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ANMED HEALTH SYSTEM: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ANMED HEALTH SYSTEM (EIN 57-0817544)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-01
IRS object ID
201142139349301104
Schema version
2009v1.7
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)
Timestamp2011-08-01T17:30:55-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2011-07-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts783089GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year716079ContributionsGrantsPriorYear
Contributions Grants Current Year585647ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year11606InvestmentIncomePriorYear
Investment Income Current Year2492InvestmentIncomeCurrentYear
Other Revenue Prior Year87665OtherRevenuePriorYear
Other Revenue Current Year129583OtherRevenueCurrentYear
Total Revenue Prior Year815350TotalRevenuePriorYear
Total Revenue Current Year717722TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year211531GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY15000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year372834SalariesEtcPriorYear
Salaries Etc Current Year328662SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year376581TotalFundrsngExpCurrentYear
Other Expense Prior Year264724OtherExpensePriorYear
Other Expenses Current Year313310OtherExpensesCurrentYear
Total Expenses Prior Year849089TotalExpensesPriorYear
Total Expenses Current Year656972TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-33739RevenuesLessExpensesPriorYear
Revenues Less Expenses CY60750RevenuesLessExpensesCY
Total Assets BOY316437409TotalAssetsBOY
Total Assets EOY324334113TotalAssetsEOY
Total Liabilities BOY497600TotalLiabilitiesBOY
Total Liabilities EOY360959TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY315939809NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY323973154NetAssetsOrFundBalancesEOY
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
Expense215230Expense
Grants15000Grants
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 2010, $50,000 WAS USED FOR FREE MEDICINE, MEDICAL EQUIPMENT, AND OTHER SERVICES 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 Expense215230TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
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
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
WILLIAM E KIBLER
CHAIRMAN1.00XX000
JT BOSEMAN
VICE CHAIRMAN1.00XX000
ANN D HERBERT
SECRETARY/TREASURER1.00XX000
CHARLES C THORNTON JR
BOARD MEMBER1.00X000
ROBERT RAINEY
BOARD MEMBER (SEE SCH O)1.00X0632140
JOHN M GEER JR
BOARD MEMBER1.00X000
EVERETTE NEWMAN
BOARD MEMBER1.00X000
DR CHRIS PRZIREMBEL
BOARD MEMBER1.00X000
DR JERRY POWELL
BOARD MEMBER1.00X000
MARY ANNE D LAKE
BOARD MEMBER1.00X000
DR PAUL FRASSINELLI
BOARD MEMBER (SEE SCH O)1.00X0485470
DR JOHN R HUNT
BOARD MEMBER1.00X000
DR STEPHEN HAND
BOARD MEMBER (SEE SCH O)1.00X0456490
FRED L FOSTER
BOARD MEMBER1.00X000
JANE W MUDD
BOARD MEMBER1.00X000
JOHN A MILLER JR
CEO/BOARD MEMBER50.00XX0802784556493
WILLIAM T MANSON III
PRESIDENT/COO50.00X0492699142478
JERRY A PARRISH
CFO50.00X044721581664
GARRICK CHIDESTER
VICE PRESIDENT50.00X030482875529
ROB RUARK
EXECUTIVE DIRECTOR50.00177676039818X
FieldValueIRS element (for citing)
Total Reportable Comp From Org177676TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2204936TotalReportableCompFrmRltdOrgs
Total Other Compensation895982TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions585647AllOtherContributions
Total Contributions585647TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2492TotalRevenueColumn
Exclusion$2,492ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events194950GrossIncomeFundraisingEvents
Fundraising Direct Expenses65367FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column129583TotalRevenueColumn
Exclusion$129,583ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column717722TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$132,075ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total15000Total
Program Services15000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total217494Total
Program Services21750ProgramServices
Management And General54374ManagementAndGeneral
Fundraising141370Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32126Total
Fundraising32126Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total79042Total
Fundraising79042Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3900Total
Management And General3900ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total100642Total
Program Services62011ProgramServices
Fundraising38631Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2390Total
Fundraising2390Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total154886Total
Program Services94028ProgramServices
Management And General6483ManagementAndGeneral
Fundraising54375Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10895Total
Fundraising10895Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total17832Total
Management And General80ManagementAndGeneral
Fundraising17752Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total19470Total
Program Services19470ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2971Total
Program Services2971ProgramServices

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS EXPENSESDescription
Total324Total
Management And General324ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total656972Total
Program Services215230ProgramServices
Management And General65161ManagementAndGeneral
Fundraising376581Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY46651BOY
EOY57143EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY548177BOY
EOY448949EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1041120LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec81419LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY946860BOY
EOY959701EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY314893875BOY
EOY322866474EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1846BOY
EOY1846EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY316437409BOY
EOY324334113EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY353888BOY
EOY237658EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY143712BOY
EOY123301EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY497600BOY
EOY360959EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY315182808BOY
EOY323254860EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY757001BOY
EOY718294EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY315939809BOY
EOY323973154EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY316437409BOY
EOY324334113EOY
FieldValueIRS element (for citing)
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 Years1278600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years920012CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1228305CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year859562CurrentTaxYearMinus1Year
Current Tax Year585647CurrentTaxYear
Total4872126Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1278600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years920012CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1228305CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year859562CurrentTaxYearMinus1Year
Current Tax Year585647CurrentTaxYear
Total4872126Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total27378AmountsSubstContributorsTotal
Public Support Total1704844748PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44153CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59290CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41436CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11606CurrentTaxYearMinus1Year
Current Tax Year2492CurrentTaxYear
Total158977Total
FieldValueIRS element (for citing)
Total Support5031103TotalSupport
Public Support Pertcentage1700.96300PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96950PublicSupportPertcentPriorYear
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)
Investment Cost Or Other Basis908928InvestmentCostOrOtherBasis
Book Value908928BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis108409OtherCostOrOtherBasis
Depreciation81419Depreciation
Book Value26990BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23783OtherCostOrOtherBasis
Book Value23783BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings959701TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN SUBSIDIARIESDescription
Book Value322866474BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related322866474TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO ANMED HEALTHDescription
Amount$123,301Amount
FieldValueIRS element (for citing)
Total Of Amounts123301TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CAMELLIA BALLNameOfEvent1
Gross Receipts Event1163025GrossReceiptsEvent1
Gross Revenue Event1163025GrossRevenueEvent1
Other Direct Expenses Event155769OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event231925GrossReceiptsEvent2
Gross Revenue Event231925GrossRevenueEvent2
Other Direct Expenses Event29598OtherDirectExpensesEvent2
Gross Receipts Total194950GrossReceiptsTotal
Gross Revenue Total Events194950GrossRevenueTotalEvents
Other Direct Expenses Total Events65367OtherDirectExpensesTotalEvents
Direct Expense Summary Events65367DirectExpenseSummaryEvents
Net Income Summary129583NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ANMED HEALTHBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 NORTH FANT STREETAddressLine1
CityANDERSONCity
StateSCState
ZIP Code29621ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient570359174EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant15000AmountOfCashGrant
Purpose Of GrantOPERATIONAL SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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 (5 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
06208940137080044810036905101874420135927700
WILLIAM T MANSON III
0405124068264019311090535051943063517700
JERRY A PARRISH
0371419060720015076045289036375052887900
GARRICK CHIDESTER
0254993042302075330369500385790380357013718
ROB RUARK
160613011767052960205840192340217494000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4b:THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS FROM A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN PROVIDED BY ANMED HEALTH, A RELATED ORGANIZATION: JOHN A. MILLER - $ 242,290 WILLIAM T. MANSON - 34,740 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. PAUL FRASSINELLI WAS COMPENSATED BY HIS PERSONAL MEDICAL PRACTICE FOR SERVICES RENDERED TO ANMED HEALTH. ROBERT RAINEY WAS COMPENATED THROUGH FOOTHILLS COMMUNITY FOUNDATION IN RELATION TO HIS POSITION AS THE EXECUTIVE DIRECTOR OF THAT ORGANIZATION, REIMBURSED BY ANMED HEALTH.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 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 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. 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 2011 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 12cTHE 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 15aTHE ORGANIZATION DOES NOT DIRECTLY COMPENSATE ANY OFFICERS, DIRECTORS, OR TRUSTEES. ONE KEY EMPLOYEE IS COMPENSATED THROUGH ANMED HEALTH, A RELATED ORGANIZATION, FOR SERVICES PERFORMED FOR THE FOUNDATION. 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 C, line 18PHOTOCOPIES 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 19PHOTOCOPIES 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.
SCHEDULE R, PART IV: EXPLANATION OF ANMED HEALTH ENTERPRISES & SUBSIDIARIES: 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, 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.
FORM 990, PART VII, LINE 1:ROBERT RAINEY IS ISSUED A W-2 FROM ANMED HEALTH (A RELATED ORGANIZATION) IN RELATION TO HIS POSITION AS THE EXECUTIVE DIRECTOR OF FOOTHILLS COMMUNITY FOUNDATION, OF WHICH ANMED HEALTH PERFORMS PAYROLL SERVICES. COMPENSATION FOR MR. RAINEY IS REIMBURSED TO ANMED HEALTH BY FOOTHILLS. MR. RAINEY IS NOT COMPENSATED IN ANY WAY FOR HIS SERVICES AS A BOARD MEMBER OF ANMED HEALTH OR ANMED HEALTH FOUNDATION. IN ADDITION TO HIS SERVICES TO THE BOARD, DR. PAUL FRASSINELLI RECEIVES COMPENSATION IN RELATION TO MEDICAL SERVICES RENDERED TO THE HOSPITAL, WHICH IS LISTED ON PART VII OF THE FORM 990. DR. FRASSINELLI IS NOT COMPENSATED IN ANY WAY FOR HIS SERVICES AS A BOARD MEMBER OF ANMED HEALTH OR ANMED HEALTH FOUNDATION. IN ADDITION TO HIS SERVICES TO THE BOARD, DR. STEPHEN HAND IS COMPENSATED THROUGH HIS MEDICAL PRACTICE FOR SERVICES RENDERED TO THE HOSPITAL. ALL PAYMENTS ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES, AND DR. HAND IS NOT COMPENSATED IN ANY WAY FOR HIS SERVICES AS A BOARD MEMBER OF ANMED HEALTH.BOARD MEMBER RELATED COMPENSATION:
FORM 990, PART XI, LINE 2THE 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.CONSOLIDATED FINANCIAL STATEMENTS:

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 NAN/ADirectControllingEntityNA

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/AC4411448166097171.00000
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 Org1GiftGrantOrCapContrToOtherOrg
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ANMED HEALTH
B15000
ANMED HEALTH
O404727
ANMED HEALTH
Q1700000