2020-11-12T10:06:49-06:00 2019-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2019-01-01 383886017 THE ANMED HEALTH FOUNDATION ANME 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 SONYA GOULD CFO 8645121000 2020-11-11 1 AMY BIBBY P00445891 8282542254 99.47.28.203 2020-11-11 13:27:18 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2019 2021-01-29 14:40:06Z TIMOTHY SELF 800 NORTH FANT STREET ANDERSON SC 29621 2407393 0 X WWW.ANMEDHEALTH.ORG X 2012 SC EDUCATE TO INSPIRE PHILANTHROPIC GIVING TO FINANCIALLY SUPPORT PROGRAMS AND SERVICES OF ANMED HEALTH 17 14 0 75 0 0 2136381 2357220 0 0 0 0 -74332 -41307 2062049 2315913 1461723 2173978 0 0 331461 382457 0 0 95613 107920 152681 1901104 2709116 160945 -393203 3302655 5543326 439843 2911653 2862812 2631673 X THE MISSION OF THE ANMED HEALTH FOUNDATION IS TO INSPIRE GENEROUS CHARITABLE GIVING THAT STRENGTHENS AND SUSTAINS EXCELLENT HEALTHCARE THROUGH THE ANMED HEALTH SYSTEM WITH THE VISION TO ENDOW THE FUTURE OF THE ANMED HEALTH SYSTEM. 0 0 2517888 2173978 THE ANMED HEALTH FOUNDATION WAS ORGANIZED TO PROVIDE FINANCIAL SUPPORT FOR ANMED HEALTH TO MEET THE NEEDS OF THE COMMUNITY. SEE SCHEDULE O FOR HIGHLIGHTS. PROGRAM SERVICE ACCOMPLISHMENTS: THE ORGANIZATION DIRECTS CONTRIBUTIONS RECEIVED TO VITAL PROGRAMS THAT ASSIST OUR COMMUNITY IN THE FOLLOWING WAYS:1. OFFER FINANCIAL ASSISTANCE TO PATIENTS DISCHARGED FROM THE HOSPITAL WITHOUT ABILITY TO PAY FOR NEEDED MEDICATIONS. 2. BRING MEDICAL SCREENINGS AND INFORMATION TO COMMUNITIES THROUGHOUT OUR REGION.3. PROVIDE PREVENTIVE AND WELLNESS CARE TO PROMOTE THE OVERALL WELL-BEING OF PEOPLE IN THE ANMED HEALTH SERVICE AREA.4. DELIVER SPECIALIZED THERPY TO IMPROVE THE LIVES OF CHILDREN DEVELOPMENTAL DELAYS AND DISORDERS.5. PROVIDE A PERSONAL EMERGENCY RESPONSE SERVICE FOR ELDERLY AND DISABLED INDIVIDUALS THAT CANNOT AFFORD THE SERVICE ON THEIR OWN.6. PROVIDE SCREENING MAMMOGRAMS TO UNINSURED WOMEN. 2517888 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 14 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 SC X SONYA GOULD 8645124197 800 NORTH FANT STREET ANDERSON SC 29621 X LEE LUFF CHAIRMAN 1.00 X X 0 0 0 TERENCE ROBERTS VICE CHAIRMAN 1.00 2.00 X X 0 0 0 HUGH BURGESS IMMEDIATE PAST CHAIR 1.00 2.00 X 0 0 0 STONEY ABERCROMBIE DIRECTOR 1.00 49.00 X 0 304213 12955 PHILIP ASHLEY DIRECTOR 1.00 2.00 X 0 0 0 LEANDER CANNICK III DIRECTOR 1.00 X 0 0 0 WILLIAM BILLY CLINKSCALES DIRECTOR 1.00 X 0 0 0 ANN HERBERT DIRECTOR 1.00 X 0 0 0 JESSE MCDOUGALD DIRECTOR 1.00 X 0 0 0 JOHN MILLER DIRECTOR 1.00 X 0 198144 0 GREG SHORE DIRECTOR 1.00 X 0 0 0 SCOTT WEBBER DIRECTOR 1.00 X 0 0 0 MARIL YESKE DIRECTOR 1.00 X 0 0 0 MARSHALL PICKENS III DIRECTOR 1.00 X 0 0 0 WILLIAM KIBLER EX-OFFICIO 1.00 2.00 X 0 0 0 WILLIAM MANSON EX-OFFICIO / CEO AH 3.00 49.00 X X 0 1070978 250463 JANE MUDD EX-OFFICIO BOARD DESIGNEE 1.00 X 0 0 0 SONYA GOULD CHIEF FINANCIAL OFFICER 4.00 49.00 X 0 192640 16016 TIM SELF EXECUTIVE DIRECTOR 50.00 X 0 153778 19731 0 1919753 299165 0 0 1 0 0 202716 166097 1988407 2357220 50173 202716 91480 -41307 -41307 2315913 0 0 -41307 1739233 1739233 434745 434745 316307 158154 79077 79076 66150 33075 16538 16537 127906 127906 24573 24573 202 202 2709116 2517888 95615 95613 3231182 5531241 71473 12085 3302655 5543326 448 439843 2911205 439843 2911653 X -985147 -1786461 3847959 4418134 2862812 2631673 3302655 5543326 X -393203 162064 X X 0 1 X 1 0 X X 1 ANMED HEALTH 570359174 3 1 797861 1911255 1 797861 1911255 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 2911205 2911205 X 2569457 91480 91480 2477977 -162064 -162064 2315913 2800596 91480 91480 2709116 0 2709116 PART X, LINE 2: THE SYSTEM, EXCEPT FOR THE HOLDING COMPANY, 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 CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE HOLDING COMPANY IS SUBJECT TO FEDERAL AND STATE INCOME TAXES. THE LIABILITY METHOD IS USED IN ACCOUNTING FOR INCOME TAXES. UNDER THIS METHOD, DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON DIFFERENCES BETWEEN FINANCIAL REPORTING AND TAX BASES OF ASSET AND LIABILITIES AND ARE MEASURED USING THE ENACTED TAX RATES AND LAWS THAT WILL BE IN EFFECT WHEN THE DIFFERENCES ARE EXPECTED TO REVERSE. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 91,480. PART XI, LINE 4B - OTHER ADJUSTMENTS: EQUITY TRANSFER -162,064. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 91,480. CAMELLIA BALL 186150 149095 37055 15711 29695 6475 14516 KIDS CLASSIC GOLF TOURNAMENT 66739 53621 13118 632 6608 1902 15941 252889 202716 50173 632 22319 31597 6475 30457 91480 -41307 1 ANMED HEALTH 800 NORTH FANT STREET ANDERSON SC 29621 570359174 797861 AH MEDICAL EDUCATION OPERATIONS AND CAPITAL EXPENSES 1 RADIOLOGIC TECHNOLOGY PROGRAM 1 2500 PATIENT CARE ASSISTANCE FOR INDIGENT PATIENTS 90276 FREEDOM LINK SUBSCRIPTIONS 61 14477 MAMMOGRAMS 199 21095 CANCER CARE SERVICE ASSISTANCE 125 18306 EMPLOYEE ASSISTANCE 33 32550 SCALES DRIVE 132 3706 PEGGY G DEAN EDUCATION FUND 10 3536 DOCLINK 6060 1324 SAFETY PROGRAM - SAFE KIDS 48 1196 PEDIATRIC THERAPY WORKS 888 124105 PIEDMONT HEALTH PARTNERS - HELPING HANDS PROJECT FUND 314 9910 CHOOSEWELL CONTRACEPTIVE ACCESS INITIATIVE FUND 132 111764 PART I, LINE 2: THE ORGANIZATION IS AFFILIATED WITH ANMED HEALTH. ALL ASSISTANCE PROVIDED BY THE ORGANIZATION TO OUTSIDE PARTIES IS DIRECTED EXCLUSIVELY TO ANMED HEALTH TO ASSIST THAT ORGANIZATION IN FULFILLING ITS TAX EXEMPT PURPOSE. SCHEDULE I PART II THE AMOUNTS REPORTED ON SCHEDULE I PART II REFLECT ALL AMOUNTS TRANSFERRED TO ANMED HEALTH NOT JUST THOSE REFLECTED AS GRANTS ON PART IX OF THE CORE FORM. 0 1 0 0 0 0 0 0 0 STONEY ABERCROMBIE DIRECTOR 0 255507 0 33194 0 15512 0 10308 0 2647 0 317168 0 0 JOHN MILLER DIRECTOR 0 0 0 0 0 198144 0 0 0 0 0 198144 0 0 WILLIAM MANSON EX-OFFICIO / CEO AH 0 704664 0 279554 0 86760 0 225256 0 25207 0 1321441 0 104895 SONYA GOULD CHIEF FINANCIAL OFFICER 0 167751 0 20564 0 4325 0 12293 0 3723 0 208656 0 0 TIM SELF EXECUTIVE DIRECTOR 0 137547 0 15624 0 607 0 18288 0 1443 0 173509 0 9243 PART I, LINE 3 COMPENSATION PAID TO OFFICERS THE ANMED HEALTH FOUNDATION WAS PAID BY ANMED HEALTH, A RELATED ORGANIZATION. ANMED HEALTH UTILIZED THE FOLLOWING METHODS TO DETERMINE APPROPRIATE COMPENSATION FOR THE TOP EXECUTIVE OFFICER AND CERTAIN OTHER OFFICERS THAT HAD INFLUENCE OVER THE FOUNDATION'S ACTIVITIES: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY ATRIUM HEALTH, AN UNRELATED ORGANIZATION FROM A NON-QUALIFIED PLAN: WILLIAM T. MANSON - $ 65,817 THE COMPANY SHALL CREDIT TO THE PARTICIPANT'S SERP ACCOUNT AN AMOUNT PROJECTED TO PROVIDE ANNUAL RETIREMENT BENEFITS EQUAL TO 50% OF THE PARTICIPANT'S FINAL FIVE-YEAR AVERAGE CASH COMPENSATION AT AGE 65. THE PROJECTION TAKES INTO ACCOUNT THAT THE TOTAL TARGETED RETIREMENT BENEFIT CONSISTS OF THE QUALIFIED DEFINED BENEFIT PENSION PLAN, 403(B) PLAN MATCHING CONTRIBUTIONS EARNED THEREON, 50% OF THE PROJECTED SOCIAL SECURITY PRIMARY RETIREMENT BENEFITS, AND BENEFITS UNDER THIS PLAN. THE COMPANY DOES NOT GUARANTEE THAT THE CREDITS WILL ACTUALLY PROVIDE THE TARGETED BENEFIT; RATHER, THE PARTICIPANT'S BENEFIT IS LIMITED TO THE AMOUNT ACCRUED IN HIS ACCOUNT. THE PARTICIPANT'S ENTITLEMENT TO THE BENEFITS DEPENDS ON THE PARTICIPANT'S FUTURE PERFORMANCE OF SUBSTANTIAL SERVICES. DURING 2017 WILLIAM MANSON CEASED PARTICIPATION IN THE PLAN OFFERED BY THE ORGANIZATION. HIS PLAN WAS REPLACED BY A CAPEX LIFE INSURANCE RETIREMENT PLAN. THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY ANMED HEALTH, A RELATED ORGANIZATION FROM A NON-QUALIFIED PLAN: TIM SELF - $8,553 SONYA GOULD - $11,520 PART II: COMPENSATION FROM AN UNRELATED ORGANIZATION: ON OCTOBER 1, 2009, THE HOSPITAL SYSTEM ENTERED INTO A SERVICES AND AFFILIATION AGREEMENT WITH ATRIUM HEALTH. THE AGREEMENT APPOINTS ATRIUM HEALTH AS THE MANAGER OF THE HOSPITAL SYSTEM. THE FOLLOWING OFFICERS AND KEY EMPLOYEES WERE COMPENSATED ACCORDING TO THIS AGREEMENT FOR SERIVCES PROVIDED TO ANMED HEALTH, ANMED HEALTH SYSTEM, AND THE ANMED HEALTH FOUNDATION. WILLIAM T. MANSON, III - $841,963 TAXABLE, 21,785 DEFRD, 21,144 N/T THE ABOVE AMOUNTS ARE REPRESENTED IN THE TOTALS SHOWN IN PART II. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE FOUNDATION BOARD CHAIR, VICE-CHAIR, AND SECRETARY AND/OR TREASURER, AND ITS THREE EX-OFFICIO TRUSTEES. BETWEEN REGULAR MEETINGS, THE EXECUTIVE COMMITTEE MAY MEET AT THE CALL OF THE CHAIR, AND ACT ON BEHALF OF THE FOUNDATION BOARD AND TAKE ANY ACTION THE FOUNDATION BOARD MIGHT OTHERWISE HAVE TAKEN. A QUORUM OF THE EXECUTIVE COMMITTEE SHALL CONSIST OF FOUR MEMBERS, INCLUDING AT LEAST ONE EX-OFFICIO MEMBER. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION SHARES ITS MANAGEMENT OVERSIGHT WITH ANMED HEALTH, A RELATED ORGANIZATION. ON OCTOBER 1, 2009, THE HOSPITAL SYSTEM ENTERED INTO A SERVICES AND AFFILIATION AGREEMENT WITH ATRIUM HEALTH. THE AGREEMENT APPOINTS ATRIUM HEALTH AS THE MANAGER OF THE HOSPITAL SYSTEM. THE BOARD OF ANMED HEALTH CONTINUES TO OVERSEE THE OPERATIONS OF THE HEALTHCARE FACILITY AND RELATED TAX EXEMPT ACTIVITIES. AS PART OF THE AGREEMENT, ANMED HEALTH GRANTS ATRIUM HEALTH THE RESPONSIBILITY FOR MANAGEMENT OF THE HEALTH SYSTEM, SUBJECT TO THE GENERAL APPROVAL OF THE BOARD OF TRUSTEES OF ANMED HEALTH. BOARD APPROVAL IS REQUIRED FOR LARGE CAPITAL EXPENDITURES, SALE OR DISPOSAL OF SYSTEM ASSETS, AND BORROWING IN EXCESS OF IMMATERIAL AMOUNTS. ATRIUM HEALTH IS REQUIRED TO PROVIDE KEY MANAGEMENT PERSONNEL FOR ANDMED HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS. THE ORGANIZATION IS UTILIZING FORM 990 PARTS VII AND SCHEDULE J TO REPORT COMPENSATION RECEIVED BY THESE INDIVIDUALS FOR SERVICES PROVIDED TO ANMED HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 THE ANMED HEALTH FOUNDATION IS A SUBSIDIARY OF THE ANMED HEALTH SYSTEM(SYSTEM), A SOUTH CAROLINA 501(C)(3) ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE INITIAL BOARD OF TRUSTEES OF THE ANMED HEALTH FOUNDATION AS PROVIDED FOR IN ITS BYLAWS IS ELECTED BY THE SYSTEM BOARD. THE SYSTEM BOARD IS ALSO ELIGIBLE TO ELECT SUCCESSOR TRUSTEES AND INTERIM TRUSTEES OF THE FILING ORGANZATION. 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, COPIES OF THE RETURN WERE PROVIDED AT THE NOVEMBER MEETING AND THE BOARD WAS ABLE TO ASK QUESTIONS. 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 C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S EXECUTIVE 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. FORM 990, PART VII THE COMPENSATION PROVIDED TO RETIRED CEO, JOHN MILLER, REPRESENTS THE BENEFITS EARNED UNDER VARIOUS SUPPLEMENTAL SURVIVOR BENEFIT SPLIT DOLLAR PLANS, AS WELL AS THE PROVISION FOR TAX OBLIGATIONS FOR THE DISTRIBUTIONS. FORM 990, PART XI, LINE 9: EQUITY TRANSFER 162,064. FORM 990, PART XI, LINE 2: CONSOLIDATED FINANCIAL STATEMENTS: THE ORGANIZATION RECEIVED AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ANMED HEALTH SYSTEM, ANMED HEALTH ENTERPRISES, INC., ANMED HEALTH, AND THEIR CONTROLLED AND MAJORITY OWNED AFFILIATES. ALL SIGNIFICANT INTERCOMPANY ACCOUNTS AND TRANSACTIONS HAVE BEEN ELIMINATED. ANMED HEALTH 800 N FANT STREET ANDERSON SC 29621 570359174 HEALTHCARE SC 501(C)(3) LINE 3 ANMED HEALTH SYSTEM 0 ANMED HEALTH SYSTEM 800 N FANT STREET ANDERSON SC 29621 570817544 SUPPORT SC 501(C)(3) LINE 7 N/A 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 CLEMSON HEALTH CENTER 885 TIGER BLVD CLEMSON SC 29631 570988736 HEALTHCARE SC 501(C)(3) LINE 12B, II ANMED HEALTH 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 800 N FANT STREET ANDERSON SC 29621 611796834 HEALTHCARE SC N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1