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ANMED HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ANMED HEALTH SYSTEM (EIN 57-0817544)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-08
IRS object ID
201222219349300147
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-08T17:22:50-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570817544EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ANMED HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlANMENameControl
Phone8645121000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 NORTH FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJERRY A PARRISHName
TitleCFOTitle
Phone8645121000Phone
Date Signed2012-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN A MILLER JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 NORTH FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1033723GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ANMEDHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionFUNDRAISING ACTIVITIES FOR DISTRIBUTION TO SUBSIDIARY, ANMED HEALTHActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year585647ContributionsGrantsPriorYear
Contributions Grants Current Year1022372ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2492InvestmentIncomePriorYear
Investment Income Current Year2201InvestmentIncomeCurrentYear
Other Revenue Prior Year129583OtherRevenuePriorYear
Other Revenue Current Year-50579OtherRevenueCurrentYear
Total Revenue Prior Year717722TotalRevenuePriorYear
Total Revenue Current Year973994TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY79752GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year328662SalariesEtcPriorYear
Salaries Etc Current Year123553SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year198454TotalFundrsngExpCurrentYear
Other Expense Prior Year313310OtherExpensePriorYear
Other Expenses Current Year197386OtherExpensesCurrentYear
Total Expenses Prior Year656972TotalExpensesPriorYear
Total Expenses Current Year400691TotalExpensesCurrentYear
Revenues Less Expenses Prior Year60750RevenuesLessExpensesPriorYear
Revenues Less Expenses CY573303RevenuesLessExpensesCY
Total Assets BOY324334113TotalAssetsBOY
Total Assets EOY283265229TotalAssetsEOY
Total Liabilities BOY360959TotalLiabilitiesBOY
Total Liabilities EOY142677TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY323973154NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY283122552NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense177250Expense
Grants79752Grants
Revenue204083Revenue
DescriptionANMED HEALTH FOUNDATION IS A 501(C)(3) PUBLICLY-SUPPORTED ORGANIZATION ESTABLISHED TO PROVIDE SERVICES TO THOSE WITH NO ABILITY TO PAY FOR MEDICAL CARE. IN FY 2011, $16,000 WAS USED TO PROVIDE FREE LIFELINE MONITORING SERVICE TO THOSE WITH NO ABILITY TO PAY. CONTRIBUTIONS TO THE ANMED HEALTH FOUNDATION ASSIST OUR COMMUNITY BY SUPPORTING VITAL PROGRAMS THAT: (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.Description
Total Program Service Expense177250TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JERRY A PARRISHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8645121000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 N FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JT BOSEMAN
CHAIRMAN1.00XX000
DR CHRIS PRZIREMBEL
VICE CHAIRMAN1.00XX000
ANN D HERBERT
SECRETARY/TREASURER1.00XX000
WILLIAM E KIBLER
BOARD MEMBER1.00X000
CHARLES C THORNTON JR
BOARD MEMBER1.00X000
ROBERT RAINEY
BOARD MEMBER1.00X000
JOHN M GEER JR
BOARD MEMBER1.00X000
EVERETTE NEWMAN
BOARD MEMBER1.00X000
DR JERRY POWELL
BOARD MEMBER1.00X000
MARY ANNE D LAKE
BOARD MEMBER1.00X000
DR MICHAEL KUNKEL
BOARD MEMBER (SEE SCH O)1.00X0189030
DR JOHN R HUNT
BOARD MEMBER1.00X000
DR STEPHEN HAND
BOARD MEMBER (SEE SCH O)1.00X0812620
FRED L FOSTER
BOARD MEMBER1.00X000
JANE W MUDD
BOARD MEMBER1.00X000
JOHN A MILLER JR
CEO/BOARD MEMBER2.00XX0720036634166
WILLIAM T MANSON III
PRESIDENT/COO2.00X0450458185842
JERRY A PARRISH
CFO2.00X038771687797
GARRICK CHIDESTER
VICE PRESIDENT2.00X026491475136
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1923289TotalReportableCompFrmRltdOrgs
Total Other Compensation982941TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events190085FundraisingEvents
All Other Contributions832287AllOtherContributions
Total Contributions1022372TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2201TotalRevenueColumn
Exclusion$2,201ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events9150GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events190085CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses59729FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-50579TotalRevenueColumn
Exclusion-$50,579ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column973994TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$48,378ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total79752Total
Program Services79752ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total96526Total
Fundraising96526Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total27027Total
Fundraising27027Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11612Total
Management And General11612ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total95863Total
Program Services64515ProgramServices
Fundraising31348Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total563Total
Fundraising563Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total56907Total
Program Services16735ProgramServices
Management And General11538ManagementAndGeneral
Fundraising28634Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6413Total
Fundraising6413Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total7966Total
Management And General23ManagementAndGeneral
Fundraising7943Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total11703Total
Program Services11703ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4545Total
Program Services4545ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS EXPENSESDescription
Total1814Total
Management And General1814ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total400691Total
Program Services177250ProgramServices
Management And General24987ManagementAndGeneral
Fundraising198454Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY57143BOY
EOY485551EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY448949BOY
EOY10325EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY310493EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY18433EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1023721LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec85964LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY959701BOY
EOY937757EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY322866474BOY
EOY281500824EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1846BOY
EOY1846EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY324334113BOY
EOY283265229EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY237658BOY
EOY132980EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY123301BOY
EOY9697EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY360959BOY
EOY142677EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY323254860BOY
EOY282377483EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY718294BOY
EOY745069EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY323973154BOY
EOY283122552EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY324334113BOY
EOY283265229EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses573303ReconcilationRevenueExpenses
Reconcilation Other Changes-41423905ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years920012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1228305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years859562CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year585647CurrentTaxYearMinus1Year
Current Tax Year827439CurrentTaxYear
Total4420965Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years920012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1228305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years859562CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year585647CurrentTaxYearMinus1Year
Current Tax Year827439CurrentTaxYear
Total4420965Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total71480AmountsSubstContributorsTotal
Public Support Total1704349485PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59290CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41436CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11606CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2492CurrentTaxYearMinus1Year
Current Tax Year2201CurrentTaxYear
Total117025Total
FieldValueIRS element (for citing)
Total Support4537990TotalSupport
Public Support Pertcentage1700.95850PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96300PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis908928OtherCostOrOtherBasis
Book Value908928BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis114793OtherCostOrOtherBasis
Depreciation85964Depreciation
Book Value28829BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings937757TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN SUBSIDIARIESDescription
Book Value281500824BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related281500824TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO ANMED HEALTHDescription
Amount$9,697Amount
FieldValueIRS element (for citing)
Total Of Amounts9697TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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 ACCOMPANYING 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 SEPTEMBER 30, 2011. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CAMELLIA BALLNameOfEvent1
Gross Receipts Event1176360GrossReceiptsEvent1
Charitable Contributions Event1176360CharitableContributionsEvent1
Other Direct Expenses Event156729OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event222875GrossReceiptsEvent2
Charitable Contributions Event213725CharitableContributionsEvent2
Gross Revenue Event29150GrossRevenueEvent2
Other Direct Expenses Event23000OtherDirectExpensesEvent2
Gross Receipts Total199235GrossReceiptsTotal
Charitable Contributions Total190085CharitableContributionsTotal
Gross Revenue Total Events9150GrossRevenueTotalEvents
Other Direct Expenses Total Events59729OtherDirectExpensesTotalEvents
Direct Expense Summary Events59729DirectExpenseSummaryEvents
Net Income Summary-50579NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
CHAPLAIN'S ASSISTANCE FOR INDIGENT PATIENTS83261700
RADIOLOGY SCHOLARSHIP12000
LIFELINE SUBSCRIPTIONS10016000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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 EXEMPT PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOHN A MILLER JR
063024700089789047204701621190135420200
WILLIAM T MANSON III
04114010003905701357170501250636300050912
JERRY A PARRISH
0350785000369310593910284060475513028337
GARRICK CHIDESTER
025727600076380438780312580340050020067

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BTHE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY ANMED HEALTH, A RELATED ORGANIZATION: JOHN A. MILLER - $ 355,200 WILLIAM T. MANSON - 74,490 THE PURPOSE OF THE SERP FOR JOHN A. MILLER IS TO PROVIDE THE PARTICIPANT WITH ADDITIONAL RETIREMENT BENEFITS TO ENCOURAGE THE PARTICIPANT'S CONTINUED INTEREST IN THE COMPANY'S SUCCESS AND TO REINFORCE THE PARTICIPANT'S COMMITMENT NOT TO COMPETE WITH THE COMPANY FOLLOWING SEPARATION FROM SERVICE BEFORE THE PARTICIPANT'S NORMAL RETIREMENT DATE (PARTICIPANT'S 65TH BIRTHDAY). THE PLAN COMMENCED ON JANUARY 1, 1998. IF THE PARTICIPANT REMAINS EMPLOYED TO THE NORMAL RETIREMENT DATE, THE COMPANY SHALL PAY TO THE PARTICIPANT IN A LUMP SUM A SERP BENEFIT EQUAL TO THE ACTUARIAL PRESENT VALUE OF A LIFETIME ANNUITY PAYING ANNUAL BENEFITS (IN MONTHLY INSTALLMENTS) EQUAL TO 60% TIMES THE PARTICIPANT'S FINAL AVERAGE TOTAL COMPENSATION, WHICH IS THEN REDUCED BY SOCIAL SECURITY BENEFITS AND THE COMPANY'S QUALIFIED PLAN BENEFITS. 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 TAGETED 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 IIIPART I, LINE 3: THE GOVERNING BODY OF THE FOUNDATION 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 FOUNDATION 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 FOUNDATION'S ACTIVITIES: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACTS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE COMPENSATION FROM AN UNRELATED ORGANIZATION: DR. STEPHEN HAND WAS COMPENSATED BY HIS PERSONAL MEDICAL PRACTICE FOR SERVICES RENDERED TO ANMED HEALTH. DR. MICHAEL KUNKEL WAS COMPENSATED FOR SERVICES RENDERED TO ANMED HEALTH.SUPPLEMENTAL INFORMATION

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE 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 EXEMPT ACTIVITIES. AS PART OF THE AGREEMENT, ANMED HEALTH GRANTS CHS THE RESPONSIBILITY FOR MANAGEMENT OF THE HEALTH SYSTEM, SUBJECT TO THE GENERAL APPROVAL OF THE BOARD OF DIRECTORS OF ANMED HEALTH. BOARD APPROVAL IS REQUIRED FOR LARGE CAPITAL EXPENDITURES, SALE OR DISPOSAL OF SYSTEM ASSETS, AND BORROWING IN EXCESS OF IMMATERIAL AMOUNTS. CHS IS REQUIRED TO PROVIDE KEY MANAGEMENT PERSONNEL; HOWEVER, THE CURRENT CEO, CFO, AND A NUMBER OF KEY EMPLOYEES ARE PERSONS THAT WERE FORMERLY EMPLOYED DIRECTLY BY ANMED HEALTH, PRIOR TO THE EFFECTIVE DATE OF THE AGREEMENT.
FORM 990, PART VI, SECTION B, LINE 11THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION AND REVIEW BY MANAGEMENT, THE RETURN WAS EMAILED TO EACH VOTING MEMBER OF THE BOARD AND PLACED ON A SECURE WEBSITE PRIOR TO THE JULY 2012 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.
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 12C
THE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY OFFICERS, DIRECTORS, OR TRUSTEES. THE BOARDS OF ANMED HEALTH FOUNDATION AND OF ANMED HEALTH ARE THE SAME BODY, AND COMPENSATION FOR THE FOUNDATION'S DIRECTOR IS REVIEWED ANNUALLY AND APPROVED BY THIS GOVERNING BODY.FORM 990, PART VI, SECTION B, LINE 15A
PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S EXECUTIVE OFFICES. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.FORM 990, PART VI, SECTION C, LINE 18
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 VI, SECTION C, LINE 19
WORK HOURS DEVOTED TO A RELATED ORGANIZATION:IN ADDITION TO THE HOURS DEVOTED TO THE FOUNDATION, THE OFFICERS OF THE ORGANIZATION WORK 50 HOURS PER WEEK FOR A RELATED ORGANIZATION.PART VII, SECTION A:
BOARD MEMBER RELATED COMPENSATION:IN ADDITION TO HIS SERVICES TO THE BOARD, DR. STEPHEN HAND IS COMPENSATED THROUGH HIS MEDICAL PRACTICE FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. A PORTION OF THE COMPENSATION FOR DR. MICHAEL KUNKEL LISTED ON PART VII IS FOR MEDICAL SERVICES PERFORMED FOR A RELATED ORGANIZATION.FORM 990, PART VII, LINE 1:
CHANGES IN NET ASSETS OR FUND BALANCES:LOSS FROM INVESTMENT IN SUBSIDIARIES -2,840,764. OTHER NET CHANGES OF SUBSIDIARIES, ELIMINATED IN CONSOLIDATION -38,583,141. TOTAL TO FORM 990, PART XI, LINE 5: -41,423,905.FORM 990, PART XI, LINE 5:
CONSOLIDATED FINANCIAL STATEMENTS:THE ORGANIZATION RECEIVED AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS WITH ANMED HEALTH ENTERPRISES, INC., ANMED HEALTH, AND THEIR CONTROLLED AND MAJORITY OWNED AFFILIATES. ALL SIGNIFICANT INTERCOMPANY ACCOUNTS AND TRANSACTIONS HAVE BEEN ELIMINATED.FORM 990, PART XI, LINE 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ANMED HEALTHBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 N FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode
FieldValueIRS element (for citing)
EIN570359174EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateSCLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ANMED HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
ANMED HEALTH ENTERPRISES INC (SEE SCHO)
800 N FANT STREETANDERSONSC29621570815011HOLDING CORPORATIONSCN/AC4894011174894231.00000
ANMED HEALTH PLAN INC
800 N FANT STREETANDERSONSC29621570811053MANAGEMENT SERVICES ORGANIZATIONSCN/AC
ANMED HEALTH SERVICES INC
800 N FANT STREETANDERSONSC29621570741536HEALTHCARESCN/AC
ANDERSON AREA PHYSICIAN HOSPITAL ORGANIZATION
800 N FANT STREETANDERSONSC29621571042018MEDICAL SERVICESSCN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ANMED HEALTH
Q31479CASH
ANMED HEALTH
O195237CASH

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF ANMED HEALTH ENTERPRISES & SUBSIDIARIES:Identifier
Return ReferencePART IV:ReturnReference
ExplanationTHE 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, WHICH IS DIFFERENT FROM ITS FISCAL YEAR FOR PURPOSES OF AUDITED FINANCIAL STATMENTS. AMOUNTS PRESENT IN SCHEDULE R, PART IV ARE BASED ON A 9/30 FISCAL YEAR.Explanation