PRISMA HEALTH MEDICAL GROUP-MIDLANDS: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PRISMA HEALTH MEDICAL GROUP-MIDLANDS (EIN 47-1345819)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-11
- IRS object ID
- 202302239349301235
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-11T22:30:40+00:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 IVAN ALLEN JR BOULEVARD SUITE 10 | AddressLine1Txt |
| Address Line2 | 00 | AddressLine2Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471345819 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Prisma Health Medical Group-Midlands | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRIS | BusinessNameControlTxt |
| Phone | 8647977611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 MEDICAL PARK STE 300 | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Matthew Elsey | PersonNm |
| Person Title | EVP-CFO Prisma Health | PersonTitleTxt |
| Phone | 8647977611 | PhoneNum |
| Signature | 2023-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MATTHEW | PersonFirstNm |
| Person Last | ELSEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Aerrial M Orr | PreparerPersonNm |
| PTIN | P01598400 | PTIN |
| Phone | 4048748300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTHEW ELSEY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 MEDICAL PARK STE 300 | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $372,992,683 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 2 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 2565 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,472,308 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $195,205 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,103,369 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $320,828,331 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $372,807,777 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $189,013 | PYOtherRevenueAmt |
| CY Other Revenue | $184,906 | CYOtherRevenueAmt |
| PY Total Revenue | $323,120,713 | PYTotalRevenueAmt |
| CY Total Revenue | $372,992,683 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $357,969,065 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $409,645,457 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $120,833,918 | PYOtherExpensesAmt |
| CY Other Expenses | $132,541,260 | CYOtherExpensesAmt |
| PY Total Expenses | $478,802,983 | PYTotalExpensesAmt |
| CY Total Expenses | $542,186,717 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$155,682,270 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$169,194,034 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $92,874,056 | TotalAssetsBOYAmt |
| Total Assets EOY | $121,130,947 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,944,901 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $60,536,312 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,929,155 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $60,594,635 | NetAssetsOrFundBalancesEOYAmt |
| Mission | INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $472,679,342 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $372,807,777 | RevenueAmt |
| Desc | PRISMA HEALTH MEDICAL GROUP-MIDLANDS IS A MEDICAL GROUP THAT OPERATES MEDICAL OFFICES. THERE ARE HEALTH CARE PROVIDERS SPECIALIZING IN PHYSICAL MEDICINE AND REHABILITATION, SPORT MEDICINE, OBSTETRICS/GYNECOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, GENERAL SURGERY, DIAGNOSTIC RADIOLOGY, FAMILY PRACTICE, CARDIOVASCULAR DISEASE (CARDIOLOGY), OPHTHALMOLOGY AND MORE, BEING REPORTED AS MEMBERS OF THE MEDICAL GROUP. MEDICAL TAXONOMIES WHICH ARE COVERED BY PRISMA HEALTH MEDICAL GROUP-MIDLANDS INCLUDE PEDIATRIC ORTHOPEDIC SURGERY, REGISTERED NURSE, GYNECOLOGY, CLINICAL CHILD & ADOLESCENT, ORTHOPEDIC TRAUMA, CLINICAL CARDIAC ELECTROPHYSIOLOGY, CLINICAL NUCLEAR RADIOLOGY, PSYCHOANALYSIS AND MANY MORE. | Desc |
| Total Program Service Expenses | $472,679,342 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2565 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 2 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEVIN HODGE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8647977611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 EAST MCBEE AVE STE 302 | AddressLine1Txt |
| City | GREENVILLE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Clarence M Sevillian II | ||||||||||
| Mngr, EVP Chief Operating Officer | 1.0 | 45.0 | Yes (X) | $0 | $649,775 | $13,156 | ||||
| Gary B Bell | ||||||||||
| Mngr, Physician | 40.0 | 0 | Yes (X) | $190,936 | $0 | $35,403 | ||||
| Scott M Sasser | ||||||||||
| Mngr, CEO, Prisma Health Medical Group (until 6/17/22) | 1.0 | 45.0 | Yes (X) | $0 | $958,379 | $104,597 | ||||
| James M Ellis Jr | ||||||||||
| President of Midlands Medical Group (until 12/31/21) | 1.0 | 40.0 | $0 | $1,047,433 | $81,940 | Yes (X) | ||||
| Matthew R Fowler | ||||||||||
| General Counsel | 1.0 | 42.0 | $0 | $545,898 | $69,346 | Yes (X) | ||||
| Amy E Linsin | ||||||||||
| EVP Chief HR and Diversity Officer | 1.0 | 45.0 | $0 | $852,277 | $79,188 | Yes (X) | ||||
| Carolyn R Swinton | ||||||||||
| SVP Chief Nursing Officer (until 2/4/22) | 1.0 | 45.0 | $0 | $688,689 | $73,904 | Yes (X) | ||||
| Charles D Williams III | ||||||||||
| CEO Prisma Health Medical Group (until 7/17/2022) | 1.0 | 45.0 | $0 | $155,284 | $22,288 | Yes (X) | ||||
| Elizabeth Tibbs | ||||||||||
| SVP Chief Operating Officer, Medical Group | 1.0 | 45.0 | $0 | $740,452 | $61,754 | Yes (X) | ||||
| Howard P West | ||||||||||
| EVP Chief Legal Officer | 1.0 | 45.0 | $0 | $1,060,821 | $76,310 | Yes (X) | ||||
| Keith N Alexander | ||||||||||
| SVP Acute Care Operations (until 1/7/22) | 1.0 | 45.0 | $0 | $940,018 | $96,084 | Yes (X) | ||||
| Malcolm W Isley | ||||||||||
| EVP Chief Strategy Officer | 1.0 | 45.0 | $0 | $780,163 | $97,417 | Yes (X) | ||||
| Mark S O'Halla | ||||||||||
| President and CEO of Prisma Health | 1.0 | 45.0 | $0 | $1,682,042 | $242,364 | Yes (X) | ||||
| Michael T Burke | ||||||||||
| EVP Chief Financial Officer | 1.0 | 45.0 | $0 | $1,289,820 | $99,139 | Yes (X) | ||||
| Richard J Rogers | ||||||||||
| SVP Chief Information Officer | 1.0 | 45.0 | $0 | $1,011,743 | $80,691 | Yes (X) | ||||
| William C Gerard MD | ||||||||||
| EVP Value Based Care/CMO Prisma Health Plans/CEO inVio Health Networks | 1.0 | 45.0 | $0 | $261,226 | $674 | Yes (X) | ||||
| David B Fulton | ||||||||||
| Physician | 40.0 | 0 | $1,428,200 | $0 | $61,903 | Yes (X) | ||||
| David Straus | ||||||||||
| Physician | 40.0 | 0 | $1,295,493 | $0 | $80,080 | Yes (X) | ||||
| Erwin Z Mangubat | ||||||||||
| Physician | 40.0 | 0 | $1,523,812 | $0 | $52,155 | Yes (X) | ||||
| Mickey F Plymale | ||||||||||
| Physician | 40.0 | 0 | $1,556,359 | $0 | $80,167 | Yes (X) | ||||
| Roham Moftakhar | ||||||||||
| Physician | 40.0 | 0 | $1,434,978 | $0 | $75,338 | Yes (X) | ||||
| Angelo Sinopoli MD | ||||||||||
| Frmr EVP Chief Clinical Officer (until 10/1/21) | 0.0 | 0.0 | $0 | $828,663 | $79,597 | Yes (X) | ||||
| Gregory J Rusnak | ||||||||||
| Fmr Mngr, EVP Chief Operating Officer (until 10/1/21) | 0.0 | 0.0 | $0 | $1,417,713 | $70,670 | Yes (X) | ||||
| Julian Kim MD | ||||||||||
| Former Mngr, Physician | 40.0 | 0 | $495,877 | $0 | $80,854 | Yes (X) | ||||
| Kevin A Boggs | ||||||||||
| Frmr Chief Operations Executive (until 5/17/21) | 0.0 | 0 | $289,729 | $0 | $23,243 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,215,384 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,910,396 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,838,262 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 594 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Qualivis LLC | |||||
| PO BOX 123847 | DALLAS | TX | 75312 | Clinical Staffing Services | $4,491,030 |
| Hayes Locums LLC | |||||
| 6700 N ANDREWS AVE 600 | FORT LAUDERDALE | FL | 33309 | Physician Placement Services | $2,084,882 |
| Athenahealth Inc | |||||
| PO BOX 415615 | BOSTON | MA | 02241 | Network Services | $858,828 |
| Gastrointestinal And Alimentary | |||||
| 722 ELMBROOK DR | SIMPSONVILLE | SC | 29681 | GI Physicians | $770,496 |
| Barton Associates Inc | |||||
| PO BOX 417844 | BOSTON | MA | 022417844 | Placement services | $571,469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SVC REV | 621110 | $254,815,927 | $253,343,619 | $1,472,308 |
| Employee Lease Agreement | 621110 | $3,651,470 | $3,651,470 | |
| Physician Services | 621110 | $6,697,148 | $6,697,148 | |
| Teaching Revenue | 621110 | $23,473,265 | $23,473,265 | |
| Service Revenue | 621110 | $67,717,959 | $67,717,959 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,452,008 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,452,008 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $372,807,777 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $184,906 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $184,906 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,906 | TotalRevenueColumnAmt |
| Exclusion | $184,906 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $372,992,683 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $371,335,469 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,472,308 | UnrelatedBusinessRevenueAmt |
| Exclusion | $184,906 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,339 | TotalAmt |
| Management And General | $226,339 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,703 | TotalAmt |
| Management And General | $889,703 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,768,539 | TotalAmt |
| Program Services | $307,304,996 | ProgramServicesAmt |
| Management And General | $44,463,543 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,760,876 | TotalAmt |
| Program Services | $49,586,301 | ProgramServicesAmt |
| Management And General | $7,174,575 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,406 | TotalAmt |
| Program Services | $176,822 | ProgramServicesAmt |
| Management And General | $25,584 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,775,591 | TotalAmt |
| Program Services | $11,160,757 | ProgramServicesAmt |
| Management And General | $1,614,834 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,579,337 | TotalAmt |
| Program Services | $1,379,709 | ProgramServicesAmt |
| Management And General | $199,628 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,888 | TotalAmt |
| Program Services | $534,545 | ProgramServicesAmt |
| Management And General | $77,343 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,719,449 | TotalAmt |
| Program Services | $19,847,711 | ProgramServicesAmt |
| Management And General | $2,871,738 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,008 | TotalAmt |
| Program Services | $388,759 | ProgramServicesAmt |
| Management And General | $56,249 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,690,782 | TotalAmt |
| Program Services | $1,477,067 | ProgramServicesAmt |
| Management And General | $213,715 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,030,804 | TotalAmt |
| Program Services | $2,647,710 | ProgramServicesAmt |
| Management And General | $383,094 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,633,882 | TotalAmt |
| Program Services | $12,784,159 | ProgramServicesAmt |
| Management And General | $1,849,723 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $38,181,074 | $33,354,986 | $4,826,088 |
| CORPORATE ALLOCATIONS | $34,498,886 | $30,138,227 | $4,360,659 |
| ELIGIBLE 340B EXPENSES | $1,423,242 | $1,243,344 | $179,898 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $748,911 | TotalAmt |
| Program Services | $654,249 | ProgramServicesAmt |
| Management And General | $94,662 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,186,717 | TotalAmt |
| Program Services | $472,679,342 | ProgramServicesAmt |
| Management And General | $69,507,375 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,152,064 | BOYAmt |
| EOY | $14,350,793 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,245 | BOYAmt |
| EOY | $2,330,653 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,478,171 | BOYAmt |
| EOY | $31,292,505 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $957 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $859,485 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $44,779,848 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,297,060 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,772,178 | BOYAmt |
| EOY | $30,482,788 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,307,956 | BOYAmt |
| EOY | $42,674,208 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,874,056 | BOYAmt |
| EOY | $121,130,947 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,443,260 | BOYAmt |
| EOY | $36,298,879 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $601,996 | BOYAmt |
| EOY | $962,683 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,899,645 | BOYAmt |
| EOY | $23,274,750 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,944,901 | BOYAmt |
| EOY | $60,536,312 | EOYAmt |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,929,155 | BOYAmt |
| EOY | $60,594,635 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,929,155 | BOYAmt |
| EOY | $60,594,635 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,874,056 | BOYAmt |
| EOY | $121,130,947 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$169,194,034 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $196,859,514 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $2,103,369 | CurrentTaxYearMinus1YearAmt |
| Total | $2,103,369 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $319,913,201 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $403,992,385 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $431,090,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $320,828,331 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $371,335,469 | CurrentTaxYearAmt |
| Total | $1,847,159,552 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $319,913,201 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $403,992,385 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $431,090,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $322,931,700 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $371,335,469 | CurrentTaxYearAmt |
| Total | $1,849,262,921 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,849,262,921 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $181,424 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,013 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $184,906 | CurrentTaxYearAmt |
| Total | $632,205 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,866 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $65,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $181,424 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,013 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $184,906 | CurrentTaxYearAmt |
| Total | $632,205 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $195,205 | CurrentTaxYearAmt |
| Total | $195,205 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,677,241 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $25,677,241 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $319,924,067 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $404,058,381 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $456,948,831 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $323,120,713 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $371,715,580 | CurrentTaxYearAmt |
| Total | $1,875,767,572 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9859 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - 25677241.0, COLUMN D - , COLUMN E - , COLUMN F - 25677241.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,094,932 | OtherCostOrOtherBasisAmt |
| Book Value | $1,094,932 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,539,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,165,879 | DepreciationAmt |
| Book Value | $16,373,832 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,047,755 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,064,284 | DepreciationAmt |
| Book Value | $983,471 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,158,706 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,050,957 | DepreciationAmt |
| Book Value | $11,107,749 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $938,744 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,940 | DepreciationAmt |
| Book Value | $922,804 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,482,788 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ORGANIZATIONS | $27,411,911 |
| OTHER ASSETS | $15,262,297 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $42,674,208 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE OBLIGATIONS | $12,168,617 |
| DUE TO MEDICARE - ACCELERATED PAYMENT | |
| OTHER LIABILITIES | $11,106,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $23,274,750 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | PRISMA HEALTH MEDICAL GROUP-MIDLANDS 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, 2022, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Julian Kim MD | ||||||||||||||
| Former Mngr, Physician | $488,519 | $0 | $0 | $0 | $7,358 | $0 | $52,800 | $0 | $28,054 | $0 | $576,731 | $0 | $0 | $0 |
| Gary B Bell | ||||||||||||||
| Mngr, Physician | $177,123 | $0 | $9,750 | $0 | $4,063 | $0 | $11,031 | $0 | $24,372 | $0 | $226,339 | $0 | $0 | $0 |
| Scott M Sasser | ||||||||||||||
| Mngr, CEO, Prisma Health Medical Group (until 6/17/22) | $0 | $592,166 | $0 | $351,667 | $0 | $14,546 | $0 | $69,156 | $0 | $35,441 | $0 | $1,062,976 | $0 | $0 |
| Clarence M Sevillian II | ||||||||||||||
| Mngr, EVP Chief Operating Officer | $0 | $279,465 | $0 | $306,000 | $0 | $64,310 | $0 | $5,812 | $0 | $7,344 | $0 | $662,931 | $0 | $0 |
| Kevin A Boggs | ||||||||||||||
| Frmr Chief Operations Executive (until 5/17/21) | $137,847 | $0 | $0 | $0 | $151,882 | $0 | $14,185 | $0 | $9,058 | $0 | $312,972 | $0 | $0 | $0 |
| Gregory J Rusnak | ||||||||||||||
| Fmr Mngr, EVP Chief Operating Officer (until 10/1/21) | $0 | $510,256 | $0 | $373,479 | $0 | $533,978 | $0 | $47,041 | $0 | $23,629 | $0 | $1,488,383 | $0 | $376,895 |
| James M Ellis Jr | ||||||||||||||
| President of Midlands Medical Group (until 12/31/21) | $0 | $638,881 | $0 | $306,428 | $0 | $102,124 | $0 | $54,244 | $0 | $27,696 | $0 | $1,129,373 | $0 | $92,816 |
| Matthew R Fowler | ||||||||||||||
| General Counsel | $0 | $334,235 | $0 | $200,244 | $0 | $11,419 | $0 | $38,116 | $0 | $31,230 | $0 | $615,244 | $0 | $0 |
| Angelo Sinopoli MD | ||||||||||||||
| Frmr EVP Chief Clinical Officer (until 10/1/21) | $0 | $431,790 | $0 | $0 | $0 | $396,873 | $0 | $71,064 | $0 | $8,533 | $0 | $908,260 | $0 | $356,069 |
| Keith N Alexander | ||||||||||||||
| SVP Acute Care Operations (until 1/7/22) | $0 | $580,568 | $0 | $339,012 | $0 | $20,438 | $0 | $69,958 | $0 | $26,126 | $0 | $1,036,102 | $0 | $0 |
| Michael T Burke | ||||||||||||||
| EVP Chief Financial Officer | $0 | $859,261 | $0 | $408,156 | $0 | $22,403 | $0 | $83,087 | $0 | $16,052 | $0 | $1,388,959 | $0 | $0 |
| William C Gerard MD | ||||||||||||||
| EVP Value Based Care/CMO Prisma Health Plans/CEO inVio Health Networks | $0 | $253,853 | $0 | $0 | $0 | $7,373 | $0 | $0 | $0 | $674 | $0 | $261,900 | $0 | $0 |
| Malcolm W Isley | ||||||||||||||
| EVP Chief Strategy Officer | $0 | $312,435 | $0 | $353,374 | $0 | $114,354 | $0 | $66,928 | $0 | $30,489 | $0 | $877,580 | $0 | $99,688 |
| Amy E Linsin | ||||||||||||||
| EVP Chief HR and Diversity Officer | $0 | $460,718 | $0 | $359,955 | $0 | $31,604 | $0 | $58,510 | $0 | $20,678 | $0 | $931,465 | $0 | $0 |
| Mark S O'Halla | ||||||||||||||
| President and CEO of Prisma Health | $0 | $1,658,679 | $0 | $0 | $0 | $23,363 | $0 | $211,873 | $0 | $30,491 | $0 | $1,924,406 | $0 | $0 |
| Richard J Rogers | ||||||||||||||
| SVP Chief Information Officer | $0 | $585,170 | $0 | $344,657 | $0 | $81,916 | $0 | $53,466 | $0 | $27,225 | $0 | $1,092,434 | $0 | $61,818 |
| Carolyn R Swinton | ||||||||||||||
| SVP Chief Nursing Officer (until 2/4/22) | $0 | $455,611 | $0 | $217,760 | $0 | $15,318 | $0 | $46,264 | $0 | $27,640 | $0 | $762,593 | $0 | $0 |
| Elizabeth Tibbs | ||||||||||||||
| SVP Chief Operating Officer, Medical Group | $0 | $441,664 | $0 | $285,111 | $0 | $13,677 | $0 | $31,057 | $0 | $30,697 | $0 | $802,206 | $0 | $0 |
| Howard P West | ||||||||||||||
| EVP Chief Legal Officer | $0 | $583,410 | $0 | $385,023 | $0 | $92,388 | $0 | $54,050 | $0 | $22,260 | $0 | $1,137,131 | $0 | $0 |
| Charles D Williams III | ||||||||||||||
| CEO Prisma Health Medical Group (until 7/17/2022) | $0 | $152,975 | $0 | $1,000 | $0 | $1,309 | $0 | $21,513 | $0 | $775 | $0 | $177,572 | $0 | $0 |
| David B Fulton | ||||||||||||||
| Physician | $1,422,875 | $0 | $0 | $0 | $5,325 | $0 | $54,050 | $0 | $7,853 | $0 | $1,490,103 | $0 | $0 | $0 |
| Erwin Z Mangubat | ||||||||||||||
| Physician | $1,522,078 | $0 | $0 | $0 | $1,734 | $0 | $28,050 | $0 | $24,105 | $0 | $1,575,967 | $0 | $0 | $0 |
| Roham Moftakhar | ||||||||||||||
| Physician | $1,432,391 | $0 | $0 | $0 | $2,587 | $0 | $42,483 | $0 | $32,855 | $0 | $1,510,316 | $0 | $0 | $0 |
| Mickey F Plymale | ||||||||||||||
| Physician | $1,554,179 | $0 | $0 | $0 | $2,180 | $0 | $47,550 | $0 | $32,617 | $0 | $1,636,526 | $0 | $0 | $0 |
| David Straus | ||||||||||||||
| Physician | $1,293,944 | $0 | $0 | $0 | $1,549 | $0 | $47,550 | $0 | $32,530 | $0 | $1,375,573 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a HOUSING ALLOWANCE FOR PERSONAL USE | 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 MEDICAL GROUP-MIDLANDS IS AN INTEGRAL PART OF PRISMA HEALTH, A SOUTH CAROLINA HEALTHCARE SYSTEM AND RELIES UPON PRISMA HEALTH TO ESTABLISH THE COMPENSATION PHILOSOPHY 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 - $ 141,555 |
| 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 THE PRIOR FISCAL YEAR BASE COMPENSATION. The following employees received distributions from their 457(f) plans: Gregory Rusnak - $321,780 Angelo Sinopoli - $351,566 SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE MICHAEL BURKE, MALCOLM ISLEY, AMY LINSIN, MARK O'HALLA, GREGORY RUSNAK, CLARENCE SEVILLIAN, ANGELO SINOPOLI AND DAVID FULTON. 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 IN SEPTEMBER 2022. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | PRISMA HEALTH-MIDLANDS IS THE SOLE MEMBER OF PRISMA HEALTH MEDICAL GROUP-MIDLANDS. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | PRISMA HEALTH-MIDLANDS, SOLE MEMBER OF PRISMA HEALTH MEDICAL GROUP- MIDLANDS, APPOINTS FOUR MEMBERS TO THE BOARD OF MANAGERS. THE BOARD MANAGERS ARE REPRESENTATIVES OF PRISMA HEALTH-MIDLANDS. |
| 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 ALL CURRENT BOARD MEMBERS 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 THE 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. |
| 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: 16452008, Related or Exempt Function Revenue: 16452008, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | EQUITY TRANSFER FROM RELATED ORGANIZATIONS - XXX-XX-XXXX; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PRISMA HEALTH | ||||||||||
| 300 E MCBEE AVE 302 | GREENVILLE | SC | 29601 | 822595551 | HEALTHCARE | SC | 501(c)(3) | Type III-FI | NA | false |
| PRISMA HEALTH-UPSTATE | ||||||||||
| 300 E MCBEE AVE 302 | GREENVILLE | SC | 29601 | 811723202 | HOSPITAL | SC | 501(c)(3) | 3 | PRISMA HEALTH | false |
| PRISMA HEALTH MIDLANDS | ||||||||||
| PO BOX 2266 | COLUMBIA | SC | 29202 | 582296052 | HOSPITAL | SC | 501(c)(3) | 3 | PRISMA HEALTH | false |
| PRISMA HEALTH TUOMEY | ||||||||||
| 129 NORTH WASHINGTON STREET | SUMTER | SC | 29150 | 474914917 | HOSPITAL | SC | 501(c)(3) | 3 | PRISMA HEALTH-MIDLANDS | false |
| GREENVILLE HEALTH CORPORATION | ||||||||||
| 300 E MCBEE AVE 302 | GREENVILLE | SC | 29601 | 570835816 | HEALTHCARE | SC | 501(c)(3) | 10 | PRISMA HEALTH-UPSTATE | false |
| PRISMA HEALTH UNIVERSITY MEDICAL GROUP | ||||||||||
| 300 E MCBEE AVE 302 | GREENVILLE | SC | 29601 | 571004971 | PHYSICIAN PRACTICES | SC | 501(c)(3) | 10 | PRISMA HEALTH-UPSTATE | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RADIATION ONCOLOGY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 RICHLAND MEDICAL PARK ROAD | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364542465 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHSOURCE INC | ||||||||||
| PO BOX 2266 | COLUMBIA | SC | 29202 | 570938686 | HEALTHCARE | SC | NA | C Corporation | false | |
| Hospital Services Inc | ||||||||||
| 2751 THE BOULEVARD | Columbia | SC | 29209 | HEALTHCARE | SC | NA | C Corporation | false | COLUMBIA INDUSTRIAL PARK | |
| PHCA Inc | ||||||||||
| 300 E McBee Avenue Suite 302 | Greenville | SC | 29601 | 883421661 | HEALTHCARE | SC | NA | C Corporation | false | |
| PHVPHIC Inc | ||||||||||
| 300 E McBee Avenue Suite 302 | Greenville | SC | 29601 | 883279433 | HEALTHCARE | SC | NA | C Corporation | false | |
| Promise Health Insurance Company SC Inc | ||||||||||
| 300 E McBee Avenue | GREENVILLE | SC | 29601 | 882888859 | Insurance | SC | NA | C Corporation | false | Suite 302 |
| Promise First Inc | ||||||||||
| 300 E MCBEE AVENUE | GREENVILLE | SC | 29601 | 884158136 | INSURANCE | SC | NA | C Corporation | false | Suite 302 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt | Business Name Line2OtherOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|
| PRISMA HEALTH-MIDLANDS | |||
| I | $1,466,312 | BOOK BASIS | |
| Prisma Health-Upstate Prisma Health-University Medical Group Greenville Hea | |||
| K | $8,249,167 | BOOK BASIS | lth Corporation Prisma Health Prisma Health-Midlands |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 1q | FormAndLineReferenceDesc |
| Explanation | ENTRIES ARE MADE TO TRANSFER EXPENSES BETWEEN RELATED ENTITIES TO THE APPROPRIATE ENTITY; HOWEVER, NO EXCHANGE OF CASH OCCURS. | ExplanationTxt |