2019-11-13T16:51:27-06:00 2018-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-01-01 570359174 ANMED HEALTH ANME 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 CHRISTINE PEARSON CFO 8645121000 2019-11-13 1 AMY BIBBY P00445891 8282542254 24.241.144.70 2019-11-13 16:02:41 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-04-17 16:48:07Z WILLIAM T MANSON III 800 NORTH FANT STREET ANDERSON SC 29621 643448074 0 X WWW.ANMEDHEALTH.ORG X 1906 SC OPERATION OF A HEALTHCARE SYSTEM INCLUDING A WIDE RANGE OF MEDICAL SERVICES 15 12 4386 424 2011888 687325 2784608 2369243 567539460 596536324 23724727 33373702 4490729 9458406 598539524 641737675 786000 609919 0 0 266633225 274330837 0 0 0 327776701 326321039 595195926 601261795 3343598 40475880 914852301 893810803 341448734 335903924 573403567 557906879 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 547954220 609919 595283830 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 FOR LABOR/DELIVERY, WOMEN'S ELECTIVE SURGERY AND CHILDREN. THIS HOSPITAL INCLUDES DEDICATED UNITS FOR LABOR/DELIVERY, MOTHER/BABY, WOMEN'S ELECTIVE SURGERY AND PEDIATRICS. ON THE FIRST FLOOR, PHYSICIAN'S OFFICES, A LEARNING CENTER, CAFE, COMMUNITY MEETING ROOMS AND RETAIL SHOPS MAKE VISITORS FEEL WELCOME WITH A WEALTH OF RESOURCES. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES. ADDITIONALLY, ANMED HEALTH OFFERS OUTPATIENT SERVICES AT D.K. OGLESBY CENTER AT THE ANMED HEALTH NORTH CAMPUS AND HAS SEVERAL CLINICS LOCATED IN ANDERSON, IVA, CLEMSON, HONEA PATH, FAIRPLAY, PENDLETON, PIEDMONT, WILLIAMSTON AND WREN, SOUTH CAROLINA AND IN HARTWELL, GEORGIA. 547954220 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 288 0 1 4386 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 SC X CHRISTINE PEARSON 8645121000 800 N FANT STREET ANDERSON SC 29621 X CHARLIE THORNTON CHAIR 1.00 2.00 X X 0 0 0 BILL KIBLER VICE CHAIR 1.00 2.00 X X 0 0 0 JANE MUDD PAST CHAIR 1.00 1.00 X 0 0 0 GEORGE ACKER BOARD MEMBER 1.00 1.00 X 0 0 0 CLARK ANDERSON BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES T BOSEMAN BOARD MEMBER 1.00 1.00 X 0 0 0 FRED FOSTER BOARD MEMBER 1.00 1.00 X 0 0 0 ROBERT RAINEY BOARD MEMBER 1.00 1.00 X 0 0 0 TERENCE ROBERTS BOARD MEMBER 1.00 2.00 X 0 0 0 DR EVANS WHITAKER BOARD MEMBER 1.00 1.00 X 0 0 0 DR CHRIS PRZIREMBEL BOARD MEMBER 1.00 1.00 X 0 0 0 DR SYED MALIK BOARD MEMBER 49.00 1.00 X 665433 0 37272 DR ANNE COOK BOARD MEMBER 49.00 1.00 X 269564 0 24904 DR STEPHEN HAND BOARD MEMBER 49.00 1.00 X 591938 0 41957 DR JOHN HUNT BOARD MEMBER 1.00 2.00 X 0 0 0 WILLIAM T MANSON PRESIDENT/CEO 46.00 4.00 X X 921718 0 170573 CHRISTINE PEARSON CHIEF FINANCIAL OFFICER 49.00 1.00 X 509117 0 80982 GARRICK CHIDESTER EXECUTIVE VICE PRESIDENT 49.00 1.00 X 774446 0 55572 THOMAS M KAYROUZ CHIEF MEDICAL OFFICER 50.00 X 500012 0 57242 TINA JURY CHIEF NURSING OFFICER 50.00 X 456311 0 43178 SHAUNDRA TROTTER VP CNO 50.00 X 200612 0 10801 ABHIJIT A RAVAL PHYSICIAN 50.00 X 1074634 0 44187 RICKY HENDERSON PHYSICIAN 50.00 X 1165139 0 30614 AARON MACDONALD PHYSICIAN 50.00 X 1298046 0 48681 KUMAR PATEL PHYSICIAN 50.00 X 1563055 0 42413 SURESH KHANDEKAR PHYSICIAN 50.00 X 841709 0 27496 JOHN A MILLER JR FORMER CHIEF EXECUTIVE OFFICER 0.00 1.00 X 1610445 0 0 12442179 0 715872 344 1 1 0 ANDERSON EMERGENCY ASSOCIATES PO BOX 179 ANDERSON SC 29622 EMERGENCY PHYSICIANS 7805600 ADVANCED ICU CARE INC P O BOX 671773 DALLAS TX 752671773 PROFESSIONAL TELE SERVICES FOR ICU, CICU 2186681 INCOMPASS HEALTH INC 318 MAXWELL RD SUITE 500 ALPHARETTA GA 30009 HOSPITALIST PHYSICIANS 2102423 HCTEC 5106 MARYLAND WAY BRENTWOOD TN 37027 CONTRACT LABOR - EPIC 1667774 HOSPITAL MEDICINE CONSULTANTS 819 NORTH FANT STREET ANDERSON SC 29621 CONTRACT PHYSICIANS 1487496 46 40000 2329243 2369243 NET PATIENT SERVICE 621400 595563769 593551881 2011888 ANCILLARY SERVICES 900099 647789 627985 19804 EHR MEANINGFUL USE REVENUE 900099 187000 187000 PLASMA RECOVERY 900099 137766 137766 596536324 10513997 10513997 31678 31678 1744688 1710399 34289 34289 34289 22786965 41062 0 0 22786965 41062 22828027 22828027 MISCELLANEOUS REVENUE 900099 5971221 5971221 CAFETERIA & VENDING 722210 2673698 2673698 PURCHASE DISCOUNTS 900099 779198 779198 9424117 641737675 595283830 2011888 42072714 X 480201 480201 129718 129718 4889151 3911321 977830 219908783 187471900 32436883 7781210 6624585 1156625 26499621 22560629 3938992 15252072 12984953 2267119 1296600 1296600 68706840 62388406 6318434 1032526 70348 962178 7998557 7998557 3229624 3229624 6887630 6887630 882804 745983 136821 9928605 9928605 45747728 45747728 4439579 4439579 MEDICAL SUPPLIES 94923671 94923671 BAD DEBT EXPENSE 66360638 66360638 MISCELLANEOUS EXPENSES 14885373 11069280 3816093 ENVIRONMENTAL CONTROL 864 864 601261795 547954220 53307575 0 20782744 49906012 72808892 58585233 9630715 8881963 7861836 7165997 836736218 559755743 306355803 276980475 476698074 467202611 2068164 2533886 18646073 22554626 914852301 893810803 57155804 64024334 267266198 259331204 17026732 12548386 341448734 335903924 X 573287878 557791132 115689 115747 573403567 557906879 914852301 893810803 X 40475880 -67205323 11232754 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 14995 14995 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 2018, AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE $ 8,461 FOR AHA AND $ 6,534 FOR SCHA. 23031763 23031763 293037159 210204276 82832883 506997976 344416622 162581354 13669320 5134845 8534475 276980475 ESTIMATED THIRD-PARTY SETTLEMENTS 6792390 RABBI TRUST LIABILITY 199397 INTEREST RATE SWAP ALLOWANCE 5491597 DUE TO AFFILIATE AH FOUNDATION 65002 12548386 X 519984511 -67205323 12458328 -54746995 574731506 1296600 65709569 67006169 641737675 535481208 1710399 1710399 533770809 1296600 66194385 67490985 601261794 PART X, LINE 2: THE HOSPITAL IS EXEMPT FROM INCOME TAX UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT 1,482,207. RENTAL EXPENSE 1,710,399. GAIN ON PREMIER INVESTMENTS 465,722. TRANSFER FROM RELATED 8,800,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME IN EXPENSES 31,687. PROVISION FOR BAD DEBT 66,360,638. CHANGE IN SPLIT INVESTMENT -484,825. EXPENSE GROUPED IN REVENUES -197,931. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 1,710,399. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 66,360,638. INTEREST INCOME IN EXPENSES 31,678. EXPENSE GROUPED IN REVENUES -197,931. CENTRAL AMERICA AND THE CARIBBEAN - 0 0 INVESTMENT BALANCE 16499975 0 0 0 0 0 0 16499975 0 16499975 0 0 0 0 0 0 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 1 18612448 18612448 0.03480 70699076 71205714 0 0.00000 89311524 71205714 18612448 0.03480 549059 549059 0.00100 11890748 6646762 5243986 0.00980 4966176 3015968 1950208 0.00360 381659 124832 256827 0.00050 741870 741870 0.00140 18529512 9787562 8741950 0.01630 107841036 80993276 27354398 0.05110 76098 76098 0.00010 76098 76098 0.00010 0 66162707 233922409 277494648 -43572239 X 1 1 2 1 ANMED HEALTH MEDICAL CENTER 800 N FANT STREET ANDERSON SC 29621 X X X X DISPROPORTIONATE SHARE HOSPITAL A 2 ANMED HEALTH WOMEN'S & CHILDREN'S HOSPIT 2000 EAST GREENVILLE STREET ANDERSON SC 29621 X X X X DISPROPORTIONATE SHARE HOSPITAL A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 18 1 0 0 1 X SEE DISCLOSURE 1 18 1 HTTP://ANMEDHEALTH.ORG/ABOUT/REPORTS-AND-PUBLICATIONS 0 1 X 200.000000000000 X X X 1 1 X X X 1 X HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI X HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI X HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI X X X X X X 1 X 0 X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: ANMED HEALTH MEDICAL CENTER, - FACILITY 2: ANMED HEALTH WOMEN'S & CHILDREN'S HOSPIT GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 5: IN 2018, ANMED HEALTH CONDUCTED A THIRD CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ACCESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2015 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*LAURA LONGCOMMUNITY SYSTEMS TEAMMEMBERS OF ANDERSON COUNTY SAFETY NET COUNCILRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, COMMUNITY HEALTH PARTNERSHIPSWAYNE HARRIS ANMED HEALTHDIRECTOR, STRATEGIC PLANNINGKARI LUTZ ANMED HEALTH DIRECTOR OF MARKETINGSHANNON OWEN CHNA CONSULTANTBRANDON CLARY - ANMED HEALTH CANNONCEO & PRESIDENTNOTE: PUBLIC HEALTH OFFICIALS REPRESENT THE BROAD HEALTH INTERESTS OF THE COMMUNITY, ESPECIALLY ANDERSON COUNTY RESIDENTS SERVED BY THE PUBLIC HEALTH DEPARTMENT. THE PUBLIC HEALTH OFFICIALS LISTED ABOVE REVIEWED THE SECONDARY DATA AND CONCURRED WITH THE ASSESSMENT OF THE KEY PRIORITIES. CURRICULUM VITAE OF THESE INDIVIDUALS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 11: CHNA IMPLEMENTATION STRATEGIES:ADULT AND CHILDHOOD OBESITY AND DIABETES-EFFORTS TO ADDRESS THIS AREA OF CONCERN WILL FOCUS ON COMMUNITY OUTREACH ACTIVITIES WITH OUR MEDICAL OUTREACH VAN, HEALTH FAIRS, SCREENINGS, AND PARTNERSHIPS WITH OUR PHYSICIAN PRACTICES, THE LOCAL YMCA, UNITED WAY, AND OTHER AGENCIES. ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES-THE HOSPITAL SYSTEM WILL CONVENE COMMUNITY PARTNERS INCLUDING: ELECTED OFFICIALS, LOCAL LAW ENFORCEMENT, THE PROBATE JUDGE, THE LOCAL SOLICITOR'S OFFICE, AND STATE MENTAL HEALTH AGENCY TO PURSUE DEVELOPMENT OF A MENTAL HEALTH COURT AS WELL AS A MENTAL HEALTH CRISIS STABILIZATION FACILITY FOR THE COMMUNITY.CANCER-THE HOSPITAL SYSTEM WILL SUPPORT EDUCATIONAL OUTREACH TO ADOLESCENTS VIA AN ESTABLISHED TOBACCO USE PREVENTION PROGRAM CALLED TAR WARS, IN ADDITION PARTNERSHIPS WILL BE ESTABLISHED FOR COMMUNITY EDUCATION AROUND CANCER SPECIFIC SCREENINGS.ASTHMA IN CHILDREN-THE HOSPITAL SYSTEM WILL SUPPORT AND SEEK ADDITIONAL FUNDING FOR TWO ESTABLISHED PROGRAMS TARGETING AT-RISK YOUTH ASTHMA SUFFERERS. THE PROGRAMS CAMP ASTHMANIA AND THE ASTHMA ACADEMY PROVIDE EDUCATION, AND TRAINING FOR THE YOUNG PATIENTS AND THEIR FAMILIES AROUND PREVENTION AND COPING WITH ASTHMA. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS MAKE THE POLICY AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH. THE WEBSITE ALSO HAS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE OR THEY CAN SEND AN EMAIL WITH THEIR INQUIRY TO FINANCIALCOUNSELORS@ANMEDHEALTH.ORG.INFORMATION RELATING TO FINANCIAL ASSISTANCE IS ALSO PRINTED ON EACH BILLING STATEMENT THAT PATIENTS RECEIVE. GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 19E: WE DO NOT CHARGE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. WE ADJUST 100% OF THE BILLED CHARGES. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: IN 2018, ANMED HEALTH CONDUCTED A THIRD CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ACCESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2015 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*LAURA LONGCOMMUNITY SYSTEMS TEAMMEMBERS OF ANDERSON COUNTY SAFETY NET COUNCILRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, COMMUNITY HEALTH PARTNERSHIPSWAYNE HARRIS ANMED HEALTHDIRECTOR, STRATEGIC PLANNINGKARI LUTZ ANMED HEALTH DIRECTOR OF MARKETINGSHANNON OWEN CHNA CONSULTANTBRANDON CLARY - ANMED HEALTH CANNONCEO & PRESIDENTNOTE: PUBLIC HEALTH OFFICIALS REPRESENT THE BROAD HEALTH INTERESTS OF THE COMMUNITY, ESPECIALLY ANDERSON COUNTY RESIDENTS SERVED BY THE PUBLIC HEALTH DEPARTMENT. THE PUBLIC HEALTH OFFICIALS LISTED ABOVE REVIEWED THE SECONDARY DATA AND CONCURRED WITH THE ASSESSMENT OF THE KEY PRIORITIES. CURRICULUM VITAE OF THESE INDIVIDUALS ARE AVAILABLE UPON REQUEST. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: CHNA IMPLEMENTATION STRATEGIES:ADULT AND CHILDHOOD OBESITY AND DIABETES-EFFORTS TO ADDRESS THIS AREA OF CONCERN WILL FOCUS ON COMMUNITY OUTREACH ACTIVITIES WITH OUR MEDICAL OUTREACH VAN, HEALTH FAIRS, SCREENINGS, AND PARTNERSHIPS WITH OUR PHYSICIAN PRACTICES, THE LOCAL YMCA, UNITED WAY, AND OTHER AGENCIES. ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES-THE HOSPITAL SYSTEM WILL CONVENE COMMUNITY PARTNERS INCLUDING: ELECTED OFFICIALS, LOCAL LAW ENFORCEMENT, THE PROBATE JUDGE, THE LOCAL SOLICITOR'S OFFICE, AND STATE MENTAL HEALTH AGENCY TO PURSUE DEVELOPMENT OF A MENTAL HEALTH COURT AS WELL AS A MENTAL HEALTH CRISIS STABILIZATION FACILITY FOR THE COMMUNITY.CANCER-THE HOSPITAL SYSTEM WILL SUPPORT EDUCATIONAL OUTREACH TO ADOLESCENTS VIA AN ESTABLISHED TOBACCO USE PREVENTION PROGRAM CALLED TAR WARS, IN ADDITION PARTNERSHIPS WILL BE ESTABLISHED FOR COMMUNITY EDUCATION AROUND CANCER SPECIFIC SCREENINGS.ASTHMA IN CHILDREN-THE HOSPITAL SYSTEM WILL SUPPORT AND SEEK ADDITIONAL FUNDING FOR TWO ESTABLISHED PROGRAMS TARGETING AT-RISK YOUTH ASTHMA SUFFERERS. THE PROGRAMS CAMP ASTHMANIA AND THE ASTHMA ACADEMY PROVIDE EDUCATION, AND TRAINING FOR THE YOUNG PATIENTS AND THEIR FAMILIES AROUND PREVENTION AND COPING WITH ASTHMA. GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J: FINANCIAL COUNSELORS MAKE THE POLICY AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH. THE WEBSITE ALSO HAS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE OR THEY CAN SEND AN EMAIL WITH THEIR INQUIRY TO FINANCIALCOUNSELORS@ANMEDHEALTH.ORG.INFORMATION RELATING TO FINANCIAL ASSISTANCE IS ALSO PRINTED ON EACH BILLING STATEMENT THAT PATIENTS RECEIVE. PART V, SECTION B, LINE 7A THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THIS WEB ADDRESS:HTTP://ANMEDHEALTH.ORG/PORTALS/0/PDFS/AH-COMMUNITY-HEALTH-NEEDS-ASSESS MENT.PDF?VER=2016-05-24-125532-000 51 1 - AH CANCER CENTER 2000 E GREENVILLE STREET SUITE 2000 ANDERSON SC 29621 OUTPATIENT FACILITY 2 - AH CARDIAC ORTHPAEDIC CENTER AND EVOLVE T 100 HEALTHY WAY ANDERSON SC 29621 OUTPATIENT FACILITY 3 - AH HOMEHEALTH 1926 MCCONNELL SPRINGS RD ANDERSON SC 29621 OUTPATIENT FACILITY 4 - AH FAMILY MEDICINE CENTER 2000 E GREENVILLE STREET SUITE 3700 ANDERSON SC 29621 PHYSICIAN OFFICE 5 - AH CAROLINA CARDIOLOGY 100 HEALTHY WAY SUITE 1250 ANDERSON SC 29621 PHYSICIAN OFFICE 6 - AH PIEDMONT SURGICAL ASSOCIATES 2000 E GREENVILLE STREET SUITE 2500 ANDERSON SC 29621 PHYSICIAN OFFICE 7 - AH OB-GYN ASSOCIATES 2000 E GREENVILLE STREET SUITE 4500 ANDERSON SC 29621 PHYSICIAN OFFICE 8 - AH PULMONARY AND SLEEP MEDICINE 2000 E GREENVILLE STREET SUITE 1100 ANDERSON SC 29621 PHYSICIAN OFFICE 9 - AH PEDIATRIC ASSOCIATES 2000 E GREENVILLE STREET SUITE 3000 ANDERSON SC 29621 PHYSICIAN OFFICE 10 - AH CHILDREN'S HEALTH CENTER 500 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 11 - AH NEUROLOGY CONSULTANTS 2000 E GREENVILLE STREET SUITE 2800 ANDERSON SC 29621 PHYSICIAN OFFICE 12 - AH UROLOGY 2000 E GREENVILLE STREET SUITE 5140 ANDERSON SC 29621 PHYSICIAN OFFICE 13 - AH COMMUNITY ORTHOPAEDICS 2000 E GREENVILLE STREET SUITE 3950 ANDERSON SC 29621 PHYSICIAN OFFICE 14 - AH MEDICUS ENT 1655 EAST GREENVILLE STREET ANDERSON SC 29621 PHYSICIAN OFFICE 15 - AH SPINE AND NEUROSURGERY 109 MONTGOMERY DRIVE ANDERSON SC 29621 PHYSICIAN OFFICE 16 - AH CAROLINA OBGYN 160 PERPETUAL SQUARE DR ANDERSON SC 29621 PHYSICIAN OFFICE 17 - AH VASCULAR MEDICINE 100 HEALTHY WAY SUITE 1240 ANDERSON SC 29621 PHYSICIAN OFFICE 18 - AH GASTROENTEROLOGY SPECIALIST 2000 E GREENVILLE STREET SUITE 2900 ANDERSON SC 29621 PHYSICIAN OFFICE 19 - AH ONCOLOGY AND HEMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 SUI ANDERSON SC 29621 PHYSICIAN OFFICE 20 - AH CARECONNECT CLEMSON AH CLEMSON FM AH 885 TIGER BLVD CLEMSON SC 29631 OUTPATIENT FACILITY 21 - AH LAKESIDE FM 4120 HWY 24 ANDERSON SC 29621 PHYSICIAN OFFICE 22 - AH CARECONNECT ANDERSON 600 N FANT STREET ANDERSON SC 29621 OUTPATIENT FACILITY 23 - AH HONEA PATH FM 21 S SHIRLEY AVE HONEA PATH SC 29654 PHYSICIAN OFFICE 24 - AH ARRHYTHMIA SPECIALIST AND CARDIOTHORACI 100 HEALTHY WAY SUITE 1120 ANDERSON SC 29621 PHYSICIAN OFFICE 25 - AH PEDIATRIC THERAPY WORKS 701 N FANT STREET ANDERSON SC 29621 OUTPATIENT FACILITY 26 - AH WILLIAMSTON FM 16 ROBERTS RD WILLIAMSTON SC 29667 PHYSICIAN OFFICE 27 - AH ANDERSON PEDIATRICS 705 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 28 - AH ANDERSON FM 2000 E GREENVILLE STREET SUITE 2000 ANDERSON SC 29621 PHYSICIAN OFFICE 29 - AH EASTSIDE FM 400 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 30 - AH HARTWELL FM 28 CHANDLER CENTER HARTWELL GA 30643 PHYSICIAN OFFICE 31 - AH IVA FM 331 ANTREVILLE HWY IVA SC 29655 PHYSICIAN OFFICE 32 - AH CENTERVILLE FM 1520 CENTERVILLE RD ANDERSON SC 29625 PHYSICIAN OFFICE 33 - AH PENDLETON FM 1005 MEEHAN WAY PENDLETON SC 29670 PHYSICIAN OFFICE 34 - AH WREN FM 6650 HIGHWAY 81 N PIEDMONT SC 29673 PHYSICIAN OFFICE 35 - AH WESTSIDE FM 1100 WEST FRANKLIN STREET ANDERSON SC 29624 PHYSICIAN OFFICE 36 - AH PSYCHIATRY 400 N FANT STREET SUITE D ANDERSON SC 29621 PHYSICIAN OFFICE 37 - AH MICHEAL M RIVERA MD 1519 N FANT STREET ANDERSON SC 29621 PHYSICIAN OFFICE 38 - AH SURGICAL ASSOCIATES 2000 E GREENVILLE STREET SUITE 2500 ANDERSON SC 29621 PHYSICIAN OFFICE 39 - AH PALMETTO FM 323 LEBBY STREET PELZER SC 29669 PHYSICIAN OFFICE 40 - AH ENDOCRINOLOGY 2000 E GREENVILLE STREET SUITE 3100 ANDERSON SC 29621 PHYSICIAN OFFICE 41 - AH FAIR PLAY FM 111 W PINE GROVE RD FAIR PLAY SC 29643 PHYSICIAN OFFICE 42 - AH ANDERSON BONE & JOINT 112 MONTGOMERY DRIVE ANDERSON SC 29621 PHYSICIAN OFFICE 43 - AH ANDERSON GYN-OB 2000 E GREENVILLE STREET SUITE 2200 ANDERSON SC 29621 PHYSICIAN OFFICE 44 - AH RHEUMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 ANDERSON SC 29621 PHYSICIAN OFFICE 45 - AH INTERNAL MEDICINE 2000 E GREENVILLE STREET SUITE 2300 ANDERSON SC 29621 PHYSICIAN OFFICE 46 - AH DANIEL A KEENAN 105 BUFORD AVE ANDERSON SC 29621 PHYSICIAN OFFICE 47 - AH INFECTION MANAGEMENT 703 N FANT STREET SUITE B ANDERSON SC 29621 PHYSICIAN OFFICE 48 - AH QUINN PHYSICAL THERAPY 127 WALMART DRIVE HARTWELL GA 30643 OUTPATIENT REHAB. 49 - AH SLEEP LAB CANNON MEMORIAL HOSPITAL 123 WG ACKER DRIVE PICKENS SC 29671 OUTPATIENT FACILITY 50 - AH CORNERSTONE FM 801 E GREENVILLE ST ANDERSON SC 29621 PHYSICIAN OFFICE 51 - AH COSMETIC AND PLASTIC SURGERY 7 LINWA BLVD ANDERSON SC 29621 PHYSICIAN OFFICE PART I, LINE 3C: SELF PAY DISCOUNT OF 50% IS AVAILABLE TO ALL UNINSURED PATIENTS. PART I, LINE 6A: SOUTH CAROLINA DOES NOT REQUIRE HOSPITALS TO FILE A COMMUNITY BENEFIT REPORT. EACH YEAR, ANMED HEALTH HAS PARTICIPATED IN THE SC HOSPITAL ASSOCIATION'S (SCHA) COMMUNITY BENEFIT SURVEY PROCESS. SCHA CONTRACTS WITH THE MICHIGAN HOSPITAL ASSOCIATION FOR USE OF THE COMMUNITY BENEFIT TRACKER SOFTWARE. IN EACH PARTICIPATION YEAR, ANMED HEALTH HAS REPORTED ITS COMMUNITY BENEFIT INFORMATION TO SCHA, USING THE TRACKER SURVEY INSTRUMENT. PART I, LINE 7: WORKSHEET 2 FROM THE 2018 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 $ 66,162,707 THAT WAS REMOVED FROM THE CALCULATION OF CHARITY CARE ON PART I, LINE 7. PART II, COMMUNITY BUILDING ACTIVITIES: LINE 2: INCLUDED IN THIS SECTION ARE 20 VOLUNTEER HOURS REPORTED BY ANMED HEALTH LEADERS IN SERVICE TO ORGANIZATIONS THAT SUPPORT THE ECONOMIC DEVELOPMENT OF ANDERSON COUNTY AND THE UPSTATE SC REGION. ANMED HEALTH'S EXECUTIVE TEAM SET AN EXAMPLE FOR LEADERSHIP THROUGH KEY ROLES SERVING ON BOARDS AND KEY COMMITTEES FOR ECONOMIC DEVELOPMENT ORGANIZATIONS SUCH AS THE ANDERSON AREA CHAMBER OF COMMERCE AND TEN AT THE TOP. THE COMMUNITY BENEFIT EXPENSE WAS CALCULATED BASED ON 20 VOLUNTEER HOURS AT AN ORGANIZATION-WIDE AVERAGE SALARY + BENEFIT RATE OF $36.79 PER HOUR. PART II, LINE 6: INCLUDED IN THIS SECTION ARE 1,026 VOLUNTEER HOURS REPORTED BY 21 DIFFERENT ANMED HEALTH LEADERS VOLUNTEERING WITH ANDERSON-AREA ORGANIZATIONS SUCH AS THE UNITED WAY, LOCAL COMMUNITY COLLEGES AND UNIVERSITIES, CIVIC ORGANIZATIONS, IMAGINE ANDERSON, YMCA AND ANDERSON COMMUNITY COALITION. THE COMMUNITY BENEFIT EXPENSE WAS CALCULATED BASED ON 1,026 VOLUNTEER HOURS AT AN ORGANIZATION-WIDE AVERAGE SALARY + BENEFIT RATE OF $36.79 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 2: THE ORGANIZATION IS REPORTING ITS GROSS BAD DEBT FOR PURPOSES OF SCHEDULE H PART III. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES THE PROVISION FOR BAD DEBT AS AMOUNTS BILLED OR BILLABLE WHERE THE ULTIMATE COLLECTION OF THESE AMOUNTS CANNOT BE DETERMINED AT THE TIME PATIENT SERVICES ARE RENDERED. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO COMPUTE MEDICARE 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 RECEIVED FROM OTHER MEDICARE PROGRAMS: $ 118,325,780 COSTS OF CARE RELATED TO THE PAYMENTS ABOVE: 156,916,313 SHORTFALL OF OTHER MEDICARE SERVICES (38,38,590,533)ANMED HEALTH TREATS MEDICARE PATIENTS AT A LOSS AND BELIEVES THIS SHOULD BE INCLUDED IN COMMUNITY BENEFIT. ANMED HEALTH TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. WITHOUT THE MEDICARE PROGRAM, A PERCENTAGE OF THE POPULATION RECEIVING MEDICARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE, WHILE OTHERS WOULD FAIL TO PAY AND BE WRITTEN OFF AS BAD DEBT EXPENSE. ALTERNATIVELY, SOME WOULD HAVE COMMERCIAL INSURANCE AND 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 2018, ANMED HEALTH BEGAN A FORMAL PROCESS OF REASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. USING THE GUIDELINES PUBLISHED IN THE INITIAL IRS GUIDELINE, ANMED HEALTH ENGAGED A LOCAL CONSULTANT TO ASSIST IN THIS ASSESSMENT, WHICH CONSISTED OF DATA COLLECTION AND LOCAL FOCUS GROUPS. THIS PROCESS CULMINATED WITH THE DEVELOPMENT OF AN ANMED HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT, WHICH WAS ULTIMATELY ADOPTED AND APPROVED BY ANMED HEALTH BOARD OF TRUSTEES . THERE WERE SIX PRIORITIES THAT WERE SELECTED FOR STRATEGY DEVELOPMENT AND ACTION PLANS FOR 2019: BEHAVIORAL AND MENTAL HEALTH; SUBSTANCE ABUSE; DIABETES; HEALTHY LIFESTYLES SUPPORT AND PROMOTION; ACCESS TO PRIMARY CARE; AND CANCER. PART VI, LINE 3: ALL SELF PAY INPATIENTS ARE VISITED BY A FINANCIAL COUNSELOR DURING HIS OR HER STAY OR ARE CONTACTED AT HOME IF DISCHARGED PRIOR TO THEIR INTERVIEW. THE FINANCIAL COUNSELOR COMPLETES A FINANCIAL ASSESSMENT TO DETERMINE IF THE PATIENT MIGHT QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. AN ANMED MEDICAL ASSISTANCE PROGRAM (AMAP) FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ANMED HEALTH HAS ENLISTED AN OUTSIDE VENDOR TO ASSIST WITH THE OUTPATIENT UNINSURED POPULATION. THIS PARTNER PROVIDES TWO FULL TIME EMPLOYEES WHO WORK IN THE EMERGENCY DEPARTMENT TO ASSIST PATIENTS IN DETERMINING IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. AN AMAP FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ANMED HEALTH ALSO ELECTRONICALLY SENDS FILES TO THE VENDOR PARTNER ON OTHER OUTPATIENT ACCOUNTS WHERE PATIENTS ARE CONTACTED VIA THE PHONE TO DETERMINE IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE. ADDITIONALLY, FLYERS ARE LOCATED AT ALL ADMITTING AND REGISTRATION AREAS THAT INCLUDE INFORMATION ON AVAILABLE COVERAGE AND ASSISTANCE (SC PATIENT ATTESTATION), AND CONTACT INFORMATION (PLAIN LANGUAGE SUMMARY) FOR THE FINANCIAL COUNSELORS. WHEN A PATIENT RECEIVES A BILL, OUR WEBSITE, WHICH HAS THE FINANCIAL ASSISTANCE POLICY, IS LISTED AS WELL AS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE. PART VI, LINE 4: ANMED HEALTH INCLUDES ANDERSON COUNTY, OCONEE COUNTY, PICKENS COUNTY, AND ABBEVILLE COUNTY IN SOUTH CAROLINA, AS WELL AS HART AND ELBERT COUNTIES IN NORTHEAST GEORGIA AS SERVICE AREAS. ANDERSON COUNTY, THE PRIMARY COMMUNITY SERVED BY ANMED HEALTH IS AN URBAN COMMUNITY THAN ENCOMPASSES APPROXIMATELY 200,482 RESIDENTS. THE POPULATION OF ANDERSON COUNTY IS EXPECTED TO GROW AT JUST OVER 1% PER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY WAS $45,551. THE PER CAPITA INCOME FOR THE COUNTY WAS $24,481 WITH APPROXIMATELY 14.4% OF COMMUNITY RESIDENTS HAVING INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES DESIGNATED SIX MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY. FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION, REGARDING MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY, THE AREAS ARE AS FOLLOWS IN THE ASSOCIATED CENSUS TRACTS: ANDERSON COUNTY 03093 - CT 0005.00, CT 0006.00, CT 0007.00 AND BELTON DIVISION SERVICE AREA 03099 - MCD (90221) BELTON CCD, MCD (91170 FORK CCD, MCD (93224) STARR CCD. FOR 2017, 3.9% 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 74% MARKET SHARE FOR ANDERSON COUNTY WITH TWO OTHER HOSPITALS CONSISTING OF SLIGHTLY OVER 20% MARKET SHARE. PART VI, LINE 5: ANMED HEALTH (AH) PROVIDES, SUPPORTS, PROMOTES, AND / OR SPONSORS A BROAD SCOPE OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT PROMOTE GOOD HEALTH, WELLNESS / PREVENTION, AND ACCESS TO HEALTH CARE SERVICES. EXAMPLES OF COMMUNITY 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 PROGRAM TAUGHT MORE THAN 3,500 PERSONS BIKE AND WATER SPORTS SAFETY, FIRE SAFETY, AND PROPER CAR SEAT USE; MULTIPLE HEALTH FAIRS THAT SERVED OVER 11,000 PERSONS; AND, COMMUNITY SUPPORT GROUPS FOR CARDIAC DISEASE, DIABETES, CANCER, AND WEIGHT-LOSS. DURING THE YEAR, OVER 45,000 PERSONS WERE SERVED AT OVER 900 COMMUNITY HEALTH EDUCATION EVENTS. AN EXAMPLE OF COMMUNITY-BASED CLINICAL SERVICES PROVIDED AT NO CHARGE DURING THE YEAR IS THAT MORE THAN 1,000 PERSONS WERE SCREENED FOR SYMPTOMS SUCH AS CHRONIC ELEVATED BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR, THROUGH COMMUNITY OUTREACH SCREENINGS. 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 MEDICATION ASSISTANCE PROGRAMS. HEALTH PROFESSIONS EDUCATION PROGRAMS INCLUDES: A FAMILY MEDICINE RESIDENCY PROGRAM, MEDICAL STUDENT EDUCATION PROGRAM, NURSING TRAINING AND MENTORING, A RADIOLOGY TECHNOLOGY PROGRAM, THERAPY INTERNSHIPS, AND PHARMACY STUDENT ROTATIONS. AN ONCOLOGY RESEARCH PROGRAM WORKS WITH PHYSICIANS AND PATIENTS TO IDENTIFY AVAILABLE STUDIES AND TRIALS OF INVESTIGATIONAL MEDICATIONS AND REGIMENS FOR CANCER TREATMENT. ANMED HEALTH 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 AREA YMCA, AND MANY OTHERS. ANMED HEALTH'S LEADERS ARE INVOLVED IN VOLUNTEER ACTIVITIES IN THE ANDERSON AREA CHAMBER OF COMMERCE, CIVIC ORGANIZATIONS, AND OTHER LOCAL, REGIONAL, AND STATEWIDE ORGANIZATIONS. DURING THE YEAR, ANMED HEALTH'S LEADERS AND STAFF DOCUMENTED OVER 800 VOLUNTEER HOURS TO HEALTH-RELATED AS WELL AS COMMUNITY BUILDING ORGANIZATIONS AND EVENTS. PART VI, LINE 6: ANMED HEALTH HAS AN AFFILIATION AND SERVICES AGREEMENT WITH ATRIUM HEALTH. THE AGREEMENT APPOINTS ATRIUM HEALTH AS THE MANAGER OF THE HOSPITAL SYSTEM. SEE FORM 990, PART VI, LINE 3 FOR MORE DETAILS. THERE IS NO TRANSFER OF GOVERNANCE OR OWNERSHIP BETWEEN ATRIUM HEALTH AND ANMED HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES SC 1 ANDERSON FREE CLINIC PO BOX 728 ANDERSON SC 29622 570787584 18000 2018 WALK WITH THE DOCS SPONSOR CANCER ASSOCIATION OF ANDERSON 215 E CALHOUN ST ANDERSON SC 29621 542098883 11000 ANNUAL SPONSOR PLAY SAFE 100 HEALTHY WAY SUITE 1200 ANDERSON SC 29621 451806143 240000 SUPPORT FOR ATHLETIC TRAINING SERVICES UNITED WAY OF ANDERSON COUNTY PO BOX 2067 604 N MURRAY AVE ANDERSON SC 29622 570510602 201201 SPONSOR / DONOR WESTSIDE COMMUNITY CENTER 110 WEST FRANKLIN ST ANDERSON SC 29624 570962032 10000 SUPPORT SPONSOR FOR WCC OPERATIONAL EXPENSES 5 DOCLINK 5941 17954 CHOOSEWELL CONTRACEPTIVE ACCESS INITIATIVE FUND 147 111764 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. X X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 DR SYED MALIK BOARD MEMBER 428877 0 224062 0 12494 0 10726 0 26546 0 702705 0 0 0 DR ANNE COOK BOARD MEMBER 206754 0 48877 0 13933 0 10940 0 13964 0 294468 0 0 0 DR STEPHEN HAND BOARD MEMBER 429517 0 159664 0 2757 0 11000 0 30957 0 633895 0 0 0 WILLIAM T MANSON PRESIDENT/CEO 611286 0 211792 0 98640 0 142678 0 27895 0 1092291 0 34715 0 CHRISTINE PEARSON CHIEF FINANCIAL OFFICER 374302 0 96087 0 38728 0 64725 0 16257 0 590099 0 10603 0 GARRICK CHIDESTER EXECUTIVE VICE PRESIDENT 146879 0 91125 0 536442 0 35640 0 19932 0 830018 0 6984 0 THOMAS M KAYROUZ CHIEF MEDICAL OFFICER 397485 0 76956 0 25571 0 31909 0 25333 0 557254 0 5327 0 TINA JURY CHIEF NURSING OFFICER 324908 0 86154 0 45249 0 11000 0 32178 0 499489 0 0 0 SHAUNDRA TROTTER VP CNO 178793 0 12396 0 9423 0 6786 0 4015 0 211413 0 0 0 ABHIJIT A RAVAL PHYSICIAN 561146 0 512112 0 1376 0 10606 0 33581 0 1118821 0 0 0 RICKY HENDERSON PHYSICIAN 601381 0 556663 0 7095 0 8250 0 22364 0 1195753 0 0 0 AARON MACDONALD PHYSICIAN 979579 0 316489 0 1978 0 11000 0 37681 0 1346727 0 0 0 KUMAR PATEL PHYSICIAN 312156 0 1247776 0 3123 0 10442 0 31971 0 1605468 0 0 0 SURESH KHANDEKAR PHYSICIAN 522468 0 315541 0 3700 0 10297 0 17199 0 869205 0 0 0 JOHN A MILLER JR FORMER CHIEF EXECUTIVE OFFICER 0 0 0 0 1610445 0 0 0 0 0 1610445 0 0 0 PART I, LINE 1A EXECUTIVE OFFICERS OF THE ORGANIZATION INCLUDING VICE PRESIDENTS ARE PROVIDED WITH TRAVEL FOR SPOUSES AND RECEIVE TAX INDEMNIFICATION AND GROSS UP PAYMENTS. THE BENEFITS RECEIVED BY THE OFFICERS WERE INCLUDED IN TAXABLE COMPENSATION FOR THE YEAR. PART I, LINES 4A-B THE FOLLOWING OFFICER RECEIVED A SEVERANCE PAYMENT DURING THE 2018 YEAR. GARRICK CHIDESTER - $347,142 THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY ATRIUM, AN UNRELATED ORGANIZATION FROM A NON-QUALIFIED PLAN: WILLIAM T. MANSON - $81,600 GARRICK CHIDESTER - 26,441 CHRISTINE PEARSON - 32,640 THOMAS KAYROUZ - 9,461 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. 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 - $900,012 TAXABLE, 61,078 DEFRD, 27,895 N/T GARRICK CHIDESTER - 619,490 TAXABLE, 9,199 DEFRD, 19,932 N/T THOMAS M. KAYROUZ - 500,012 TAXABLE, 31,909 DEFRD, 25,333 N/T CHRISTINE PEARSON - 509,117 TAXABLE, 32,085 DEFRD, 16,257 N/T THE ABOVE AMOUNTS ARE REPRESENTED IN THE TOTALS SHOWN IN PART II. 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 576000286 2014-06-30 35000000 CAPITAL ACQUISITION 0 0 0 A 34585000 398936 124368 34061696 2007 1 0 1 1 B 107373860 109397629 3069007 1255460 2721883 51142629 54250000 2010 1 0 1 1 C 1320000 75605035 110003 653394 701606 74250000 2010 1 0 1 1 D 35000871 145067 34854933 2015 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 1 1 0 1 0 0 0 0 B 0 1 1 0 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 1 0 0 0 0 A 0 B 0 C 0 D 0 SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS: THE AMOUNTS PRESENTED ON LINE 11 AS OTHER SPENT PROCEEDS WERE USED TO CURRENTLY REFUND PRIOR BONDS ISSUED ON THE DATES AS FOLLOWS: BOND (A) - 04/18/2007 BOND (B) - 07/02/2003 BOND (C) - 07/02/2003 BOND (D) - 07/28/1999 BOND (E) - 06/30/2014 BOND (F) - 11/15/2016 A SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 83703FJK9 2016-11-15 115899437 CURRENT REFUNDING 0 0 0 A 114733488 1166048 2016 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 1 0 1 0 0 0 0 A 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 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. 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 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION AND REVIEW BY MANAGEMENT, THE RETURN WAS PLACED ON A SECURE WEBSITE PRIOR TO THE OCTOBER 2019 BOARD MEETING. AT THE MEETING, BOARD MEMBERS HAD AN OPPORTUNITY TO DISCUSS THE RETURN AND ASK QUESTIONS OF THE CFO AND A REPRESENTATIVE OF THE ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE DISCLOSURE OF THE CONFLICT OF INTEREST POLICY, ALONG WITH AN EXPLANATION AND QUESTIONNIARE IS SENT TO ALL TRUSTEES, EXECUTIVE STAFF, MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITY, SELECTED OTHER EMPLOYEES, AND VOLUNTEERS ANNUALLY. THE QUESTIONNAIRE MUST BE COMPLETED AND RETURNED TO THE CHAIR OF THE BOARD. A REPORT IS SUBMITTED TO THE BOARD CONCERNING ANY POTENTIAL CONFLICTS THAT ARE DISCLOSED. IN SITUATIONS WHERE A POTENTIAL CONFLICT IS FOUND, THE BOARD REVIEWS THE CIRCUMSTANCES BEFORE A VOTE OR DISCUSSION OF MATTERS INVOLVING INTERESTED PARTIES. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION UTILIZES GALLAGHER CONSULTING (FORMERLY INTEGRATED HEALTHCARE STRATEGIES) TO ASSIST WITH MARKET STUDIES RELATING TO COMPENSATION PRACTICES. THE ORGANIZATION TARGETS BASE COMPENSATION FOR EXECUTIVES AT THE 50TH PERCENTILE AND TARGET TOTAL CASH COMPENSATION FOR THE EXECUTIVES AT THE 65-75TH PERCENTILE. THE ORGANIZATION RECEIVES A COMPREHENSIVE MARKET STUDY FOR EXECUTIVE POSITIONS EVERY THREE YEARS AND THEN ON AN AS NEEDED BASIS. 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: BOARD MEMBER COMPENSATION: DR. STEPHEN HAND IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. ANNE COOK IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HER ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. SYED MALIK IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. FORM 990, PART VII, LINE 1, BOARD MEMBER COMPENSATION: 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 IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,809,337. MANAGEMENT AND GENERAL EXPENSES 2,681,974. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,491,311. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,994,878. MANAGEMENT AND GENERAL EXPENSES 3,636,460. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,631,338. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 9,584,191. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,584,191. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT 1,482,207. CHANGE IN SPLIT INVESTMENTS 484,825. GAIN ON PREMIER INVESTMENTS 465,722. TRANSFER FROM RELATED ORGANIZATION 8,800,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SCHEDULE B RELATED ORGANIZATION CONTRIBUTION THE CONTRIBUTION AMOUNT FROM ANMED HEALTH FOUNDATION AS REPORTED ON SCHEDULE B REFLECTS ALL CONTRIBUTIONS AND ASSETS RELEASED FROM RESTRICTION DURING THE YEAR THAT WERE RELATED TO THE FOUNDATION. ANMED HEALTH SYSTEM 800 N FANT STREET ANDERSON SC 29621 570817544 SUPPORT SC 501(C)(3) LINE 7 N/A 0 THE ANMED HEALTH FOUNDATION 800 N FANT STREET ANDERSON SC 29621 383886017 FUNDRAISING/SUPPORT SC 501(C)(3) LINE 12B, II ANMED HEALTH SYSTEM 0 CANNON MEMORIAL HOSPITAL 123 WG ACKER DRIVE PICKENS SC 29671 570342027 HEALTHCARE SC 501(C)(3) LINE 3 ANMED HEALTH SYSTEM 0 CANNON MEMORIAL HOSPITAL FOUNDATION PO BOX 188 PICKENS SC 29671 570943822 FUNDRAISING/SUPPORT SC 501(C)(3) LINE 7 CANNON MEMORIAL HOSPITAL 0 CLEMSON HEALTH CENTER 885 TIGER BLVD CLEMSON SC 29631 570988736 HEALTHCARE SC 501(C)(3) LINE 12B, II ANMED HEALTH 1 ANMED HEALTH ENTERPRISES INC 800 N FANT STREET ANDERSON SC 29621 570815011 HOLDING CORPORATION SC N/A C 0 ANMED HEALTH PLAN INC 800 N FANT STREET ANDERSON SC 29621 570811053 MANAGEMENT SERVICES ORGANIZATION SC N/A C 0 ANMED HEALTH SERVICES INC 800 N FANT STREET ANDERSON SC 29621 570741536 HEALTHCARE SC N/A C 0 PIEDMONT HEALTH PARTNERS LLC 800 N FANT STREET ANDERSON SC 29621 611796834 HEALTHCARE SC N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 1