2017-11-15T08:29:34-06:00 2016-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-01-01 570817544 ANMED HEALTH SYSTEM ANME 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 CHRISTINE PEARSON CFO 8645121000 2017-11-15 1 Amy Bibby P00445891 8282542254 2017-11-13 12.25.12.224 2017-11-15 07:51:50 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01 2016 2021-01-29 14:40:06Z William T Manson III 800 NORTH FANT STREET ANDERSON SC 29621 134 0 X WWW.ANMEDHEALTH.ORG X 1986 SC FUNDRAISING ACTIVITIES FOR DISTRIBUTION TO SUBSIDIARY, ANMED HEALTH 14 10 0 0 0 0 0 0 0 0 847 134 0 0 847 134 0 0 0 0 0 0 0 0 0 8348 32185 8348 32185 -7501 -32051 514749515 553486585 478 317 514749037 553486268 X TO BUILD RELATIONSHIPS AND EDUCATE TO INSPIRE PHILANTHROPIC GIVING TO FINANCIALLY SUPPORT PROGRAMS AND SERVICES THAT ENABLE ANMED HEALTH TO OPTIMIZE THE HEALTH OF OUR PATIENTS, STAFF, AND COMMUNITY. 0 0 1765 0 0 ANMED HEALTH SYSTEM PROVIDES FINANCIAL SUPPORT FOR ANMED HEALTH, AN ELEEMOSYNARY CORPORATION WHICH OWNS AND OPERATES HEALTH CARE PROVIDING ORGANIZATIONS IN UPSTATE SOUTH CAROLINA. THE SYSTEM IS THE SOLE MEMBER OF ANMED HEALTH, AND OPERATES TO DISCHARGE ITS DUTIES AS SAID SOLE MEMBER IN ACCORDANCE WITH THE BYLAWS OF ANMED HEALTH. PLEASE SEE SCHEDULE O FOR A CONTINUATION OF THE PROGRAM SERVICE ACCOMPLISHMENTS.AnMed Health System is to provide financial support as the foundation for the Corporation, and for any health care provider it owns or control in whole or in part by establishing programs to solicit and accept donations, grants, gifts and to invest any funds available to it. To serve as sole member of AnMed Health, an eleemosynary corporation which owns and operates health care providers in upstate South Carolina and surrounding areas and to discharge its duties as said sole member in accordance with the Bylaws of AnMed Health. 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 and Elberton, Georgia. 1765 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 SC X CHRISTINE PEARSON 8645121000 800 N FANT STREET ANDERSON SC 29621 X Jane W Mudd CHAIRMAN 1.00 1.00 X X 0 0 0 CHarles C Thornton Jr VICE CHAIRMAN 1.00 2.00 X X 0 0 0 William Kibler Jr SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 CHRIS PRZIREMBEL BOARD MEMBER 1.00 1.00 X 0 0 0 JT BOSEMAN BOARD MEMBER 1.00 2.00 X 0 0 0 ANN D HERBERT BOARD MEMBER 1.00 2.00 X 0 0 0 Terence Roberts BOARD MEMBER 1.00 2.00 X 0 0 0 GEORGE ACKER BOARD MEMBER 1.00 1.00 X 0 0 0 Robert Rainey BOARD MEMBER 1.00 1.00 X 0 0 0 DR JERRY CHAMP BOARD MEMBER 1.00 1.00 X 0 680311 42377 Dr John R Hunt BOARD MEMBER 1.00 2.00 X 0 21875 0 Dr Stephen Hand BOARD MEMBER 1.00 1.00 X 0 613764 41274 Fred L Foster BOARD MEMBER 1.00 1.00 X 0 0 0 William T Manson III PRESIDENT/CEO 1.00 49.00 X X 0 877242 202020 CHRISTINE PEARSON CFO 1.00 49.00 X 0 389549 81823 Garrick Chidester EXECUTIVE VICE PRESIDENT 1.00 49.00 X 0 444937 97911 John A Miller Jr FORMER OFFICER 0.00 5.00 X 0 122434 0 0 3150112 465405 0 1 1 0 0 134 134 134 0 0 134 30420 30420 1715 1715 MISCELLANEOUS EXPENSES 50 50 32185 1765 30420 0 97659 65451 908928 908928 908928 513741082 552510360 1846 1846 514749515 553486585 478 317 478 317 X 514749037 553486268 514749037 553486268 514749515 553486585 X -32051 38769282 X X 0 1 X 1 0 X 180355 125778 306133 180355 125778 306133 1299 304834 347 1435 1160 847 134 3923 310056 27350 0.98320 0.85130 X 908928 908928 908928 INVESTMENT IN SUBSIDIARIES 552510360 F 552510360 DUE TO ANMED HEALTH 317 317 X -28744072 0 -28744072 28744206 28744206 134 32185 0 32185 0 32185 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, 2016. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. Part XI, Line 4b - Other Adjustments: OTHER NET CHANGES OF SUBSIDIARIES, ELIMINATED IN CONSOLIDATION 28,744,206. 0 1 0 0 0 0 0 0 0 DR JERRY CHAMP BOARD MEMBER 0 514187 0 150233 0 15891 0 10350 0 32027 0 722688 0 0 Dr Stephen Hand BOARD MEMBER 0 388482 0 222726 0 2556 0 10350 0 30924 0 655038 0 0 William T Manson III PRESIDENT/CEO 0 580533 0 215364 0 81345 0 173356 0 28664 0 1079262 0 0 CHRISTINE PEARSON CFO 0 345222 0 20517 0 23810 0 64311 0 17512 0 471372 0 0 Garrick Chidester EXECUTIVE VICE PRESIDENT 0 294577 0 113502 0 36858 0 82665 0 15246 0 542848 0 0 John A Miller Jr FORMER OFFICER 0 0 0 0 0 122434 0 0 0 0 0 122434 0 0 Part I, Line 3 THE GOVERNING BODY OF THE SYSTEM IS THE SAME BODY AS FOR ANMED HEALTH, A RELATED ORGANIZATION. GENERAL MANAGEMENT OVERSIGHT, WITH THE EXCEPTION OF ONE KEY EMPLOYEE, IS PROVIDED FOR THE SYSTEM BY THE MANAGEMENT OF ANMED HEALTH. THE BOARD OF DIRECTORS OF ANMED HEALTH UTILIZED THE FOLLOWING METHODS TO DETERMINE APPROPRIATE COMPENSATION FOR THE TOP EXECUTIVE OFFICER AND CERTAIN OTHER OFFICERS AND KEY EMPLOYEES THAT HAD INFLUENCE OVER THE SYSTEM'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 THE FILING ORGANIZATION FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP): WILLIAM T. MANSON - $ 270,190 THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY CAROLINAS HEALTHCARE SYSTEM, AN UNRELATED ORGANIZATION FROM A NON-QUALIFIED PLAN: WILLIAM T. MANSON - $ 157,456 GARRICK CHIDESTER - 67,237 CHRISTINE PEARSON - 47,368 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 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: 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. WILLIAM T. MANSON, III - $859,214 TAXABLE, 173,356 DEFRD, 28,664 N/T GARRICK CHIDESTER - 441,893 TAXABLE, 82,665 DEFRD, 15,246 N/T CHRISTINE PEARSON - 389,549 TAXABLE, 64,311 DEFRD, 17,512 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. 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 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 TAX 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. 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 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 NOVEMBER 2017 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 THE ORGANIZATION SHARES ITS CONFLICT OF INTEREST POLICY AND PROCEDURES WITH ANMED HEALTH, A RELATED ORGANIZATION. A COPY OF THE DISCLOSURE OF INTEREST POLICY, ALONG WITH AN EXPLANATION AND QUESTIONNIARE, ARE SENT TO ALL TRUSTEES, EXECUTIVE STAFF, MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITY, SELECTED EMPLOYEES, AND VOLUNTEERS ANNUALLY. THE QUESTIONNIARE MUST BE COMPLETED AND RETURNED TO THE CHAIRMAN OF THE BOARD. A REPORT IS SUBMITTED TO THE BOARD CONCERNING ANY INTERESTS 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 DOES NOT DIRECTLY COMPENSATE ANY OFFICERS, DIRECTORS, OR TRUSTEES. THE BOARDS OF ANMED HEALTH SYSTEM AND OF ANMED HEALTH ARE THE SAME BODY, AND COMPENSATION FOR THE SYSTEM'S DIRECTOR IS REVIEWED ANNUALLY AND APPROVED BY THIS GOVERNING BODY. 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 OFFICE. 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 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. JERRY CHAMP 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. JOHN R. HUNT 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 XI, line 9: OTHER NET CHANGES OF SUBSIDIARIES, ELIMINATED IN CONSOLIDATION -28,744,206. EQUITY TRANSFER to AFFILIATES 67,513,488. FORM 990, PART XI, LINE 2 THE ORGANIZATION RECEIVED AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ANMED HEALTH ENTERPRISES, INC., ANMED HEALTH, THE ANMED HEALTH FOUNDATION, AND THEIR CONTROLLED AND MAJORITY OWNED AFFILIATES. ALL SIGNIFICANT INTERCOMPANY ACCOUNTS AND TRANSACTIONS HAVE BEEN ELIMINATED. ANMED HEALTH 800 N FANT STREET ANDERSON SC 29621 570359174 HEALTHCARE SC 501(c)(3) Line 3 ANMED HEALTH SYSTEM 1 THE ANMED HEALTH FOUNDATION 800 N FANT STREET ANDERSON SC 29621 383886017 FUNDRAISING/SUPPORT SC 501(c)(3) Line 12a, I ANMED HEALTH SYSTEM 1 CANNON MEMORIAL HOSPITAL 123 WG ACKER DRIVE PICKENS SC 29671 570342027 HEALTHCARE SC 501(c)(3) Line 3 ANMED HEALTH SYSTEM 1 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 12a, I ANMED HEALTH 0 ANMED HEALTH ENTERPRISES INC (SEE PART VII) 800 N FANT STREET ANDERSON SC 29621 570815011 HOLDING CORPORATION SC N/A C 3836260 17458166 1.00000 1 ANMED HEALTH PLAN INC 800 N FANT STREET ANDERSON SC 29621 570811053 MANAGEMENT SERVICES ORGANIZATION SC ANMED HEALTH ENTERPRISES INC C 5816377 2059081 1.00000 1 ANMED HEALTH SERVICES INC 800 N FANT STREET ANDERSON SC 29621 570741536 HEALTHCARE SC ANMED HEALTH ENTERPRISES INC C 11224373 4495217 1.00000 1 PIEMONT HEALTH PARTNERS LLC 800 N FANT STREET ANDERSON SC 29621 611796834 HEALTHCARE SC ANMED HEALTH ENTERPRISES INC C -724217 1.00000 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 1 1 ANMED HEATLH R 7000000 FMV ANMED HEALTH ENTERPRISE F 7000000 FMV PART IV: THE FOLLOWING CORPORATIONS ARE CONSOLIDATED FOR FINANCIAL STATEMENT AND TAX REPORTING PURPOSES: ANMED HEALTH ENTERPRISES ANMED HEALTH PLAN ANMED HEALTH SERVICES AMOUNTS SHOWN ON SCHEDULE R ARE PRIOR TO ELIMINATIONS MADE IN CONSOLIDATION. THE CONSOLIDATED ORGANIZATION REPORTS TAXABLE INCOME ON THE YEAR ENDED 12/31. AMOUNTS PRESENT IN SCHEDULE R, PART IV ARE BASED ON A 12/31 CALENDAR YEAR.