TY 2019 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) BILL KIBLER...................................................................... CHAIR	1.00 ................. 2.00	X	X	0	0
(2) TERENCE ROBERTS...................................................................... VICE CHAIR	1.00 ................. 2.00	X	X	0	0
(3) CHARLIE THORNTON...................................................................... PAST CHAIR	1.00 ................. 2.00	X		0	0
(4) JANE MUDD...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(5) GEORGE ACKER...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(6) CLARK ANDERSON...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(7) JAMES T BOSEMAN...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(8) FRED FOSTER...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(9) ROBERT RAINEY...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(10) DR EVANS WHITAKER...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(11) DR CHRIS PRZIREMBEL...................................................................... BOARD MEMBER	1.00 ................. 1.00	X		0	0
(12) DR SYED MALIK...................................................................... BOARD MEMBER	49.00 ................. 1.00	X		661,307	38,793
(13) DR ANNE COOK...................................................................... BOARD MEMBER	49.00 ................. 1.00	X		268,787	24,926
(14) DR STEPHEN HAND...................................................................... BOARD MEMBER	49.00 ................. 1.00	X		569,575	36,274
(15) DR JOHN HUNT...................................................................... FORMER DIRECTOR / PHYSICIAN	1.00 ................. 2.00	X		0	0
(16) WILLIAM T MANSON...................................................................... PRESIDENT/CEO	46.00 ................. 4.00	X	X	1,070,978	250,463
(17) CHRISTINE PEARSON...................................................................... CHIEF FINANCIAL OFFICER	49.00 ................. 1.00		X	591,996	111,122

(A) Name and business address	(B) Description of services	(C) Compensation
INCOMPASS HEALTH INC 318 MAXWELL RD SUITE 500 ALPHARETTA,GA30009	HOSPITALIST PHYSICIANS	9,402,592
GLENN CONSTRUCTORS 525 N MAIN ST ANDERSON,SC29621	SUB CONTRACTORS	3,883,999
ADVANCED ICU CARE P O BOX 671773 DALLAS,TX752671773	PROFESSIONAL TELE SERVICES FOR ICU	2,016,840
PIEDMONT PATHOLOGY 404 EAST CALHOUN ST ANDERSON,SC29621	PROFESSIONAL SERVICES	1,053,333
ANESTHESIOLOGY SERVICES OF ANDERSON P O BOX 1657 ANDERSON,SC29622	ANESTHESIA SERVICES	736,494
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 46

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization ANMED HEALTH

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization ANMED HEALTH		Employer identification number 57-0359174

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization ANMED HEALTH			Employer identification number 57-0359174
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

24,088

Total. Add lines 1c through 1i ....................................................................................................

24,088

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). EACH YEAR, A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TOWARDS LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES. FOR 2019, AMOUNTS OF MEMBERSHIP DUES ALLOCATED TO THESE EXPENDITURES WERE $ 8,461 FOR AHA AND $ 15,627 FOR SCHA.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	23,931,953		23,931,953
b	Buildings ....	289,399,237	211,109,584	78,289,653
c	Leasehold improvements
d	Equipment ....	482,943,618	334,820,329	148,123,289
e	Other .....	26,007,136	5,115,485	20,891,651
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				271,236,546

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	16,398,772
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	628,850,450
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	70,361,262
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	3,727,339
e	Add lines 2a through 2d .....................			2e	74,088,601
3	Subtract line 2e from line 1..................			3	554,761,849
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	1,088,407
b	Other (Describe in Part XIII.) ...........	4b	61,630,092
c	Add lines 4a and 4b....................			4c	62,718,499
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	617,480,348

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	523,508,103
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	1,645,249
e	Add lines 2a through 2d....................			2e	1,645,249
3	Subtract line 2e from line 1...................			3	521,862,854
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	1,088,407
b	Other (Describe in Part XIII.) ............	4b	61,626,599
c	Add lines 4a and 4b.....................			4c	62,715,006
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	584,577,860

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE HOSPITAL IS EXEMPT FROM INCOME TAX UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL OR STATE INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -1,691,010. RENTAL EXPENSE 1,645,249. GAIN ON PREMIER INVESTMENTS 773,100. TRANSFER FROM RELATED 3,000,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INTEREST INCOME IN EXPENSES 12,216. PROVISION FOR BAD DEBT 61,614,383. CHANGE IN SPLIT INVESTMENT 3,493. EXPENSE GROUPED IN REVENUES
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSE 1,645,249.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	PROVISION FOR BAD DEBT 61,614,383. INTEREST INCOME IN EXPENSES 12,216. EXPENSE GROUPED IN REVENUES

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization
ANMED HEALTH

Employer identification number

57-0359174

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN -	0	0	INVESTMENT BALANCE	16,499,975
















3a	Sub-total ....	0	0		16,499,975
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		16,499,975

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2019

Schedule F (Form 990) 2019

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2019

Schedule F (Form 990) 2019Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2019

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2019

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:
SCHEDULE F, PART V, LINE 3:	THE ORGANIZATION'S OWNERSHIP IN A FOREIGN CORPORATION WAS UNDER THE THRESHOLDS FOR FILING THE FORM 5471 FOR THE TAX PERIOD.

Schedule F (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	19,081,984		19,081,984	3.650 %
b	Medicaid (from Worksheet 3, column a) . . . . .	71,558,629	70,466,260	1,092,369	0.210 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	90,640,613	70,466,260	20,174,353	3.860 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	382,133		382,133	0.070 %
f	Health professions education (from Worksheet 5) . . .	12,669,645	6,453,005	6,216,640	1.190 %
g	Subsidized health services (from Worksheet 6) . . . .	4,944,653	3,327,461	1,617,192	0.310 %
h	Research (from Worksheet 7) .	388,767	125,068	263,699	0.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	679,332		679,332	0.130 %
j	Total. Other Benefits . .	19,064,530	9,905,534	9,158,996	1.750 %
k	Total. Add lines 7d and 7j .	109,705,143	80,371,794	29,333,349	5.610 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	10		365	365	0 %
4	Environmental improvements
5	Leadership development and training for community members	2	1
6	Coalition building			9,660	9,660	0 %
7	Community health improvement advocacy
8	Workforce development	3	330	440	440	0 %
9	Other	38	685	7,411	7,411	0 %
10	Total	53	1,016	17,876	17,876	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

61,614,382

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

113,994,419

Enter Medicare allowable costs of care relating to payments on line 5.....

109,700,526

Subtract line 6 from line 5. This is the surplus (or shortfall)........

4,293,893

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Other (describe)	Facility reporting group
1	ANMED HEALTH MEDICAL CENTER 800 N FANT STREET ANDERSON,SC29621	X	X		X	X	DISPROPORTIONATE SHARE HOSPITAL	A
2	ANMED HEALTH WOMEN'S & CHILDREN'S HOSPIT 2000 EAST GREENVILLE STREET ANDERSON,SC29621	X	X	X	X		DISPROPORTIONATE SHARE HOSPITAL	A

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE DISCLOSURE

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://ANMEDHEALTH.ORG/ABOUT/REPORTS-AND-PUBLICATIONS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI

The FAP application form was widely available on a website (list url):

HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI

A plain language summary of the FAP was widely available on a website (list url):
HTTP://ANMEDHEALTH.ORG/PATIENTS-FAMILIES/PATIENT-INFORMATION/FINANCIAL-ASSI

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: ANMED HEALTH MEDICAL CENTER, - FACILITY 2: ANMED HEALTH WOMEN'S & CHILDREN'S HOSPIT
GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 5:	IN 2018, ANMED HEALTH CONDUCTED A THIRD CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ASSESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2015 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*LAURA LONGCOMMUNITY SYSTEMS TEAMMEMBERS OF ANDERSON COUNTY SAFETY NET COUNCILRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, COMMUNITY HEALTH PARTNERSHIPSWAYNE HARRIS ANMED HEALTHDIRECTOR, STRATEGIC PLANNINGKARI LUTZ ANMED HEALTH DIRECTOR OF MARKETINGSHANNON OWEN CHNA CONSULTANTBRANDON CLARY - ANMED HEALTH CANNONCEO & PRESIDENTNOTE: PUBLIC HEALTH OFFICIALS REPRESENT THE BROAD HEALTH INTERESTS OF THE COMMUNITY, ESPECIALLY ANDERSON COUNTY RESIDENTS SERVED BY THE PUBLIC HEALTH DEPARTMENT. THE PUBLIC HEALTH OFFICIALS LISTED ABOVE REVIEWED THE SECONDARY DATA AND CONCURRED WITH THE ASSESSMENT OF THE KEY PRIORITIES. CURRICULUM VITAE OF THESE INDIVIDUALS ARE AVAILABLE UPON REQUEST.
GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 6A:	THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH CANNON A RELATED ORGANIZATION.
GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 11:	CHNA IMPLEMENTATION STRATEGIES:ADULT AND CHILDHOOD OBESITY AND DIABETES-EFFORTS TO ADDRESS THIS AREA OF CONCERN WILL FOCUS ON COMMUNITY OUTREACH ACTIVITIES WITH OUR MEDICAL OUTREACH VAN, HEALTH FAIRS, SCREENINGS, AND PARTNERSHIPS WITH OUR PHYSICIAN PRACTICES, THE LOCAL YMCA, UNITED WAY, AND OTHER AGENCIES. ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES-THE HOSPITAL SYSTEM WILL CONVENE COMMUNITY PARTNERS INCLUDING: ELECTED OFFICIALS, LOCAL LAW ENFORCEMENT, THE PROBATE JUDGE, THE LOCAL SOLICITOR'S OFFICE, AND STATE MENTAL HEALTH AGENCY TO PURSUE DEVELOPMENT OF A MENTAL HEALTH COURT AS WELL AS A MENTAL HEALTH CRISIS STABILIZATION FACILITY FOR THE COMMUNITY.CANCER-THE HOSPITAL SYSTEM WILL SUPPORT EDUCATIONAL OUTREACH TO ADOLESCENTS VIA AN ESTABLISHED TOBACCO USE PREVENTION PROGRAM CALLED TAR WARS, IN ADDITION PARTNERSHIPS WILL BE ESTABLISHED FOR COMMUNITY EDUCATION AROUND CANCER SPECIFIC SCREENINGS.ASTHMA IN CHILDREN-THE HOSPITAL SYSTEM WILL SUPPORT AND SEEK ADDITIONAL FUNDING FOR TWO ESTABLISHED PROGRAMS TARGETING AT-RISK YOUTH ASTHMA SUFFERERS. THE PROGRAMS CAMP ASTHMANIA AND THE ASTHMA ACADEMY PROVIDE EDUCATION, AND TRAINING FOR THE YOUNG PATIENTS AND THEIR FAMILIES AROUND PREVENTION AND COPING WITH ASTHMA.
GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 16J:	FINANCIAL COUNSELORS MAKE THE POLICY AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH. THE WEBSITE ALSO HAS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE OR THEY CAN SEND AN EMAIL WITH THEIR INQUIRY TO FINANCIALCOUNSELORS@ANMEDHEALTH.ORG.INFORMATION RELATING TO FINANCIAL ASSISTANCE IS ALSO PRINTED ON EACH BILLING STATEMENT THAT PATIENTS RECEIVE.
GROUP A-FACILITY 1 -- ANMED HEALTH MEDICAL CENTER PART V, SECTION B, LINE 19E:	WE DO NOT CHARGE PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE. WE ADJUST 100% OF THE BILLED CHARGES.
GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5:	IN 2018, ANMED HEALTH CONDUCTED A THIRD CHNA TO UPDATE DATA, LOOK AT PROGRESS TOWARD GOALS, AND ASSESS THE MOST CURRENT HEALTH LANDSCAPE. LIKE THE 2015 ASSESSMENT, THE UPDATED STUDY WILL BE UTILIZED FOR PLANNING, PRIORITIZING, AND LINKING NEEDS TO COMMUNITY BENEFIT EFFORTS OF THE HOSPITAL. ANMED HEALTH LEADERSHIP GROUPS ANMED HEALTH BOARD ANMED HEALTH COMMUNITY HEALTH IMPROVEMENT COMMITTEEPUBLIC HEALTH OFFICIALS - SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL - PUBLIC HEALTH DEPT - REGION 1*LAURA LONGCOMMUNITY SYSTEMS TEAMMEMBERS OF ANDERSON COUNTY SAFETY NET COUNCILRESEARCH TEAMMICHAL CUNNINGHAM ANMED HEALTHVICE PRESIDENT, COMMUNITY HEALTH PARTNERSHIPSWAYNE HARRIS ANMED HEALTHDIRECTOR, STRATEGIC PLANNINGKARI LUTZ ANMED HEALTH DIRECTOR OF MARKETINGSHANNON OWEN CHNA CONSULTANTBRANDON CLARY - ANMED HEALTH CANNONCEO & PRESIDENTNOTE: PUBLIC HEALTH OFFICIALS REPRESENT THE BROAD HEALTH INTERESTS OF THE COMMUNITY, ESPECIALLY ANDERSON COUNTY RESIDENTS SERVED BY THE PUBLIC HEALTH DEPARTMENT. THE PUBLIC HEALTH OFFICIALS LISTED ABOVE REVIEWED THE SECONDARY DATA AND CONCURRED WITH THE ASSESSMENT OF THE KEY PRIORITIES. CURRICULUM VITAE OF THESE INDIVIDUALS ARE AVAILABLE UPON REQUEST.
GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6A:	THE ORGANIZATION CONDUCTED ITS CHNA WITH ANMED HEALTH CANNON A RELATED ORGANIZATION.
GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11:	CHNA IMPLEMENTATION STRATEGIES:ADULT AND CHILDHOOD OBESITY AND DIABETES-EFFORTS TO ADDRESS THIS AREA OF CONCERN WILL FOCUS ON COMMUNITY OUTREACH ACTIVITIES WITH OUR MEDICAL OUTREACH VAN, HEALTH FAIRS, SCREENINGS, AND PARTNERSHIPS WITH OUR PHYSICIAN PRACTICES, THE LOCAL YMCA, UNITED WAY, AND OTHER AGENCIES. ACCESS TO MENTAL AND BEHAVIORAL HEALTH SERVICES-THE HOSPITAL SYSTEM WILL CONVENE COMMUNITY PARTNERS INCLUDING: ELECTED OFFICIALS, LOCAL LAW ENFORCEMENT, THE PROBATE JUDGE, THE LOCAL SOLICITOR'S OFFICE, AND STATE MENTAL HEALTH AGENCY TO PURSUE DEVELOPMENT OF A MENTAL HEALTH COURT AS WELL AS A MENTAL HEALTH CRISIS STABILIZATION FACILITY FOR THE COMMUNITY.CANCER-THE HOSPITAL SYSTEM WILL SUPPORT EDUCATIONAL OUTREACH TO ADOLESCENTS VIA AN ESTABLISHED TOBACCO USE PREVENTION PROGRAM CALLED TAR WARS, IN ADDITION PARTNERSHIPS WILL BE ESTABLISHED FOR COMMUNITY EDUCATION AROUND CANCER SPECIFIC SCREENINGS.ASTHMA IN CHILDREN-THE HOSPITAL SYSTEM WILL SUPPORT AND SEEK ADDITIONAL FUNDING FOR TWO ESTABLISHED PROGRAMS TARGETING AT-RISK YOUTH ASTHMA SUFFERERS. THE PROGRAMS CAMP ASTHMANIA AND THE ASTHMA ACADEMY PROVIDE EDUCATION, AND TRAINING FOR THE YOUNG PATIENTS AND THEIR FAMILIES AROUND PREVENTION AND COPING WITH ASTHMA.
GROUP A-FACILITY 2 -- ANMED HEALTH WOMEN & CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J:	FINANCIAL COUNSELORS MAKE THE POLICY AVAILABLE WHEN INTERVIEWING INPATIENT UNINSURED PATIENTS. THE POLICY IS AVAILABLE IN SPANISH. THE WEBSITE ALSO HAS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE OR THEY CAN SEND AN EMAIL WITH THEIR INQUIRY TO FINANCIALCOUNSELORS@ANMEDHEALTH.ORG.INFORMATION RELATING TO FINANCIAL ASSISTANCE IS ALSO PRINTED ON EACH BILLING STATEMENT THAT PATIENTS RECEIVE.
PART V, SECTION B, LINE 7A	THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THIS WEB ADDRESS:HTTP://ANMEDHEALTH.ORG/PORTALS/0/PDFS/AH-COMMUNITY-HEALTH-NEEDS-ASSESS MENT.PDF?VER=2016-05-24-125532-000

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?47
Name and address		Type of Facility (describe)
1	1 - ANMED HEALTH CANCER CENTER 2000 E GREENVILLE STREET SUITE 2000 ANDERSON,SC29621	OUTPATIENT FACILITY
2	2 - AH CARDIAC AND ORTHPAEDIC CENTER 100 HEALTHY WAY ANDERSON,SC29621	OUTPATIENT FACILITY
3	3 - AH PIEDMONT SURGICAL ASSOCIATES 2000 E GREENVILLE STREET SUITE 2500 ANDERSON,SC29621	PHYSICIAN OFFICE
4	4 - AH OB-GYN ASSOCIATES 2000 E GREENVILLE STREET SUITE 4500 ANDERSON,SC29621	PHYSICIAN OFFICE
5	5 - AH PULMONARY AND SLEEP MEDICINE 2000 E GREENVILLE STREET SUITE 1100 ANDERSON,SC29621	PHYSICIAN OFFICE
6	6 - AH MEDICUS ENT 1655 EAST GREENVILLE STREET ANDERSON,SC29621	PHYSICIAN OFFICE
7	7 - AH UROLOGY 2000 E GREENVILLE STREET SUITE 5140 ANDERSON,SC29621	PHYSICIAN OFFICE
8	8 - AH FAMILY MEDICINE CENTER 2000 E GREENVILLE STREET SUITE 3700 ANDERSON,SC29621	PHYSICIAN OFFICE
9	9 - ANMED HEALTH CLEMSON 885 TIGER BLVD CLEMSON,SC29631	OUTPATIENT FACILITY
10	10 - AH PEDIATRIC ASSOCIATES 2000 E GREENVILLE STREET SUITE 3000 ANDERSON,SC29621	PHYSICIAN OFFICE
11	11 - AH NEUROLOGY CONSULTANTS 2000 E GREENVILLE STREET SUITE 2800 ANDERSON,SC29621	PHYSICIAN OFFICE
12	12 - AH CAROLINA OBGYN 160 PERPETUAL SQUARE DR ANDERSON,SC29621	PHYSICIAN OFFICE
13	13 - AH ONCOLOGY AND HEMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 SUI ANDERSON,SC29621	PHYSICIAN OFFICE
14	14 - AH COMMUNITY ORTHOPAEDICS 2000 E GREENVILLE STREET SUITE 3950 ANDERSON,SC29621	PHYSICIAN OFFICE
15	15 - AH SPINE AND NEUROSURGERY 109 MONTGOMERY DRIVE ANDERSON,SC29621	PHYSICIAN OFFICE
16	16 - AH PEDIATRIC THERAPY WORKS 701 N FANT STREET ANDERSON,SC29621	OUTPATIENT FACILITY
17	17 - AH CARECONNECT ANDERSON 600 N FANT STREET ANDERSON,SC29621	OUTPATIENT FACILITY
18	18 - AH HONEA PATH FM 21 S SHIRLEY AVE HONEA PATH,SC29654	PHYSICIAN OFFICE
19	19 - AH GASTROENTEROLOGY SPECIALIST 2000 E GREENVILLE STREET SUITE 2900 ANDERSON,SC29621	PHYSICIAN OFFICE
20	20 - AH HOMEHEALTH 1926 MCCONNELL SPRINGS RD ANDERSON,SC29621	OUTPATIENT FACILITY
21	21 - AH CHILDREN'S HEALTH CENTER 500 N FANT STREET ANDERSON,SC29621	PHYSICIAN OFFICE
22	22 - AH LAKESIDE FM 4120 HWY 24 ANDERSON,SC29621	PHYSICIAN OFFICE
23	23 - AH WILLIAMSTON FM 16 ROBERTS RD WILLIAMSTON,SC29667	PHYSICIAN OFFICE
24	24 - AH CORNERSTONE FM 801 E GREENVILLE ST ANDERSON,SC29621	PHYSICIAN OFFICE
25	25 - AH ANDERSON PEDIATRICS 705 N FANT STREET ANDERSON,SC29621	PHYSICIAN OFFICE
26	26 - AH ENDOCRINOLOGY 2000 E GREENVILLE STREET SUITE 3100 ANDERSON,SC29621	PHYSICIAN OFFICE
27	27 - AH WREN FM 6650 HIGHWAY 81 N PIEDMONT,SC29673	PHYSICIAN OFFICE
28	28 - AH COSMETIC AND PLASTIC SURGERY 7 LINWA BLVD ANDERSON,SC29621	PHYSICIAN OFFICE
29	29 - AH HARTWELL FM 28 CHANDLER CENTER HARTWELL,GA30643	PHYSICIAN OFFICE
30	30 - AH ANDERSON FM 2000 E GREENVILLE STREET SUITE 2000 ANDERSON,SC29621	PHYSICIAN OFFICE
31	31 - AH IVA FM 331 ANTREVILLE HWY IVA,SC29655	PHYSICIAN OFFICE
32	32 - AH INTERNAL MEDICINE 2000 E GREENVILLE STREET SUITE 2300 ANDERSON,SC29621	PHYSICIAN OFFICE
33	33 - AH PENDLETON FM 1005 MEEHAN WAY PENDLETON,SC29670	PHYSICIAN OFFICE
34	34 - AH CENTERVILLE FM 1520 CENTERVILLE RD ANDERSON,SC29625	PHYSICIAN OFFICE
35	35 - AH PSYCHIATRY 400 N FANT STREET SUITE D PELZER,SC29669	PHYSICIAN OFFICE
36	36 - AH INFECTION MANAGEMENT 703 N FANT STREET SUITE B ANDERSON,SC29621	PHYSICIAN OFFICE
37	37 - AH RHEUMATOLOGY 2000 E GREENVILLE STREET SUITE 5130 ANDERSON,SC29621	PHYSICIAN OFFICE
38	38 - AH MICHEAL M RIVERA MD 1519 N FANT STREET ANDERSON,SC29621	PHYSICIAN OFFICE
39	39 - AH QUINN PHYSICAL THERAPY 127 WALMART DRIVE HARTWELL,GA30643	PHYSICIAN OFFICE
40	40 - AH WESTSIDE FM 1100 WEST FRANKLIN STREET ANDERSON,SC29624	PHYSICIAN OFFICE
41	41 - AH SURGICAL ASSOCIATES 2000 E GREENVILLE STREET SUITE 2500 ANDERSON,SC29621	PHYSICIAN OFFICE
42	42 - AH INTERNAL MEDICINE ASSOCIATES 2000 E GREENVILLE STREET SUITE 3850 ANDERSON,SC29621	PHYSICIAN OFFICE
43	43 - AH PALMETTO FM 323 LEBBY STREET PELZER,SC29669	PHYSICIAN OFFICE
44	44 - AH DANIEL A KEENAN 105 BUFORD AVE ANDERSON,SC29621	PHYSICIAN OFFICE
45	45 - AH ANDERSON GYN-OB 2000 E GREENVILLE STREET SUITE 2200 ANDERSON,SC29621	PHYSICIAN OFFICE
46	46 - AH ANDERSON BONE & JOINT 112 MONTGOMERY DRIVE ANDERSON,SC29621	PHYSICIAN OFFICE
47	47 - AH TRANSITIONAL CARE MEDICINE 703 NORTH FANT STREET ANDERSON,SC29621	PHYSICIAN OFFICE

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	SELF PAY DISCOUNT OF 50% IS AVAILABLE TO ALL UNINSURED PATIENTS.
PART I, LINE 6A:	SOUTH CAROLINA DOES NOT REQUIRE HOSPITALS TO FILE A COMMUNITY BENEFIT REPORT. EACH YEAR, ANMED HEALTH HAS PARTICIPATED IN THE SC HOSPITAL ASSOCIATION'S (SCHA) COMMUNITY BENEFIT SURVEY PROCESS. SCHA CONTRACTS WITH THE MICHIGAN HOSPITAL ASSOCIATION FOR USE OF THE COMMUNITY BENEFIT TRACKER SOFTWARE. IN EACH PARTICIPATION YEAR, ANMED HEALTH HAS REPORTED ITS COMMUNITY BENEFIT INFORMATION TO SCHA, USING THE TRACKER SURVEY INSTRUMENT.
PART I, LINE 7:	WORKSHEET 2 FROM THE 2018 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE COMMUNITY BENEFIT EXPENSE AT COST FOR USE IN PART I, LINE 7.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES INCLUDES TWO OUTPATIENT CLINICS AND A PSYCHIATRIC INPATIENT CLINIC OPERATED BY THE ORGANIZATION. ONE OF THE OUTPATIENT CLINICS IS OPERATED IN A LOW-INCOME NEIGHBORHOOD AND THE OTHER IS A PEDIATRIC CLINIC. EACH CLINIC RUNS AT A FINANCIAL LOSS BUT IS NECESSARY FOR THE BENEFIT OF THE COMMUNITIES SERVED.
PART I, LN 7 COL(F):	THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART IX, LINE 25 CONTAINS BAD DEBT EXPENSE OF $ 61,614,382 THAT WAS REMOVED FROM THE CALCULATION OF CHARITY CARE ON PART I, LINE 7.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY SUPPORT - VOLUNTEERS SERVED AT 10 EVENTS THAT SHARED A GOAL OF PROVIDING SUPPORT TO THE COMMUNITY BY ADDRESSING COMMUNITY CONCERNS SUCH AS HOMELESSNESS, SPORTS INJURIES, AND INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. THESE EVENTS SERVED 832 INDIVIDUALS AND CONTRIBUTED $365 TOWARD THE TOTAL COMMUNITY BENEFIT EXPENSE IN SUPPLIES AND THE AVERAGE LABOR COST OF $40.04 PER HOUR. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS - ONE OF OUR STAFF MEMBERS MENTORED A LOCAL HIGH SCHOOL STUDENT THROUGH THE LEAD HIGHER TO INSPIRE PROGRAM.COALITION BUILDING - LAND WAS GIVEN FREE TO CHARGE TO THE CITY FIRE STATION.WORKFORCE DEVELOPMENT - OVER 300 LOCAL STUDENTS WERE SERVED BY OUR STAFF THROUGH THEIR PARTICIPATION IN CAREER DEVELOPMENT ACTIVITIES.
PART III, LINE 2:	THE ORGANIZATION IS REPORTING ITS GROSS BAD DEBT FOR PURPOSES OF SCHEDULE H PART III.
PART III, LINE 4:	THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE THAT DESCRIBES THE PROVISION FOR BAD DEBT AS AMOUNTS BILLED OR BILLABLE WHERE THE ULTIMATE COLLECTION OF THESE AMOUNTS CANNOT BE DETERMINED AT THE TIME PATIENT SERVICES ARE RENDERED.
PART III, LINE 8:	THE MEDICARE COST REPORT WAS USED TO COMPUTE MEDICARE ALLOWBLE COSTS OF CARE RELATING TO MEDICARE PAYMENTS.ADDITIONAL ACTIVITIES FROM MEDICARE MANAGED CARE AND PHYSICIAN PRACTICES NOT REPORTED IN THE MEDICARE COST REPORT: TOTAL REVENUE RECEIVED FROM OTHER MEDICARE PROGRAMS: $ 123,308,602 COSTS OF CARE RELATED TO THE PAYMENTS ABOVE: 166,562,865 SHORTFALL OF OTHER MEDICARE SERVICES (43,254,263)ANMED HEALTH TREATS MEDICARE PATIENTS AT A LOSS AND BELIEVES THIS SHOULD BE INCLUDED IN COMMUNITY BENEFIT. ANMED HEALTH TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. WITHOUT THE MEDICARE PROGRAM, A PERCENTAGE OF THE POPULATION RECEIVING MEDICARE WOULD QUALIFY FOR FINANCIAL ASSISTANCE, WHILE OTHERS WOULD FAIL TO PAY AND BE WRITTEN OFF AS BAD DEBT EXPENSE. ALTERNATIVELY, SOME WOULD HAVE COMMERCIAL INSURANCE AND WE WOULD RECEIVE MORE THAN WE DO FROM MEDICARE. BECAUSE OF THESE FACTORS, THE ORGANIZATION TAKES THE POSITION THAT THE ENTIRETY OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT.
PART III, LINE 9B:	ONCE APPROVED FOR THE FINANCIAL ASSISTANCE POLICY, NO ADDITIONAL COLLECTION EFFORTS ARE MADE OR BILLS SENT BY THE ORGANIZATION, AND THE HOSPITAL SYSTEM WOULD ONLY EXPECT PAYMENT IF THE PATIENT RECEIVED MONEY FROM AN INSURANCE CLAIM.
PART VI, LINE 2:	IN THE SPRING OF 2018, ANMED HEALTH BEGAN A FORMAL PROCESS OF REASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. USING THE GUIDELINES PUBLISHED IN THE INITIAL IRS GUIDELINE, ANMED HEALTH ENGAGED A LOCAL CONSULTANT TO ASSIST IN THIS ASSESSMENT, WHICH CONSISTED OF DATA COLLECTION AND LOCAL FOCUS GROUPS. THIS PROCESS CULMINATED WITH THE DEVELOPMENT OF AN ANMED HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT DOCUMENT, WHICH WAS ULTIMATELY ADOPTED AND APPROVED BY ANMED HEALTH BOARD OF TRUSTEES . THERE WERE SIX PRIORITIES THAT WERE SELECTED FOR STRATEGY DEVELOPMENT AND ACTION PLANS FOR 2019: BEHAVIORAL AND MENTAL HEALTH; SUBSTANCE ABUSE; DIABETES; HEALTHY LIFESTYLES SUPPORT AND PROMOTION; ACCESS TO PRIMARY CARE; AND CANCER.
PART VI, LINE 3:	ALL SELF PAY INPATIENTS ARE VISITED BY A FINANCIAL COUNSELOR DURING HIS OR HER STAY OR ARE CONTACTED AT HOME IF DISCHARGED PRIOR TO THEIR INTERVIEW. THE FINANCIAL COUNSELOR COMPLETES A FINANCIAL ASSESSMENT TO DETERMINE IF THE PATIENT MIGHT QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. AN ANMED MEDICAL ASSISTANCE PROGRAM (AMAP) FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ANMED HEALTH HAS ENLISTED AN OUTSIDE VENDOR TO ASSIST WITH THE OUTPATIENT UNINSURED POPULATION. THIS PARTNER PROVIDES TWO FULL TIME EMPLOYEES WHO WORK IN THE EMERGENCY DEPARTMENT TO ASSIST PATIENTS IN DETERMINING IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE (MEDICAID, SOCIAL SECURITY, DISABILITY, VICTIMS ASSISTANCE, MIAP, ETC). APPLICATIONS FOR THESE PROGRAMS ARE COMPLETED. AN AMAP FORM IS COMPLETED AT THAT TIME IN THE EVENT THEY DO NOT QUALIFY FOR ANY OTHER ASSISTANCE AND ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. ANMED HEALTH ALSO ELECTRONICALLY SENDS FILES TO THE VENDOR PARTNER ON OTHER OUTPATIENT ACCOUNTS WHERE PATIENTS ARE CONTACTED VIA THE PHONE TO DETERMINE IF THEY MAY QUALIFY FOR OUTSIDE ASSISTANCE. ADDITIONALLY, FLYERS ARE LOCATED AT ALL ADMITTING AND REGISTRATION AREAS THAT INCLUDE INFORMATION ON AVAILABLE COVERAGE AND ASSISTANCE (SC PATIENT ATTESTATION), AND CONTACT INFORMATION (PLAIN LANGUAGE SUMMARY) FOR THE FINANCIAL COUNSELORS. WHEN A PATIENT RECEIVES A BILL, OUR WEBSITE, WHICH HAS THE FINANCIAL ASSISTANCE POLICY, IS LISTED AS WELL AS A PHONE NUMBER PATIENTS CAN CALL TO REQUEST ASSISTANCE.
PART VI, LINE 4:	ANMED HEALTH INCLUDES ANDERSON COUNTY, OCONEE COUNTY, PICKENS COUNTY, AND ABBEVILLE COUNTY IN SOUTH CAROLINA, AS WELL AS HART AND ELBERT COUNTIES IN NORTHEAST GEORGIA AS SERVICE AREAS. ANDERSON COUNTY, THE PRIMARY COMMUNITY SERVED BY ANMED HEALTH IS AN URBAN COMMUNITY THAN ENCOMPASSES APPROXIMATELY 202,558 RESIDENTS. THE POPULATION OF ANDERSON COUNTY IS EXPECTED TO GROW AT JUST OVER 1% PER YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE COUNTY WAS $47,906. THE PER CAPITA INCOME FOR THE COUNTY WAS $25,807 WITH APPROXIMATELY 14.6% OF COMMUNITY RESIDENTS HAVING INCOMES BELOW THE FEDERAL POVERTY GUIDELINE. THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES DESIGNATED SIX MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY. FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION, REGARDING MEDICALLY UNDERSERVED AREAS IN ANDERSON COUNTY, THE AREAS ARE AS FOLLOWS IN THE ASSOCIATED CENSUS TRACTS: ANDERSON COUNTY 03093 - CT 0005.00, CT 0006.00, CT 0007.00 AND BELTON DIVISION SERVICE AREA 03099 - MCD (90221) BELTON CCD, MCD (91170 FORK CCD, MCD (93224) STARR CCD. FOR 2019, 2.29% WERE UNEMPLOYED. AS OF MAY 2020, 12.4% WERE UNEMPLOYED. APPROXIMATELY 70% OF ANDERSON COUNTY RESIDENTS WHO ARE UNINSURED OR MEDICAID RECIPIENTS COME TO ANMED HEALTH FOR THEIR INPATIENT MEDICAL CARE. ANMED HEALTH MAINTAINS OVER 88% MARKET SHARE FOR ANDERSON COUNTY WITH TWO OTHER HOSPITALS CONSISTING OF SLIGHTLY OVER 11% MARKET SHARE.
PART VI, LINE 5:	ANMED HEALTH (AH) PROVIDES, SUPPORTS, PROMOTES, AND / OR SPONSORS A BROAD SCOPE OF COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS THAT PROMOTE GOOD HEALTH, WELLNESS / PREVENTION, AND ACCESS TO HEALTH CARE SERVICES. EXAMPLES OF COMMUNITY OUTREACH EVENTS INCLUDE TEDDY BEAR CLINIC, MINIMIZING OVER 500 CHILDREN'S FEARS OF MEDICAL PROCEDURES THROUGH ROLE PLAYING; DIABETES AND HEART HEALTH EDUCATION AT MULTIPLE HEALTH FAIRS SERVING OVER 5,700 PEOPLE; EDUCATION ON MAKING HEALTHY DECISIONS FOR OVER 6,800 STUDENTS; PROVISION OF HEALTH INFORMATION AND EDUCATION TO OVER 1,600 SENIORS; AND HEALTH INFORMATION AND BLOOD PRESSURE SCREENINGS FOR OVER 2,900 EMPLOYEES AT THEIR PLACE OF EMPLOYMENT. ADDITIONALLY, OVER 1,810 COMMUNITY MEMBERS WERE CONNECTED THROUGH SUPPORT GROUPS FOR OUTPATIENT MANAGEMENT OF DIABETES, HOW TO EMBRACE A HEALTHY LIFESTYLE AFTER SURGICAL WEIGHT LOSS, AND HOW TO SURVIVE THE CANCER JOURNEY; AS WELL AS CANCER FIGHTERS & SURVIVORS DAY, A CELEBRATION OF THOSE SURVIVING A CANCER DIAGNOSIS. ANDERSON COUNTY SAFE KIDS PROGRAM TAUGHT MORE THAN 3,300 PARENTS AND CHILDREN BIKE AND WATER SPORTS SAFETY, FIRE SAFETY, SLEEP SAFETY, AND PROPER CAR SEAT USE. AN EXAMPLE OF COMMUNITY-BASED CLINICAL SERVICES PROVIDED AT NO CHARGE DURING THE YEAR IS THAT MORE THAN 1,000 PERSONS WERE SCREENED FOR SYMPTOMS SUCH AS CHRONIC ELEVATED BLOOD PRESSURE, CHOLESTEROL AND BLOOD SUGAR, THROUGH COMMUNITY OUTREACH SCREENINGS. FREE GENETIC COUNSELING WAS PROVIDED TO HIGH-RISK CANCER PATIENTS. FOR LOW-INCOME COMMUNITY MEMBERS, MEDICAL STAFF VOLUNTEERED THEIR TIME AND RESOURCES TO SERVE OVER 1,300 PEOPLE THROUGH THE HEALTHY OUTCOMES PROGRAM AND AT LOCAL FREE CLINICS AND STAFF VOLUNTEERED TO PROVIDE FOOD FOR 375 CHILDREN THROUGH THE UNITED WAY SNACK PACK PROGRAM. OVER 17,500 MEALS WERE PROVIDED AT NO-COST TO PATIENTS IN THE EMERGENCY DEPARTMENT. ANMED HEALTH PROVIDED OVER $292,000 IN SPONSORSHIPS AND OVER $191,000 THROUGH IN-KIND LAND LEASES TO LOCAL ORGANIZATIONS WHO SHARE OUR VISION OF FOSTERING A HEALTHY COMMUNITY, SUCH AS THE ANDERSON FREE CLINIC, UNITED WAY OF ANDERSON COUNTY, ANDERSON CANCER ASSOCIATION, AND THE ANDERSON AREA YMCA. HEALTH PROFESSIONS EDUCATION PROGRAMS SERVED OVER 600 STUDENTS THROUGH: A FAMILY MEDICINE RESIDENCY PROGRAM, MEDICAL STUDENT EDUCATION PROGRAM, NURSING TRAINING AND MENTORING, A RADIOLOGY TECHNOLOGY PROGRAM, THERAPY INTERNSHIPS, AND PHARMACY STUDENT ROTATIONS. AN ONCOLOGY RESEARCH PROGRAM WORKS WITH PHYSICIANS AND PATIENTS TO IDENTIFY AVAILABLE STUDIES AND TRIALS OF INVESTIGATIONAL MEDICATIONS AND REGIMENS FOR CANCER TREATMENT. ANMED HEALTH EMPLOYEES VOLUNTEERED OVER 1,600 HOURS SERVING ON VARIOUS COMMITTEES THROUGH LOCAL, REGIONAL, AND STATEWIDE HEALTH AND CIVIC ORGANIZATIONS.
PART VI, LINE 6:	ANMED HEALTH HAD AN AFFILIATION AND SERVICES AGREEMENT WITH ATRIUM HEALTH WHICH EXPIRED SEPTEMBER 30, 2019. THE AGREEMENT APPOINTED ATRIUM HEALTH AS THE MANAGER OF THE HOSPITAL SYSTEM. SEE FORM 990, PART VI, LINE 3 FOR MORE DETAILS. THERE IS NO TRANSFER OF GOVERNANCE OR OWNERSHIP BETWEEN ATRIUM HEALTH AND ANMED HEALTH.
PART VI, LINE 7, REPORTS FILED WITH STATES	SC

Schedule H (Form 990) 2019

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
ANMED HEALTH

Employer identification number
57-0359174

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ANDERSON FREE CLINIC PO BOX 728 ANDERSON,SC29622	57-0787584	18,000	2019 WALK WITH THE DOCS SPONSOR
(2) CANCER ASSOCIATION OF ANDERSON 215 E CALHOUN ST ANDERSON,SC29621	54-2098883	11,000	ANNUAL SPONSOR
(3) PLAY SAFE 100 HEALTHY WAY SUITE 1200 ANDERSON,SC29621	45-1806143	240,000	SUPPORT FOR ATHLETIC TRAINING SERVICES
(4) UNITED WAY OF ANDERSON COUNTY PO BOX 2067 604 N MURRAY AVE ANDERSON,SC29622	57-0510602	194,165	SPONSOR / DONOR
(5) WESTSIDE COMMUNITY CENTER 110 WEST FRANKLIN ST ANDERSON,SC29624	57-0962032	5,000	SUPPORT SPONSOR FOR WCC OPERATIONAL EXPENSES

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2019

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) DOCLINK	6060	20,783
(2) CHOOSEWELL CONTRACEPTIVE ACCESS INITIATIVE FUND	147	110,361
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

SCHOLARSHIPS TRI COUNTY TECHNICAL COLLEGE SCHOLARSHIP: RECIPIENTS MUST LIVE IN ANDERSON COUNTY, SC, MUST BE A NURSING MAJOR WITH AT LEAST A 3.0 GPA, AND MUST BE WILLING TO ACCEPT EMPLOYMENT AT ANMED HEALTH OR BE RESPONSIBLE FOR PAYING BACK THE AMOUNT OF THE SCHOLARSHIP. CLEMSON UNIVERSITY SCHOLARSHIP: RECIPIENT MUST LIVE IN ANDERSON, PICKENS, OR OCONEE COUNTIES, SC, MUST BE A NURSING MAJOR WITH AT LEAST A 2.5 GPA, AND MUST BE WILING TO ACCEPT EMPLOYMENT AT ANMED HEALTH OR BE RESPONSIBLE FOR PAYING BACK THE AMOUNT OF THE SCHOLARSHIP. THE CHIEF NURSING OFFICER OF ANMED HEALTH APPROVES ALL SELECTIONS FOR THIS SCHOLARSHIP. GREENVILLE TECHNICAL COLLEGE: RECIPIENT MUST LIVE IN ANDERSON, PICKENS, OR OCONEE COUNTY, MUST BE A NURSING MAJOR AND WILLING TO ACCEPT EMPLOYMENT AT ANMED HEALTH OR BE RESPONSIBLE FOR PAYING BACK THE AMOUNT OF THE SCHOLARSHIP. THE CHIEF NURSING OFFICER OF ANMED HEALTH APPROVES ALL SELECTIONS FOR THIS SCHOLARSHIP.

Schedule I (Form 990) 2019

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DR SYED MALIK BOARD MEMBER	(i) (ii)	448,967 ------------- 0	197,933 ------------- 0	14,407 ------------- 0	11,200 ------------- 0	27,593 ------------- 0	700,100 ------------- 0	0 ------------- 0
2DR ANNE COOK BOARD MEMBER	(i) (ii)	210,716 ------------- 0	44,961 ------------- 0	13,110 ------------- 0	10,901 ------------- 0	14,025 ------------- 0	293,713 ------------- 0	0 ------------- 0
3DR STEPHEN HAND BOARD MEMBER	(i) (ii)	445,415 ------------- 0	121,233 ------------- 0	2,927 ------------- 0	11,200 ------------- 0	25,074 ------------- 0	605,849 ------------- 0	0 ------------- 0
4WILLIAM T MANSON PRESIDENT/CEO	(i) (ii)	704,664 ------------- 0	279,554 ------------- 0	86,760 ------------- 0	225,256 ------------- 0	25,207 ------------- 0	1,321,441 ------------- 0	104,895 ------------- 0
5CHRISTINE PEARSON CHIEF FINANCIAL OFFICER	(i) (ii)	423,278 ------------- 0	131,769 ------------- 0	36,949 ------------- 0	93,392 ------------- 0	17,730 ------------- 0	703,118 ------------- 0	39,176 ------------- 0
6THOMAS M KAYROUZ CHIEF MEDICAL OFFICER	(i) (ii)	448,712 ------------- 0	137,016 ------------- 0	52,632 ------------- 0	15,063 ------------- 0	27,482 ------------- 0	680,905 ------------- 0	37,835 ------------- 0
7TINA JURY CHIEF NURSING OFFICER	(i) (ii)	356,628 ------------- 0	110,513 ------------- 0	51,790 ------------- 0	79,600 ------------- 0	34,540 ------------- 0	633,071 ------------- 0	38,064 ------------- 0
8SHAUNDA TROTTER VP CNO	(i) (ii)	214,343 ------------- 0	23,851 ------------- 0	21,825 ------------- 0	8,154 ------------- 0	4,109 ------------- 0	272,282 ------------- 0	0 ------------- 0
9ABHIJIT A RAVAL PHYSICIAN	(i) (ii)	654,749 ------------- 0	419,723 ------------- 0	12,957 ------------- 0	11,200 ------------- 0	33,929 ------------- 0	1,132,558 ------------- 0	0 ------------- 0
10RICKY HENDERSON PHYSICIAN	(i) (ii)	612,750 ------------- 0	510,140 ------------- 0	7,181 ------------- 0	8,400 ------------- 0	27,384 ------------- 0	1,165,855 ------------- 0	0 ------------- 0
11AARON MACDONALD PHYSICIAN	(i) (ii)	961,742 ------------- 0	544,225 ------------- 0	2,030 ------------- 0	8,400 ------------- 0	38,945 ------------- 0	1,555,342 ------------- 0	0 ------------- 0
12KUMAR PATEL PHYSICIAN	(i) (ii)	316,365 ------------- 0	1,180,729 ------------- 0	4,697 ------------- 0	11,200 ------------- 0	32,344 ------------- 0	1,545,335 ------------- 0	0 ------------- 0
13BRETT STOLL PHYSICIAN	(i) (ii)	644,690 ------------- 0	186,037 ------------- 0	3,247 ------------- 0	11,200 ------------- 0	35,465 ------------- 0	880,639 ------------- 0	0 ------------- 0
14JOHN A MILLER JR FORMER CHIEF EXECUTIVE OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	198,144 ------------- 0	0 ------------- 0	0 ------------- 0	198,144 ------------- 0	0 ------------- 0
15GARRICK CHIDESTER EXECUTIVE VICE PRESIDENT	(i) (ii)	0 ------------- 0	0 ------------- 0	185,642 ------------- 0	0 ------------- 0	0 ------------- 0	185,642 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	EXECUTIVE OFFICERS OF THE ORGANIZATION INCLUDING VICE PRESIDENTS ARE PROVIDED WITH TRAVEL FOR SPOUSES AND RECEIVE TAX INDEMNIFICATION AND GROSS UP PAYMENTS. THE BENEFITS RECEIVED BY THE OFFICERS WERE INCLUDED IN TAXABLE COMPENSATION FOR THE YEAR.
PART I, LINES 4A-B	GARRICK CHIDESTER REVEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $185,642 DURING THE YEAR. THE FOLLOWING OFFICERS RECEIVED DEFERRED COMPENSATION ALLOCATIONS BY ANMED HEALTH FROM A NON-QUALIFIED PLAN: WILLIAM T. MANSON - $65,817 TINA JURY - 38,064 CHRISTINE PEARSON - 26,341 THOMAS KAYROUZ - 27,690 THE COMPANY SHALL CREDIT TO THE PARTICIPANT'S SERP ACCOUNT AN AMOUNT PROJECTED TO PROVIDE ANNUAL RETIREMENT BENEFITS EQUAL TO 50% OF THE PARTICIPANT'S FINAL FIVE-YEAR AVERAGE CASH COMPENSATION AT AGE 65. THE PROJECTION TAKES INTO ACCOUNT THAT THE TOTAL TARGETED RETIREMENT BENEFIT CONSISTS OF THE QUALIFIED DEFINED BENEFIT PENSION PLAN, 403(B) PLAN MATCHING CONTRIBUTIONS EARNED THEREON, 50% OF THE PROJECTED SOCIAL SECURITY PRIMARY RETIREMENT BENEFITS, AND BENEFITS UNDER THIS PLAN. THE COMPANY DOES NOT GUARANTEE THAT THE CREDITS WILL ACTUALLY PROVIDE THE TARGETED BENEFIT; RATHER, THE PARTICIPANT'S BENEFIT IS LIMITED TO THE AMOUNT ACCRUED IN HIS ACCOUNT. THE PARTICIPANT'S ENTITLEMENT TO THE BENEFITS DEPENDS ON THE PARTICIPANT'S FUTURE PERFORMANCE OF SUBSTANTIAL SERVICES. DURING 2017 WILLIAM MANSON CEASED PARTICIPATION IN THE PLAN OFFERED BY THE ORGANIZATION. HIS PLAN WAS REPLACED BY A CAPEX LIFE INSURANCE RETIREMENT PLAN.
PART II:	COMPENSATION FROM AN UNRELATED ORGANIZATION: ON OCTOBER 1, 2009, THE HOSPITAL SYSTEM ENTERED INTO A SERVICES AND AFFILIATION AGREEMENT WITH ATRIUM HEALTH. THE AGREEMENT APPOINTS ATRIUM HEALTH AS THE MANAGER OF THE HOSPITAL SYSTEM. THE FOLLOWING OFFICERS AND KEY EMPLOYEES WERE COMPENSATED ACCORDING TO THIS AGREEMENT FOR SERIVCES PROVIDED TO ANMED HEALTH, ANMED HEALTH SYSTEM, AND THE ANMED HEALTH FOUNDATION. WILLIAM T. MANSON, III - $841,963 TAXABLE, 21,785 DEFRD, 21,144 N/T THOMAS M. KAYROUZ - 490,008 TAXABLE, 11,200 DEFRD, 21,137 N/T CHRISTINE PEARSON - 475,839 TAXABLE, 11,200 DEFRD, 11,773 N/T THE ABOVE AMOUNTS ARE REPRESENTED IN THE TOTALS SHOWN IN PART II.

Schedule J (Form 990) 2019

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
ANMED HEALTH

Employer identification number
57-0359174

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY	57-6000286	83703FBX9	04-02-2009	34,585,000	CURRENT REFUNDING		X		X		X
B	SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY	57-6000286	83703FCQ3	05-13-2009	75,605,000	CURRENT REFUNDING		X		X		X
C	SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY	57-6000286		06-30-2014	35,000,000	CAPITAL ACQUISITION		X		X		X
D	SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY	57-0960018	83703FJK9	11-15-2016	115,899,437	CURRENT REFUNDING		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................			3,785,000		1,290,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	34,585,000		75,605,035		35,000,859		114,733,488
4 Gross proceeds in reserve funds .............			110,003
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	398,936		653,394		145,067		1,166,048
8 Credit enhancement from proceeds .............	124,368		701,606
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............					34,854,933
11 Other spent proceeds .............	34,061,696		74,250,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2007		2010		2015		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? ........	X		X			X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2019

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X		X
b Exception to rebate? ........	X		X		X		X
c No rebate due? .........		X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X			X		X
b Name of provider ..........			CITIGROUP
c Term of hedge .........			2958.0000000000 %
d Was the hedge superintegrated? ......				X
e Was the hedge terminated? ........				X

Schedule K (Form 990) 2019

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS:	THE AMOUNTS PRESENTED ON LINE 11 AS OTHER SPENT PROCEEDS WERE USED TO CURRENTLY REFUND PRIOR BONDS ISSUED ON THE DATES AS FOLLOWS: BOND (A) - 04/18/2007 BOND (B) - 07/02/2003 BOND (C) - 07/02/2003 BOND (D) - 07/28/1999 BOND (E) - 06/30/2014 BOND (F) - 11/15/2016

Schedule K (Form 990) 2019

Additional Data

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Return Reference	Explanation
FORM 990, PART V, LINE 4A	FINANCIAL ACCOUNTS IN A FOREIGN COUNTRY: THE ORGANIZATION WAS A 2.16% PARTNER IN PROFESSIONAL MONEY MANAGEMENT PARTNERSHIP WITH A HEDGE FUND BASED IN THE CAYMAN ISLANDS. THE PARTNERSHIP IS HELD FOR INVESTMENT PURPOSES ONLY.
FORM 990, PART VI, SECTION A, LINE 3	ON OCTOBER 1, 2009, THE HOSPITAL SYSTEM ENTERED INTO A SERVICES AND AFFILIATION AGREEMENT WITH ATRIUM HEALTH. THE AGREEMENT APPOINTS ATRIUM HEALTH AS THE MANAGER OF THE HOSPITAL SYSTEM. THE BOARD OF ANMED HEALTH CONTINUES TO OVERSEE THE OPERATIONS OF THE HEALTHCARE FACILITY AND RELATED TAX EXEMPT ACTIVITIES. THE AGREEMENT WITH ATRIUM HEALTH EXPIRED SEPTEMBER 30TH, 2019 AND WAS NOT RENEWED. AS PART OF THE AGREEMENT, ANMED HEALTH GRANTED ATRIUM HEALTH THE RESPONSIBILITY FOR MANAGEMENT OF THE HEALTH SYSTEM, SUBJECT TO THE GENERAL APPROVAL OF THE BOARD OF TRUSTEES OF ANMED HEALTH. BOARD APPROVAL WAS REQUIRED FOR LARGE CAPITAL EXPENDITURES, SALE OR DISPOSAL OF SYSTEM ASSETS, AND BORROWING IN EXCESS OF IMMATERIAL AMOUNTS. ATRIUM HEALTH WAS REQUIRED TO PROVIDE KEY MANAGEMENT PERSONNEL. THE ORGANIZATION IS UTILIZING FORM 990 PARTS VII AND SCHEDULE J TO REPORT COMPENSATION RECEIVED BY THESE INDIVIDUALS FOR SERVICES PROVIDED TO ANMED HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS ANMED HEALTH SYSTEM, A SOUTH CAROLINA 501(C)(3) ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF TRUSTEES OF ANMED HEALTH AS PROVIDED FOR IN ITS BYLAWS SHALL AUTOMATICALLY BECOME THE BOARD OF TRUSTEES OF THE ORGANIZATION UPON BEING ELECTED AS TRUSTEES OF ANMED HEALTH SYSTEM. ACCORDINGLY, WHEN ANY BOARD MEMBER FOR ANY REASON CEASES BEING A BOARD MEMBER OF ANMEND HEALTH SYSTEM, HE OR SHE SHALL ALSO AUTOMATICALLY CEASE BEING A BOARD MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION AND REVIEW BY MANAGEMENT, THE RETURN WAS PLACED ON A SECURE WEBSITE PRIOR TO THE OCTOBER 2020 BOARD MEETING. AT THE MEETING, BOARD MEMBERS HAD AN OPPORTUNITY TO DISCUSS THE RETURN AND ASK QUESTIONS OF THE CFO AND A REPRESENTATIVE OF THE ACCOUNTING FIRM.
FORM 990, PART VI, SECTION B, LINE 12C	A COPY OF THE DISCLOSURE OF THE CONFLICT OF INTEREST POLICY, ALONG WITH AN EXPLANATION AND QUESTIONNIARE IS SENT TO ALL TRUSTEES, EXECUTIVE STAFF, MEDICAL STAFF WITH ADMINISTRATIVE RESPONSIBILITY, SELECTED OTHER EMPLOYEES, AND VOLUNTEERS ANNUALLY. THE QUESTIONNAIRE MUST BE COMPLETED AND RETURNED TO THE CHAIR OF THE BOARD. A REPORT IS SUBMITTED TO THE BOARD CONCERNING ANY POTENTIAL CONFLICTS THAT ARE DISCLOSED. IN SITUATIONS WHERE A POTENTIAL CONFLICT IS FOUND, THE BOARD REVIEWS THE CIRCUMSTANCES BEFORE A VOTE OR DISCUSSION OF MATTERS INVOLVING INTERESTED PARTIES.
FORM 990, PART VI, SECTION B, LINE 15	INTEGRATED HEALTHCARE STRATEGIES PROVIDES COMPENSATION CONSULTING SERVICES. SURVEYS ARE DONE PERIODICALLY. ANMED HEALTH TARGETS THE 65% PERCENTILE. THE COMPENSATION COMMITTEE OF THE BOARD APPROVES COMPENSATION FOR ALL OFFICERS, EXECUTIVES, AND DEPARTMENT DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18	PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ACCOUNTYING OFFICES.
FORM 990, PART VI, SECTION C, LINE 19	PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S EXECUTIVE OFFICES. COPIES OF THE FINANCIAL STATEMENTS ARE AVAILABLE ON A SECURE WEBSITE FOR BONDHOLDERS. PLEASE CONTACT THE EXECUTIVE OFFICES FOR DETAILS.
FORM 990, PART VII, LINE 1, BOARD MEMBER COMPENSATION:	BOARD MEMBER COMPENSATION: DR. STEPHEN HAND IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. ANNE COOK IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HER ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES. DR. SYED MALIK IS COMPENSATED BY A RELATED ORGANIZATION FOR SERVICES RENDERED TO THE HOSPITAL SYSTEM. ALL PAYMENTS TO HIM ON PART VII OF THE FORM 990 ARE FOR MEDICAL SERVICES.
FORM 990, PART VII, LINE 1, BOARD MEMBER COMPENSATION:	THE COMPENSATION PROVIDED TO RETIRED CEO, JOHN MILLER, REPRESENTS THE BENEFITS EARNED UNDER VARIOUS SUPPLEMENTAL SURVIVOR BENEFIT SPLIT DOLLAR PLANS, AS WELL AS THE PROVISION FOR TAX OBLIGATIONS FOR THE DISTRIBUTIONS.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,705,435. MANAGEMENT AND GENERAL EXPENSES 2,794,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,500,119. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 17,986,997. MANAGEMENT AND GENERAL EXPENSES 1,690,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,677,274. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 7,160,766. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,160,766.
FORM 990, PART XI, LINE 9:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP CONTRACT -1,691,010. CHANGE IN SPLIT INVESTMENTS -3,493. GAIN ON PREMIER INVESTMENTS 773,100. TRANSFER FROM RELATED ORGANIZATION 3,000,000.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
SCHEDULE B RELATED ORGANIZATION CONTRIBUTION	THE CONTRIBUTION AMOUNT FROM ANMED HEALTH FOUNDATION AS REPORTED ON SCHEDULE B REFLECTS ALL CONTRIBUTIONS AND ASSETS RELEASED FROM RESTRICTION DURING THE YEAR THAT WERE RELATED TO THE FOUNDATION.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ANMED HEALTH

Employer identification number

57-0359174

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ANMED HEALTH SYSTEM 800 N FANT STREET ANDERSON,SC29621 57-0817544	SUPPORT	SC	501(C)(3)	LINE 7	N/A		No
(2)THE ANMED HEALTH FOUNDATION 800 N FANT STREET ANDERSON,SC29621 38-3886017	FUNDRAISING/SUPPORT	SC	501(C)(3)	LINE 12B, II	ANMED HEALTH SYSTEM		No
(3)CANNON MEMORIAL HOSPITAL 123 WG ACKER DRIVE PICKENS,SC29671 57-0342027	HEALTHCARE	SC	501(C)(3)	LINE 3	ANMED HEALTH SYSTEM		No
(4)CANNON MEMORIAL HOSPITAL FOUNDATION PO BOX 188 PICKENS,SC29671 57-0943822	FUNDRAISING/SUPPORT	SC	501(C)(3)	LINE 7	CANNON MEMORIAL HOSPITAL		No
(5)CLEMSON HEALTH CENTER 885 TIGER BLVD CLEMSON,SC29631 57-0988736	HEALTHCARE	SC	501(C)(3)	LINE 12B, II	ANMED HEALTH	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) ANMED HEALTH ENTERPRISES INC 800 N FANT STREET ANDERSON,SC29621 57-0815011	HOLDING CORPORATION	SC	N/A	C				No
(2) ANMED HEALTH PLAN INC 800 N FANT STREET ANDERSON,SC29621 57-0811053	MANAGEMENT SERVICES ORGANIZATION	SC	N/A	C				No
(3) ANMED HEALTH SERVICES INC 800 N FANT STREET ANDERSON,SC29621 57-0741536	HEALTHCARE	SC	N/A	C				No
(4) PIEDMONT HEALTH PARTNERS LLC 800 N FANT STREET ANDERSON,SC29621 61-1796834	HEALTHCARE	SC	N/A	C				No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OPERATION OF A HEALTHCARE SYSTEM INCLUDING A WIDE RANGE OF MEDICAL SERVICES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	4,408
6	Total number of volunteers (estimate if necessary) .............	6	268
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,039,800
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	848,964

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,369,243	2,645,669
9	Program service revenue (Part VIII, line 2g) .........	596,536,324	585,729,065
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	33,373,702	23,981,769
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,458,406	5,123,845
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	641,737,675	617,480,348
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	609,919	599,309
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	274,330,837	269,548,383
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	326,321,039	314,430,168
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	601,261,795	584,577,860
19	Revenue less expenses. Subtract line 18 from line 12.......	40,475,880	32,902,488
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	893,810,803	994,127,214
21	Total liabilities (Part X, line 26).............	335,903,924	330,877,988
22	Net assets or fund balances. Subtract line 21 from line 20.....	557,906,879	663,249,226

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 533,896,081 including grants of $ 599,309 ) (Revenue $ 584,276,634 )
	ANMED HEALTH IS A HEALTHCARE SYSTEM PROVIDING A FULL RANGE OF ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTETRIC, PSYCHIATRIC, SUBSTANCE ABUSE AND REHABILITATION PATIENTS, AS WELL AS SPECIALIZED CARE IN ITS INTENSIVE CARE AND CORONARY CARE UNITS. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES. TWO SEPARATELY LICENSED FACILITIES ARE OPERATED BY ANMED HEALTH: 1) ANMED HEALTH MEDICAL CENTER IS A 461 BED FACILITY THAT OFFERS THE LATEST IN MEDICAL AND SURGICAL SERVICES. A MEDICAL STAFF OF OVER 400 PHYSICIANS PROVIDES HIGH QUALITY CARE TO THE PATIENTS AT THE MEDICAL CENTER. OPEN HEART SURGERY, VASCULAR SURGERY, GENERAL SURGERY, EMERGENCY/TRAUMA MEDICINE, A NEUROLOGICAL/STROKE CENTER, THE LATEST IN DIAGNOSTIC MRI, CT AND LABORATORY MEDICINE ARE AVAILABLE. 2) ANMED HEALTH WOMEN'S AND CHILDREN'S HOSPITAL IS A 72 BED ALL-PRIVATE ROOM FACILITY OFFERING INPATIENT CARE FOR LABOR/DELIVERY, WOMEN'S ELECTIVE SURGERY AND CHILDREN. THIS HOSPITAL INCLUDES DEDICATED UNITS FOR LABOR/DELIVERY, MOTHER/BABY, WOMEN'S ELECTIVE SURGERY AND PEDIATRICS. ON THE FIRST FLOOR, PHYSICIAN'S OFFICES, A LEARNING CENTER, CAFE, COMMUNITY MEETING ROOMS AND RETAIL SHOPS MAKE VISITORS FEEL WELCOME WITH A WEALTH OF RESOURCES. TO SUPPORT THESE INPATIENT SERVICES, ANMED HEALTH OFFERS A NORMAL COMPLEMENT OF DIAGNOSTIC AND ANCILLARY SERVICES. ADDITIONALLY, ANMED HEALTH OFFERS OUTPATIENT SERVICES AT D.K. OGLESBY CENTER AT THE ANMED HEALTH NORTH CAMPUS AND HAS SEVERAL CLINICS LOCATED IN ANDERSON, IVA, CLEMSON, HONEA PATH, FAIRPLAY, PENDLETON, PIEDMONT, WILLIAMSTON AND WREN, SOUTH CAROLINA AND IN HARTWELL, GEORGIA.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses533,896,081

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) THOMAS M KAYROUZ........................................................................ CHIEF MEDICAL OFFICER	50.00 .......................	X			638,360	0	42,545
(19) TINA JURY........................................................................ CHIEF NURSING OFFICER	50.00 .......................	X			518,931	0	114,140
(20) SHAUNDA TROTTER........................................................................ VP CNO	50.00 .......................	X			260,019	0	12,263
(21) ABHIJIT A RAVAL........................................................................ PHYSICIAN	50.00 .......................		X		1,087,429	0	45,129
(22) RICKY HENDERSON........................................................................ PHYSICIAN	50.00 .......................		X		1,130,071	0	35,784
(23) AARON MACDONALD........................................................................ PHYSICIAN	50.00 .......................		X		1,507,997	0	47,345
(24) KUMAR PATEL........................................................................ PHYSICIAN	50.00 .......................		X		1,501,791	0	43,544
(25) BRETT STOLL........................................................................ PHYSICIAN	50.00 .......................		X		833,974	0	46,665
(26) JOHN A MILLER JR........................................................................ FORMER CHIEF EXECUTIVE OFFICER	0.00 .......................1.00			X	198,144	0	0
(27) GARRICK CHIDESTER........................................................................ EXECUTIVE VICE PRESIDENT	0.00 .......................			X	185,642	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,025,001	0	848,993

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,645,669

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,645,669

		Business Code
2a	NET PATIENT SERVICE	621400	585,180,606	583,140,806	2,039,800
b	ANCILLARY SERVICES	900099	471,959	453,659		18,300
c	EHR MEANINGFUL USE REVENUE	900099	76,500	76,500
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		585,729,065

3 Investment income (including dividends, interest, and othersimilar amounts) ......			13,299,336			13,299,336
4 Income from investment of tax-exempt bond proceeds			12,216			12,216
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,858,082	6a
b	Less: rental expenses		1,645,249	6b
c	Rental income or (loss)		212,833	6c
d	Net rental income or (loss).......			212,833			212,833
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	813,338	9,856,879	7a
b	Less: cost or other basis and sales expenses	0	0	7b
c	Gain or (loss)	813,338	9,856,879	7c
d	Net gain or (loss).........			10,670,217			10,670,217
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	CAFETERIA & VENDING		722210	2,635,115			2,635,115
b	MISCELLANEOUS REVENUE		900099	1,670,228			1,670,228
c	PURCHASE DISCOUNTS		900099	605,669	605,669
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,911,012
12	Total revenue. See instructions.....			617,480,348	584,276,634	2,039,800	28,518,245

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	468,165	468,165
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	131,144	131,144
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	4,865,238	3,892,190	973,048
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	224,032,981	191,407,623	32,625,358
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,944,979	6,778,790	1,166,189
9	Other employee benefits .......	17,420,051	14,863,081	2,556,970
10	Payroll taxes ...........	15,285,134	13,041,534	2,243,600
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	974,162		974,162
c	Accounting ...........	250,838		250,838
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,088,407		1,088,407
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	62,338,159	57,853,198	4,484,961
12	Advertising and promotion ....	1,057,602	44,580	1,013,022
13	Office expenses .......	6,282,518	6,282,518
14	Information technology ......	3,569,029	3,569,029
15	Royalties ..
16	Occupancy ...........	6,329,325	6,329,325
17	Travel ............	1,031,249	833,253	197,996
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	9,616,521	9,616,521
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	43,298,008	43,298,008
23	Insurance ...	4,803,853	4,803,853
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	97,686,440	97,686,440
b	BAD DEBT EXPENSE	61,984,512	61,984,512
c	MISCELLANEOUS EXPENSES	14,118,606	11,011,378	3,107,228
d	ENVIRONMENTAL CONTROL	939	939
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	584,577,860	533,896,081	50,681,779	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			49,906,012	1	55,860,922
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			58,585,233	4	48,513,205
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			8,881,963	8	9,531,263
9	Prepaid expenses and deferred charges ......			7,165,997	9	9,311,933
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	822,281,944
b	Less: accumulated depreciation	10b	551,045,398	276,980,475	10c	271,236,546
11	Investments—publicly traded securities .			467,202,611	11	573,160,973
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			2,533,886	13	3,306,986
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			22,554,626	15	23,205,386
16	Total assets. Add lines 1 through 15 (must equal line 33)...			893,810,803	16	994,127,214

17	Accounts payable and accrued expenses .....	64,024,334	17	63,537,636
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	259,331,204	20	250,941,580
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	12,548,386	25	16,398,772
26	Total liabilities. Add lines 17 through 25..	335,903,924	26	330,877,988

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	557,791,132	27	663,133,422
28	Net assets with donor restrictions ...........	115,747	28	115,804
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	557,906,879	32	663,249,226
33	Total liabilities and net assets/fund balances ........	893,810,803	33	994,127,214

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No