2023-11-13T10:40:28-06:00 2022-12-31 FORVIS LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2022-01-01 843965822 Anderson Healthcare % PATRICK GARVEY ANDE 6183916400 6800 STATE RTE 162 MARYVILLE IL 62062 Patrick Garvey CFO 6183916400 2023-11-15 true Patrick Garvey 999009999 Kristen M Hankins P01256574 3142315544 2023-11-15 3 2022 2023-04-26 12:10:37Z KEITH PAGE 6800 STATE ROUTE 162 MARYVILLE IL 62062 34242265 false X WWW.ANDERSONHOSPITAL.ORG X 2019 IL ANDERSON HEALTHCARE IS AN ILLINOIS NOT-FOR-PROFIT CORPORATION AND PARENT COMPANY THAT PRIMARILY EARNS REVENUE BY PROVIDING INPATIENT, OUTPATIENT, AND EMERGENCY CARE 8 7 7 10588 4485 0 0 26606092 30246473 19163 23480 2800426 3943442 29425681 34213395 0 0 0 0 24741810 31294749 0 0 0 19114045 21902541 43855855 53197290 -14430174 -18983895 41437636 44928314 14652537 17148542 26785099 27779772 TO EXCEED EXPECTATIONS IN PROVIDING PERSONAL, CONVENIENT, QUALITY HEALTHCARE false false 44954091 31391404 ANDERSON HEALTHCARE IS A PARENT ORGANIZATION OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF ANDERSON HOSPITAL AND COMMUNITY HOSPITAL OF STAUNTON. 44954091 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 0 0 7 true true true false false false false false false false false false false false X 8 7 false false false false false false false true true false false false true true true true true true false false IL X PATRICK GARVEY 6183916421 6800 STATE ROUTE 162 MARYVILLE IL 62062 EDMUNDO RODRIGUEZ-FRIAS PHYSICIAN 40.0 0.0 X 875215 0 39512 RAFE HENG PHYSICIAN 40.0 0.0 X 828673 0 39333 KEITH PAGE PRESIDENT/CEO 8.0 32.0 X 512953 0 155046 TIBOR KOPJAS PHYSICIAN 40.0 0.0 X 660844 0 4481 RONALD GOULD PHYSICIAN 40.0 0.0 X 623302 0 2600 JOEL FRANCO PHYSICIAN 40.0 0.0 X 603753 0 12681 MICHAEL MARSHALL VICE PRESIDENT/CFO 8.0 32.0 X 296500 0 51883 THOMAS HULSEN BOARD MEMBER 0.24 0.53 X 0 15000 0 LAURA BERNAIX PHD BOARD MEMBER 0.33 0.26 X 0 0 0 GREG COFFEY VICE CHAIRPERSON 0.33 0.18 X X 0 0 0 FRANK FLANIGAN BOARD MEMBER 0.34 0.33 X 0 0 0 JOSEPH HAGERTY TREASURER 0.37 0.22 X X 0 0 0 DON KASUBKE BOARD MEMBER 0.25 0.0 X 0 0 0 MARK SHASHEK CHAIRMAN 0.37 4.33 X X 0 0 0 JOSEPH SMITH SECRETARY 0.37 0.26 X X 0 0 0 4401240 15000 305536 50 false true false 0 0 NET PATIENT REVENUE 621110 30246473 30246473 30246473 10684 10684 0 0 2768300 2768300 0 2768300 10588 2757712 41666 28870 41666 -28870 12796 12796 0 0 0 0 0 0 0 0 0 MEDICAL RECORDS FEES 561000 486 486 OTHER MEDICAL REVENUE 621110 1144931 1144931 All Other Misc Revenue 900099 29725 29725 1175142 34213395 31391404 10588 2811403 0 0 0 0 1016382 1016382 0 26851956 25133145 1709378 350516 327765 32184 3075895 2923693 152202 0 0 71023 71023 9013 9013 0 0 0 11138094 8163282 2974812 59916 59916 4845662 4118374 727288 0 0 2854926 1608471 1246455 66132 54730 11402 0 0 225825 225825 0 1132920 1132920 252364 27570 224794 Bad Debt Expense 1035600 1035600 Dues and Subscriptions 24357 8802 15555 Education 1864 1864 990-T Taxes Paid 1808 1808 183037 183037 53197290 44954091 8243199 0 2014862 604543 0 0 0 0 3850290 3892034 0 0 0 0 0 0 4920 4463 99854 45554 42642225 5988235 32424727 36653990 1883912 280364 0 0 0 0 940970 3082701 218101 364665 41437636 44928314 7246511 6423120 0 0 0 0 0 0 0 0 0 0 5020147 5749602 0 0 2385879 4975820 14652537 17148542 X 26785099 27779772 0 0 26785099 27779772 41437636 44928314 X -18983895 -94301 20072869 X false true X true false X X X 2 ANDERSON HOSPITAL 370662561 3 true 0 26598645 COMMUNITY HOSPITAL OF STAUNTON 370624255 3 true 0 26598645 2 0 53197290 true false false false false false false false false false false false false false false true true true X true true SCHEDULE A, PART IV, SECTION D, LINE 3 ANDERSON HOSPITAL AND COMMUNITY HOSPITAL OF STAUNTON HAVE A SIGNIFICANT VOICE IN DIRECTING THE USE OF THE CORPORATION'S INCOME AND ASSETS BY VIRTUE OF HAVING A MANDATORY PRESENCE ON THE CORPORATION'S BOARD OF TRUSTEES. PURSUANT TO THE CORPORATION'S BYLAWS, AT LEAST THREE TRUSTEES MUST BE MEMBERS OF THE BOARD OF TRUSTEES OF ANDERSON HOSPITAL AND AT LEAST ONE TRUSTEE MUST BE A MEMBER OF THE BOARD OF TRUSTEES OF COMMUNITY HOSPITAL OF STAUNTON. IN ADDITION, THE PRESIDENT AND CEO OF ANDERSON HEALTHCARE, THE VICE-PRESIDENT OF FINANCE AND CFO OF ANDERSON HEALTHCARE SERVE AS OFFICERS OF THE CORPORATION. THE CLOSE GOVERNANCE AND OPERATING CONNECTIONS BETWEEN THE HOSPITALS AND THE CORPORATION ENSURE THAT THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN DIRECTING THE USE OF THE CORPORATION'S INCOME AND ASSETS. AND ASSETS. AND ASSETS. SCHEDULE A, PART IV, SECTION E, LINE 3A ANDERSON HEALTHCARE IS THE SOLE MEMBER OF ANDERSON HOSPITAL AND COMMUNITY HOSPITAL OF STAUNTON. AS THE SOLE MEMBER, IT HAS THE POWER TO APPOINT THE TRUSTEES OF EACH HOSPITAL'S GOVERNING BODY. SCHEDULE A, PART IV, SECTION E, LINE 3B ANDERSON HEALTHCARE APPOINTS THE MEMBERS OF THE GOVERNING BODIES OF THE SUPPORTED ORGANIZATIONS. AT LEAST THREE TRUSTEES OF ANDERSON HEALTHCARE MUST ALSO BE TRUSTEES OF ANDERSON HOSPITAL AND AT LEAST ONE TRUSTEE OF ANDERSON HEALTHCARE MUST ALSO BE A TRUSTEE OF COMMUNITY HOSPITAL OF STAUNTON. OFFICERS OF ANDERSON HOSPITAL ALSO SERVE AS OFFICERS OF ANDERSON HEALTHCARE. THE CLOSE GOVERNANCE AND OPERATING CONNECTIONS ENSURE THAT ANDERSON HEALTHCARE EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS. 5284728 5284728 32761370 3364844 29396526 600593 600593 3995534 2022798 1972736 36653990 0 Due to Affiliates 836063 Lease Liability 4139757 4975820 X X X false true false false false false false false false KEITH PAGE PRESIDENT/CEO 509480 3473 134263 20783 667999 RONALD GOULD PHYSICIAN 603802 19500 2600 625902 MICHAEL MARSHALL VICE PRESIDENT/CFO 295098 1402 21931 29952 348383 EDMUNDO RODRIGUEZ-FRIAS PHYSICIAN 875215 7600 31912 914727 JOEL FRANCO PHYSICIAN 603753 12681 616434 RAFE HENG PHYSICIAN 808173 20500 7371 31962 868006 TIBOR KOPJAS PHYSICIAN 659101 1743 4481 665325 Part 1, Line 4b KEITH PAGE PARTICIPATES IN A SEC. 457(F) PLAN. A CONTRIBUTION IN THE AMOUNT OF $20,488 WAS ACCRUED FOR 2022. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO, CFO, AND CONTROLLER. INFORMATION FOR THE RETURN IS GATHERED BY THE HOSPITAL'S FINANCE DEPARTMENT AND GIVEN TO AN INDEPENDENT AUDITOR FOR FILING PREPARATION. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE OFFICER REVIEWS AND MONITORS THE POLICY ANNUALLY. PERSONS COVERED UNDER THE POLICY INCLUDE TRUSTEES/DIRECTORS/MANAGERS, OFFICERS AND COMMITTEE MEMBERS OF THE ANDERSON ENTITIES; DEPARTMENT DIRECTORS, ADMINISTRATIVE DIRECTORS, ASSISTANT DIRECTORS, MEMBERS OF SENIOR MANAGEMENT AND MEDICAL STAFF LEADERS OF ANDERSON, MEDICAL STAFF MEMBERS AND NON-MANAGEMENT STAFF. CONFLICTS ARE REVIEWED, IDENTIFIED AND MAINTAINED BY THE COMPLIANCE OFFICER. EXPLANATION OF ANY RESTRICTIONS IMPOSED ON PERSONS WITH A CONFLICT: THE COVERED INDIVIDUAL PROMPTLY AND FULLY DISCLOSES THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AT THE FOLLOWING TIMES: A. WHEN THE COVERED INDIVIDUAL FIRST BECOMES A COVERED INDIVIDUAL AND AT EVERY ANNUAL MEETING OF THE ANDERSON ENTITY THEREAFTER THROUGH THE SUBMISSION OF A CONFLICT DISCLOSURE STATEMENT AFFIRMING THAT THE COVERED INDIVIDUAL (I) RECEIVED A COPY OF THIS POLICY, (II) READ AND UNDERSTOOD THIS POLICY, AND (III) AGREES TO COMPLY WITH THIS POLICY; B. UPON ANY CHANGES IN CIRCUMSTANCES WHICH GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; AND C. WHEN THE COVERED INDIVIDUAL HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A TRANSACTION OR ARRANGEMENT BEING CONSIDERED AT A BOARD OR COMMITTEE MEETING. FOR MANAGERS AND MEDICAL STAFF LEADERS: THE COVERED INDIVIDUAL PROMPTLY AND FULLY DISCLOSES THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO THE COMPLIANCE OFFICER AT THE FOLLOWING TIMES: A. WHEN THE COVERED INDIVIDUAL FIRST BECOMES A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER THROUGH THE SUBMISSION OF A CONFLICT DISCLOSURE STATEMENT AFFIRMING THAT THE COVERED INDIVIDUAL (I) RECEIVED A COPY OF THIS POLICY, (II) READ AND UNDERSTOOD THIS POLICY, AND (III) AGREES TO COMPLY WITH THIS POLICY; AND B. UPON ANY CHANGES IN CIRCUMSTANCES WHICH GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; C. WHEN A COVERED INDIVIDUAL HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO A TRANSACTION OR ARRANGEMENT BEING CONSIDERED ON BEHALF OF ANDERSON AND THE COVERED INDIVIDUAL IS IN A POSITION TO INFLUENCE THE OUTCOME OF THE CONSIDERATION. DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST MADE AT THE MEETING AT WHICH THE TRANSACTION OR ARRANGEMENT IS BEING CONSIDERED SHALL BE MADE TO ALL INDIVIDUALS PRESENT AT THE MEETING. FOR OTHER MEDICAL STAFF MEMBERS: DISCLOSURE OCCURS AT APPOINTMENT AND REAPPOINTMENT UNLESS THEY ARE BOARD MEMBERS - THESE PHYSICIANS FOLLOW THE BOARD OF TRUSTEE REQUIREMENTS. EMPLOYEES NOT IN MANAGEMENT POSITIONS: AT TIME OF HIRE AND AT EACH ANNUAL EMPLOYEE EVALUATION. FORM 990, PART VI, SECTION B, LINE 15A REVIEW OF CEO OR TOP MANAGEMENT OFFICIAL COMPENSATION: THE CEO SALARY AND BONUS STRUCTURE IS DETERMINED ON AN ANNUAL BASIS BY THE HUMAN RESOURCES COMMITTEE OF THE BOARD OF TRUSTEES AND APPROVED BY THE FULL BOARD BASED ON AN EVALUATION DONE BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFER FROM RELATED ORGANIZATIONS: $20,072,869 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:1737447 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION SERVICES TOTAL FEES:1237365 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:8163282 MARYVILLE MEDICAL SERVICES LLC 6800 STATE ROUTE 162 MARYVILLE IL 62062 200654708 PHYS SERVICES IL 0 0 ANDERSON HC MARYVILLE PHYSICIAN SERVICES LLC 6800 STATE ROUTE 162 MARYVILLE IL 62062 200802394 PHYS SERVICES IL 26271737 5364074 ANDERSON HC MARYVILLE IMAGING LLC 6800 STATE ROUTE 162 MARYVILLE IL 62062 452588783 IMAGING SERV IL 4073094 4262782 ANDERSON HC ANDERSON REAL ESTATE LLC 6800 STATE ROUTE 162 MARYVILLE IL 62062 452681347 REAL ESTATE IL 2739430 35259918 ANDERSON HC ANDERSON HOSPITAL 6800 STATE ROUTE 162 MARYVILLE IL 62062 370662561 HOSPITAL IL 501(C)(3) 3 ANDERSON HC true AUXILIARY OF ANDERSON HOSPITAL 6800 STATE ROUTE 162 MARYVILLE IL 62062 376080063 SUPPORT ORG IL 501(C)(3) 12, III-0 NA false ANDERSON HOSPITAL FOUNDATION 6800 STATE ROUTE 162 MARYVILLE IL 62062 274548522 SUPPORT ORG IL 501(C)(3) 7 ANDERSON HSP true COMMUNITY HOSPITAL OF STAUNTON 400 N CALDWELL STREET STAUNTON IL 62088 370624255 HOSPITAL IL 501(C)(3) 3 ANDERSON HC true FRIENDS OF COMMUNITY MEMORIAL HOSPITAL 400 N CALDWELL STREET STAUNTON IL 62088 363913722 FUNDRAISING IL 501(C)(3) 10 CHS true ANDERSON REHABILIATATION INSTITUTE LLC 680 S 4TH STREET LOUISVILLE KY 40202 832844780 REHAB KY NA ANDERSON SURGERY CENTER LLC 6800 STATE ROUTE 162 MARYVILLE IL 62062 834200085 SURGERY IL NA false false false false false false false false false false false false true true false false false true ANDERSON HOSPITAL S 20072869 CASH ANDERSON HOSPITAL O 1986097 CASH