2021-11-15T14:23:41-06:00 2020-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2020-01-01 570359174 ANMED HEALTH ANME 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 CHRISTINE PEARSON CFO 8645121000 2021-11-15 1 CHRISTINE PEARSON 999009999 AMY BIBBY P00445891 8282542254 2021-11-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z WILLIAM KENLEY CEO 800 NORTH FANT STREET ANDERSON SC 29621 640100687 0 X WWW.ANMEDHEALTH.ORG X 1906 SC OPERATION OF A HEALTHCARE SYSTEM INCLUDING A WIDE RANGE OF MEDICAL SERVICES 15 11 4264 322 1969115 857008 2645669 24433650 585729065 590389609 23981769 19169602 5123845 4576519 617480348 638569380 599309 584063 0 0 269548383 274072916 0 0 0 314430168 332681934 584577860 607338913 32902488 31230467 994127214 1134949301 330877988 394447828 663249226 740501473 X THE MISSION OF ANMED HEALTH IS TO PASSIONATELY BLEND THE ART OF CARING WITH THE SCIENCE OF MEDICINE TO OPTIMIZE THE HEALTH OF OUR PATIENTS, STAFF AND COMMUNITY. 0 0 554784767 584063 589159830 ANMED HEALTH IS A HEALTHCARE SYSTEM PROVIDING A FULL RANGE OF ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTETRIC, PSYCHIATRIC, AND REHABILITATION PATIENTS, AS WELL AS SPECIALIZED CARE IN ITS INTENSIVE CARE AND CORONARY CARE UNITS. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES. TWO SEPARATELY LICENSED FACILITIES ARE OPERATED BY ANMED HEALTH: 1) ANMED HEALTH MEDICAL CENTER IS A 461 BED FACILITY THAT OFFERS THE LATEST IN MEDICAL AND SURGICAL SERVICES. A MEDICAL STAFF OF OVER 400 PHYSICIANS PROVIDES HIGH QUALITY CARE TO THE PATIENTS AT THE MEDICAL CENTER. OPEN HEART SURGERY, VASCULAR SURGERY, GENERAL SURGERY, EMERGENCY/TRAUMA MEDICINE, A NEUROLOGICAL/STROKE CENTER, THE LATEST IN DIAGNOSTIC MRI, CT AND LABORATORY MEDICINE ARE AVAILABLE. 2) ANMED HEALTH WOMEN'S AND CHILDREN'S HOSPITAL IS A 72 BED ALL-PRIVATE ROOM FACILITY OFFERING INPATIENT CARE FOR LABOR/DELIVERY, WOMEN'S ELECTIVE SURGERY AND CHILDREN. THIS HOSPITAL INCLUDES DEDICATED UNITS FOR LABOR/DELIVERY, MOTHER/BABY, WOMEN'S ELECTIVE SURGERY AND PEDIATRICS. ON THE FIRST FLOOR, PHYSICIAN'S OFFICES, A LEARNING CENTER, CAFE, COMMUNITY MEETING ROOMS AND RETAIL SHOPS MAKE VISITORS FEEL WELCOME WITH A WEALTH OF RESOURCES. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES.ADDITIONALLY, ANMED HEALTH OFFERS OUTPATIENT SERVICES AT D.K. OGLESBY CENTER AT THE ANMED HEALTH NORTH CAMPUS AND HAS SEVERAL CLINICS LOCATED IN ANDERSON, IVA, CLEMSON, HONEA PATH, PENDLETON, PIEDMONT, WILLIAMSTON AND WREN, SOUTH CAROLINA AND IN HARTWELL , GEORGIA. 554784767 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 99 0 1 4264 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X CHRISTINE PEARSON 8645121104 800 N FANT STREET ANDERSON SC 29621 X WILLIAM T MANSON CEO PRESIDENT/CEO 46.00 4.00 X X 1491629 0 42344 JAY NAYAK PHYSICIAN 50.00 X 1425898 0 77733 KUMAR PATEL PHYSICIAN 50.00 X 1390430 0 41137 AARON MACDONALD PHYSICIAN 50.00 X 1301799 0 47742 JEFFREY DELO PHYSICIAN 50.00 X 1251588 0 65491 ABHIJIT A RAVAL PHYSICIAN 50.00 X 1162485 0 42550 DR SYED MALIK DIRECTOR / PHYSICIAN / EX-OFFICIO 1.00 1.00 X 759209 0 44107 CHRISTINE PEARSON CHIEF FINANCIAL OFFICER 49.00 1.00 X 756917 0 207244 BRAD MOCK CHIEF MEDICAL OFFICER 49.00 1.00 X 637960 0 180333 DR STEPHEN HAND DIRECTOR / PHYSICIAN 1.00 1.00 X 651096 0 36811 TINA JURY CHIEF HOSPITAL OFFICER 50.00 X 643897 0 180810 WILLIAM KENLEY CEO PRESIDENT/CEO 46.00 4.00 X X 399558 0 97688 THOMAS M KAYROUZ CHIEF PHYSICIAN EXECUTIVE 50.00 X 371229 0 17547 DR MELODY FRANKS DIRECTOR / PHYSICIAN 1.00 1.00 X 358881 0 58987 SHAUNDA TROTTER VP CNO 50.00 X 331541 0 94055 CHARLIE THORNTON PAST CHAIR 1.00 2.00 X X 0 0 0 BILL KIBLER CHAIR 1.00 2.00 X X 0 0 0 TERENCE ROBERTS VICE CHAIR 1.00 2.00 X X 0 0 0 DR JOHN HUNT FORMER DIRECTOR / PHYSICIAN 1.00 1.00 X 0 0 0 DR MATT ELLIOTT DIRECTOR / PHYSICIAN / EX-OFFICIO 1.00 1.00 X 0 0 0 GEORGE ACKER BOARD MEMBER 1.00 1.00 X 0 0 0 CLARK ANDERSON BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES T BOSEMAN BOARD MEMBER 1.00 1.00 X 0 0 0 FRED FOSTER BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT RAINEY BOARD MEMBER 1.00 1.00 X 0 0 0 DR EVANS WHITAKER BOARD MEMBER 1.00 1.00 X 0 0 0 DR CHRIS PRZIREMBEL BOARD MEMBER 1.00 1.00 X 0 0 0 12934117 0 1234579 418 0 1 0 INCOMPASS HEALTH INC 318 MAXWELL RD SUITE 500 ALPHARETTA GA 30009 HOSPITALIST PHYSICIANS 8423784 GHS PARTNERS IN HEALTHCARE 701 GROVE RD GREENVILLE SC 29605 HOSPITALIST PHYSICIAN, KIDS CARE PHYSICI 3293002 GLENN CONSTRUCTORS 525 N MAIN ST ANDERSON SC 29621 SUB CONTRACTORS 1699576 ADVANCED ICU CARE P O BOX 671773 DALLAS TX 752671773 PROFESSIONAL TELE SERVICES FOR ICU 1661334 PIEDMONT PATHOLOGY 404 EAST CALHOUN ST ANDERSON SC 29621 PROFESSIONAL SERVICES 838957 18 435128 22383385 1615137 24433650 NET PATIENT SERVICE 621400 589709149 587740034 1969115 ANCILLARY SERVICES 900099 680460 670086 10374 590389609 9449600 9449600 3 3 1704033 1518806 185227 185227 185227 9732500 0 12501 9732500 -12501 9719999 9719999 CAFETERIA & VENDING 722210 1833293 1833293 MISCELLANEOUS REVENUE 900099 1808289 1808289 PURCHASE DISCOUNTS 900099 749710 749710 4391292 638569380 589159830 1969115 23006785 511285 511285 72778 72778 6401917 5249126 1152791 228110448 193764041 34346407 8253110 7006347 1246763 15906356 13503449 2402907 15401085 13074507 2326578 1066000 1066000 234000 234000 1207746 1207746 58578859 53989803 4589056 4182703 4182703 3720641 3720641 6203301 6203301 9089214 9089214 42180496 42180496 12532417 12532417 MEDICAL SUPPLIES 102530104 102530104 BAD DEBT EXPENSE 75341011 75341011 MISCELLANEOUS EXPENSES 15814587 11832689 3981898 ENVIRONMENTAL CONTROL 855 855 607338913 554784767 52554146 0 55860922 137532859 48513205 55395810 9531263 9566442 9311933 9616138 849061846 590623422 271236546 258438424 573160973 635235118 3306986 3989513 23205386 25174997 994127214 1134949301 63537636 77310402 250941580 242547212 16398772 74590214 330877988 394447828 X 663133422 740501473 115804 0 663249226 740501473 994127214 1134949301 X 31230467 43336691 2685089 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23460 23460 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). EACH YEAR, A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TOWARDS LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES. FOR 2020, APPROXIMATELY AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE $ 11,125 FOR AHA AND $ 12,335 FOR SCHA. 29001227 29001227 291208784 218048693 73160091 511320588 367161261 144159327 17531247 5413468 12117779 258438424 ESTIMATED THIRD-PARTY SETTLEMENTS 15050726 RABBI TRUST LIABILITY 134516 INTEREST RATE SWAP ALLOWANCE 9160399 INTERCOMPANY PAYABLES 72916 MEDICARE ACCELERATED PAYMENT 50171657 74590214 X 610124806 43336691 3644142 46980833 563143973 1207746 74217661 75425407 638569380 532872559 1518806 1518806 531353753 1207746 74777414 75985160 607338913 PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM INCOME TAX UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -1,977,792. RENTAL EXPENSE 1,518,806. GAIN ON PREMIER INVESTMENTS 682,527. TRANSFER FROM RELATED 3,420,601. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME IN EXPENSES 3. PROVISION FOR BAD DEBT 74,777,411. CHANGE IN SPLIT INVESTMENT -559,753. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 1,518,806. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 74,777,411. INTEREST INCOME IN EXPENSES 3. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT BALANCE 16499975 0 0 0 0 0 0 16499975 0 16499975 0 0 0 0 0 0 PART III ACCOUNTING METHOD: SCHEDULE F, PART V, LINE 3: THE ORGANIZATION'S OWNERSHIP IN A FOREIGN CORPORATION WAS UNDER THE THRESHOLDS FOR FILING THE FORM 5471 FOR THE TAX PERIOD. 1 1 X 1 X 1 X 1 1 0 1 1 14572616 14572616 0.02740 69758053 63791330 5966723 0.01120 84330669 63791330 20539339 0.03860 381090 381090 0.00070 11419795 6219629 5200166 0.00980 5188544 3410993 1777551 0.00330 383545 177639 205906 0.00040 724695 724695 0.00140 18097669 9808261 8289408 0.01560 102428338 73599591 28828747 0.05420 1 2 4 335 15 15 0.00000 25 9660 9660 0.00000 3 330 58 243 6687 6687 0.00000 93 908 16362 16362 0.00000 0 74777411 107188095 103471635 3716460 X 1 1 2 1 ANMED HEALTH MEDICAL CENTER 800 N FANT STREET ANDERSON SC 29621 X X X X DISPROPORTIONATE SHARE HOSPITAL A 2 ANMED HEALTH WOMEN'S & CHILDREN'S HOSPIT 2000 EAST GREENVILLE STREET ANDERSON SC 29621 X X X X DISPROPORTIONATE SHARE HOSPITAL A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE DISCLOSURE 1 18 1 HTTP://ANMEDHEALTH.ORG/ABOUT/REPORTS-AND-PUBLICATIONS 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X 1 X HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI X HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI X HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ANMED HEALTH MEDICAL CENTER, - FACILITY 2: ANMED HEALTH WOMEN'S & CHILDREN'S HOSPIT GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2018, ANMED HEALTH CONDUCTED A THIRD CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ASSESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2015 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*LAURA LONGCOMMUNITY SYSTEMS TEAMMEMBERS OF ANDERSON COUNTY SAFETY NET COUNCILRESEARCH TEAMMICHAEL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, COMMUNITY HEALTH PARTNERSHIPSWAYNE HARRIS ANMED HEALTHDIRECTOR, STRATEGIC PLANNINGKARI LUTZ ANMED HEALTH DIRECTOR OF MARKETINGSHANNON OWEN CHNA CONSULTANTBRANDON CLARY - ANMED HEALTH CANNONCEO & PRESIDENTNOTE: PUBLIC HEALTH OFFICIALS REPRESENT THE BROAD HEALTH INTERESTS OF THE COMMUNITY, ESPECIALLY ANDERSON COUNTY RESIDENTS SERVED BY THE PUBLIC HEALTH DEPARTMENT. THE PUBLIC HEALTH OFFICIALS LISTED ABOVE REVIEWED THE SECONDARY DATA AND CONCURRED WITH THE ASSESSMENT OF THE KEY PRIORITIES. CURRICULUM VITAE OF THESE INDIVIDUALS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 6A: THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH CANNON A RELATED ORGANIZATION. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 11: CHNA IMPLEMENTATION STRATEGIES:BEHAVIORAL AND MENTAL HEALTH - HOSPITAL WILL CONTINUE TO RESEARCH EVIDENCE BASED MODELS TO IMPROVE ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES. WORK WILL INCLUDE FINDING STRATEGIC PARTNERS TO ADDRESS ISSUES RELATED TO SUBSTANCE ABUSE COUNSELING, HOUSING, CRISIS STABILIZATION, AND MENTAL HEALTH FIRST AID TRAINING FOR MULTIPLE AGENCIES.SUBSTANCE ABUSE- WILL WORK TO PROVIDE LEADERSHIP IN BRINGING TOGETHER COMMUNITY RESOURCES TO BETTER TRACK INCIDENTS OF DRUG ABUSE AND OVERDOSE, PARTNERING WITH SUBSTANCE ABUSE AGENCIES TO EXPLORE MEDICATION ASSISTED TREATMENT OF OVERDOSE, AND RESEARCH TO OPPURTUNITIES ENGAGE AND EDUCATE FAMILY MEDICINE RESIDENTS AROUND THE ISSUE OF OPIOID ABUSE.DIABETES - ANMED HEALTH WILL WORK WITH COMMUNITY CHURCHES VIA ANMED HEALTH'S FAITH COMMUNITY NURSING INITIATIVE TO PROVIDE ADDITIONAL EDUCATION AND OUTREACH. IN ADDITION ANMED HEALTH WILL PARTNER WITH OTHER NOT FOR PROFIT AGENCIES INCLUDING THE YMCA FOR PROGRAMMING AND EDUCATION OPPORTUNITIES AS WELL AS UTLIZE THE ANMED HEALTH MEDICAL OUTREACH VAN FOR SCREENINGS.HEALTHY LIFESTYLE SUPPORT AND PROMOTION - ANMED HEALTH WILL ALIGN AND FOCUS COMMUNITY OUTREACH EFFORTS WITH ORGANIZATIONS LIKE EAT SMART MOVE MORE, COUNTY RECREATION ASSOCIATIONS, AND THE YMCA. IN ADDITION ANMED HEALTH WILL FOCUS EFFORTS ON SCHOOL AGE RESIDENTS VIA EDUCATIONAL PROGRAMMING PROVIDED BY THE DOCLINK PROGRAM. FINALLY ANMED HEALTH WILL CONTINUE TO FOCUS ON INTERNAL HEALTHY LIFESTYLE AND PROMOTION ACTIVITIES FOR THE ANMED HEALTH EMPLOYEES.ACCESS TO PRIMARY CARE - ANMED HEALTH WILL CONTINUE PARTNERING WITH COMMUNITY RESOURCES SUCH AS THE ANDERSON FREE CLINIC TO EXPAND ACCESS, AS WELL AS PROVIDING OUTREACH AND CARE COORDINATION VIA ANMED HEALTHS HEALTHY OUTCOMES PLAN, AND ITS NEWLY FUNDED ACCESS HEALTH INITIATIVE. FINALLY, ANMED HEALTH WILL EXPLORE A STRATEGIC PARTNERSHIP TO BRING ONLINE A FQHC TO SERVE THE COMMUNITY. CANCER - ANMED HEALTH WILL CONTINUE ITS SUPPORT OF SMOKING CESSATION AND TOBACCO USE EDUCATION VIA ITS DOCLINK PROGRAM IN ANDERSON COUNTY PUBLIC SCHOOLS. THE HOSPITAL SYSTEM WILL PROVIDE COMMUNITY EDUCATION AROUND EARLY DETECTION AND SCREENINGS FOR VARIOUS CANCERS, AND THE COMMUNITY WILL BE SERVED VIA THE HOSPITAL SYSTEMS NEWLY FUNDED MOBILE MAMMOGRAPHY COACH. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 13H: FPG ARE USED (ALONGSIDE OTHER PARAMETERS) TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. ANMED HEALTH TAKES THE 50% SELF-PAY DISCOUNT OFF FIRST THEN ADJUSTS THE REST OF THE CHARGES ACCORDINGLY (BASED ON CHARITY APPROVAL %). ALL UNINSURED PATIENTS ARE ELIGIBLE FOR A STANDING 50% DISCOUNT EFFECTIVE FOR SERVICES RENDERED FROM 3/14/16 FORWARD. PRIOR TO 3/14/16, ANMED HEALTH OFFERED ALL UNINSURED PATIENTS A DISCOUNT OF 50%. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS MAKE THE POLICY AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH. THE WEBSITE ALSO HAS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE OR THEY CAN SEND AN EMAIL WITH THEIR INQUIRY TO FINANCIALCOUNSELORS@ANMEDHEALTH.ORG.INFORMATION RELATING TO FINANCIAL ASSISTANCE IS ALSO PRINTED ON EACH BILLING STATEMENT THAT PATIENTS RECEIVE. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 19E: ANMED HEALTH DOES NOT CHARGE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. ANMED HEALTH ADJUSTS 100% OF THE BILLED CHARGES. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: IN 2018, ANMED HEALTH CONDUCTED A THIRD CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ASSESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2015 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*LAURA LONGCOMMUNITY SYSTEMS TEAMMEMBERS OF ANDERSON COUNTY SAFETY NET COUNCILRESEARCH TEAMMICHAEL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, COMMUNITY HEALTH PARTNERSHIPSWAYNE HARRIS ANMED HEALTHDIRECTOR, STRATEGIC PLANNINGKARI LUTZ ANMED HEALTH DIRECTOR OF MARKETINGSHANNON OWEN CHNA CONSULTANTBRANDON CLARY - ANMED HEALTH CANNONCEO & PRESIDENTNOTE: PUBLIC HEALTH OFFICIALS REPRESENT THE BROAD HEALTH INTERESTS OF THE COMMUNITY, ESPECIALLY ANDERSON COUNTY RESIDENTS SERVED BY THE PUBLIC HEALTH DEPARTMENT. THE PUBLIC HEALTH OFFICIALS LISTED ABOVE REVIEWED THE SECONDARY DATA AND CONCURRED WITH THE ASSESSMENT OF THE KEY PRIORITIES. CURRICULUM VITAE OF THESE INDIVIDUALS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A: THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH CANNON A RELATED ORGANIZATION. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: CHNA IMPLEMENTATION STRATEGIES:ADULT AND CHILDHOOD OBESITY AND DIABETES-EFFORTS TO ADDRESS THIS AREA OF CONCERN WILL FOCUS ON COMMUNITY OUTREACH ACTIVITIES WITH ANMED HEALTH'S MEDICAL OUTREACH VAN, HEALTH FAIRS, SCREENINGS, AND PARTNERSHIPS WITH ANMED HEALTH PHYSICIAN PRACTICES, THE LOCAL YMCA, UNITED WAY, AND OTHER AGENCIES. ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES-THE HOSPITAL SYSTEM WILL CONVENE COMMUNITY PARTNERS INCLUDING: ELECTED OFFICIALS, LOCAL LAW ENFORCEMENT, THE PROBATE JUDGE, THE LOCAL SOLICITOR'S OFFICE, AND STATE MENTAL HEALTH AGENCY TO PURSUE DEVELOPMENT OF A MENTAL HEALTH COURT AS WELL AS A MENTAL HEALTH CRISIS STABILIZATION FACILITY FOR THE COMMUNITY.CANCER-THE HOSPITAL SYSTEM WILL SUPPORT EDUCATIONAL OUTREACH TO ADOLESCENTS VIA AN ESTABLISHED TOBACCO USE PREVENTION PROGRAM CALLED TAR WARS, IN ADDITION PARTNERSHIPS WILL BE ESTABLISHED FOR COMMUNITY EDUCATION AROUND CANCER SPECIFIC SCREENINGS.ASTHMA IN CHILDREN-THE HOSPITAL SYSTEM WILL SUPPORT AND SEEK ADDITIONAL FUNDING FOR TWO ESTABLISHED PROGRAMS TARGETING AT-RISK YOUTH ASTHMA SUFFERERS. THE PROGRAMS CAMP ASTHMANIA AND THE ASTHMA ACADEMY PROVIDE EDUCATION, AND TRAINING FOR THE YOUNG PATIENTS AND THEIR FAMILIES AROUND PREVENTION AND COPING WITH ASTHMA. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS MAKE THE POLICY AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH. THE WEBSITE ALSO HAS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE OR THEY CAN SEND AN EMAIL WITH THEIR INQUIRY TO FINANCIALCOUNSELORS@ANMEDHEALTH.ORG.INFORMATION RELATING TO FINANCIAL ASSISTANCE IS ALSO PRINTED ON EACH BILLING STATEMENT THAT PATIENTS RECEIVE. PART V, SECTION B, LINE 7A THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THIS WEB ADDRESS:HTTP://ANMEDHEALTH.ORG/PORTALS/0/PDFS/AH-COMMUNITY-HEALTH-NEEDS-ASSESS MENT.PDF?VER=2016-05-24-125532-000 47 1 - ANMED HEALTH CANCER CENTER 2000 E GREENVILLE STREET SUITE 2000 ANDERSON SC 29621 OUTPATIENT FACILITY 2 - AH CARDIAC AND ORTHPAEDIC CENTER 100 HEALTHY WAY ANDERSON SC 29621 OUTPATIENT FACILITY 3 - AH PIEDMONT SURGICAL ASSOCIATES 2000 E GREENVILLE STREET SUITE 2500 ANDERSON SC 29621 PHYSICIAN OFFICE 4 - AH OB-GYN ASSOCIATES 2000 E GREENVILLE STREET SUITE 4500 ANDERSON SC 29621 PHYSICIAN OFFICE 5 - AH PULMONARY AND SLEEP MEDICINE 2000 E GREENVILLE STREET SUITE 1100 ANDERSON SC 29621 PHYSICIAN OFFICE 6 - AH MEDICUS ENT 1655 EAST GREENVILLE STREET ANDERSON SC 29621 PHYSICIAN OFFICE 7 - AH UROLOGY 2000 E GREENVILLE STREET SUITE 5140 ANDERSON SC 29621 PHYSICIAN OFFICE 8 - AH FAMILY MEDICINE CENTER 2000 E GREENVILLE STREET SUITE 3700 ANDERSON SC 29621 PHYSICIAN OFFICE 9 - ANMED HEALTH CLEMSON 885 TIGER BLVD CLEMSON SC 29631 OUTPATIENT FACILITY 10 - AH PEDIATRIC ASSOCIATES 2000 E GREENVILLE STREET SUITE 3000 ANDERSON SC 29621 PHYSICIAN OFFICE 11 - AH NEUROLOGY CONSULTANTS 2000 E GREENVILLE STREET SUITE 2800 ANDERSON SC 29621 PHYSICIAN OFFICE 12 - AH CAROLINA OBGYN 160 PERPETUAL SQUARE DR ANDERSON SC 29621 PHYSICIAN OFFICE 13 - AH ONCOLOGY AND HEMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 S ANDERSON SC 29621 PHYSICIAN OFFICE 14 - AH ORTHOPAEDICS AND SPORTS MEDICINE 2000 E GREENVILLE STREET SUITE 3950 ANDERSON SC 29621 PHYSICIAN OFFICE 15 - AH SPINE AND NEUROSURGERY 109 MONTGOMERY DRIVE ANDERSON SC 29621 PHYSICIAN OFFICE 16 - AH PEDIATRIC THERAPY WORKS 701 N FANT STREET ANDERSON SC 29621 OUTPATIENT FACILITY 17 - AH CARECONNECT ANDERSON 600 N FANT STREET ANDERSON SC 29621 OUTPATIENT FACILITY 18 - AH HONEA PATH FM 21 S SHIRLEY AVE HONEA PATH SC 29654 PHYSICIAN OFFICE 19 - AH GASTROENTEROLOGY SPECIALIST 2000 E GREENVILLE STREET SUITE 2900 ANDERSON SC 29621 PHYSICIAN OFFICE 20 - AH HOMEHEALTH 1926 MCCONNELL SPRINGS RD ANDERSON SC 29621 OUTPATIENT FACILITY 21 - AH CHILDREN'S HEALTH CENTER 500 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 22 - AH LAKESIDE FM 4120 HWY 24 ANDERSON SC 29621 PHYSICIAN OFFICE 23 - AH WILLIAMSTON FM 16 ROBERTS RD WILLIAMSTON SC 29667 PHYSICIAN OFFICE 24 - AH CORNERSTONE FM 801 E GREENVILLE ST ANDERSON SC 29621 PHYSICIAN OFFICE 25 - AH ANDERSON PEDIATRICS 705 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 26 - AH ENDOCRINOLOGY 2000 E GREENVILLE STREET SUITE 3100 ANDERSON SC 29621 PHYSICIAN OFFICE 27 - AH WREN FM 6650 HIGHWAY 81 N PIEDMONT SC 29673 PHYSICIAN OFFICE 28 - AH COSMETIC AND PLASTIC SURGERY 7 LINWA BLVD ANDERSON SC 29621 PHYSICIAN OFFICE 29 - AH HARTWELL FM 28 CHANDLER CENTER HARTWELL GA 30643 PHYSICIAN OFFICE 30 - AH ANDERSON FM 2000 E GREENVILLE STREET SUITE 2000 ANDERSON SC 29621 PHYSICIAN OFFICE 31 - AH IVA FM 331 ANTREVILLE HWY IVA SC 29655 PHYSICIAN OFFICE 32 - AH INTERNAL MEDICINE 2000 E GREENVILLE STREET SUITE 2300 ANDERSON SC 29621 PHYSICIAN OFFICE 33 - AH PENDLETON FM 1005 MEEHAN WAY PENDLETON SC 29670 PHYSICIAN OFFICE 34 - AH CENTERVILLE FM 1520 CENTERVILLE RD ANDERSON SC 29625 PHYSICIAN OFFICE 35 - AH PSYCHIATRY 400 N FANT STREET SUITE D PELZER SC 29669 PHYSICIAN OFFICE 36 - AH INFECTION MANAGEMENT 703 N FANT STREET SUITE B ANDERSON SC 29621 PHYSICIAN OFFICE 37 - AH RHEUMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 ANDERSON SC 29621 PHYSICIAN OFFICE 38 - AH MICHEAL M RIVERA MD 1519 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 39 - AH QUINN PHYSICAL THERAPY 127 WALMART DRIVE HARTWELL GA 30643 PHYSICIAN OFFICE 40 - AH WESTSIDE FM 1100 WEST FRANKLIN STREET ANDERSON SC 29624 PHYSICIAN OFFICE 41 - AH SURGICAL ASSOCIATES 2000 E GREENVILLE STREET SUITE 2500 ANDERSON SC 29621 PHYSICIAN OFFICE 42 - AH INTERNAL MEDICINE ASSOCIATES 2000 E GREENVILLE STREET SUITE 3850 ANDERSON SC 29621 PHYSICIAN OFFICE 43 - AH PALMETTO FM 323 LEBBY STREET PELZER SC 29669 PHYSICIAN OFFICE 44 - AH DANIEL A KEENAN 105 BUFORD AVE ANDERSON SC 29621 PHYSICIAN OFFICE 45 - AH ANDERSON GYN-OB 2000 E GREENVILLE STREET SUITE 2200 ANDERSON SC 29621 PHYSICIAN OFFICE 46 - AH ANDERSON BONE & JOINT 112 MONTGOMERY DRIVE ANDERSON SC 29621 PHYSICIAN OFFICE 47 - AH TRANSITIONAL CARE MEDICINE 703 NORTH FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE PART I, LINE 3C: SELF PAY DISCOUNT OF 50% IS AVAILABLE TO ALL UNINSURED PATIENTS. PART I, LINE 6A: SOUTH CAROLINA DOES NOT REQUIRE HOSPITALS TO FILE A COMMUNITY BENEFIT REPORT. EACH YEAR, ANMED HEALTH HAS PARTICIPATED IN THE SC HOSPITAL ASSOCIATION'S (SCHA) COMMUNITY BENEFIT SURVEY PROCESS. SCHA CONTRACTS WITH THE MICHIGAN HOSPITAL ASSOCIATION FOR USE OF THE COMMUNITY BENEFIT TRACKER SOFTWARE. IN EACH PARTICIPATION YEAR, ANMED HEALTH HAS REPORTED ITS COMMUNITY BENEFIT INFORMATION TO SCHA, USING THE TRACKER SURVEY INSTRUMENT. PART I, LINE 7: ANMED HEALTH'S COST ACCOUNTING SYSTEM WAS USED TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE COMMUNITY BENEFIT EXPENSE AT COST FOR USE IN PART I, LINE 7. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES AN OUTPATIENT CLINIC AND A PSYCHIATRIC INPATIENT CLINIC OPERATED BY THE ORGANIZATION. EACH CLINIC RUNS AT A FINANCIAL LOSS BUT IS NECESSARY FOR THE BENEFIT OF THE COMMUNITIES SERVED. PART I, LN 7 COL(F): THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART IX, LINE 25 CONTAINS BAD DEBT EXPENSE OF $ 74,777,411 THAT WAS REMOVED FROM THE CALCULATION OF CHARITY CARE ON PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY SUPPORT - VOLUNTEERS SERVED AT 10 EVENTS THAT SHARED A GOAL OF PROVIDING SUPPORT TO THE COMMUNITY BY ADDRESSING COMMUNITY CONCERNS SUCH AS HOMELESSNESS, SPORTS INJURIES, AND INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. THESE EVENTS SERVED 832 INDIVIDUALS AND CONTRIBUTED $365 TOWARD THE TOTAL COMMUNITY BENEFIT EXPENSE IN SUPPLIES AND THE AVERAGE LABOR COST OF $40.04 PER HOUR. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS - ONE OF ANMED HEALTH'S STAFF MEMBERS MENTORED A LOCAL HIGH SCHOOL STUDENT THROUGH THE LEAD HIGHER TO INSPIRE PROGRAM.COALITION BUILDING - LAND WAS GIVEN FREE TO CHARGE TO THE CITY FIRE STATION.WORKFORCE DEVELOPMENT - OVER 300 LOCAL STUDENTS WERE SERVED BY ANMED HEALTH STAFF THROUGH THEIR PARTICIPATION IN CAREER DEVELOPMENT ACTIVITIES. PART III, LINE 2: THE ORGANIZATION IS REPORTING ITS GROSS BAD DEBT FOR PURPOSES OF SCHEDULE H PART III. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES THE PROVISION FOR BAD DEBT AS AMOUNTS BILLED OR BILLABLE WHERE THE ULTIMATE COLLECTION OF THESE AMOUNTS CANNOT BE DETERMINED AT THE TIME PATIENT SERVICES ARE RENDERED. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO COMPUTE MEDICARE ALLOWABLE COST OF CARE RELATED TO MEDICARE PAYMENT.ADDITIONAL ACTIVITIES FROM MEDICARE MANAGED CARE AND PHYSICIAN PRACTICES NOT REPORTED IN THE MEDICARE COST REPORT:TOTAL REVENUE FROM OTHER MEDICARE PROGRAMS: $118,755,338COST OF CARE RELATED TO THE PAYMENTS : $173,746,929SHORTFALL OF OTHER MEDICARE SERVICES: ($54,991,591)ANMED HEALTH TREATS MEDICARE PATIENTS AT A LOSS AND BELIEVES THIS SHOULD BE INCLUDED IN COMMUNITY BENEFIT. ANMED HEALTH TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. WITHOUT THE MEDICARE PROGRAM, A PERCENTAGE OF THE POPULATION RECEIVING MEDICARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE, WHILE OTHERS WOULD FAIL TO PAY AND BE WRITTEN OFF AS BAD DEBT EXPENSE. ALTERNATIVELY, SOME WOULD HAVE COMMERCIAL INSURANCE AND ANMED HEALTH WOULD RECEIVE MORE THAN ANMED HEALTH DOES FROM MEDICARE. BECAUSE THESE FACTORS, THE ORGANIZATION TAKES THE POSITION THAT THE ENTIRETY OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 9B: ONCE APPROVED FOR THE FINANCIAL ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS ARE MADE OR BILLS SENT BY THE ORGANIZATION, AND THE HOSPITAL SYSTEM WOULD ONLY EXPECT PAYMENT IF THE PATIENT RECEIVED MONEY FROM AN INSURANCE CLAIM. PART VI, LINE 2: IN THE SPRING OF 2018, ANMED HEALTH BEGAN A FORMAL PROCESS OF REASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. USING THE GUIDELINES PUBLISHED IN THE INITIAL IRS GUIDELINE, ANMED HEALTH ENGAGED A LOCAL CONSULTANT TO ASSIST IN THIS ASSESSMENT, WHICH CONSISTED OF DATA COLLECTION AND LOCAL FOCUS GROUPS. THIS PROCESS CULMINATED WITH THE DEVELOPMENT OF AN ANMED HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT, WHICH WAS ULTIMATELY ADOPTED AND APPROVED BY ANMED HEALTH BOARD OF TRUSTEES . THERE WERE SIX PRIORITIES THAT WERE SELECTED FOR STRATEGY DEVELOPMENT AND ACTION PLANS FOR 2019: BEHAVIORAL AND MENTAL HEALTH; SUBSTANCE ABUSE; DIABETES; HEALTHY LIFESTYLES SUPPORT AND PROMOTION; ACCESS TO PRIMARY CARE; AND CANCER. PART VI, LINE 3: ALL SELF PAY INPATIENTS ARE VISITED BY A FINANCIAL COUNSELOR DURING HIS OR HER STAY OR ARE CONTACTED AT HOME IF DISCHARGED PRIOR TO THEIR INTERVIEW. THE FINANCIAL COUNSELOR COMPLETES A FINANCIAL ASSESSMENT TO DETERMINE IF THE PATIENT MIGHT QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC.). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. A COVERAGE ASSISTANCE AND FINANCIAL ASSISTANCE (CAFA) FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR ANMED HEALTH'S CHARITY PROGRAM. ANMED HEALTH HAS ENLISTED THE ASSISTANCE OF AN OUTSIDE VENDOR PARTNER TO ASSIST WITH THE OUTPATIENT UNINSURED POPULATION. THIS PARTNER PROVIDES TWO FULL TIME EMPLOYEES WHO WORK IN THE EMERGENCY DEPARTMENT TO ASSIST PATIENTS IN DETERMINING IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC.). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. A CAFA FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR OUR CHARITY PROGRAM. ANMED HEALTH ALSO ELECTRONICALLY SENDS FILES TO THE VENDOR PARTNER ON OTHER OUTPATIENT ACCOUNTS WHERE PATIENTS ARE CONTACTED VIA THE PHONE TO DETERMINE IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE. ADDITIONALLY, FLYERS ARE LOCATED AT ALL ADMITTING AND REGISTRATION AREAS THAT INCLUDE INFORMATION ON AVAILABLE COVERAGE AND ASSISTANCE (SC PATIENT ATTESTATION), AND CONTACT INFORMATION (PLAIN LANGUAGE SUMMARY) FOR THE FINANCIAL COUNSELORS. WHEN A PATIENT RECEIVES A BILL, OUR WEBSITE, WHICH HAS THE FINANCIAL ASSISTANCE POLICY, IS LISTED AS WELL AS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE. PART VI, LINE 4: ANMED HEALTH INCLUDES ANDERSON COUNTY, OCONEE COUNTY, PICKENS COUNTY, AND ABBEVILLE COUNTY IN SOUTH CAROLINA, AS WELL AS HART AND ELBERT COUNTIES IN NORTHEAST GEORGIA AS SERVICE AREAS. ANDERSON COUNTY, THE PRIMARY COMMUNITY SERVED BY ANMED HEALTH IS AN URBAN COMMUNITY THAN ENCOMPASSES APPROXIMATELY 202,558 RESIDENTS. THE POPULATION OF ANDERSON COUNTY IS EXPECTED TO GROW AT JUST OVER 1% PER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY WAS $47,906. THE PER CAPITA INCOME FOR THE COUNTY WAS $25,807 WITH APPROXIMATELY 14.6% OF COMMUNITY RESIDENTS HAVING INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES DESIGNATED SIX MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY. FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION, REGARDING MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY, THE AREAS ARE AS FOLLOWS IN THE ASSOCIATED CENSUS TRACTS: ANDERSON COUNTY 03093 - CT 0005.00, CT 0006.00, CT 0007.00 AND BELTON DIVISION SERVICE AREA 03099 - MCD (90221) BELTON CCD, MCD (91170 FORK CCD, MCD (93224) STARR CCD. FOR 2019, 2.29% WERE UNEMPLOYED. AS OF MAY 2020, 12.4% WERE UNEMPLOYED. APPROXIMATELY 70% OF ANDERSON COUNTY RESIDENTS WHO ARE UNINSURED OR MEDICAID RECIPIENTS COME TO ANMED HEALTH FOR THEIR INPATIENT MEDICAL CARE. ANMED HEALTH MAINTAINS OVER 88% MARKET SHARE FOR ANDERSON COUNTY WITH TWO OTHER HOSPITALS CONSISTING OF SLIGHTLY OVER 11% MARKET SHARE. PART VI, LINE 5: ANMED HEALTH (AH) PROVIDES, SUPPORTS, PROMOTES, AND / OR SPONSORS A BROAD SCOPE OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT PROMOTE GOOD HEALTH, WELLNESS / PREVENTION, AND ACCESS TO HEALTH CARE SERVICES. EXAMPLES OF COMMUNITY OUTREACH EVENTS INCLUDE DIABETES AND HEART HEALTH EDUCATION AT MULTIPLE HEALTH FAIRS SERVING OVER 5,700 PEOPLE; EDUCATION ON MAKING HEALTHY DECISIONS FOR OVER 6,800 STUDENTS; PROVISION OF HEALTH INFORMATION AND EDUCATION TO OVER 1,600 SENIORS; AND HEALTH INFORMATION AND BLOOD PRESSURE SCREENINGS FOR OVER 2,900 EMPLOYEES AT THEIR PLACE OF EMPLOYMENT. ADDITIONALLY, OVER 1,810 COMMUNITY MEMBERS WERE CONNECTED THROUGH SUPPORT GROUPS FOR OUTPATIENT MANAGEMENT OF DIABETES, HOW TO EMBRACE A HEALTHY LIFESTYLE AFTER SURGICAL WEIGHT LOSS, AND HOW TO SURVIVE THE CANCER JOURNEY; AS WELL AS CANCER FIGHTERS & SURVIVORS DAY, A CELEBRATION OF THOSE SURVIVING A CANCER DIAGNOSIS. ANDERSON COUNTY SAFE KIDS PROGRAM TAUGHT MORE THAN 3,300 PARENTS AND CHILDREN BIKE AND WATER SPORTS SAFETY, FIRE SAFETY, SLEEP SAFETY, AND PROPER CAR SEAT USE. AN EXAMPLE OF COMMUNITY-BASED CLINICAL SERVICES PROVIDED AT NO CHARGE DURING THE YEAR IS THAT MORE THAN 1,000 PERSONS WERE SCREENED FOR SYMPTOMS SUCH AS CHRONIC ELEVATED BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR, THROUGH COMMUNITY OUTREACH SCREENINGS. FREE GENETIC COUNSELING WAS PROVIDED TO HIGH-RISK CANCER PATIENTS. FOR LOW-INCOME COMMUNITY MEMBERS, MEDICAL STAFF VOLUNTEERED THEIR TIME AND RESOURCES TO SERVE OVER 1,300 PEOPLE THROUGH THE HEALTHY OUTCOMES PROGRAM AND AT LOCAL FREE CLINICS AND STAFF VOLUNTEERED TO PROVIDE FOOD FOR 375 CHILDREN THROUGH THE UNITED WAY SNACK PACK PROGRAM. OVER 17,500 MEALS WERE PROVIDED AT NO-COST TO PATIENTS IN THE EMERGENCY DEPARTMENT. ANMED HEALTH PROVIDED OVER $292,000 IN SPONSORSHIPS AND OVER $191,000 THROUGH IN-KIND LAND LEASES TO LOCAL ORGANIZATIONS WHO SHARE ANMED HEALTH'S VISION OF FOSTERING A HEALTHY COMMUNITY, SUCH AS THE ANDERSON FREE CLINIC, UNITED WAY OF ANDERSON COUNTY, ANDERSON CANCER ASSOCIATION, AND THE ANDERSON AREA YMCA. HEALTH PROFESSIONS EDUCATION PROGRAMS SERVED OVER 600 STUDENTS THROUGH: A FAMILY MEDICINE RESIDENCY PROGRAM, MEDICAL STUDENT EDUCATION PROGRAM, NURSING TRAINING AND MENTORING, A RADIOLOGY TECHNOLOGY PROGRAM, THERAPY INTERNSHIPS, AND PHARMACY STUDENT ROTATIONS. AN ONCOLOGY RESEARCH PROGRAM WORKS WITH PHYSICIANS AND PATIENTS TO IDENTIFY AVAILABLE STUDIES AND TRIALS OF INVESTIGATIONAL MEDICATIONS AND REGIMENS FOR CANCER TREATMENT. ANMED HEALTH EMPLOYEES VOLUNTEERED OVER 1,600 HOURS SERVING ON VARIOUS COMMITTEES THROUGH LOCAL, REGIONAL, AND STATEWIDE HEALTH AND CIVIC ORGANIZATIONS. PART VI, LINE 6: ANMED HEALTH HAD AN AFFILIATION AND SERVICES AGREEMENT WITH ATRIUM HEALTH WHICH EXPIRED SEPTEMBER 30, 2019. THE AGREEMENT APPOINTED ATRIUM HEALTH AS THE MANAGER OF THE HOSPITAL SYSTEM. SEE FORM 990, PART VI, LINE 3 FOR MORE DETAILS. THERE IS NO TRANSFER OF GOVERNANCE OR OWNERSHIP BETWEEN ATRIUM HEALTH AND ANMED HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES SC 1 ANDERSON FREE CLINIC PO BOX 728 ANDERSON SC 29622 570787584 18000 2020 WALK WITH THE DOCS SPONSOR ANDERSON UNIVERSITY 316 BOULEVARD BOX 1165 ANDERSON SC 29621 570324906 50000 ANNUAL SPONSORSHIP CANCER ASSOCIATION OF ANDERSON 215 E CALHOUN ST ANDERSON SC 29621 542098883 11000 ANNUAL SPONSORSHIP CLEMSON AREA CHAMBER OF COMMERCE PO BOX 1622 CLEMSON SC 29633 570400452 9425 ANNUAL SPONSORSHIP PLAY SAFE 100 HEALTHY WAY SUITE 1200 ANDERSON SC 29621 451806143 217998 SUPPORT FOR ATHLETIC TRAINING SERVICES UNITED WAY OF ANDERSON COUNTY PO BOX 2067 604 N MURRAY AVE ANDERSON SC 29622 570510602 199862 SPONSOR / DONOR WESTSIDE COMMUNITY CENTER 110 WEST FRANKLIN ST ANDERSON SC 29624 570962032 5000 SUPPORT SPONSOR FOR WCC OPERATIONAL EXPENSES 7 0 DOCLINK 9053 35899 CHOOSEWELL CONTRACEPTIVE ACCESS INITIATIVE FUND 35 31879 NURSING SCHOLARSHIPS 5000 PART I, LINE 2: SCHOLARSHIPS TRI COUNTY TECHNICAL COLLEGE SCHOLARSHIP: RECIPIENTS MUST LIVE IN ANDERSON COUNTY, SC, MUST BE A NURSING MAJOR WITH AT LEAST A 3.0 GPA, AND MUST BE WILLING TO ACCEPT EMPLOYMENT AT ANMED HEALTH OR BE RESPONSIBLE FOR PAYING BACK THE AMOUNT OF THE SCHOLARSHIP. X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 WILLIAM T MANSON CEO PRESIDENT/CEO 593493 0 533213 0 364923 0 11400 0 30944 0 1533973 0 320008 0 JAY NAYAK PHYSICIAN 716421 0 708820 0 657 0 45936 0 31797 0 1503631 0 0 0 KUMAR PATEL PHYSICIAN 311068 0 1078846 0 516 0 11400 0 29737 0 1431567 0 0 0 AARON MACDONALD PHYSICIAN 1037378 0 260933 0 3488 0 11400 0 36342 0 1349541 0 0 0 JEFFREY DELO PHYSICIAN 541272 0 709165 0 1151 0 37727 0 27764 0 1317079 0 0 0 ABHIJIT A RAVAL PHYSICIAN 662793 0 490595 0 9097 0 11400 0 31150 0 1205035 0 0 0 DR SYED MALIK DIRECTOR / PHYSICIAN / EX-OFFICIO 486102 0 267345 0 5762 0 11400 0 32707 0 803316 0 0 0 CHRISTINE PEARSON CHIEF FINANCIAL OFFICER 443993 0 232451 0 80473 0 180477 0 26767 0 964161 0 129930 0 BRAD MOCK CHIEF MEDICAL OFFICER 400429 0 192383 0 45148 0 148115 0 32218 0 818293 0 0 0 DR STEPHEN HAND DIRECTOR / PHYSICIAN 481948 0 166388 0 2760 0 11400 0 25411 0 687907 0 0 0 TINA JURY CHIEF HOSPITAL OFFICER 376520 0 199550 0 67827 0 155377 0 25433 0 824707 0 111006 0 WILLIAM KENLEY CEO PRESIDENT/CEO 198179 0 0 0 201379 0 92251 0 5437 0 497246 0 0 0 THOMAS M KAYROUZ CHIEF PHYSICIAN EXECUTIVE 230619 0 139936 0 674 0 2128 0 15419 0 388776 0 31590 0 DR MELODY FRANKS DIRECTOR / PHYSICIAN 316415 0 39424 0 3042 0 46175 0 12812 0 417868 0 0 0 SHAUNDA TROTTER VP CNO 222951 0 86734 0 21856 0 90034 0 4021 0 425596 0 37800 0 PART I, LINE 1A EXECUTIVE OFFICERS OF THE ORGANIZATION INCLUDING VICE PRESIDENTS ARE PROVIDED WITH TRAVEL FOR SPOUSES AND RECEIVE TAX INDEMNIFICATION AND GROSS UP PAYMENTS. THE BENEFITS RECEIVED BY THE OFFICERS WERE INCLUDED IN TAXABLE COMPENSATION FOR THE YEAR. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. PARTICIPANTS IN THE PLAN DEFER AMOUNTS TO BE PAID IN A SUBSEQUENT YEAR BASED ON MEETING METRICS/GOALS. THE AMOUNTS DEFERRED UNDER THIS PLAN IN 2020 ARE AS FOLLOWS: WILLIAM KENLEY - $92,251 TINA JURY - 143,627 CHRISTINE PEARSON - 169,077 SHAUNDA TROTTER - 81,324 DR. MELODY FRANKS - 34,775 BRAD MOCK - 136,715 WILLIAM MANSON PARTICIPATED IN A CAPEX LIFE INSURANCE PLAN DURING THE YEAR. A SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 576000286 83703FBX9 2009-04-02 34585000 CURRENT REFUNDING 0 0 0 B SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 576000286 83703FCQ3 2009-05-13 75605000 CURRENT REFUNDING 0 0 0 C SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 576000286 2014-06-30 35000000 CAPITAL ACQUISITION 0 0 0 D SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 83703FJK9 2016-11-15 115899437 CURRENT REFUNDING 0 0 0 A 34585000 398936 124368 34061696 2007 1 0 1 1 B 6490000 75605035 110003 653394 701606 74250000 2010 1 0 1 1 C 2610000 35000862 145067 34854933 2015 0 0 1 1 D 4010000 114733488 1166048 2016 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 1 1 0 1 0 0 0 0 B 0 1 1 0 1 1 CITIGROUP 29.580000000000 0 0 0 0 0 C 0 1 1 0 1 0 0 0 0 D 0 1 1 0 1 0 0 0 0 A 0 B 0 C 0 D 0 SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS: THE AMOUNTS PRESENTED ON LINE 11 AS OTHER SPENT PROCEEDS WERE USED TO CURRENTLY REFUND PRIOR BONDS ISSUED ON THE DATES AS FOLLOWS: BOND (A) - 04/18/2007 BOND (B) - 07/02/2003 BOND (C) - 07/02/2003 BOND (D) - 07/28/1999 BOND (E) - 06/30/2014 BOND (F) - 11/15/2016 FORM 990, PART V, LINE 4A FINANCIAL ACCOUNTS IN A FOREIGN COUNTRY: THE ORGANIZATION WAS A 2.16% PARTNER IN PROFESSIONAL MONEY MANAGEMENT PARTNERSHIP WITH A HEDGE FUND BASED IN THE CAYMAN ISLANDS. THE PARTNERSHIP IS HELD FOR INVESTMENT PURPOSES ONLY. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS ANMED HEALTH SYSTEM, A SOUTH CAROLINA 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF ANMED HEALTH AS PROVIDED FOR IN ITS BYLAWS SHALL AUTOMATICALLY BECOME THE BOARD OF TRUSTEES OF THE ORGANIZATION UPON BEING ELECTED AS TRUSTEES OF ANMED HEALTH SYSTEM. ACCORDINGLY, WHEN ANY BOARD MEMBER FOR ANY REASON CEASES BEING A BOARD MEMBER OF ANMEND HEALTH SYSTEM, HE OR SHE SHALL ALSO AUTOMATICALLY CEASE BEING A BOARD MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION AND REVIEW BY MANAGEMENT, THE RETURN WAS PLACED ON A SECURE WEBSITE PRIOR TO THE OCTOBER 2021 BOARD MEETING. AT THE MEETING, BOARD MEMBERS HAD AN OPPORTUNITY TO DISCUSS THE RETURN AND ASK QUESTIONS OF THE CFO AND A REPRESENTATIVE OF THE ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE DISCLOSURE OF THE CONFLICT OF INTEREST POLICY, ALONG WITH AN EXPLANATION AND QUESTIONNIARE IS SENT TO ALL TRUSTEES, EXECUTIVE STAFF, MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITY, SELECTED OTHER EMPLOYEES, AND VOLUNTEERS ANNUALLY. THE QUESTIONNAIRE MUST BE COMPLETED AND RETURNED TO THE CHAIR OF THE BOARD. A REPORT IS SUBMITTED TO THE BOARD CONCERNING ANY POTENTIAL CONFLICTS THAT ARE DISCLOSED. IN SITUATIONS WHERE A POTENTIAL CONFLICT IS FOUND, THE BOARD REVIEWS THE CIRCUMSTANCES BEFORE A VOTE OR DISCUSSION OF MATTERS INVOLVING INTERESTED PARTIES. FORM 990, PART VI, SECTION B, LINE 15 INTEGRATED HEALTHCARE STRATEGIES PROVIDES COMPENSATION CONSULTING SERVICES. SURVEYS ARE DONE PERIODICALLY. ANMED HEALTH TARGETS THE 65% PERCENTILE. THE COMPENSATION COMMITTEE OF THE BOARD APPROVES COMPENSATION FOR ALL OFFICERS, EXECUTIVES, AND DEPARTMENT DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ACCOUNTING OFFICES. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S EXECUTIVE OFFICES. COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON A SECURE WEBSITE FOR BONDHOLDERS. PLEASE CONTACT THE EXECUTIVE OFFICES FOR DETAILS. FORM 990, PART VII, LINE 1, BOARD MEMBER COMPENSATION: BOARD MEMBER COMPENSATION: DR. STEPHEN HAND IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. MELODY FRANKS IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HER ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. SYED MALIK IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -1,977,792. CHANGE IN SPLIT INVESTMENTS 559,753. GAIN ON PREMIER INVESTMENTS 682,527. TRANSFER FROM RELATED ORGANIZATION 3,420,601. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SCHEDULE B RELATED ORGANIZATION CONTRIBUTION THE CONTRIBUTION AMOUNT FROM ANMED HEALTH FOUNDATION AS REPORTED ON SCHEDULE B REFLECTS ALL CONTRIBUTIONS AND ASSETS RELEASED FROM RESTRICTION DURING THE YEAR THAT WERE RELATED TO THE FOUNDATION. ANMED HEALTH SYSTEM 800 N FANT STREET ANDERSON SC 29621 570817544 SUPPORT SC 501(C)(3) LINE 7 N/A 0 THE ANMED HEALTH FOUNDATION 800 N FANT STREET ANDERSON SC 29621 383886017 FUNDRAISING/SUPPORT SC 501(C)(3) LINE 12B, II ANMED HEALTH SYSTEM 0 CANNON MEMORIAL HOSPITAL 123 WG ACKER DRIVE PICKENS SC 29671 570342027 HEALTHCARE SC 501(C)(3) LINE 3 ANMED HEALTH SYSTEM 0 CANNON MEMORIAL HOSPITAL FOUNDATION PO BOX 188 PICKENS SC 29671 570943822 FUNDRAISING/SUPPORT SC 501(C)(3) LINE 7 CANNON MEMORIAL HOSPITAL 0 ANMED HEALTH ENTERPRISES INC 800 N FANT STREET ANDERSON SC 29621 570815011 HOLDING CORPORATION SC N/A C 0 ANMED HEALTH PLAN INC 800 N FANT STREET ANDERSON SC 29621 570811053 MANAGEMENT SERVICES ORGANIZATION SC N/A C 0 ANMED HEALTH SERVICES INC 800 N FANT STREET ANDERSON SC 29621 570741536 HEALTHCARE SC N/A C 0 PIEDMONT HEALTH PARTNERS LLC 800 N FANT STREET ANDERSON SC 29621 611796834 HEALTHCARE SC N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 1