2023-08-07T07:14:23-05:00 2022-09-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2021-10-01 570341194 GEORGETOWN MEMORIAL HOSPITAL GEOR 8435277102 PO BOX 421718 GEORGETOWN SC 29442 ELIZABETH WARD EVP & CFO 8435277102 2023-08-07 1 ELIZABETH WARD 999009999 AMY BIBBY P00445891 8282542254 2023-08-07 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TIDELANDS GEORGETOWN MEMORIAL HOSPITAL BRUCE P BAILEY PO BOX 421718 GEORGETOWN SC 29442 221762650 0 X WWW.TIDELANDSHEALTH.ORG X 1946 SC TO PROVIDE HIGH QUALITY HEALTHCARE TO THE CITIZENS OF GEORGETOWN CO. AND SURROUNDING AREAS. 15 10 0 32 0 0 8567055 1950271 190041343 197927156 12314315 5650478 1898437 16169835 212821150 221697740 957690 233251 0 0 77023129 82892351 30000 7500 350817 99556973 110111160 177567792 193244262 35253358 28453478 465019345 380747584 292197109 263316254 172822236 117431330 X WE HELP PEOPLE LIVE BETTER LIVES THROUGH BETTER HEALTH. 0 0 156568784 233251 197927156 GEORGETOWN MEMORIAL HOSPITAL PROVIDES QUALITY HEALTH CARE AND PROMOTES HEALTH AND WELLNESS TO GEORGETOWN COUNTY AND SURROUNDING AREAS. GEORGETOWN MEMORIAL HOSPITAL IS A 131 BED ACUTE FACILITY LOCATED IN THE CITY OF GEORGETOWN, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1946 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN GEORGETOWN COUNTY. PLEASE SEE SCHEDULE O FOR A CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS.THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF GEORGETOWN COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501 (C)(3). REVENUE RULING 69-545, 1969-2 C.B. 117, AS MODIFIED BY REV. RUL. 83-157, 1983-2 C.B. 94, SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICES WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIED FOR TAX EXEMPT STATUS.THE HOSPITAL OPERATES ITS FACILITIES IN A MANNER DESCRIBED IN REV. RUL. 69-545, SUPRA. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID.DURING THE YEAR ENDED SEPTEMBER 30, 2022, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $24,060,403. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL PROVIDES CAR SEATS TO FAMILIES AND NEWBORN INFANTS WHO DO NOT PRESENTLY HAVE OR CANNOT AFFORD TO PURCHASE ONE. IN ADDITION, THE HOSPITAL PROVIDES FREE TAXI SERVICE THROUGH AN AUXILIARY ORGANIZATION FOR INDIVIDUALS THAT CANNOT AFFORD OR ARRANGE FOR TRANSPORTION TO THEIR RESIDENCE OR HEALTHCARE SERVICE. THE HOSPITAL ALSO PARTICIPATES IN STATE PROGRAMS SUCH AS THE BEST CHANCE NETWORK, WHICH TARGETS LOW-INCOME WOMEN FOR PREVENTATIVE HEALTHCARE TESTING.THE HOSPITAL IS PART OF THE GEORGETOWN HOSPITAL SYSTEM WHICH PERIODICALLY CONDUCTS VARIOUS COMMUNITY OUTREACH, SCREENING, AND EDUCATIONAL PROGRAMS. AMONG THESE ARE CHOLESTEROL AND BLOOD PRESSURE SCREENINGS, PERIODIC HEALTH FAIRS HELD THROUGHOUT THE SERVICE AREA WHICH OFFER A VARIETY OF HEALTH-RELATED INFORMATION AND SCREENINGS, SUCH AS GLUCOSE, CHOLESTEROL, BLOOD PRESSURE, BODY FAT ANALYSIS, AND A LABORATORY BLOOD PROFILE. THE HOSPITAL SYSTEM'S COMMUNITY EDUCATION PROGRAM CONDUCTS A VARIETY OF CLASSES AND LECTURE OPEN TO THE PUBLIC, INCLUDING CPR, WEIGHT CONTROL, SMOKING CESSATION, CHILDBIRTH EDUCATION, PRE-NATAL AND INFANT NUTRITION, AND OTHERS. 156568784 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 285 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X ELIZABETH S WARD EVP & CFO 8435277102 606 BLACK RIVER ROAD GEORGETOWN SC 29440 MR J EDWARD NORRIS III TRUSTEE 1.00 2.00 X 0 0 0 MR DANIEL SCHEFFING CHAIRMAN 1.00 2.00 X X 0 0 0 MR JULIAN A REYNOLDS JR TRUSTEE 1.00 2.00 X 0 0 0 MR FRANCIS B FORD JR VICE CHAIRMAN 1.00 2.00 X X 0 0 0 MR ROBERT L JONES TRUSTEE 1.00 2.00 X 0 0 0 MS JUDITH K INGLE TRUSTEE 1.00 2.00 X 0 0 0 MR TONY JORDAN TRUSTEE 1.00 2.00 X 0 0 0 DR MARTHENA MORANT SECRETARY/TREASURER 1.00 2.00 X X 0 0 0 MR WILLIE SHELLEY JR TRUSTEE 1.00 2.00 X 0 0 0 MR MARK NASH TRUSTEE 1.00 2.00 X 0 0 0 MR DAN STACY JR TRUSTEE 1.00 2.00 X 0 0 0 DR CHRISTINE GERBER TRUSTEE & PHYSICIAN 1.00 2.00 X 6325 6325 0 DR WILLIAM GREER TRUSTEE & PHYSICIAN 1.00 42.00 X 34213 948958 33389 DR J MICHAEL RATLIFFE VICE CHIEF OF STAFF & PHYSICIAN 1.00 2.00 X 613 613 0 DR THOMAS CHANDLER CHIEF OF STAFF & PHYSICIAN 1.00 2.00 X 11757 11757 0 BRUCE BAILEY PRESIDENT & CEO 19.00 21.00 X 383420 433411 37303 GAYLE RESETAR EXECUTIVE VICE PRESIDENT & COO 19.00 21.00 X 263955 298371 25152 ELIZABETH WARD EXECUTIVE VICE PRESIDENT & CFO 19.00 21.00 X 287110 324547 33784 PHILIP DULBERGER EXECUTIVE VICE PRESIDENT & CHIEF PHYSICIAN EXECUTI 19.00 21.00 X 315640 356794 30306 GERALD HARMON VP MEDICAL AFFAIRS 19.00 21.00 X 211216 238756 14267 JAMES F HARPER CHIEF HUMAN RESOURCE OFFICER/EVP 19.00 21.00 X 184710 208794 39394 GARY METCALFE VP SUPPLY CHAIN & SUPPORT SERVICES 19.00 21.00 X 131512 148661 22271 MICAH NAUS VP / CHIEF INFORMATION OFFICER 19.00 21.00 X 127054 143620 26151 KAREN HASELDEN REGISTERED NURSE - CRITICAL CARE 40.00 X 270133 0 31479 DR MICHAEL J RATZ PHYSICIAN & FORMER CHIEF OF STAFF 0.00 40.00 X 9859 429586 38553 2237517 3550193 332049 137 1 1 1 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST 300 SAN DIEGO CA 92121 CONTRACT CLINICAL STAFF 4013087 COASTAL STRUCTURES CORPORATION PO BOX 937 GEORGETOWN SC 29442 CONSTRUCTION 3663404 SODEXO INC PO BOX 360170 PITTSBURGH PA 15251 DIETARY & HOUSEKEEPING 3619665 PALMETTO EMERGENCY PHYSICIANS 86 SHOREBIRD LOOP PAWLEYS ISLAND SC 29585 EMERGENCY PHYSICIAN SERVICES 3356834 NELSON MULLINS RILEY & SCARBOROUGH PO BOX 11070 COLUMBIA SC 29211 LEGAL SERVICES 2112156 117 132351 448683 1369237 1950271 NET PATIENT SERVICE REVENUE 621400 185000754 185000754 OTHER RELATED SERVICES 900099 9974864 9974864 FITNESS CENTER 713940 1276912 1276912 PHARMACY 446110 1229165 1229165 MEALS 900099 301709 301709 143752 143752 197927156 2349585 2349585 1889273 0 1889273 1889273 1889273 3147443 153450 0 0 3147443 153450 3300893 3300893 4960 132351 33505 -28545 -28545 13958 31405 -17447 -17447 SETTLEMENT REVENUE 900099 14118758 14118758 PENSION TERMINATION REVENUE 900099 158438 158438 DISCOUNTS/REBATES 900099 49358 49358 14326554 221697740 197927156 0 21820313 233251 233251 1303032 52908 1250124 3613968 3613968 62590154 47933312 14439577 217265 1527933 1170134 352495 5304 9261354 7092607 2136599 32148 4595910 3519678 1060279 15953 615702 175358 440344 2409675 2409675 57455 57455 124019 124019 7500 7500 3905487 3846934 58553 355504 211 355293 8517047 4288964 4219602 8481 2002255 2002255 404710 186239 218305 166 1642789 1642789 15714765 7553056 8156925 4784 1196428 673464 522301 663 MEDICAL SUPPLIES 55071032 55071032 BAD DEBT EXPENSE 16975977 16975977 MISCELLANEOUS EXPENSE 941701 536647 405054 RECRUITMENT 176614 176614 193244262 156568784 36324661 350817 4140 4140 26640817 11097758 33476621 28785775 3529088 3420904 6268909 6734860 6271990 8823445 377536451 217888915 163895413 159647536 222144802 160017022 533838 533838 2253727 1682306 465019345 380747584 35051557 33829009 90936096 87653028 166209456 141834217 292197109 263316254 X 171544018 115823541 1278218 1607789 172822236 117431330 465019345 380747584 X 28453478 -29805671 -54038713 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 130247 130247 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). NELSON MULLINS RILEY SCARBOROUGH, LLP IS ALSO ENGAGED TO PROVIDE VARIOUS PROFESSIONAL SERVICES. THESE ORGANIZATIONS ENGAGE IN LOBBYING ACTIVIES FOR THE BENEFIT OF MEMBERS AND CLIENTS AND A PORTION OF THE EXPENSE PAID IS ATTRIBUTABLE TO LOBBYING EXPENDITURES. FOR THE YEAR, THE PORTION OF THE EXPENSES ATTRIBUTATE TO LOBBYING EXPENDITURES WAS $2,724 FOR AHA, $3,504 FOR SCHA AND $124,019 FOR NELSON MULLINS RILEY SCARBOROUGH LLP. 23257258 23257258 185678912 91700096 93978816 5935342 4354929 1580413 154501645 121833890 32667755 8163294 8163294 159647536 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1795903 DUE TO AFFILIATE 140038314 141834217 X 174475749 -29805671 -29805671 204281420 440344 16975976 17416320 221697740 175827942 0 175827942 440344 16975976 17416320 193244262 PART X, LINE 2: GEORGETOWN MEMORIAL HOSPITAL HAS BEEN GRANTED EXEMPTION FROM INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE 16,975,976. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE 16,975,976. X X X X 1 PRIDE PHILANTHROPY 885 WOODSTOCK RD STE 430 ROSWELL GA 300752374 CAPITAL CAMPAIGN 0 700110 7500 692610 700110 7500 692610 "IN THE PINK" BREAST CANCER AWARENE 89446 89446 18862 TH FOUNDATION ANNUAL CHARITY GOLF T 47865 42905 4960 409 8196 1073 4965 137311 132351 4960 409 8196 1073 23827 33505 -28545 1 1 X 1 X 0 1 1 0 1 1 4500732 48656 4452076 0.02530 16710311 13880418 2829893 0.01610 21211043 13929074 7281969 0.04140 1871274 1871274 0.01060 440626 11416 429210 0.00240 234922 67477 167445 0.00090 2546822 78893 2467929 0.01390 23757865 14007967 9749898 0.05530 2085 2085 0.00000 12647 12647 0.00010 521 521 0.00000 452809 452809 0.00260 468062 468062 0.00270 0 6532446 1987393 82126623 92572730 -10446107 X 1 1 1 1 GEORGETOWN MEMORIAL HOSPITAL 606 BLACK RIVER ROAD GEORGETOWN SC 29440 X X X X MEDICARE DISPROPORTIONATE SHARE HOSPITAL GEORGETOWN MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X X 1 21 1 SEE PART V, SECTION C 0 1 X 200.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE 2022 TIDELANDS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS DESIGNED IN CONJUNCTION WITH GEORGETOWN AND HORRY COUNTY PARTNERS AND UTILIZED METHODOLOGY AND BEST PRACTICES IDENTIFIED BY LEADING NATIONAL RESEARCH HOSPITALS. SURVEYS WERE SENT OUT ELECTRONICALLY AND BY PAPER TO COMMUNITY NONPROFIT LEADERS, GOVERNMENT OFFICIALS, SCHOOL DISTRICTS, MEDICAL FACILITIES, FAITH LEADERS, BUSINESS LEADERS, KEY TIDELANDS HEALTH STAFF MEMBERS, AND THE COMMUNITY AT LARGE. TIDELANDS HELD TWO EVENTS TO SELECT THE MOST SIGNIFICANT NEEDS BASED ON THE 2019 CHNA SURVEY. GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: WACCAMAW COMMUNITY HOSPITAL GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: QUORUM HEALTH RESOURCES PROVIDED THE EXPERTISE TO COMPLETE THE CHNA IN PARTNERSHIP WITH TIDELANDS HEALTH REPRESENTATIVES. GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: ALL TCCN PARTNERS WERE SENT AN ELECTONIC COPY. GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED AND SELECTED ARE HEALTH CARE AFFORDABILITY AND ACCESS, CANCER, HEART DISEASE, MENTAL HEALTH, DIABETES, WOMEN'S HEALTH. PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 10B, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 16B & C, FAP, FAP APPLICATION & PLAIN LANGUAGE SUMMARY WEBSITE: HTTP://WWW.TIDELANDSHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ 15 1 - TIDELANDS HEALTH REHABILITATION SERVICES 12965 OCEAN HWY PAWLEYS ISLAND SC 295856549 ADULT REHABILITATION & FITNESS CLUB 2 - TIDELANDS HEALTH REHABILITATION SERVICES 4040 HIGHWAY 17 MURRELLS INLET SC 295765098 ADULT REHABILITATION 3 - TIDELANDS HEALTH PAIN MANAGEMENT SERVICE 219 CHURCH ST GEORGETOWN SC 294402403 PAIN MANAGEMENT 4 - TIDELANDS HEALTH REHABILITATION SERVICES 3650 COALITION DR MYRTLE BEACH SC 295886183 ADULT REHABILITATION 5 - TIDELANDS HEALTH WOUND HEALING CENTER AT 4367 RIVERWOOD DR UNIT 140 MURRELLS INLET SC 285764381 INFUSION SERVICES & WOUND CLINIC 6 - TIDELANDS HEALTH CANCER CARE NETWORK AT 4181 HIGHWAY 17 MURRELLS INLET SC 295765019 INFUSION SERVICES 7 - TIDELANDS HEALTH NEUROLOGICAL REHABILITA 4033 HIGHWAY 17 STE 102 MURRELLS INLET SC 295765032 ADULT REHABILITATION 8 - TIDELANDS HEALTH CENTER FOR PEDIATRIC DE 2361 N FRASER ST GEORGETOWN SC 294406410 PEDIATRIC REHABILITATION 9 - TIDELANDS HEALTH REHABILITATION SERVICES 106 WACCAMAW MEDICAL PARK CT CONWAY SC 295268965 ADULT REHABILITATION 10 - TIDELANDS HEALTH REHABILITATION SERVICES 219 CHURCH ST GEORGETOWN SC 294402403 ADULT REHABILITATION 11 - TIDELANDS HEALTH CANCER CARE NETWORK AT 1220 21ST AVE N MYRTLE BEACH SC 295777401 INFUSION SERVICES 12 - TIDELANDS HEALTH REHABILITATION SERVICES 701 S MORGAN AVE ANDREWS SC 295102959 ADULT REHABILITATION 13 - TIDELANDS HEALTH CENTER FOR PEDIATRIC DE 3650 COALITION DR MYRTLE BEACH SC 295886183 PEDIATRIC REHABILITATION 14 - TIDELANDS HEALTH FRANCIS B FORD CANCER 2405 N FRASER ST GEORGETOWN SC 294407764 INFUSION SERVICES 15 - TIDELANDS HEALTH ECHOVASCULAR LAB AT MU 4367 RIVERWOOD DR UNIT 140 MURRELLS INLET SC 285764381 ECHO/VASCULAR LAB PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. PART I, LN 7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $16,975,977 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: $452,809 WAS SPENT TO RECRUIT PHYSICIANS WITH THE SKILLS AND TRAINING NECESSARY TO BEST SERVE THE NEEDS OF THE COMMUNITY IN AREAS SUCH AS OBSTETRICS/GYNECOLOGY AND PULMONOLOGY. THE COVID 19 PANDEMIC HAS CAUSED SIGNIFICANT TURNOVER IN HEALTHCARE AND WE HAVE BEEN FORCED TO DEDICATE MATERIAL RESOURCES TO THE RECRUITMENT AND REPLACEMENT OF CLINICAL STAFF TO PROVIDE MUCH NEEDED PATIENT CARE. THE WORKFORCE MARKET HAS BECOME INCREDIBLY COMPETITIVE AND WE HAVE THE NEED TO BE CREATIVE IN PROVIDING INCENTIVES FOR HEALTHCARE PROFESSIONALS TO COME TO OUR SYSTEM. PART III, LINE 2: FOR AUDITED FINANCIAL STATEMENT PURPOSES, IN 2022, THE ORGANIZATION ASSESSED THE POPULATION OF PATIENTS UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE RESPONSIBLE IN CONJUNCTION WITH STATISTICS OF THE LOCAL POPULATION FALLING BELOW FEDERAL POVERTY LIMITS. THE ORGANIZATION BELIEVES A SIGNIFICANT PORTION OF THE UNPAID PATIENT SERVICES WOULD QUALIFY FOR CHARITY CARE IF THE PATIENT WERE TO APPLY IN ACCORDANCE WITH THE CURRENT POLICY. AS A RESULT, CHARITY CARE, AT CHARGES RECLASSIFIED FROM BAD DEBT TOTALED $7,423,000. THE IMPACT OF THIS RECLASSIFICATION HAS BEEN REMOVED FOR SCHEDULE H PRESENTATION PURPOSES. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF PART III, LINES 2 AND 3.THE PERCENTAGE OF FAMILIES BELOW THE POVERTY LEVEL IN THE AREA SERVED IS USED TO ESTIMATE THE PERCENTAGE OF NET REVENUE EXPECTED TO BE AWARDED CHARITY CARE. THE VARIANCE WITH ACTUAL CHARITY CARE ADJUSTMENTS IS THE AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. APPROXIMATELY 60% OF THE ORGANIZATION'S PAYER MIX IS DEVOTED TO MEDICARE. PART III, LINE 9B: GEORGETOWN HOSPITAL SYSTEM HAS A PROCESS IN PLACE TO ASSIST PATIENTS IN UNDERSTANDING THEIR FINANCIAL RESPONSIBILITY, BEGINNING WITH SCHEDULING AND REGISTRATION. SIGNAGE AND FINANCIAL RESPONSIBILITY BROCHURES ARE CLEARLY DISPLAYED THROUGHOUT THE REGISTRATION AREAS OF THE SYSTEM. THIS INFORMATION DETAILS THE POTENTIAL PATIENT RESPONSIBILITY AND ALSO PROVIDES INFORMATION ON THE AVAILABLE PROGRAMS IN THE EVENT THE PATIENT CAN NOT PAY THE BILL. IF THE PATIENT COMMUNICATES THEIR INABILITY TO PAY, THE FINANCIAL ASSISTANCE PROGRAM IS REVIEWED AND THE PATIENT IS DIRECTED TO THE FINANCIAL ASSISTANCE DEPARTMENT. UPON APPLICATION FOR FINANCIAL ASSISTANCE, COLLECTION PRACTICES ARE HALTED UNTIL THE APPLICATION HAS BEEN REVIEWED AND PROCESSED. IF FINANCIAL ASSISTANCE IS APPROVED, COLLECTION PRACTICES WILL CEASE. IF FINANCIAL ASSISTANCE IS DENIED, COLLECTION PRACTICES WILL CONTINUE. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY WITH THE ASSISTANCE OF STATE AND INTERNAL REPORTING INFORMATION. THE INFORMATION IS INTERPRETED, REVIEWED AND ANALYZED. IF A NEED IS PRESENT, A STRATEGIC PLAN IS DEVELOPED, WITH THE GOAL OF PROVIDING AS MANY LOCAL SERVICES AS POSSIBLE. THE PLAN IS THEN PRESENTED TO THE BOARD FOR APPROVAL. ONCE BOARD APPROVAL IS RECEIVED, THE IMPLEMENTATION PROCESS BEGINS. THE ORGANIZATION'S COMMUNITY HEALTH PROGRAM'S OBJECTIVE IS TO ENHANCE THE HEALTH CARE STATUS OF THE COMMUNITY, PROVIDING EDUCATION, SCREENINGS, AND REGULAR FOLLOW UP TO ENSURE READY ACCESS TO QUALITY HEALTHCARE. PART VI, LINE 3: THE ORGANIZATION REGULARLY ADVERTISES THE AVAILABLE STATE, FEDERAL, AND LOCAL FINANCIAL ASSISTANCE PROGRAMS. ALL PATIENTS WITHOUT INSURANCE ARE SCREENED FOR AVAILABLE STATE AND FEDERAL PROGRAMS. PATIENTS NOT MEETING STATE AND FEDERAL PROGRAM GUIDELINES ARE PROVIDED A ONE-ON-ONE CONSULTATION FOR LOCAL FINANCIAL ASSISTANCE, IF DESIRED. THE HOSPITAL FEATURES SIGNAGE AND BROCHURES THROUGHOUT THE REGISTRATION AREAS THAT OUTLINE RESPONSIBILITIES AND OPTIONS. PART VI, LINE 4: THE ORGANIZATION SERVES THE SOUTH CAROLINA COUNTIES OF HORRY AND GEORGETOWN, AS WELL AS OUTLYING AREAS. HORRY COUNTY (1,100 SQ. MILES) HAS AN ESTIMATED 2022 POPULATION OF 383,000. 26% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $54,000. IN ADDITION, AN ESTIMATED 13% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 16% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. GEORGETOWN COUNTY (815 SQ. MILES) HAS A POPULATION OF APPROXIMATELY 64,000 PEOPLE AND AN ESTIMATED 30% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $56,000 AND AN ESTIMATED 15% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 15% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. COMPETING HOSPITALS ARE LOCATED APPROXIMATELY 40-45 MILES NORTH AND NORTHWEST AND 60 MILES SOUTH. MAJOR SURROUNDING CITIES INCLUDE: CHARLESTON, SC (60 MILES), COLUMBIA, SC (150 MILES) AND CHARLOTTE, NC (215 MILES). PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MANY OF ITS DEPARTMENTS.USAGE OF THE ORGANIZATION'S SURPLUS OF FUNDS IS DESCRIBED ON FORM 990, PART III; HOWEVER IN GENERAL, A SURPLUS OF FUNDS IS USED TO REINVEST IN PROPERTY AND EQUIPMENT IN ORDER TO CONTINUE PROVIDING TO THE PUBLIC THE BEST IN PATIENT CARE AND TECHNOLOGY. PART VI, LINE 6: GEORGETOWN MEMORIAL HOSPITAL IS PART OF GEORGETOWN HOSPITAL SYSTEM. GEORGETOWN HOSPITAL SYSTEM IS A RELATED 501(C)(3) HEALTHCARE ORGANIZATION. PART VI, LINE 7, REPORTS FILED WITH STATES SC 1 SMITH MEDICAL CLINIC PO BOX 1740 PAWLEYS ISLAND SC 29585 570786699 501C3 25000 0 OPERATIONAL SUPPORT BLACK RIVER UNITED WAY 515 FRONT STREET GEORGETOWN SC 29440 570526145 501C3 70000 0 OPERATIONAL SUPPORT HEALTHY LEARNERS 2749 LAUREL STREET COLUMBIA SC 29204 571127197 501C3 25000 0 OPERATIONAL SUPPORT AMERICAN CANCER SOCIETY 250 WILLIAMS STREET SUITE 4B ATLANTA GA 30303 131788491 501C3 10000 0 OPERATIONAL SUPPORT GEORGETOWN COUNTY CHAMBER OF COMMERCE 531 FRONT STREET GEORGETOWN SC 29440 570639395 6000 0 OPERATIONAL SUPPORT GROUND ZERO MINISTRIES INC PO BOX 8279 MYRTLE BEACH SC 29578 621751085 501C3 10000 0 OPERATIONAL SUPPORT HELPING HANDS OF GEORGETOWN INC 1813 HIGHMARKET STREET GEORGETOWN SC 29440 570883461 501C3 20000 0 OPERATIONAL SUPPORT MURRELLS INLET 2020 PO BOX 1357 MURRELLS INLET SC 29576 582336725 5500 0 OPERATIONAL SUPPORT MYRTLE BEACH AREA CHAMBER OF COMMERCE PO BOX 2115 MYRTLE BEACH SC 29578 570214572 25000 0 OPERATIONAL SUPPORT FRANCES P BUNNELLE FOUNDATION PO BOX 1965 PAWLEYS ISLAND SC 29585 571095197 10000 0 OPERATIONAL SUPPORT 7 4 PART I, LINE 2: TIDELANDS HEALTH HAS A STRONG PHILANTHROPIC HISTORY AND COMMITMENT TO COMMUNITY GIVING. THE ORGANIZATION PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR LOCAL ORGANIZATIONS THAT ALIGN WITH ITS MISSION OF HEALTH AND WELLNESS. SPONSORSHIPS GRANTED BY TIDELANDS HEALTH SHOULD PROMOTE HEALTH AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS IN GEORGETOWN, HORRY AND WILLIAMSBURG COUNTIES. PRIORITY FUNDING AND CONSIDERATION ARE GIVEN TO PROGRAMS AND ACTIVITIES THAT FOCUS ON THE FOLLOWING AREAS: HEALTH DISPARITIES; DISEASE MANAGEMENT; WELLNESS; DISEASE PREVENTION AND HEALTH PROMOTION; AND COORDINATION OF CARE. ALL SPONSORSHIP APPLICATIONS ARE REVIEWED BY THE TIDELANDS HEALTH COMMUNITY GIVING COMMITTEE, WHICH MAKES FUNDING DECISIONS BASED ON ESTABLISHED GUIDELINES AND CRITERIA. FUNDING IS DIRECTED TO THOSE EVENTS AND ORGANIZATIONS THAT MOST CLOSELY ALIGN WITH TIDELANDS HEALTH'S HEALTH CARE MISSION. X X X X 0 1 0 1 1 1 1 0 0 DR WILLIAM GREER TRUSTEE & PHYSICIAN 34213 654576 0 254653 0 39729 0 6322 0 27067 34213 982347 0 0 BRUCE BAILEY PRESIDENT & CEO 276011 311997 70443 79628 36966 41786 4764 5386 12746 14407 400930 453204 0 0 PHILIP DULBERGER EXECUTIVE VICE PRESIDENT & CHIEF PHY 233350 263774 60461 68343 21829 24677 4764 5386 9461 10695 329865 372875 0 0 ELIZABETH WARD EXECUTIVE VICE PRESIDENT & CFO 197683 223457 52378 59208 37049 41882 4837 5468 11021 12458 302968 342473 0 0 GAYLE RESETAR EXECUTIVE VICE PRESIDENT & COO 175531 198417 47178 53330 41246 46624 5003 5655 6803 7691 275761 311717 0 0 DR MICHAEL J RATZ PHYSICIAN & FORMER CHIEF OF STAFF 9859 355267 0 35316 0 39003 0 12712 0 25841 9859 468139 0 0 GERALD HARMON VP MEDICAL AFFAIRS 150196 169778 36899 41710 24121 27268 5638 6374 1059 1196 217913 246326 0 0 JAMES F HARPER CHIEF HUMAN RESOURCE OFFICER/EVP 108923 123125 45336 51247 30451 34422 5426 6133 13066 14769 203202 229696 0 0 GARY METCALFE VP SUPPLY CHAIN & SUPPORT SERVICES 86577 97865 16994 19209 27941 31587 5498 6214 4955 5604 141965 160479 0 0 KAREN HASELDEN REGISTERED NURSE - CRITICAL CARE 146092 0 100896 0 23145 0 7996 0 23483 0 301612 0 0 0 MICAH NAUS VP / CHIEF INFORMATION OFFICER 109529 123809 12158 13743 5367 6068 0 0 12276 13875 139330 157495 0 0 PART I, LINE 4B ALL ELC MEMBERS (BRUCE BAILEY, GAYLE RESETAR, ELIZABETH WARD, PHILIP DULBERGER, JAN HARPER (THRU HIS DEPARTURE ON 3/1/2022) & GERALD HARMON) WERE ENROLLED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN BEGINNING 10/1/2018. BRUCE, ELIZABETH, GAYLE & PHIL ARE ENROLLED IN A SPLIT DOLLAR LIFE INSURANCE PLAN. DR. HARMON & JAN RECEIVE A RETENTION BONUS EACH YEAR (INCLUDED IN COMPENSATION). THE ORGANIZATION DEPOSITED FUNDS INTO A LIFE INSURANCE POLICY ON THE PARTICIPANT'S LIFE. DURING LIFE, AND SUBJECT TO THE POLICY GENERATING SUFFICIENT VALUES, THE PARTICIPANT CAN BORROW FROM THE POLICY. AT DEATH, THE ORGANIZATION RECOVERS ITS PREMIUMS PLUS INTEREST PLUS ADDITIONAL KEY-PERSON INSURANCE PROCEEDS. PART I, LINE 5 INCENTIVE COMPENSATION PAID TO NON-PHYSICIAN LEADERSHIP/EXECUTIVES IS CONTINGENT UPON QUALITY INDICATORS, NET REVENUES, AND THE OVERALL PROFITABILITY OF THE ORGANIZATION. INCENTIVE COMPENSATION PAID TO PHYSICIANS AND PHYSICIAN LEADERSHIP IS BASED ON PRODUCTION AND QUALITY INDICATORS. PHYSICIAN INCENTIVE COMPENSATION DOES NOT INCLUDE INCOME RELATED METRICS. IF PREDETERMINED GOALS ARE MET, INCENTIVE COMPENSATION IS PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PROGRAM. SEE PART II, COLUMN (B)(II). PART I, LINE 6 SEE THE RESPONSE TO LINE 5A AND 5B. PART I, LINE 3 THE ORGANIZATION RELIES ON THE BOARD OF ITS SOLE MEMBER ORGANIZATION TO NEGOTIATE AND ESTABLISH THE COMPENSATION AGREEMENTS FOR ITS CEO AND OTHER OFFICERS. THE BOARD OF GEORGETOWN HOSPITAL SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANTS - COMPENSATION STUDY/SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE BOARD OF GEORGETOWN HOSPITAL SYSTEM IS A MAJORITY INDEPENDENT. PART II THE ORGANIZATION UTILIZES A COMMON PAYING AGENT FOR SERVICES PERFORMED FOR BOTH GEORGETOWN MEMORIAL HOSPITAL AND A RELATED ORGANIZATION. COMPENSATION FOR THESE INDIVIDUALS IS PRESENTED TO REFLECT AN ALLOCATION OF SERVICES PERFORMED FOR THESE ORGANIZATIONS. A SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2011-12-22 12165620 CURRENT REFUNDING 0 0 0 B SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2016-09-09 87890000 REFUND PRIOR ISSUE AND CONSTRUCT 0 0 0 C SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2016-11-03 35050000 CURRENT REFUNDING 0 0 0 A 6370000 12190000 123522 12066478 1999 1 0 1 1 B 2802195 70964870 62500000 8464870 1 0 0 0 C 946902 14816476 71332 14745144 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 1 0 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 FORM 990, SCH K, PART II, LINE 11 THE AMOUNTS ON THIS LINE WERE USED TO REFUND PRIOR ISSUE BONDS. THE AMOUNTS IN COLUMN A WERE USED TO REFUND BONDS THAT WERE ISSUED ON 3/15/1998 AND 8/15/1999. THE AMOUNTS IN COLUMN B WERE USED TO REFUND BONDS THAT WERE ISSUED ON 12/22/2010. THE AMOUNTS IN COLUMN C WERE USED TO REFUND BONDS THAT WERE ISSUED ON 5/30/2012. BRUCE BAILEY PRESIDENT & CEO FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES. X 1245763 1228715 0 1 1 GAYLE RESETAR EVP & COO FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES. X 652542 620192 0 1 1 ELIZABETH S WARD EVP & CFO FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES. X 771186 754922 0 1 1 PHILIP DULBERGER VP & CPE FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES. X 830509 817075 0 1 1 3420904 PALMETTO EMERGENCY PHYSICIANS OWNED IN PART BY BOARD MEMBER DR. MICHAEL RATLIFFE 3356834 CONTRACTED PHYSICIAN SERVICES 0 COASTAL CRITICAL CARE CONSULTANTS OWNED IN PART BY BOARD MEMBER DR. THOMAS CHANDLER 257134 CONTRACTED PHYSICIAN SERVICES 0 SCHEDULE L PART II THE EO PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ARRANGEMENT THE IRS REFERS TO AS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN PART II, ABOVE, FOR LOANS TO INTERESTED PERSONS, CASD IS NOT AN ACTUAL LOAN. THERE IS NEITHER A TRANSFER OF FUNDS TO THE PARTICIPANT NOR AN OBLIGATION FOR THE PARTICIPANT TO PAY THOSE FUNDS BACK. INSTEAD, THE EO RECOVERS ITS OUTLAYS PLUS INTEREST FROM THE UNDERLYING POLICY.THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD. WITH TRADITIONAL DEFERRED COMPENSATION, THE EO PAYS THE BENEFIT FROM CORPORATE ASSETS, NEVER TO RECOVER THOSE DOLLARS. WITH CASD, THE EO RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO INTEREST THAT TAKES INTO ACCOUNT THE TIME VALUE OF MONEY.IN CASD, THE EO DEPOSITS DOLLARS DIRECTLY INTO A LIFE INSURANCE POLICY, WITH THE EO HOLDING A LIEN ON THE POLICY TO ENSURE REPAYMENT. AT SPECIFIED TIMES AND SUBJECT TO VESTING REQUIREMENTS, THE PARTICIPANT MAY BORROW FROM THE CASH VALUE OF THE POLICY TO SUPPLEMENT RETIREMENT INCOME (PROVIDED THERE ARE SUFFICIENT POLICY VALUES). BORROWING IS CAREFULLY MONITORED AND LIMITED TO ASSURE THAT THE POLICY WILL REMAIN IN EFFECT UNTIL THE PARTICIPANT'S DEATH AND WILL PAY A DEATH BENEFIT AT LEAST SUFFICIENT TO REPAY THE EO'S OUTLAYS PLUS INTEREST. ANY REMAINING DEATH PROCEEDS ARE DIVIDED BETWEEN THE EO AND THE EXECUTIVE'S BENEFICIARY AS AGREED UPON BY THE PARTIES.LOAN BALANCETHE CORE FORM, PART X, LINE 5 AND SCHEDULE L, PART II INDICATES LOANS AND OTHER RECEIVABLES OF $3,420,904. THE CUMULATIVE BALANCE DUE FROM EXECUTIVES IS $3,928,224. PLEASE NOTE THE VARIANCE BETWEEN THE TWO FIELDS IS A RESULT OF THE DIFFERENCE BETWEEN THE CASH VALUE OF THE LIFE INSURANCE AND THE PRINCIPAL PLUS ACCRUED INTEREST. FORM 990, PART V, LINE 2A: THE ORGANIZATION HAS NO DIRECT EMPLOYEES. GEORGETOWN HOSPITAL SYSTEM, A RELATED ORGANIZATION, FILES PAYROLL FOR THE ORGANIZATION. THE NUMBER OF EMPLOYEES REPORTED BY GEORGETOWN HOSPITAL SYSTEM THAT ARE RELATED TO THE ORGANIZATION IS 1,293. FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, FINANCE COMMITTEE, AND COMPENSATION COMMITTEE THAT HAVE LIMITED POWERS DELEGATED FROM THE FULL VOTING BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS COMPRISED OF FIVE OR MORE MEMBERS, INCLUDING FOUR WHO ARE ALSO MEMBERS OF THE MEMBER ORGANIZATION'S BOARD OF DIRECTORS. THE FINANCE COMMITTEE CONTAINS FOUR OR MORE MEMBERS INCLUDING THE TREASURER OF THE MEMBER ORGANIZATION. THE COMPENSATION COMMITTEE IS AS APPOINTED BY THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBER ORGANIZATION WITHIN THE MEANING OF THE SOUTH CAROLINA NONPROFIT CORPORATION ACT OF 1994. THE SOLE MEMBER OF THE CORPORATION IS GEORGETOWN HOSPITAL SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE SOLE AUTHORITY TO APPOINT OR REMOVE A TRUSTEE OR THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE SOLE AUTHORITY TO (1) DIRECT HEALTHCARE SERVICES UNDERTAKEN BY THE ORGANIZATION, INCLUDING THE ADDITION OR DELETION OF CLINICAL SERVICE LINES, AND AUDIT COMPLIANCE WITH SUCH DIRECTIVES, (2) VETO POLICIES AND PROCEDURES, (3) REQUIRE DISTRIBUTION OF INCOME, ASSETS, OR OTHER PROPERTY FROM, OR MAKE CONTRIBUTIONS TO THE ORGANIZATION TO ACHIEVE THE MUTUAL OBJECTIVES OF THE ORGANIZATION AND THE SOLE MEMBER, (4) APPROVE BUDGETS, (5) AUTHORIZE CAPITAL TRANSACTIONS, (6) ADOPT A PLAN OF DISSOLUTION, (7) ADMIT NEW MEMBERS TO THE ORGANIZATION, (8) AMEND THE ARTICLES OF THE ORGANIZATION, AND (9) NEGOTIATE AND AUTHORIZE MANAGEMENT AGREEMENTS WITH THIRD PARTIES. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE ASSISTANCE AND OVERSIGHT OF MANAGEMENT. A COPY OF THE RETURN WAS PROVIDED TO EACH VOTING BOARD MEMBER. EACH MEMBER WAS PROVIDED THE OPPORTUNITY TO ASK QUESTIONS OF THE EVP & CFO PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS AND VOTES FOR WHICH A CONFLICT EXISTS. DETERMINATION OF WHETHER A CONFLICT EXISTS IS MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED BY MANAGEMENT AND THE BOARD WITHOUT THE PRESENCE OF THE INTERESTED PARTY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES OUTSIDE AGENCIES TO ESTABLISH, ASSESS THE REASONABLENESS OF, REVIEW, AND APPROVE THE COMPENSATION OF DIRECTORS, SENIOR MANAGEMENT & PHYSICIANS. SENIOR MANAGEMENT PROVIDES OVERSIGHT ON DIRECTOR COMPENSATION, THE BOARD COMPENSATION COMMITTEE PROVIDES OVERSIGHT ON PHYSICIAN COMPENSATION AND THE CEO PROVIDES OVERSIGHT (WITH THE ASSISTANCE OF THE CFO AND CHRO) ON SENIOR MANAGEMENT COMPENSATION. CEO COMPENSATION IS EVALUATED AND APPROVED BY THE FULL BOARD AND BOARD COMPENSATION COMMITTEE. FAIR MARKET VALUATIONS ARE COMPLETED FOR ALL COMPENSATION AT LEAST ANNUALLY AND MONTHLY COMPENSATION MEETINGS ARE HELD TO REVIEW ANY AND ALL COMPENSATION RELATED ACTIVITIES. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART XI, LINE 9: EQUITY TRANSFER -54,038,713. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART XI LN 5: THE CORE FORM, PART X, LINE 5 AND SCHEDULE L, PART II INDICATES LOANS AND OTHER RECEIVABLES OF $3,420,904. THE CUMULATIVE BALANCE DUE FROM EXECUTIVES IS $3,928,224. PLEASE NOTE THE VARIANCE BETWEEN THE TWO FIELDS IS A RESULT OF THE DIFFERENCE BETWEEN THE CASH VALUE OF THE LIFE INSURANCE AND THE PRINCIPAL PLUS ACCRUED INTEREST. FORM 990, PART V, LINE 1A: GEORGETOWN MEMORIAL HOSPITAL, FILES THE 1099'S FOR ITSELF AND TWO RELATED ORGANIZATIONS (GEORGETOWN HOSPITAL SYSTEM AND WACCAMAW COMMUNITY HOSPITAL). THE NUMBER OF 1099'S RELATED TO THE FILING ORGANIZATION IS 164. GEORGETOWN HOSPITAL SYSTEM PO BOX 421718 GEORGETOWN SC 29442 020598440 HEALTHCARE SC 501(C)(3) LINE 12B, II N/A 0 WACCAMAW COMMUNITY HOSPITAL PO BOX 421718 GEORGETOWN SC 29442 043633263 HEALTHCARE SC 501(C)(3) LINE 3 GEORGETOWN HOSPITAL SYSTEM 0 TIDELANDS HEALTH HOLDINGS PO BOX 421718 GEORGETOWN SC 29442 850532826 HEALTHCARE SC 501(C)(3) LINE 12B, II GEORGETOWN HOSPITAL SYSTEM 0 GEORGETOWN RADIATION THERAPY CENTER 4033 HIGHWAY 17 MURRELLS INLET SC 29576 200131459 HEALTHCARE SC N/A 0 0 TIDELANDS AND MEDQUEST JOINT VENTURE LLC 606 BLACK RIVER RD GEORGETOWN SC 29440 841945687 IMAGING SC N/A 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 1 1 0 0