2014-11-13T14:12:45-06:00 2013-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-01-01 570359174 ANMED HEALTH ANME 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 JERRY A PARRISH CFO 8645121000 2014-11-13 1 AMY BIBBY P00445891 8282542254 2013 2015-11-30 17:44:51Z JOHN A MILLER JR 800 NORTH FANT STREET ANDERSON SC 29621 587477740 0 X WWW.ANMEDHEALTH.ORG X 1906 SC OPERATION OF A HEALTHCARE SYSTEM INCLUDING A WIDE RANGE OF MEDICAL SERVICES 15 11 3885 156 3132749 821767 196495 843765 141323237 563977880 3017746 16775717 1242097 2692579 145779575 584289941 36974 408955 0 0 53553266 233974222 0 0 0 80529425 319013839 134119665 553397016 11659910 30892925 706267050 783478002 380286406 326517681 325980644 456960321 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 502016020 408955 561169375 ANMED HEALTH IS A HEALTHCARE SYSTEM PROVIDING A FULL RANGE OF ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTETRIC, PSYCHIATRIC, SUBSTANCE ABUSE 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 AND DEDICATED UNITS FOR LABOR/DELIVERY, WOMEN'S ELECTIVE SURGERY, AND PEDIATRICS. ON THE FIRST FLOOR, PHYSICIANS' 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, FAIRPLAY, PENDLETON, PIEDMONT, WILLIAMSTON AND WREN, SOUTH CAROLINA, AND IN HARTWELL, GEORGIA.THE SYSTEM PROVIDED 102,442 INPATIENT DAYS AND 4,761 NURSERY DAYS OF SERVICE FOR 2013.THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF UNCOMPENSATED CARE, INCLUDING CHARITY CARE, THAT IT PROVIDES. THE COST OF CHARITY CARE PROVIDED FOR 2013 WAS APPROXIMATELY $16,157,000. 502016020 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 1 0 0 0 0 0 0 1 0 0 0 1 X 326 0 1 3885 1 1 1 0 0 0 0 0 0 0 0 0 X 15 11 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 SC X JERRY A PARRISH 8645121000 800 N FANT STREET ANDERSON SC 29621 X JT BOSEMAN CHAIRMAN 1.00 1.00 X X 0 0 0 DR CHRIS PRZIREMBEL VICE CHAIRMAN 1.00 2.00 X X 0 0 0 ANN D HERBERT SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 WILLIAM E KIBLER JR BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT RAINEY BOARD MEMBER 1.00 2.00 X 0 0 0 TERRANCE ROBERTS BOARD MEMBER 1.00 1.00 X 0 0 0 EVERETTE NEWMAN BOARD MEMBER 1.00 1.00 X 0 0 0 CHARLES C THORTON JR BOARD MEMBER 1.00 1.00 X 0 0 0 DR WILLIAM S BUICE BOARD MEMBER 39.00 1.00 X 95466 0 0 MARY ANNE D LAKE BOARD MEMBER 1.00 2.00 X 0 0 0 DR JOHN R HUNT BOARD MEMBER 1.00 2.00 X 0 0 0 DR STEPHEN HAND BOARD MEMBER (SEE SCHED O) 39.00 1.00 X 487432 0 90455 FRED L FOSTER BOARD MEMBER 1.00 1.00 X 0 0 0 JANE W MUDD BOARD MEMBER 1.00 2.00 X 0 0 0 JOHN A MILLER JR CEO 48.00 2.00 X X 1158472 0 352806 WILLIAM T MANSON III PRESIDENT/COO 49.00 1.00 X 545698 0 320458 JERRY A PARRISH CFO 48.00 2.00 X 465191 0 225438 DR MICHAEL L TILLIRSON CHIEF MEDICAL OFFICER 50.00 X 432488 0 98707 GARRICK CHIDESTER VICE PRESIDENT 49.00 1.00 X 340045 0 80107 JAMES T DOUGLAS III VICE PRESIDENT 50.00 X 235301 0 21363 TINA JURY CHIEF NURSING OFFICER 50.00 X 253655 0 217567 JOHN D GLYMPH VICE PRESIDENT 50.00 X 222767 0 136049 MICHAEL CUNNINGHAM VICE PRESIDENT 50.00 X 162928 0 20884 BRETT C STOLL PHYSICIAN 50.00 X 776887 0 106323 SATISH K SURABHI PHYSICIAN 50.00 X 768605 0 24261 SCOTT A PHILLIPS PHYSICIAN 50.00 X 743023 0 93858 LOUIS F KNOEPP PHYSICIAN 50.00 X 776743 0 123503 KUMAR R PATEL PHYSICIAN 50.00 X 726231 0 66527 8190932 0 1978306 256 0 1 1 ANDERSON EMERGENCY ASSOCIATION 800 N FANT STREET ANDERSON SC 29621 ER PHYSICIANS 10271002 GHS PARTNERS IN HEALTHCARE 701 GROVE RD GREENVILLE SC 29605 MEDICAL SERVICES 2582075 ADVANCED ICU CARE 999 EXECUTIVE PARKWAY STE 210 ST LOUIS MO 63141 INTENSIVISTS 1402657 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LAB TEST SERVICES 1222820 HOSPITAL MEDICINE CONSULTANTS 819 N FANT STREET ANDERSON SC 29621 HOSPITALISTS 1148288 26 463143 380622 843765 NET PATIENT SERVICE 621400 557865309 554761396 3103913 EHR INCENTIVE PLAN PAYMENTS 900099 4017758 4017758 ANCILLARY SERVICES 900099 1775510 1739027 36483 PLASMA RECOVERY 900099 319303 319303 563977880 10533543 10533543 588 588 1925468 3187799 -1262331 -1262331 -1262331 6099246 142340 0 0 6099246 142340 6241586 6241586 CAFETERIA & VENDING 722210 2447327 2447327 MISCELLANEOUS REVENUE 900099 1175692 28836 1146856 PURCHASE DISCOUNTS 900099 331891 331891 3954910 584289941 561169375 3132749 19144052 X 403955 403955 5000 5000 5963277 4770623 1192654 114916 114916 172844825 149896975 22947850 17763757 15367050 2396707 24678314 21348687 3329627 12609133 10907894 1701239 3004000 3004000 741912 741912 248087 248087 1165197 1165197 57615284 46852329 10762955 1797185 108820 1688365 9128804 8802813 325991 4001348 4001348 6363769 6363769 1128254 818318 309936 9533708 9533708 37137774 37137774 3000328 3000328 BAD DEBT EXPENSE 107775594 107775594 MEDICAL SUPPLIES 73707945 73503645 204300 MISCELLANEOUS EXPENSES 1882353 520177 1362176 MISSION AWARE PATIENT S 583466 583466 198831 198831 553397016 502016020 51380996 0 30818836 40406846 61548694 73910970 3037172 3409040 7418131 8162198 699917544 449795611 254872747 250121933 325837838 387145316 2169801 2054430 20563831 18267269 706267050 783478002 43625394 52505479 252684799 247163419 83976213 26848783 380286406 326517681 X 323479649 454605909 2500995 2354412 325980644 456960321 706267050 783478002 X 30892925 47387957 52698795 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 12708 12708 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 2013, AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE APPROXIMATELY $ 2,000 FOR AHA AND $ 10,700 FOR SCHA. 20862915 20862915 286567760 165735970 120831790 4475837 3856267 619570 374837905 280203374 94634531 13173127 13173127 250121933 ACCRUED PENSION LIABILITY 12052784 ESTIMATED THIRD-PARTY SETTLEMENTS 8758841 RABBI TRUST LIABILITY 154459 INTEREST RATE SWAP ALLOWANCE 5461548 DUE TO AFFILIATE AH FOUNDATION 421151 26848783 X 578214746 47387957 -55485754 -8097797 586312543 1165197 -3187799 -2022602 584289941 447235069 3187799 3187799 444047270 1165197 108184549 109349746 553397016 PART X, LINE 2: THE HOSPITAL SYSTEM 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 MEDICAL CENTER 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: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT 5,731,950. CASH GRANTS NET WITH REVENUES -408,955. CHANGE IN UNFUNDED PENSION LOSS 43,966,845. EQUITY TRANSFER FROM AFFILIATE 3,000,000. PROVISION FOR BAD DEBT -107,775,594. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -3,187,799. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 3,187,799. PART XII, LINE 4B - OTHER ADJUSTMENTS: CASH GRANTS NET WITH REVENUES 408,955. PROVISION FOR BAD DEBT 107,775,594. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT BALANCE 16499975 0 0 0 0 0 0 16499975 0 16499975 0 0 1 0 0 0 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 0 1 1 1 0 1 0 16157426 16157426 0.03630 65383567 81212932 -15829365 0.00000 81540993 81212932 328061 0.03630 454907 454907 0.00100 10097379 2202789 7894590 0.01770 5729894 3915719 1814175 0.00410 302166 42490 259676 0.00060 599107 599107 0.00130 17183453 6160998 11022455 0.02470 98724446 87373930 11350516 0.06100 6616 6616 0.00000 31815 31815 0.00010 38431 38431 0.00010 0 107775594 0 109712066 119900528 -10188462 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 1 X X X X X X X X X 12 1 0 1 X WWW.ANMEDHEALTH.ORG X X X X X 1 0 1 1 200.000000000000 0 1 X X 1 1 X X X 1 0 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 FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 3: QUALITATIVE DATA WAS GATHERED BY CONDUCTING A SERIES OF COMMUNITY FOCUS GROUPS. SEVEN FOCUS GROUPS WERE COMPLETED INCLUSIVE OF 74 PARTICIPANTS. THESE GROUPS INCLUDED: PUBLIC HEALTH OFFICIALS; HEALTH CARE PROVIDERS; SENIORS; HUMAN RESOURCE PROFESSIONALS AND EMPLOYER GROUPS; OTHER HEALTH AND HUMAN SERVICE PROVIDERS; COMMUNITY NEIGHBORHOOD GROUPS; AND, HISPANIC GROUPS. ANMED HEALTH LEADERSHIP GROUPS: ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEE PUBLIC HEALTH OFFICIALS: SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1 KANDI FREDERE, PHD, MHA, MCHES , INTERIM HEALTH DIRECTOR MARY STACKHOUSE, RN, NEWBORN HOME VISITING NURSE SUPERVISOR SHANIKA MCCRAY, MPH, RN MISTY LEE, BS, MCHES, HEALTH EDUCATOR AMY MATTISON, RN , HOME HEALTH SUPERVISOR ANMED HEALTH STAFF: MICHAL CUNNINGHAM, VICE PRESIDENT, ADVANCEMENT WAYNE HARRIS, DIRECTOR, AFFILIATED SERVICES BLYTHE SMITH , COMMUNITY OUTREACH SPECIALIST RESEARCH CONSULTANT TEAM: SHANNON OWEN, MHA , SE CONSULTING, INC. SHANNON COLE, MS HEALTH SCIENCES, SE CONSULTING, INC. NOTE: 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. FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 11: PROMPT PAYMENT DISCOUNT OF 50% IS AVAILABLE TO ALL UNISURED PATIENTS FOR A PERIOD OF 30 DAYS. FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 14G: FINANCIAL COUNSELORS MAKE THIS 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. FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 20D: THE ORGANIZATION DOES NOT CHARGE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE, AND ADJUSTS 100% OF THE BILLED CHARGES. FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 3: QUALITATIVE DATA WAS GATHERED BY CONDUCTING A SERIES OF COMMUNITY FOCUS GROUPS. SEVEN FOCUS GROUPS WERE COMPLETED INCLUSIVE OF 74 PARTICIPANTS. THESE GROUPS INCLUDED: PUBLIC HEALTH OFFICIALS; HEALTH CARE PROVIDERS; SENIORS; HUMAN RESOURCE PROFESSIONALS AND EMPLOYER GROUPS; OTHER HEALTH AND HUMAN SERVICE PROVIDERS; COMMUNITY NEIGHBORHOOD GROUPS; AND, HISPANIC GROUPS. ANMED HEALTH LEADERSHIP GROUPS: ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEE PUBLIC HEALTH OFFICIALS: SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1 KANDI FREDERE, PHD, MHA, MCHES , INTERIM HEALTH DIRECTOR MARY STACKHOUSE, RN, NEWBORN HOME VISITING NURSE SUPERVISOR SHANIKA MCCRAY, MPH, RN MISTY LEE, BS, MCHES, HEALTH EDUCATOR AMY MATTISON, RN , HOME HEALTH SUPERVISOR ANMED HEALTH STAFF: MICHAL CUNNINGHAM, VICE PRESIDENT, ADVANCEMENT WAYNE HARRIS, DIRECTOR, AFFILIATED SERVICES BLYTHE SMITH , COMMUNITY OUTREACH SPECIALIST RESEARCH CONSULTANT TEAM: SHANNON OWEN, MHA , SE CONSULTING, INC. SHANNON COLE, MS HEALTH SCIENCES, SE CONSULTING, INC. NOTE: 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. FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: PROMPT PAYMENT DISCOUNT OF 50% IS AVAILABLE TO ALL UNISURED PATIENTS FOR A PERIOD OF 30 DAYS. FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 14G: FINANCIAL COUNSELORS MAKE THIS 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. FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 20D: THE ORGANIZATION DOES NOT CHARGE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE, AND ADJUSTS 100% OF THE BILLED CHARGES. 32 CLEMSON HEALTH CENTER 885 TIGER BLVD CLEMSON SC 29631 OUTPATIENT FACILITY ANMED HEALTH MINOR CARE 600 N FANT ST ANDERSON SC 29621 OUTPATIENT FACILITY CARDIAC & ORTHOPAEDIC CENTER 100 HEALTHY WAY ANDERSON SC 29621 OUTPATIENT FACILITY ANMED HEALTH VASCULAR MEDICINE 703 N FANT ST ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH CAROLINA OBGYN 160 PERPETUAL SQUARE DR ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH HOME HEALTHLIFELINE 1926 MCCONNELL SPRINGS RD ANDERSON SC 29621 HOME HEALTH ANMED HEALTH ANDERSON BONE & JOINT 112 MONTGOMERY DR ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH CHILDREN'S HEALTH CENTER 500 N FANT ST ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH PEDIATRIC THERAPY WORKS 701 N FANT ST ANDERSON SC 29621 OUTPATIENT FACILITY ANMED HEALTH HONEA PATH FAMILY MEDLAB 21 S SHIRLEY AVE HONEA PATH SC 29654 PHYSICIAN OFFICE ANMED HEALTH ANDERSON PEDIATRICS 705 N FANT ST ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH HARTWELL FAMILY MEDICINE 28 CHANDLER CENTER HARTWELL GA 30643 PHYSICIAN OFFICE ANMED HEALTH WILLIAMSTON FAMILY MEDICINE 16 ROBERTS BLVD WILLIAMSTON SC 29697 PHYSICIAN OFFICE ANMED HEALTH IVA FAMILY MEDICINE 331 ANTREVILLE HWY IVA SC 29655 PHYSICIAN OFFICE ANMED HEALTH EASTSIDE INTERNAL MEDICINE 400 N FANT ST ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH MICHAEL M RIVERA MD 1519 N FANT ST ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH LAKESIDE FAMILY MEDLAB 4120 HWY 24 ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH CAROLINA KIDS 10706 CLEMSON BLVD SENECA SC 29678 PHYSICIAN OFFICE ANMED HEALTH CENERVILLE FAMILY MEDICINE 1520 WHITEHALL RD ANDERSON SC 29625 PHYSICIAN OFFICE ANMED HEALTH JOHD D WARE 105 BUFORD AVE ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH PENDLETON FAMILY MEDICINE 101 SHIRLEY ST PENDLETON SC 29670 PHYSICIAN OFFICE ANMED HEALTH WESTSIDE FAMILY MEDICINE 1100 W FRANKLIN ST ANDERSON SC 29624 PHYSICIAN OFFICE ANMED HEALTH FAIRPLAY FAMILY MEDICINE 111 W PINE GROVE RD FAIRPLAY SC 29643 PHYSICIAN OFFICE ANMED HEALTH DANIEL A KEENAN JR MD 803 N FANT ST ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH PALMETTO FAMILY MEDICINE 323 LEBBY ST PELZER SC 29669 PHYSICIAN OFFICE ANMED HEALTH CLEMSON FAMILY MEDICINE 386 CLEMSON BLVD CLEMSON SC 29631 PHYSICIAN OFFICE ANMED HEALTH WREN FAMILY MEDICINE 6650 HIGHWAY 81 NORTH PEIDMONT SC 29673 PHYSICIAN OFFICE ANMED HEALTH GASTROENTEROLOGY SPECIALIST 118 MONTGOMERY DRIVE ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH PSYCHIATRY 400 N FANT ST SUITE D ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH CLIFTON W STRAUGHN MD 105 BUFORD AVE ANDERSON SC 29621 PHYSICIAN OFFICE ANMED HEALTH MEDICUS ENT 1655 EAST GREENVILLE STREET ANDERSON SC 29622 PHYSICIAN OFFICE AH QUINN PHYSICAL THERAPY 127 WAL-MART DRIVE HARTWELL GA 30643 OUTPATIENT REHAB PART I, LINE 3C: PROMPT PAYMENT DISCOUNT OF 50% IS AVAILABLE TO ALL UNINSURED PATIENTS FOR A PERIOD OF 30 DAYS. 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: WORKSHEET 2 FROM THE 2013 SCHEDULE H INSTRUCTIONS 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 TWO OUTPATIENT CLINICS AND A PSYCHIATRIC INPATIENT CLINIC OPERATED BY THE ORGANIZATION. ONE OF THE OUTPATIENT CLINICS IS OPERATED IN A LOW-INCOME NEIGHBORHOOD AND THE OTHER IS A PEDIATRIC CLINIC. 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 $ 107,775,594 THAT WAS REMOVED FROM THE CALCULATION OF CHARITY CARE ON PART I, LINE 7. THE CALCULATION ALSO INCLUDES AN ADJUSTMENT FOR THE ORGANIZATION'S SHARE OF EXPENSES FROM JOINT VENTURES OF $1,323,979. PART II, COMMUNITY BUILDING ACTIVITIES: LINE 2: ECONOMIC DEVELOPMENT: INCLUDED HERE ARE 182 TOTAL VOLUNTEER HOURS REPORTED BY 3 DIFFERENT ANMED HEALTH LEADERS IN SERVICE TO ORGANIZATIONS THAT SUPPORT THE ECONOMIC DEVELOPMENT OF ANDERSON COUNTY AND THE UPSTATE SC REGION. ANMED HEALTH'S CEO, MR. JOHN MILLER, AND ITS PRESIDENT/COO, MR. BILL MANSON, SET AN EXAMPLE FOR COMMUNITY LEADERSHIP IN THIS ARENA, THROUGH KEY ROLES SERVING BOARDS OF TRUSTEES AND KEY COMMITTEES FOR ECONOMIC DEVELOPMENT ORGANIZATIONS SUCH AS THE ANDERSON AREA CHAMBER OF COMMERCE, UPSTATE SC ALLIANCE, AND TEN AT THE TOP. ANOTHER ANMED HEALTH LEADER SERVES ON THE ANDERSON AREA CHAMBER'S PUBLIC POLICY COMMITTEE, AND LEADERSHIP ANDERSON COMMITTEES. THE COMMUNITY BENEFIT EXPENSE WAS CALCULATED BASED ON 182 VOLUNTEER HOURS AT AN ORGANIZATION-WIDE AVERAGE SALARY PLUS BENEFIT RATE OF $36.35 PER HOUR.PART II, LINE 6: COALITION BUILDING: INCLUDED HERE ARE 609.5 VOLUNTEER HOURS REPORTED BY 16 DIFFERENT ANMED HEALTH EMPLOYEES VOLUNTEERING WITH ANDERSON-AREA ORGANIZATIONS SUCH AS THE UNITED WAY, LOCAL COMMUNITY COLLEGES AND UNIVERSITIES, CIVIC ORGANIZATIONS, IMAGINE ANDERSON, AND ANDERSON COMMUNITY COALITION. THE COMMUNITY BENEFIT EXPENSE WAS CALCULATED BASED ON 609.5 VOLUNTEER HOURS AT AN ORGANIZATION-WIDE AVERAGE SALARY PLUS BENEFIT RATE OF $36.35 PER HOUR. ALSO INCLUDED IN THIS SECTION IS THE FAIR MARKET VALUE OF THE LEASE OF LAND ADJACENT TO ANMED HEALTH'S NORTH CAMPUS, PROVIDED TO THE CITY OF ANDERSON, FOR THE OPERATION OF A CITY FIRE SUBSTATION. ANMED HEALTH SEEKS TO WORK WITH THESE ORGANIZATIONS IN ORDER TO ENCOURAGE COMMUNITY INVOLVEMENT, TO INCREASE SOCIAL CAPITAL, TO HIGHLIGHT THE NEEDS OF THE COMMUNITY, AND TO WORK WITH OTHER LOCAL ORGANIZATIONS TO MEET THESE NEEDS. 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 ALLOWBLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS.ADDITIONAL ACTIVITIES FROM MEDICARE MANAGED CARE AND PHYSICIAN PRACTICES NOT REPORTED IN THE MEDICARE COST REPORT: TOTAL REVENUE RECIEVED FROM OTHER MEDICARE PROGRAMS: $ 91,203,184 COSTS OF CARE RELATED TO THE PAYMENTS ABOVE: 115,744,685 SHORTFALL OF OTHER MEDICARE SERVICES (24,541,501)ANMED HEALTH TREATS MEDICARE PATIENTS AT A LOSS AND BELIEVES ALL OF THIS SHOULD BE COUNTED AS A 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 OUR CHARITY PROGRAM AND SOME WOULD FAIL TO PAY AND BE WRITTEN OFF AS BAD DEBT EXPENSE. ALTERNATIVELY, SOME WOULD HAVE COMMERCIAL INSURANCE AND WE WOULD RECEIVE MORE THAN WE DO FROM MEDICARE. BECAUSE OF 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 2012, ANMED HEALTH BEGAN A FORMAL PROCESS OF ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. USING THE GUIDELINES PUBLISHED IN THE INITIAL IRS GUIDELINE, ANMED HEALTH ENGAGED A CONSULTANT TO ASSIST IN THIS ASSESSMENT. 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 BY THE END OF 2012. THERE WERE SIX PRIORITIES THAT WERE SELECTED FOR STRATEGY DEVELOPMENT AND ACTION PLANS FOR 2013: OBESITY; ACCESS TO PRIMARY HEALTH CARE; ACCESS TO BEHAVIORAL AND MENTAL HEALTH SERVICES; CANCER; ASTHMA IN CHILDREN; AND, ACCIDENT PREVENTION FOR CHILDREN. 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 FINANCIALS 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. AN AMAP FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR OUR CHARITY PROGRAM. 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'S SERVICE AREA INCLUDES ANDERSON COUNTY, OCONEE COUNTY, PICKENS COUNTY, AND ABBEVILLE COUNTY IN SOUTH CAROLINA, AS WELL AS HART AND ELBERT COUNTIES IN NORTHEAST GEORGIA. ANDERSON COUNTY, THE PRIMARY COMMUNITY SERVED BY ANMED HEALTH IS AN URBAN COMMUNITY THAT ENCOMPASSES APPROXIMATELY 190,641 RESIDENTS. THE POPULATION OF ANDERSON COUNTY IS EXPECTED TO GROW AT JUST OVER 1% PER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY WAS $42,659. THE PER CAPITA INCOME FOR THE COUNTY WAS $22,218 WITH APPROXIMATELY 16.2% 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. OVER 8.6% IS UNEMPLOYED AND APPROXIMATELY 75% OF ANDERSON COUNTY RESIDENTS WHO ARE UNINSURED OR MEDICAID RECIPIENTS COME TO ANMED HEALTH FOR THEIR INPATIENT MEDICAL CARE. ANMED HEALTH MAINTAINS OVER 76% MARKET SHARE FOR ANDERSON COUNTY WITH TWO OTHER HOSPITALS CONSISTING OF SLIGHTLY OVER 19% MARKET SHARE. PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. ANMED HEALTH EXTENDS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MANY OF ITS DEPARTMENTS.SURPLUS FUNDS ARE SPENT TO IMPROVE THE CARE WE PROVIDE OUR PATIENTS. THIS IS DONE THROUGH UPDATES TO OUR EQUIPMENT AND BUILDINGS, INVESTING IN NEW TECHNOLOGY, SUPPORTING OUR FAMILY MEDICINE RESIDENCY PROGRAM, ONCOLOGY RESEARCH, AND PROVIDING COMMUNITY BENEFITS.ANMED HEALTH 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. FOR 2013 EXAMPLES OF COMMUNITY HEALTH EDUCATION PROGRAMS INCLUDE: - MULTIPLE COMMUNITY EDUCATION PROGRAMS FOCUSED ON CHRONIC DISEASES SUCH AS DIABETES, OBESITY AND CONGESTIVE HEART FAILURE, WITH AN EMPHASIS ON MANAGEMENT OF THESE DISEASES IN THE OUTPATIENT SETTING. -BREAST HEALTH EDUCATION PROGRAMS TO PROMOTE THE PREVENTION OF BREAST CANCER THROUGH SCREENING AND EARLY DETECTION; -CANCER SURVIVORS' DAY, CELEBRATING THE LIVES OF THOSE WHO HAVE SURVIVED A CANCER DIAGNOSIS, AND WHO HAVE EMBRACED HEALTHY LIFESTYLES FOR THE FUTURE; -SPEAKERS FOR COMMUNITY EDUCATION ABOUT PROPER NUTRITION AND WEIGHT LOSS; -ANDERSON COUNTY SAFE KIDS PROGRAMS TO TEACH BIKE AND WATERSPORTS SAFETY, FIRE SAFETY, AND PROPER CAR SEAT USE; -A TEDDY BEAR CLINIC TO TEACH ALMOST 300 CHILDREN ABOUT SERVICES PROVIDED BY DOCTORS AND HOSPITALS; -MULTIPLE HEALTH FAIRS THAT SERVED OVER 8200 PERSONS; -COMMUNITY SUPPORT GROUPS FOR CARDIAC DISEASE, DIABETES, STROKE, AND WEIGHT-LOSS. DURING THE YEAR, OVER 21,000 PERSONS WERE SERVED AT ALMOST 300 COMMUNITY HEALTH EDUCATION EVENTS. AN EXAMPLE OF COMMUNITY-BASED CLINICAL SERVICES PROVIDED AT NO CHARGE DURING THE YEAR IS THAT ALMOST 3800 PERSONS WERE SCREENED FOR SYMPTOMS SUCH AS CHRONIC ELEVATED BLOOD PRESSURE, CHOLESTEROL, AND BLOOD SUGAR, USING A MOBILE VAN AND OTHER COMMUNITY SCREENINGS. ALSO, REDUCED-FEE CLINICS WERE PROVIDED IN FAMILY MEDICINE AND IN PEDIATRICS, AS WELL AS PEDIATRIC REHABILITATION THERAPIES. OTHER HEALTH CARE SUPPORT SERVICES PROVIDED DURING THE YEAR INCLUDE: FREE GENETICS COUNSELING RELATED TO CANCER RISKS; MENTAL HEALTH AND SUBSTANCE ABUSE CRISIS INTERVENTION PHONE RESPONSE; FAMILY SUPPORT SERVICES TO ASSIST WITH MEDICAID ENROLLMENT, MEDICATION ASSISTANCE PROGRAMS, AND A NURSEWISE REFERRAL LINE. HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDES: A FAMILY MEDICINE RESIDENCY 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 SUPPORTS MANY OTHER NOT-FOR-PROFIT COMMUNITY ORGANIZATIONS THROUGH CASH AND IN-KIND DONATIONS. THESE ORGANIZATIONS SHARE A SIMILAR VISION OF A HEALTHY COMMUNITY, AND INCLUDE THE ANDERSON FREE CLINIC, UNITED WAY, ANDERSON CANCER ASSOCIATION, ANDERSON YMCA, AND MANY OTHERS. ANMED HEALTH'S LEADERS ARE INVOLVED IN VOLUNTEER ACTIVITIES IN THE CHAMBER OF COMMERCE, CIVIC ORGANIZATIONS, AND OTHER LOCAL, REGIONAL, AND STATEWIDE ORGANIZATIONS. DURING THE YEAR, ANMED HEALTH'S LEADERS AND STAFF DOCUMENTED 221 VOLUNTEER HOURS TO HEALTH-RELATED COMMUNITY ORGANIZATIONS AND EVENTS, AND ANOTHER 609.5 VOLUNTEER HOURS FOR COMMUNITY-BUILDING ORGANIZATIONS AND EVENTS. PART VI, LINE 6: ANMED HEALTH HAS AN AFFILIATION AND SERVICES AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM (CHS). THE AGREEMENT APPOINTS CHS AS THE MANAGER OF THE HOSPITAL SYSTEM. SEE FORM 990, PART VI, LINE 3 FOR MORE DETAILS. ANMED HEALTH ALSO HAS AN AFFILIATION AND SERVICES AGREEMENT WITH CANNON MEMORIAL HOSPITAL. THE AGREEMENT APPOINTS ANMED HEALTH AS THE MANAGER OF CANNON MEMORIAL HOSPITAL. THERE IS NO TRANSFER OF GOVERNANCE OR OWNERSHIP BETWEEN CHS AND ANMED HEALTH, NOR BETWEEN CANNON MEMORIAL HOSPITAL AND ANMED HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES SC 1 GAMAC PO BOX 2365 ANDERSON SC 29622 570942964 501(C)(3) 6296 OPERATIONAL SUPPORT CANCER ASSOCIATION OF ANDERSON 215 E CALHOUN STREET ANDERSON SC 29621 542098883 501(C)(3) 6750 OPERATIONAL SUPPORT ANDERSON FREE CLINIC PO BOX 728 ANDERSON SC 29622 570787584 501(C)(3) 20000 OPERATIONAL SUPPORT YOUNG MEN'S CHRISTIAN ASSOCIATION OF ANDERSON 201 E REED RD ANDERSON SC 29621 570314465 501(C)(3) 5000 OPERATIONAL SUPPORT UNITED WAY OF ANDERSON COUNTY PO BOX 2067 ANDERSON SC 29622 570510602 501(C)(3) 170924 OPERATIONAL SUPPORT 5 0 NURSING SCHOLARSHIPS 4 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. CLEMSON UNIVERSITY SCHOLARSHIP: RECIPIENT MUST LIVE IN ANDERSON, PICKENS, OR OCONEE COUNTIES, SC, MUST BE A NURSING MAJOR WITH AT LEAST A 2.5 GPA, AND MUST BE WILING TO ACCEPT EMPLOYMENT AT ANMED HEALTH OR BE RESPONSIBLE FOR PAYING BACK THE AMOUNT OF THE SCHOLARSHIP. THE CHIEF NURSING OFFICER OF ANMED HEALTH APPROVES ALL SELECTIONS FOR THIS SCHOLARSHIP. GREENVILLE TECHNICAL COLLEGE: RECIPIENT MUST LIVE IN ANDERSON, PICKENS, OR OCONEE COUNTY, MUST BE A NURSING MAJOR AND WILLING TO ACCEPT EMPLOYMENT AT ANMED HEALTH OR BE RESPONSIBLE FOR PAYING BACK THE AMOUNT OF THE SCHOLARSHIP. THE CHIEF NURSING OFFICER OF ANMED HEALTH APPROVES ALL SELECTIONS FOR THIS SCHOLARSHIP. FOOTHILLS COMMUNITY GRANT: IN PAST YEARS, ANMED HEALTH HAS CONTRIBUTED A TOTAL OF APPROXIMATELY $4.5 MILLION TO FOOTHILLS COMMUNITY FOUNDATION, A 501(C)(3) ORGANIZATION. THESE CONTRIBUTIONS WERE RESTRICTED AT THE TIME, AND EACH YEAR A PORTION OF THE CONTRIBUTION IS RELEASED BY FOOTHILLS FOR USE IN CHARITABLE PURPOSES. FOR THE YEAR ENDED DECEMBER 31, 2013, $10,000 WAS RELEASED FROM THE RESTRICTED FUND. THIS AMOUNT IS NOT A CURRENT YEAR ACCRUED EXPENDITURE AND IS NOT REPORTED IN THE AMOUNT ON FORM 990, PART X, LINE 1. X X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 DR STEPHEN HAND BOARD MEMBER (SEE SCHED O) 356996 0 129201 0 1235 0 67366 0 23089 0 577887 0 0 0 JOHN A MILLER JR CEO 831027 0 239254 0 88191 0 157950 0 194856 0 1511278 0 169280 0 WILLIAM T MANSON III PRESIDENT/COO 393546 0 109916 0 42236 0 293168 0 27290 0 866156 0 0 0 JERRY A PARRISH CFO 343306 0 96336 0 25549 0 194558 0 30880 0 690629 0 0 0 DR MICHAEL L TILLIRSON CHIEF MEDICAL OFFICER 331286 0 87826 0 13376 0 61150 0 37557 0 531195 0 0 0 GARRICK CHIDESTER VICE PRESIDENT 244619 0 69565 0 25861 0 51766 0 28341 0 420152 0 0 0 JAMES T DOUGLAS III VICE PRESIDENT 213142 0 20295 0 1864 0 0 0 21363 0 256664 0 0 0 TINA JURY CHIEF NURSING OFFICER 230578 0 20493 0 2584 0 177320 0 40247 0 471222 0 0 0 JOHN D GLYMPH VICE PRESIDENT 203163 0 19206 0 398 0 116346 0 19703 0 358816 0 0 0 MICHAEL CUNNINGHAM VICE PRESIDENT 162372 0 0 0 556 0 0 0 20884 0 183812 0 10365 0 BRETT C STOLL PHYSICIAN 652603 0 123116 0 1168 0 81672 0 24651 0 883210 0 0 0 SATISH K SURABHI PHYSICIAN 644890 0 123116 0 599 0 0 0 24261 0 792866 0 0 0 SCOTT A PHILLIPS PHYSICIAN 619372 0 123116 0 535 0 69283 0 24575 0 836881 0 0 0 LOUIS F KNOEPP PHYSICIAN 514814 0 260598 0 1331 0 100352 0 23151 0 900246 0 0 0 KUMAR R PATEL PHYSICIAN 314771 0 410500 0 960 0 43186 0 23341 0 792758 0 0 0 PART I, LINE 1A EXECUTIVE OFFICERS OF THE ORGANIZATION INCLUDING VICE PRESIDENTS ARE PROVIDED WITH TRAVEL FOR SPOUSES, SOCIAL CLUB DUES, AND RECEIVE TAX INDEMNIFICATION AND GROSS UP PAYMENTS. THE BENEFITS RECEIVED BY THE OFFICERS WERE INCLUDED IN TAXABLE COMPENSATION FOR THE YEAR. PART I, LINE 4B THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY THE FILING ORGANIZATION FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): WILLIAM T. MANSON - 80,793 TINA JURY - 13,504 THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY CAROLINAS HEALTHCARE SYSTEM, AN UNRELATED ORGANIZATION FROM A NON-QUALIFIED PLAN: JOHN A. MILLER, JR. - 61,393 WILLIAM T. MANSON - 29,028 JERRY A. PARRISH - 25,180 DR. MICHAEL L. TILLIRSON - 23,032 GARRICK CHIDESTER - 15,518 THE PURPOSE OF THE SERP FOR WILLIAM T. MANSON IS TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO THE PARTICIPANT TO ENCOURAGE HIS CONTINUED INTEREST IN THE SUCCESS OF THE COMPANY, AND TO PROVIDE REASONABLE RETIREMENT BENEFITS. THE PLAN COMMENCED ON MARCH 1, 2005. THE PURPOSE OF THE SERP FOR TINA JURY IS TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO THE PARTICIPANT TO ENCOURAGE HER CONTINUED INTEREST IN THE SUCCESS OF THE COMPANY, AND TO PROVIDE REASONABLE RETIREMENT BENEFITS. THE PLAN COMMENCED ON MAY 1, 2012. 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. PART II: COMPENSATION FROM AN UNRELATED ORGANIZATION: DR. WILLIAM BUICE WAS COMPENSATED THROUGH HIS PHYSICIAN PRACTICE FOR SERVICES RENDERED TO ANMED HEALTH. 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. THE AGREEMENT APPOINTS CAROLINAS HEALTHCARE SYSTEM 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. JOHN A. MILLER JR. - $ 946,362 TAXABLE, 157,950 DEFRD, 22,997 N/T WILLIAM T. MANSON, III - 533,747 TAXABLE, 77,694 DEFRD, 22,432 N/T JERRY A. PARRISH - 465,191 TAXABLE, 69,530 DEFRD, 29,068 N/T DR. MICHAEL L. TILLIRSON - 427,407 TAXABLE, 61,150 DEFRD, 16,813 N/T GARRICK CHIDESTER - 340,045 TAXABLE, 51,766 DEFRD, 27,043 N/T THE ABOVE AMOUNTS ARE REPRESENTED IN THE TOTALS SHOWN IN PART II. THE REMAINDER OF THE AMOUNTS SHOWN IN PART II WERE PAID DIRECTLY BY THE ORGANIZATION. 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 109368483 CURR. REFUND., CAPITAL ACQUIS. 0 0 0 C SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 576000286 83703FCQ3 2009-05-13 75605000 CURRENT REFUNDING 0 0 0 D SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY 590960018 83703FBX9 2010-03-04 43752346 CURRENT REFUNDING 0 0 0 A 34585000 398936 124368 34061696 2007 1 0 1 1 B 3301926 109370383 2871649 1255460 2721883 51142629 54250000 2010 1 0 1 1 C 880000 75605021 155840 653394 701606 74250000 2010 1 0 1 1 D 22423276 43753007 5155007 351656 43400691 1999 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 1 0 1 0 0 0 0 B 0 1 1 0 0 0 0 0 0 C 0 1 1 0 1 1 CITIGROUP 29.580000000000 0 0 0 0 0 D 0 1 1 0 0 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 DR JAMES HERBERT FAMILY RELATIONSHIP TO BOARD MEMBER ANN HERBERT 114916 MEDICAL DOCTOR EMPLOYED BY THE HOSPITAL SYSTEM, COMPENSATION FOR MEDICAL SERVICES PERFORMED 0 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 3 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; 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 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 11 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 FOR BOARD MEMBERS TO REVIEW 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 12C A 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 B, LINE 15 PERIODIC COMPENSATION SURVEYS ARE PERFORMED BY INTEGRATED HEALTHCARE STRATEGIES, AN OUTSIDE CONSULTING SERVICE. ANMED HEALTH TARGETS THE 65TH PERCENTILE OF THE GIVEN RANGE FOR ITS COMPENSATION PACKAGES. 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 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. COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON A SECURE WEBSITE FOR BONDHOLDERS. PLEASE CONTACT THE EXECUTIVE OFFICE FOR DETAILS. FORM 990, PART VII, LINE 1, BOARD MEMBER COMPENSATION: DR. STEPHEN HAND IS COMPENSATED BY THE ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. WILLIAM BUICE'S COMPENSATION LISTED ON PART VII IS FOR MEDICAL SERVICES RENDERED TO THE ORGANIZATION. FORM 990, PART IX, LINE 11G PURCHASED SERVICES & PROF. FEES: PROGRAM SERVICE EXPENSES 46,852,329. MANAGEMENT AND GENERAL EXPENSES 10,762,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,615,284. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT 5,731,950. CHANGE IN UNFUNDED PENSION LOSSES 43,966,845. EQUITY TRANSFER FROM AFFILIATE 3,000,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ANMED HEALTH SYSTEM 800 N FANT STREET ANDERSON SC 29621 570817544 FUNDRAISING/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 11A, I ANMED HEALTH SYSTEM 0 CLEMSON HEALTH CENTER INC 885 TIGER BLVD CLEMSON SC 29631 570988736 HEALTHCARE SC 501(C)(3) LINE 11A, I N/A 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 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1