TY 2022 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/1099-NEC)
(1) JOSEPH M ANDERSON...................................................................... DIRECTOR/CHAPLAIN	40.00 .................	X	X		84,790	13,908
(2) SHAWN C ANDERSON...................................................................... DIRECTOR	5.00 ................. 1.00	X	X		24,103	0
(3) JANET G FARRINGTON...................................................................... DIRECTOR	5.00 .................	X	X		26,551	0
(4) NELL GAYDEN HILL...................................................................... DIRECTOR	3.00 .................	X	X		24,051	0
(5) BRADLEY RAY HUFF...................................................................... DIRECTOR	3.00 .................	X	X		12,103	0
(6) GARY WILKINSON...................................................................... DIRECTOR	3.00 .................	X	X		12,067	0
(7) DAVID VOWELL...................................................................... DIRECTOR	3.00 .................	X	X		13,343	0
(8) JOHN G ANDERSON...................................................................... PRESIDENT/CEO	50.00 .................		X		405,386	105,760
(9) STEVEN W BROWN...................................................................... VICE PRESIDENT/CFO	50.00 ................. 1.00		X		295,961	81,939
(10) WANDA B COOPER...................................................................... VICE PRESIDENT (SECRETARY)	50.00 ................. 1.00		X		231,434	8,619
(11) FRANK W GARRISON IV...................................................................... VICE PRESIDENT/CNO	50.00 .................		X		274,306	50,027
(12) THURMAN KEITH EVERETT...................................................................... VICE PRESIDENT/CMO	50.00 ................. 1.00		X		369,505	53,944
(13) GEORGE D FARR JR...................................................................... VICE PRESIDENT	50.00 ................. 1.00		X		197,152	56,244
(14) CALEB R DULANEY...................................................................... PHYSICIAN	40.00 .................			X	950,458	17,587
(15) HANS H TULIP...................................................................... PHYSICIAN	40.00 .................			X	917,221	17,493
(16) DANIEL D DENISON...................................................................... PHYSICIAN	40.00 .................			X	689,141	16,124
(17) MATTHEW T COKER...................................................................... PHYSICIAN	40.00 .................			X	619,963	14,687

(A) Name and business address	(B) Description of services	(C) Compensation
MERIDIAN MEDICAL ASSOCIATES PA 2024 15TH STREET MERIDIAN,MS39301	CONTRACT LABOR	9,499,919
INTERNAL MEDICINE CLINIC PLLC 1600 22ND AVENUE MERIDIAN,MS39301	CONTRACT LABOR	8,561,162
MEDEFIS CONSOLIDATED PO BOX 5068 NEW YORK,NY10087	CONTRACT LABOR	8,049,981
HOSPITALIST SERVICES OF MERIDIAN PA 4728 SPOTTSWOOD AVE 372 MEMPHIS,TN38117	CONTRACT PHYSICIANS	6,459,510
MORRISON HEALTH CARE INC PO BOX 102289 ATLANTA,GA30368	DIETARY SERVICES	5,620,459
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 58

- TIN:

SCHEDULE A
(Form 990)

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

2022

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 5 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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 5 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2022

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

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 0.015 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 0.035	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) 2022

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2022

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) (2022)

Schedule B (Form 990) (2022) 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
RESTRICTED	,	$ RESTRICTED	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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

Schedule B (Form 990) (2022)

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) (2022)

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

2021

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) 2021

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 ....	150,350,238	105,819,685	44,530,553
c	Leasehold improvements	140,672	140,672	0
d	Equipment ....	154,158,966	135,527,176	18,631,790
e	Other .....	7,338,637	1,506,003	5,832,634
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				83,535,219

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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				75,272,095
(2)SELF INSURANCE TRUST FUND				6,001,549
(3)CSV - RETIREMENT FUNDS (457B)				5,756,690
(4)OTHER LIMITED AS TO USE ASSETS				1,647,736
(5)ROU ASSET				8,472,335
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				97,150,405

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
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	15,478,095
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) 2021

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, AND EMEC'S TAXABLE INCOME OR LOSS IS ALLOCATED TO THE MEMBERS AND IS INCLUDED IN THE CALCULATION OF THEIR TAXABLE INCOME. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION FOR INCOME TAXES. THE MEDICAL CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023 AND 2022.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. 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

2022

Open to Public Inspection

Name of the organization
ANDERSON REGIONAL MEDICAL CENTER

Employer identification number

64-0362400

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990) 2022

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 CANVASES FOR CANCER (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	36,275	36,275
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .	36,275	36,275

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .	2,700	2,700
8	Entertainment . . . .
9	Other direct expenses . . .	4,700	4,700
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		7,400
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		28,875

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2022

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2022

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

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		(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) . . .	5,862,102		5,862,102	2.240 %
b	Medicaid (from Worksheet 3, column a) . . . . .	33,534,193	38,279,885	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	39,396,295	38,279,885	5,862,102	2.240 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	677,384	4,715	672,669	0.260 %
f	Health professions education (from Worksheet 5) . . .	50,594		50,594	0.020 %
g	Subsidized health services (from Worksheet 6) . . . .	1,668,289	892,729	775,560	0.300 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	468,364		468,364	0.180 %
j	Total. Other Benefits . .	2,864,631	897,444	1,967,187	0.760 %
k	Total. Add lines 7d and 7j .	42,260,926	39,177,329	7,829,289	3.000 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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	416	416	0 %
3	Community support	7	12,223	12,223	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	1,109	1,109	0 %
8	Workforce development
9	Other
10	Total	9	13,748	13,748	0 %

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. ......

2,858,317

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. ......

2,219,211

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).....

72,974,668

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

69,514,883

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

3,459,785

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) 2022

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) 2022

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
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 20

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 20

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

Yes

If "Yes" (list url): HTTPS://WWW.ANDERSONREGIONAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/

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) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP
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?

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 %
and FPG family income limit for eligibility for discounted care of %

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?.................

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):

HTTPS://WWW.ANDERSONREGIONAL.ORG/PATIENTS-VISITORS/INSURANCE-BILLING/

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

HTTPS://WWW.ANDERSONREGIONAL.ORG/PATIENTS-VISITORS/INSURANCE-BILLING/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.ANDERSONREGIONAL.ORG/PATIENTS-VISITORS/INSURANCE-BILLING/

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) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP
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) 2022

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP
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) 2022

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:	IN RESPONSE TO FEDERAL REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS, AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ANDERSON REGIONAL MEDICAL CENTER CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE NEEDS OF THE MERIDIAN AND LAUDERDALE COUNTY MISSISSIPPI HEALTH SERVICE REGION. PROJECT GOALSTHE PRIMARY GOAL OF THIS PROJECT WAS TO ESTABLISH AN ONGOING, EVIDENCE-BASED PROCESS OF IDENTIFYING AND PRIORITIZING LOCAL COMMUNITY HEALTHCARE NEEDS. THE RESULT OF THIS ASSESSMENT WILL ESTABLISH THE BASIS FOR PLANNING APPROPRIATE COMMUNITY BENEFIT PROGRAMS TO ADDRESS THESE IDENTIFIED NEEDS. ADDITIONALLY, THIS INFORMATION WILL BE MADE WIDELY AVAILABLE SO AS TO BETTER INFORM COMMUNITY LEADERS AND CITIZENS OF THE HEALTH-RELATED CHALLENGES FACED BY THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENTS TEND TO VARY SUBSTANTIALLY IN THEIR METHODS, SCOPE, AND DEPTH. GUIDELINES STATED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND SUBSEQUENT GUIDANCE ISSUED BY THE IRS, REQUIRE THAT THE ASSESSMENT INCLUDE "INPUT FROM PERSONS WHO REPRESENT THE INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH." BEST PRACTICES IN HEALTH NEEDS ASSESSMENT GENERALLY INCLUDE HEALTHCARE PROVIDERS, PATIENTS/CONSUMERS, BUSINESS LEADERS, AS WELL AS STATE AND/OR LOCAL HEALTH EXPERTS TO MEET THESE GUIDELINES; WE USED SEVERAL METHODS, BOTH QUALITATIVE AND QUANTITATIVE: A SECONDARY ANALYSIS OF EXISTING FEDERAL AND STATE DATA (QUANTITATIVE). INTERVIEWS WITH KEY INFORMANTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH (QUALITATIVE). AN ONLINE COMMUNITY HEALTH NEEDS SURVEY (QUANTITATIVE/QUALITATIVE). A BRIEF PAPER-BASED HEALTH NEEDS SURVEY SPECIFICALLY TARGETED AT THE UNDERSERVED (QUANTITATIVE/QUALITATIVE). COMMUNITY DEFINED WHEN ASSESSING HEALTH NEEDS OF A COMMUNITY, THE "COMMUNITY" MUST FIRST BE DEFINED. SOME HOSPITAL, (E.G. SPECIALTY HOSPITALS) MAY DEFINE THEIR COMMUNITY IN TERMS OF GROUPS OF PEOPLE OR DEMOGRAPHIC CATEGORIES. A WOMEN'S HOSPITAL, FOR INSTANCE WOULD BE PRIMARILY CONCERNED WITH HEALTH ISSUES FACING WOMEN, AND WOULD THUS FOCUS A NEEDS ASSESSMENT ACCORDINGLY. COMMUNITY IS MORE TYPICALLY DEFINED AS A GEOGRAPHIC SERVICE AREA FOR WHICH, IN MOST CASES, THE GREATEST CONCENTRATION OF PATIENTS SERVED IS IN THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. ANDERSON REGIONAL MEDICAL CENTER IS LOCATED IN MERIDIAN, THE LARGEST MUNICIPALITY IN LAUDERDALE COUNTY. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, LAUDERDALE COUNTY WILL BE CONSIDERED THE "COMMUNITY" OF FOCUS. MERIDIAN AND LAUDERDALE COUNTY PLAY HOST TO A MULTITUDE OF OTHER HEALTHCARE SERVICE AGENCIES, INCLUDING TWO INPATIENT PSYCHIATRIC HOSPITALS, ONE FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, ONE COMMUNITY MENTAL HEALTH CENTER, AS WELL AS SEVERAL NURSING HOMES, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES. IN FACT, APPROXIMATELY 15% OF LAUDERDALE COUNTY IS EMPLOYED IN THE HEALTH AND SOCIAL SERVICES SECTOR, MAKING HEALTHCARE SERVICES A VERY IMPORTANT ECONOMIC ENGINE FOR THE REGION. THE COUNTIES SURROUNDING LAUDERDALE COUNTY HAVE A RANGE OF HEALTHCARE SERVICE PROVIDERS AS WELL, INCLUDING HOSPITALS, CLINICS, ETC., AND IN MOST CASES, WILL BE CONDUCTING THEIR OWN RESPECTIVE COUNTY-LEVEL ASSESSMENT IN THE FUTURE. YET, IT IS IMPORTANT TO NOTE THAT THE HOSPITALS SPONSORING THIS STUDY SERVE AS TERTIARY CARE CENTERS FOR THE SURROUNDING COUNTIES. THEREFORE, WE HAVE DEFINED OUR COMMUNITY GEOGRAPHICALLY (LAUDERDALE COUNTY) AS WELL AS DEMOGRAPHICALLY (ANY NON-LAUDERDALE CO RESIDENT WHO REGULARLY SEEKS HEALTHCARE SERVICES IN LAUDERDALE CO) THUS WE OPTED TO SEEK INPUT FROM THE SURROUNDING COUNTIES THROUGH AN ONLINE SURVEY. IN AGGREGATE, NON-LAUDERDALE CO PARTICIPANTS REPRESENTED 28.5% OF THE ONLINE SURVEY RESPONDENTS. ALTHOUGH NO FACE-TO-FACE ASSESSMENT ACTIVITY WAS CONDUCTED OUTSIDE OF LAUDERDALE CO, SEVERAL OF THE KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS REPRESENTED ORGANIZATIONS WHOSE MISSION INVOLVES SERVICE TO MULTIPLE COUNTIES IN EAST MISSISSIPPI. METHODS AND PROCESS AS NOTED ABOVE, THIS ASSESSMENT EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING FEDERAL AND STATE DATA (SECONDARY DATA ANALYSIS) PAIRED WITH NEWLY GATHERED DATA FROM THE COMMUNITY (PRIMARY DATA ANALYSIS). THE INITIAL STEP IN THIS PROCESS WAS TO CONDUCT "KEY INFORMANT" INTERVIEWS. KEY INFORMANTS ARE INDIVIDUALS WHO ARE HEAVILY INVOLVED WITH AND KNOWLEDGEABLE ABOUT THE COMMUNITY OF FOCUS. THIS INCLUDES COMMUNITY LEADERS IN THE PUBLIC AND PRIVATE SECTOR, AS WELL AS INDIVIDUALS WITH SPECIAL EXPERTISE IN HEALTHCARE. INFORMATION GATHERED THROUGH THESE INTERVIEWS, PAIRED WITH PUBLIC HEALTH INFORMATION, VITAL STATISTICS, AND ECONOMIC DATA PROVIDED A VERY GOOD SNAPSHOT OF THE COMMUNITY'S HEALTH NEEDS. ADDITIONAL PRIMARY DATA COLLECTION WAS CONDUCTED USING A WEB-BASED (I.E. ONLINE) COMMUNITY HEALTH NEEDS SURVEY. AN ACCEPTABLE SAMPLE WAS ACHIEVED. HOWEVER, UPON EXAMINATION OF THE DEMOGRAPHIC DATA OF THE PARTICIPANTS, IT BECAME CLEAR THAT WE SHOULD TAKE ADDITIONAL STEPS TO ENSURE THAT LOW-INCOME AND UNDERSERVED POPULATIONS WERE BETTER REPRESENTED. ASSUMING A LACK OF AVAILABILITY OF TECHNOLOGICAL RESOURCES FOR THIS SEGMENT OF THE POPULATION, A BRIEF PAPER SURVEY WAS DEVELOPED AND ADMINISTERED IN LOW INCOME, MINORITY NEIGHBORHOODS TO FURTHER AUGMENT OUR UNDERSTANDING OF THE NEEDS OF THE UNDERSERVED. A FOCUS GROUP WAS HELD FOR THE SPECIFIC PURPOSE OF GATHERING IDEAS ABOUT HOW TO BETTER SERVE THOSE WITH THE GREATEST HEALTH RISK, INCLUDING LOW-INCOME, ELDERLY, MINORITY, DISABLED, AND CHILDREN/YOUTH POPULATIONS. THIS REPORT PROVIDES AN OVERVIEW OF THE INFORMATION GLEANED FROM THIS EXTENSIVE PROCESS. KEY INFORMANT INTERVIEWS WERE CONDUCTED AND SIMILAR RESPONSES WERE NOTED REGARDING BROAD BASED HEALTH NEEDS IN THIS COMMUNITY AND REGION. THESE "MAJOR THEMES" REFLECTED MUCH OF WHAT IS KNOWN THROUGH STATE AND NATIONAL HEALTH DATABASES. THE INTERVIEWS DID, HOWEVER, YIELD MORE INTERESTING INFORMATION. THE INFORMANTS' PROPOSED CAUSES OF AND SOLUTIONS TO HEALTH PROBLEMS/NEEDS VARIED ACCORDING TO THEIR PERSONAL EXPERIENCE AND THE POPULATION THEY AND THEIR ORGANIZATION SERVE. THE RESULTS OF THESE INTERVIEWS ARE SUMMARIZED HERE:GREATEST HEALTH ISSUES:-LIFESTYLE-RELATED HEALTH PROBLEMS-OBESITY-DIABETES-STROKE-HYPERTENSION-RENAL FAILURE-CHILDREN AND YOUTH/ADOLESCENT ISSUES-OVERWEIGHT/OBESITY-TEEN PREGNANCY-SEXUALLY TRANSMITTED DISEASES-DRUG AND ALCOHOL USE-LACK OF PREVENTIVE CARE -MENTAL HEALTH-ORAL CARE POTENTIAL ROOT CAUSES:-POVERTY: OFTEN, IT WAS NOTED, THAT POVERTY PLAYS A ROLE IN MAKING IT MORE DIFFICULT TO AFFORD HEALTHCARE SERVICES AND ESPECIALLY MEDICATIONS. LOW INCOME ALSO TENDS TO BE ASSOCIATED WITH SHORT TERM PRIORITIES, PREVENTIVE CARE AND ROUTINE CHECKUPS ARE NOT TYPICALLY VIEWED AS ONE OF THESE PRIORITIES. LACK OF FINANCIAL RESOURCES CREATES STRESS ON INDIVIDUALS AND FAMILIES, WHICH CAN EXACERBATE MENTAL HEALTH PROBLEMS ALONG WITH ELEVATING POTENTIAL FOR DOMESTIC VIOLENCE. CULTURAL ISSUES PLAY A ROLE THAT SPANS ACROSS INCOME GROUPS. TRADITIONAL SOUTHERN FOOD TENDS TO BE HIGH IN FAT AND SUGAR, BOOSTING OVERALL CALORIC INTAKE. THE "FAMILY UNIT" WAS ALSO BROUGHT INTO QUESTION WITH HECTIC LIFESTYLES BEING THE NORM. FAST FOOD DRIVE THROUGH WINDOWS HAVE SUPPLANTED COOKING AT HOME ON MORE THAN ONE OCCASION. IT WAS NOTED THAT LACK OF EXERCISE SEEMS TO ALSO STEM FROM ONE'S CULTURE. FOR EXAMPLE, WOMEN, IN ORDER TO MAINTAIN STYLISH HAIR, OFTEN FOREGO EXERCISE SO THAT THEY MAY AVOID SWEATING AND CONSEQUENTLY RUINING THEIR HAIR STYLE. MEN WHO DO MANUAL LABOR OFTEN THINK THAT WORK IS EXERCISE (AND IT IS, TO A GREAT EXTENT). HOWEVER, WITHOUT AEROBIC EXERCISE, THEY STILL MAY EVENTUALLY SUFFER CARDIOVASCULAR PROBLEMS. THERE IS A LACK OF EDUCATION ABOUT THE RELEVANCE AND IMPORTANCE TO PREVENTIVE CARE AND HEALTHY LIFESTYLES. CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH NORMS HAVE SHIFTED WITH PARENTS ALLOWING CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICAL ACTIVITY.
GROUP A-FACILITY 1 -- ANDERSON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 21C:	FACILITY OFFERS A DISCOUNT EQUAL TO THE ORGANIZATION'S AMOUNT GENERALLY BILLED PERCENT TO ANY UNINSURED PATIENT. THE ORGANIZATION ALSO PROVIDES A PROMPT PAY DISCOUNT OF AN ADDITIONAL 10% IF THE BILL IS PAID IN FULL AT THE TIME OF BILLING THE FACILITY ALSO HAS A CHARITY POLICY THAT IS IN PLACE TO DETERMINE IF THE PATIENT QUALIFIES FOR A CHARITY DISCOUNT.
GROUP A-FACILITY 2 -- ANDERSON REGIONAL MEDICAL CENTER SOUTH PART V, SECTION B, LINE 5:	IN RESPONSE TO FEDERAL REQUIREMENTS FOR NOT-FOR-PROFIT HOSPITALS, AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010, ANDERSON REGIONAL MEDICAL CENTER CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE NEEDS OF THE MERIDIAN AND LAUDERDALE COUNTY MISSISSIPPI HEALTH SERVICE REGION. PROJECT GOALSTHE PRIMARY GOAL OF THIS PROJECT WAS TO ESTABLISH AN ONGOING, EVIDENCE-BASED PROCESS OF IDENTIFYING AND PRIORITIZING LOCAL COMMUNITY HEALTHCARE NEEDS. THE RESULT OF THIS ASSESSMENT WILL ESTABLISH THE BASIS FOR PLANNING APPROPRIATE COMMUNITY BENEFIT PROGRAMS TO ADDRESS THESE IDENTIFIED NEEDS. ADDITIONALLY, THIS INFORMATION WILL BE MADE WIDELY AVAILABLE SO AS TO BETTER INFORM COMMUNITY LEADERS AND CITIZENS OF THE HEALTH-RELATED CHALLENGES FACED BY THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENTS TEND TO VARY SUBSTANTIALLY IN THEIR METHODS, SCOPE, AND DEPTH. GUIDELINES STATED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 AND SUBSEQUENT GUIDANCE ISSUED BY THE IRS, REQUIRE THAT THE ASSESSMENT INCLUDE "INPUT FROM PERSONS WHO REPRESENT THE INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH." BEST PRACTICES IN HEALTH NEEDS ASSESSMENT GENERALLY INCLUDE HEALTHCARE PROVIDERS, PATIENTS/CONSUMERS, BUSINESS LEADERS, AS WELL AS STATE AND/OR LOCAL HEALTH EXPERTS TO MEET THESE GUIDELINES; WE USED SEVERAL METHODS, BOTH QUALITATIVE AND QUANTITATIVE: A SECONDARY ANALYSIS OF EXISTING FEDERAL AND STATE DATA (QUANTITATIVE). INTERVIEWS WITH KEY INFORMANTS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH (QUALITATIVE). AN ONLINE COMMUNITY HEALTH NEEDS SURVEY (QUANTITATIVE/QUALITATIVE). A BRIEF PAPER-BASED HEALTH NEEDS SURVEY SPECIFICALLY TARGETED AT THE UNDERSERVED (QUANTITATIVE/QUALITATIVE). COMMUNITY DEFINED WHEN ASSESSING HEALTH NEEDS OF A COMMUNITY, THE "COMMUNITY" MUST FIRST BE DEFINED. SOME HOSPITAL, (E.G. SPECIALTY HOSPITALS) MAY DEFINE THEIR COMMUNITY IN TERMS OF GROUPS OF PEOPLE OR DEMOGRAPHIC CATEGORIES. A WOMEN'S HOSPITAL, FOR INSTANCE WOULD BE PRIMARILY CONCERNED WITH HEALTH ISSUES FACING WOMEN, AND WOULD THUS FOCUS A NEEDS ASSESSMENT ACCORDINGLY. COMMUNITY IS MORE TYPICALLY DEFINED AS A GEOGRAPHIC SERVICE AREA FOR WHICH, IN MOST CASES, THE GREATEST CONCENTRATION OF PATIENTS SERVED IS IN THE COUNTY IN WHICH THE HOSPITAL IS LOCATED. ANDERSON REGIONAL MEDICAL CENTER IS LOCATED IN MERIDIAN, THE LARGEST MUNICIPALITY IN LAUDERDALE COUNTY. FOR THE PURPOSES OF THIS NEEDS ASSESSMENT, LAUDERDALE COUNTY WILL BE CONSIDERED THE "COMMUNITY" OF FOCUS. MERIDIAN AND LAUDERDALE COUNTY PLAY HOST TO A MULTITUDE OF OTHER HEALTHCARE SERVICE AGENCIES, INCLUDING TWO INPATIENT PSYCHIATRIC HOSPITALS, ONE FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, ONE COMMUNITY MENTAL HEALTH CENTER, AS WELL AS SEVERAL NURSING HOMES, SPECIALTY CLINICS, AND OUTPATIENT FACILITIES. IN FACT, APPROXIMATELY 15% OF LAUDERDALE COUNTY IS EMPLOYED IN THE HEALTH AND SOCIAL SERVICES SECTOR, MAKING HEALTHCARE SERVICES A VERY IMPORTANT ECONOMIC ENGINE FOR THE REGION. THE COUNTIES SURROUNDING LAUDERDALE COUNTY HAVE A RANGE OF HEALTHCARE SERVICE PROVIDERS AS WELL, INCLUDING HOSPITALS, CLINICS, ETC., AND IN MOST CASES, WILL BE CONDUCTING THEIR OWN RESPECTIVE COUNTY-LEVEL ASSESSMENT IN THE FUTURE. YET, IT IS IMPORTANT TO NOTE THAT THE HOSPITALS SPONSORING THIS STUDY SERVE AS TERTIARY CARE CENTERS FOR THE SURROUNDING COUNTIES. THEREFORE, WE HAVE DEFINED OUR COMMUNITY GEOGRAPHICALLY (LAUDERDALE COUNTY) AS WELL AS DEMOGRAPHICALLY (ANY NON-LAUDERDALE CO RESIDENT WHO REGULARLY SEEKS HEALTHCARE SERVICES IN LAUDERDALE CO) THUS WE OPTED TO SEEK INPUT FROM THE SURROUNDING COUNTIES THROUGH AN ONLINE SURVEY. IN AGGREGATE, NON-LAUDERDALE CO PARTICIPANTS REPRESENTED 28.5% OF THE ONLINE SURVEY RESPONDENTS. ALTHOUGH NO FACE-TO-FACE ASSESSMENT ACTIVITY WAS CONDUCTED OUTSIDE OF LAUDERDALE CO, SEVERAL OF THE KEY INFORMANTS AND FOCUS GROUP PARTICIPANTS REPRESENTED ORGANIZATIONS WHOSE MISSION INVOLVES SERVICE TO MULTIPLE COUNTIES IN EAST MISSISSIPPI. METHODS AND PROCESS AS NOTED ABOVE, THIS ASSESSMENT EMPLOYED A MULTI-METHOD APPROACH THAT INCLUDED A REVIEW OF EXISTING FEDERAL AND STATE DATA (SECONDARY DATA ANALYSIS) PAIRED WITH NEWLY GATHERED DATA FROM THE COMMUNITY (PRIMARY DATA ANALYSIS). THE INITIAL STEP IN THIS PROCESS WAS TO CONDUCT "KEY INFORMANT" INTERVIEWS. KEY INFORMANTS ARE INDIVIDUALS WHO ARE HEAVILY INVOLVED WITH AND KNOWLEDGEABLE ABOUT THE COMMUNITY OF FOCUS. THIS INCLUDES COMMUNITY LEADERS IN THE PUBLIC AND PRIVATE SECTOR, AS WELL AS INDIVIDUALS WITH SPECIAL EXPERTISE IN HEALTHCARE. INFORMATION GATHERED THROUGH THESE INTERVIEWS, PAIRED WITH PUBLIC HEALTH INFORMATION, VITAL STATISTICS, AND ECONOMIC DATA PROVIDED A VERY GOOD SNAPSHOT OF THE COMMUNITY'S HEALTH NEEDS. ADDITIONAL PRIMARY DATA COLLECTION WAS CONDUCTED USING A WEB-BASED (I.E. ONLINE) COMMUNITY HEALTH NEEDS SURVEY. AN ACCEPTABLE SAMPLE WAS ACHIEVED. HOWEVER, UPON EXAMINATION OF THE DEMOGRAPHIC DATA OF THE PARTICIPANTS, IT BECAME CLEAR THAT WE SHOULD TAKE ADDITIONAL STEPS TO ENSURE THAT LOW-INCOME AND UNDERSERVED POPULATIONS WERE BETTER REPRESENTED. ASSUMING A LACK OF AVAILABILITY OF TECHNOLOGICAL RESOURCES FOR THIS SEGMENT OF THE POPULATION, A BRIEF PAPER SURVEY WAS DEVELOPED AND ADMINISTERED IN LOW INCOME, MINORITY NEIGHBORHOODS TO FURTHER AUGMENT OUR UNDERSTANDING OF THE NEEDS OF THE UNDERSERVED. A FOCUS GROUP WAS HELD FOR THE SPECIFIC PURPOSE OF GATHERING IDEAS ABOUT HOW TO BETTER SERVE THOSE WITH THE GREATEST HEALTH RISK, INCLUDING LOW-INCOME, ELDERLY, MINORITY, DISABLED, AND CHILDREN/YOUTH POPULATIONS. THIS REPORT PROVIDES AN OVERVIEW OF THE INFORMATION GLEANED FROM THIS EXTENSIVE PROCESS. KEY INFORMANT INTERVIEWS WERE CONDUCTED AND SIMILAR RESPONSES WERE NOTED REGARDING BROAD BASED HEALTH NEEDS IN THIS COMMUNITY AND REGION. THESE "MAJOR THEMES" REFLECTED MUCH OF WHAT IS KNOWN THROUGH STATE AND NATIONAL HEALTH DATABASES. THE INTERVIEWS DID, HOWEVER, YIELD MORE INTERESTING INFORMATION. THE INFORMANTS' PROPOSED CAUSES OF AND SOLUTIONS TO HEALTH PROBLEMS/NEEDS VARIED ACCORDING TO THEIR PERSONAL EXPERIENCE AND THE POPULATION THEY AND THEIR ORGANIZATION SERVE. THE RESULTS OF THESE INTERVIEWS ARE SUMMARIZED HERE:GREATEST HEALTH ISSUES:-LIFESTYLE-RELATED HEALTH PROBLEMS-OBESITY-DIABETES-STROKE-HYPERTENSION-RENAL FAILURE-CHILDREN AND YOUTH/ADOLESCENT ISSUES-OVERWEIGHT/OBESITY-TEEN PREGNANCY-SEXUALLY TRANSMITTED DISEASES-DRUG AND ALCOHOL USE-LACK OF PREVENTIVE CARE -MENTAL HEALTH-ORAL CARE POTENTIAL ROOT CAUSES:-POVERTY: OFTEN, IT WAS NOTED, THAT POVERTY PLAYS A ROLE IN MAKING IT MORE DIFFICULT TO AFFORD HEALTHCARE SERVICES AND ESPECIALLY MEDICATIONS. LOW INCOME ALSO TENDS TO BE ASSOCIATED WITH SHORT TERM PRIORITIES. PREVENTIVE CARE AND ROUTINE CHECKUPS ARE NOT TYPICALLY VIEWED AS ONE OF THESE PRIORITIES. LACK OF FINANCIAL RESOURCES CREATES STRESS ON INDIVIDUALS AND FAMILIES, WHICH CAN EXACERBATE MENTAL HEALTH PROBLEMS ALONG WITH ELEVATING POTENTIAL FOR DOMESTIC VIOLENCE. CULTURAL ISSUES PLAY A ROLE THAT SPANS ACROSS INCOME GROUPS. TRADITIONAL SOUTHERN FOOD TENDS TO BE HIGH IN FAT AND SUGAR, BOOSTING OVERALL CALORIC INTAKE. THE "FAMILY UNIT" WAS ALSO BROUGHT INTO QUESTION WITH HECTIC LIFESTYLES BEING THE NORM. FAST FOOD DRIVE THROUGH WINDOWS HAVE SUPPLANTED COOKING AT HOME ON MORE THAN ONE OCCASION. IT WAS NOTED THAT LACK OF EXERCISE SEEMS TO ALSO STEM FROM ONE'S CULTURE. FOR EXAMPLE, WOMEN, IN ORDER TO MAINTAIN STYLISH HAIR, OFTEN FOREGO EXERCISE SO THAT THEY MAY AVOID SWEATING AND CONSEQUENTLY RUINING THEIR HAIR STYLE. MEN WHO DO MANUAL LABOR OFTEN THINK THAT WORK IS EXERCISE (AND IT IS, TO A GREAT EXTENT). HOWEVER, WITHOUT AEROBIC EXERCISE, THEY STILL MAY EVENTUALLY SUFFER CARDIOVASCULAR PROBLEMS. THERE IS A LACK OF EDUCATION ABOUT THE RELEVANCE AND IMPORTANCE TO PREVENTIVE CARE AND HEALTHY LIFESTYLES. CHILDREN'S "LIFESTYLE-RELATED" HEALTH ISSUES, TO A LARGE EXTENT, FIND THE ROOT CAUSE IN THE HOME AND SCHOOL SYSTEMS IN WHICH NORMS HAVE SHIFTED WITH PARENTS ALLOWING CHILDREN TO CONSUME EXCESSIVE "JUNK FOOD, AND DON'T ENCOURAGE PHYSICAL ACTIVITY.
GROUP A-FACILITY 2 -- ANDERSON REGIONAL MEDICAL CENTER SOUTH PART V, SECTION B, LINE 21C:	FACILITY OFFERS A DISCOUNT EQUAL TO THE ORGANIZATION'S AMOUNT GENERALLY BILLED PERCENT TO ANY UNINSURED PATIENT. THE ORGANIZATION ALSO PROVIDES A PROMPT PAY DISCOUNT OF AN ADDITIONAL 10% IF THE BILL IS PAID IN FULL AT THE TIME OF BILLING THE FACILITY ALSO HAS A CHARITY POLICY THAT IS IN PLACE TO DETERMINE IF THE PATIENT QUALIFIES FOR A CHARITY DISCOUNT.
PART V, LINES 13-22	THIS DISCLOSURE OF ERRORS/OMISSIONS IS MADE PURSUANT TO REV. PROC. 2015-21. THE FOLLOWING ERRORS/OMISSIONS WERE DISCOVERED IN NOVEMBER 2023 DURING DUE DILIGENCE FOR A TRANSACTION WHEREIN ANDERSON REGIONAL MEDICAL CENTER ("ARMC") WILL BE ACQUIRED BY BAPTIST MEMORIAL HEALTH CARE CORPORATION ("BMHCC") IN A NONPROFIT MEMBER SUBSTITUTION TRANSACTION. THE ERRORS/OMISSIONS OCCURRED BETWEEN 2021 (WHEN THE FAP WAS EFFECTIVE) AND 2023, BUT PRIOR YEARS WERE NOT REVIEWED. THE ERRORS/OMISSIONS OCCURRED AT ARMC, INCLUDING ITS SOUTH CAMPUS. NO INDIVIDUALS WERE AFFECTED BY THE ERRORS/OMISSIONS, AND NO DOLLAR AMOUNT WAS INVOLVED. WHILE THE CONTENT OF THE FAP DID NOT INCLUDE ALL REQUIRED DISCLOSURES, THE FAP APPLICATION WAS CONSISTENTLY APPLIED AND COMPLIANT.PART V, LINES 13-14: THE FAP LISTS THE USE OF FEDERAL POVERTY GUIDELINES ("FPG") AS CRITERIA BUT DOES NOT SPECIFY/DEFINE THE INCOME THRESHOLD USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. ARMC HAS HISTORICALLY USED AN ELIGIBILITY THRESHOLD OF 200% OF FPG, BUT AFTER THIS TRANSACTION, ARMC WILL USE THE BMHCC FPG INCOME TIERS. IN ADDITION, THE FAP DOES NOT EXPLAIN THE AMOUNT OF THE DISCOUNT OFFERED TO FAP-ELIGIBLE PATIENTS. ARMC HAS HISTORICALLY OFFERED A 100% DISCOUNT TO ALL FAP-ELIGIBLE PATIENTS, EXCLUDING CO-PAYS.PART V, LINE 17: THE FAP AND THE COLLECTION AGENCY PLACEMENT AND CLOSURE POLICY DO NOT CROSS-REFERENCE EACH OTHER. THUS, NEITHER POLICY CLARIFIES THAT THE COLLECTION POLICY IS SUBJECT TO THE FAP AND ITS LIMITATIONS ON EXTRAORDINARY COLLECTION ACTIONS ("ECAS").PART V, LINE 22: THE FAP APPENDICES INADVERTENTLY LIST TWO DIFFERENT METHODS FOR DETERMINING AGB -- APPENDIX A LISTS THE MEDICARE + INSURED METHOD, WHILE APPENDIX C LISTS THE MEDICAID LOOKBACK METHOD. ARMC HAS HISTORICALLY USED THE LOOK-BACK METHOD BASED ON CLAIMS ALLOWED BY MEDICAID TO ARMC DURING A 12-MONTH PERIOD (AS LISTED IN APPENDIX C). FOLLOWING THE ACQUISITION, ON JANUARY 1, 2024, ARMC WILL ADOPT BMHCC'S HOSPITAL FINANCIAL ASSISTANCE POLICY. DOING SO WILL CORRECT THE ERRORS/OMISSIONS IDENTIFIED ABOVE. WITH RESPECT TO PRACTICES AND PROCEDURES TO MINIMIZE THE LIKELIHOOD OF THE TYPE OF FAILURE RECURRING AS A PART OF THE BMHCC HEALTH SYSTEM, BMHCC REVIEWS ITS FAP, BILLING AND COLLECTION, AND OTHER REQUIRED 501(R) COMPLIANCE ANNUALLY FOR UPDATES AND TO ENSURE CONFORMITY WITH THE LAW.ARMC HAS ALSO REVISED ITS COLLECTION AGENCY PLACEMENT AND CLOSURE POLICY, EFFECTIVE JANUARY 1, 2024, TO STATE IT IS SUBJECT TO THE FAP LIMITATIONS ON ECAS.

Schedule H (Form 990) 2022

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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) 2022

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 AND TRAUMA PROGRAM. THE MAIN FOCUS OF THE SPORTS MEDICINE PROGRAM IS COVERING SPORTING EVENTS FOR SEVEN SCHOOLS IN LAUDERDALE COUNTY AND THE SURROUNDING AREA WITH EACH SCHOOL HAVING BETWEEN 250 TO 300 SPORTING EVENTS IN A GIVEN YEAR. AT THESE EVENTS, THE TRAINERS FOCUS ON INJURY PREVENTION, EQUIPMENT MAINTENANCE, INJURY EVALUATION, FIRST AID AND REHABILITATION OF INJURIES. THIS IS A FREE SERVICE TO ALL OF THE COVERED SCHOOLS. WE ALSO HELP THE SCHOOLS WITH VARIOUS HEALTH FAIRS, FIELD DAYS AND OTHER SCHOOL SPONSORED EVENTS. ATHLETIC TRAINERS ALSO HELP WITH SEVERAL AREAS OF TEACHING, ESPECIALLY DURING COMPETITIONS FOR HEALTH RELATED ORGANIZATIONS WITHIN THE SCHOOL. THESE SAME SERVICES ARE ALSO PROVIDED AT COMMUNITY RACES SUCH AS ANDERSON CUP RUN, THREEFOOT MILE AND RUN FOR HOPE. THE TRAUMA PROGRAM IS DIRECTED BY A TRAUMA SURGEON, A TRAUMA NURSE AND A TRAUMA REGISTRAR IN ACCORDANCE WITH THE STATE OF MISSISSIPPI'S REQUIREMENTS TO RETAIN CERTIFICATION. THE TRAUMA CENTER IS LOCATED WITHIN THE EMERGENCY DEPARTMENT WHICH IS CERTIFIED AS A LEVEL III TRAUMA CENTER AND PRIMARY PEDIATRIC TRAUMA CENTER. THE TRAUMA SURGEONS AND HIGHLY TRAINED EMERGENCY NURSES OFFER ADVANCED TRAUMA CARE FOR PATIENTS WITH LIFE THREATENING INJURIES FROM MOTOR-VEHICLE ACCEIDENTS, BURNS, GUNSHOT WOUNDS, ETC.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE OF $12,557,498 WAS INCLUDED ON FORM 990 PART IX, LINE 25, COLUMN (A) BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.
PART II, COMMUNITY BUILDING ACTIVITIES:	ANDERSON REGIONAL MEDICAL CENTER PROGRAM SERVICES 2023ANDERSON REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LOCATED IN MERIDIAN, MISSISSIPPI. THE HOSPITAL'S PRIMARY SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVES THE AREAS OF CHOCTAW AND SUMTER COUNTIES IN WESTERN ALABAMA. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER, ANDERSON REGIONAL CANCER CENTER, IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE HOSPITAL PROVIDES A WIDE ARRAY OF SERVICES INCLUDING MOST MAJOR INPATIENT CLINICAL SERVICES, AN ACUTE CARE SWING BED UNIT, AN INPATIENT REHABILITATION UNIT, AN INPATIENT GERIATRIC PSYCHIATRIC FACILITY, OUTPATIENT SERVICES INCLUDING WOUND CARE SERVICES AND PAIN MANAGEMENT SERVICES, THERAPEUTIC AND DIAGNOSTIC SERVICES, TRAUMA SERVICES AND EMERGENCY SERVICES. ANDERSON PRIDES ITSELF IN BEING THE LEADER IN CARDIOLOGY AND CANCER SERVICES. ANDERSON HAS RECEIVED THE PLATINUM AWARD FOR OUTSTANDING HEART ATTACK CARE FROM THE AMERICAN COLLEGE OF CARDIOLOGY FIVE YEARS IN A ROW. ANDERSON REGIONAL CANCER CENTER RECENTLY ACQUIRED THE TRUEBEAM RADIATION SYSTEM WHICH IS CONSIDERED ONE OF THE MOST ADVANCED RADIATION SYSTEMS IN THE WORLD. CARDIOLOGY PROGRAMSANDERSON CARDIOPULMONARY REHABILITATION PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. THIS PROGRAM PROVIDES PATIENTS WHO HAVE HEART DISEASE, COPD, OR SIMILAR CONDITIONS TO OPTIMIZE THEIR HEART AND LUNG HEALTH IN A SUPERVISED SETTING. ANDERSON REGIONAL MEDICAL CENTER HOLDS AN ANNUAL EVENT FOR THE COMMUNITY THAT BRINGS AWARENESS TO WOMEN'S HEART HEALTH WITH A PANEL OF EXPERTS ON CARDIOLOGY, FITNESS AND NUTRITION.ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH FAIRS TO THE COMMUNITY THROUGH OUR WORKHEALTH PROGRAM. IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY, NURSES OFFER FREE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, WEIGHT AND BODY MASS INDEX MEASUREMENTS, AND DISTRIBUTE GENERAL HEALTH EDUCATIONAL MATERIALS. DIABETES PROGRAMSANDERSON REGIONAL MEDICAL CENTER HAS A DIABETES MANAGEMENT CENTER WITH CERTIFIED INSTRUCTORS WHO EDUCATE THE COMMUNITY ON THE PREVENTION AND TREATMENT OF DIABETES. THE CENTER PROVIDES NUTRITION EDUCATION AND TRAINING ON CONTINUOUS GLUCOSE MONITOR SYSTEMS. ANDERSON EMPLOYS AN ENDOCRINOLOGIST IN AN OUTPATIENT CLINIC AND TWO NURSE PRACTITIONERS WHO CONSULT ON INPATIENT DIABETIC PATIENTS AND PROVIDE FOLLOW UP AFTER DISCHARGE. ANDERSON STAFF MEMBERS PARTICIPATE IN THE DIABETES FOUNDATION OF MISSISSIPPI'S ANNUAL WALK FOR DIABETES. CANCER PROGRAMSANDERSON REGIONAL CANCER CENTER FACILITATES COMMUNITY DONATIONS TO THE HOSPITAL'S CANCER PATIENT BENEVOLENCE FUND WHICH ASSISTS AREA CANCER PATIENTS WHO ARE IN NEED OF TRANSPORTATION TO APPOINTMENTS, MEDICATION NOT COVERED BY INSURANCE, PAYMENT OF UTILITY BILLS, ETC. THE FUND ASSISTED NEARLY 300 PEOPLE IN THE PAST YEAR.THE CANCER CENTER PROVIDES FREE COMMUNITY CANCER SCREENINGS FOR THE GENERAL PUBLIC THAT CENTER AROUND EARLY DETECTION AND EDUCATION ON THE PREVENTION OF CANCER. A SKIN CANCER SCREENING AND AN ORAL, HEAD AND NECK SCREENING WERE HELD IN 2023. EDUCATION ON THE IMPORTANCE OF LOW DOSE CT LUNG CANCER SCREENING, COLONOSCOPY AND MAMMOGRAPHY WERE ADVERTISED TO THE PUBLIC. ANDERSON REGIONAL CANCER CENTER PLACES A LARGE FOCUS ON SURVIVORSHIP AND PROVIDES A BELL OF HOPE REFLECTION GARDEN FOR SURVIVORS TO RING THE BELL SIGNIFYING THE END OF THEIR TREATMENT. SURVIVORS ARE ALSO HONORED DURING NATIONAL CANCER SURVIVOR MONTH WITH AN OPPORTUNITY TO PLACE THEIR HANDPRINT AND YEARS OF SURVIVORSHIP ON A CANVAS THAT IS DISPLAYED IN THE CENTER.GASTROENTEROLOGY PROGRAMSANDERSON DIGESTIVE HEALTH CENTER PROVIDES OPEN ACCESS COLONOSCOPY APPOINTMENTS FOR PATIENTS WHO HAVE NO SYMPTOMS OR FAMILY HISTORY OF COLON CANCER. THESE INDIVIDUALS CAN MAKE AN APPOINTMENT FOR THE SCREENING WITHOUT A DOCTOR'S APPOINTMENT. ANDERSON DIGESTIVE HEALTH CENTER ALSO PROVIDES ORAL MEDICATION TREATMENT FOR HEPATITIS C. EDUCATIONAL CAMPAIGNS FOR COLON CANCER AWARENESS AND HEPATITIS C WERE CONDUCTED IN 2023.OBSTETRICAL AND GYNECOLOGY PROGRAMSANDERSON REGIONAL MEDICAL CENTER PROVIDES OBSTETRICAL AND GYNECOLOGY SERVICES, AS WELL AS A NEONATAL INTENSIVE CARE UNIT AND NEONATAL PHYSICIAN SERVICES. THE FOLLOWING EDUCATIONAL CLASSES ARE OFFERED FREE TO ANY EXPECTANT MOTHERS/FAMILIES. BIG BROTHER! BIG SISTER! SIBLING CLASSES INTRODUCES CHILDREN, AGE 12 AND UNDER, TO THE UPCOMING CHANGES IN THE FAMILY DYNAMICS.BREASTFEEDING CLASSES PROVIDE INFORMATION ON THE WHY-TO AND HOW-TO OF BREASTFEEDING, AS WELL AS THE HEALTH BENEFITS ASSOCIATED WITH BREASTFEEDING SUCH AS REDUCING CHILDHOOD OBESITY.CHILDBIRTH EDUCATION CLASSES PREPARE WOMEN FOR WHAT TO EXPECT DURING CHILDBIRTH. THE CLASSES ADDRESS PRE-NATAL WELLNESS, LABOR/DELIVERY STAGES, COPING STRATEGIES, SURGICAL INTERVENTIONS, AND RECOVERY CARE FOR EXPECTANT MOTHERS.NEWBORN CARE CLASSES GIVE NEW PARENTS THE CONFIDENCE REQUIRED TO CARE FOR A BABY WITH INFORMATION ABOUT NORMAL NEWBORN BEHAVIOR, NEWBORN CHARACTERISTICS AT DELIVERY, AND PRACTICAL ADVICE FOR DAILY CARE.EDUCATIONAL PROGRAMSANDERSON REGIONAL MEDICAL CENTER OFFERS EDUCATIONAL PROGRAMS FOR AREA MEDICAL PERSONNEL, SCHOOLS, BUSINESS AND THE COMMUNITY.ADVANCED CARDIAC LIFE SUPPORT COURSE (ACLS) IS OFFERED AS AN EDUCATIONAL PROGRAM FOR MEDICAL PERSONNEL IN THE AREA. THIS PROGRAM IS OFFERED ONSITE AT THE HOSPITAL.THE HOSPITAL COORDINATES AND OFFERS CONTINUED MEDICAL EDUCATION (CME) PROGRAMS TO AREA PHYSICIANS. THE MAJORITY OF THESE PROGRAMS ARE OPEN TO THE GENERAL PUBLIC.FOR AREA MEDICAL PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER OFFERS A HEALTHCARE PROVIDER COURSE THAT IS DESIGNED TO TEACH CPR SKILLS FOR PATIENTS OF ALL AGES. THIS COURSE IS DESIGNATED FOR HEALTHCARE PROVIDERS. HEARTSAVER CPR/AED AND/OR HEARTSAVER FIRST AID: THESE CLASSES ARE FOR INDIVIDUALS WHO HAVE A DUTY TO RESPOND TO EMERGENCIES BECAUSE OF JOB REQUIREMENTS OR REGULATORY REQUIREMENTS. HOWEVER, ANY COMMUNITY PERSON MAY ATTEND THE HEARTSAVER COURSES.ANDERSON REGIONAL MEDICAL CENTER ALSO OFFERS EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE SUCH AS HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS PROVIDED TO AREA HEALTHCARE PROVIDERS.THE INFECTION CONTROL DEPARTMENT OF THE HOSPITAL CONDUCTS FREE INFECTION CONTROL SEMINARS TO INFORM THE COMMUNITY ON THE CAUSES AND PREVENTIONS OF INFECTIONS AND DISEASES. THESE ARE TAUGHT AT MERIDIAN COMMUNITY COLLEGE AND AREA SCHOOLS.THE HOSPITAL OFFERS SAFETY SEMINARS TO AREA BUSINESSES THROUGH ANDERSON PHYSICIAN ALLIANCE. THESE SEMINARS CENTER ON OSHA SAFETY INSTRUCTIONS. A BLOOD PRESSURE CHECK IS ALSO PERFORMED ON THE EMPLOYEES OF THE BUSINESS DURING THIS SEMINAR.SPORTS MEDICINEANDERSON REGIONAL MEDICAL CENTER OFFERS A SPORTS MEDICINE PROGRAM THAT PROVIDES ATHLETIC TRAINERS TO LOCAL SCHOOLS. THE TRAINERS PERFORM PHYSICALS AND ASSESS ATHLETE INJURIES.
PART II, COMMUNITY BUILDING ACTIVITIES CONTINUED	OTHER PROGRAMS BENEFITTING THE COMMUNITYANDERSON REGIONAL MEDICAL CENTER PROVIDES HEALTHCARE TO THE NATIVE AMERICANS FROM THE CHOCTAW INDIAN RESERVATION. WE SUPPORT EFFORTS TO IMPROVE THE HEALTH OF THE CHOCTAW NATION.ANDERSON REGIONAL MEDICAL CENTER IS ACTIVE WITH MIDD (MISSISSIPPI INDUSTRIES FOR THE DEVELOPMENTALLY DISABLED). HOSPITAL PERSONNEL SERVE ON THE ADVISORY BOARD AND ATTEND BI-MONTHLY MEETINGS.ANDERSON REGIONAL MEDICAL CENTER IS ALSO ACTIVE WITH CHIN (COMMUNITY HEALTH IMPROVEMENT NETWORK). HOSPITAL PERSONNEL SERVE ON THE BOARD OF DIRECTORS FOR THIS ORGANIZATION THAT SEEKS TO REACH UNINSURED AND UNDER-INSURED INDIVIDUALS TO INCREASE EDUCATION ON HEALTH RELATED TOPICS SUCH AS HEART DISEASE, DIABETES, AND OTHER CHRONIC CONDITIONS. THE GOAL OF THE ORGANIZATION IS TO INCREASE ACCESS TO CARE IN THE APPROPRIATE SETTING.ANDERSON REGIONAL MEDICAL CENTER DONATES SPACE FOR THE FREE CLINIC OF MERIDIAN TO PROVIDE MEDICAL SERVICES TO PATIENTS WHO ARE UNABLE TO PAY.ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED LEADERSHIP AS BOARD MEMBERS AND/OR OFFICERS FOR MANY OF LOCAL ORGANIZATIONS INCLUDING DIABETES FOUNDATION OF MISSISSIPPI, MISSISSIPPI NURSES ASSOCIATION, COMMUNITY HEALTH IMPROVEMENT NETWORK, MISSISSIPPI CHILDREN'S MUSEUM- MERIDIAN, EAST MISSISSIPPI BUSINESS AND DEVELOPMENT CORPORATION, BOYS & GIRLS CLUB OF EAST MISSISSIPPI, ROTARY CLUB, HOPE VILLAGE FOR CHILDREN, MISSISSIPPI HOSPITAL ASSOCIATION, THE FREE CLINIC OF MERIDIAN, MERIDIAN COMMUNITY COLLEGE FOUNDATION. WE ACTIVELY ENCOURAGE OUR PERSONNEL TO PARTICIPATE IN OUR LOCAL COMMUNITY ORGANIZATIONS TO HELP IMPROVE THE COMMUNITY.SEVERAL OF THE HOSPITAL'S PERSONNEL PARTICIPATE AS CLINICAL ADVISORS FOR HEALTHCARE CURRICULUMS AT MERIDIAN COMMUNITY COLLEGE, EAST CENTRAL COMMUNITY COLLEGE AND UNIVERSITY OF WEST ALABAMA. STAFF MEMBERS HAVE ALSO SERVED ON LEADERSHIP LAUDERDALE WHEREBY STUDENTS VISIT LOCAL BUSINESSES IN LAUDERDALE COUNTY TO LEARN LEADERSHIP SKILLS.IN AN EFFORT TO REDUCE THE SHORTAGE OF REGISTERED NURSES AND OTHER HEALTHCARE PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER HAS TAKEN THE FOLLOWING ACTIONS:SINCE 1986 ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED NURSING SCHOLARSHIPS TO SOME OF THE TOP STUDENTS AT MERIDIAN COMMUNITY COLLEGE. SEVEN SCHOLARSHIPS ARE GIVEN ANNUALLY, THE DR. JEFF ANDERSON SCHOLARSHIP, DR. JEFFERSON HOLLINGSWORTH SCHOLARSHIP, DR. WILLIAM J. ANDERSON SCHOLARSHIP, DR. WILLIAM J. ANDERSON III SCHOLARSHIP, THE WILLIAM J. GUNN, ESQUIRE SCHOLARSHIP, THE REUBEN S. JOHNSON, JR. SCHOLARSHIP, AND THE ANDERSON BOARD OF DIRECTORS SCHOLARSHIP.ANDERSON REGIONAL MEDICAL CENTER ASSISTS MERIDIAN COMMUNITY COLLEGE WITH FUNDING FOR THE DEVELOPMENT AND MAINTENANCE OF HEALTH PROGRAMS.
PART III, LINE 4:	THE COST REPORTED ON LINE 2 IS CALCULATED AS THE BAD DEBT EXPENSE FROM THE GENERAL LEDGER TIMES THE RATIO OF COST TO CHARGES AS CALCULATED ON WORKSHEET 2. DISCOUNTS ON PATIENT ACCOUNTS ARE NOT INCLUDED IN BAD DEBT EXPENSE. PAYMENTS RECEIVED ON ACCOUNTS IN BAD DEBT ARE POSTED TO A BAD DEBT RECOVERY ACCOUNT. THIS ACCOUNT IS NETTED AGAINST THE BAD DEBT EXPENSE ACCOUNT. THE HOSPITAL BELIEVES $3,421,143 SHOULD QUALIFY AS CHARITY CARE. THE FACILITY HAS PROCEDURES IN PLACE TO DETERMINE IF A PATIENT QUALIFIES FOR CHARITY CARE. THE PER CAPITA INCOME FOR THE AREA IS APPROXIMATELY $20,688 AND THE PERCENTAGE OF PERSONS BELOW THE POVERTY LEVEL FOR THE AREA IS APPROXIMATELY 28.73%.
PART III, LINE 8:	THE FISCAL YEAR 2022 MEDICARE COST REPORT COST TO CHARGE RATIO WAS APPLIED TO FISCAL YEAR 2023 CHARGES TO DETERMINE THE ESTIMATED MEDICARE ALLOWABLE COST. THE MEDICARE REVENUE INCLUDES MEDICARE DISPROPORTIONATE SHARE PAYMENT, REVENUE, COINSURANCE, PATIENT DEDUCTIBLES, OUTLIERS, CAPITAL AND BAD DEBT. THE ELDERLY (AGE 65 AND OVER) MAKES UP 14.8% OF THE POPULATION FOR THIS AREA. THE ELDERLY LIVE ON FIXED INCOMES AND FALL INTO LOW INCOME LEVELS FOR THE AREA. ANDERSON REGIONAL MEDICAL CENTER'S PATIENT POPULATION FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2023 WAS MADE UP OF 50% MEDICARE.
PART III, LINE 9B:	THE FAP AND COLLECTION AGENCY PLACEMENT AND CLOSURE POLICY DO NOT CROSS-REFERENCE EACH OTHER. THUS, NEITHER POLICY CLARIFIES THAT THE COLLECTION POLICY IS SUBJECT TO THE FAP AND ITS LIMITATIONS ON EXTRAORDINARY COLLECTION ACTIONS ("ECAS"). FOLLOWING THE ACQUISITION, ON JANUARY 1, 2024, ARMC WILL ADOPT BMHCC'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADDITIONALLY, ARMC HAS REVISED ITS COLLECTION POLICY TO STATE IT IS SUBJECT TO THE FAP LIMITATIONS ON ECAS.HISTORICALLY, IN EMERGENCY CARE SITUATIONS, ARMC HAS PROVIDED CARE TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. ARMC'S COLLECTION POLICY OUTLINES THE TYPE OF COLLECTION NOTICES SUCH AS STATEMENTS, LETTERS, AND PHONE CALLS THAT WILL BE SENT TO A PATIENT, THE DETERMINATION OF FINANCIAL ASSISTANCE, AND POSSIBLE FINANCIAL ALTERNATIVES. ARMC MAILS STATEMENTS EVERY 30 DAYS. IF PAYMENT IS NOT RECEIVED ON AN ACCOUNT, THE COLLECTION LETTER PROCESS BEGINS AND A LETTER IS SENT EVERY 30 DAYS DURING THE PROCESS. COLLECTION PHONE CALLS ARE ALSO MADE TO THE PATIENTS WHEN FURTHER COLLECTION ACTION IS DEEMED NECESSARY. AN ACCOUNT IS ASSIGNED TO THE COLLECTION AGENCY. PATIENTS WHO ARE UNABLE TO PAY ARE SCREENED FOR ASSISTANCE UNDER MEDICAID AND/OR OTHER GOVERNMENTAL PROGRAMS. PATIENTS WHO DO NOT QUALIFY UNDER THESE PROGRAMS MAY BE ELIGIBLE FOR CHARITY ADJUSTMENTS BASED UPON THE FEDERAL POVERTY GUIDELINES. A CHARITY ADJUSTMENT IS BASED ON THE PATIENT'S INCOME LEVEL WHEN THE PATIENT MEETS THE ESTABLISHED GUIDELINES. ARMC WILL THEN ADJUST THE BALANCE BY THE APPLICABLE CHARITY PERCENTAGE. ARMC ALSO ASSISTS PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE. ARMC WILL ASSIST THOSE PATIENTS UNABLE TO MEET THEIR OBLIGATION IN FULL BY ARRANGING PAYMENT ON A MONTHLY BASIS.
PART VI, LINE 2:	THE ORGANIZATION CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS TO ASSESS THE NEEDS OF THE COMMUNITY. THIS ASSESSMENT TAKES INTO CONSIDERATION INPUT FROM THE COMMUNITY, COMMUNITY LEADERS, AND STATISTICAL INFORMATION.
PART VI, LINE 3:	PATIENT EDUCATION OF ELEGIBILITY ASSISTANCE IS OFFERED AT THE FACILITY BY VARIOUS MEANS. THE HOSPITAL HAS ON SITE PARALLON THAT WORKS WITH THE PATIENTS WHO DO NOT HAVE INSURANCE TO DETERMINE IF THEY ARE ELIGIBLE FOR MEDICAID OR ANY GOVERNMENT ASSISTANCE. IF THEY ARE NOT ELIGIBLE, THIS GROUP REFERS THE PATIENT TO THE CREDIT DEPARTMENT TO DISCUSS THE CHARITY CARE APPLICATION AND POLICY. ALSO THE HOSPITAL HAS CASE MANAGERS ON SITE THAT SCREEN THE PATIENTS AND REFER THE PATIENT TO THE CREDIT DEPARTMENT FOR FINANCIAL ASSISTANCE. THE FACILITY HAS FINANCIAL COUNSELORS IN THE EMERGENCY DEPARTMENT THAT SCREEN PATIENTS AND DISTRIBUTE CHARITY CARE APPLICATIONS.
PART VI, LINE 4:	THE HOSPITAL'S MAIN SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON, AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVES THE AREAS OF CHOCTAW AND SUMTER COUNTIES IN WESTERN ALABAMA. THESE COUNTIES ARE LOCATED IN RURAL AREAS OF THE STATES. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA.
PART VI, LINE 6:	ANDERSON REGIONAL MEDICAL CENTER IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

Schedule H (Form 990) 2022

Additional Data

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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

2022

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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) THE MONTGOMERY INSTITUTE 700 23RD AVE SUITE 201 MERIDIAN,MS39302	64-0932080	501C(3)	10,000	0			COMMUNITY HEALTH IMPROVEMENT NETWORK

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) 2022

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	224	76,306	ASSISANTANCE TO CANCER PATIENTS FOR TRANSPORTATION TO MAKE APPOINTMENTS
(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:	ANDERSON REGIONAL MEDICAL CENTER DOES NOT MAINTAIN RECORDS TO SUBSTANTIATE OR MONITOR THE USE OF GRANT FUNDS. THE ASSISTANCE TO MERIDIAN COMMUNITY COLEGE IS MADE DIRECTLY TO THE COLLEGE ITSELF IN ORDER TO PROVIDE FUNDING/EDUCATION ASSISTANCE TO THE NURSING SCHOOL. IN ADDITION, ANDERSON REGIONAL MEDICAL CENTER MADE CONTRIBUTIONS TO THE OTHER CHARITIES FOR THE FURTHERANCE OF THEIR EXEMPT PURPOSE.

Schedule I (Form 990) 2022

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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

2022

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) 2022

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1CALEB R DULANEY PHYSICIAN	(i) (ii)	694,447 ------------- 0	255,415 ------------- 0	596 ------------- 0	2,900 ------------- 0	14,687 ------------- 0	968,045 ------------- 0	0 ------------- 0
2HANS H TULIP PHYSICIAN	(i) (ii)	866,843 ------------- 0	49,689 ------------- 0	689 ------------- 0	2,900 ------------- 0	14,593 ------------- 0	934,714 ------------- 0	0 ------------- 0
3DANIEL D DENISON PHYSICIAN	(i) (ii)	688,549 ------------- 0	0 ------------- 0	592 ------------- 0	2,900 ------------- 0	13,224 ------------- 0	705,265 ------------- 0	0 ------------- 0
4MATTHEW T COKER PHYSICIAN	(i) (ii)	532,624 ------------- 0	86,969 ------------- 0	370 ------------- 0	0 ------------- 0	14,687 ------------- 0	634,650 ------------- 0	0 ------------- 0
5PHILLIP K MCDONALD PHYSICIAN	(i) (ii)	475,608 ------------- 0	0 ------------- 0	7,163 ------------- 0	23,400 ------------- 0	13,039 ------------- 0	519,210 ------------- 0	0 ------------- 0
6JOHN G ANDERSON PRESIDENT/CEO	(i) (ii)	396,729 ------------- 0	0 ------------- 0	8,657 ------------- 0	92,495 ------------- 0	13,265 ------------- 0	511,146 ------------- 0	0 ------------- 0
7THURMAN KEITH EVERETT VICE PRESIDENT/CMO	(i) (ii)	355,002 ------------- 0	0 ------------- 0	14,503 ------------- 0	53,944 ------------- 0	0 ------------- 0	423,449 ------------- 0	0 ------------- 0
8STEVEN W BROWN VICE PRESIDENT/CFO	(i) (ii)	293,587 ------------- 0	0 ------------- 0	2,374 ------------- 0	62,323 ------------- 0	19,616 ------------- 0	377,900 ------------- 0	0 ------------- 0
9FRANK W GARRISON IV VICE PRESIDENT/CNO	(i) (ii)	273,021 ------------- 0	0 ------------- 0	1,285 ------------- 0	32,868 ------------- 0	17,159 ------------- 0	324,333 ------------- 0	0 ------------- 0
10GEORGE D FARR JR VICE PRESIDENT	(i) (ii)	195,242 ------------- 0	0 ------------- 0	1,910 ------------- 0	39,782 ------------- 0	16,462 ------------- 0	253,396 ------------- 0	0 ------------- 0
11WANDA B COOPER VICE PRESIDENT (SECRETARY)	(i) (ii)	222,815 ------------- 0	0 ------------- 0	8,619 ------------- 0	1,950 ------------- 0	6,669 ------------- 0	240,053 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

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	CEO, VICE PRESIDENTS AND BOARD MEMBERS ARE OFFERED FREE MEMBERSHIPS TO ANDERSON HEALTH AND FITNESSS CENTER. JOHN C ANDERSON, WANDA B COOPER, GEORGE D FARR, JR., AND DAVID VOWELL RECEIVED FREE MEMBERSHIPS.
PART I, LINE 4B	ARMC PROVIDES CERTAIN EXECUTIVES AN IRC SEC 457(F), NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) PLAN: - JOHN ANDERSON $89,595 - GEORGE DENTON FARR, JR. 37,798 - STEVEN BROWN 46,423 - FRANK W. GARRISON IV 32,868 - KEITH EVERETT 53,944

Schedule J (Form 990) 2022

Additional Data

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Schedule L
(Form 990)

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

2021

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) 2021

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 AN OFFICER	101,182	COMPENSATION FOR SERVICES		No
(2) JENNIFER L CHESTNUTT	FAMILY RELATIONSHIP OF AN OFFICER	23,563	COMPENSATION FOR SERVICES		No
(3) STEPHEN A COVINGTON	FAMILY RELATIONSHIP OF A BOARD MEMBER	162,461	COMPENSATION FOR SERVICES		No
(4) KARSON COOK WALTERS	FAMILY RELATIONSHIP OF AN OFFICER	22,635	COMPENSATION FOR SERVICES		No
(5) JOHN G ANDERSON	FAMILY RELATIONSHIP OF AN OFFICER	39,283	COMPENSATION FOR SERVICES		No
(6) HANNAH G FARR	FAMILY RELATIONSHIP OF AN OFFICER	12,687	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) 2021

Additional Data

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Software Version:

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SCHEDULE O
(Form 990)

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

2021

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 2023 ANDERSON REGIONAL MEDICAL CENTER IS AN ACUTE CARE HOSPITAL LOCATED IN MERIDIAN, MISSISSIPPI. THE HOSPITAL'S PRIMARY SERVICE AREA IS LAUDERDALE, NEWTON, CLARKE, LEAKE, KEMPER, NESHOBA, WINSTON AND JASPER COUNTIES IN MISSISSIPPI. THE HOSPITAL ALSO SERVES THE AREAS OF CHOCTAW AND SUMTER COUNTIES IN WESTERN ALABAMA. ANDERSON REGIONAL MEDICAL CENTER OPERATES THE ONLY COMPREHENSIVE CANCER CENTER, ANDERSON REGIONAL CANCER CENTER, IN EAST CENTRAL MISSISSIPPI AND WEST ALABAMA. THE HOSPITAL PROVIDES A WIDE ARRAY OF SERVICES INCLUDING MOST MAJOR INPATIENT CLINICAL SERVICES, AN ACUTE CARE SWING BED UNIT, AN INPATIENT REHABILITATION UNIT, AN INPATIENT GERIATRIC PSYCHIATRIC FACILITY, OUTPATIENT SERVICES INCLUDING WOUND CARE SERVICES AND PAIN MANAGEMENT SERVICES, THERAPEUTIC AND DIAGNOSTIC SERVICES, TRAUMA SERVICES AND EMERGENCY SERVICES. ANDERSON PRIDES ITSELF IN BEING THE LEADER IN CARDIOLOGY AND CANCER SERVICES. ANDERSON HAS RECEIVED THE PLATINUM AWARD FOR OUTSTANDING HEART ATTACK CARE FROM THE AMERICAN COLLEGE OF CARDIOLOGY FIVE YEARS IN A ROW. ANDERSON REGIONAL CANCER CENTER RECENTLY ACQUIRED THE TRUEBEAM RADIATION SYSTEM WHICH IS CONSIDERED ONE OF THE MOST ADVANCED RADIATION SYSTEMS IN THE WORLD. CARDIOLOGY PROGRAMS ANDERSON CARDIOPULMONARY REHABILITATION PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. THIS PROGRAM PROVIDES PATIENTS WHO HAVE HEART DISEASE, COPD, OR SIMILAR CONDITIONS TO OPTIMIZE THEIR HEART AND LUNG HEALTH IN A SUPERVISED SETTING. ANDERSON REGIONAL MEDICAL CENTER HOLDS AN ANNUAL EVENT FOR THE COMMUNITY THAT BRINGS AWARENESS TO WOMEN'S HEART HEALTH WITH A PANEL OF EXPERTS ON CARDIOLOGY, FITNESS AND NUTRITION. ANDERSON REGIONAL MEDICAL CENTER OFFERS HEALTH FAIRS TO THE COMMUNITY THROUGH OUR WORKHEALTH PROGRAM. IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY, NURSES OFFER FREE BLOOD PRESSURE CHECKS, BLOOD SUGAR SCREENINGS, WEIGHT AND BODY MASS INDEX MEASUREMENTS, AND DISTRIBUTE GENERAL HEALTH EDUCATIONAL MATERIALS. DIABETES PROGRAMS ANDERSON REGIONAL MEDICAL CENTER HAS A DIABETES MANAGEMENT CENTER WITH CERTIFIED INSTRUCTORS WHO EDUCATE THE COMMUNITY ON THE PREVENTION AND TREATMENT OF DIABETES. THE CENTER PROVIDES NUTRITION EDUCATION AND TRAINING ON CONTINUOUS GLUCOSE MONITOR SYSTEMS. ANDERSON EMPLOYS AN ENDOCRINOLOGIST IN AN OUTPATIENT CLINIC AND TWO NURSE PRACTITIONERS WHO CONSULT ON INPATIENT DIABETIC PATIENTS AND PROVIDE FOLLOW UP AFTER DISCHARGE. ANDERSON STAFF MEMBERS PARTICIPATE IN THE DIABETES FOUNDATION OF MISSISSIPPI'S ANNUAL WALK FOR DIABETES. CANCER PROGRAMS ANDERSON REGIONAL CANCER CENTER FACILITATES COMMUNITY DONATIONS TO THE HOSPITAL'S CANCER PATIENT BENEVOLENCE FUND WHICH ASSISTS AREA CANCER PATIENTS WHO ARE IN NEED OF TRANSPORTATION TO APPOINTMENTS, MEDICATION NOT COVERED BY INSURANCE, PAYMENT OF UTILITY BILLS, ETC. THE FUND ASSISTED NEARLY 300 PEOPLE IN THE PAST YEAR. THE CANCER CENTER PROVIDES FREE COMMUNITY CANCER SCREENINGS FOR THE GENERAL PUBLIC THAT CENTER AROUND EARLY DETECTION AND EDUCATION ON THE PREVENTION OF CANCER. A SKIN CANCER SCREENING AND AN ORAL, HEAD AND NECK SCREENING WERE HELD IN 2023. EDUCATION ON THE IMPORTANCE OF LOW DOSE CT LUNG CANCER SCREENING, COLONOSCOPY AND MAMMOGRAPHY WERE ADVERTISED TO THE PUBLIC. ANDERSON REGIONAL CANCER CENTER PLACES A LARGE FOCUS ON SURVIVORSHIP AND PROVIDES A BELL OF HOPE REFLECTION GARDEN FOR SURVIVORS TO RING THE BELL SIGNIFYING THE END OF THEIR TREATMENT. SURVIVORS ARE ALSO HONORED DURING NATIONAL CANCER SURVIVOR MONTH WITH AN OPPORTUNITY TO PLACE THEIR HANDPRINT AND YEARS OF SURVIVORSHIP ON A CANVAS THAT IS DISPLAYED IN THE CENTER. GASTROENTEROLOGY PROGRAMS ANDERSON DIGESTIVE HEALTH CENTER PROVIDES OPEN ACCESS COLONOSCOPY APPOINTMENTS FOR PATIENTS WHO HAVE NO SYMPTOMS OR FAMILY HISTORY OF COLON CANCER. THESE INDIVIDUALS CAN MAKE AN APPOINTMENT FOR THE SCREENING WITHOUT A DOCTOR'S APPOINTMENT. ANDERSON DIGESTIVE HEALTH CENTER ALSO PROVIDES ORAL MEDICATION TREATMENT FOR HEPATITIS C. EDUCATIONAL CAMPAIGNS FOR COLON CANCER AWARENESS AND HEPATITIS C WERE CONDUCTED IN 2023. OBSTETRICAL AND GYNECOLOGY PROGRAMS ANDERSON REGIONAL MEDICAL CENTER PROVIDES OBSTETRICAL AND GYNECOLOGY SERVICES, AS WELL AS A NEONATAL INTENSIVE CARE UNIT AND NEONATAL PHYSICIAN SERVICES. THE FOLLOWING EDUCATIONAL CLASSES ARE OFFERED FREE TO ANY EXPECTANT MOTHERS/FAMILIES. BIG BROTHER! BIG SISTER! SIBLING CLASSES INTRODUCES CHILDREN, AGE 12 AND UNDER, TO THE UPCOMING CHANGES IN THE FAMILY DYNAMICS. BREASTFEEDING CLASSES PROVIDE INFORMATION ON THE WHY-TO AND HOW-TO OF BREASTFEEDING, AS WELL AS THE HEALTH BENEFITS ASSOCIATED WITH BREASTFEEDING SUCH AS REDUCING CHILDHOOD OBESITY. CHILDBIRTH EDUCATION CLASSES PREPARE WOMEN FOR WHAT TO EXPECT DURING CHILDBIRTH. THE CLASSES ADDRESS PRE-NATAL WELLNESS, LABOR/DELIVERY STAGES, COPING STRATEGIES, SURGICAL INTERVENTIONS, AND RECOVERY CARE FOR EXPECTANT MOTHERS. NEWBORN CARE CLASSES GIVE NEW PARENTS THE CONFIDENCE REQUIRED TO CARE FOR A BABY WITH INFORMATION ABOUT NORMAL NEWBORN BEHAVIOR, NEWBORN CHARACTERISTICS AT DELIVERY, AND PRACTICAL ADVICE FOR DAILY CARE. EDUCATIONAL PROGRAMS ANDERSON REGIONAL MEDICAL CENTER OFFERS EDUCATIONAL PROGRAMS FOR AREA MEDICAL PERSONNEL, SCHOOLS, BUSINESS AND THE COMMUNITY. ADVANCED CARDIAC LIFE SUPPORT COURSE (ACLS) IS OFFERED AS AN EDUCATIONAL PROGRAM FOR MEDICAL PERSONNEL IN THE AREA. THIS PROGRAM IS OFFERED ONSITE AT THE HOSPITAL. THE HOSPITAL COORDINATES AND OFFERS CONTINUED MEDICAL EDUCATION (CME) PROGRAMS TO AREA PHYSICIANS. THE MAJORITY OF THESE PROGRAMS ARE OPEN TO THE GENERAL PUBLIC. FOR AREA MEDICAL PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER OFFERS A HEALTHCARE PROVIDER COURSE THAT IS DESIGNED TO TEACH CPR SKILLS FOR PATIENTS OF ALL AGES. THIS COURSE IS DESIGNATED FOR HEALTHCARE PROVIDERS. HEARTSAVER CPR/AED AND/OR HEARTSAVER FIRST AID: THESE CLASSES ARE FOR INDIVIDUALS WHO HAVE A DUTY TO RESPOND TO EMERGENCIES BECAUSE OF JOB REQUIREMENTS OR REGULATORY REQUIREMENTS. HOWEVER, ANY COMMUNITY PERSON MAY ATTEND THE HEARTSAVER COURSES. ANDERSON REGIONAL MEDICAL CENTER ALSO OFFERS EDUCATION PROGRAMS THAT CENTER AROUND PEDIATRIC CARE SUCH AS HEARTSAVER PEDIATRIC FIRST AID AND CPR COURSE. THE PEDIATRIC ADVANCED LIFE SUPPORT (PALS) COURSE IS PROVIDED TO AREA HEALTHCARE PROVIDERS. THE INFECTION CONTROL DEPARTMENT OF THE HOSPITAL CONDUCTS FREE INFECTION CONTROL SEMINARS TO INFORM THE COMMUNITY ON THE CAUSES AND PREVENTIONS OF INFECTIONS AND DISEASES. THESE ARE TAUGHT AT MERIDIAN COMMUNITY COLLEGE AND AREA SCHOOLS. THE HOSPITAL OFFERS SAFETY SEMINARS TO AREA BUSINESSES THROUGH ANDERSON PHYSICIAN ALLIANCE. THESE SEMINARS CENTER ON OSHA SAFETY INSTRUCTIONS. A BLOOD PRESSURE CHECK IS ALSO PERFORMED ON THE EMPLOYEES OF THE BUSINESS DURING THIS SEMINAR. SPORTS MEDICINE ANDERSON REGIONAL MEDICAL CENTER OFFERS A SPORTS MEDICINE PROGRAM THAT PROVIDES ATHLETIC TRAINERS TO LOCAL SCHOOLS. THE TRAINERS PERFORM PHYSICALS AND ASSESS ATHLETE INJURIES.
FORM 990, PAGE 2, PART III, LINE 4A	CONTINUED OTHER PROGRAMS BENEFITTING THE COMMUNITY ANDERSON REGIONAL MEDICAL CENTER PROVIDES HEALTHCARE TO THE NATIVE AMERICANS FROM THE CHOCTAW INDIAN RESERVATION. WE SUPPORT EFFORTS TO IMPROVE THE HEALTH OF THE CHOCTAW NATION. ANDERSON REGIONAL MEDICAL CENTER IS ACTIVE WITH MIDD (MISSISSIPPI INDUSTRIES FOR THE DEVELOPMENTALLY DISABLED). HOSPITAL PERSONNEL SERVE ON THE ADVISORY BOARD AND ATTEND BI-MONTHLY MEETINGS. ANDERSON REGIONAL MEDICAL CENTER IS ALSO ACTIVE WITH CHIN (COMMUNITY HEALTH IMPROVEMENT NETWORK). HOSPITAL PERSONNEL SERVE ON THE BOARD OF DIRECTORS FOR THIS ORGANIZATION THAT SEEKS TO REACH UNINSURED AND UNDER-INSURED INDIVIDUALS TO INCREASE EDUCATION ON HEALTH RELATED TOPICS SUCH AS HEART DISEASE, DIABETES, AND OTHER CHRONIC CONDITIONS. THE GOAL OF THE ORGANIZATION IS TO INCREASE ACCESS TO CARE IN THE APPROPRIATE SETTING. ANDERSON REGIONAL MEDICAL CENTER DONATES SPACE FOR THE FREE CLINIC OF MERIDIAN TO PROVIDE MEDICAL SERVICES TO PATIENTS WHO ARE UNABLE TO PAY. ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED LEADERSHIP AS BOARD MEMBERS AND/OR OFFICERS FOR MANY OF LOCAL ORGANIZATIONS INCLUDING DIABETES FOUNDATION OF MISSISSIPPI, MISSISSIPPI NURSES ASSOCIATION, COMMUNITY HEALTH IMPROVEMENT NETWORK, MISSISSIPPI CHILDREN'S MUSEUM- MERIDIAN, EAST MISSISSIPPI BUSINESS AND DEVELOPMENT CORPORATION, BOYS & GIRLS CLUB OF EAST MISSISSIPPI, ROTARY CLUB, HOPE VILLAGE FOR CHILDREN, MISSISSIPPI HOSPITAL ASSOCIATION, THE FREE CLINIC OF MERIDIAN, MERIDIAN COMMUNITY COLLEGE FOUNDATION. WE ACTIVELY ENCOURAGE OUR PERSONNEL TO PARTICIPATE IN OUR LOCAL COMMUNITY ORGANIZATIONS TO HELP IMPROVE THE COMMUNITY. SEVERAL OF THE HOSPITAL'S PERSONNEL PARTICIPATE AS CLINICAL ADVISORS FOR HEALTHCARE CURRICULUMS AT MERIDIAN COMMUNITY COLLEGE, EAST CENTRAL COMMUNITY COLLEGE AND UNIVERSITY OF WEST ALABAMA. STAFF MEMBERS HAVE ALSO SERVED ON LEADERSHIP LAUDERDALE WHEREBY STUDENTS VISIT LOCAL BUSINESSES IN LAUDERDALE COUNTY TO LEARN LEADERSHIP SKILLS. IN AN EFFORT TO REDUCE THE SHORTAGE OF REGISTERED NURSES AND OTHER HEALTHCARE PERSONNEL, ANDERSON REGIONAL MEDICAL CENTER HAS TAKEN THE FOLLOWING ACTIONS: SINCE 1986 ANDERSON REGIONAL MEDICAL CENTER HAS PROVIDED NURSING SCHOLARSHIPS TO SOME OF THE TOP STUDENTS AT MERIDIAN COMMUNITY COLLEGE. SEVEN SCHOLARSHIPS ARE GIVEN ANNUALLY, THE DR. JEFF ANDERSON SCHOLARSHIP, DR. JEFFERSON HOLLINGSWORTH SCHOLARSHIP, DR. WILLIAM J. ANDERSON SCHOLARSHIP, DR. WILLIAM J. ANDERSON III SCHOLARSHIP, THE WILLIAM J. GUNN, ESQUIRE SCHOLARSHIP, THE REUBEN S. JOHNSON, JR. SCHOLARSHIP, AND THE ANDERSON BOARD OF DIRECTORS SCHOLARSHIP. ANDERSON REGIONAL MEDICAL CENTER ASSISTS MERIDIAN COMMUNITY COLLEGE WITH FUNDING FOR THE DEVELOPMENT AND MAINTENANCE OF HEALTH PROGRAMS.
FORM 990, PART VI, SECTION A, LINE 1A	A GENERAL EXECUTIVE COMMITTEE OF THE BOARD MAY BE NAMED BY THE BOARD OF DIRECTORS, IN ITS DISCRETION, BY RESOLUTION ADOPTED BY A MAJORITY OF THE WHOLE BOARD, APPOINTING THE MEMBERS THEREOF, AND SPECIFYING ITS AUTHORITY AND RESPONSIBILITY. TO THE EXTENT PROVIDED IN SUCH RESOLUTION, OR IN THE ARTICLES OR THESE BYLAWS, SAID EXECUTIVE COMMITTEE MAY HAVE AND EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS, BUT SHALL NOT HAVE THE AUTHORITY OF THE BOARD OF DIRECTORS IN REFERENCE TO AMENDING THE ARTICLES, ADOPTING A PLAN OF MERGER OR CONSOLIDATION, RECOMMENDING TO THE SHAREHOLDERS THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL THE PROPERTY AND ASSETS OF THE CORPORATION OTHERWISE THAN IN THE USUAL AND REGULAR COURSE OF ITS BUSINESS, RECOMMENDING TO THE SHAREHOLDERS A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF, ELECTING, APPOINTING OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OR ANY OF ITS COMMITTEES, OR AMENDING THE ARTICLES OR BYLAWS OF THE CORPORATION. ANY SUCH DESIGNATION OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY MEMBER THERE OF ANY RESPONSIBILITY IMPOSED BY LAW. SUCH COMMITTEE SHALL BE COMPOSED OF NOT LESS THAN THREE (3) MEMBERS OF THE BOARD OF DIRECTORS WHO SHALL SERVE AT THE PLEASURE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL BE ORGANIZED AND SHALL PERFORM ITS FUNCTIONS AS DIRECTED BY THE BOARD AND SHALL REPORT PERIODICALLY TO THE BOARD. THE COMMITTEE SHALL ACT BY MAJORITY OF THE MEMBERS THEREOF, AND ANY ACTION DULY TAKEN BY THE EXECUTIVE COMMITTEE WITHIN THE COURSE AND SCOPE OF ITS AUTHORITY SHALL BE BINDING ON THE CORPORATION. THE EXECUTIVE COMMITTEE MAY BE ABOLISHED AT ANY TIME BY THE VOTE OF THE WHOLE MAJORITY OF THE BOARD OF DIRECTORS, AND DURING THE COURSE OF THE COMMITTEE'S EXISTENCE, THE MEMBERS THEREOF MAY BE INCREASED AND THE AUTHORITY AND DUTIES OF THE COMMITTEE CHANGED BY THE BOARD OF DIRECTORS AS IT MAY DEEM APPROPRIATE.
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING BOARD MEMBERS HAVE A FAMILY RELATIONSHIP: - DR. JOSEPH M. ANDERSON - NELL G. HILL - DR. SHAWN C. ANDERSON - JANET G. FARRINGTON -JOHN G. ANDERSON -GEORGE D. FARR JR.
FORM 990, PART VI, SECTION A, LINE 6	ANDERSON REGIONAL MEDICAL CENTER WAS ESTABLISHED IN 1928 AS A NONPROFIT CORPORATION UNDER THE LAWS OF THE STATE OF MISSISSIPPI. ON THE DATE OF INCORPORATION, ANDERSON REGIONAL MEDICAL CENTER ISSUED ONE-HUNDRED SHARE OF NONPROFIT CAPITAL STOCK TO FOUR INDIVIDUALS, EACH OF WHOM RECEIVED AN EQUAL NUMBER OF SHARES. CURRENTLY, FOUR INDIVIDUALS, FAMILY MEMBERS OF THE ORIGINAL HOLDERS, HOLD THOSE ORIGINAL ONE-HUNDRED SHARE IN EQUAL PROPORTION. IN ADDITION, THESE FOUR INDIVIDUALS, DISCLOSED BELOW, ARE CURRENTLY VOTING BOARD MEMBERS ON ANDERSON REGIONAL MEDICAL CENTER'S BOARD OF DIRECTORS: - DR. JOSEPH ANDERSON - JANET G. FARRINGTON - NELL GAYDEN HILL - SHAWN ANDERSON, D.O. NOTWITHSTANDING THE FORGOING, IT IS THE INTENT OF ANDERSON REGIONAL MEDICAL CENTER AND ITS STOCKHOLDERS THAT THE TERM "STOCKHOLDER" SHALL HAVE THE MEANING OF THE TERM "MEMBER" UNDER MISSISSIPPI NONPROFIT CORPORATION ACT AND THAT NO PART OF THE INCOME OR ASSETS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF ANY STOCKHOLDER, AND NO INCOME OR PROFITS OF THE CORPORATION SHALL BE PAID TO ANY STOCKHOLDER.
FORM 990, PART VI, SECTION B, LINE 11B	EACH BOARD MEMBER WAS PROVIDED A COPY OF THE FORM 990. THE BOARD MEMBERS WERE ASKED TO REVIEW THE FORM AND SUBMIT QUESTIONS AND COMMENTS PROIR TO THE FORM 990 BEING FINALIZED. AFTER REVIEW, THE FINALIZED FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	EVERY YEAR IN DECEMBER THE BOARD OF DIRECTORS IS EDUCATED ON CONFLICT OF INTEREST PRINCIPLES AND ASKED TO SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE STATEMENT IS REVIEWED BY LEGAL COUNSEL FOR THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF ARMC HAS A DESIGNATED THREE (3) PERSON COMMITTEE OF INDEPENDENT BOARD MEMBERS TO REVIEW AND APPROVE COMPENSATION. THE BOARD ALSO HAS CONTRACTED FOR AND USED THE PROFESSIONAL SERVICES OF LOCKTON FOR THE CEO AND VICE PRESIDENTS AND SULLIVAN COTTER FOR THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18	IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19	THE HOSPITAL'S ARTICLES OF INCORPATION ARE ON FILE AND ARE AVAILABLE TO THE PUBLIC IN THE MISSISSIPPI SECRETARY OF STATE'S OFFICE. THE BYLAWS AND THE CONFLICT OF INTEREST POLICY ARE NOT PUBLICLY AVAILABLE. HOWEVER, THE FINANCIAL STATEMENTS OF THE HOSPITAL ARE AVAILABLE TO THE PUBLIC AS A PART OF THIS FORM 990.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 22,840,414. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,840,414. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 376,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,065. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 63,181,968. MANAGEMENT AND GENERAL EXPENSES 616,249. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,798,217.
FORM 990, PART XI, LINE 9:	ADJUSTMENT RELATED TO CONSOLIDATION 1,852,852.
FORM 990, PART XII, LINE 2C:	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	3
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	1,753
6	Total number of volunteers (estimate if necessary) .............	6	24
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,813,733
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	19,978,979	1,053,672
9	Program service revenue (Part VIII, line 2g) .........	230,434,229	252,605,507
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-522,127	661,827
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,199,034	31,691
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	254,090,115	254,352,697
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	106,306	91,306
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)	87,882,231	95,581,425
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)....	178,620,122	178,657,671
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	266,608,659	274,330,402
19	Revenue less expenses. Subtract line 18 from line 12.......	-12,518,544	-19,977,705
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	240,835,255	226,616,703
21	Total liabilities (Part X, line 26).............	69,248,090	73,154,391
22	Net assets or fund balances. Subtract line 21 from line 20.....	171,587,165	153,462,312

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 249,388,952 including grants of $ 91,306 ) (Revenue $ 245,723,168 )
	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 expenses249,388,952

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,630,306	0	472,771

(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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) PHILLIP K MCDONALD........................................................................ PHYSICIAN	40.00 .......................	X	482,771	0	36,439

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	1,040,691

f	All other contributions, gifts, grants, and similar amounts not included above		1f	12,981

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

h Total. Add lines 1a-1f.......		1,053,672

		Business Code
2a	NET PATIENT SERVICE RE	621990	229,087,395	229,087,395
b	OTHER OPERATING REVENU	621990	17,408,213	17,408,213
c	PHARMACY REVENUE	456110	5,627,911		5,627,911
d	HEALTH & FITNESS REVEN	713940	481,988	296,166	185,822
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		252,605,507

3 Investment income (including dividends, interest, and othersimilar amounts) ......			361,370			361,370
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,565,838	6a
b	Less: rental expenses		4,017,718	6b
c	Rental income or (loss)		-1,451,880	6c
d	Net rental income or (loss).......			-1,451,880			-1,451,880
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	34,469	265,988	7a
b	Less: cost or other basis and sales expenses	0	0	7b
c	Gain or (loss)	34,469	265,988	7c
d	Net gain or (loss).........			300,457			300,457
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	36,275
b	Less: direct expenses ...		8b	7,400
c	Net income or (loss) from fundraising events..			28,875			28,875
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	710,738			710,738
b	MISCELLANEOUS RENT REV		900099	655,279			655,279
c	VENDING REVENUE		900099	49,021			49,021
d	All other revenue ....			39,658			39,658
e	Total. Add lines 11a–11d ......			1,454,696
12	Total revenue. See instructions.....			254,352,697	246,791,774	5,813,733	693,518

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	15,000	15,000
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	76,306	76,306
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 ...........	1,975,180		1,975,180
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	361,811	361,811
7	Other salaries and wages........	72,937,415	61,127,787	11,809,628
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	848,799	693,361	155,438
9	Other employee benefits .......	13,722,117	11,209,221	2,512,896
10	Payroll taxes ...........	5,736,103	4,685,665	1,050,438
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	960,627		960,627
c	Accounting ...........	134,115		134,115
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)	87,014,696	86,022,382	992,314
12	Advertising and promotion ....	361,715	103,855	257,860
13	Office expenses .......	18,145,606	15,082,531	3,063,075
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	6,162,232	6,162,232
17	Travel ............	143,213	116,455	26,758
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	29,423	29,423
20	Interest ...........	584,693	396,354	188,339
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	7,874,090	6,059,308	1,814,782
23	Insurance ...	3,254,096	3,254,096
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	41,435,667	41,435,667
b	BAD DEBT EXPENSE	12,557,498	12,557,498
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	274,330,402	249,388,952	24,941,450	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 ........			20,582,709	1	11,831,109
2	Savings and temporary cash investments .........			10,670,999	2	25,124
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			22,157,018	4	24,124,196
5	Loans and other receivables from 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 ...........			526,631	7	459,751
8	Inventories for sale or use ............			6,125,643	8	6,066,931
9	Prepaid expenses and deferred charges ......			3,066,899	9	2,311,862
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	326,528,755
b	Less: accumulated depreciation	10b	242,993,536	91,631,980	10c	83,535,219
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 ..				13
14	Intangible assets ...............			1,112,106	14	1,112,106
15	Other assets. See Part IV, line 11 ...........			84,961,270	15	97,150,405
16	Total assets. Add lines 1 through 15 (must equal line 33)...			240,835,255	16	226,616,703

17	Accounts payable and accrued expenses .....	46,765,972	17	47,683,389
18	Grants payable ...		18
19	Deferred revenue .........		19	6,150
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 ..	6,967,076	24	9,986,757
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	15,515,042	25	15,478,095
26	Total liabilities. Add lines 17 through 25..	69,248,090	26	73,154,391

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	171,587,165	27	153,462,312
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 ...........	171,587,165	32	153,462,312
33	Total liabilities and net assets/fund balances ........	240,835,255	33	226,616,703

(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

(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	(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	(k) Percentage ownership

(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?		(k) Percentage ownership
(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	(k) Percentage ownership