ANMED HEALTH FOUNDATION: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ANMED HEALTH FOUNDATION (EIN 38-3886017)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-12
- IRS object ID
- 202023179349302292
- Schema version
- 2019v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-12T10:06:49-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383886017 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ANMED HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANME | BusinessNameControlTxt |
| Phone | 8645121000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NORTH FANT STREET | AddressLine1Txt |
| City | ANDERSON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29621 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SONYA GOULD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8645121000 | PhoneNum |
| Signature | 2020-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 99.47.28.203 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-11 | IPDt |
| IP Tm | 13:27:18 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 48FB394F9AA065459641371F168D9F2AFFFBB473 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIMOTHY SELF | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NORTH FANT STREET | AddressLine1Txt |
| City | ANDERSON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29621 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,407,393 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ANMEDHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | EDUCATE TO INSPIRE PHILANTHROPIC GIVING TO FINANCIALLY SUPPORT PROGRAMS AND SERVICES OF ANMED HEALTH | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,136,381 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,357,220 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$74,332 | PYOtherRevenueAmt |
| CY Other Revenue | -$41,307 | CYOtherRevenueAmt |
| PY Total Revenue | $2,062,049 | PYTotalRevenueAmt |
| CY Total Revenue | $2,315,913 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,461,723 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,173,978 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $331,461 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $382,457 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $95,613 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $107,920 | PYOtherExpensesAmt |
| CY Other Expenses | $152,681 | CYOtherExpensesAmt |
| PY Total Expenses | $1,901,104 | PYTotalExpensesAmt |
| CY Total Expenses | $2,709,116 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $160,945 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$393,203 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,302,655 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,543,326 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $439,843 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,911,653 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,862,812 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,631,673 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,517,888 | ExpenseAmt |
| Grant | $2,173,978 | GrantAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $2,517,888 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SONYA GOULD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8645124197 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NORTH FANT STREET | AddressLine1Txt |
| City | ANDERSON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29621 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LEE LUFF | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TERENCE ROBERTS | ||||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 2.00 | |
| HUGH BURGESS | ||||||||
| IMMEDIATE PAST CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| STONEY ABERCROMBIE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $304,213 | $12,955 | 49.00 | ||
| PHILIP ASHLEY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| LEANDER CANNICK III | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM BILLY CLINKSCALES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANN HERBERT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JESSE MCDOUGALD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN MILLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $198,144 | $0 | |||
| GREG SHORE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT WEBBER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIL YESKE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARSHALL PICKENS III | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM KIBLER | ||||||||
| EX-OFFICIO | 1.00 | Yes (X) | $0 | $0 | $0 | 2.00 | ||
| WILLIAM MANSON | ||||||||
| EX-OFFICIO / CEO AH | 3.00 | Yes (X) | Yes (X) | $0 | $1,070,978 | $250,463 | 49.00 | |
| JANE MUDD | ||||||||
| EX-OFFICIO BOARD DESIGNEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SONYA GOULD | ||||||||
| CHIEF FINANCIAL OFFICER | 4.00 | $0 | $192,640 | $16,016 | 49.00 | Yes (X) | ||
| TIM SELF | ||||||||
| EXECUTIVE DIRECTOR | 50.00 | $0 | $153,778 | $19,731 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,919,753 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $299,165 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $202,716 | FundraisingAmt |
| Related Organizations | $166,097 | RelatedOrganizationsAmt |
| All Other Contributions | $1,988,407 | AllOtherContributionsAmt |
| Total Contributions | $2,357,220 | TotalContributionsAmt |
| Fundraising Gross Income | $50,173 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $202,716 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $91,480 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$41,307 | TotalRevenueColumnAmt |
| Exclusion | -$41,307 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,315,913 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$41,307 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,739,233 | TotalAmt |
| Program Services | $1,739,233 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,745 | TotalAmt |
| Program Services | $434,745 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,307 | TotalAmt |
| Program Services | $158,154 | ProgramServicesAmt |
| Management And General | $79,077 | ManagementAndGeneralAmt |
| Fundraising | $79,076 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,150 | TotalAmt |
| Program Services | $33,075 | ProgramServicesAmt |
| Management And General | $16,538 | ManagementAndGeneralAmt |
| Fundraising | $16,537 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,906 | TotalAmt |
| Program Services | $127,906 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,573 | TotalAmt |
| Program Services | $24,573 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202 | TotalAmt |
| Program Services | $202 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,709,116 | TotalAmt |
| Program Services | $2,517,888 | ProgramServicesAmt |
| Management And General | $95,615 | ManagementAndGeneralAmt |
| Fundraising | $95,613 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,231,182 | BOYAmt |
| EOY | $5,531,241 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,473 | BOYAmt |
| EOY | $12,085 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,302,655 | BOYAmt |
| EOY | $5,543,326 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $448 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,843 | BOYAmt |
| EOY | $2,911,205 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,843 | BOYAmt |
| EOY | $2,911,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$985,147 | BOYAmt |
| EOY | -$1,786,461 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,847,959 | BOYAmt |
| EOY | $4,418,134 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,862,812 | BOYAmt |
| EOY | $2,631,673 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,302,655 | BOYAmt |
| EOY | $5,543,326 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$393,203 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $162,064 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANMED HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570359174 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $797,861 | SupportAmt |
| Other Support | $1,911,255 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $797,861 | SupportSumAmt |
| Other Support Sum | $1,911,255 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $2,911,205 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,911,205 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,569,457 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $91,480 | OtherRevenueAmt |
| Revenue Not Reported | $91,480 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,477,977 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$162,064 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$162,064 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,315,913 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,800,596 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $91,480 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $91,480 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,709,116 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,709,116 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CAMELLIA BALL | Event1Nm |
| Gross Receipts Event1 | $186,150 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $149,095 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $37,055 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $15,711 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $29,695 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $6,475 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $14,516 | OtherDirectExpensesEvent1Amt |
| Event2 | KIDS CLASSIC GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $66,739 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $53,621 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $13,118 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $632 | CashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $6,608 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $1,902 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $15,941 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $252,889 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $202,716 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $50,173 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $632 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $22,319 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $31,597 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $6,475 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $30,457 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $91,480 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$41,307 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANMED HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 NORTH FANT STREET | AddressLine1Txt |
| City | ANDERSON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29621 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 570359174 | RecipientEIN |
| Cash Grant | $797,861 | CashGrantAmt |
| Purpose Of Grant | AH MEDICAL EDUCATION OPERATIONS AND CAPITAL EXPENSES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (13 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| RADIOLOGIC TECHNOLOGY PROGRAM | 1 | $2,500 |
| PATIENT CARE ASSISTANCE FOR INDIGENT PATIENTS | $90,276 | |
| FREEDOM LINK SUBSCRIPTIONS | 61 | $14,477 |
| MAMMOGRAMS | 199 | $21,095 |
| CANCER CARE SERVICE ASSISTANCE | 125 | $18,306 |
| EMPLOYEE ASSISTANCE | 33 | $32,550 |
| SCALES DRIVE | 132 | $3,706 |
| PEGGY G DEAN EDUCATION FUND | 10 | $3,536 |
| DOCLINK | 6060 | $1,324 |
| SAFETY PROGRAM - SAFE KIDS | 48 | $1,196 |
| PEDIATRIC THERAPY WORKS | 888 | $124,105 |
| PIEDMONT HEALTH PARTNERS - HELPING HANDS PROJECT FUND | 314 | $9,910 |
| CHOOSEWELL CONTRACEPTIVE ACCESS INITIATIVE FUND | 132 | $111,764 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STONEY ABERCROMBIE | ||||||||||||||
| DIRECTOR | $0 | $255,507 | $0 | $33,194 | $0 | $15,512 | $0 | $10,308 | $0 | $2,647 | $0 | $317,168 | $0 | $0 |
| JOHN MILLER | ||||||||||||||
| DIRECTOR | $0 | $0 | $0 | $0 | $0 | $198,144 | $0 | $0 | $0 | $0 | $0 | $198,144 | $0 | $0 |
| WILLIAM MANSON | ||||||||||||||
| EX-OFFICIO / CEO AH | $0 | $704,664 | $0 | $279,554 | $0 | $86,760 | $0 | $225,256 | $0 | $25,207 | $0 | $1,321,441 | $0 | $104,895 |
| SONYA GOULD | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $167,751 | $0 | $20,564 | $0 | $4,325 | $0 | $12,293 | $0 | $3,723 | $0 | $208,656 | $0 | $0 |
| TIM SELF | ||||||||||||||
| EXECUTIVE DIRECTOR | $0 | $137,547 | $0 | $15,624 | $0 | $607 | $0 | $18,288 | $0 | $1,443 | $0 | $173,509 | $0 | $9,243 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | N/A | |
| 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 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |