2011-08-15T10:15:48-04:00 2010-09-30 KPMG LLP 401 COMMERCE STREET SUITE 1000 NASHVILLE TN 37219 990 2009-10-01 640362400 JEFF ANDERSON REGIONAL MEDICAL CENTER JEFF 6015536000 2124 14TH STREET MERIDIAN MS 39301 L RAY HUMPHREYS 6015536000 2011-08-15 true 6152441602 2009 2016-02-24 21:20:13Z L RAY HUMPHREYS 2124 14TH ST MERIDIAN MS 39301 573949256 false X N/A 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 1516 35 6879670 -48975 67281 65244 418457069 461369583 -223824 2939870 686977 683556 418987503 465058253 185300 125003 0 0 67925637 74161701 0 0 0 355722545 386215408 423833482 460502112 -4845979 4556141 212809765 247495540 30394079 60881088 182415686 186614452 THE MISSION OF THE HOSPITAL IS TO CONTINUE OUR HERITAGE OF HEALING AND IMPROVING LIFE FOR THE PEOPLE WE SERVE. false false 384197328 125003 461371583 ANDERSON REGIONAL MEDICAL CENTER IS A 260 BED GENERAL ACUTE CARE HOSPITAL LOCATED IN MERIDIAN, MISSISSIPPI. THE HOSPITAL'S PRIMARY SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, AND WINSTON 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 IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE HOSPITAL PROVIDES A WIDE ARRAY OF SERVICES SUCH AS, MOST MAJOR INPATIENT CLINICAL SERVICES, OUTPATIENT 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: ANDERSON REGIONAL MEDICAL CENTER SPONSORS A HEART CHECK PROGRAM EACH YEAR. THIS IS A YEARLY PROGRAM THAT THE HOSPITAL HAS CONTINUED TO OFFER FOR THE PAST THIRTEEN YEARS. THE HEART CHECK PROGRAM EDUCATES THE COMMUNITY ON A HEALTHY HEART BY PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL CHECKS, WEIGHT AND OTHER CARDIOVASCULAR HEALTH SCREENINGS. OVER 940 AREA RESIDENTS PARTICIPATE IN THIS FREE COMMUNITY SCREENING. 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. THE FACILITY ALSO PARTICIPATED IN THE CHOCTAW INDIAN FAIR AND PERFORMED BLOOD PRESSURE CHECKS ON APPROXIMATELY 100 RESIDENTS. CANCER PROGRAMS: ANDERSON REGIONAL MEDICAL CENTER PROVIDES FREE MAMMOGRAM SCREENINGS AT ITS BREAST CARE CLINIC. THIS SERVICE IS PROVIDED TO THE UNINSURED POPULATION WITHIN THE SERVICE AREAS. ANDERSON REGIONAL MEDICAL CENTER SPONSORS A RESOURCE ROOM AT THE COMPREHENSIVE 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 MEDICAL CENTER SPONSORS A MEMORIAL CALLED THE CANCER CENTER 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 AT OUR FACILITIES. THE GROUP USES THE MEETING FACILITIES ARE 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. 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 AND OVER 70 MEN PARTICIPATED. 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 WHICH INTRODUCE CHILDREN AGE 12 AND UNDER TO THE UPCOMING CHANGES IN THE FAMILY DYNAMICS. BREASTING 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 OR OUTSIDE AT OTHER MEDICAL FACILITIES. 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 THE 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. ANOTHER COURSE DESIGNATED FOR HEALTHCARE PROVIDERS AND FIRST RESPONDERS IS THE HEARTSAVER CPR/AED PROGRAM. THIS CLASS IS FOR PERSONNEL WHO HAVE DUTY TO RESPOND TO CARDIAC EMERGENCIES BECAUSE OF JOB REQUIREMENTS OR REGULATORY REQUIREMENTS. WE ALSO OFFER A CPR/FIRST AID CLASS, A HEARTSAVER CPR COURSE AND A HEARTSAVER FIRST AID COURSE THAT TEACHES THE COMMUNITY ABOUT CARDIO PULMONARY RESUSCITATION AND FIRST AID. THIS PROGRAM IS OFFERED TO SCHOOL AND BUSINESS IN THE SERVICE AREA. THE HOSPITAL ALSO HAS A FAMILY AND FRIENDS CPR CLASS THAT IS OFFERED TO THE GENERAL PUBLIC. ANDERSON REGIONAL MEDICAL CENTER OFFERS EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE. THE HOSPITAL OFFERS A HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE FOR AREA. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS ALSO OFFERED TO THE AREA HEALTHCARE PROVIDERS. WE ALSO PARTICIPATE IN THE COLLEGE FOR KIDS THAT IS HELD YEARLY AT MERIDIAN COMMUNITY COLLEGE. THIS IS A TWO WEEK PROGRAM TO EDUCATE ELEMENTARY AGE STUDENTS ON THE TECHNIQUES OF INFECTION CONTROL, POISON CONTROL, NUTRITION, FIRST AID, CPR, A&P, AND NURSING HISTORY. OTHER HEALTH CARE SEMINARS: ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH CARE SEMINARS THAT ARE INFORM THE COMMUNITY ABOUT VARIOUS GENERAL HEALTHCARE TOPICS. THESE EDUCATIONAL SEMINARS INCLUDE THE SYMPTOMS AND TREATMENTS. SOME AREAS THAT ARE DISCUSSED ARE BREAST CANCER, MAMMOGRAMS, SCROTUM CHECKS, 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. 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. TRAUMA CENTER: DURING CALENDAR YEAR 2009, ANDERSON REGIONAL MEDICAL CENTER WAS CERTIFIED AS A TRAUMA CENTER FOR THE REGION. THE TRAUMA DEPARTMENT CONDUCTS EDUCATIONAL ACTIVITIES AT LOCAL BUSINESS FOR THE GENERAL PUBLIC ON SAFETY ISSUES SUCH AS AUTOMOBILE AND BICYCLE SAFETY. 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 H 384197328 true true false false false false false false false true false true false false false false false false false false true true false true false false false false false false false true false false false false false true true false false true 203 0 true 1516 true true true false false false false false false false false 7 3 true false false false true false false true true false false true true true true true false true true true false X L RAY HUMPHREYS 6015536118 2124 14TH ST MERIDIAN MS 39301 DR JOSEPH ANDERSON 46.0 X 88122 0 15431 GAY WHITWORTH 9.0 X 32679 75000 297 JANET G FARRINGTON 7.0 X 24724 38160 193 EUGENE RALEY 2.0 X 12000 0 59 SHAWN ANDERSON MD 7.0 X 24276 0 297 PHILLIP BROOKS 2.0 X 12516 0 297 THURMAN EVERETT 2.0 X 0 0 0 LARRY FORTENBERRY 40.0 X 220153 0 64500 JOHN ANDERSON 40.0 X 155146 0 51164 WANDA COOPER 40.0 X 181407 0 54563 LINDA TODD 40.0 X 175342 0 47998 GEORGE FARR JR 40.0 X 127106 0 35267 WILLIAM CASEY 40.0 X 0 0 0 ANTHONY RISPOLI 40.0 X 224563 0 44985 KATRINA CHAMBLEE 40.0 X 68833 0 11084 ANN LUNDY 40.0 X 150087 0 21181 LELAND RAY HUMPHREYS 40.0 X 0 0 0 RICHARD HIGHTOWER 40.0 X 0 0 0 DAVID ALLEN GEER MD 40.0 X 446983 0 24075 ROBERT PAUL KING JR 40.0 X 218053 0 26481 GREGG TODD WILLIAMS 40.0 X 202488 0 25705 JASON W COLEMAN 40.0 X 195115 0 26338 JOHN ANTHONY DICKSON 40.0 X 181841 0 14174 MARK MCPHAIL 40.0 X 296953 0 11415 J W JONES 40.0 X 309006 0 15656 IRBY LANG 40.0 X 516172 0 16607 3863565 113160 507767 39 true true true MORRISON HEALTHCARE INC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES 2451214 SODEXHO INC AND AFFILIATES PO BOX 536922 ATLANTA GA 30353 ENVIRONMENTAL SVC. 2301335 PHILLIP KIM MCDONALD M D 4702 18TH AVENUE MERIDIAN MS 39305 ER PHYS. 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2124 14th Street Meridian MS 39301

X X X ANDERSON REGIONAL MEDICAL CENTER USES THE FPG TO ESTABLISH CHARITY CARE POLICIES. ANDERSON REGIONAL MEDICAL CENTER DOES NOT CURRENTLY PREPARE A COMMUNITY BENEFIT REPORT BUT IS IN THE PROCESS OF PREPARING AN EXTENSIVE COMMUNITY REPORT TO PROVIDE TO THE COMMUNITY. 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. 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. THE BAD DEBT EXPENSE OF $21,590,781 WAS INCLUDED ON FORM 990 PART IX, LINE 25, COLUMN (A) BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN. IN ADDITION, THE CONTRACTUAL ADJUSTMENT OF $290,095,035 INCLUDED ON FORM 990 PART IX, LINE 25, COLUMN (A) WAS ALSO SUBTRACTED AS THIS AMOUNT IS A DIRECT OFFSET TO REVENUE PER THE AUDITED FINANCIAL STATEMENTS. 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 $300,000 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 $17,500 AND THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL FOR THE AREA IS 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. THE FISCAL YEAR 2010 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 MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.2% OF THE POPULATION FOR THIS AREA. THE ELDERLY LIVE ON FIXED INCOMES AND FALL INTO LOW INCOME LEVELS FOR THE AREA. JEFF ANDERSON REGIONAL MEDICAL CENTER'S PATIENT POPULATION FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010 WAS MADE UP OF 45.34% MEDICARE. CARE IS PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. JEFF 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. THE 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, JEFF 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 A CHARITY ADJUSTMENTS BASED UPON THE FEDERAL POVERTY GUIDELINES. A CHARITY ADJUSTMENT IS BASED ON THE PATIENT'S INCOME LEVEL. PATIENTS BEING CONSIDERED FOR CHARITY WRITE-OFF MUST COMPLETE A FINANCIAL APPLICATION AND PROVIDE DOCUMENTATION TO SUPPORT THEIR 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. THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF COMPLETING A HEALTH NEEDS ASSESSMENT. HOWEVER, THE COMMUNITY BENEFIT PROGRAMS CURRENTLY SPONSORED BY THE FACILITY DO MEET THE TOP HEALTH PROBLEMS ASSOCIATED WITH THE REGION SUCH AS DIABETES AND HYPERTENSION WHICH, LEAD TO HEART DISEASE AND STROKE, HYPERLIPIDEMIA, OBESITY, AND CANCER. PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE IS OFFERED AT THE FACILITY BY VARIOUS MEANS. THE HOSPITAL HAS SIGNAGE THAT INSTRUCTS THE PATIENTS TO CONTACT THE BUSINESS OFFICE FOR ANY REQUEST FOR FINANCIAL AID. 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. 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 MEDIAN AGE FOR THE AREA COVERED IS 37 YEARS. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.2% OF THE POPULATION FOR THIS AREA. OVER 53% OF THE POPULATION WITHIN THE COVERAGE AREA IS EMPLOYED IN BLUE COLLAR OCCUPATIONS. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $17,500. NO AMOUNTS ARE PROVIDED IN PART II OF SCHEDULE H. ADDITIONAL INFORMATION ON PROMOTING THE HEALTH OF THE COMMUNITY: CARDIOLOGY AND DIABETES PROGRAMS: ANDERSON REGIONAL MEDICAL CENTER SPONSORS A HEART CHECK PROGRAM EACH YEAR. THIS IS A YEARLY PROGRAM THAT THE HOSPITAL HAS CONTINUED TO OFFER FOR THE PAST THIRTEEN YEARS. THE HEART CHECK PROGRAM EDUCATES THE COMMUNITY ON A HEALTHY HEART BY PERFORMING BLOOD PRESSURE CHECKS, CHOLESTEROL CHECKS, WEIGHT AND OTHER CARDIOVASCULAR HEALTH SCREENINGS. OVER 940 AREA RESIDENTS PARTICIPATE IN THIS FREE COMMUNITY SCREENING. 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. JEFF 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. JEFF 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. THE FACILITY ALSO PARTICIPATED IN THE CHOCTAW INDIAN FAIR AND PERFORMED BLOOD PRESSURE CHECKS ON APPROXIMATELY 100 RESIDENTS. CANCER PROGRAMS: JEFF ANDERSON REGIONAL MEDICAL CENTER PROVIDES FREE MAMMOGRAM SCREENINGS AT ITS BREAST CARE CLINIC. THIS SERVICE IS PROVIDED TO THE UNINSURED POPULATION WITHIN THE SERVICE AREAS. JEFF ANDERSON REGIONAL MEDICAL CENTER SPONSORS A RESOURCE ROOM AT THE COMPREHENSIVE 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. JEFF ANDERSON REGIONAL MEDICAL CENTER SPONSORS A MEMORIAL CALLED THE CANCER CENTER 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 AT OUR FACILITIES. THE GROUP USES THE MEETING FACILITIES ARE 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. 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 AND OVER 70 MEN PARTICIPATED. JEFF 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: JEFF 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 WHICH INTRODUCE CHILDREN AGE 12 AND UNDER TO THE UPCOMING CHANGES IN THE FAMILY DYNAMICS. - BREASTING 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: JEFF 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 OR OUTSIDE AT OTHER MEDICAL FACILITIES. - 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 THE AREA MEDICAL PERSONNEL, JEFF 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. ANOTHER COURSE DESIGNATED FOR HEALTHCARE PROVIDERS AND FIRST RESPONDERS IS THE HEARTSAVER CPR/AED PROGRAM. THIS CLASS IS FOR PERSONNEL WHO HAVE DUTY TO RESPOND TO CARDIAC EMERGENCIES BECAUSE OF JOB REQUIREMENTS OR REGULATORY REQUIREMENTS. - WE ALSO OFFER A CPR/FIRST AID CLASS, A HEARTSAVER CPR COURSE AND A HEARTSAVER FIRST AID COURSE THAT TEACHES THE COMMUNITY ABOUT CARDIO PULMONARY RESUSCITATION AND FIRST AID. THIS PROGRAM IS OFFERED TO SCHOOL AND BUSINESS IN THE SERVICE AREA. THE HOSPITAL ALSO HAS A FAMILY AND FRIENDS CPR CLASS THAT IS OFFERED TO THE GENERAL PUBLIC. - JEFF ANDERSON REGIONAL MEDICAL CENTER OFFERS EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE. THE HOSPITAL OFFERS A HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE FOR AREA. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS ALSO OFFERED TO THE AREA HEALTHCARE PROVIDERS. - WE ALSO PARTICIPATE IN THE COLLEGE FOR KIDS THAT IS HELD YEARLY AT MERIDIAN COMMUNITY COLLEGE. THIS IS A TWO WEEK PROGRAM TO EDUCATE ELEMENTARY AGE STUDENTS ON THE TECHNIQUES OF INFECTION CONTROL, POISON CONTROL, NUTRITION, FIRST AID, CPR, A&P, AND NURSING HISTORY. OTHER HEALTH CARE SEMINARS: JEFF ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH CARE SEMINARS THAT ARE INFORM THE COMMUNITY ABOUT VARIOUS GENERAL HEALTHCARE TOPICS. THESE EDUCATIONAL SEMINARS INCLUDE THE SYMPTOMS AND TREATMENTS. SOME AREAS THAT ARE DISCUSSED ARE BREAST CANCER, MAMMOGRAMS, SCROTUM CHECKS, 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. 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. TRAUMA CENTER: DURING CALENDAR YEAR 2009, JEFF ANDERSON REGIONAL MEDICAL CENTER WAS CERTIFIED AS A TRAUMA CENTER FOR THE REGION. THE TRAUMA DEPARTMENT CONDUCTS EDUCATIONAL ACTIVITIES AT LOCAL BUSINESS FOR THE GENERAL PUBLIC ON SAFETY ISSUES SUCH AS AUTOMOBILE AND BICYCLE SAFETY. JEFF 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. JEFF ANDERSON REGIONAL MEDICAL CENTER ACTIVELY PARTICIPATES AND IS A SPONSOR OF NUMEROUS BLOOD DRIVES THROUGHOUT THE YEAR WITH UNITED BLOOD SERVICES. JEFF 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. JEFF ANDERSON REGIONAL MEDICAL CENTER OFFERS A CHAPLAINCY PROGRAM THAT SPEAKS TO CHURCHES IN THE SERVICE AREA TO EXPLAIN THE CHAPLAINCY PROGRAM AND THE SERVICES OFFERED. JEFF ANDERSON REGIONAL ME JEFF ANDERSON REGIONAL MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE HOSPITAL IS A PARTNER IS A JOINT VENTURE THAT OPERATES AN ENDOSCOPY CENTER AND THE HOSPITAL'S SHARE OF THOSE EXPENSES ARE INCLUDED IN PART I OF SCHEDULE H. false AMERICAN HEART ASSOCIATION P O BOX 16808 JACKSON MS 39236 135613797 501(c)(3) 10000 SPONSORSHIP MERIDIAN COMMUNITY COLLEGE 910 HWY 19 N MERIDIAN MS 39307 646035781 Govermental 42600 EDUCATION EXPENSES 2 GRANTS AND ASSISTANCE ANDERSON REGIONAL MEDICAL CENTER DOES NOT MAINTAIN RECORDS TO SUBSTABTIATE 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 HEART ASSOCIATION AND VARIOUS OTHER CHARITIES FOR UNDESIGNATED PURPOSES. X X true true X X X X true true false false false false false false false MARK MCPHAIL 0 0 0 0 296953 0 0 0 11415 0 308368 0 0 0 J W JONES 118820 0 0 0 190186 0 9615 0 6041 0 324662 0 11971 0 IRBY LANG 110112 0 0 0 406060 0 7831 0 8776 0 532779 0 293877 0 LARRY FORTENBERRY 219361 0 0 0 792 0 53973 0 10527 0 284653 0 0 0 JOHN ANDERSON 154870 0 0 0 276 0 38127 0 13037 0 206310 0 0 0 WANDA COOPER 180891 0 0 0 516 0 41718 0 12845 0 235970 0 0 0 LINDA TODD 174550 0 0 0 792 0 40724 0 7274 0 223340 0 0 0 GEORGE FARR JR 126908 0 0 0 198 0 24222 0 11045 0 162373 0 0 0 WILLIAM CASEY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ANTHONY RISPOLI 224348 0 0 0 215 0 33904 0 11081 0 269548 0 0 0 ANN LUNDY 150087 0 0 0 0 0 21151 0 30 0 171268 0 0 0 DAVID ALLEN GEER MD 446221 0 0 0 762 0 11500 12575 0 0 458483 12575 0 0 ROBERT PAUL KING JR 218053 0 0 0 0 0 11016 15465 0 0 229069 15465 0 0 GREGG TODD WILLIAMS 202488 0 0 0 0 10210 15495 0 0 212698 15495 0 0 JASON W COLEMAN 195115 0 0 0 0 9916 16422 0 0 205031 16422 0 0 JOHN ANTHONY DICKSON 181816 0 0 0 25 0 0 14174 0 0 181841 14174 0 0 ADDITIONAL BENEFITS SCHEDULE J, PART I, LINE 1 MR. CASEY WAS PROVIDED A HOUSING ALLOWANCE AND MAID SERVICE FOR THE SERVICES HE PROVIDES TO JEFF ANDERSON REGIONAL MEDICAL CENTER. THESE BENEFITS ARE INCLUDED IN HIS WRITTEN EMPLOYMENT CONTRACT AND ARE PART OF TAXABLE COMPENSATION REPORTED ON SCHEDULE J. SEVERANCE AND CONTRIBUTIONS TO NON-QUALIFIED RETIREMENT PLANS SCHEDULE J, PART I, LINE 4 MARK MCPHAIL, JAMES W. JONES, III, AND IRBY LANG RECEIVED SEVERANCE PAYMENTS DURING THE YEAR ENDED SEPTEMBER 30, 2010. MARK MCPHAIL: $296,437 JAMES W. JONES, III: $177,793 IRBY LANG: $111,968 THE BELOW INDIVIDUALS WERE ALSO PART OF A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN UNDER IRC SEC. 457F. THE AMOUNT PROVIDED REPRESENTS THE CONTRIBUTIONS TO AND PAYOUTS FROM THE 457F PLAN MADE DURING THE YEAR. JAMES W. JONES, III: $ 11,971 (FULLY PAID OUT OF PLAN) IRBY LANG: $293,877 (FULLY PAID OUT OF PLAN) ANTHONY RISPOLI: $ 33,904 KATRINA S. CHAMBLEE: $ 8,934 ANN LUNDY: $ 14,636 JOHN ANDERSON: $ 30,189 WANDA COOPER: $ 32,751 LINDA TODD: $ 31,926 GEORGE FARR: $ 17,735 LARRY FORTENBERRY: $ 42,473 INDEPENDENT CONTRACTOR SCHEDULE J, PART II WILLIAM CASEY, OWNER OF CROSIER CONSULTING, LLC (AN UNRELATED ENTITY), WAS HIRED AS AN INDEPENDENT CONTRACTOR TO ACT AS INTERIM CEO AFTER THE DEPARTURE OF MARK MCPHAIL. ANDERSON REGIONAL MEDICAL CENTER ISSUED A FORM 1099 FOR THE 2009 CALENDAR IN THE AMOUNT OF $562,854 TO CROSIER CONSULTING, LLC FOR THE SERVICES PROVIDED BY WILLIAM CASEY. THE ACTUAL AMOUNT PAID TO WILLIAM CASEY FROM CROSIER CONSULTING, LLC IS NOT KNOWN. CROSIER CONSULTING LLC >35% OWNER(WILLAIM CASEY) 562854 EXECUTIVE SERVICES false RELATED PARTIES THROUGH FAMILY/BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 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. STOCKHOLDERS 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, JEFF ANDERSION REGIONAL MEDICAL CENTER ISSUED ONE-HUNDRED SHARES NONPROFIT CAPITAL STOCK TO FOUR INDIVIDUALS, ALL OF WHICH 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 JEFF ANDERSON REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS. DR. JOSEPH ANDERSON JANET FARRINGTON GAY WHITWORTH DR. SHAWN ANDERSON FORM 990 PROVIDED TO GOVERNING BODY FORM 990, PART VI, SECTION B, LINE 11 EACH BOARD MEMBER WAS PROVIDED A COPY OF THE FORM 990. THE BOARD MEMBERS WERE ASKED TO REVIEW THE FORM AND SUBMIT QUESTIONS AND COMMENTS PRIOR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD. CONFLICT OF INTEREST POLICY FORM 990,PART VI, SECTION B, LINE 12 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. DOCUMENT RETENTION POLICY FORM 990, PART VI, SECTION B, LINE 14 THE HOSPITAL HAD A DOCUMENT RETENTION POLICY FOR PATIENT MEDICAL RECORD INFORMATION. THERE WAS NO FORMAL POLICY FOR ANY OTHER HOSPITAL DOCUMENTS. HOWEVER, IN FISCAL YEAR 2010 A POLICY/PROCEDURE AND RETENTION TIMEFRAMES WERE DEVELOPED FOR ALL HOSPITAL DOCUMENTS. OFFICER COMPENSATION FORM 990, PART VI, SECTION B, LINE 15 THE BOARD HAS A DESIGNATED THREE (3) PERSON INDEPENDENT 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. THE LAST YEAR THIS PROCESS WAS UNDERTAKEN FOR EACH PERSON WAS 2009. INVESTMENT IN TAXABLE ENTITY FORM 990, PART VI, SECTION B, LINE 16 ANDERSON REGIONAL MEDICAL CENTER INVESTED MANY YEARS AGO IN THE CONSTRUCTION AND OPERATION OF A MRI CENTER KNOWN AS REGIONAL MEDICAL SUPPORT CENTER (RMSC)IN MERIDIAN, MISSISSIPPI ALONG WITH THE RUSH FOUNDATION HOSPITAL AND RILEY MEMORIAL HOSPITAL. THE RUSH FOUNDATION AND ANDERSON REGIONAL MEDICAL CENTER PURCHASED THE RILEY INTEREST ON OR ABOUT OCTOBER 1, 2009 LEAVING THEM 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). THE CEO AND VICE PRESIDENT OF ANDERSON REGIONAL MEDICAL CENTER 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 ANDERSON REGIONAL MEDICAL CENTER ATTORNEY'S AND BOTH ARE WATCHFUL OF THE OPERATIONS OF THE RMSC TO MAKE SURE ANDERSON REGIONAL MEDICAL CENTER'S EXEMPT STATUS IS NOT JEOPARDIZED. DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 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 ARE NOT PUBLICLY AVAILABLE NOR IS THE CONFLICT OF INTEREST POLICY. HOWEVER, THE FINANCIAL STATEMENTS OF THE HOSPITAL ARE AVAILABLE TO THE PUBLIC BOTH THROUGH DUNN & BRADSTREET AND AS A PART OF THIS FORM 990. HOURS DEVOTED TO RELATED ORGANIZATION FORM 990, PART VII, COLUMN B NAME AND TITLE JANET G. FARRINGTON, DIRECTOR - EDUCATION :20 HOURS GAY WHITWORTH, DIRECTOR - COMMUNICTY RELATES :35 HOURS DR JOSEPH ANDERSON, DIRECTOR - CHAPLIN :1 HOUR MEDICAL SUPPORT AND DEVELOPMENT 122 WOODMONT WAY RIDGELAND MS 39157 640722433 SUP. ORG. MS 501(C)(3) 11C N/A ANDERSON SUPPORT AND DEVELOPMENT 7651 POPLAR SPRINGS DRIVE MERIDIAN MS 39305 640730109 SUP. ORG. MS 501(C)(3) 11D N/A MIRACLES OF GRACE FOUNDATION 1827 SUNRISE LANE TOOMSUBA MS 39364 640730366 SUP. ORG. MS 501(C)(3) 11C N/A CARE CONSISTENCY FOUNDATION 7761 MEADOW CIRCLE MERIDIAN MS 39305 640730846 SUP. ORG. 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