES, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES. IN FACT, APPROXIMATELY 15% OF 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 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 PROVIDED 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 ENSURE THAT LOW-INCOME AND UNDERSERVED POPULATIONS WERE BETTER REPRESENTED. ASSUMING A LACK OF AVAILABILITY OF TECHNOLOGICAL RESOURCES FOR THIS SEGMENT OF THE POPULATION, A BRIEF PAPER SURVEY WAS DEVELOPED AND ADMINISTERED IN LOW INCOME, 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, INCLUDING 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 POTENTIAL 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 AND 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 TENDS 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 FOREGO 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. THERE IS A LACK OF EDUCATION ABOUT THE RELEVANCE AND IMPORTANCE TO PREVENTIVE CARE AND HEALTHY LIFESTYLES. CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH NORMS HAVE SHIFTED WITH PARENTS ALLOWING CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICAL ACTIVITY. GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 21C: FACILITY OFFERS A DISCOUNT EQUAL TO THE ORGANIZATION'S AMOUNT GENERALLY BILLED PERCENT TO ANY UNINSURED PATIENT. THE ORGANIZATION ALSO PROVIDES A PROMPT PAY DISCOUNT OF AN ADDITIONAL 10% IF THE BILL IS PAID IN FULL AT THE TIME OF BILLING THE FACILITY ALSO HAS A CHARITY POLICY THAT IS IN PLACE TO DETERMINE IF THE PATIENT QUALIFIES FOR A CHARITY DISCOUNT. GROUP A-FACILITY 2 -- ANDERSON REGIONAL MEDICAL CENTER SOUTH 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 INFORM COMMUNITY LEADERS AND CITIZENS OF THE HEALTH-RELATED CHALLENGES FACED BY THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENTS TEND 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 "INPUT FROM PERSONS WHO REPRESENT THE 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 USED SEVERAL METHODS, BOTH QUALITATIVE AND QUANTITATIVE: A SECONDARY ANALYSIS OF EXISTING FEDERAL AND STATE DATA (QUANTITATIVE). INTERVIEWS WITH KEY INFORMANTS REPRESENTING THE BROAD 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 QUALIFIED COMMUNITY HEALTH CENTER, ONE COMMUNITY MENTAL HEALTH CENTER, AS WELL AS SEVERAL NURSING HOMES, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES. IN FACT, APPROXIMATELY 15% OF 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 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 PROVIDED 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 ENSURE THAT LOW-INCOME AND UNDERSERVED POPULATIONS WERE BETTER REPRESENTED. ASSUMING A LACK OF AVAILABILITY OF TECHNOLOGICAL RESOURCES FOR THIS SEGMENT OF THE POPULATION, A BRIEF PAPER SURVEY WAS DEVELOPED AND ADMINISTERED IN LOW INCOME, 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, INCLUDING 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 POTENTIAL 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 AND 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 TENDS 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 FOREGO 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. THERE IS A LACK OF EDUCATION ABOUT THE RELEVANCE AND IMPORTANCE TO PREVENTIVE CARE AND HEALTHY LIFESTYLES. CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH NORMS HAVE SHIFTED WITH PARENTS ALLOWING CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICAL ACTIVITY. GROUP A-FACILITY 2 -- ANDERSON REGIONAL MEDICAL CENTER SOUTH PART V, SECTION B, LINE 21C: FACILITY OFFERS A DISCOUNT EQUAL TO THE ORGANIZATION'S AMOUNT GENERALLY BILLED PERCENT TO ANY UNINSURED PATIENT. THE ORGANIZATION ALSO PROVIDES A PROMPT PAY DISCOUNT OF AN ADDITIONAL 10% IF THE BILL IS PAID IN FULL AT THE TIME OF BILLING THE FACILITY ALSO HAS A CHARITY POLICY THAT IS IN PLACE TO DETERMINE IF THE PATIENT QUALIFIES FOR A CHARITY DISCOUNT. PART V, LINES 13-22 THIS DISCLOSURE OF ERRORS/OMISSIONS IS MADE PURSUANT TO REV. PROC. 2015-21. THE FOLLOWING ERRORS/OMISSIONS WERE DISCOVERED IN NOVEMBER 2023 DURING DUE DILIGENCE FOR A TRANSACTION WHEREIN ANDERSON REGIONAL MEDICAL CENTER ("ARMC") WILL BE ACQUIRED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION ("BMHCC") IN A NONPROFIT MEMBER SUBSTITUTION TRANSACTION. THE ERRORS/OMISSIONS OCCURRED BETWEEN 2021 (WHEN THE FAP WAS EFFECTIVE) AND 2023, BUT PRIOR YEARS WERE NOT REVIEWED. THE ERRORS/OMISSIONS OCCURRED AT ARMC, INCLUDING ITS SOUTH CAMPUS. NO INDIVIDUALS WERE AFFECTED BY THE ERRORS/OMISSIONS, AND NO DOLLAR AMOUNT WAS INVOLVED. WHILE THE CONTENT OF THE FAP DID NOT INCLUDE ALL REQUIRED DISCLOSURES, THE FAP APPLICATION WAS CONSISTENTLY APPLIED AND COMPLIANT.PART V, LINES 13-14: THE FAP LISTS THE USE OF FEDERAL POVERTY GUIDELINES ("FPG") AS CRITERIA BUT DOES NOT SPECIFY/DEFINE THE INCOME THRESHOLD USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. ARMC HAS HISTORICALLY USED AN ELIGIBILITY THRESHOLD OF 200% OF FPG, BUT AFTER THIS TRANSACTION, ARMC WILL USE THE BMHCC FPG INCOME TIERS. IN ADDITION, THE FAP DOES NOT EXPLAIN THE AMOUNT OF THE DISCOUNT OFFERED TO FAP-ELIGIBLE PATIENTS. ARMC HAS HISTORICALLY OFFERED A 100% DISCOUNT TO ALL FAP-ELIGIBLE PATIENTS, EXCLUDING CO-PAYS.PART V, LINE 17: THE FAP AND THE COLLECTION AGENCY PLACEMENT AND CLOSURE POLICY DO NOT CROSS-REFERENCE EACH OTHER. THUS, NEITHER POLICY CLARIFIES THAT THE COLLECTION POLICY IS SUBJECT TO THE FAP AND ITS LIMITATIONS ON EXTRAORDINARY COLLECTION ACTIONS ("ECAS").PART V, LINE 22: THE FAP APPENDICES INADVERTENTLY LIST TWO DIFFERENT METHODS FOR DETERMINING AGB -- APPENDIX A LISTS THE MEDICARE + INSURED METHOD, WHILE APPENDIX C LISTS THE MEDICAID LOOKBACK METHOD. ARMC HAS HISTORICALLY USED THE LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICAID TO ARMC DURING A 12-MONTH PERIOD (AS LISTED IN APPENDIX C). FOLLOWING THE ACQUISITION, ON JANUARY 1, 2024, ARMC WILL ADOPT BMHCC'S HOSPITAL FINANCIAL ASSISTANCE POLICY. DOING SO WILL CORRECT THE ERRORS/OMISSIONS IDENTIFIED ABOVE. WITH RESPECT TO PRACTICES AND PROCEDURES TO MINIMIZE THE LIKELIHOOD OF THE TYPE OF FAILURE RECURRING AS A PART OF THE BMHCC HEALTH SYSTEM, BMHCC REVIEWS ITS FAP, BILLING AND COLLECTION, AND OTHER REQUIRED 501(R) COMPLIANCE ANNUALLY FOR UPDATES AND TO ENSURE CONFORMITY WITH THE LAW.ARMC HAS ALSO REVISED ITS COLLECTION AGENCY PLACEMENT AND CLOSURE POLICY, EFFECTIVE JANUARY 1, 2024, TO STATE IT IS SUBJECT TO THE FAP LIMITATIONS ON ECAS. 1 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 AND TRAUMA PROGRAM. THE MAIN FOCUS OF THE SPORTS MEDICINE 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 OF THE COVERED SCHOOLS. WE ALSO HELP THE SCHOOLS WITH VARIOUS HEALTH FAIRS, FIELD DAYS AND OTHER SCHOOL SPONSORED EVENTS. ATHLETIC TRAINERS ALSO HELP WITH SEVERAL AREAS OF TEACHING, ESPECIALLY DURING COMPETITIONS FOR HEALTH RELATED ORGANIZATIONS WITHIN THE SCHOOL. THESE SAME SERVICES ARE ALSO PROVIDED AT COMMUNITY RACES SUCH AS ANDERSON CUP RUN, THREEFOOT MILE AND RUN FOR HOPE. THE TRAUMA PROGRAM IS DIRECTED BY A TRAUMA SURGEON, A TRAUMA NURSE AND A TRAUMA REGISTRAR IN ACCORDANCE WITH THE STATE OF MISSISSIPPI'S REQUIREMENTS TO RETAIN CERTIFICATION. THE TRAUMA CENTER IS LOCATED WITHIN THE EMERGENCY DEPARTMENT WHICH IS CERTIFIED AS A LEVEL III TRAUMA CENTER AND PRIMARY PEDIATRIC TRAUMA CENTER. THE TRAUMA SURGEONS AND HIGHLY TRAINED EMERGENCY NURSES OFFER ADVANCED TRAUMA CARE FOR PATIENTS WITH LIFE THREATENING INJURIES FROM MOTOR-VEHICLE ACCEIDENTS, BURNS, GUNSHOT WOUNDS, ETC. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE OF $12,557,498 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 PROGRAM SERVICES 2023ANDERSON 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 SERVES 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 HAS RECEIVED THE PLATINUM AWARD FOR OUTSTANDING HEART ATTACK CARE FROM THE AMERICAN COLLEGE OF CARDIOLOGY FIVE YEARS IN A ROW. ANDERSON REGIONAL CANCER CENTER RECENTLY ACQUIRED THE TRUEBEAM RADIATION SYSTEM WHICH IS CONSIDERED ONE OF THE MOST ADVANCED RADIATION SYSTEMS IN THE WORLD. CARDIOLOGY PROGRAMSANDERSON CARDIOPULMONARY REHABILITATION PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. THIS PROGRAM PROVIDES PATIENTS WHO HAVE HEART DISEASE, COPD, OR SIMILAR CONDITIONS TO OPTIMIZE THEIR HEART AND LUNG HEALTH IN A SUPERVISED SETTING. ANDERSON REGIONAL MEDICAL CENTER HOLDS AN ANNUAL EVENT FOR THE COMMUNITY THAT BRINGS AWARENESS TO WOMEN'S HEART HEALTH WITH A PANEL OF EXPERTS ON CARDIOLOGY, FITNESS AND NUTRITION.ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH FAIRS TO THE COMMUNITY THROUGH OUR WORKHEALTH PROGRAM. IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY, NURSES OFFER FREE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, WEIGHT AND BODY MASS INDEX MEASUREMENTS, AND DISTRIBUTE GENERAL HEALTH EDUCATIONAL MATERIALS. DIABETES PROGRAMSANDERSON REGIONAL MEDICAL CENTER HAS A DIABETES MANAGEMENT CENTER WITH CERTIFIED INSTRUCTORS WHO EDUCATE THE COMMUNITY ON THE PREVENTION AND TREATMENT OF DIABETES. THE CENTER PROVIDES NUTRITION EDUCATION AND TRAINING ON CONTINUOUS GLUCOSE MONITOR SYSTEMS. ANDERSON EMPLOYS AN ENDOCRINOLOGIST IN AN OUTPATIENT CLINIC AND TWO NURSE PRACTITIONERS WHO CONSULT ON INPATIENT DIABETIC PATIENTS AND PROVIDE FOLLOW UP AFTER DISCHARGE. ANDERSON STAFF MEMBERS PARTICIPATE IN THE DIABETES FOUNDATION OF MISSISSIPPI'S ANNUAL WALK FOR DIABETES. CANCER PROGRAMSANDERSON REGIONAL CANCER CENTER FACILITATES COMMUNITY DONATIONS TO THE HOSPITAL'S CANCER PATIENT BENEVOLENCE FUND WHICH ASSISTS AREA CANCER PATIENTS WHO ARE IN NEED OF TRANSPORTATION TO APPOINTMENTS, MEDICATION NOT COVERED BY INSURANCE, PAYMENT OF UTILITY BILLS, ETC. THE FUND ASSISTED NEARLY 300 PEOPLE IN THE PAST YEAR.THE CANCER CENTER PROVIDES FREE COMMUNITY CANCER SCREENINGS FOR THE GENERAL PUBLIC THAT CENTER AROUND EARLY DETECTION AND EDUCATION ON THE PREVENTION OF CANCER. A SKIN CANCER SCREENING AND AN ORAL, HEAD AND NECK SCREENING WERE HELD IN 2023. EDUCATION ON THE IMPORTANCE OF LOW DOSE CT LUNG CANCER SCREENING, COLONOSCOPY AND MAMMOGRAPHY WERE ADVERTISED TO THE PUBLIC. ANDERSON REGIONAL CANCER CENTER PLACES A LARGE FOCUS ON SURVIVORSHIP AND PROVIDES A BELL OF HOPE REFLECTION GARDEN FOR SURVIVORS TO RING THE BELL SIGNIFYING THE END OF THEIR TREATMENT. SURVIVORS ARE ALSO HONORED DURING NATIONAL CANCER SURVIVOR MONTH WITH AN OPPORTUNITY TO PLACE THEIR HANDPRINT AND YEARS OF SURVIVORSHIP ON A CANVAS THAT IS DISPLAYED IN THE CENTER.GASTROENTEROLOGY PROGRAMSANDERSON DIGESTIVE HEALTH CENTER PROVIDES OPEN ACCESS COLONOSCOPY APPOINTMENTS FOR PATIENTS WHO HAVE NO SYMPTOMS OR FAMILY HISTORY OF COLON CANCER. THESE INDIVIDUALS CAN MAKE AN APPOINTMENT FOR THE SCREENING WITHOUT A DOCTOR'S APPOINTMENT. ANDERSON DIGESTIVE HEALTH CENTER ALSO PROVIDES ORAL MEDICATION TREATMENT FOR HEPATITIS C. EDUCATIONAL CAMPAIGNS FOR COLON CANCER AWARENESS AND HEPATITIS C WERE CONDUCTED IN 2023.OBSTETRICAL AND GYNECOLOGY PROGRAMSANDERSON REGIONAL MEDICAL CENTER PROVIDES OBSTETRICAL AND GYNECOLOGY SERVICES, AS WELL AS A NEONATAL INTENSIVE CARE UNIT AND NEONATAL PHYSICIAN SERVICES. THE FOLLOWING EDUCATIONAL CLASSES ARE OFFERED FREE TO ANY EXPECTANT MOTHERS/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, AS WELL AS THE HEALTH BENEFITS ASSOCIATED WITH BREASTFEEDING SUCH AS REDUCING CHILDHOOD OBESITY.CHILDBIRTH EDUCATION CLASSES PREPARE WOMEN FOR WHAT TO EXPECT DURING CHILDBIRTH. THE CLASSES ADDRESS PRE-NATAL WELLNESS, 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 INFORMATION ABOUT NORMAL NEWBORN BEHAVIOR, NEWBORN CHARACTERISTICS AT DELIVERY, AND PRACTICAL ADVICE FOR DAILY CARE.EDUCATIONAL PROGRAMSANDERSON 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 CONTINUED 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 PATIENTS OF ALL AGES. THIS COURSE IS DESIGNATED FOR HEALTHCARE PROVIDERS. 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 ALSO OFFERS EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE SUCH AS HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS PROVIDED TO 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 SEMINAR.SPORTS MEDICINEANDERSON REGIONAL MEDICAL CENTER OFFERS A SPORTS MEDICINE PROGRAM THAT PROVIDES ATHLETIC TRAINERS TO LOCAL SCHOOLS. THE TRAINERS PERFORM PHYSICALS AND ASSESS ATHLETE INJURIES. PART II, COMMUNITY BUILDING ACTIVITIES CONTINUED OTHER PROGRAMS BENEFITTING THE COMMUNITYANDERSON REGIONAL MEDICAL CENTER PROVIDES HEALTHCARE TO THE NATIVE AMERICANS FROM THE CHOCTAW INDIAN RESERVATION. WE SUPPORT EFFORTS TO IMPROVE THE HEALTH OF THE CHOCTAW NATION.ANDERSON REGIONAL MEDICAL CENTER IS ACTIVE WITH MIDD (MISSISSIPPI INDUSTRIES FOR THE DEVELOPMENTALLY DISABLED). HOSPITAL PERSONNEL SERVE ON THE ADVISORY BOARD AND ATTEND BI-MONTHLY MEETINGS.ANDERSON REGIONAL MEDICAL CENTER IS ALSO ACTIVE WITH CHIN (COMMUNITY HEALTH IMPROVEMENT NETWORK). HOSPITAL PERSONNEL SERVE ON THE BOARD OF DIRECTORS FOR THIS ORGANIZATION THAT SEEKS TO REACH UNINSURED AND UNDER-INSURED INDIVIDUALS TO INCREASE EDUCATION ON HEALTH RELATED TOPICS SUCH AS HEART DISEASE, DIABETES, AND OTHER CHRONIC CONDITIONS. THE GOAL OF THE ORGANIZATION IS TO INCREASE ACCESS TO CARE IN THE APPROPRIATE SETTING.ANDERSON REGIONAL MEDICAL CENTER DONATES SPACE FOR THE FREE CLINIC OF MERIDIAN TO PROVIDE MEDICAL SERVICES TO PATIENTS WHO ARE UNABLE TO PAY.ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED LEADERSHIP AS BOARD MEMBERS AND/OR OFFICERS FOR MANY OF LOCAL ORGANIZATIONS INCLUDING DIABETES FOUNDATION OF MISSISSIPPI, MISSISSIPPI NURSES ASSOCIATION, COMMUNITY HEALTH IMPROVEMENT NETWORK, MISSISSIPPI CHILDREN'S MUSEUM- MERIDIAN, EAST MISSISSIPPI BUSINESS AND DEVELOPMENT CORPORATION, BOYS & GIRLS CLUB OF EAST MISSISSIPPI, ROTARY CLUB, HOPE VILLAGE FOR CHILDREN, MISSISSIPPI HOSPITAL ASSOCIATION, THE FREE CLINIC OF MERIDIAN, MERIDIAN COMMUNITY COLLEGE FOUNDATION. WE ACTIVELY ENCOURAGE OUR PERSONNEL TO PARTICIPATE IN OUR LOCAL COMMUNITY ORGANIZATIONS TO HELP IMPROVE THE COMMUNITY.SEVERAL OF THE HOSPITAL'S PERSONNEL PARTICIPATE AS CLINICAL ADVISORS FOR HEALTHCARE CURRICULUMS AT MERIDIAN COMMUNITY COLLEGE, EAST CENTRAL COMMUNITY COLLEGE AND UNIVERSITY OF WEST ALABAMA. STAFF MEMBERS HAVE ALSO SERVED ON LEADERSHIP LAUDERDALE WHEREBY STUDENTS VISIT LOCAL BUSINESSES IN LAUDERDALE COUNTY TO LEARN LEADERSHIP SKILLS.IN AN EFFORT TO REDUCE THE SHORTAGE OF REGISTERED NURSES AND OTHER HEALTHCARE PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER HAS TAKEN THE FOLLOWING ACTIONS:SINCE 1986 ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED NURSING SCHOLARSHIPS TO SOME OF THE TOP STUDENTS AT MERIDIAN COMMUNITY COLLEGE. SEVEN SCHOLARSHIPS ARE GIVEN ANNUALLY, THE DR. JEFF ANDERSON SCHOLARSHIP, DR. JEFFERSON HOLLINGSWORTH SCHOLARSHIP, DR. WILLIAM J. ANDERSON SCHOLARSHIP, DR. WILLIAM J. ANDERSON III SCHOLARSHIP, THE WILLIAM J. GUNN, ESQUIRE SCHOLARSHIP, THE REUBEN S. JOHNSON, JR. SCHOLARSHIP, AND THE ANDERSON BOARD OF DIRECTORS SCHOLARSHIP.ANDERSON REGIONAL MEDICAL CENTER ASSISTS MERIDIAN COMMUNITY COLLEGE WITH FUNDING FOR THE DEVELOPMENT AND MAINTENANCE OF HEALTH PROGRAMS. 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 ON ACCOUNTS IN BAD DEBT ARE POSTED TO A BAD DEBT RECOVERY ACCOUNT. THIS ACCOUNT IS NETTED AGAINST THE BAD DEBT EXPENSE ACCOUNT. THE HOSPITAL BELIEVES $3,421,143 SHOULD QUALIFY AS CHARITY CARE. THE FACILITY HAS PROCEDURES IN PLACE TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $20,688 AND THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL FOR THE AREA IS APPROXIMATELY 28.73%. PART III, LINE 8: THE FISCAL YEAR 2022 MEDICARE COST REPORT COST TO CHARGE RATIO WAS APPLIED TO FISCAL YEAR 2023 CHARGES TO DETERMINE THE ESTIMATED MEDICARE ALLOWABLE COST. 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, 2023 WAS MADE UP OF 50% MEDICARE. PART III, LINE 9B: THE FAP AND COLLECTION AGENCY PLACEMENT AND CLOSURE POLICY DO NOT CROSS-REFERENCE EACH OTHER. THUS, NEITHER POLICY CLARIFIES THAT THE COLLECTION POLICY IS SUBJECT TO THE FAP AND ITS LIMITATIONS ON EXTRAORDINARY COLLECTION ACTIONS ("ECAS"). FOLLOWING THE ACQUISITION, ON JANUARY 1, 2024, ARMC WILL ADOPT BMHCC'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, ARMC HAS REVISED ITS COLLECTION POLICY TO STATE IT IS SUBJECT TO THE FAP LIMITATIONS ON ECAS.HISTORICALLY, IN EMERGENCY CARE SITUATIONS, ARMC HAS PROVIDED CARE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. ARMC'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. ARMC MAILS STATEMENTS EVERY 30 DAYS. IF PAYMENT IS NOT 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 AGENCY. 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 LEVEL WHEN THE PATIENT MEETS THE ESTABLISHED GUIDELINES. ARMC WILL THEN ADJUST THE BALANCE BY THE APPLICABLE CHARITY PERCENTAGE. ARMC ALSO ASSISTS PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE. ARMC 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 PARALLON THAT WORKS WITH THE PATIENTS WHO DO NOT HAVE INSURANCE TO DETERMINE IF 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 SCREEN THE PATIENTS AND REFER THE PATIENT TO THE CREDIT DEPARTMENT FOR FINANCIAL ASSISTANCE. THE FACILITY HAS FINANCIAL COUNSELORS IN THE EMERGENCY DEPARTMENT THAT SCREEN PATIENTS AND DISTRIBUTE 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 SERVES THE AREAS OF CHOCTAW AND SUMTER COUNTIES IN WESTERN ALABAMA. THESE COUNTIES ARE LOCATED IN RURAL AREAS OF THE STATES. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. PART VI, LINE 6: ANDERSON REGIONAL MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. 1 THE MONTGOMERY INSTITUTE 700 23RD AVE SUITE 201 MERIDIAN MS 39302 640932080 501C(3) 10000 0 COMMUNITY HEALTH IMPROVEMENT NETWORK 1 0 CANCER PATIENT BENEVOLENCE FUND 224 76306 ASSISANTANCE TO CANCER PATIENTS FOR TRANSPORTATION TO MAKE APPOINTMENTS PART I, LINE 2: ANDERSON REGIONAL MEDICAL CENTER DOES NOT MAINTAIN RECORDS TO SUBSTANTIATE OR MONITOR THE USE OF GRANT FUNDS. THE ASSISTANCE TO MERIDIAN COMMUNITY COLEGE IS MADE DIRECTLY TO THE COLLEGE ITSELF IN ORDER TO PROVIDE FUNDING/EDUCATION ASSISTANCE TO THE NURSING SCHOOL. IN ADDITION, ANDERSON REGIONAL MEDICAL CENTER MADE CONTRIBUTIONS TO THE OTHER CHARITIES FOR THE FURTHERANCE OF THEIR EXEMPT PURPOSE. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 CALEB R DULANEY PHYSICIAN 694447 0 255415 0 596 0 2900 0 14687 0 968045 0 0 0 HANS H TULIP PHYSICIAN 866843 0 49689 0 689 0 2900 0 14593 0 934714 0 0 0 DANIEL D DENISON PHYSICIAN 688549 0 0 0 592 0 2900 0 13224 0 705265 0 0 0 MATTHEW T COKER PHYSICIAN 532624 0 86969 0 370 0 0 0 14687 0 634650 0 0 0 PHILLIP K MCDONALD PHYSICIAN 475608 0 0 0 7163 0 23400 0 13039 0 519210 0 0 0 JOHN G ANDERSON PRESIDENT/CEO 396729 0 0 0 8657 0 92495 0 13265 0 511146 0 0 0 THURMAN KEITH EVERETT VICE PRESIDENT/CMO 355002 0 0 0 14503 0 53944 0 0 0 423449 0 0 0 STEVEN W BROWN VICE PRESIDENT/CFO 293587 0 0 0 2374 0 62323 0 19616 0 377900 0 0 0 FRANK W GARRISON IV VICE PRESIDENT/CNO 273021 0 0 0 1285 0 32868 0 17159 0 324333 0 0 0 GEORGE D FARR JR VICE PRESIDENT 195242 0 0 0 1910 0 39782 0 16462 0 253396 0 0 0 WANDA B COOPER VICE PRESIDENT (SECRETARY) 222815 0 0 0 8619 0 1950 0 6669 0 240053 0 0 0 PART I, LINE 1A CEO, VICE PRESIDENTS AND BOARD MEMBERS ARE OFFERED FREE MEMBERSHIPS TO ANDERSON HEALTH AND FITNESSS CENTER. JOHN C ANDERSON, WANDA B COOPER, GEORGE D FARR, JR., AND DAVID VOWELL RECEIVED FREE MEMBERSHIPS. PART I, LINE 4B ARMC PROVIDES CERTAIN EXECUTIVES AN IRC SEC 457(F), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) PLAN: - JOHN ANDERSON $89,595 - GEORGE DENTON FARR, JR. 37,798 - STEVEN BROWN 46,423 - FRANK W. GARRISON IV 32,868 - KEITH EVERETT 53,944 TRINITY E FARR FAMILY RELATIONSHIP OF AN OFFICER 101182 COMPENSATION FOR SERVICES 0 JENNIFER L CHESTNUTT FAMILY RELATIONSHIP OF AN OFFICER 23563 COMPENSATION FOR SERVICES 0 STEPHEN A COVINGTON FAMILY RELATIONSHIP OF A BOARD MEMBER 162461 COMPENSATION FOR SERVICES 0 KARSON COOK WALTERS FAMILY RELATIONSHIP OF AN OFFICER 22635 COMPENSATION FOR SERVICES 0 JOHN G ANDERSON FAMILY RELATIONSHIP OF AN OFFICER 39283 COMPENSATION FOR SERVICES 0 HANNAH G FARR FAMILY RELATIONSHIP OF AN OFFICER 12687 COMPENSATION FOR SERVICES 0 FORM 990, PAGE 2, PART III, LINE 4A ANDERSON REGIONAL MEDICAL CENTER PROGRAM SERVICES 2023 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 SERVES 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 HAS RECEIVED THE PLATINUM AWARD FOR OUTSTANDING HEART ATTACK CARE FROM THE AMERICAN COLLEGE OF CARDIOLOGY FIVE YEARS IN A ROW. ANDERSON REGIONAL CANCER CENTER RECENTLY ACQUIRED THE TRUEBEAM RADIATION SYSTEM WHICH IS CONSIDERED ONE OF THE MOST ADVANCED RADIATION SYSTEMS IN THE WORLD. CARDIOLOGY PROGRAMS ANDERSON CARDIOPULMONARY REHABILITATION PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. THIS PROGRAM PROVIDES PATIENTS WHO HAVE HEART DISEASE, COPD, OR SIMILAR CONDITIONS TO OPTIMIZE THEIR HEART AND LUNG HEALTH IN A SUPERVISED SETTING. ANDERSON REGIONAL MEDICAL CENTER HOLDS AN ANNUAL EVENT FOR THE COMMUNITY THAT BRINGS AWARENESS TO WOMEN'S HEART HEALTH WITH A PANEL OF EXPERTS ON CARDIOLOGY, FITNESS AND NUTRITION. ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH FAIRS TO THE COMMUNITY THROUGH OUR WORKHEALTH PROGRAM. IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY, NURSES OFFER FREE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, WEIGHT AND BODY MASS INDEX MEASUREMENTS, AND DISTRIBUTE GENERAL HEALTH EDUCATIONAL MATERIALS. DIABETES PROGRAMS ANDERSON REGIONAL MEDICAL CENTER HAS A DIABETES MANAGEMENT CENTER WITH CERTIFIED INSTRUCTORS WHO EDUCATE THE COMMUNITY ON THE PREVENTION AND TREATMENT OF DIABETES. THE CENTER PROVIDES NUTRITION EDUCATION AND TRAINING ON CONTINUOUS GLUCOSE MONITOR SYSTEMS. ANDERSON EMPLOYS AN ENDOCRINOLOGIST IN AN OUTPATIENT CLINIC AND TWO NURSE PRACTITIONERS WHO CONSULT ON INPATIENT DIABETIC PATIENTS AND PROVIDE FOLLOW UP AFTER DISCHARGE. ANDERSON STAFF MEMBERS PARTICIPATE IN THE DIABETES FOUNDATION OF MISSISSIPPI'S ANNUAL WALK FOR DIABETES. CANCER PROGRAMS ANDERSON REGIONAL CANCER CENTER FACILITATES COMMUNITY DONATIONS TO THE HOSPITAL'S CANCER PATIENT BENEVOLENCE FUND WHICH ASSISTS AREA CANCER PATIENTS WHO ARE IN NEED OF TRANSPORTATION TO APPOINTMENTS, MEDICATION NOT COVERED BY INSURANCE, PAYMENT OF UTILITY BILLS, ETC. THE FUND ASSISTED NEARLY 300 PEOPLE IN THE PAST YEAR. THE CANCER CENTER PROVIDES FREE COMMUNITY CANCER SCREENINGS FOR THE GENERAL PUBLIC THAT CENTER AROUND EARLY DETECTION AND EDUCATION ON THE PREVENTION OF CANCER. A SKIN CANCER SCREENING AND AN ORAL, HEAD AND NECK SCREENING WERE HELD IN 2023. EDUCATION ON THE IMPORTANCE OF LOW DOSE CT LUNG CANCER SCREENING, COLONOSCOPY AND MAMMOGRAPHY WERE ADVERTISED TO THE PUBLIC. ANDERSON REGIONAL CANCER CENTER PLACES A LARGE FOCUS ON SURVIVORSHIP AND PROVIDES A BELL OF HOPE REFLECTION GARDEN FOR SURVIVORS TO RING THE BELL SIGNIFYING THE END OF THEIR TREATMENT. SURVIVORS ARE ALSO HONORED DURING NATIONAL CANCER SURVIVOR MONTH WITH AN OPPORTUNITY TO PLACE THEIR HANDPRINT AND YEARS OF SURVIVORSHIP ON A CANVAS THAT IS DISPLAYED IN THE CENTER. GASTROENTEROLOGY PROGRAMS ANDERSON DIGESTIVE HEALTH CENTER PROVIDES OPEN ACCESS COLONOSCOPY APPOINTMENTS FOR PATIENTS WHO HAVE NO SYMPTOMS OR FAMILY HISTORY OF COLON CANCER. THESE INDIVIDUALS CAN MAKE AN APPOINTMENT FOR THE SCREENING WITHOUT A DOCTOR'S APPOINTMENT. ANDERSON DIGESTIVE HEALTH CENTER ALSO PROVIDES ORAL MEDICATION TREATMENT FOR HEPATITIS C. EDUCATIONAL CAMPAIGNS FOR COLON CANCER AWARENESS AND HEPATITIS C WERE CONDUCTED IN 2023. OBSTETRICAL AND GYNECOLOGY PROGRAMS ANDERSON REGIONAL MEDICAL CENTER PROVIDES OBSTETRICAL AND GYNECOLOGY SERVICES, AS WELL AS A NEONATAL INTENSIVE CARE UNIT AND NEONATAL PHYSICIAN SERVICES. THE FOLLOWING EDUCATIONAL CLASSES ARE OFFERED FREE TO ANY EXPECTANT MOTHERS/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, AS WELL AS THE HEALTH BENEFITS ASSOCIATED WITH BREASTFEEDING SUCH AS REDUCING CHILDHOOD OBESITY. CHILDBIRTH EDUCATION CLASSES PREPARE WOMEN FOR WHAT TO EXPECT DURING CHILDBIRTH. THE CLASSES ADDRESS PRE-NATAL WELLNESS, 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 INFORMATION ABOUT NORMAL NEWBORN BEHAVIOR, NEWBORN CHARACTERISTICS AT DELIVERY, AND 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 CONTINUED 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 PATIENTS OF ALL AGES. THIS COURSE IS DESIGNATED FOR HEALTHCARE PROVIDERS. 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 ALSO OFFERS EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE SUCH AS HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS PROVIDED TO 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 SEMINAR. SPORTS MEDICINE ANDERSON REGIONAL MEDICAL CENTER OFFERS A SPORTS MEDICINE PROGRAM THAT PROVIDES ATHLETIC TRAINERS TO LOCAL SCHOOLS. THE TRAINERS PERFORM PHYSICALS AND ASSESS ATHLETE INJURIES. FORM 990, PAGE 2, PART III, LINE 4A CONTINUED OTHER PROGRAMS BENEFITTING THE COMMUNITY ANDERSON REGIONAL MEDICAL CENTER PROVIDES HEALTHCARE TO THE NATIVE AMERICANS FROM THE CHOCTAW INDIAN RESERVATION. WE SUPPORT EFFORTS TO IMPROVE THE HEALTH OF THE CHOCTAW NATION. ANDERSON REGIONAL MEDICAL CENTER IS ACTIVE WITH MIDD (MISSISSIPPI INDUSTRIES FOR THE DEVELOPMENTALLY DISABLED). HOSPITAL PERSONNEL SERVE ON THE ADVISORY BOARD AND ATTEND BI-MONTHLY MEETINGS. ANDERSON REGIONAL MEDICAL CENTER IS ALSO ACTIVE WITH CHIN (COMMUNITY HEALTH IMPROVEMENT NETWORK). HOSPITAL PERSONNEL SERVE ON THE BOARD OF DIRECTORS FOR THIS ORGANIZATION THAT SEEKS TO REACH UNINSURED AND UNDER-INSURED INDIVIDUALS TO INCREASE EDUCATION ON HEALTH RELATED TOPICS SUCH AS HEART DISEASE, DIABETES, AND OTHER CHRONIC CONDITIONS. THE GOAL OF THE ORGANIZATION IS TO INCREASE ACCESS TO CARE IN THE APPROPRIATE SETTING. ANDERSON REGIONAL MEDICAL CENTER DONATES SPACE FOR THE FREE CLINIC OF MERIDIAN TO PROVIDE MEDICAL SERVICES TO PATIENTS WHO ARE UNABLE TO PAY. ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED LEADERSHIP AS BOARD MEMBERS AND/OR OFFICERS FOR MANY OF LOCAL ORGANIZATIONS INCLUDING DIABETES FOUNDATION OF MISSISSIPPI, MISSISSIPPI NURSES ASSOCIATION, COMMUNITY HEALTH IMPROVEMENT NETWORK, MISSISSIPPI CHILDREN'S MUSEUM- MERIDIAN, EAST MISSISSIPPI BUSINESS AND DEVELOPMENT CORPORATION, BOYS & GIRLS CLUB OF EAST MISSISSIPPI, ROTARY CLUB, HOPE VILLAGE FOR CHILDREN, MISSISSIPPI HOSPITAL ASSOCIATION, THE FREE CLINIC OF MERIDIAN, MERIDIAN COMMUNITY COLLEGE FOUNDATION. WE ACTIVELY ENCOURAGE OUR PERSONNEL TO PARTICIPATE IN OUR LOCAL COMMUNITY ORGANIZATIONS TO HELP IMPROVE THE COMMUNITY. SEVERAL OF THE HOSPITAL'S PERSONNEL PARTICIPATE AS CLINICAL ADVISORS FOR HEALTHCARE CURRICULUMS AT MERIDIAN COMMUNITY COLLEGE, EAST CENTRAL COMMUNITY COLLEGE AND UNIVERSITY OF WEST ALABAMA. STAFF MEMBERS HAVE ALSO SERVED ON LEADERSHIP LAUDERDALE WHEREBY STUDENTS VISIT LOCAL BUSINESSES IN LAUDERDALE COUNTY TO LEARN LEADERSHIP SKILLS. IN AN EFFORT TO REDUCE THE SHORTAGE OF REGISTERED NURSES AND OTHER HEALTHCARE PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER HAS TAKEN THE FOLLOWING ACTIONS: SINCE 1986 ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED NURSING SCHOLARSHIPS TO SOME OF THE TOP STUDENTS AT MERIDIAN COMMUNITY COLLEGE. SEVEN SCHOLARSHIPS ARE GIVEN ANNUALLY, THE DR. JEFF ANDERSON SCHOLARSHIP, DR. JEFFERSON HOLLINGSWORTH SCHOLARSHIP, DR. WILLIAM J. ANDERSON SCHOLARSHIP, DR. WILLIAM J. ANDERSON III SCHOLARSHIP, THE WILLIAM J. GUNN, ESQUIRE SCHOLARSHIP, THE REUBEN S. JOHNSON, JR. SCHOLARSHIP, AND THE ANDERSON BOARD OF DIRECTORS SCHOLARSHIP. ANDERSON REGIONAL MEDICAL CENTER ASSISTS MERIDIAN COMMUNITY COLLEGE WITH FUNDING FOR THE DEVELOPMENT AND MAINTENANCE OF HEALTH PROGRAMS. FORM 990, PART VI, SECTION A, LINE 1A 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 SPECIFYING 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 BE 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 M. ANDERSON - NELL G. HILL - DR. SHAWN C. ANDERSON - JANET G. FARRINGTON -JOHN G. ANDERSON -GEORGE D. FARR JR. 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 - NELL GAYDEN HILL - SHAWN ANDERSON, D.O. NOTWITHSTANDING THE FORGOING, IT IS THE INTENT OF 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 11B 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 HAS CONTRACTED FOR AND USED THE PROFESSIONAL SERVICES OF LOCKTON FOR THE CEO AND VICE PRESIDENTS AND SULLIVAN COTTER FOR THE BOARD OF DIRECTORS. 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 AS A PART OF THIS FORM 990. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 22,840,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,840,414. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 376,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,065. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 63,181,968. MANAGEMENT AND GENERAL EXPENSES 616,249. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,798,217. FORM 990, PART XI, LINE 9: ADJUSTMENT RELATED TO CONSOLIDATION 1,852,852. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MEDICAL SUPPORT AND DEVELOPMENT ORGANIATION 122 WOODMONT WAY RIDGELAND MS 39157 640722433 SUPPORTING ORGANIZATION MS 501(C)(3) LINE 12C, 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 12D, 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 12C, 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 12D, 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 ARMC HOSPITAL PROF & GEN LLFT 512 22ND AVENUE MERIDIAN MS 39301 206131090 TRUST MS ANDERSON REGIONAL MEDICAL CENTER T 1.00000 1 0 1 1 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 ANDERSON PHYSICIAN ALLIANCE INC P 2010092