2015-11-12T16:41:44-06:00 2014-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2014-01-01 383886017 THE ANMED HEALTH FOUNDATION ANME 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 CHRISTINE PEARSON CFO 8645121000 2015-11-12 AMY BIBBY P00445891 8282542254 2014 2016-04-25 22:37:26Z JOHN A MILLER JR 800 NORTH FANT STREET ANDERSON SC 29621 936749 0 X WWW.ANMEDHEALTH.ORG X 2012 SC EDUCATE TO INSPIRE PHILANTHROPIC GIVING TO FINANCIALLY SUPPORT PROGRAMS AND SERVICES OF ANMED HEALTH 18 17 0 120 0 0 510092 838950 0 0 0 0 -12960 18520 497132 857470 79610 68479 0 0 0 0 0 0 4242 13694 4242 93304 72721 403828 784749 664078 1144632 0 0 664078 1144632 X 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. 0 0 68479 68479 0 THE ANMED HEALTH FOUNDATION WAS ORGANIZED TO PROVIDE FINANCIAL SUPPORT FOR THE PROGRAMS AND SERVICES OF ANMED HEALTH SYSTEM. THE ORGANIZATION PROVIDED APPROXIMATELY $14,000 DURING 2014 TO FUND FREE LIFELINE MONITORING SERVICE TO THOSE IN NEED.PLEASE SEE SCHEDULE O FOR A CONTINUATION OF THE PROGRAM SERVICE ACCOMPLISHMENTS. THE ORGANIZATION DIRECTS CONTRIBUTIONS RECEIVED TO VITAL PROGRAMS THAT ASSIST OUR COMMUNITY IN THE FOLLOWING WAYS: (1) PROVIDE CHILDREN OF LOW-INCOME FAMILIES WITH IMMUNIZATIONS AND BASIC MEDICAL CARE (2) GIVE EXPECTANT MOTHERS A BETTER CHANCE AT HAVING A HEALTHY BABY WITH PROPER PRENATAL CARE (3) OFFER FINANCIAL ASSISTANCE TO PATIENTS DISCHARGED FROM THE HOSPITAL WITHOUT ABILITY TO PAY FOR NEEDED MEDICATIONS (4) BRING MEDICAL SCREENINGS AND INFORMATION TO COMMUNITIES THROUGHOUT OUR REGION (5) PROVIDE PREVENTIVE AND WELLNESS CARE TO PROMOTE THE OVERALL WELL-BEING OF THE WESTSIDE AREA (6) DELIVER SPECIALIZED THERAPY TO IMPROVE THE LIVES OF CHILDREN DEVELOPMENTAL DELAYS AND DISORDERS (7) PROVIDE A PERSONAL EMERGENCY RESPONSE SERVICE FOR ELDERLY AND DISABLED INDIVIDUALS THAT CANNOT AFFORD THE SERVICE ON THEIR OWN (8) PROVIDE SCREENING MAMMOGRAMS TO UNINSURED WOMEN. 68479 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 SC X CHRISTINE PEARSON 8645121000 800 NORTH FANT STREET ANDERSON SC 29621 ANN HERBERT CHAIRMAN 1.00 2.00 X X 0 0 0 JOHN HUNT VICE CHAIRMAN 1.00 2.00 X X 0 0 0 ROBERT RAINEY SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 PHILIP ASHLEY DIRECTOR 1.00 X 0 0 0 HUGH BURGESS DIRECTOR 1.00 X 0 0 0 PEGGY DEANE DIRECTOR 1.00 X 0 0 0 BARBARA HODGES DIRECTOR 1.00 X 0 0 0 BUTCH HUGHES DIRECTOR 1.00 X 0 0 0 SHELIA KING DIRECTOR 1.00 X 0 0 0 MARY ANNE LAKE DIRECTOR 1.00 2.00 X 0 0 0 TOM MCDONALD DIRECTOR 1.00 X 0 0 0 SHAWN MCGEE DIRECTOR 1.00 X 0 0 0 HAMID MOHSSENI DIRECTOR 1.00 X 0 0 0 JANE MUDD DIRECTOR 1.00 2.00 X 0 0 0 MARSHALL PICKENS DIRECTOR 1.00 X 0 0 0 ALEXANDRIA STATHAKIS DIRECTOR 1.00 X 0 0 0 SCOTT WEBBER DIRECTOR 1.00 X 0 0 0 CHRIS PRZIREMBEL DIRECTOR 1.00 1.00 X 0 0 0 JOHN MILLER CEO 2.00 48.00 X 0 2186122 282459 JERRY PARRISH CFO 1.00 49.00 X 0 560914 157747 0 2747036 440206 0 0 1 1 0 146698 692252 838950 97799 146698 79279 18520 18520 857470 0 0 18520 68479 68479 4242 4242 72721 68479 0 4242 528795 214986 375679 449092 240158 664078 1144632 0 0 X -139054 283089 803132 861543 664078 1144632 664078 1144632 X 784749 -304195 X X 0 1 X 1 0 X X 1 ANMED HEALTH 570359174 3 1 68479 0 1 68479 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE FROM AFFILIATES 240158 240158 X 632554 -304195 -304195 936749 -79279 -79279 857470 152000 79279 79279 72721 0 72721 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM INCOME TAX UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE FOUNDATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2014. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER FROM AFFILIATE -304,195. PART XI, LINE 4B - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -79,279. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 79,279. CAMELLIA BALL 174934 104960 69974 54897 KIDS CLASSIC GOLF TOURNAMENT 69563 41738 27825 24382 244497 146698 97799 79279 79279 18520 1 RADIOLOGIC TECHNOLOGY PROGRAM 2 5000 CHAPLAIN'S ASSISTANCE FOR INDIGENT PATIENTS 498 25751 FREEDOM LINK SUBSCRIPTIONS 91 6610 MAMMOGRAMS 123 15168 CANCER CARE SERVICE ASSISTANCE 2 200 EMPLOYEE ASSISTANCE 19 15750 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. 0 1 0 0 0 0 0 0 0 JOHN MILLER CEO 0 1515025 0 432270 0 238827 0 258259 0 24200 0 2468581 0 1007605 JERRY PARRISH CFO 0 361989 0 169546 0 29379 0 127008 0 30739 0 718661 0 68134 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 CAROLINAS HEALTHCARE SYSTEM, AN UNRELATED ORGANIZATION, FROM A NON-QUALIFIED PLAN FOR SERVICES PROVIDED TO THE ORGANIZATION AND RELATED ORGANIZATIONS ANMED HEALTH AND ANMED HEALTH SYSTEM: JOHN A. MILLER, JR. - $ 242,659 JERRY A. PARRISH - 111,408 PART II: COMPENSATION FROM AN UNRELATED ORGANIZATION: THE FOLLOWING OFFICERS OF THE FILING ORGANIZATION RECEIVED COMPENSATION FOR SERVICES PROVIDED TO ANMED HEALTH, ANMED HEALTH SYSTEM, AND THE ANMED HEALTH FOUNDATION UNDER THE TERMS OF THE MANAGEMNT AGREEMENT WITH CAROLINAS HEALTHCARE SYSTEM DISCLOSED IN CONNECTION WITH FORM 990, PART VI, LINE 3. JOHN A. MILLER JR. - $1,178,102 TAXABLE, 258,259 DEFRD, 24,200 N/T JERRY A. PARRISH - 558,735 TAXABLE, 127,008 DEFRD, 30,739 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 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 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 FOR ANDMED HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS. UNDER THE TERMS OF THE ARRANGEMENT THE KEY MANAGEMENT PERSONNEL RECEIVE A PORTION OF THEIR COMPENSATION FROM CHS AS WELL AS A PORTION FROM ANMED HEALTH. THE ORGANIZATION IS UTILIZING FORM 990 PARTS VII AND SCHEDULE J TO REPORT COMPENSATION RECEIVED BY THESE INDIVIDUALS FOR SERVICES PROVIDED TO ANMED HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 THE 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 11 THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION AND REVIEW BY MANAGEMENT, THE RETURN WAS PLACED ON A SECURE WEBSITE PRIOR TO THE NOVEMBER 2015 BOARD MEETING. AT THE MEETING, BOARD MEMBERS HAD AN OPPORTUNITY TO DISCUSS THE RETURN AND ASK QUESTIONS OF THE CFO AND A REPRESENTATIVE OF THE ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE DISCLOSURE OF THE CONFLICT OF INTEREST POLICY, ALONG WITH AN EXPLANATION AND QUESTIONNIARE IS SENT TO ALL TRUSTEES, DIRECTORS, EXECUTIVE STAFF, MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITY, SELECTED OTHER EMPLOYEES, AND VOLUNTEERS ANNUALLY. THE QUESTIONNAIRE MUST BE COMPLETED AND RETURNED TO THE CHAIR OF THE BOARD. A REPORT IS SUBMITTED TO THE BOARD CONCERNING ANY POTENTIAL CONFLICTS THAT ARE DISCLOSED. IN SITUATIONS WHERE A POTENTIAL CONFLICT IS FOUND, THE BOARD REVIEWS THE CIRCUMSTANCES BEFORE A VOTE OR DISCUSSION OF MATTERS INVOLVING INTERESTED PARTIES. FORM 990, PART VI, SECTION 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 XI, LINE 9: EQUITY TRANSFER TO AFFILIATE -304,195. 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. 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 N/A 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 11A, I ANMED HEALTH 0 ANMED HEALTH ENTERPRISES INC 800 N FANT STREET ANDERSON SC 29621 570815011 HOLDING CORPORATION SC N/A C 0 ANMED HEALTH PLAN INC 800 N FANT STREET ANDERSON SC 29621 570811053 MANAGEMENT SERVICES ORGANIZATION SC N/A C 0 ANMED HEALTH SERVICES INC 800 N FANT STREET ANDERSON SC 29621 570741536 HEALTHCARE SC N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1