2018-08-14T09:21:06-05:00 2017-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-10-01 461305481 ANDERSON HOSPITAL PROVIDERS INC ANDE 6015536000 2124 14TH STREET MERIDIAN MS 39301 signing officer VP OF FINANCE 6015536000 2018-08-14 1 Amy Bibby P00445891 8282542254 2018-08-10 2016 2022-09-23 18:48:47Z STEVEN BROWN 2124 14TH STREET MERIDIAN MS 39301 2230644 0 X WWW.ANDERSONREGIONAL.ORG X 2013 MS ANDERSON HOSPITAL PHYSICIANS, INC. IS ORGANIZED EXCLUSIVELY FOR HOSPITAL PHYSICIAN BILLING FOR ANDERSON REGIONAL MEDICAL CENTER. 4 0 0 0 0 0 0 0 4495457 2230644 0 0 0 0 4495457 2230644 0 0 0 0 5294174 2555002 0 0 0 5849695 3948761 11143869 6503763 -6648412 -4273119 310885 0 27771989 31608217 -27461104 -31608217 X ANDERSON HOSPITAL PHYSICIANS, INC. IS ORGANIZED EXCLUSIVELY FOR HOSPITAL PHYSICIAN BILLING FOR ANDERSON REGIONAL MEDICAL CENTER. 0 0 6447571 2378334 ANDERSON HOSPITAL PROVDERS, INC. SPECIFIC PURPOSES AND OBJECTIVES OF THE CORPORATION SHALL INCLUDE BUT NOT BE LIMITED TO EMPLOYING PHYICIANS AND OTHER MEDICAL PERSONNEL TO CARRY OUT THE PURPOSES AND OBJECTIVES OF ANDERSON REGIONAL MEDICAL CENTER, AS FOLLOWS: - PROVIDE DIAGNOSIS AND TREATMENT FOR PATIENTS- CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH- CARRY ON SCIENTIFIC RESEARCH- PARTICIPATE IN ACTIVITIES THAT PROMOTE THE GENERAL HEALTH OF THE COMMUNITY- ESTABLISH, MAINTAIN, AND SUPPORT AND ONGOING HOSPITAL-WIDE TOTAL QUALITY MANAGEMENT PROGRAM 6447571 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X STEVEN BROWN 6015536647 2124 14TH STREET MERIDIAN MS 39301 X Wanda Cooper Director(Chairman) 1.00 50.00 X 0 196187 1950 William Bell Director 1.00 50.00 X 0 455945 42000 Phillip McDonald Director (PHYSICIAN) 1.00 50.00 X 556976 0 105289 Steven Brown Director(Sec/Trea) 1.00 50.00 X 0 155711 15520 James Cady Jr Physician 40.00 X 621811 0 121324 Bruce Brown Physician 40.00 X 527371 0 2499 John Dickson Physician 40.00 X 450895 0 21584 David Geer Physician 40.00 X 445997 0 17061 DEANNA KARY Physician 40.00 X 413386 0 5496 John Anderson President/CEO-Ex-Officio 1.00 50.00 X 0 392603 78947 3016436 1200446 411670 16 1 1 0 MERIDIAN EMERGENCY PHYSICIANS LLP 4075 Copper Ridge Dr Traverse City MI 496844796 Contract Physician Fees 1903009 CHG COMPANIES INC DBA COPHEALTH PO BOX 972651 DALLAS TX 753972651 Contract Physician Fees 669186 DANIEL & YEAGER LLC 6767 OLD MADISON PIKE STE 690 HUNTSVILLE AL 35806 Contract Physician Fees 455297 VISTA STAFFING SOLUTIONS INC 275 EAST 200 SOUTH SALT LAKE CITY UT 841112002 Contract Physician Fees 368740 ERIC V PLOTT 101 PATTON AVE BILOXI MS 39531 Contract Physician Fees 153675 6 NET PATIENT SERVICE RE 621110 2230644 2230644 2230644 2230644 2230644 0 0 X 567250 561577 5673 1868642 1820743 47899 10274 10048 226 108836 106442 2394 3199522 3199522 780 780 35918 35918 89986 89986 11558 11558 2789 2789 13311 13311 BAD DEBT EXPENSE 594897 594897 6503763 6447571 56192 0 274072 0 0 36813 310885 0 69206 43399 27702783 31564818 27771989 31608217 X -27461104 -31608217 -27461104 -31608217 310885 0 X -4273119 126006 X X 0 1 X 1 0 X 0 DUE TO RELATED ORGANIZATION 31564818 31564818 X Part X, Line 2: ANDERSON HOSPITAL PROVIDERS 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. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. ANDERSON HOSPITAL PROVIDERS HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2017 AND 2016. 0 1 0 0 0 0 0 0 0 Wanda Cooper Director(Chairman) 0 191950 0 0 0 4237 0 34570 0 3050 0 233807 0 0 William Bell Director 0 453323 0 0 0 2622 0 53175 0 9639 0 518759 0 0 Phillip McDonald Director (PHYSICIAN) 553254 0 0 0 3722 0 84180 0 21109 0 662265 0 0 0 Steven Brown Director(Sec/Trea) 0 154989 0 0 0 722 0 22898 0 9884 0 188493 0 0 James Cady Jr Physician 619546 0 0 0 2265 0 102711 0 18613 0 743135 0 0 0 Bruce Brown Physician 526287 0 0 0 1084 0 0 0 2499 0 529870 0 0 0 John Dickson Physician 450315 0 0 0 580 0 0 0 21584 0 472479 0 0 0 David Geer Physician 441671 0 0 0 4326 0 0 0 17061 0 463058 0 0 0 DEANNA KARY Physician 412806 0 0 0 580 0 0 0 5496 0 418882 0 0 0 John Anderson President/CEO-Ex-Officio 0 381701 0 0 0 10902 0 66447 0 12500 0 471550 0 0 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: - WANDA COOPER 34,570 - SCOT BELL 53,175 - PHILLIP MCDONALD 84,180 - STEVEN BROWN 22,898 - JAMES CADY, JR 102,711 - JOHN ANDERSON 66,447 Form 990, Part VI, Section A, line 1 UNLESS PROHIBITED OR LIMITED BY THE ARTICLES OF INCORPORATION OR THESE BYLAWS, THE BOARD OF DIRECTORS MAY CREATE AN EXECUTIVE COMMITTEE AND ONE OR MORE OTHER COMMITTEES OF THE BOARD AND APPOINT MEMBERS OF THE BOARD OF DIRECTORS TO SERVE ON THEM. Form 990, Part VI, Section A, line 6 ANDERSON REGIONAL MEDICAL CENTER SHALL BE THE SOLE MEMBER OF THE CORPORATION. Form 990, Part VI, Section A, line 7a THE MEMBER THROUGH ITS PRESIDENT AND CHIEF EXECUTIVE OFFICER, OR THE BOARD OR DIECTORS OR ITS COMMITTEE RESPONSIBLE FOR PHYSICIAN COMPENSATION, SHALL HAVE THE AUTHORITY TO EXERCISE ANY AND ALL MEMBERSHIP RIGHTS OR POWERS SPECIFIED IN THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION. Form 990, Part VI, Section A, line 7b THE MEMBER SHALL HAVE FINAL DECISION MAKING AUTHORITY WITH RESPECT TO THE FOLLOWING CORPORATE POWERS AND RESPONSIBLITIES: (A) TO APPROVE THE CORPORATION'S PHYSICIAN COMPENSATION MODELS, PHYSICIAN COMPENSATION PLANS, PHYSICIAN COMPENSATION AND/OR ANY REVIEW OF PHYSICIAN COMPENSATION AND PHYSICIAN COMPENSATION POLICIES AND ANY AMENDMENTS THERETO. (B) TO APPROVE PHYSICIAN EMPLOYMENT AGREEMENTS AND ANY AMENDMENTS THERETO. 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 The organization has a written conflict of interest policy and request all board members to annually disclose any possible conflict of interest. Form 990, Part VI, Section B, line 15 The organization is a subisdiary of Anderson Regional Medical Center. Officers and Directors of Anderson Hospital Physician's, Inc. are compensated by Anderson Regional Medical Center. As such Anderson Hosptial Physician's, Inc. follows the policies of Anderson Regional Medical Center. Anderson Regional Medical Center has a designated three person committee and has an outside contracted organziation to study and recommend compensation for executives. 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 ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE: INDEPENDENCE OF VOTING BOARD MEMBERS: THE ORGANIZATION IS A SUBSIDIARY OF ANDERSON REGIONAL MEDICAL CENTER, A 501(C)(3) ORGANIZATION. THE BOARD OF DIRECTORS OF THIS ORGANIZATION FAILS TO HAVE A MAJORITY OF INDEPENDENT BOARD MEMBERS PER THE DEFINITION PROVIDED BY THE IRS. PLEASE NOTE, HOWEVER, THAT THE SOLE MEMBER ORGANIZATION HAS A FIFTY PERCENT INDEPENDENT BOARD OF DIRECTORS, AND THROUGH ITS MEMBERSHIP PROVIDES GOVERNANCE OVERSIGHT OVER THE FILING ORGANIZATION. PLEASE SEE THE RESPONSES TO FORM 990, PART VI, LINES 6 THROUGH 7B FOR DETAILS ON THE SOLE MEMBER AND ITS AUTHORITY. Form 990, Part IX, line 11g PHYSICIAN FEES: Program service expenses 1,299,922. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,299,922. PURCHASED SERVICES: Program service expenses 1,899,600. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,899,600. Form 990, Part XI, line 9: ADJUSTMENT TO NET ASSETS -21,684. ADJUSTMENTS TO DEPRECIATION 147,690. Form 990, Part XII, Line 2c: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ANDERSON REGIONAL MEDICAL CENTER 2124 14TH STREET MERIDIAN MS 39301 640362400 HEALTHCARE MS 501(c)(3) Line 3 N/A 0 MEDICAL SUPPORT AND DEVELOPMENT ORGANIZATION 122 WOODMONT WAY RIDGELAND MS 39157 640722433 SUPPORTING ORGANIZATION MS 501(c)(3) Line 12c, III-FI ANDERSON REGIONAL MEDICAL CENTER 0 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 0 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 0 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 0 ANDERSON PHYSICIAN ALLIANCE INC 2124 14TH STREET mERIDIAN MS 39301 273274203 sUPPORTING ORGANIZATION MS 501(c)(3) Line 3 aNDERSON REGIONAL MEDICAL CENTER 0 EAST MISSISSIPPI ENDOSCOPY CENTER 1926 23RD AVENUE MERIDIAN MS 39301 440884792 HEALTHCARE MS N/A JARMC LEVERAGE LLC 2124 14TH STREET MERIDIAN MS 39301 272284311 INVESTMENTS MS N/A ANDERSON PHYSICIAN HOSPITAL ORGANIZATIONS 2124 14TH STREET MERIDIAN MS 39301 640850305 PHYSICIAN ORGANIZATION MS N/A C 0 ARMC HOSPITAL PROF & GEN LLFT 512 22ND AVENUE MERIDIAN MS 39301 206131090 TRUST MS N/A T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1