2013-08-15T11:05:51-05:00 2012-09-30 KPMG LLP 300 N GREENE STREET SUITE 400 GREENSBORO NC 27401 990 2011-10-01 640362400 ANDERSON REGIONAL MEDICAL CENTER % L RAY HUMPHREYS ANDE 6015536000 2124 14TH STREET MERIDIAN MS 39301 A KEITH HEARTSILL 2013-08-15 true 3362753394 2011 2016-02-24 21:20:13Z L RAY HUMPHREYS 2124 14TH ST MERIDIAN MS 39301 237765559 false 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. 7 3 1942 50 10110534 67900 342315 201622211 200789225 1994983 1075338 3027485 3088103 206712579 205294981 130967 168890 0 0 95979902 90153944 0 0 0 127109177 125991814 223220046 216314648 -16507467 -11019667 271927425 202979771 125705376 78559654 146222049 124420117 X THE MISSION OF THE HOSPITAL IS TO CONTINUE OUR HERITAGE OF HEALING AND IMPROVING LIFE FOR THE PEOPLE WE SERVE. false false 134659714 168890 191107516 SEE SCHEDULE O, GENERAL STATEMENT 1 134659714 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false true false false false false false false false true true true false false true 257 0 true 1942 true true true false false false false false false false false false X 7 3 true false false false true true true true true false false true true true true true true true true true true X L RAY HUMPHREYS 6015536000 2124 14TH ST MERIDIAN MS 39301 X DR JOSEPH ANDERSON 50.0 X 93622 0 16844 GAY WHITWORTH 6.0 X 24924 0 182 JANET G FARRINGTON 6.0 X 24924 0 182 EUGENE RALEY 3.0 X 12618 0 182 SHAWN ANDERSON DO 6.0 X 24276 0 182 PHILLIP BROOKS 3.0 X 12792 0 182 THURMAN EVERETT 3.0 X 12129 0 182 JOHN ANDERSON 40.0 X 174416 0 54089 WANDA COOPER 40.0 X 172350 0 56432 GEORGE FARR JR 40.0 X 140082 0 46306 ANN LUNDY 40.0 X 164094 0 27304 LELAND RAY HUMPHREYS 40.0 X 376523 0 79303 RICHARD HIGHTOWER 40.0 X 135088 0 26699 GEORGE EDWARD TUCKER JR 40.0 X 89638 0 0 ALPHE D WELLS 40.0 X 90812 0 20492 PAMELSA S TVARKUNAS 40.0 X 188882 0 32586 KEITH HEARTSILL 40.0 X 0 0 0 MATT EDWARDS 40.0 X 0 0 0 JAMIE SMITH 40.0 X 0 0 0 CHARLES RUSSELL PURDY II 40.0 X 534363 0 389 JAMES D CADY JR 40.0 X 436546 0 29837 RAUL A PINION 40.0 X 479484 0 21070 PHILLIP K MCDONALD 40.0 X 510325 0 23920 BRUCE WALLACE BROWN 40.0 X 437822 0 24457 LINDA TODD 0.0 X 197815 0 11147 ANTHONY RISPOLI 0.0 X 314734 0 49743 KATRINA CHAMBLEE 0.0 X 217949 0 22741 4866208 0 544451 78 true true false SEE SCHEDULE O GENERAL STATEMENT 5 12045620 47 342315 342315 PATIENT REVENUE 621990 112282512 112282512 LABORATORY FEES 621990 81534373 72021618 9512755 PHARMACY REVENUE 446110 6143350 6143350 CAFETERIA REVENUE 722210 168954 168954 TRAUMA CENTER REVENUE 621990 691768 691768 -31732 -31732 200789225 135377 135377 0 0 3029937 1258716 1771221 1771221 1771221 31903800 248023 30924355 287507 979445 -39484 939961 939961 0 0 0 HEALTH AND FITNESS 713940 893092 597779 295313 PURCHASE DISCOUNTS 900099 300020 300020 MISCELLANEOUS REVENUE 900099 123770 123770 1316882 205294981 191107516 10110534 3734616 168890 168890 0 0 0 3318145 0 3318145 0 0 0 0 0 68569468 59818208 8751260 0 3713943 0 3713943 0 9625164 0 9625164 0 4927224 0 4927224 0 0 0 0 0 34522 0 34522 0 251821 0 251821 0 0 0 0 0 0 0 0 0 0 0 28834412 17112254 11722158 0 144151 0 144151 0 440110 167935 272175 0 256383 0 256383 0 0 0 0 0 6095041 4936983 1158058 0 172114 122996 49118 0 0 0 0 0 0 0 0 0 708088 0 708088 0 0 0 0 0 12478384 10107491 2370893 0 2795761 0 2795761 0 PATIENT CHARGEABLE SUPPLIES 11565238 11565238 0 0 BAD DEBTS 27731621 0 27731621 0 MEDICAL SUPPLIES 25563641 23986285 1577356 0 EQUIPMENT RENTAL & MAINT. 7082984 5861408 1221576 0 1837543 812026 1025517 216314648 134659714 81654934 0 237894 395944 26520277 6171343 0 0 39709513 23080264 0 0 0 0 703312 554413 7144607 6587386 3161457 2929278 267574439 131881517 144683717 135692922 0 0 1336040 292422 2281704 1910662 0 1112106 46148904 24253031 271927425 202979771 32783744 34056908 0 0 0 0 0 0 0 0 0 0 0 0 54891654 33696179 38029978 10806567 125705376 78559654 X 146222049 124420117 0 0 0 0 146222049 124420117 271927425 202979771 X -11019667 -10782265 X X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14904786 14904786 136918365 59081660 77836705 114074684 71811420 42263264 1676604 988437 688167 135692922 INTERCOMPANY RECEIVABLE 11747879 SELF INSURANCE TRUST FUND 9242009 CSV - RETIREMENT FUNDS (457B) 3180434 MHA WORKERS COMPENSATION DEP. 54354 OTHER LIMITED AS TO USE ASSETS 28355 24253031 0 ACCRUED LIABILITY CLAIMS 9480000 ASSET RETIREMENT OBLIGATIONS 697332 CAPITAL LEASE OBLIGATIONS 629235 10806567 SUPPLEMENTAL INFORMATION 1 SCHEDULE D, PART X, LINE 2: ASC TOPIC 740 (FIN 48) FOOTNOTE ANDERSON REGIONAL MEDICAL CENTER AND SUBSIDIARIES (THE SYSTEM) APPLIES FASB ASC TOPIC 740, INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS AND PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE HAS BEEN NO IMPACT ON THE SYSTEM'S COMBINED FINANCIAL STATEMENTS AS A RESULT OF TOPIC 740. true true X true X true X true true false false 2806946 0 2806946 0.01490 2806946 0 2806946 0.01490 23 4105 40415 8137 32278 0.00020 4 468 31540 460 31080 0.00020 1 0 416182 0 416182 0.00220 0 0 0 0 0.00000 4 0 264019 0 264019 0.00140 32 4573 752156 8597 743559 0.00400 32 4573 3559102 8597 3550505 0.01890 false 11585305 695118 68014698 77891533 -9876835 X true true 2 1 ANDERSON REGIONAL MEDICAL CENTER

2124 14TH STREET MERIDIAN MS 39301

X X X 2 ANDERSON REGIONAL MEDICAL CENTER SOUTH

1102 CONSTITUTION AVENUE MERIDIAN MS 39301

X X ANDERSON REGIONAL MEDICAL CENTER 1 true true 100 true 200. true X X X true true X true X true X X X true X false false ANDERSON REGIONAL MEDICAL CENTER SOUTH 2 true true 100 true 200. true X X X true true X true X true X X X true X false false 3 EAST MISSISSIPPI ENDOSCOPIC CLINIC

1926 23RD AVENUE MERIDIAN MS 39301

OUTPATIENT ENDOSCOPY AMBULATORY SURGICAL CENTER REGIONAL MEDICAL SUPPORT CTR- DIS 08-12

2115 13TH STREET MERIDIAN MS 39301

INDEPENDENT DIAGNOSTIC IMAGING CENTER ANDERSON CARDIAC SURGICAL ASSOCIATES

1400 20TH AVENUE MERIDIAN MS 39301

CARDIAC SURGICAL CENTER SUPPLEMENTAL INFORMATION 1 PART I, LINE 3C: ANDERSON REGIONAL MEDICAL CENTER USES THE FEDERAL POVERTY GUIDELINES (FPG) TO ESTABLISH CHARITY CARE POLICIES. SUPPLEMENTAL INFORMATION 2 PART I, LINE 6A: ANDERSON REGIONAL MEDICAL CENTER DOES NOT CURRENTLY PREPARE A COMMUNITY BENEFIT REPORT BUT IS IN THE PROCESS OF PREPARING A COMMUNITY REPORT TO PROVIDE TO THE COMMUNITY. SUPPLEMENTAL INFORMATION 3 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. ATHLETIC TRAINERS ALSO HELP WITH SEVERAL AREAS OF TEACHING; ESPECIALLY DURING HOSA 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. SUPPLEMENTAL INFORMATION 4 PART I, LINE 7, COLUMN F: THE BAD DEBT EXPENSE OF $27,731,621 WAS INCLUDED ON FORM 990 PART IX, LINE 25, COLUMN (A) BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. SUPPLEMENTAL INFORMATION 5 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. SUPPLEMENTAL INFORMATION 6 PART III, SECTION A, 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 $695,118 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 23.9%. FINANCIAL STATEMENT FOOTNOTE: THE MEDICAL CENTER PROVIDES FOR AN ALLOWANCE AGAINST PATIENT ACCOUNTS RECEIVABLE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE WHEREBY SUCH RECEIVABLES ARE REDUCED TO THEIR ESTIMATED NET REALIZABLE VALUE. THE MEDICAL CENTER ESTIMATES THIS ALLOWANCE BASED ON THE AGING OF ACCOUNTS RECEIVABLE, HISTORICAL COLLECTION EXPERIENCE, AND OTHER RELEVANT FACTORS. THERE ARE VARIOUS FACTORS THAT CAN IMPACT THE COLLECTION TRENDS, SUCH AS CHANGES IN THE ECONOMY, WHICH IN TURN HAVE AN IMPACT ON UNEMPLOYMENT RATES AND THE NUMBER OF UNINSURED AND UNDERINSURED PATIENTS, THE INCREASED BURDEN OF COPAYMENTS TO BE MADE BY PATIENTS WITH INSURANCE, AND BUSINESS PRACTICES RELATED TO COLLECTION EFFORTS. THESE FACTORS CONTINUOUSLY CHANGE AND CAN HAVE AN IMPACT ON COLLECTION TRENDS AND THE ESTIMATION PROCESS. SUPPLEMENTAL INFORMATION 7 PART III, SECTION A, LINE 8: THE FISCAL YEAR 2012 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 14.1% 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, 2012 WAS MADE UP OF 52% MEDICARE. SUPPLEMENTAL INFORMATION 8 PART III, SECTION C, LINE 9B: CARE IS PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY 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 NO 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 AGENCY. AS PART OF THE COLLECTION POLICY, ANDERSON REGIONAL MEDICAL CENTER OFFERS 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 LEVEL. WHEN 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. SUPPLEMENTAL INFORMATION 9 PART V, LINE 19D: MAXIMUM CHARGES 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. SUPPLEMENTAL INFORMATION 10 PART VI, LINE 2: NEEDS ASSESSMENT 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 AND RUSH FOUNDATION HOSPITAL JOINTLY CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE NEEDS OF THE MERIDIAN AND LAUDERDALE COUNTY MISSISSIPPI HEALTH SERVICE REGION. ALTHOUGH HOSPITALS ARE INDEPENDENTLY OBLIGATED TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS, THE LAW ALLOWS FOR COLLABORATION AND OFFICIALS AT ANDERSON REGIONAL MEDICAL CENTER AND RUSH FOUNDATION HOSPITAL DETERMINED THAT IT WOULD BE PRUDENT TO WORK TOGETHER IN ASSESSING THE NEEDS OF THEIR SERVICE AREA WHICH, FOR THE MOST PART, OVERLAPS GEOGRAPHICALLY. THESE HOSPITALS AGREED THAT IT WAS IN THE COMMUNITY'S BEST INTEREST THAT THEY LEVERAGE COMBINED RESOURCES AND AVOID PITFALLS EXPECTED WHEN COMMUNITY MEMBERS ARE ASKED TO SIMULTANEOUSLY PARTICIPATE IN ACTIVITIES THAT IN MOST CASES WOULD BE VIEWED AS REDUNDANT AND PERHAPS EXCESSIVE. PROJECT GOALS THE PRIMARY GOAL OF THIS PROJECT WAS TO ESTABLISH AN ONGOING, EVIDENCE-BASED PROCESS OF IDENTIFYING AND PRIORITIZING LOCAL COMMUNITY HEALTHCARE NEEDS. THE RESULTS 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 THIS 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 BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH." BEST PRACTICES IN HEALTH NEEDS ASSESSMENTS GENERALLY INCLUDE HEALTHCARE PROVIDERS, PATIENTS/CONSUMERS, BUSINESS LEADERS, AS WELL AS STATE AND/OR LOCAL HEALTH EXPERTS. TO MEET THESE GUIDELINES, WE EMPLOYED 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) *A FOCUS GROUP OF INDIVIDUALS REPRESENTING THE MOST UNDERSERVED AND/OR VULNERABLE POPULATION GROUPS IN THIS COMMUNITY (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 HOSPITALS, (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. RUSH FOUNDATION HOSPITAL AND ANDERSON REGIONAL MEDICAL CENTER ARE LOCATED APPROXIMATELY ONE BLOCK FROM EACH OTHER, 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 THE WORKFORCE IN 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 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 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: 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 *HEART DISEASE *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/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 FOODS 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 OF PREVENTIVE CARE AND HEALTHY LIFESTYLES. *CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THEIR ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH CHILDREN LIVE. NORMS HAVE SHIFTED. PARENTS ALLOW CHILDREN TO CONSUME EXCESSI SUPPLEMENTAL INFORMATION 11 PART VI, LINE 3: PATIENT EDUCATION - ELIGIBILITY ASSISTANCE PATIENT EDUCATION OF ELIGIBILITY 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 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 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. SUPPLEMENTAL INFORMATION 12 PART VI, LINE 4: COMMUNITY INFORMATION THE HOSPITAL'S MAIN SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON, AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVICES THE AREAS OF CHOCTAW AND SUMER 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. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.5% OF THE POPULATION FOR THIS AREA. IN JANUARY OF 2012, THE UNEMPLOYMENT RATE IN LAUDERDALE COUNTY WAS 10.2%, WHICH WAS HIGHER THAN THE UNEMPLOYMENT RATE IN MISSISSIPPI STATE AND THE UNITED STATES OVERALL, WHICH HAD AN UNEMPLOYMENT RATE OF 9.9% AND 8.3%, RESPECTIVELY. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $20,688. SUPPLEMENTAL INFORMATION 13 PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH 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 such as, most major inpatient clinical services, an inpatient rehabilitation unit, 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 its cardiology and cancer services. Cardiology and Diabetes Programs: The Diabetes and Cardiac Support Group is a monthly educational meeting held for the community. The programs center on diabetic and cardiac care such as the importance of exercise and 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. Anderson Regional Medical Center is a major financial sponsor of the American Heart Association Art for Heart. This event raises a significant amount of dollars for the American Heart Association. Anderson Regional Medical Center offers health fairs to the community through our Workhealth program. In order to improve the general health of the community, the Workhealh program offers 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. Cancer Programs: Anderson Regional Medical Center provides a limited number of free mammogram screenings at its Regional Breast Center. This service is provided to the uninsured population within the service areas. Anderson Regional Medical Center sponsors a resource room at the Anderson Regional Cancer Center. This resource room is dedicated to supplying cancer education literature to the public. We also supply a computer with internet access to cancer educational websites and cancer help software. This is a free service and opens to the public Monday through Friday 8:00 am until 5:00 pm. Anderson Regional Cancer Center sponsors a memorial 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. The monthly meetings of the Ostomy Support Group are held in the Education classroom of the Cancer Center. We provide free community cancer screenings for the general public that center around early detection and education on the prevention of cancer. The prostate screening was held in September. Anderson Regional Medical Center participates and is the Survivor Walk sponsor for the annual American Cancer Society "Relay for Life" event. The hospital has participated in the event since its inception in 1994. 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. Breast Feeding classes provides information on the why-to and how-to of breastfeeding to expectant parents. Child Birth Education classes is an education preparation class that addresses wellness, health, labor/delivery stages, coping strategies, surgical interventions, and recovery care for expectant mothers. Grandparenting classes is an education class to update grandparents on the latest information on caring for a newborn. Newborn Care (Baby-Care) classes gives 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. We also participate in the annual Meridian Community College program "College for Kids". During this two week session nurses educate elementary age students on the techniques of infection control, poison control, nutrition, first aid, CPR, A&P, and nursing history. The hospital also sponsored an AARP Driving Safety class. Other Health Care Seminars: Anderson Regional Medical Center offers Health Care seminars that inform the community about various general healthcare topics. These educational seminars generally focus on preventative measures, symptoms and treatments. Some areas that are discussed are breast cancer, mammograms, and prostate problems. 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 the Workhealth Department. 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 events and programs to promote community benefit in health and education: 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 are providers of programs and support 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 SUPPLEMENTAL INFORMATION 14 PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM 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. SUPPLEMENTAL INFORMATION 15 PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT ANDERSON REGIONAL MEDICAL CENTER DOES NOT CURRENTLY HAVE A COMMUNTIY BENEFIT REPORT AND IS NOT FILING REPORTS IN ANY STATES. THE HOSPITAL IS IN THE PROCESS OF DEVELOPING SUCH A REPORT. false EAST CENTRAL COMMUNITY COLLEGE PO BOX 129 DECATUR MS 39327 000000000 GOV'T 27130 COST EXPIRED MEDICAL SUPP EDUCATION EXPENSES WEST LAUDERDALE HIGH SCHOOL 2326 LONG CREEK ROAD COLLINSVILLE MS 39325 000000000 Gov'T 27130 COST EXPIRED MEDICAL SUPP EDUCATION EXPENSES UNIVERSITY OF WEST ALABAMA UWA STATION 29 LIVINGSTON AL 35470 636001100 GOV'T 15000 EDUCATION EXPENSES MERIDIAN COMMUNITY COLLEGE 910 HWY 19 N MERIDIAN MS 39307 646035781 GOV'T 52200 EDUCATION EXPENSES AMERICIAN CANCER SOCIETY 4927 POPLAR SPRINGS DR MERIDIAN MS 39305 640329009 501(C)(3) 6000 SPONSORSHIP FOR RELAY FOR LIFE MERIDIAN COMMUNITY COLLEGE 910 HWY 19 N MERIDIAN MS 39307 646035781 gov't 27130 cost expired medical supp EDUCATION EXPENSES 6 0 SUPPLEMENTAL INFORMATION 1 PART I, LINE 2: GRANTS AND ASSISTANCE ANDERSON REGIONAL MEDICAL CENTER DOES NOT MAINTAIN RECORDS TO SUBSTANTIATE OR MONITOR THE USE OF GRANT FUNDS. THE ASSISTANCE TO THE MERIDIAN COMMUNITY COLLEGE IS MADE DIRECTLY TO THE COMMUNITY COLLEGE ITSELF IN ORDER TO PROVIDE FUNDING/EDUCTION ASSISTANCE TO THE NURSING SCHOOL. IN ADDITION, THE MEDICAL CENTER MADE CONTRIBUTIONS TO THE AMERICAN CANCER SOCIETY AND OTHER CHARITIES FOR THE FURTHERANCE OF THEIR EXEMPT PURPOSES. X X X X true true false false false false false false false JOHN ANDERSON 172914 0 25 0 1477 0 40533 0 13556 0 228505 0 0 0 WANDA COOPER 169652 0 25 0 2673 0 42192 0 14240 0 228782 0 0 0 LINDA TODD 18089 0 0 0 179726 0 7791 0 3356 0 208962 0 1944 0 GEORGE FARR JR 139577 0 25 0 480 0 27931 0 18375 0 186388 0 0 0 ANTHONY RISPOLI 172018 0 0 0 142716 0 35443 0 14300 0 364477 0 10402 0 KATRINA CHAMBLEE 86462 0 0 0 131487 0 16543 0 6198 0 240690 0 4529 0 ANN LUNDY 147072 0 25 0 16997 0 25922 0 1382 0 191398 0 0 0 CHARLES RUSSELL PURDY II 521808 0 25 0 12530 0 0 0 389 0 534752 0 0 0 JAMES D CADY JR 419083 0 25 0 17438 0 10867 0 18970 0 466383 0 0 0 RAUL A PINION 478847 0 25 0 612 0 12250 0 8820 0 500554 0 0 0 PHILLIP K MCDONALD 491612 0 25 0 18688 0 12250 0 11670 0 534245 0 0 0 BRUCE WALLACE BROWN 437303 0 25 0 494 0 12250 0 12207 0 462279 0 0 0 LELAND RAY HUMPHREYS 345520 0 25 0 30978 0 63309 0 15994 0 455826 0 0 0 RICHARD HIGHTOWER 132133 0 25 0 2930 0 14389 0 12310 0 161787 0 0 0 PAMELSA S TVARKUNAS 186280 0 0 0 2602 0 19476 0 13110 0 221468 0 0 0 SUPPLEMENTAL INFORMATION 1 SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE YEAR ENDED SEPTEMBER 30, 2012: LINDA TODD $159,170 KATRINA CHAMBLEE $106,260 ANTHONY RISPOLI $112,038 SUPPLEMENTAL INFORMATION 2 SCHEDULE J, PART I, LINE 4B: PAYMENTS TO NON-QUALIFIED RETIREMENT PLANS ARMC PROVIDES TO CERTAIN EXECUTIVES AN IRC SEC. 457(F), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE PURPOSE OF THIS PLAN IS TO OFFER PARTICIPATING EXECUTIVES TAXABLE DEFERRED COMPENSATION BENEFITS TO SUPPLEMENT SUCH EXECUTIVE'S RETIREMENT BENEFITS UNDER ARMC'S TAX-QUALIFIED RETIREMENT PLAN. THIS PLAN SHALL BE UNFUNDED FOR TAX PURPOSES AND FOR PURPOSE OF TITLE I OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1975 ("ERISA"). THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THE IRC SEC. 457(F) PLAN AND RECEIVED THE CONTRIBUTIONS AND/OR PAYOUTS BELOW DURING THE YEAR: LELAND RAY HUMPHREYS $ 63,309 ANTHONY RISPOLI $ 35,443 KATRINA CHAMBLEE $ 16,543 ALPHE D. WELLS $ 12,306 ANN ELIZABETH LUNDY $ 17,537 JOHN ANDERSON $ 32,064 WANDA COOPER $ 33,006 LINDA TODD $ 7,791 GEORGE FARR, JR. $ 20,666 PAMELSA S. TVARKUNAS $ 19,476 RICHARD HIGHTOWER $ 14,389 SUPPLEMENTAL INFORMATION 3 ARMC ALSO PROVIDES TO CERTAIN EXECUTIVES AN IRC SEC. 457(B), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS LISTED IN PART VII OF FORM 990 PARTICIPATED IN THE IRC SEC. 457(B) PLAN AND MADE THE CONTRIBUTIONS BELOW DURING THE YEAR: LELAND RAY HUMPHREYS $ 16,500 ANTHONY RISPOLI $ 13,750 KATRINA CHAMBLEE $ 16,500 LINDA TODD $ 11,174 ANN ELIZABETH LUNDY $ 16,500 GEORGE EDWARD TUCKER JR INTERIM CFO 373243 CONSULTING SERVICES false SUPPLEMENTAL INFORMATION 1 PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS IN AUGUST OF 2011, MR. TUCKER WAS APPOINTED THE INTERIM CFO FOR ANDERSON REGIONAL MEDICAL CENTER. MR. TUCKER HELD THIS DESIGNATION UNTIL THE FACILITY HIRED A NEW CFO IN AUGUST OF 2012. ANDERSON REGIONAL MEDICAL CENTER PAID MR. TUCKER AS AN INTERIM CFO FROM AUGUST 2011 TO AUGUST 2012. UPON THE HIRING OF THE NEW CFO, MR. TUCKER CONTINUED TO PROVIDE FINANCIAL CONSULTING SERVICES TO ANDERSON REGIONAL MEDICAL CENTER. GENERAL STATEMENT 1 PART III, LINE 4A: PROGRAM SERVICE ACCOMPLISHMENTS Anderson Regional Medical Center (ARMC) 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. ARMC 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 such as, most major inpatient clinical services, an inpatient rehabilitation unit, outpatient services including wound care services and pain management services, therapeutic and diagnostic services, trauma services and emergency services. ARMC prides itself in being the leader in its cardiology and cancer services. Cardiology and Diabetes Programs: The Diabetes and Cardiac Support Group is a monthly educational meeting held for the community. The programs center on diabetic and cardiac care such as the importance of exercise and healthy food choices. ARMC 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. ARMC is a major financial sponsor of the American Heart Association Art for Heart. This event raises a significant amount of dollars for the American Heart Association. ARMC offers health fairs to the community through our Workhealth program. In order to improve the general health of the community, the Workhealh program offers 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. ARMC 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. ARMC also participates in the Neshoba County Fair each year. ARMC provides blood pressure screenings and fluids for those participating in this event. Cancer Programs: ARMC provides a limited number of free mammogram screenings at its Regional Breast Center. This service is provided to the uninsured population within the service areas. ARMC sponsors a resource room at the Anderson Regional Cancer Center. This resource room is dedicated to supplying cancer education literature to the public. We also supply a computer with internet access to cancer educational websites and cancer help software. This is a free service and opens to the public Monday through Friday 8:00 am until 5:00 pm. The Cancer Center sponsors a memorial called the Christmas Tribute. All the donations in memory of or in honor of various people in our community goes to ARMC'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. ARMC 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. The monthly meetings of the Ostomy Support Group are held in the Education classroom of the Cancer Center. We provide free community cancer screenings for the general public that center around early detection and education on the prevention of cancer. The prostate screening was held in September. ARMC participates and is the Survivor Walk sponsor for the annual American Cancer Society "Relay for Life" event. ARMC has participated in the event since its inception in 1994. Obstetrical and Gynecology Programs: ARMC 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. Breast Feeding classes provide information on the why-to and how-to of breastfeeding to expectant parents. Child Birth Education classes is an education preparation class that addresses wellness, health, labor/delivery stages, coping strategies, surgical interventions, and recovery care for expectant mothers. Grandparenting classes are an education class to update grandparents on the latest information on caring for a newborn. Newborn Care (Baby-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: ARMC 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 ARMC. ARMC 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, ARMC 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. ARMC 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. We also participate in the annual Meridian Community College program "College for Kids". During this two week session nurses educate elementary age students on the techniques of infection control, poison control, nutrition, first aid, CPR, A&P, and nursing history. ARMC also sponsored an AARP Driving Safety class. Other Health Care Seminars: ARMC offers Health Care seminars that inform the community about various general healthcare topics. These educational seminars generally focus on preventative measures, symptoms and treatments. Some areas that are discussed are breast cancer, mammograms, and prostate problems. The Infection Control Department of ARMC 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. ARMC offers Safety Seminars to area businesses through the Workhealth Department. 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: ARMC offers a Sports Medicine program that provides athletic trainers to local schools. The trainers perform physicals and assess injuries on the athletes. Other events and programs to promote community benefit in health and education: ARMC is the hospital of choice for the Choctaw Nation. ARMC 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 are providers of programs and support to improve the health of the Choctaw Nation. ARMC actively participates and is a sponsor of numerous blood drives throughout the year with United Blood Services. ARMC'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. ARMC 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. ARMC is an active participate in the United Way of East Mississippi Pacesetter drive. The hospital provides financial support through inducements given to our employees for giving to the United Way. The Stroke/Alzheimer's Support Group is a program organized by Anderson Regional Medical Center South. This group gives information and provides fellowship for caregivers of stoke and Alzheimer survivors. ARMC has provided leadership for many of the local health organizations. Our personnel have served as Presidents or on the Boards of the Lauderdale County Health Association, Diabetes Foundation of Mississippi, American Cancer Society, United Way of East Mississippi and East Mississippi Business and Development Corporation. Some other participates include Rotary Club, Hope Village for Children Board, Meridian Community College Foundation Board, East Mississippi Community College Foundation Board, Optimist Club, and local city committees. 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 Meridian Community College and the University of West Alabama. We have also served on Leadership Lauderdale whereby students visit local businesses. The hospital supported the University of Southern Mississippi Health Education Department by make a donation to the College of Health Development Fund. 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 ARMC has provided nursing scholarship to some of the top students at Meridian Community College. Seven scholar ships 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, and the Reuben S. Johnson, Jr. Scholarship. ARMC assists Meridian Community College with funding for the development and maintenance of health programs. GENERAL STATEMENT 2 PART VI, SECTION A: GOVERNING BODY AND MANAGEMENT PART VI, LINE 2: RELATED PARTIES THROUGH FAMILY/BUSINESS RELATIONSHIP THE FOLLOWING DIRECTORS AND OFFICERS HAVE A FAMILY RELATIONSHIP: DR. JOSEPH ANDERSON GAY WHITWORTH DR. SHAWN ANDERSON JANET FARRINGTON JOHN ANDERSON GEORGE DENTON FARR, JR. PART VI, LINE 6,7A AND 7B: STOCKHOLDERS 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 SHARES 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, M.D. THE MANAGEMENT OF ALL THE AFFAIRS, PROPERTY, AND BUSINESS OF ANDERSON REGIONAL MEDICAL CENTER IS VESTED IN THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS CONSISTS OF FOUR TO EIGHT PERSONS, INCLUDING THE STOCKHOLERS, AND ARE ELECTED BY THE STOCKHOLDERS BY MAJORITY VOTE. NOTWITHSTANDING THE FOREGOING, 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. GENERAL STATEMENT 3 PART VI, SECTION B: POLICIES PART VI, SECTION B, LINE 11B: FORM 990 REVIEW 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 PRIOR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING. PART VI, LINE 12: CONFLICT OF INTEREST POLICY 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. PART VI, LINE 15: OFFICER COMPENSATION THE BOARD HAS A DESIGNATED A THREE (3) PERSON COMMITTEE OF INDEPENDENT BOARD MEMBERS AND IT HAS CONTRACTED FOR AND USED THE PROFESSIONAL SERVICES OF MERCER (USA), INC. TO STUDY AND RECOMMEND COMPENSATION FOR THE CEO, THE VICE-PRESIDENTS, AND THE DIRECTORS OF THE HOSPITAL. MERCER PROVIDES COMPARABILITY DATA AND RESULTS FROM MARKET SURVEY SOURCES IN MAKING ITS RECOMMENDATION AND FROM WHICH THE INDEPENDENT COMPENSATION COMMITTEE MAKES ITS DECISIONS AS TO COMPENSATION FOR THE EXECUTIVES LISTED ABOVE. THIS PROCESS WAS LAST UNDERTAKEN FOR EACH PERSON IN MAY 2011. PART VI, LINE 16: INVESTMENT IN TAXABLE ENTITY ANDERSON REGIONAL MEDICAL CENTER INVESTED MANY YEARS AGO IN THE CONSTRUCTION AND OPERATION OF AN MRI CENTER KNOWN AS REGIONAL MEDICAL SUPPORT CENTER (RMSC), ALONG WITH RUSH FOUNDATION HOSPITAL AND RILEY MEMORIAL HOSPITAL HERE IN MERIDIAN. RUSH AND ANDERSON PURCHASED THE RILEY INTEREST ON OR ABOUT OCTOBER 1, 2011 LEAVING RUSH AND ANDERSON AS THE TWO OWNERS OF THE FOR-PROFIT FACILITY. THE REGIONAL MEDICAL SUPPORT CENTER CURRENTLY HAS FOUR DIRECTORS (TWO FROM ANDERSON AND TWO FROM RUSH). AT 9/30/2012 THERE WOULD HAVE BEEN SIX DIRECTORS WITH TWO BEING FROM RILEY MEMORIAL HOSPITAL. THE CEO AND VICE PRESIDENT OF ANDERSON ARE ON THE BOARD OF DIRECTORS OF RMSC. THESE TWO INDIVIDUALS REPORT DIRECTLY TO THE BOARD OF DIRECTORS OF ANDERSON REGIONAL MEDICAL CENTER. RMSC HAS ITS OWN ATTORNEY SEPARATE FROM THE HOSPITAL'S ATTORNEY AND THAT ATTORNEY ALONG WITH THE ANDERSON'S ATTORNEY ARE WATCHFUL OF THE OPERATION OF RMSC TO MAKE SURE ANDERSON REGIONAL MEDICAL CENTER'S EXEMPT STATUS IS NOT JEOPARDIZED. GENERAL STATEMENT 4 PART VI, SECTION C: DISCLOSURE PART VI, SECTION C, LINE 19: AVAILABILITY OF DOCUMENTS THE HOSPITAL'S ARTICLES OF INCORPORATION 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. GENERAL STATEMENT 5 PART VII, SECTION B: INDEPENDENT CONTRACTORS NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION MORRISON HEALTHCARE, INC. FOOD SERVICES $4,003,108. P.O. BOX 102289 ATLANTA, GA 30368 HOSPITAL HOUSEKEEPING ENVIRONMENTAL $3,256,229. SYSTEMS, LLC SERVICES SANANTONIO, TX 78293 BLOOD SYSTEM, INC. WHOLE BLOOD $1,968,939. P.O. BOX 621 SERVICES MERIDIAN, MS 39302 REHABCARE GROUP EAST, INC MGT REHABILITATION $1,617,344. P.O. BOX 502096 UNIT ST. LOUIS, MO 63150 RILEY ANESTHESIA ASSOCIATES ANESTHESIA SERVICES $1,200,000. P.O. BOX 400 MARION, MS 39342 --------------- TOTAL COMPENSATION $12,045,620. GENERAL STATEMENT 6 PART XI: RECONCILIATION OF NET ASSETS LINE 5: OTHER CHANGES IN NET ASSETS OR FUND BALANCES PRIOR PERIOD AUDIT ADJUSTMENTS ($10,476,666) UNREALIZED LOSS ON INVESTMENTS ($ 305,599) ------------- TOTAL ($10,782,265) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DR. JOSEPH ANDERSON TITLE:DIRECTOR - CHAPLAIN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GAY WHITWORTH TITLE:DIRECTOR - COMMUNITY RELATIONS HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JANET G. FARRINGTON TITLE:DIRECTOR - EDUCATION PROGRAMS HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EUGENE RALEY TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:SHAWN ANDERSON, D.O. TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILLIP BROOKS TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:THURMAN EVERETT TITLE:DIRECTOR HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN ANDERSON TITLE:VICE-PRESIDENT HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:WANDA COOPER TITLE:VICE-PRESIDENT HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE FARR, JR. TITLE:VICE-PRESIDENT HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANN LUNDY TITLE:VICE-PRESIDENT (RES. 05-2012) HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LELAND RAY HUMPHREYS TITLE:PRESIDENT/CEO HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD HIGHTOWER TITLE:VICE-PRESIDENT HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE EDWARD TUCKER, JR. TITLE:INTERIM CFO (RES. 08-2012) HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALPHE D WELLS TITLE:VICE-PRESIDENT HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PAMELSA S TVARKUNAS TITLE:CHIEF NURSING OFFICER/VP HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KEITH HEARTSILL TITLE:CFO HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MATT EDWARDS TITLE:INTERIM CNO/VICE-PRESIDENT HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMIE SMITH TITLE:VICE-PRESIDENT HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES RUSSELL PURDY II TITLE:PHYSICIAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JAMES D CADY, JR TITLE:PHYSICIAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAUL A. PINION TITLE:PHYSICIAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PHILLIP K. MCDONALD TITLE:PHYSICIAN HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRUCE WALLACE BROWN TITLE:HOSPITALIST HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LINDA TODD TITLE:VICE-PRESIDENT (RET. 01-2011) HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY RISPOLI TITLE:VP/CFO (RES. 08-2011) HOURS: HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:KATRINA CHAMBLEE TITLE:VICE-PRESIDENT (RES. 05-2011) HOURS: MEDICAL SUPPORT AND DEVELOPMENTORG 122 WOODMONT WAY RIDGELAND MS 39157 640722433 SUP. ORG. MS 501(c)(3) 11C,III-FI NA false ANDERSON SUPPORT AND DEVELOPMENTFDN 7651 POPLAR SPRINGS DRIVE MERIDIAN MS 39305 640730109 SUP. ORG. MS 501(c)(3) 11D,III-O NA false MIRACLES OF GRACE FOUNDATIONINC 1827 SUNRISE LANE TOOMSUBA MS 39364 640730366 SUP. ORG. MS 501(c)(3) 11C,III-FI NA false CARE CONSISTENCY FOUNDATIONINC 7761 MEADOW CIRCLE MERIDIAN MS 39305 640730846 SUP. ORG. MS 501(c)(3) 11D,III-O NA false ANDERSON PHYSICIAN ALLIANCE INC 2124 14TH STREET MERIDIAN MS 39301 273274203 PHYSICIAN SVC MS 501(c)(3) 3 ARMC true EAST MISSISSIPPI ENDOSCOPY CTR 1929 23RD AVENUE MERIDIAN MS 39301 440884792 HEALTH CARE MS ARMC RELATED -3937 991119 false 0 true 0.51000 JARMC LEVERAGELLC 2124 14TH ST MERIDIAN MS 39301 272284311 INVESTMENTS MS NA 0 ANDERSON PHYSICIAN HOSPITAL ORG 2124 14TH STREET MERIDIAN MS 39301 640850305 PHYS. ORG. MS ARMC C -4543 0 0.00000 ARMC HOSPITAL PROF & GEN LLFT 512 22ND AVENUE MERIDIAN MS 39301 206131090 TRUST MS ARMC T 79660 9527827 1.00000 false false false true false false false false false false false false false true true false false false ANDERSON PHYSICIAN ALLIANCE INC D 453496 FMV ANDERSON PHYSICIAN ALLIANCE INC N 1630189 FMV ANDERSON PHYSICIAN ALLIANCE INC O 5631011 FMV