2024-08-14T23:03:46+00:00 2023-09-30 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BOULEVARD ATLANTA GA 30308 990 2022-10-01 474914917 Prisma Health Tuomey PRIS 8647977611 300 EAST MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 MATTHEW ELSEY EVP-CFO Prisma Health 8647977611 2024-08-15 true Aerrial M Orr P01598400 4048748300 2024-08-06 2022 2024-08-08 14:25:15Z MATTHEW ELSEY 300 EAST MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 207783876 false X WWW.PRISMAHEALTH.ORG X 2015 SC INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 3 1 1461 0 24349 0 609594 1322200 184535295 206340503 5064 -7481 898029 121173 186047982 207776395 0 0 0 0 101612098 94414941 0 0 0 114406664 129100216 216018762 223515157 -29970780 -15738762 154079885 148435676 6596714 6903377 147483171 141532299 INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. false false 188088004 0 206340503 PRISMA HEALTH WAS FORMED TO CREATE A BETTER STATE OF HEALTH FOR SOUTH CAROLINA. PRISMA HEALTH IS STRIVING TO REACH THAT GOAL BY PROVIDING HIGH QUALITY PATIENT CARE, DECREASING HEALTH DISPARITIES, REMOVING ACCESS BARRIERS, DEVELOPING NEW CLINICAL SERVICES AND ACADEMIC PROGRAMS, SHAPING HEALTH POLICY, AND ADDRESSING HEALTHCARE AFFORDABILITY. PLEASE READ THE ANNUAL REPORT FOR MORE DETAIL ABOUT NEW AND EXPANDED SERVICES AND INNOVATIVE COLLABORATIONS AT THIS WEBSITE: HTTPS://WWW.PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2023 188088004 true true false true false false false false false true false true false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 0 0 1461 true true true false false false false false false false false false false false X 3 1 false false false false true true true true true false false true true true true true true true true false SC X PRISMA HEALTH 8647977805 300 EAST MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 James H Herlong Secretary/Treasurer 1.0 0 X X 0 0 0 Jean M Meyer SVP-Acute Care Svcs & Chief Nursing Exec (Vice Chair until 9/19/23) 1.0 45.0 X X 0 739663 42675 Sara B Fisher Chair 1.0 0 X X 0 0 0 William A Jackson VP-Business Dev & Community Rel (Vice Chair start 9/19/23) 1.0 40.0 X X 0 171392 7383 Matthew M Elsey EVP-Chief Financial Officer 1.0 45.0 X 0 84085 860 Amy E Linsin EVP Chief HR and Diversity Officer 1.0 45.0 X 0 502418 143480 Clarence M Sevillian II EVP Chief Operating Officer 1.0 45.0 X 0 726478 109094 Elizabeth Tibbs SVP Chief Operating Officer, Medical Group 1.0 45.0 X 0 473253 84409 Howard P West EVP Chief Legal Officer (until 9/30/23) 1.0 45.0 X 0 1131273 76699 Jonathan L Gleason MD EVP Chief Clinical Officer 1.0 45.0 X 0 1075554 68926 Malcolm W Isley EVP Chief Strategy Officer 1.0 45.0 X 0 690629 24761 Mark S O'Halla President and CEO of Prisma Health 1.0 45.0 X 0 1742463 335542 Richard J Rogers SVP Chief Information Officer 1.0 45.0 X 0 703199 118692 William C Gerard MD EVP Value Based Care/CMO Prisma Health Plans/CEO inVio Health Networks 1.0 45.0 X 0 742315 56183 George S Dilts Physician Executive 40.0 0.0 X 0 298232 24925 Jeffery H Faw Dir-Administrative (until 2/25/2023) 40.0 0.0 X 0 194390 35706 Joseph A DiPaolo Chief Executive Officer (until 3/13/23) 40.0 0.0 X 0 342984 37490 Susan Gaymon CNO I 40.0 0.0 X 0 228686 58150 Wendy S Bryant Medical Physicist Cert 40.0 0.0 X 0 232467 31354 Carolyn R Swinton Frmr SVP Chief Nursing Officer (until 2/4/22) 0.0 0.0 X 0 496685 64529 Gregory J Rusnak Frmr EVP Chief Operating Officer (until 10/1/21) 0.0 0.0 X 0 702220 8700 Keith N Alexander Frmr SVP Acute Care Operations (until 1/7/22) 0.0 0.0 X 0 729620 40884 Michael T Burke Frmr EVP Chief Financial Officer (until 9/30/22) 0.0 0.0 X 0 1034428 71804 Scott M Sasser Frmr CEO, Prisma Health Medical Group (until 6/20/22) 0.0 0.0 X 0 382838 42906 0 13425272 1485152 98 true true false Midlands ER Physicians 129 N WASHINGTON ST SUMTER SC 29150 Emergency Medical Services 6904203 Qualivis LLC PO BOX 123847 DALLAS TX 75312 Clinical Staffing Services 6125431 Laboratory Corp PO Box 12140 Burlington NC 27216 Lab Services 2545246 Total Comfort Solutions 1218 Brougthon Blvd Florence SC 29501 HVAC Repair Services 2065781 Allied Universal Security Services Eight Tower Bridge 161 Washington St Suite 600 Conshohocken PA 19428 Security Services 1870980 38 1188016 134184 1322200 NET PATIENT SERVICE 621400 202142480 202125631 16849 QUALITY ACHIEVEMENT PROGRAM 900099 2228148 2228148 DIRECTED PAYMENT PROGRAM 900099 952171 952171 PATIENT FOOD SERVICES 900099 524513 524513 PHARMACY REVENUE 900099 51708 51708 441483 433983 7500 0 206340503 121173 0 121173 0 121173 121173 0 7481 0 -7481 -7481 -7481 0 0 0 0 0 207776395 206316154 24349 113692 X 0 0 74258368 62488417 11769951 20156573 16961756 3194817 27770055 23368501 4401554 0 195677 164662 31015 871921 733722 138199 17624626 14831123 2793503 254758 214379 40379 38338 32261 6077 102025 85854 16171 10641783 8955060 1686723 1036542 872250 164292 CORPORATE ALLOCATIONS 31809880 26768014 5041866 MEDICAL SUPPLIES 30400114 25581696 4818418 MEDICAID TAX 6223809 5237335 986474 UBTI TAX 8000 6732 1268 2122688 1786242 336446 0 223515157 188088004 35427153 0 -539276 6138 30788951 31195309 0 0 0 0 4832371 3492546 207324493 127231826 81279236 80092667 0 34975679 32332554 2742924 1316462 154079885 148435676 4818258 5792975 65452 17436 0 0 1713004 1092966 6596714 6903377 X 138703322 132755261 8779849 8777038 147483171 141532299 154079885 148435676 X -15738762 9787890 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6823 6823 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PRISMA HEALTH TUOMEY ENGAGED IN LOBBYING ACTIVITIES DURING THE YEAR BUT DID NOT INCUR ANY EXPENSES RELATED TO THESE EFFORTS. A PORTION OF PRISMA HEALTH TUOMEY'S SC HOSPITAL ASSOCIATION DUES ARE USED FOR LOBBYING EXPENSES. THESE WERE PAID BY PRISMA HEALTH ON PRISMA HEALTH TUOMEY'S BEHALF. 6827984 6827984 131753307 82086039 49667268 862982 842641 20341 62848748 43012345 19836403 5031472 1290801 3740671 80092667 MEMBERSHIP INTEREST - FOUNDATION 32332554 C 32332554 ESTIMATED THIRD PARTY OBLIGATIONS 64708 LEASE OBLIGATIONS 1028258 1092966 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PRISMA HEALTH TUOMEY IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PRISMA HEALTH AND SUBSIDIARIES. PRISMA HEALTH QUALIFIES AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). AS OF SEPTEMBER 30, 2023, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. true true X true X true X true true true false true true 10346944 2195248 8151696 0.0365 35751013 33682324 2068689 0.0093 0 0 0 0.0 0 0 46097957 35877572 10220385 0.0457 194743 98340 96403 0.0004 2414655 991793 1422862 0.0064 132264259 122337594 9926665 0.0444 0 0 0 0.0 0 0 0 0.0 0 0 134873657 123427727 11445930 0.0512 0 0 180971614 159305299 21666315 0.0969 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 6078689 1827921 79200308 81370060 -2169752 X true true 1 1 PRISMA HEALTH TUOMEY 300 EAST MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 WWW.PRISMAHEALTH.ORG HTL-096 X X X X A A 1 false false true X X X X X X X X X 21 true true false true X HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 21 true HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 400.0 X X X true true X X X X true X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. ALL THE NEEDS IDENTIFIED BY THE CHNA ARE BEING ADDRESSED. PLEASE REFER TO THE SCHEDULE H, PART V, LINE 11 DISCLOSURE FOR DETAILS. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - PRISMA HEALTH TUOMEY. PRISMA HEALTH FORMED A MULTI-STAKEHOLDER TEAM TO CARRY OUT THE TAX YEAR 2021 (FISCAL YEAR 9/30/22) COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THE TEAM IDENTIFIED SEVEN COUNTIES TO FOCUS ON IN COLLECTING DATA FOR PRISMA HEALTH'S 2021 CHNA. THESE COUNTIES WERE: GREENVILLE, LAURENS, LEXINGTON, OCONEE, PICKENS, RICHLAND AND SUMTER. A TOTAL OF 7,613 SURVEYS WERE COMPLETED ACROSS THE SEVEN COUNTIES. DATA AND INFORMATION GATHERING USED BOTH QUALITATIVE AND QUANTITATIVE METHODS. PRIMARY RESEARCH - QUALITATIVE AND QUANTITATIVE - WAS COLLECTED THROUGH INTERNAL DATA SOURCES, FOCUS GROUPS, COMMUNITY STAKEHOLDER INTERVIEWS AND COMMUNITY MEMBER SURVEYS. COMMUNITY AGENCIES PROVIDED SECONDARY RESEARCH DATA. PUBLIC HEALTH EXPERTS GUIDED THE TEAM'S OBJECTIVES IN DEVELOPING TOOLS, ANALYZING DATA AND PRIORITIZING NEEDS. CONSUMER SURVEYS, ONE TO ONE INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED BETWEEN 3/2022 AND 6/2022. STATE AND LOCAL ELECTED OFFICIALS, MAJOR EMPLOYERS, COMMUNITY MEMBERS AND COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH SERVICES PROVIDED INPUT. INDIVIDUALS ACROSS MANY SECTORS OF THE COMMUNITY WERE SURVEYED, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. INDIVIDUALS CONSISTED OF THE FOLLOWING: HISPANIC COMMUNITY, RURAL COMMUNITY, LGBTQ COMMUNITY, GEN Z POPULATION, SC DHEC, CBOS, HOMELESS SHELTERS, AND OTHER ORGANIZATIONS THAT PROVIDE HEALTH SERVICES. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - PRISMA HEALTH TUOMEY. PRISMA HEALTH-MIDLANDS, PRISMA HEALTH-UPSTATE, PRISMA HEALTH TUOMEY, AND THE SHRINER'S HOSPITAL OF GREENVILLE ALL CONDUCTED THE CHNA JOINTLY. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - PRISMA HEALTH TUOMEY. THE COMMUNITY HEALTH NEEDS ASSESSMENT DOESN'T LIST ANY SIGNIFICANT NEEDS THAT THE HOSPITAL SYSTEM ISN'T ADDRESSING IN THE ORGANIZATIONS IMPLEMENTATION PLAN. THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS INDICATED THREE DISTINCTIVE HEALTH ISSUES AND PRIORITY AREAS FOR INTERVENTION IN LEXINGTON, RICHLAND, SUMTER, GREENVILLE, OCONEE, PICKENS AND LAURENS COUNTY. THOSE NEEDS ARE: 1. MENTAL HEALTH 2. OVERWEIGHT AND OBESITY 3. HEART DISEASE AND STROKE PRISMA HEALTH IS ADDRESSING ALL THE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. DURING THE NEXT THREE YEARS, PRISMA HEALTH IS COMMITTED TO PARTNERING WITH HEALTH CARE AND COMMUNITY LEADERS TO PRIORITIZE AND SELECT CRITICAL AREAS FOR INTERVENTION AND ACTION PLANNING. PRISMA HEALTH HAS OUTLINED STRATEGIES FOR PRIORITY AREAS IN PARTNERSHIP WITH VARIOUS COMMUNITY PARTNERS. PLEASE SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN AT THE FOLLOWING LINK: HTTPS://PRISMAHEALTH.ORG/PDFS/2022-CHNA-REPORT RESPONDING TO THE PANDEMIC: BEGINNING IN MARCH 2020, COVID-19 BROUGHT NEW AND AMPLIFIED EXISTING HEALTH CONCERNS AND CONSIDERATIONS FOR THE COMMUNITY AND HEALTHCARE PROFESSIONALS. FOR THOSE NEEDING HOSPITALIZATION, PRISMA HEALTH TREATED 30% OF THE STATE'S COVID-19 PATIENTS. IN JANUARY 2021, PRISMA HEALTH CREATED MASS VACCINATION SITES AT SEVERAL FACILITIES, TAKING A LEADERSHIP ROLE IN THE MIDLANDS AND UPSTATE. AT THE VACCINATION PEAK JAN. 22, 2021; 9,656 SHOTS WERE ADMINISTERED. ADDITIONALLY, SIX MOBILE UNITS WERE OUTFITTED TO DISPENSE VACCINATIONS, TARGETING RESIDENTS IN RURAL AND UNDERSERVED AREAS. IN LARGE PART DUE TO COVID-19, PRISMA HEALTH'S VIRTUAL CARE PLATFORMS LOGGED MORE THAN 413,000 VISITS BY VIDEO, PHONE OR EVISIT. THESE OPTIONS HAVE BEEN PARTICULARLY HELPFUL FOR PEOPLE RELUCTANT TO SEEK ON-SITE CARE FOR OTHER HEALTH CONCERNS DURING THE PANDEMIC. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - PRISMA HEALTH TUOMEY. THERE IS A CATASTROPHIC CLAUSE WHICH ALLOWS FOR AN ALTERNATIVE MEANS OF QUALIFYING BASED ON SIGNIFICANT FINANCIAL HARDSHIP. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - PRISMA HEALTH TUOMEY. THE FINANCIAL ASSISTANCE POLICY EXPLAINS DIFFERENT METHODS FOR APPLYING FOR FINANCIAL ASSISTANCE BY: VISITING PRISMA HEALTH WEBSITE WITH ADDRESS LISTED, CONTACTING PRISMA HEALTH PATIENT FINANCIAL SERVICES WITH PHONE NUMBERS LISTED, MAILING A REQUEST WITH ADDRESSES LISTED, OR VISITING A PRISMA HEALTH FACILITY. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - PRISMA HEALTH TUOMEY. COMMUNITY CLINICS ARE AWARE OF AND HAVE INFORMATION REGARDING THE PRISMA HEALTH FINANCIAL ASSISTANCE POLICY. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - PRISMA HEALTH TUOMEY. CONSPICUOUS POSTINGS IN THE HOSPITAL REGISTRATION AREAS INFORMING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY. 3 PRISMA HEALTH TUOMEY HOME HEALTH 500 PINEWOOD ROAD STE 2 SUMTER SC 291546197 HOME HEALTH PRISMA HEALTH TUOMEY HOSPICE 500 PINEWOOD ROAD STE 2 SUMTER SC 291546197 HOSPICE CARE, COMMUNITY BASED PRISMA HLTH TUOMEY AC REHABILITATION 129 N WASHINGTON STREET SUMTER SC 291504949 REHABILITATION UNIT Schedule H, Part V, Section C FACILITY REPORTING GROUP A CONSISTS OF: FACILITY 1: PRISMA HEALTH TUOMEY Schedule H, Part I, Line 7k COMMUNITY BENEFIT PERCENT Prisma Health saw a significant reduction in Community Benefits on Part I, Line 7 (k) from FY22 to FY23 due to higher Medicaid net revenue and lower Covid-19 expense. The net revenue increase was attributable to a new Medicaid supplemental payment program called Health, Access, Workforce and Quality Program (HAWQ). The increased funding reduced the Medicaid shortfall we experienced in FY22. Schedule H, Part I, Line 7g Subsidized Health Services COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS, INTERNAL COST ACCOUNTING SYSTEM AND PRISMA HEALTH-TUOMEYS MEDICARE COST REPORT. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE SUBSIDIZED HEALTH SERVICES INCLUDE: 1. BEHAVIORAL HEALTH 2. CARDIOVASCULAR 3. FAMILY MEDICINE 4. NEUROSCIENCES 5. ORTHOPEDICS 6. WOMEN'S HEALTH 7. OTHER Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE COST OF BAD DEBT IS FORMULATED BY MULTIPLYING THE APPROPRIATE COST TO CHARGE RATIO FOR EACH ENTITY BY THE ACTUAL BAD DEBT CHARGES FOR EACH CORRELATING ENTITY REPORTED WITHIN THE AUDITED FINANCIAL STATEMENTS. THIS AMOUNT IS THEN REDUCED BY A PORTION OF THE NET MEDICAID DSH REVENUE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology OF THE ACCOUNTS IN BAD DEBT, AN INTERNAL REVIEW SHOWED THAT 49.69% WERE SELF-PAY WITH LOW PROPENSITY TO PAY SCORES. OF THESE, AN ESTIMATED 94.4% OF THESE WOULD QUALIFY FOR CHARITY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SEE THE FY2023 FINANCIALS, NOTE 2 - REVENUE RECOGNITION AND PATIENT ACCOUNTS RECEIVABLE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE AMOUNT WITHIN LINE 7 OF PART 3 REPRESENTS THE SHORTFALL AFTER COMPARING THE NET REVENUE AND COST OF PATIENTS CLASSIFIED AS MEDICARE WHO WERE NOT INCLUDED WITHIN THE SUBSIDIZED HEALTH SERVICE COMPONENT. THE SHORTFALL CONSISTS OF MEDICARE PATIENTS THAT INCURRED A LOSS AFTER USING DATA FORMULATED WITHIN THE INTERNAL COST ACCOUNTING SYSTEM. ($2.2 MILLION) THE MEDICARE ALLOWABLE COST WAS DETERMINED USING A FACILITY SPECIFIC COST ACCOUNTING SYSTEM. THIS TOOL ALLOCATED BOTH DIRECT AND INDIRECT COST FOR ALL MEDICARE PATIENTS BASED ON THE UTILIZATION OF THE UNIQUE SERVICES PROVIDED TO THOSE PATIENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PRISMA HEALTH WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT FOR CARE BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FINANCIAL ARRANGEMENT AND ASSISTANCE POLICY. INDIVIDUALS MEETING ALL CRITERIA FOR FINANCIAL ASSISTANCE WITH AN INCOME LEVEL AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE (FPG) RECEIVE FREE CARE. INDIVIDUALS WITH AN INCOME LEVEL OF >200% FPG UP TO 400% FPG RECEIVE DISCOUNTED CARE BASED ON A SLIDING SCALE AS SET FORTH IN THIS POLICY. REFERENCE ATTACHMENT B OF THE FINANCIAL ASSISTANCE POLICY. HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE Schedule H, Part V, Section B, Line 16a FAP website A - PRISMA HEALTH TUOMEY: Line 16a URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - PRISMA HEALTH TUOMEY: Line 16b URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - PRISMA HEALTH TUOMEY: Line 16c URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment A DESCRIPTION OF HOW PRISMA HEALTH TUOMEY CONDUCTS ITS NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PLEASE REFER TO PART V, SECTION B, QUESTION 16 QUESTIONS AND DISCLOSURE. Schedule H, Part VI, Line 4 Community information PRISMA HEALTH'S GEOGRAPHICAL SERVICE AREAS INCLUDE RURAL, URBAN AND SUBURBAN COMMUNITIES. KNOWN AS THE MIDLANDS AND UPSTATE REGIONS, THE FOLLOWING COUNTIES REPRESENT PRISMA HEALTH'S SERVICE AREAS: RICHLAND, LEXINGTON, SUMTER, LAURENS, OCONEE, GREENVILLE AND PICKENS, RESPECTIVELY. IN 2021, THE 7-COUNTY POPULATION BREAKDOWN WAS: POPULATION 1,636,271, MEDIAN HOUSEHOLD INCOME $53,232, AN AVERAGE OF 14.9% BELOW THE FPL, AND AN AVERAGE OF 13% UNINSURED. THREE HOSPITALS ARE ALSO IN THE AREA AND SERVE THE COMMUNITY. Schedule H, Part VI, Line 5 Promotion of community health PLEASE SEE PAGES 13-14 OF THE CHNA AT THE FOLLOWING LINK TO SEE WAYS PRISMA HEALTH PROMOTES COMMUNITY HEALTH: HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT Schedule H, Part VI, Line 6 Affiliated health care system PRISMA HEALTH WAS FORMED TO CREATE A BETTER STATE OF HEALTH FOR SOUTH CAROLINA. PRISMA HEALTH IS STRIVING TO REACH THAT GOAL BY PROVIDING HIGH-QUALITY PATIENT CARE, DECREASING HEALTH DISPARITIES, REMOVING ACCESS BARRIERS, DEVELOPING NEW CLINICAL SERVICES AND ACADEMIC PROGRAMS, SHAPING HEALTH POLICY, AND ADDRESSING HEALTHCARE AFFORDABILITY. SEE HIGHLIGHTS AND STATISTICS IN ANNUAL REPORT AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2023 Schedule H, Part VI, Line 7 State filing of community benefit report SC true true false false false false false false false William A Jackson VP-Business Dev & Community Rel (Vice Chair start 9/19/23) 0 141060 0 30000 0 332 0 2885 0 4498 0 178775 0 0 Jean M Meyer SVP-Acute Care Svcs & Chief Nursing Exec (Vice Chair until 9/19/23) 0 684203 0 0 0 55460 0 33717 0 8958 0 782338 0 0 Carolyn R Swinton Frmr SVP Chief Nursing Officer (until 2/4/22) 0 67012 0 0 0 429673 0 60692 0 3837 0 561214 0 0 Keith N Alexander Frmr SVP Acute Care Operations (until 1/7/22) 0 33488 0 0 0 696132 0 39881 0 1003 0 770504 0 15908 Michael T Burke Frmr EVP Chief Financial Officer (until 9/30/22) 0 623338 0 0 0 411090 0 56200 0 15604 0 1106232 0 37587 Gregory J Rusnak Frmr EVP Chief Operating Officer (until 10/1/21) 0 0 0 0 0 702220 0 8700 0 0 0 710920 0 0 Scott M Sasser Frmr CEO, Prisma Health Medical Group (until 6/20/22) 0 297439 0 0 0 85399 0 25239 0 17667 0 425744 0 15366 William C Gerard MD EVP Value Based Care/CMO Prisma Health Plans/CEO inVio Health Networks 0 717310 0 0 0 25005 0 53891 0 2292 0 798498 0 0 Jonathan L Gleason MD EVP Chief Clinical Officer 0 758657 0 248254 0 68643 0 41000 0 27926 0 1144480 0 0 Malcolm W Isley EVP Chief Strategy Officer 0 333242 0 236000 0 121387 0 -3374 0 28135 0 715390 0 0 Amy E Linsin EVP Chief HR and Diversity Officer 0 488200 0 0 0 14218 0 124437 0 19043 0 645898 0 0 Mark S O'Halla President and CEO of Prisma Health 0 1719058 0 0 0 23405 0 309769 0 25773 0 2078005 0 0 Richard J Rogers SVP Chief Information Officer 0 606989 0 0 0 96210 0 96796 0 21896 0 821891 0 0 Clarence M Sevillian II EVP Chief Operating Officer 0 695342 0 0 0 31136 0 84161 0 24933 0 835572 0 0 Elizabeth Tibbs SVP Chief Operating Officer, Medical Group 0 461370 0 0 0 11883 0 54692 0 29717 0 557662 0 0 Howard P West EVP Chief Legal Officer (until 9/30/23) 0 650529 0 322202 0 158542 0 56200 0 20499 0 1207972 0 0 Wendy S Bryant Medical Physicist Cert 0 231516 0 0 0 951 0 6972 0 24382 0 263821 0 0 George S Dilts Physician Executive 0 296261 0 0 0 1971 0 23744 0 1181 0 323157 0 0 Joseph A DiPaolo Chief Executive Officer (until 3/13/23) 0 317407 0 0 0 25577 0 28691 0 8799 0 380474 0 0 Jeffery H Faw Dir-Administrative (until 2/25/2023) 0 184046 0 9274 0 1070 0 26190 0 9516 0 230096 0 0 Susan Gaymon CNO I 0 227811 0 0 0 875 0 34681 0 23469 0 286836 0 0 Schedule J, Part I, Line 1a HOUSING ALLOWANCE FOR PERSONAL PRISMA HEALTH PROVIDES TEMPORARY HOUSING ALLOWANCES TO EXECUTIVES FOR THE PURPOSES OF RELOCATION ASSISTANCE. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND IS INCLUDED IN THE INCOME REPORTED ON FORM 990. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION PRISMA HEALTH TUOMEY IS AN INTEGRAL PART OF PRISMA HEALTH, A SOUTH CAROLINA HEALTHCARE SYSTEM AND RELIES UPON PRISMA HEALTH TO ESTABLISH THE COMPENSATION PHILOSPHY OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PRISMA HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PRISMA HEALTH. Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENT THE FOLLOWING EMPLOYEE RECEIVED A SEVERANCE PAYMENT UPON TERMINATION OF THEIR EMPLOYMENT CONTRACT: GREGORY RUSNAK - $657,218 CAROLYN SWINTON - $383,858 KEITH ALEXANDER - $551,250 MICHAEL BURKE - $167,033 Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN The 457(f) plan is provided to a select group of management or highly compensated Employees (within the meaning of sections 201(2), 301(a)(3) and 401(a)(1) of ERISA) of Prisma Health and subsidiaries who contribute significantly to the future business success of the company with supplemental retirement income through company contributions. Employees eligible for the program are approved by the executive compensation committee of the board. Those eligible receive a 13-23 percent contribution on an annual Basis based on prior fiscal year base compensation. THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THEIR 457(F) PLANS: KEITH ALEXANDER - $100,979 MICHAEL BURKE - $222,388 SCOTT SASSER - $76,376 MALCOLM ISLEY - $31,424 AMY LINSIN - $69 RICH ROGERS - $20,575 Benefits accruing under the Prisma Health pension plan are frozen. The accrual amounts Reported in sch. J, Part II, Column C, reflect the change in actuarial value during the year and have resulted in negative amounts for retirement and other deferred compensation in some instances. SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE MICHAEL BURKE, MALCOLM ISLEY, AMY LINSIN, MARK O'HALLA, GREGORY RUSNAK, CLARENCE SEVILLIAN, MATTHEW ELSEY AND WILLIAM GERARD. The Organization deposited funds into life insurance policies on the participant's life. During life, and subject to the policies generating sufficient values, the participant can borrow from one of the policies. The borrowing is monitored and limited so the policies do not Lapse. At the participant's death, the organization recovers an amount generally equal to Its premiums plus interest. Participants in the plan have signed written representations Under reg. 1.78782.15(d)(2) and those representations are maintained on file by Prisma Health. Form 990, Part VI, Line 1a PRISMA HEALTH TUOMEY'S BOARD OF DIRECTORS DOES NOT POSSESS A MAJORITY OF INDEPENDENT DIRECTORS. PRISMA HEALTH TUOMEY'S SOLE MEMBER IS PRISMA HEALTH-MIDLANDS. PRISMA HEALTH-MIDLANDS'S BOARD OF DIRECTORS MAINTAINS A MAJORITY INDEPENDENCE. Form 990, Part VI, Line 15 A & B PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL PRISMA HEALTH IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION PHILOSOPHY. AS PART OF THIS UNDERTAKING, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF PRISMA HEALTH, WHICH IS COMPOSED SOLELY OF INDEPENDENT DIRECTORS OF PRISMA HEALTH, SETS THE COMPENSATION PAYABLE TO THE EXECUTIVES AND MANAGEMENT LEADERS EMPLOYED BY PRISMA HEALTH AND ITS RELATED ORGANIZATIONS WHO ARE CONSIDERED AS DISQUALIFIED PERSONS IN ACCORDANCE WITH SECTION 4958 OF THE CODE AND THE APPLICABLE COMPENSATION PHILOSOPHY TO MANAGERS, DIRECTORS, AND EMPLOYEES. THIS PROCESS OF INDEPENDENT ESTABLISHMENT AND REVIEW OF COMPENSATION BY THE PARENT ORGANIZATION OR THE SYSTEM IS CONSISTENT WITH THAT UTILIZED BY THE MAJORITY OF LARGE, MULTI-INSTITUTIONAL HEALTHCARE SYSTEMS. THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES AN EXPERT INDEPENDENT COMPENSATION CONSULTANT RETAINED BY THE COMMITTEE TO PROVIDE AND EVALUATE COMPENSATION BASED ON COMPARABILITY DATA, MARKET CONDITIONS, COMPETITION FOR TALENT, AND OTHER SIGNIFICANT FACTORS. BASE COMPENSATION, VARIABLE INCENTIVE COMPENSATION, AND BENEFITS ARE ALL ESTABLISHED AND SET AFTER REVIEW BY THE COMMITTEE OF THIS DATA AND THE PERFORMANCE OF THE ORGANIZATION, AND REPORTS FROM THE INDEPENDENT CONSULTANT ARE INCLUDED IN THE MINUTES OF THE DELIBERATION BY THE COMMITTEE. THIS PROCESS WAS LAST COMPLETED SEPTEMBER 2023. Form 990, Part VI, Line 6 Classes of members or stockholders PRISMA HEALTH-MIDLANDS IS THE SOLE MEMBER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER, PRISMA HEALTH-MIDLANDS, HAS THE AUTHORITY AND PRIVILEGE TO APPROVE OR REMOVE DIRECTORS ON THE BOARD. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER, PRISMA HEALTH-MIDLANDS, IS GRANTED THE AUTHORITY AND PRIVILEGE TO: 1. APPROVE THE ADDITION OR ADMISSION OF ANY NEW MEMBERS OF THE CORPORATION AND THE DETERMINATION OF ANY CONSIDERATION OR TERMS FOR SUCH MEMBERSHIP. 2. APPROVE THE MERGER, CONSOLIDATION, SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS ON THE CORPORATION. 3. APPROVE THE DISSOLUTION OF THE CORPORATION. 4. APPROVE THE BORROWING OF MONEY BY THE CORPORATION IN EXCESS OF $500,000 FROM ANY PERSON OR ENTITY OTHER THAN THE MEMBER OR THE INCURRING OF ANY OTHER DEBT ON BEHALF OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE CORPORATION'S BUSINESS. 5. APPROVE ANY LIEN, PLEDGE, SECURITY INTEREST OR OTHER ENCUMBRANCE EXCEPT FOR THOSE SECURING DEBT ISSUED BY THE MEMBER, MECHANIC'S LIENS FOR ACCOUNTS NOT PAST DUE, AND TAX LIENS NOT YET DUE AND PAYABLE. 6. APPROVE THE INDEMNIFICATION OF ANY OFFICER, DIRECTOR, EMPLOYEE, OR AGENT OF THE CORPORATION AS MAY BE PERMITTED PURSUANT TO SECTIONS 33-31-850 THROUGH 33-31-858 OF THE ACT. 7. APPROVE OF ANY DISTRIBUTION OF ASSETS UPON LIQUIDATION OF THE CORPORATION. 8. APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE CORPORATION. 9. APPROVE THE AMENDMENT OR REPEAL OF THE BYLAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY PRISMA HEALTH MANAGEMENT. THE RETURN WAS REVIEWED BY PRISMA HEALTH MANAGEMENT AND IN-HOUSE LEGAL COUNSEL PRIOR TO FILING WITH THE IRS. IN ADDITION, A COPY OF THE RETURN WAS PROVIDED TO THE PRISMA HEALTH TUOMEY BOARD OF DIRECTORS AND THE PRISMA HEALTH BOARD OF DIRECTORS PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY CORPORATE COMPLIANCE AND WHEN APPROPRIATE BY THE LEGAL DEPARTMENTS OF PRISMA HEALTH. ADDITIONALLY, CORPORATE COMPLIANCE COMPARES ANNUAL DISCLOSURES BY EMPLOYED PHYSICIANS TO THOSE DISCLOSED BY VENDORS THROUGH THE OPEN PAYMENTS SYSTEMS. ANY EXCEPTIONS ARE REVIEWED AND COMMUNICATED TO THE CONFLICT OF INTEREST COMMITTEE AND THE DEPARTMENT CHAIRPERSON. IF PRISMA HEALTH DETERMINES THAT A PRISMA HEALTH TEAM MEMBER OR MEDICAL GROUP MEMBER COVERED BY THIS POLICY DID NOT COMPLY WITH THE TERMS OF THE CONFLICT OF INTEREST ANNUAL DISCLOSURE POLICY, OR IF PRISMA HEALTH DISCOVERS THAT ONE OF THESE INDIVIDUALS HAD A SIGNIFICANT FINANCIAL OR ORGANIZATIONAL INTEREST THAT WAS NOT DISCLOSED IN A TIMELY MANNER PURSUANT TO THIS POLICY, PRISMA HEALTH WILL CONDUCT A RETROSPECTIVE REVIEW, AND IF, UPON CONCLUSION OF THE REVIEW, THE PRISMA HEALTH CONFLICT OF INTEREST COMMITTEE FINDS THAT A CONFLICT OF INTEREST EXISTED THAT COULD HAVE AFFECTED THE DECISION-MAKING AND/OR INDEPENDENT JUDGEMENT OF THE INDIVIDUAL, PRISMA HEALTH WILL TAKE APPROPRIATE STEPS IN ACCORDANCE WITH THIS POLICY TO MANAGE OR ELIMINATE THE CONFLICT AND REPORT ITS FINDING TO THE APPROPRIATE PRISMA HEALTH ADMINISTRATIVE BODY. A TRANSACTION IN WHICH A DIRECTOR OF THE CORPORATION HAS A CONFLICT OF INTEREST MAY BE AUTHORIZED, APPROVED, OR RATIFIED BY THE VOTE OF THE BOARD OR A COMMITTEE OF THE BOARD IF THE MATERIAL FACTS OF THE TRANSACTION AND THE DIRECTOR'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD OR COMMITTEE OF THE BOARD, AND THE DIRECTORS APPROVING THE TRANSACTION IN GOOD FAITH REASONABLY BELIEVE THAT THE TRANSACTION IS FAIR TO THE CORPORATION. A CONFLICT OF INTEREST TRANSACTION IS AUTHORIZED, APPROVED, OR RATIFIED IF IT RECEIVES THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS OF THE BOARD OR ON THE COMMITTEE WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION, BUT A TRANSACTION MAY NOT BE AUTHORIZED, APPROVED, OR RATIFIED UNDER THIS SECTION BY A SINGLE DIRECTOR. IF A MAJORITY OF THE DIRECTORS ON THE BOARD WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION VOTE TO AUTHORIZE, APPROVE, OR RATIFY THE TRANSACTION, A QUORUM IS PRESENT FOR THE PURPOSE OF TAKING ACTION UNDER THIS SECTION. THE PRESENCE OF, OR A VOTE CAST BY, A DIRECTOR WITH A DIRECT OR INDIRECT INTEREST IN THE TRANSACTION DOES NOT AFFECT THE VALIDITY OF ANY ACTION TAKEN UNDER THIS SECTION IF THE TRANSACTION IS OTHERWISE APPROVED AS PROVIDED IN THIS SECTION. A RESOLUTION OF THE BOARD MAY IMPOSE ADDITIONAL REQUIREMENTS ON CONFLICT OF INTEREST TRANSACTIONS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue OTHER PROGRAM SERVICE REVENUE - Total Revenue: 441483, Related or Exempt Function Revenue: 433983, Unrelated Business Revenue: 7500, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Medical Director & Med Physician Fees - Total Expense: 4032619, Program Service Expense: 3393449, Management and General Expenses: 639170, Fundraising Expenses: ; Other Patient Services - Total Expense: 23737436, Program Service Expense: 19975052, Management and General Expenses: 3762384, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFER FROM RELATED ORGANIZATIONS - 11591005; OTHER - -1803115; PRISMA HEALTH 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 822595551 HEALTHCARE SC 501(c)(3) Type III-FI NA false PRISMA HEALTH-UPSTATE 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 811723202 HOSPITAL SC 501(c)(3) 3 PRISMA HEALTH false PRISMA HEALTH MIDLANDS 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 582296052 HOSPITAL SC 501(c)(3) 3 PRISMA HEALTH false PRISMA HEALTH-UNIVERSITY MEDICAL GROUP 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 571004971 PHYSICIAN PRACTICES SC 501(c)(3) 10 PRISMA HEALTH-UPSTATE false GREENVILLE HEALTH CORPORATION 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 570835816 HEALTHCARE SC 501(c)(3) 10 PRISMA HEALTH-UPSTATE false THE TUOMEY FOUNDATION 115 N SUMTER STREET SUITE 420A SUMTER SC 29150 571041691 SUPPORTS HOSPITAL SC 501(c)(3) Type III-FI NA false TIMOTHY J TUOMEY TRUST 115 N SUMTER STREET SUITE 420A SUMTER SC 29150 237127466 SUPPORTS SC 501(c)(3) Type III-FI NA false PRISMA HEALTH MEDICAL GROUP-MIDLANDS 300 MCBEE AVE SUITE 500 GREENVILLE SC 29601 471345819 PHYSICIAN PRACTICES SC 501(c)(3) 10 PRISMA HEALTH-MIDLANDS false RADIATION ONCOLOGY 7 RICHLAND MEDICAL PARK ROAD COLUMBIA SC 29203 364542465 HEALTHCARE SC NA N/A false false PRISMA HEALTH URGENT CARE BY WELLSTREET LLC 3330 CUMBERLAND BLVD SE SUITE 825 ATLANTA GA 30339 921035147 HEALTHCARE GA MCBEE HOLDINGS INC N/A false false HEALTHSOURCE INC 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 570938686 HEALTHCARE SC PRISMA HEALTH-MIDLANDS C Corporation 0 0 false PHCA INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 883421661 HEALTHCARE SC MCBEE HOLDINGS INC C Corporation 0 0 false PHVPHIC INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 883279433 HEALTHCARE SC MCBEE HOLDINGS INC C Corporation 0 0 false PROMISE FIRST INC 300 E McBee Avenue Suite 500 GREENVILLE SC 29601 884158136 INSURANCE SC PHVPHIC INC C Corporation 0 0 false PROMISE HEALTH INSURANCE COMPANY SC INC 300 E McBee Avenue Suite 500 GREENVILLE SC 29601 882888859 INSURANCE SC PHVPHIC INC C Corporation 0 0 false HOSPITAL SERVICES INC 2751 THE BOULEVARD COLUMBIA INDUSTRIAL PARK COLUMBIA SC 29209 HEALTHCARE SC PRISMA HEALTH-MIDLANDS C Corporation 0 0 false MCBEE HOLDINGS INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 921216043 HEALTHCARE SC PRISMA HEALTH C Corporation 0 0 false false false true false false false false false true true true false false true true false true false false THE TUOMEY FOUNDATION C 1188016 BOOK BASIS PRISMA HEALTH AND PRISMA HEALTH-MIDLANDS I 6851978 BOOK BASIS PRISMA HEALTH MEDICAL GROUP-MIDLANDS J 692922 BOOK BASIS PRISMA HEALTH-MIDLANDS K 1909711 BOOK BASIS Schedule R, Part V, Line 1q ENTRIES ARE MADE TO TRANSFER EXPENSES BETWEEN RELATED ENTITIES TO THE APPROPRIATE ENTITY; HOWEVER, NO EXCHANGE OF CASH OCCURS.