TY 2017 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) JOSEPH M ANDERSON...................................................................... DIRECTOR/CHAPLAIN	40.00 .................	X			85,768	6,709
(2) NELL GAYDEN HILL...................................................................... DIRECTOR	3.00 .................	X			24,000	0
(3) JANET G FARRINGTON...................................................................... DIRECTOR	5.00 .................	X			26,500	0
(4) SHAWN ANDERSON...................................................................... DIRECTOR	5.00 ................. 1.00	X			24,000	0
(5) DAVID VOWELL...................................................................... DIRECTOR	3.00 .................	X			15,708	0
(6) JAMES THAD QUARLES...................................................................... DIRECTOR	5.00 .................	X			19,875	0
(7) WILLIAM S CRAWFORD...................................................................... DIRECTOR	2.00 .................	X			13,000	0
(8) JOHN C CLAY...................................................................... DIRECTOR	2.00 .................	X			14,500	0
(9) JOHN ANDERSON...................................................................... PRESIDENT/CEO	50.00 ................. 3.00		X		389,569	87,547
(10) GEORGE DENTON FARR JR...................................................................... VICE PRESIDENT	50.00 ................. 2.00		X		154,262	50,281
(11) WANDA COOPER...................................................................... VICE PRESIDENT (SECRETARY)	50.00 ................. 2.00		X		196,265	10,275
(12) WILLIAM SCOT BELL...................................................................... VICE PRESIDENT	50.00 ................. 1.00		X		360,473	101,781
(13) STEVEN BROWN...................................................................... VICE PRESIDENT	50.00 ................. 3.00		X		170,925	52,059
(14) BETTY CRYER...................................................................... VICE PRESIDENT	50.00 ................. 1.00		X		169,358	35,784
(15) JOEL WINDHAM...................................................................... VICE PRESIDENT	50.00 ................. 1.00		X		100,439	0
(16) MICHAEL SHROCK...................................................................... PHYSICIAN	40.00 .................		X		379,922	12,794
(17) DEANNA PRICE...................................................................... PHYSICIAN	40.00 .................			X	249,288	42,078

(A) Name and business address	(B) Description of services	(C) Compensation
REHABCARE GROUP EAST INC PO BOX 502096 ST LOUIS,MO631502096	CONTRACT LABOR	5,023,213
MORRISON HEALTH CARE INC PO BOX 102289 ATLANTA,GA30368	DIETARY SERVICES	4,927,051
HOSPITAL HOUSEKEEPING SYSTEMS LLC 216 E FOURTH ST AUSTIN,TX78701	HOUSEKEEPING SERVICES	4,208,633
HOSPITALIST SERVICES OF MERIDIAN PA 1201 W SWANN AVE TAMPA,FL33606	PHYSICIAN SERVICES	3,932,272
LIFELINC ANESTHESIA PLLC 3340 PLAYERS CLUB PARKWAY STE 350 MEMPHIS,TN38125	PHYSICIAN SERVICES	2,522,842
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 44

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization ANDERSON REGIONAL MEDICAL CENTER

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization ANDERSON REGIONAL MEDICAL CENTER		Employer identification number 64-0362400

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization ANDERSON REGIONAL MEDICAL CENTER			Employer identification number 64-0362400
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	14,540,242		14,540,242
b	Buildings ....	144,472,908	85,454,746	59,018,162
c	Leasehold improvements	353,666	293,744	59,922
d	Equipment ....	139,233,262	110,400,809	28,832,453
e	Other .....	3,121,549	1,361,654	1,759,895
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				104,210,674

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INTERCOMPANY RECEIVABLE				65,444,203
(2)SELF INSURANCE TRUST FUND				8,573,475
(3)CSV - RETIREMENT FUNDS (457B)				5,232,880
(4)OTHER LIMITED AS TO USE ASSETS				338,721
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				79,589,279

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,553,493
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

THE ANDERSON REGIONAL MEDICAL CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3); ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. AS LIMITED LIABILITY COMPANIES, EMEC AND JARMC LEVERAGE'S TAXABLE INCOME OR LOSS IS ALLOCATED TO THE MEMBERS AND IS INCLUDED IN THE CALCULATION OF THEIR TAXABLE INCOME. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. THE MEDICAL CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2018 AND 2017.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		3,880	4,315,791		4,315,791	2.330 %
b	Medicaid (from Worksheet 3, column a) . . . . .		29,607	29,802,986	37,605,847	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		33,487	34,118,777	37,605,847	4,315,791	2.330 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	39	2,821	562,051		562,051	0.300 %
f	Health professions education (from Worksheet 5) . . .	4	1,156	31,007		31,007	0.020 %
g	Subsidized health services (from Worksheet 6) . . . .	1		609,318		609,318	0.330 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	9		242,426		242,426	0.130 %
j	Total. Other Benefits . .	53	3,977	1,444,802		1,444,802	0.780 %
k	Total. Add lines 7d and 7j .	53	37,464	35,563,579	37,605,847	5,760,593	3.110 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1	453	453	0 %
3	Community support	7	15,065	15,065	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	3	398,904	398,904	0.210 %
8	Workforce development	1	92	92	0 %
9	Other
10	Total	12	414,514	414,514	0.220 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,666,769

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

4,459,270

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

82,336,513

Enter Medicare allowable costs of care relating to payments on line 5.....

79,838,302

Subtract line 6 from line 5. This is the surplus (or shortfall)........

2,498,211

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	ANDERSON REGIONAL MEDICAL CENTER 2124 14TH STREET MERIDIAN,MS39301	X	X	X	A
2	ANDERSON REGIONAL MEDICAL CENTER SOUTH 1102 CONSTITUTION AVENUE MERIDIAN,MS39301	X	X		A

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

In conducting its most recent CHNA, did the hospital facility take into account 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? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE DISCLOSURE

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE DISCLOSURE

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.ANDERSONREGIONAL.ORG/INSURANCEBILLING.ASPX

The FAP application form was widely available on a website (list url):

HTTP://WWW.ANDERSONREGIONAL.ORG/INSURANCEBILLING.ASPX

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.ANDERSONREGIONAL.ORG/INSURANCEBILLING.ASPX

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ANDERSON REGIONAL MEDICAL CENTER, - FACILITY 2: ANDERSON REGIONAL MEDICAL CENTER SOUTH
GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5:	N RESPONSE TO FEDERAL REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS, AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ANDERSON REGIONAL MEDICAL CENTER CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE NEEDS OF THE MERIDIAN AND LAUDERDALE COUNTY MISSISSIPPI HEALTH SERVICE REGION. PROJECT GOALSTHE PRIMARY GOAL OF THIS PROJECT WAS TO ESTABLISH AN ONGOING, EVIDENCE-BASED PROCESS OF IDENTIFYING AND PRIORITIZING LOCAL COMMUNITY HEALTHCARE NEEDS. THE RESULT OF THIS ASSESSMENT WILL ESTABLISH THE BASIS FOR PLANNING APPROPRIATE COMMUNITY BENEFIT PROGRAMS TO ADDRESS THESE IDENTIFIED NEEDS. ADDITIONALLY, THIS INFORMATION WILL BE MADE WIDELY AVAILABLE SO AS TO BETTER INFORMAL COMMUNITY LEADERS AND CITIZENS OF THE HEALTH-RELATED CHALLENGES FACED BY THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENT TENDS TO VARY SUBSTANTIALLY IN THEIR METHODS, SCOPE, AND DEPTH. GUIDELINES STATED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND SUBSEQUENT GUIDANCE ISSUED BY THE IRS, REQUIRE THAT THE ASSESSMENT INCLUDE E "INPUT FROM PERSON WHO REPRESENT THE BOARD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH." BEST PRACTICES IN HEALTH NEEDS ASSESSMENT GENERALLY INCLUDE HEALTHCARE PROVIDERS, PATIENTS/CONSUMERS, BUSINESS LEADERS, AS WELL AS STATE AND/OR LOCAL HEALTH EXPERTS TO MEET THESE GUIDELINES; WE EMPLOYED SEVERALLY METHODS, BOTH QUALITATIVE AND QUANTITATIVE. A SECONDARY ANALYSIS OF EXISTING FEDERAL AND STATE DATA (QUANTITATIVE). INTERVIEWS WITH KEY INFORMANTS REPRESENTING THE BOARD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH (QUALITATIVE). AN ONLINE COMMUNITY HEALTH NEEDS SURVEY (QUANTITATIVE/QUALITATIVE). A BRIEF PAPER-BASED HEALTH NEEDS SURVEY SPECIFICALLY TARGETED AT THE UNDERSERVED (QUANTITATIVE/QUALITATIVE). COMMUNITY DEFINED WHEN ASSESSING HEALTH NEEDS OF A COMMUNITY, THE "COMMUNITY" MUST FIRST BE DEFINED. SOME HOSPITAL, (E.G. SPECIALTY HOSPITALS) MAY DEFINE THEIR COMMUNITY IN TERMS OF GROUPS OF PEOPLE OR DEMOGRAPHIC CATEGORIES. A WOMEN'S HOSPITAL, FOR INSTANCE WOULD BE PRIMARILY CONCERNED WITH HEALTH ISSUES FACING WOMEN, AND WOULD THUS FOCUS A NEEDS ASSESSMENT ACCORDINGLY. COMMUNITY IS MORE TYPICALLY DEFINED AS A GEOGRAPHIC SERVICE AREA FOR WHICH, IN MOST CASES, THE GREATEST CONCENTRATION OF PATIENTS SERVED IS IN THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. ANDERSON REGIONAL MEDICAL CENTER IS LOCATED IN MERIDIAN, THE LARGEST MUNICIPALITY IN LAUDERDALE COUNTY. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, LAUDERDALE COUNTY WILL BE CONSIDERED THE "COMMUNITY" OF FOCUS. MERIDIAN AND LAUDERDALE COUNTY PLAY HOST TO A MULTITUDE OF OTHER HEALTHCARE SERVICE AGENCIES, INCLUDING TWO INPATIENT PSYCHIATRIC HOSPITALS, ONE FEDERALLY QUALIFIES COMMUNITY HEALTH CENTER, ONE COMMUNITY MENTAL HEALTH CENTER, AS WELL AS SEVERAL NURSING HOMES, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES IN. IN FACT, APPROXIMATELY 15% LAUDERDALE COUNTY IS EMPLOYED IN THE HEALTH AND SOCIAL SERVICES SECTOR, MAKING HEALTHCARE SERVICES A VERY IMPORTANT ECONOMIC ENGINE FOR THE REGION. THE COUNTIES SURROUNDING LAUDERDALE COUNTY HAVE A RANGE OF THE HEALTHCARE SERVICE PROVIDERS AS WELL, INCLUDING HOSPITALS, CLINICS, ETC., AND IN MOST CASES, WILL BE CONDUCTING THEIR OWN RESPECTIVE COUNTY-LEVEL ASSESSMENT IN THE FUTURE. YET, IT IS IMPORTANT TO NOTE THAT THE HOSPITALS SPONSORING THIS STUDY SERVE AS TERTIARY CARE CENTERS FOR THE SURROUNDING COUNTIES. THEREFORE, WE HAVE DEFINED OUR COMMUNITY GEOGRAPHICALLY (LAUDERDALE COUNTY) AS WELL AS DEMOGRAPHICALLY (ANY NON-LAUDERDALE CO RESIDENT WHO REGULARLY SEEKS HEALTHCARE SERVICES IN LAUDERDALE CO) THUS WE OPTED TO SEEK INPUT FROM THE SURROUNDING COUNTIES THROUGH AN ONLINE SURVEY. IN AGGREGATE, NON-LAUDERDALE CO PARTICIPANTS REPRESENTED 28.5% OF THE ONLINE SURVEY RESPONDENTS. ALTHOUGH, NO FACE-TO-FACE ASSESSMENT ACTIVITY WAS CONDUCTED OUTSIDE OF LAUDERDALE CO, SEVERAL OF THE KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS REPRESENTED ORGANIZATIONS WHOSE MISSION INVOLVES SERVICE TO MULTIPLE COUNTIES IN EAST MISSISSIPPI. METHODS AND PROCESS AS NOTED ABOVE, THIS ASSESSMENT EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING FEDERAL AND STATE DATA (SECONDARY DATA ANALYSIS) PAIRED WITH NEWLY GATHERED DATA FROM THE COMMUNITY (PRIMARY DATA ANALYSIS). THE INITIAL STEP IN THIS PROCESS WAS TO CONDUCT "KEY INFORMANT" INTERVIEWS. KEY INFORMANTS ARE INDIVIDUALS WHO ARE HEAVILY INVOLVED WITH AND KNOWLEDGEABLE ABOUT THE COMMUNITY OF FOCUS. THIS INCLUDES COMMUNITY LEADERS IN THE PUBLIC AND PRIVATE SECTOR, AS WELL AS INDIVIDUALS WITH SPECIAL EXPERTISE IN HEALTHCARE INFORMATION GATHERED THROUGH THESE INTERVIEWS, PAIRED WITH PUBLIC HEALTH INFORMATION, VITAL STATISTICS, AND ECONOMIC DATA PROVIDE A VERY GOOD SNAPSHOT OF THE COMMUNITY'S HEALTH NEEDS. ADDITIONAL PRIMARY DATA COLLECTION WAS CONDUCTED USING A WEB-BASED (I.E. ONLINE) COMMUNITY HEALTH NEEDS SURVEY. AN ACCEPTABLE SAMPLE WAS ACHIEVED. HOWEVER, UPON EXAMINATION OF THE DEMOGRAPHIC DATA OF THE PARTICIPANTS, IT BECAME CLEAR THAT WE SHOULD TAKE ADDITIONAL STEPS TO UNSURE THAT LOW-INCOME AND UNDERSERVED POPULATIONS WERE BETTER REPRESENT. ASSUMING A LOCK OF AVAILABILITY OF TECHNOLOGICAL RESOURCES FOR THIS SEGMENT OF THE POPULATION, A BRIEF PAPER SURVEY WAS DEVELOPED AND ADMINISTERED IN LOW, MINORITY NEIGHBORHOODS TO FURTHER AUGMENT OUR UNDERSTANDING OF THE NEEDS OF THE UNDERSERVED, A FOCUS GROUP WAS HELD FOR THE SPECIFIC PURPOSE OF GATHERING IDEAS ABOUT HOW TO BETTER SERVE THOSE WITH THE GREATEST HEALTH RISK. LOW-INCOME, ELDERLY, MINORITY, DISABLED, AND CHILDREN/YOUTH POPULATIONS. THIS REPORT PROVIDES AN OVERVIEW OF THE INFORMATION GLEANED FROM THIS EXTENSIVE PROCESS. KEY INFORMANT INTERVIEWS WERE CONDUCTED AND SIMILAR RESPONSES WERE NOTED REGARDING BROAD BASED HEALTH NEEDS IN THIS COMMUNITY AND REGION. THESE "MAJOR THEMES" REFLECTED MUCH OF WHAT IS KNOWN THROUGH STATE AND NATIONAL HEALTH DATABASES. THE INTERVIEWS DID, HOWEVER, YIELD MORE INTERESTING INFORMATION. THE INFORMANTS' PROPOSED CAUSES OF AND SOLUTIONS TO HEALTH PROBLEMS/NEEDS VARIED ACCORDING TO THEIR PERSONAL EXPERIENCE AND THE POPULATION THEY AND THEIR ORGANIZATION SERVE. THE RESULTS OF THESE INTERVIEWS ARE SUMMARIZED HERE:GREATEST HEALTH ISSUES:-LIFESTYLE-RELATED HEALTH PROBLEMS-OBESITY-DIABETES-STROKE-HYPERTENSION-RENAL FAILURE-CHILDREN AND YOUTH/ADOLESCENT ISSUES-OVERWEIGHT/OBESITY-TEEN PREGNANCY-SEXUALLY TRANSMITTED DISEASES-DRUG AND ALCOHOL USE-LACK OF PREVENTIVE CARE -MENTAL HEALTH-ORAL CARE POTENTIALLY ROOT CAUSES:-POVERTY: OFTEN, IT WAS NOTED, THAT POVERTY PLAYS A ROLE IN MAKING IT MORE DIFFICULT TO AFFORD HEALTHCARE SERVICES AND ESPECIALLY MEDICATIONS. LOW INCOME ALSO TENDS TO BE ASSOCIATED WITH SHORT TERM PRIORITIES PREVENTIVE CARE. ROUTINE CHECKUPS ARE NOT TYPICALLY VIEWED AS ONE OF THESE PRIORITIES. LACK OF FINANCIAL RESOURCES CREATES STRESS ON INDIVIDUALS AND FAMILIES, WHICH CAN EXACERBATE MENTAL HEALTH PROBLEMS ALONG WITH ELEVATING POTENTIAL FOR DOMESTIC VIOLENCE. CULTURAL ISSUES PLAY A ROLE THAT SPANS ACROSS INCOME GROUPS. TRADITIONAL SOUTHERN FOOD TEND TO BE HIGH IN FAT AND SUGAR, BOOSTING OVERALL CALORIC INTAKE. THE "FAMILY UNIT" WAS ALSO BROUGHT INTO QUESTION WITH HECTIC LIFESTYLES BEING THE NORM, FAST FOOD DRIVE THROUGH WINDOWS HAVE SUPPLANTED COOKING AT HOME ON MORE THAN ONE OCCASION, IT WAS NOTED THAT LACK OF EXERCISE SEEMS TO ALSO STEM FROM ONE'S CULTURE. FOR EXAMPLE, WOMEN, IN ORDER TO MAINTAIN STYLISH HAIR, OFTEN FORGO EXERCISE SO THAT THEY MAY AVOID SWEATING AND CONSEQUENTLY RUINING THEIR HAIR STYLE. MEN WHO DO MANUAL LABOR OFTEN THINK THAT WORK IS EXERCISE (AND IT IS, TO A GREAT EXTENT). HOWEVER, WITHOUT AEROBIC EXERCISE, THEY STILL MAY EVENTUALLY SUFFER CARDIOVASCULAR PROBLEMS. LACK OF EDUCATION ABOUT THE RELEVANCE AND IMPORTANCE TO PREVENTIVE CARE AND HEALTH LIFESTYLES. CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE IR ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH CHILDREN LIVE NORMS HAVE SHIFTED PARENTS ALLOW CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICIAL ACTIVITY.
GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11:	SEE ATTACHED IMPLEMENTATION STRATEGY
GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 21C:	THE FACILITY OFFERS A 30% DISCOUNT TO ANY UNINSURED PATIENT. THE ORGANIZATION ALSO PROVIDES A PROMPT PAY DISCOUNT OF AN ADDITIONAL 10% IF THE BILL IS PAID IN FULL AT THE TIME OF BILLING THE FACILITY ALSO HAS A CHARITY POLICY THAT IS IN PLACE TO DETERMINE IF THE PATIENT QUALIFIES FOR A CHARITY DISCOUNT.
GROUP A-FACILITY 2 -- ANDERSON REGIONAL MEDICAL CENTER SOUTH PART V, SECTION B, LINE 5:	N RESPONSE TO FEDERAL REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS, AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ANDERSON REGIONAL MEDICAL CENTER CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE NEEDS OF THE MERIDIAN AND LAUDERDALE COUNTY MISSISSIPPI HEALTH SERVICE REGION. PROJECT GOALSTHE PRIMARY GOAL OF THIS PROJECT WAS TO ESTABLISH AN ONGOING, EVIDENCE-BASED PROCESS OF IDENTIFYING AND PRIORITIZING LOCAL COMMUNITY HEALTHCARE NEEDS. THE RESULT OF THIS ASSESSMENT WILL ESTABLISH THE BASIS FOR PLANNING APPROPRIATE COMMUNITY BENEFIT PROGRAMS TO ADDRESS THESE IDENTIFIED NEEDS. ADDITIONALLY, THIS INFORMATION WILL BE MADE WIDELY AVAILABLE SO AS TO BETTER INFORMAL COMMUNITY LEADERS AND CITIZENS OF THE HEALTH-RELATED CHALLENGES FACED BY THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENT TENDS TO VARY SUBSTANTIALLY IN THEIR METHODS, SCOPE, AND DEPTH. GUIDELINES STATED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND SUBSEQUENT GUIDANCE ISSUED BY THE IRS, REQUIRE THAT THE ASSESSMENT INCLUDE E "INPUT FROM PERSON WHO REPRESENT THE BOARD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH." BEST PRACTICES IN HEALTH NEEDS ASSESSMENT GENERALLY INCLUDE HEALTHCARE PROVIDERS, PATIENTS/CONSUMERS, BUSINESS LEADERS, AS WELL AS STATE AND/OR LOCAL HEALTH EXPERTS TO MEET THESE GUIDELINES; WE EMPLOYED SEVERALLY METHODS, BOTH QUALITATIVE AND QUANTITATIVE. A SECONDARY ANALYSIS OF EXISTING FEDERAL AND STATE DATA (QUANTITATIVE). INTERVIEWS WITH KEY INFORMANTS REPRESENTING THE BOARD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH (QUALITATIVE). AN ONLINE COMMUNITY HEALTH NEEDS SURVEY (QUANTITATIVE/QUALITATIVE). A BRIEF PAPER-BASED HEALTH NEEDS SURVEY SPECIFICALLY TARGETED AT THE UNDERSERVED (QUANTITATIVE/QUALITATIVE). COMMUNITY DEFINED WHEN ASSESSING HEALTH NEEDS OF A COMMUNITY, THE "COMMUNITY" MUST FIRST BE DEFINED. SOME HOSPITAL, (E.G. SPECIALTY HOSPITALS) MAY DEFINE THEIR COMMUNITY IN TERMS OF GROUPS OF PEOPLE OR DEMOGRAPHIC CATEGORIES. A WOMEN'S HOSPITAL, FOR INSTANCE WOULD BE PRIMARILY CONCERNED WITH HEALTH ISSUES FACING WOMEN, AND WOULD THUS FOCUS A NEEDS ASSESSMENT ACCORDINGLY. COMMUNITY IS MORE TYPICALLY DEFINED AS A GEOGRAPHIC SERVICE AREA FOR WHICH, IN MOST CASES, THE GREATEST CONCENTRATION OF PATIENTS SERVED IS IN THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. ANDERSON REGIONAL MEDICAL CENTER IS LOCATED IN MERIDIAN, THE LARGEST MUNICIPALITY IN LAUDERDALE COUNTY. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, LAUDERDALE COUNTY WILL BE CONSIDERED THE "COMMUNITY" OF FOCUS. MERIDIAN AND LAUDERDALE COUNTY PLAY HOST TO A MULTITUDE OF OTHER HEALTHCARE SERVICE AGENCIES, INCLUDING TWO INPATIENT PSYCHIATRIC HOSPITALS, ONE FEDERALLY QUALIFIES COMMUNITY HEALTH CENTER, ONE COMMUNITY MENTAL HEALTH CENTER, AS WELL AS SEVERAL NURSING HOMES, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES IN. IN FACT, APPROXIMATELY 15% LAUDERDALE COUNTY IS EMPLOYED IN THE HEALTH AND SOCIAL SERVICES SECTOR, MAKING HEALTHCARE SERVICES A VERY IMPORTANT ECONOMIC ENGINE FOR THE REGION. THE COUNTIES SURROUNDING LAUDERDALE COUNTY HAVE A RANGE OF THE HEALTHCARE SERVICE PROVIDERS AS WELL, INCLUDING HOSPITALS, CLINICS, ETC., AND IN MOST CASES, WILL BE CONDUCTING THEIR OWN RESPECTIVE COUNTY-LEVEL ASSESSMENT IN THE FUTURE. YET, IT IS IMPORTANT TO NOTE THAT THE HOSPITALS SPONSORING THIS STUDY SERVE AS TERTIARY CARE CENTERS FOR THE SURROUNDING COUNTIES. THEREFORE, WE HAVE DEFINED OUR COMMUNITY GEOGRAPHICALLY (LAUDERDALE COUNTY) AS WELL AS DEMOGRAPHICALLY (ANY NON-LAUDERDALE CO RESIDENT WHO REGULARLY SEEKS HEALTHCARE SERVICES IN LAUDERDALE CO) THUS WE OPTED TO SEEK INPUT FROM THE SURROUNDING COUNTIES THROUGH AN ONLINE SURVEY. IN AGGREGATE, NON-LAUDERDALE CO PARTICIPANTS REPRESENTED 28.5% OF THE ONLINE SURVEY RESPONDENTS. ALTHOUGH, NO FACE-TO-FACE ASSESSMENT ACTIVITY WAS CONDUCTED OUTSIDE OF LAUDERDALE CO, SEVERAL OF THE KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS REPRESENTED ORGANIZATIONS WHOSE MISSION INVOLVES SERVICE TO MULTIPLE COUNTIES IN EAST MISSISSIPPI. METHODS AND PROCESS AS NOTED ABOVE, THIS ASSESSMENT EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING FEDERAL AND STATE DATA (SECONDARY DATA ANALYSIS) PAIRED WITH NEWLY GATHERED DATA FROM THE COMMUNITY (PRIMARY DATA ANALYSIS). THE INITIAL STEP IN THIS PROCESS WAS TO CONDUCT "KEY INFORMANT" INTERVIEWS. KEY INFORMANTS ARE INDIVIDUALS WHO ARE HEAVILY INVOLVED WITH AND KNOWLEDGEABLE ABOUT THE COMMUNITY OF FOCUS. THIS INCLUDES COMMUNITY LEADERS IN THE PUBLIC AND PRIVATE SECTOR, AS WELL AS INDIVIDUALS WITH SPECIAL EXPERTISE IN HEALTHCARE INFORMATION GATHERED THROUGH THESE INTERVIEWS, PAIRED WITH PUBLIC HEALTH INFORMATION, VITAL STATISTICS, AND ECONOMIC DATA PROVIDE A VERY GOOD SNAPSHOT OF THE COMMUNITY'S HEALTH NEEDS. ADDITIONAL PRIMARY DATA COLLECTION WAS CONDUCTED USING A WEB-BASED (I.E. ONLINE) COMMUNITY HEALTH NEEDS SURVEY. AN ACCEPTABLE SAMPLE WAS ACHIEVED. HOWEVER, UPON EXAMINATION OF THE DEMOGRAPHIC DATA OF THE PARTICIPANTS, IT BECAME CLEAR THAT WE SHOULD TAKE ADDITIONAL STEPS TO UNSURE THAT LOW-INCOME AND UNDERSERVED POPULATIONS WERE BETTER REPRESENT. ASSUMING A LOCK OF AVAILABILITY OF TECHNOLOGICAL RESOURCES FOR THIS SEGMENT OF THE POPULATION, A BRIEF PAPER SURVEY WAS DEVELOPED AND ADMINISTERED IN LOW, MINORITY NEIGHBORHOODS TO FURTHER AUGMENT OUR UNDERSTANDING OF THE NEEDS OF THE UNDERSERVED, A FOCUS GROUP WAS HELD FOR THE SPECIFIC PURPOSE OF GATHERING IDEAS ABOUT HOW TO BETTER SERVE THOSE WITH THE GREATEST HEALTH RISK. LOW-INCOME, ELDERLY, MINORITY, DISABLED, AND CHILDREN/YOUTH POPULATIONS. THIS REPORT PROVIDES AN OVERVIEW OF THE INFORMATION GLEANED FROM THIS EXTENSIVE PROCESS. KEY INFORMANT INTERVIEWS WERE CONDUCTED AND SIMILAR RESPONSES WERE NOTED REGARDING BROAD BASED HEALTH NEEDS IN THIS COMMUNITY AND REGION. THESE "MAJOR THEMES" REFLECTED MUCH OF WHAT IS KNOWN THROUGH STATE AND NATIONAL HEALTH DATABASES. THE INTERVIEWS DID, HOWEVER, YIELD MORE INTERESTING INFORMATION. THE INFORMANTS' PROPOSED CAUSES OF AND SOLUTIONS TO HEALTH PROBLEMS/NEEDS VARIED ACCORDING TO THEIR PERSONAL EXPERIENCE AND THE POPULATION THEY AND THEIR ORGANIZATION SERVE. THE RESULTS OF THESE INTERVIEWS ARE SUMMARIZED HERE:GREATEST HEALTH ISSUES:-LIFESTYLE-RELATED HEALTH PROBLEMS-OBESITY-DIABETES-STROKE-HYPERTENSION-RENAL FAILURE-CHILDREN AND YOUTH/ADOLESCENT ISSUES-OVERWEIGHT/OBESITY-TEEN PREGNANCY-SEXUALLY TRANSMITTED DISEASES-DRUG AND ALCOHOL USE-LACK OF PREVENTIVE CARE -MENTAL HEALTH-ORAL CARE POTENTIALLY ROOT CAUSES:-POVERTY: OFTEN, IT WAS NOTED, THAT POVERTY PLAYS A ROLE IN MAKING IT MORE DIFFICULT TO AFFORD HEALTHCARE SERVICES AND ESPECIALLY MEDICATIONS. LOW INCOME ALSO TENDS TO BE ASSOCIATED WITH SHORT TERM PRIORITIES PREVENTIVE CARE. ROUTINE CHECKUPS ARE NOT TYPICALLY VIEWED AS ONE OF THESE PRIORITIES. LACK OF FINANCIAL RESOURCES CREATES STRESS ON INDIVIDUALS AND FAMILIES, WHICH CAN EXACERBATE MENTAL HEALTH PROBLEMS ALONG WITH ELEVATING POTENTIAL FOR DOMESTIC VIOLENCE. CULTURAL ISSUES PLAY A ROLE THAT SPANS ACROSS INCOME GROUPS. TRADITIONAL SOUTHERN FOOD TEND TO BE HIGH IN FAT AND SUGAR, BOOSTING OVERALL CALORIC INTAKE. THE "FAMILY UNIT" WAS ALSO BROUGHT INTO QUESTION WITH HECTIC LIFESTYLES BEING THE NORM, FAST FOOD DRIVE THROUGH WINDOWS HAVE SUPPLANTED COOKING AT HOME ON MORE THAN ONE OCCASION, IT WAS NOTED THAT LACK OF EXERCISE SEEMS TO ALSO STEM FROM ONE'S CULTURE. FOR EXAMPLE, WOMEN, IN ORDER TO MAINTAIN STYLISH HAIR, OFTEN FORGO EXERCISE SO THAT THEY MAY AVOID SWEATING AND CONSEQUENTLY RUINING THEIR HAIR STYLE. MEN WHO DO MANUAL LABOR OFTEN THINK THAT WORK IS EXERCISE (AND IT IS, TO A GREAT EXTENT). HOWEVER, WITHOUT AEROBIC EXERCISE, THEY STILL MAY EVENTUALLY SUFFER CARDIOVASCULAR PROBLEMS. LACK OF EDUCATION ABOUT THE RELEVANCE AND IMPORTANCE TO PREVENTIVE CARE AND HEALTH LIFESTYLES. CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE IR ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH CHILDREN LIVE NORMS HAVE SHIFTED PARENTS ALLOW CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICIAL ACTIVITY.
GROUP A-FACILITY 2 -- ANDERSON REGIONAL MEDICAL CENTER SOUTH PART V, SECTION B, LINE 11:	SEE ATTACHED IMPLEMENTATION STRATEGY
GROUP A-FACILITY 2 -- ANDERSON REGIONAL MEDICAL CENTER SOUTH PART V, SECTION B, LINE 21C:	THE FACILITY OFFERS A 30% DISCOUNT TO ANY UNINSURED PATIENT. THE ORGANIZATION ALSO PROVIDES A PROMPT PAY DISCOUNT OF AN ADDITIONAL 10% IF THE BILL IS PAID IN FULL AT THE TIME OF BILLING THE FACILITY ALSO HAS A CHARITY POLICY THAT IS IN PLACE TO DETERMINE IF THE PATIENT QUALIFIES FOR A CHARITY DISCOUNT.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address		Type of Facility (describe)
1	1 - EAST MISSISSIPPI ENDOSCOPIC CLINIC 1926 23RD AVENUE MERIDIAN,MS39301	OUTPATIENT ENDOSCOPY AMBULATORY SURGICAL
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 7:	THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE FINANCIAL ASSISTANCE AND MEANS-TEST GOVERNMENT PROGRAM SECTIONS. THIS COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 RATIO OF PATIENT CARE COST-TO-CHARGE AND USED TO DETERMINE THE AMOUNTS FOR PART I, LINE 7A.
PART I, LINE 7G:	THE SUBSIDIZED SERVICE COST REPORTED AS A COMMUNITY BENEFIT RELATES TO THE HOSPITAL'S SPORTS MEDICINE PROGRAM. THE MAIN FOCUS OF THE PROGRAM IS COVERING SPORTING EVENTS FOR SEVEN SCHOOLS IN LAUDERDALE COUNTY AND THE SURROUNDING AREA WITH EACH SCHOOL HAVING BETWEEN 250 TO 300 SPORTING EVENTS IN A GIVEN YEAR. AT THESE EVENTS, THE TRAINERS FOCUS ON INJURY PREVENTION, EQUIPMENT MAINTENANCE, INJURY EVALUATION, FIRST AID AND REHABILITATION OF INJURIES. THIS IS A FREE SERVICE TO ALL THE COVERED SCHOOLS. WE ALSO HELP THE SCHOOLS WITH VARIOUS HEALTH FAIRS, FIELD DAYS, AND OTHER SCHOOL SPONSORED EVENTS. ALTHLETIC TRAINERS ALSO HELP WITH SEVERAL AREAS OF TEACHING, ESPECIALLY DURING THOSE COMPETITION (HEALTH RELATED ORGANIZATION IN THE SCHOOL) THESE SAME SERVICES ARE ALSO PROVIDED AT COMMUNITY RACES SUCH AS ANDERSON CUP RUN, HEART OF DIXIE RUN, AND HOPE VILLAGE RUN.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE OF $16,898,377 WAS INCLUDED ON FORM 990 PART IX, LINE 25, COLUMN (A) BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.
PART II, COMMUNITY BUILDING ACTIVITIES:	ANDERSON REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LOCATED IN MERIDIAN, MISSISSIPPI. THE HOSPITAL'S PRIMARY SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVICES THE AREAS OF CHOCTAW AND SUMTER COUNTIES IN WESTERN ALABAMA. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER, ANDERSON REGIONAL CANCER CENTER, IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE HOSPITAL PROVIDES A WIDE ARRAY OF SERVICES INCLUDING MOST MAJOR INPATIENT CLINICAL SERVICES, AN ACUTE CARE SWING BED UNIT, AN INPATIENT REHABILITATION UNIT, AN INPATIENT GERIATRIC PSYCHIATRIC FACILITY, OUTPATIENT SERVICES INCLUDING WOUND CARE SERVICES AND PAIN MANAGEMENT SERVICES, THERAPEUTIC AND DIAGNOSTIC SERVICES, TRAUMA SERVICES AND EMERGENCY SERVICES. ANDERSON PRIDES ITSELF IN BEING THE LEADER IN CARDIOLOGY AND CANCER SERVICES. ANDERSON REGIONAL CANCER CENTER RECENTLY ACQUIRED THE STATE'S ONLY TOMOTHERAPY RADIATION SYSTEM. CARDIOLOGY PROGRAMS:THE CARDIAC SUPPORT GROUP IS A BI-MONTHLY EDUCATIONAL MEETING HELD FOR THE COMMUNITY. THE PROGRAMS CENTER ON CARDIAC CARE SUCH AS THE IMPORTANCE OF EXERCISE AND HEALTHY FOOD CHOICES.ANDERSON REGIONAL MEDICAL CENTER IS A MAJOR FINANCIAL SPONSOR OF THE AMERICAN HEART ASSOCIATION AND THE LOCAL GO RED FOR WOMEN EVENT. ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH FAIRS TO THE COMMUNITY THROUGH ANDERSON PHYSICIAN ALLIANCE (A WHOLLY OWNED SUBSIDIARY) OF THE HOSPITAL. IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY, THE THESE PROGRAMS OFFER FREE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, WEIGHT AND BODY MASS INDEX MEASUREMENTS, AND DISTRIBUTES GENERAL HEALTH EDUCATIONAL MATERIALS. THE HEALTH FAIRS ARE HELD AT VARIOUS COMPANIES THROUGHOUT THE SERVICE AREAS. THE HOSPITAL ALSO PARTICIPATES IN THE MAIN EVENT SPONSORED BY EAST MISSISSIPPI BUSINESS DEVELOPMENT CORPORATION (EMBDC). THIS IS A COMMUNITY WIDE EVENT WHERE WE OFFER FREE BLOOD PRESSURE SCREENINGS. THE HOSPITAL ALSO PARTICIPATES IN THE NESHOBA COUNTY FAIR EACH YEAR. THE HOSPITAL PROVIDES BLOOD PRESSURE SCREENINGS AND FLUIDS FOR THOSE PARTICIPATING IN THIS EVENT. DIABETES PROGRAMS:THE DIABETES SUPPORT GROUP IS A BI-MONTHLY EDUCATIONAL MEETING HELD FOR THE COMMUNITY. THE PROGRAMS CENTER ON DIABETES CARE SUCH AS THE IMPORTANCE OF HEALTHY FOOD CHOICES.THE HOSPITAL ALSO OFFERS A DIABETES MANAGEMENT CENTER THAT EDUCATES THE COMMUNITY ON THE PREVENTION AND TREATMENT OF DIABETES. THE DIABETES CENTER ALSO PARTICIPATES IN THE ANNUAL MISSISSIPPI WALK FOR DIABETES AND SERVES AS VOLUNTEERS FOR THIS EVENT.CANCER PROGRAMS:ANDERSON REGIONAL CANCER CENTER SPONSORS AN ANNUAL FUNDRAISER CALLED THE CHRISTMAS TRIBUTE. ALL THE DONATIONS IN MEMORY OF OR IN HONOR OF VARIOUS PEOPLE IN OUR COMMUNITY GOES TO THE HOSPITAL'S CANCER PATIENT BENEVOLENCE FUND WHICH ASSISTS AREA CANCER PATIENTS WHO ARE IN NEED OF TRANSPORTATION, MEDICINES, PAYMENT OF UTILITY BILLS, ETC. THE MONTHLY MEETINGS OF THE CAREOUSEL BREAST CANCER SUPPORT GROUP ARE HELD IN THE EDUCATION CLASSROOM OF THE CANCER CENTER. THE PURPOSE OF THIS GROUP IS TO PROVIDE INFORMATION AND SUPPORT FOR BREAST CANCER SURVIVORS.THE HOSPITAL IN CONJUNCTION WITH THE AMERICAN CANCER SOCIETY SPONSORS THE "LOOK GOOD, FEEL BETTER" PROGRAM. THIS IS A COMMUNITY EDUCATION PROGRAM THAT SUPPORTS AREA CANCER PATIENTS AND FAMILIES TO HELP THEM COPE WITH CANCER, CANCER TREATMENTS, AND EFFECTS.OBSTETRICAL AND GYNECOLOGY PROGRAMS:ANDERSON REGIONAL MEDICAL CENTER IS THE LARGEST PROVIDER OF OBSTETRICAL AND GYNECOLOGY SERVICES IN EAST MISSISSIPPI AND WEST ALABAMA. THE SERVICES INCLUDE THOSE OF A NEONATAL INTENSIVE CARE UNIT AND NEONATAL PHYSICIAN SERVICES. THE FOLLOWING EDUCATIONAL CLASSES ARE OFFERED FREE TO AREA EXPECTANT MOTHERS AND THEIR FAMILIES:BIG BROTHER! BIG SISTER! SIBLING CLASSES INTRODUCES CHILDREN, AGE 12 AND UNDER, TO THE UPCOMING CHANGES IN THE FAMILY DYNAMICS.BREASTFEEDING CLASSES PROVIDE INFORMATION ON THE WHY-TO AND HOW-TO OF BREASTFEEDING TO EXPECTANT PARENTS. BREASTFEEDING SUPPORT GROUP MEETINGS ARE HELD TWICE A MONTH.CHILDBIRTH EDUCATION CLASSES IS AN EDUCATION PREPARATION CLASS THAT ADDRESSES WELLNESS, HEALTH, LABOR/DELIVERY STAGES, COPING STRATEGIES, SURGICAL INTERVENTIONS, AND RECOVERY CARE FOR EXPECTANT MOTHERS.NEWBORN CARE CLASSES GIVE NEW PARENTS THE CONFIDENCE REQUIRED TO CARE FOR A BABY WITH DISCUSSIONS CONCERNING NORMAL NEWBORN BEHAVIOR AND CHARACTERISTICS AT DELIVERY TO PRACTICAL ADVICE FOR DAILY CARE.EDUCATIONAL PROGRAMS:ANDERSON REGIONAL MEDICAL CENTER OFFERS EDUCATIONAL PROGRAMS FOR AREA MEDICAL PERSONNEL, SCHOOLS, BUSINESS AND THE COMMUNITY.ADVANCED CARDIAC LIFE SUPPORT COURSE (ACLS) IS OFFERED AS AN EDUCATIONAL PROGRAM FOR MEDICAL PERSONNEL IN THE AREA. THIS PROGRAM IS OFFERED ONSITE AT THE HOSPITAL.THE HOSPITAL COORDINATES AND OFFERS CONTINUE MEDICAL EDUCATION (CME) PROGRAMS TO AREA PHYSICIANS. THE MAJORITY OF THESE PROGRAMS ARE OPEN TO THE GENERAL PUBLIC.FOR AREA MEDICAL PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER OFFERS A HEALTHCARE PROVIDER COURSE THAT IS DESIGNED TO TEACH CPR SKILLS FOR VICTIMS OF ALL AGES. THIS COURSE IS DESIGNATED FOR HEALTHCARE PROVIDERS. OTHER AMERICAN HEART ASSOCIATION COURSES THAT ARE PROVIDED UPON REQUEST INCLUDE:HEARTSAVER CPR/AED AND/OR HEARTSAVER FIRST AID. THESE CLASSES ARE FOR INDIVIDUALS WHO HAVE A DUTY TO RESPOND TO EMERGENCIES BECAUSE OF JOB REQUIREMENTS OR REGULATORY REQUIREMENTS. HOWEVER, ANY COMMUNITY PERSON MAY ATTEND THE HEARTSAVER COURSES.ANDERSON REGIONAL MEDICAL CENTER CAN ALSO PROVIDE EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE SUCH AS HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS ALSO PROVIDED TO THE AREA HEALTHCARE PROVIDERS.THE INFECTION CONTROL DEPARTMENT OF THE HOSPITAL CONDUCTS FREE INFECTION CONTROL SEMINARS TO INFORM THE COMMUNITY ON THE CAUSES AND PREVENTIONS OF INFECTIONS AND DISEASES. THESE ARE TAUGHT AT MERIDIAN COMMUNITY COLLEGE AND AREA SCHOOLS.THE HOSPITAL OFFERS SAFETY SEMINARS TO AREA BUSINESSES THROUGH ANDERSON PHYSICIAN ALLIANCE. THESE SEMINARS CENTER ON OSHA SAFETY INSTRUCTIONS. A BLOOD PRESSURE CHECK IS ALSO PERFORMED ON THE EMPLOYEES OF THE BUSINESS DURING THIS SEMINARY.SPORTS MEDICINE:ANDERSON REGIONAL MEDICAL CENTER OFFERS A SPORTS MEDICINE PROGRAM THAT PROVIDES ATHLETIC TRAINERS TO LOCAL SCHOOLS. THE TRAINERS PERFORM PHYSICALS AND ASSESS INJURIES ON THE ATHLETES.OTHER PROGRAMS BENEFITTING THE COMMUNITY:ANDERSON REGIONAL MEDICAL CENTER IS THE HOSPITAL OF CHOICE FOR THE CHOCTAW NATION. THE HOSPITAL PROVIDES HEALTHCARE TO APPROXIMATELY 8,000 NATIVE AMERICANS. A PATIENT LIAISON IS A FULL-TIME EMPLOYEE OF THE HOSPITAL IN ORDER TO REPRESENT THE NATIVE AMERICANS. THE LIAISON HELPS THE PATIENT AND FAMILIES WITH ANY HEALTHCARE CONCERNS. WE SUPPORT EFFORTS TO IMPROVE THE HEALTH OF THE CHOCTAW NATION.ANDERSON REGIONAL MEDICAL CENTER ACTIVELY PARTICIPATES AND IS A SPONSOR OF NUMEROUS BLOOD DRIVES THROUGHOUT THE YEAR WITH UNITED BLOOD SERVICES.ANDERSON REGIONAL MEDICAL CENTER'S VOLUNTEER AUXILIARY DONATES MONEY TO MERIDIAN COMMUNITY COLLEGE EACH YEAR FOR THE PURCHASE OF EQUIPMENT TO USE IN THE LEARNING PROCESS FOR NURSING STUDENTS. ANDERSON REGIONAL MEDICAL CENTER IS ACTIVE WITH MIDD (MISSISSIPPI INDUSTRIES FOR THE DEVELOPMENTALLY DISABLED). WE HAVE HOSPITAL PERSONNEL WHO ARE VERY ACTIVE ON THE BOARD OF DIRECTORS OF THIS ASSOCIATION AND ATTEND MONTHLY MEETINGS.ANDERSON REGIONAL MEDICAL CENTER IS AN ACTIVE PARTICIPANT IN THE UNITED WAY OF EAST MISSISSIPPI PACESETTER DRIVE. THE STROKE AND ALZHEIMER'S SUPPORT GROUP ARE PROGRAMS ORGANIZED BY ANDERSON REGIONAL MEDICAL CENTER-SOUTH. THIS GROUP GIVES INFORMATION AND PROVIDES FELLOWSHIP FOR CAREGIVERS OF STROKE AND ALZHEIMER'S SURVIVORS.
PART III, LINE 4:	THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2. DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE PAYMENTS RECEIVED AFTER BAD DEBTS ARE POSTED TO A BAD DEBT RECOVERY ACCOUNT. THIS ACCOUNT IS NETTED AGAINST THE BAD DEBT EXPENSE ACCOUNT. THE HOSPITAL BELIEVES $4,459,270 SHOULD QUALITY AS CHARITY CARE. THE FACILITY HAS PROCEDURES IN PLACE TO DERTMINE IF A PATIENT QUALIFIES FOR CHARITY CARE. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $20,688 AND THE PERCENTAGE OF PERSON BELOW THE POVERTY LEVEL FOR THE AREA IS APPROXIMATELY 28.73%.
PART III, LINE 8:	THE FISCAL YEAR 2018 MEDICARE COST REPORT WAS USED TO DETERMINE THE MEDICARE ALLOWABLE COST AND THE MEDICARE REVENUE. THE MEDICARE REVENUE INCLUDES MEDICARE DISPROPORTIONATE SHARE PAYMENT, REVENUE, COINSURANCE, PATIENT DEDUCTIBLES, OUTLIERS, CAPITAL AND BAD DEBT. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.8% OF THE POPULATION FOR THIS AREA. THE ELDERLY LIVE ON FIXED INCOMES AND FALL INTO LOW INCOME LEVELS FOR THE AREA. ANDERSON REGIONAL MEDICAL CENTER'S PATIENT POPULATION FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2018 WAS MADE UP OF 50% MEDICARE.
PART III, LINE 9B:	IN EMERGENCY CARE SITUATIONS, CARE IS PROVIDED TO ALL PERSON REGARDLESS OF THEIR ABILITY TO PAY. NON-EMERGENT ELECTIVE PROCEDURES MAY BE DEFERRED DUE TO A PATIENTS INABILITY TO PAY. ANDERSON REGIONAL MEDICAL CENTER'S COLLECTION POLICY OUTLINES THE TYPE OF COLLECTION NOTICES SUCH AS STATEMENTS, LETTERS, AND PHONE CALLS THAT WILL BE SENT TO A PATIENT, THE DETERMINATION OF FINANCIAL ASSISTANCE, AND POSSIBLE FINANCIAL ALTERNATIVES THIS FACILITY MAILS STATEMENTS EVERY 30 DAYS. IF NOT PAYMENT IS RECEIVED ON AN ACCOUNT, THE COLLECTION LETTER PROCESS BEGINS AND A LETTER IS SENT EVERY 30 DAYS DURING THE PROCESS, COLLECTION PHONE CALLS ARE ALSO MADE TO THE PATIENTS WHEN FURTHER COLLECTION ACTION IS DEEMED NECESSARY, AN ACCOUNT IS ASSIGNED TO THE COLLECTION AGENCEY. AS PART OF THE COLLECTION POLICY, ANDERSON REGIONAL MEDICAL CENTER OFFICER FINANCIAL ASSISTANCE TO ITS PATIENTS. PATIENTS WHO ARE UNABLE TO PAY ARE SCREENED FOR ASSISTANCE UNDER MEDICAID AND/OR OTHER GOVERNMENTAL PROGRAMS. PATIENTS WHO DO NOT QUALIFY UNDER THESE PROGRAMS MAY BE ELIGIBLE FOR CHARITY ADJUSTMENTS BASED UPON THE FEDERAL POVERTY GUIDELINES. A CHARITY ADJUSTMENT IS BASED ON THE PATIENT'S INCOME LEVELWHEN THE PATIENT MEETS THE ESTABLISHED GUIDELINES, THE HOSPITAL WILL THEN ADJUST THE BALANCE BY THE APPLICABLE CHARITY PERCENTAGE. PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE ARE ALSO ASSISTED BY THE FACILITY. THE HOSPITAL WILL ASSIST THOSE PATIENTS UNABLE TO MEET THEIR OBLIGATION IN FULL BY ARRANGING PAYMENT ON A MONTHLY BASIS.
PART VI, LINE 2:	THE ORGANIZATION CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS TO ASSESS THE NEEDS OF THE COMMUNITY. THIS ASSESSMENT TAKES INTO CONSIDERATION INPUT FROM THE COMMUNITY, COMMUNITY LEADERS, AND STATISTICAL INFORMATION.
PART VI, LINE 3:	PATIENT EDUCATION OF ELEGIBILITY ASSISTANCE IS OFFERED AT THE FACILITY BY VARIOUS MEANS. THE HOSPITAL HAS ON SITE THE OUTSOURCE GROUP THAT WORKS WITH THE PATIENTS WHO DO NOT HAVE INSURANCE TO DETERMINEIF THEY ARE ELIGIBLE FOR MEDICAID OR ANY GOVERNMENT ASSISTANCE. IF THEY ARE NOT ELIGIBLE, THIS GROUP REFERS THE PATIENT TO THE CREDIT DEPARTMENT TO DISCUSS THE CHARITY CARE APPLICATION AND POLICY. ALSO THE HOSPITAL HAS CASE MANAGERS ON SITE THAT SCREENS THE PATIENTS AND REFERS THE PATIENT TO THE CREDIT DEPARTMENT FOR FINANCIAL ASSISTANCE. THE FACILITY HAS FINANCIAL COUNSELORS IN THE EMERGENCY DEPARTMENT THAT SCREENS PATIENTS AND DISTRIBUTES CHARITY CARE APPLICATIONS.
PART VI, LINE 4:	THE HOSPITAL'S MAIN SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON, AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVIES THE AREAS OF CHOCTAW AND SUMER COUNTIES IN WESTERN ALABAMA. THESE COUNTIESARE LOCATED IN RURAL AREAS OF THE STATES. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.8% OF THE POPULATION FOR THIS AREA. IN JANUARY OF 2012, THE UNEMPLOYMENT RATE IN LAUDERDALE COUNTY WAS 9.7%, WHICH WAS HIGHER THAN THE UNEMPLOYMENT RATE IN MISSISSIPPI STATE AND THE UNITED STATES OVERALL, WHICH HAD AN UNEMPLOYMENT RATE OF 7.9% AND 5.9%, RESPECTIVELY. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $21,346.
PART VI, LINE 6:	ANDERSON REGIONAL MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. THE HOSPITAL IS A PARTNER IN A JOINT VENTURE THAT OPERATES AN ENDOSCOPY CENTER AND THE HOSPITAL'S SHARE OF THOSE EXPENSES ARE INCLUDED IN PART I OF SCHEDULE H.

Schedule H (Form 990) 2019

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
ANDERSON REGIONAL MEDICAL CENTER

Employer identification number
64-0362400

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MISSISSIPPI CHILDREN'S MUSEUM PO BOX 55409 JACKSON,MS39296	81-2097519	501(C)(3)	5,000	SPONSORSHIP
(2) MISSISSIPPI ARTS AND ENTERTAINMENT CENTER POB 148 MERIDIAN,MS39302	35-2193471	501(C)(3)	22,000	SPONSORSHIP
(3) MERIDIAN SYMPHONY ASSOCIATION INC PO BOX 2171 MERIDIAN,MS39302	64-6025769	501(C)(3)	15,000	SPONSORSHIP
(4) MERIDIAN COMMUNITY COLLEGE 910 HWY 19N MERIDIAN,MS39307	64-6035781	501(C)(3)	17,500	NURSING SCHOLORSHIPS
(5) NEW CARDIOVASCULAR HORIZONS 3639 AMBASSADOR CAFFERY PKWY LAFAYEETE,LA70503	46-3186713	501(C)(3)	15,000	SPONSORSHIP

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) CANCER PATIENT BENEVOLENCE FUND	198	49,692	4,520	OVERHEAD	ASSISANTANCE TO CANCER PATIENTS FOR GAS MONEY TO MAKE APPOINTMENTS, PAY UTILITIES, VARIOUS LIVING EXPENSES
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE ORGANIZATION PROVIDED SUPPORT AS PART OF ITS EXEMPT PURPOSE. THE USE OF THE FUNDS WAS MONITORED BY COMMON MANAGEMENT OVERSIGHT.

Schedule I (Form 990) 2019

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOHN ANDERSON PRESIDENT/CEO	(i) (ii)	378,667 ------------- 0	0 ------------- 0	10,902 ------------- 0	72,309 ------------- 0	15,238 ------------- 0	477,116 ------------- 0	0 ------------- 0
2GEORGE DENTON FARR JR VICE PRESIDENT	(i) (ii)	153,488 ------------- 0	0 ------------- 0	774 ------------- 0	30,168 ------------- 0	20,113 ------------- 0	204,543 ------------- 0	0 ------------- 0
3WANDA COOPER VICE PRESIDENT (SECRETARY)	(i) (ii)	192,028 ------------- 0	0 ------------- 0	4,237 ------------- 0	1,725 ------------- 0	8,550 ------------- 0	206,540 ------------- 0	0 ------------- 0
4WILLIAM SCOT BELL VICE PRESIDENT	(i) (ii)	355,622 ------------- 0	0 ------------- 0	4,851 ------------- 0	79,208 ------------- 0	22,573 ------------- 0	462,254 ------------- 0	0 ------------- 0
5STEVEN BROWN VICE PRESIDENT	(i) (ii)	170,203 ------------- 0	0 ------------- 0	722 ------------- 0	29,310 ------------- 0	22,749 ------------- 0	222,984 ------------- 0	0 ------------- 0
6BETTY CRYER VICE PRESIDENT	(i) (ii)	166,665 ------------- 0	0 ------------- 0	2,693 ------------- 0	27,681 ------------- 0	8,103 ------------- 0	205,142 ------------- 0	0 ------------- 0
7MICHAEL SHROCK PHYSICIAN	(i) (ii)	275,744 ------------- 0	102,515 ------------- 0	1,663 ------------- 0	5,400 ------------- 0	7,394 ------------- 0	392,716 ------------- 0	0 ------------- 0
8DEANNA PRICE PHYSICIAN	(i) (ii)	208,151 ------------- 0	40,739 ------------- 0	398 ------------- 0	22,008 ------------- 0	20,070 ------------- 0	291,366 ------------- 0	0 ------------- 0
9ROBERT KING JR PHYSICIST	(i) (ii)	240,536 ------------- 0	0 ------------- 0	486 ------------- 0	5,030 ------------- 0	21,163 ------------- 0	267,215 ------------- 0	0 ------------- 0
10MELODY BYRAM PHYSICIAN	(i) (ii)	210,365 ------------- 0	0 ------------- 0	458 ------------- 0	4,167 ------------- 0	14,966 ------------- 0	229,956 ------------- 0	0 ------------- 0
11MARY SCHAEFER PHYSICIAN	(i) (ii)	214,291 ------------- 0	0 ------------- 0	856 ------------- 0	0 ------------- 0	7,472 ------------- 0	222,619 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	EXECUTIVE TEAM MEMBERS AND BOARD MEMBERS ARE OFFERED FREE MEMBERSHIPS TO ANDERSON HEALTH AND FITNESSS CENTER. WANDA COOPER, GEORGE DENTON FARR, BETTY CRYER, WILLIAM SCOT BELL, DAVID VOWELL, WILLIAM CRAWFORD, AND JOHN ANDERSON RECEIVED FREE MEMBERSHIPS.
PART I, LINE 4B	ARMC PROVIDES CERTAIN EXEUCTIVES AN IRC SEC 457(F), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) PLAN: - JOHN ANDERSON $72,309 - GEORGE DENTON FARR, JR. 26,808 - SCOT BELL 55,808 - STEVEN BROWN 25,550 - BETTY CRYER 24,121

Schedule J (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) TRINITY E FARR	FAMILY RELATIONSHIP OF A BOARD MEMBER	82,164	COMPENSATION FOR SERVICES		No
(2) WILLIAM J ANDERSON IV	FAMILY RELATIONSHIP OF A BOARD MEMBER	47,711	COMPENSATION FOR SERVICES		No
(3) STEPHEN A COVINGTON	FAMILY RELATIONSHIP OF A BOARD MEMBER	125,673	COMPENSATION FOR SERVICES		No
(4) JENNIFER L CHESTNUTT	FAMILY RELATIONSHIP OF A BOARD MEMBER	15,089	COMPENSATION FOR SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Return Reference	Explanation
FORM 990, PAGE 2, PART III, LINE 4A	ANDERSON REGIONAL MEDICAL CENTER PROGRAM SERVICES 2018 ANDERSON REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LOCATED IN MERIDIAN, MISSISSIPPI. THE HOSPITAL'S PRIMARY SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVES THE AREAS OF CHOCTAW AND SUMTER COUNTIES IN WESTERN ALABAMA. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER, ANDERSON REGIONAL CANCER CENTER, IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE HOSPITAL PROVIDES A WIDE ARRAY OF SERVICES INCLUDING MOST MAJOR INPATIENT CLINICAL SERVICES, AN ACUTE CARE SWING BED UNIT, AN INPATIENT REHABILITATION UNIT, AN INPATIENT GERIATRIC PSYCHIATRIC FACILITY, OUTPATIENT SERVICES INCLUDING WOUND CARE SERVICES AND PAIN MANAGEMENT SERVICES, THERAPEUTIC AND DIAGNOSTIC SERVICES, TRAUMA SERVICES AND EMERGENCY SERVICES. ANDERSON PRIDES ITSELF IN BEING THE LEADER IN CARDIOLOGY AND CANCER SERVICES. ANDERSON REGIONAL CANCER CENTER RECENTLY ACQUIRED THE STATE'S ONLY TOMOTHERAPY RADIATION SYSTEM. CARDIOLOGY PROGRAMS THE CARDIAC SUPPORT GROUP IS A BI-ANNUAL EDUCATIONAL MEETING HELD FOR THE COMMUNITY. THE PROGRAMS CENTER ON CARDIAC CARE SUCH AS THE IMPORTANCE OF EXERCISE AND HEALTHY FOOD CHOICES. ANDERSON REGIONAL MEDICAL CENTER IS A MAJOR FINANCIAL SPONSOR OF THE AMERICAN HEART ASSOCIATION AND THE LOCAL GO RED FOR WOMEN EVENT. ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH FAIRS TO THE COMMUNITY THROUGH OUR WORKHEALTH PROGRAM. IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY, NURSES OFFER FREE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, WEIGHT AND BODY MASS INDEX MEASUREMENTS, AND DISTRIBUTE GENERAL HEALTH EDUCATIONAL MATERIALS. DIABETES PROGRAMS THE DIABETES SUPPORT GROUP IS A BI-ANNUAL EDUCATIONAL MEETING HELD FOR THE COMMUNITY. THE PROGRAMS CENTER ON DIABETES CARE SUCH AS THE IMPORTANCE OF HEALTHY FOOD CHOICES. THE HOSPITAL ALSO OFFERS A DIABETES MANAGEMENT CENTER WITH CERTIFIED INSTRUCTORS WHO EDUCATE THE COMMUNITY ON THE PREVENTION AND TREATMENT OF DIABETES. THE DIABETES CENTER ALSO PARTICIPATES IN THE ANNUAL MISSISSIPPI WALK FOR DIABETES AND SERVES AS VOLUNTEERS FOR THIS EVENT. CANCER PROGRAMS ANDERSON REGIONAL CANCER CENTER SPONSORS AN ANNUAL FUNDRAISER CALLED THE CHRISTMAS TRIBUTE. DONATIONS ARE MADE IN MEMORY OF OR IN HONOR OF INDIVIDUALS, WITH THE MONEY GOING TO THE HOSPTIAL'S CANCER PATIENT BENEVOLENCE FUND WHICH ASSISTS AREA CANCER PATIENTS WHO ARE IN NEED OF TRANSPORTATION, MEDICINES, PAYMENT OF UTILITY BILLS, ETC. 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. A SKIN CANCER SCREENING WAS HELD IN MAY 2018, A PROSTATE SCREENING WAS HELD IN SEPTEMBER 2018, AND AN OPEN HOUSE WAS HELD AT THE BREAST CENTER IN OCTOBER 2018 TO PROVIDE EDUCATIONAL INFORMATION TO THE PUBLIC AND FREE MAMMOGRAMS TO UNINSURED PATIENTS. OBSTETRICAL AND GYNECOLOGY PROGRAMS ANDERSON REGIONAL MEDICAL CENTER PROVIDES OBSTETRICAL AND GYNECOLOGY SERVICES, AS WELL AS A NEONATAL INTENSIVE CARE UNIT AND NEONATAL PHYSICIAN SERVICES. THE FOLLOWING EDUCATIONAL CLASSES ARE OFFERED FREE TO ANY EXPECTANT MOTHERS/FAMILIES. BIG BROTHER! BIG SISTER! SIBLING CLASSES INTRODUCES CHILDREN, AGE 12 AND UNDER, TO THE UPCOMING CHANGES IN THE FAMILY DYNAMICS. BREASTFEEDING CLASSES PROVIDE INFORMATION ON THE WHY-TO AND HOW-TO OF BREASTFEEDING, AS WELL AS THE HEALTH BENEFITS ASSOCIATED WITH BREASTFEEDING SUCH AS REDUCING CHILDHOOD OBESITY. CHILDBIRTH EDUCATION CLASSES IS AN EDUCATION PREPARATION CLASS THAT ADDRESSES WELLNESS, HEALTH, LABOR/DELIVERY STAGES, COPING STRATEGIES, SURGICAL INTERVENTIONS, AND RECOVERY CARE FOR EXPECTANT MOTHERS. NEWBORN CARE CLASSES GIVE NEW PARENTS THE CONFIDENCE REQUIRED TO CARE FOR A BABY WITH DISCUSSIONS CONCERNING NORMAL NEWBORN BEHAVIOR AND CHARACTERISTICS AT DELIVERY TO PRACTICAL ADVICE FOR DAILY CARE. INFANT CPR CLASSES ARE PROVIDED BY AN EXPERIENCED NURSERY NURSE AND IS DESIGNED TO GIVE NEW PARENTS AS WELL AS OTHER CAREGIVERS THE BASIC INFORMATION ON WHAT TO DO IN EMERGENCY SITUATIONS THAT MIGHT REQUIRE THE SKILLS OF INFANT CPR. ANDERSON IS A CO-SPONSOR OF EAST MS BABY CAF, AN OFF-SITE BREASTFEEDING SUPPORT GROUP FOR NEW MOMS AND MOMS-TO-BE. 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. HEARTSAVER CPR/AED AND/OR HEARTSAVER FIRST AID: THESE CLASSES ARE FOR INDIVIDUALS WHO HAVE A DUTY TO RESPOND TO EMERGENCIES BECAUSE OF JOB REQUIREMENTS OR REGULATORY REQUIREMENTS. HOWEVER, ANY COMMUNITY PERSON MAY ATTEND THE HEARTSAVER COURSES. ANDERSON REGIONAL MEDICAL CENTER ALSO OFFERS EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE SUCH AS HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS PROVIDED TO AREA HEALTHCARE PROVIDERS. THE INFECTION CONTROL DEPARTMENT OF THE HOSPITAL CONDUCTS FREE INFECTION CONTROL SEMINARS TO INFORM THE COMMUNITY ON THE CAUSES AND PREVENTIONS OF INFECTIONS AND DISEASES. THESE ARE TAUGHT AT MERIDIAN COMMUNITY COLLEGE AND AREA SCHOOLS. THE HOSPITAL OFFERS SAFETY SEMINARS TO AREA BUSINESSES THROUGH ANDERSON PHYSICIAN ALLIANCE. THESE SEMINARS CENTER ON OSHA SAFETY INSTRUCTIONS. A BLOOD PRESSURE CHECK IS ALSO PERFORMED ON THE EMPLOYEES OF THE BUSINESS DURING THIS SEMINAR. LUNCH AND LEARNS ARE HELD THROUGHOUT THE YEAR WITH VARIOUS EDUCATIONAL TOPICS PRESENTED BY HEALTHCARE PERSONNEL. THESE EVENTS ARE FREE TO THE COMMUNITY. IN 2018, TOPICS INCLUDED ADOPTING A MEDITERRANEAN DIET, ALLERGIES IN THE SOUTH, AND THE LINK BETWEEN FATIGUE AND EXERCISE. SPORTS MEDICINE ANDERSON REGIONAL MEDICAL CENTER OFFERS A SPORTS MEDICINE PROGRAM THAT PROVIDES ATHLETIC TRAINERS TO LOCAL SCHOOLS. THE TRAINERS PERFORM PHYSICALS AND ASSESS INJURIES ON THE ATHLETES. OTHER PROGRAMS BENEFITTING THE COMMUNITY ANDERSON REGIONAL MEDICAL CENTER PROVIDES HEALTHCARE TO APPROXIMATELY 8,000 NATIVE AMERICANS FROM THE CHOCTAW INDIAN RESERVATION. A CHOCTAW PATIENT LIAISON IS A FULL-TIME EMPLOYEE OF THE HOSPITAL, SERVING AS A REPRESENTATIVE OF THE NATIVE AMERICANS. THE LIAISON HELPS PATIENTS AND FAMILIES WITH ANY HEALTHCARE CONCERNS. WE SUPPORT EFFORTS TO IMPROVE THE HEALTH OF THE CHOCTAW NATION. ANDERSON REGIONAL MEDICAL CENTER IS ACTIVE WITH MIDD (MISSISSIPPI INDUSTRIES FOR THE DEVELOPMENTALLY DISABLED). HOSPITAL PERSONNEL SERVE ON THE ADVISORY BOARD AND ATTEND BI-MONTHLY MEETINGS. ANDERSON REGIONAL MEDICAL CENTER IS AN ACTIVE PARTICIPANT IN THE UNITED WAY OF EAST MISSISSIPPI PACESETTER DRIVE. THE STROKE SUPPORT GROUP MEETS MONTHLY AT ANDERSON REGIONAL MEDICAL CENTER- SOUTH. THIS GROUP GIVES INFORMATION AND PROVIDES FELLOWSHIP FOR STROKE SURVIVORS AND THEIR CAREGIVERS. THE ALZHEIMER'S SUPPORT GROUP MEETS MONTHLY AT ANDERSON REGIONAL MEDICAL CENTER- SOUTH. THIS GROUP GIVES INFORMATION AND PROVIDES FELLOWSHIP FOR ALZHEIMER'S PATIENTS AND THEIR CAREGIVERS. ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED LEADERSHIP AS BOARD MEMBERS AND/OR OFFICERS FOR MANY OF THE LOCAL HEALTH ORGANIZATIONS INCLUDING LAUDERDALE COUNTY HEALTH ASSOCIATION, DIABETES FOUNDATION OF MISSISSIPPI, AMERICAN CANCER SOCIETY, UNITED WAY OF EAST MISSISSIPPI, EAST MISSISSIPPI BUSINESS AND DEVELOPMENT CORPORATION, ROTARY CLUB, HOPE VILLAGE FOR CHILDREN BOARD, MERIDIAN COMMUNITY COLLEGE FOUNDATION BOARD, OPTIMIST CLUB, LIONS CLUB, AMERICAN HEART ASSOCIATION, 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 IN LAUDERDALE COUNTY.
FORM 990, PAGE 2, PART III, LINE 4A	CONTINUED IN AN EFFORT TO REDUCE THE SHORTAGE OF REGISTERED NURSES AND OTHER HEALTHCARE PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER HAS TAKEN THE FOLLOWING ACTIONS: SINCE 1986 ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED NURSING SCHOLARSHIPS TO SOME OF THE TOP STUDENTS AT MERIDIAN COMMUNITY COLLEGE. SEVEN SCHOLARSHIPS ARE GIVEN ANNUALLY, THE DR. JEFF ANDERSON SCHOLARSHIP, DR. JEFFERSON HOLLINGSWORTH SCHOLARSHIP, DR. WILLIAM J. ANDERSON SCHOLARSHIP, DR. WILLIAM J. ANDERSON III SCHOLARSHIP, THE WILLIAM J. GUNN, ESQUIRE SCHOLARSHIP, THE REUBEN S. JOHNSON, JR. SCHOLARSHIP, AND THE ANDERSON BOARD OF DIRECTORS SCHOLARSHIP. ANDERSON REGIONAL MEDICAL CENTER ASSISTS MERIDIAN COMMUNITY COLLEGE WITH FUNDING FOR THE DEVELOPMENT AND MAINTENANCE OF HEALTH PROGRAMS.
FORM 990, PART VI, SECTION A, LINE 1	A GENERAL EXECUTIVE COMMITTEE OF THE BOARD MAY BE NAMED BY THE BOARD OF DIRECTORS, IN ITS DISCRETION, BY RESOLUTION ADOPTED BY A MAJORITY OF THE WHOLE BOARD, APPOINTING THE MEMBERS THEREOF, AND SPECIFING ITS AUTHORITY AND RESPONSIBILITY. TO THE EXTENT PROVIDED IN SUCH RESOLUTION, OR IN THE ARTICLES OR THESE BYLAWS, SAID EXECUTIVE COMMITTEE MAY HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS, BUT SHALL NOT HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO AMENDING THE ARTICLES, ADOPTING A PLAN OF MERGER OR CONSOLIDATION, RECOMMENDING TO THE SHAREHOLDERS THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION OTHERWISE THAN IN THE USUAL AND REGULAR COURSE OF ITS BUSINESS, RECOMMENDING TO THE SHAREHOLDERS A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF, ELECTING, APPOINTING OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES, OR AMENDING THE ARTICLES OR BYLAWS OF THE CORPORATION. ANY SUCH DESIGNATION OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY MEMBER THERE OF ANY RESPONSIBILITY IMPOSED BY LAW. SUCH COMMITTEE SHALL BY COMPOSED OF NOT LESS THAN THREE (3) MEMBERS OF THE BOARD OF DIRECTORS WHO SHALL SERVE AT THE PLEASURE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL BE ORGANIZED AND SHALL PERFORM ITS FUNCTIONS AS DIRECTED BY THE BOARD AND SHALL REPORT PERIODICALLY TO THE BOARD. THE COMMITTEE SHALL ACT BY MAJORITY OF THE MEMBERS THEREOF, AND ANY ACTION DULY TAKEN BY THE EXECUTIVE COMMITTEE WITHIN THE COURSE AND SCOPE OF ITS AUTHORITY SHALL BE BINDING ON THE CORPORATION. THE EXECUTIVE COMMITTEE MAY BE ABOLISHED AT ANY TIME BY THE VOTE OF THE WHOLE MAJORITY OF THE BOARD OF DIRECTORS, AND DURING THE COURSE OF THE COMMITTEE'S EXISTENCE, THE MEMBERS THEREOF MAY BE INCREASED AND THE AUTHORITY AND DUTIES OF THE COMMITTEE CHANGED BY THE BOARD OF DIRECTORS AS IT MAY DEEM APPROPRIATE.
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING BOARD MEMBERS HAVE A FAMILY RELATIONSHIP: - DR. JOSEPH ANDERSON - NELL GAYDEN HILL - DR. SHAWN ANDERSON - JANET FARRINGTON BOARD MEMBER NELL GAYDEN HILL AND OFFICER DENTON FARR HAVE A FAMILY RELATIONSHIP BOARD MEMBER DR. JOSEPH ANDERSON AND OFFICER JOHN ANDERSON HAVE A FAMILY RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	ANDERSON REGIONAL MEDICAL CENTER WAS ESTABLISHED IN 1928 AS A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MISSISSIPPI. ON THE DATE OF INCORPORATION, ANDERSON REGIONAL MEDICAL CENTER ISSUED ONE-HUNDRED SHARE OF NONPROFIT CAPITAL STOCK TO FOUR INDIVIDUALS, EACH OF WHOM RECEIVED AN EQUAL NUMBER OF SHARES. CURRENTLY, FOUR INDIVIDUALS, FAMILY MEMBERS OF THE ORIGINAL HOLDERS, HOLD THOSE ORIGINAL ONE-HUNDRED SHARE IN EQUAL PROPORTION. IN ADDITION, THESE FOUR INDIVIDUALS, DISCLOSED BELOW, ARE CURRENTLY VOTING BOARD MEMBERS ON ANDERSON REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS: - DR. JOSEPH ANDERSON - JANET G. FARRINGTON - NELL GAYDEN HILL - SHAWN ANDERSON, D.O. NOTWITHSTANDING THE FORGOING, IT IS THE INTENT OF THE ANDERSON REGIONAL MEDICAL CENTER AND ITS STOCKHOLDERS THAT THE TERM "STOCKHOLDER" SHALL HAVE THE MEANING OF THE TERM "MEMBER" UNDER MISSISSIPPI NONPROFIT CORPORATION ACT AND THAT NO PART OF THE INCOME OR ASSETS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF ANY STOCKHOLDER, AND NO INCOME OR PROFITS OF THE CORPORATION SHALL BE PAID TO ANY STOCKHOLDER.
FORM 990, PART VI, SECTION B, LINE 11B	EACH BOARD MEMBER WAS PROVIDED A COPY OF THE FORM 990. THE BOARD MEMBERS WERE ASKED TO REVIEW THE FORM AND SUBMIT QUESTIONS AND COMMENTS PROIR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	EVERY YEAR IN DECEMBER THE BOARD OF DIRECTORS IS EDUCATED ON CONFLICT OF INTEREST PRINCIPLES AND ASKED TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT IS REVIEWED BY LEGAL COUNSEL FOR THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF ARMC HAS A DESIGNATED THREE (3) PERSON COMMITTEE OF INDEPENDENT BOARD MEMBERS TO REVIEW AND APPROVE COMPENSATION. THE BOARD ALSO HAS A CONTRACT WITH A 3RD PARTY TO STUDY AND RECOMMEND COMPENSATION FOR THE CEO, THE VICE PRESIDENTS, AND THE DIRECTORS OF THE HOSPITAL.
FORM 990, PART VI, SECTION C, LINE 18	IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19	THE HOSPITAL'S ARTICLES OF INCORPATION ARE ON FILE AND ARE AVAILABLE TO THE PUBLIC IN THE MISSISSIPPI SECRETARY OF STATE'S OFFICE. THE BYLAWS AND THE CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE. HOWEVER, THE FINANCIAL STATEMENTS OF THE HOSPITAL ARE AVAILABLE TO THE PUBLIC BOTH THROUGH DUNN & BRADSTREET AND AS A PART OF THIS FORM 990.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 2,928,222. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,928,222. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 511,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 511,097. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 31,501,282. MANAGEMENT AND GENERAL EXPENSES 365,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,866,933.
FORM 990, PART XI, LINE 9:	INTERCOMPANY TRANSFER OF EQUITY -435,574. EQUITY ADJUSTMENT DUE TO INTERCOMPANY ADJUSTMENT FOR NMTC
FORM 990, PART XII, LINE 2C:	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MEDICAL SUPPORT AND DEVELOPMENT ORGANIATION 122 WOODMONT WAY RIDGELAND,MS39157 64-0722433	SUPPORTING ORGANIZATION	MS	501(C)(3)	LINE 12C, III-FI	ANDERSON REGIONAL MEDICAL CENTER	Yes
(2)ANDERSON SUPPORT AND DEVELOPMENT FOUNDATION 7651 POPLAR SPRINGS DR MERIDIAN,MS39305 64-0730109	SUPPORTING ORGANIZATION	MS	501(C)(3)	LINE 12D, III-O	ANDERSON REGIONAL MEDICAL CENTER	Yes
(3)MIRACLES OF GRACE FOUNDATION 1827 SUNRISE LANE TOOMSUBA,MS39364 64-0730366	SUPPORTING ORGANIZATION	MS	501(C)(3)	LINE 12C, III-FI	ANDERSON REGIONAL MEDICAL CENTER	Yes
(4)CARE CONSISTENCY FOUNDATION INC 7761 MEADOW CIRCLE MERIDIAN,MS39305 64-0730846	SUPPORTING ORGANIZATION	MS	501(C)(3)	LINE 12D, III-O	ANDERSON REGIONAL MEDICAL CENTER	Yes
(5)ANDERSON PHYSICIAN ALLIANCE INC 2124 14TH STREET MERIDIAN,MS39301 27-3274203	SUPPORTING ORGANIZATION	MS	501(C)(3)	LINE 3	ANDERSON REGIONAL MEDICAL CENTER	Yes
(6)ANDERSON HOSPITAL PROVIDERS INC 2124 14TH STREET MERIDIAN,MS39301 46-1305481	SUPPORTING ORGANIZATION	MS	501(C)(3)	LINE 3	ANDERSON REGIONAL MEDICAL CENTER	Yes
(7)ANDERSON ANESTHESIA PROVIDERS 2124 14TH STREET MERIDIAN,MS39301 46-4069816	SUPPORTING ORGANIZATION	MS	501(C)(3)	LINE 3	ANDERSON REGIONAL MEDICAL CENTER	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) EAST MISSISSIPPI ENDOSCOPY CENTER 1926 23RD AVENUE MERIDIAN,MS39301 44-0884792	HEALTHCARE	MS	ANDERSON REGIONAL MEDICAL CENTER	RELATED	46,231	-14,695		No		Yes		63.430 %
(2) JARMC LEVERAGE LLC 2124 14TH STREET MERIDIAN,MS39301 27-2284311	INVESTMENTS	MS	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) ARMC HOSPITAL PROF & GEN LLFT 512 22ND AVENUE MERIDIAN,MS39301 20-6131090	TRUST	MS	ANDERSON REGIONAL MEDICAL CENTER	T	266,893	10,911,852	100.000 %	Yes

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved
(1) ANDERSON PHYSICIAN ALLIANCE INC	P	3,116,109

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE HOSPITAL IS TO CONTINUE OUR HERITAGE OF HEALING AND IMPROVING LIFE FOR THE PEOPLE WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	1,615
6	Total number of volunteers (estimate if necessary) .............	6	70
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,230,281
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	-237,718

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	204,851	445,313
9	Program service revenue (Part VIII, line 2g) .........	201,033,807	212,662,957
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	318,629	443,206
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,730	-418,539
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	201,567,017	213,132,937
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	116,898	128,712
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	71,498,325	78,175,298
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	120,684,944	124,185,140
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	192,300,167	202,489,150
19	Revenue less expenses. Subtract line 18 from line 12.......	9,266,850	10,643,787
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	244,445,714	251,437,398
21	Total liabilities (Part X, line 26).............	56,571,450	53,354,921
22	Net assets or fund balances. Subtract line 21 from line 20.....	187,874,264	198,082,477

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 183,774,019 including grants of $ 128,712 ) (Revenue $ 206,432,676 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses183,774,019

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) ROBERT KING JR........................................................................ PHYSICIST	40.00 .......................	X	241,022	0	26,193
(19) MELODY BYRAM........................................................................ PHYSICIAN	40.00 .......................	X	210,823	0	19,133
(20) MARY SCHAEFER........................................................................ PHYSICIAN	40.00 .......................	X	215,147	0	7,472

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,060,844	0	452,106

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	174,657
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	270,656

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		445,313

		Business Code
2a	NET PATIENT SERVICE REVENUE	621990	205,406,092	204,386,430	1,019,662
b	PHARMACY REVENUE	446110	5,003,376	75,811	4,927,565
c	OTHER OPERATING REVENUE	621990	1,292,847	1,292,847
d	HEALTH & FITNESS REVENUE	713940	658,048	374,994	283,054
e	TRAMA CENTER REVENUE	621990	302,594	302,594
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		212,662,957

3 Investment income (including dividends, interest, and othersimilar amounts) ......			343,085			343,085
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,639,462	6a
b	Less: rental expenses		3,921,128	6b
c	Rental income or (loss)		-1,281,666	6c
d	Net rental income or (loss).......			-1,281,666			-1,281,666
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		102,614	7a
b	Less: cost or other basis and sales expenses	2,493	0	7b
c	Gain or (loss)	-2,493	102,614	7c
d	Net gain or (loss).........			100,121			100,121
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS REVENUE		900099	516,956			516,956
b	OUTSIDE SALES		900099	266,597			266,597
c	VENDING REVENUE		900099	58,518			58,518
d	All other revenue ....			21,056			21,056
e	Total. Add lines 11a–11d ......			863,127
12	Total revenue. See instructions.....			213,132,937	206,432,676	6,230,281	24,667

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	74,500	74,500
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	54,212	54,212
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,764,644		1,764,644
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	270,637	270,637
7	Other salaries and wages........	62,724,122	53,632,463	9,091,659
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	814,304	677,794	136,510
9	Other employee benefits .......	8,002,112	6,660,634	1,341,478
10	Payroll taxes ...........	4,599,479	3,828,420	771,059
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	231,136		231,136
c	Accounting ...........	144,760		144,760
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	35,306,252	34,429,504	876,748
12	Advertising and promotion ....	424,755	101,730	323,025
13	Office expenses .......	18,719,048	15,291,530	3,427,518
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	4,967,418	4,967,418
17	Travel ............	316,206	239,876	76,330
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,575	3,575
20	Interest ...........	952,871	422,607	530,264
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	10,366,631	10,366,631
23	Insurance ...	1,072,086	1,072,086
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	34,780,851	34,780,851
b	BAD DEBT EXPENSE	16,898,377	16,898,377
c	MISCELLANEOUS EXPENSE	1,174	1,174
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	202,489,150	183,774,019	18,715,131	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			3,165,911	1	8,514,934
2	Savings and temporary cash investments .........			24,160,321	2	20,379,326
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			22,494,194	4	24,218,959
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			744,849	7	757,425
8	Inventories for sale or use ............			5,346,656	8	5,373,066
9	Prepaid expenses and deferred charges ......			2,639,634	9	2,750,126
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	301,721,627
b	Less: accumulated depreciation	10b	197,510,953	108,662,994	10c	104,210,674
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			160,482	13	4,067,276
14	Intangible assets ...............			1,871,837	14	1,576,333
15	Other assets. See Part IV, line 11 ...........			75,198,836	15	79,589,279
16	Total assets. Add lines 1 through 15 (must equal line 33)...			244,445,714	16	251,437,398

17	Accounts payable and accrued expenses .....	41,904,201	17	43,478,410
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	10,459,634	24	7,323,018
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	4,207,615	25	2,553,493
26	Total liabilities. Add lines 17 through 25..	56,571,450	26	53,354,921

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	187,874,264	32	198,082,477
33	Total liabilities and net assets/fund balances ........	244,445,714	33	251,437,398