ANMED HEALTH FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ANMED HEALTH FOUNDATION (EIN 38-3886017)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201433179349304303
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-13T14:12:45-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383886017EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ANMED HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlANMEBusinessNameControlTxt
Phone8645121000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NORTH FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJERRY A PARRISHPersonNm
Person TitleCFOPersonTitleTxt
Phone8645121000PhoneNum
Signature2014-11-13SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN A MILLER JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NORTH FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$588,092GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ANMEDHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionEDUCATE TO INSPIRE PHILANTHROPIC GIVING TO FINANCIALLY SUPPORT PROGRAMS AND SERVICES OF ANMED HEALTHActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$510,092CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue-$12,960CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$497,132CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$79,610CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,694CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$13,694CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$93,304CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$403,828CYRevenuesLessExpensesAmt
Total Assets BOY$0TotalAssetsBOYAmt
Total Assets EOY$664,078TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$664,078NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE ANMED HEALTH FOUNDATION IS TO BUILD RELATIONSHIPS AND EDUCATE TO INSPIRE PHILANTHROPIC GIVING TO FINANCIALLY SUPPORT PROGRAMS AND SERVICES THAT ENABLE ANMED HEALTH TO OPTIMIZE THE HEALTH OF OUR PATIENTS, STAFF, AND COMMUNITY.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$79,610ExpenseAmt
Grant$79,610GrantAmt
DescTHE ANMED HEALTH FOUNDATION WAS ORGANIZED TO PROVIDE FINANCIAL SUPPORT FOR THE PROGRAMS AND SERVICES OF ANMED HEALTH SYSTEM. THE ORGANIZATION PROVIDED APPROXIMATELY $14,000 DURING 2013 TO FUND FREE LIFELINE MONITORING SERVICE TO THOSE IN NEED.PLEASE SEE SCHEDULE O FOR A CONTINUATION OF THE PROGRAM SERVICE ACCOMPLISHMENTS. THE ORGANIZATION DIRECTS CONTRIBUTIONS RECEIVED TO VITAL PROGRAMS THAT ASSIST OUR COMMUNITY IN THE FOLLOWING WAYS: (1) PROVIDE CHILDREN OF LOW-INCOME FAMILIES WITH IMMUNIZATIONS AND BASIC MEDICAL CARE (2) GIVE EXPECTANT MOTHERS A BETTER CHANCE AT HAVING A HEALTHY BABY WITH PROPER PRENATAL CARE (3) OFFER FINANCIAL ASSISTANCE TO PATIENTS DISCHARGED FROM THE HOSPITAL WITHOUT ABILITY TO PAY FOR NEEDED MEDICATIONS (4) BRING MEDICAL SCREENINGS AND INFORMATION TO COMMUNITIES THROUGHOUT OUR REGION (5) PROVIDE PREVENTIVE AND WELLNESS CARE TO PROMOTE THE OVERALL WELL-BEING OF THE WESTSIDE AREA (6) DELIVER SPECIALIZED THERAPY TO IMPROVE THE LIVES OF CHILDREN DEVELOPMENTAL DELAYS AND DISORDERS (7) PROVIDE A PERSONAL EMERGENCY RESPONSE SERVICE FOR ELDERLY AND DISABLED INDIVIDUALS THAT CANNOT AFFORD THE SERVICE ON THEIR OWN (8) PROVIDE SCREENING MAMMOGRAMS TO UNINSURED WOMEN.Desc
Total Program Service Expenses$79,610TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JERRY A PARRISHBusinessNameLine1
FieldValueIRS element (for citing)
Phone8645121000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NORTH FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ANN D HERBERT
CHAIRMAN1.002.00Yes (X)$0$0$0
DR JOHN R HUNT
VICE CHAIRMAN1.002.00Yes (X)$0$0$0
ROBERT RAINEY
SECRETARY/TREASURER1.002.00Yes (X)$0$0$0
PHILIP ASHLEY
DIRECTOR1.00Yes (X)$0$0$0
HUGHLYN BURGESS
DIRECTOR1.00Yes (X)$0$0$0
PEGGY DEANE
DIRECTOR1.00Yes (X)$0$0$0
BARBARA HODGES
DIRECTOR1.00Yes (X)$0$0$0
FRANK BUTCH HUGHES
DIRECTOR1.00Yes (X)$0$0$0
SHEILA KING
DIRECTOR1.00Yes (X)$0$0$0
MARY ANNE D LAKE
DIRECTOR1.002.00Yes (X)$0$0$0
THOMAS MCDONALD
DIRECTOR1.00Yes (X)$0$0$0
SHAWN MCGEE
DIRECTOR1.00Yes (X)$0$0$0
HAMID MOHSSENI
DIRECTOR1.00Yes (X)$0$0$0
JANE MUDD
DIRECTOR1.002.00Yes (X)$0$0$0
MARSHALL PICKENS
DIRECTOR1.00Yes (X)$0$0$0
DR CHRIS PRZIREMBEL
DIRECTOR1.002.00Yes (X)$0$0$0
ALEXANDRIA STATHAKIS
DIRECTOR1.00Yes (X)$0$0$0
SCOTT WEBBER
DIRECTOR1.00Yes (X)$0$0$0
JOHN A MILLER JR
CEO1.0049.00$0$1,158,472$352,806Yes (X)
JERRY A PARRISH
CFO1.0049.00$0$465,191$225,438Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,623,663TotReportableCompRltdOrgAmt
Total Other Compensation$578,244TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$130,110FundraisingAmt
All Other Contributions$379,982AllOtherContributionsAmt
Total Contributions$510,092TotalContributionsAmt
Fundraising Gross Income$78,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$130,110ContriRptFundraisingEventAmt
Fundraising Direct Expenses$90,960FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$12,960TotalRevenueColumnAmt
Exclusion-$12,960ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$497,132TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$12,960ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$79,610TotalAmt
Program Services$79,610ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,694TotalAmt
Fundraising$13,694FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$93,304TotalAmt
Program Services$79,610ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$13,694FundraisingAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$214,986EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$449,092EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$664,078EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
EOY-$139,054EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$803,132EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$664,078EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$664,078EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$403,828ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$260,250OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ANMED HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
EIN570359174EIN
Organization Type3OrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$79,610SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$79,610SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$449,092BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$449,092TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$848,342TotalRevEtcAuditedFinclStmtAmt
Other Revenue$260,250OtherRevenueAmt
Revenue Not Reported$260,250RevenueNotReportedAmt
Revenue Subtotal$588,092RevenueSubtotalAmt
Other Revenues Not Included-$90,960OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$90,960RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$497,132TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$184,264TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$90,960OtherExpensesIncludedAmt
Expenses Not Reported$90,960ExpensesNotReportedAmt
Expenses Subtotal$93,304ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$93,304TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE FOUNDATION 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 CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE FOUNDATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2013. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2010 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:EQUITY TRANSFER FROM AFFILIATE 260,250.
PART XI, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES -90,960.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 90,960.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1CAMELLIA BALLNameOfEvent1Amt
Gross Receipts Event1$151,475GrossReceiptsEvent1Amt
Charitable Contri Event1$110,975CharitableContriEvent1Amt
Gross Revenue Event1$40,500GrossRevenueEvent1Amt
Other Direct Expenses Event1$66,366OtherDirectExpensesEvent1Amt
Name Of Event2KIDS CLASSIC GOLF TOURNAMENTNameOfEvent2Amt
Gross Receipts Event2$56,635GrossReceiptsEvent2Amt
Charitable Contri Event2$19,135CharitableContriEvent2Amt
Gross Revenue Event2$37,500GrossRevenueEvent2Amt
Other Direct Expenses Event2$24,594OtherDirectExpensesEvent2Amt
Gross Receipts Total$208,110GrossReceiptsTotalAmt
Charitable Contributions Tot$130,110CharitableContributionsTotAmt
Gross Revenue Total Events$78,000GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$90,960OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$90,960DirectExpenseSummaryEventsAmt
Net Income Summary-$12,960NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
CHAPLAIN'S ASSISTANCE FOR INDIGENT PATIENTS590$53,332
LIFELINE SUBSCRIPTIONS86$13,997
MAMMOGRAMS12$686
EMPLOYEE ASSISTANCE18$11,595

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 EXEMPT PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN A MILLER JR
CEO$0$831,027$0$239,254$0$88,191$0$157,950$0$194,856$0$1,511,278$0$169,280
JERRY A PARRISH
CFO$0$343,306$0$96,336$0$25,549$0$194,558$0$30,880$0$690,629$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION 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 4BTHE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY CAROLINAS HEALTHCARE SYSTEM, AN UNRELATED ORGANIZATION, FROM A NON-QUALIFIED PLAN FOR SERVICES PROVIDED TO THE ORGANIZATION AND RELATED ORGANIZATIONS ANMED HEALTH AND ANMED HEALTH SYSTEM: JOHN A. MILLER, JR. - $61,393 JERRY A. PARRISH - 25,180
PART II:COMPENSATION FROM AN UNRELATED ORGANIZATION: THE FOLLOWING OFFICERS OF THE FILING ORGANIZATION RECEIVED COMPENSATION FOR SERVICES PROVIDED TO ANMED HEALTH, ANMED HEALTH SYSTEM, AND THE ANMED HEALTH FOUNDATION UNDER THE TERMS OF THE MANAGEMNT AGREEMENT WITH CAROLINAS HEALTHCARE SYSTEM DISCLOSED IN CONNECTION WITH FORM 990, PART VI, LINE 3. JOHN A. MILLER, JR., CEO JERRY A. PARRISH, CFO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2THE ANMED HEALTH FOUNDATION BEGAN OPERATIONS IN 2013. PLEASE SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS FOR FURTHER DETAIL.
FORM 990, PART VI, SECTION A, LINE 1THE 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 3THE 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 THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM (CHS). THE AGREEMENT APPOINTS CAROLINAS HEALTHCARE SYSTEM AS THE MANAGER OF THE HOSPITAL SYSTEM. THE BOARD OF ANMED HEALTH CONTINUES TO OVERSEE THE OPERATIONS OF THE HEALTHCARE FACILITY AND RELATED EXEMPT ACTIVITIES. AS PART OF THE AGREEMENT, ANMED HEALTH GRANTS CHS THE RESPONSIBILITY FOR MANAGEMENT OF THE HEALTH SYSTEM, SUBJECT TO THE GENERAL APPROVAL OF THE BOARD OF DIRECTORS OF ANMED HEALTH. BOARD APPROVAL IS REQUIRED FOR LARGE CAPITAL EXPENDITURES, SALE OR DISPOSAL OF SYSTEM ASSETS, AND BORROWING IN EXCESS OF IMMATERIAL AMOUNTS. CHS IS REQUIRED TO PROVIDE KEY MANAGEMENT PERSONNEL FOR ANDMED HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS; HOWEVER, THE CURRENT CEO, CFO, AND A NUMBER OF KEY EMPLOYEES ARE PERSONS THAT WERE FORMERLY EMPLOYED DIRECTLY BY ANMED HEALTH, PRIOR TO THE EFFECTIVE DATE OF THE AGREEMENT. UNDER THE TERMS OF THE ARRANGEMENT THE KEY MANAGEMENT PERSONNEL RECEIVE A PORTION OF THEIR COMPENSATION FROM CHS AS WELL AS A PORTION FROM ANMED HEALTH. 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 6THE 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 7ATHE 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 11THE 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 NOVEMBER 2014 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 12CA COPY OF THE DISCLOSURE OF THE CONFLICT OF INTEREST POLICY, ALONG WITH AN EXPLANATION AND QUESTIONNIARE IS SENT TO ALL TRUSTEES, DIRECTORS, 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 18PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S EXECUTIVE OFFICES.
FORM 990, PART VI, SECTION C, LINE 19PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S EXECUTIVE OFFICES.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER FROM AFFILIATE 260,250.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ANMED HEALTH
800 NORTH FANT STREETANDERSONSC29621570359174HEALTHCARESC501(C)(3)LINE 3ANMED HEALTH SYSTEM0
ANMED HEALTH SYSTEM
800 NORTH FANT STREETANDERSONSC29621570817544FUNDRAISING/SUPPORTSC501(C)(3)LINE 70N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ANMED HEALTH ENTERPRISES INC
800 N FANT STREETANDERSONSC29621570815011HOLDING CORPORATIONSCN/AC0
ANMED HEALTH PLAN INC
800 N FANT STREETANDERSONSC29621570811053MANAGEMENT SERVICES ORGANIZATIONSCN/AC0
ANMED HEALTH SERVICES INC
800 N FANT STREETANDERSONSC29621570741536HEALTHCARESCN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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