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GEORGETOWN MEMORIAL HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GEORGETOWN MEMORIAL HOSPITAL (EIN 57-0341194)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-01
IRS object ID
202202139349301325
Schema version
2020v4.2
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

FieldValueIRS element (for citing)
Return2022-08-01T17:21:37-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570341194EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEORGETOWN MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGEORBusinessNameControlTxt
Phone8435277102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 421718AddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29442ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH WARDPersonNm
Person TitleEVP & CFOPersonTitleTxt
Phone8435277102PhoneNum
Signature2022-07-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstELIZABETHPersonFirstNm
Person LastWARDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2022-07-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1TIDELANDS GEORGETOWN MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRUCE P BAILEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 421718AddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29442ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$212,897,968GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TIDELANDSHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY HEALTHCARE TO THE CITIZENS OF GEORGETOWN CO. AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers29TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,070,586PYContributionsGrantsAmt
CY Contributions Grants$8,567,055CYContributionsGrantsAmt
PY Program Service Revenue$177,614,358PYProgramServiceRevenueAmt
CY Program Service Revenue$190,041,343CYProgramServiceRevenueAmt
PY Investment Income-$13,764,723PYInvestmentIncomeAmt
CY Investment Income$12,314,315CYInvestmentIncomeAmt
PY Other Revenue$1,856,078PYOtherRevenueAmt
CY Other Revenue$1,898,437CYOtherRevenueAmt
PY Total Revenue$169,776,299PYTotalRevenueAmt
CY Total Revenue$212,821,150CYTotalRevenueAmt
PY Grants And Similar Paid$519,844PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$957,690CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$75,352,997PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$77,023,129CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$35,400PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$30,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$375,622CYTotalFundraisingExpenseAmt
PY Other Expenses$94,850,490PYOtherExpensesAmt
CY Other Expenses$99,556,973CYOtherExpensesAmt
PY Total Expenses$170,758,731PYTotalExpensesAmt
CY Total Expenses$177,567,792CYTotalExpensesAmt
PY Revenues Less Expenses-$982,432PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,253,358CYRevenuesLessExpensesAmt
Total Assets BOY$444,383,449TotalAssetsBOYAmt
Total Assets EOY$465,019,345TotalAssetsEOYAmt
Total Liabilities BOY$267,851,394TotalLiabilitiesBOYAmt
Total Liabilities EOY$292,197,109TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$176,532,055NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$172,822,236NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE HELP PEOPLE LIVE BETTER LIVES THROUGH BETTER HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$140,099,551ExpenseAmt
Grant$957,690GrantAmt
Revenue$190,041,343RevenueAmt
DescGEORGETOWN 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, 2021, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $22,447,745. 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.Desc
Total Program Service Expenses$140,099,551TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document152IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH S WARD EVP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8435277102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1606 BLACK RIVER ROADAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29440ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MR DANIEL SCHEFFING
CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
MR FRANCIS B FORD JR
VICE CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
DR MARTHENA MORANT
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
MR TONY JORDAN
TRUSTEE1.002.00Yes (X)$0$0$0
MR MARK NASH
TRUSTEE1.002.00Yes (X)$0$0$0
MR DAN STACY
TRUSTEE1.002.00Yes (X)$0$0$0
DR CHRISTINE GERBER
TRUSTEE & PHYSICIAN1.002.00Yes (X)$14,979$2,329$0
DR MICHAEL RATZ
CHIEF OF STAFF & PHYSICIAN1.0042.00Yes (X)$14,487$420,207$32,422
BRUCE BAILEY
PRESIDENT & CEO19.0021.00Yes (X)$385,011$423,325$39,601
GAYLE RESETAR
EXECUTIVE VICE PRESIDENT &19.0021.00Yes (X)$257,694$283,340$31,938
ELIZABETH WARD
EXECUTIVE VICE PRESIDENT &19.0021.00Yes (X)$281,422$309,430$34,689
PHILIP DULBERGER
EXECUTIVE VICE PRESIDENT &19.0021.00Yes (X)$325,044$357,390$32,055
JAMES F HARPER
SENIOR VICE PRESIDENT & CH19.0021.00$188,177$206,902$35,387Yes (X)
PAM MAXWELL
SENIOR VICE PRESIDENT & CH19.0021.00$170,655$187,638$27,999Yes (X)
GERALD HARMON
VICE PRESIDENT MEDICAL AFFAIRS19.0021.00$217,003$238,598$5,318Yes (X)
GARY R METCALFE
VICE PRESIDENT SUPPLY CHAIN & SUPPORT SERVICES19.0021.00$132,565$145,757$17,138Yes (X)
JOHN LAROCHELLE
VICE PRESIDENT OPERATIONS19.0021.00$118,238$130,004$34,913Yes (X)
RICK KAYLOR
FORMER SENIOR VICE PRESIDENT SYSTEM DEVELOPMENT &0.00$223,467$245,706$23,019Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,328,742TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,950,626TotReportableCompRltdOrgAmt
Total Other Compensation$314,479TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K96IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO INC
PO BOX 360170PITTSBURGHPA15251DIETARY & HOUSEKEEPING$3,466,930
PALMETTO EMERGENCY PHYSICIANS
86 SHOREBIRD LOOPPAWLEYS ISLANDSC29585EMERGENCY PHYSICIAN SERVICES$3,174,199
COASTAL STRUCTURES CORPORATION
PO BOX 937GEORGETOWNSC29442CONSTRUCTION$2,585,604
NELSON MULLINS RILEY & SCARBOROUGH
PO BOX 11070COLUMBIASC29211LEGAL SERVICES$2,504,431
GEORGETOWN ANESTHESIA CONSULTANTS
130 PRESERVATION CIRCLEPAWLEYS ISLANDSC29585ANESTHESIA SERVICES$1,651,421
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K62CntrctRcvdGreaterThan100KCnt
Fundraising$59,172FundraisingAmt
Government Grants$3,167,903GovernmentGrantsAmt
All Other Contributions$5,339,980AllOtherContributionsAmt
Noncash Contributions$4,002,758NoncashContributionsAmt
Total Contributions$8,567,055TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$184,286,529$184,286,529
OTHER RELATED SERVICES900099$3,152,492$3,152,492
PHARMACY446110$1,249,248$1,249,248
FITNESS CENTER900099$968,323$968,323
MEALS722210$242,019$242,019

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,732TotalRevenueColumnAmt
Related Or Exempt Func Income$142,732RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$190,041,343TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,901,718TotalRevenueColumnAmt
Exclusion$1,901,718ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,889,274RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,889,274RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,889,274TotalRevenueColumnAmt
Exclusion$1,889,274ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,449,374SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$36,777OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,449,374SecuritiesAmt
Other-$36,777OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,412,597TotalRevenueColumnAmt
Exclusion$10,412,597ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$59,172ContriRptFundraisingEventAmt
Fundraising Direct Expenses$23,220FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,220TotalRevenueColumnAmt
Exclusion-$23,220ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,278GrossSalesOfInventoryAmt
Cost Of Goods Sold$16,821CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,543TotalRevenueColumnAmt
Exclusion-$13,543ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescDISCOUNTS/REBATESDesc
Business900099BusinessCd
Total Revenue Column$45,926TotalRevenueColumnAmt
Exclusion$45,926ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$45,926OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$212,821,150TotalRevenueColumnAmt
Related Or Exempt Func Income$190,041,343RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,212,752ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$957,690TotalAmt
Program Services$957,690ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,502,104TotalAmt
Program Services$29,466ProgramServicesAmt
Management And General$1,472,638ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$16,562TotalAmt
Management And General$16,562ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$60,863,907TotalAmt
Program Services$45,977,750ProgramServicesAmt
Management And General$14,669,031ManagementAndGeneralAmt
Fundraising$217,126FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,326,518TotalAmt
Program Services$1,002,077ProgramServicesAmt
Management And General$319,709ManagementAndGeneralAmt
Fundraising$4,732FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,994,414TotalAmt
Program Services$6,794,551ProgramServicesAmt
Management And General$2,167,776ManagementAndGeneralAmt
Fundraising$32,087FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,319,624TotalAmt
Program Services$3,263,126ProgramServicesAmt
Management And General$1,041,088ManagementAndGeneralAmt
Fundraising$15,410FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$345,444TotalAmt
Management And General$345,444ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,219,447TotalAmt
Management And General$2,219,447ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$58,931TotalAmt
Management And General$58,931ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$35,246TotalAmt
Management And General$35,246ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$30,000TotalAmt
Fundraising$30,000FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,700,571TotalAmt
Program Services$3,642,710ProgramServicesAmt
Fundraising$57,861FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$182,128TotalAmt
Management And General$182,128ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,256,175TotalAmt
Program Services$4,387,042ProgramServicesAmt
Management And General$3,860,887ManagementAndGeneralAmt
Fundraising$8,246FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,656,381TotalAmt
Program Services$1,656,381ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$222,391TotalAmt
Program Services$148,193ProgramServicesAmt
Management And General$71,575ManagementAndGeneralAmt
Fundraising$2,623FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,385,533TotalAmt
Program Services$1,385,533ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,526,957TotalAmt
Program Services$7,094,946ProgramServicesAmt
Management And General$9,425,106ManagementAndGeneralAmt
Fundraising$6,905FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,069,683TotalAmt
Program Services$599,889ProgramServicesAmt
Management And General$469,162ManagementAndGeneralAmt
Fundraising$632FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$53,482,412$53,482,412
BAD DEBT EXPENSE$8,897,843$8,897,843
MISCELLANEOUS EXPENSE$1,311,791$779,942$531,849
RECRUITMENT$206,040$206,040

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$177,567,792TotalAmt
Program Services$140,099,551ProgramServicesAmt
Management And General$37,092,619ManagementAndGeneralAmt
Fundraising$375,622FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,140BOYAmt
EOY$4,140EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$44,013,798BOYAmt
EOY$26,640,817EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,860,797BOYAmt
EOY$33,476,621EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$3,509,785BOYAmt
EOY$3,529,088EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,890,316BOYAmt
EOY$6,268,909EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,646,762BOYAmt
EOY$6,271,990EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$376,477,635LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$212,582,222LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$174,166,453BOYAmt
EOY$163,895,413EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$183,996,918BOYAmt
EOY$222,144,802EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$533,838BOYAmt
EOY$533,838EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,760,642BOYAmt
EOY$2,253,727EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$444,383,449BOYAmt
EOY$465,019,345EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,510,815BOYAmt
EOY$35,051,557EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,873,349BOYAmt
EOY$90,936,096EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,467,230BOYAmt
EOY$166,209,456EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$267,851,394BOYAmt
EOY$292,197,109EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$174,987,573BOYAmt
EOY$171,544,018EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,544,482BOYAmt
EOY$1,278,218EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$176,532,055BOYAmt
EOY$172,822,236EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$444,383,449BOYAmt
EOY$465,019,345EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$35,253,358ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,833,905NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$43,797,083OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$41,371OtherActivitiesAmt
Total Lobbying Expenditures$41,371TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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 $2,491 FOR AHA, $3,634 FOR SCHA AND $35,246 FOR NELSON MULLINS RILEY SCARBOROUGH LLP.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,257,258OtherCostOrOtherBasisAmt
Book Value$23,257,258BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$181,376,296OtherCostOrOtherBasisAmt
Depreciation$84,725,007DepreciationAmt
Book Value$96,651,289BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,854,241OtherCostOrOtherBasisAmt
Depreciation$3,988,938DepreciationAmt
Book Value$1,865,303BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,452,762OtherCostOrOtherBasisAmt
Depreciation$123,868,277DepreciationAmt
Book Value$35,584,485BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,537,078OtherCostOrOtherBasisAmt
Book Value$6,537,078BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,895,413TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$1,800,000
DUE TO AFFILIATE$156,430,694
MEDICARE ADVANCE CONTRACT LIABILITY$7,978,762
FieldValueIRS element (for citing)
Total Liability$166,209,456TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$208,411,769TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,833,905NetUnrealizedGainsInvstAmt
Revenue Not Reported$4,833,905RevenueNotReportedAmt
Revenue Subtotal$203,577,864RevenueSubtotalAmt
Other Revenues Not Included$9,243,286OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$9,243,286RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$212,821,150TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$168,324,505TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$168,324,505ExpensesSubtotalAmt
Other Expenses Not Included$9,243,286OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$9,243,286ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$177,567,791TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2021.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT NET WITH REVENUE 8,897,842. INTEREST AND DIVIDEND OVERHEAD FEES 345,444.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT NET WITH REVENUE 8,897,842. INTEREST AND DIVIDEND OVERHEAD FEES 345,444.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIDE PHILANTHROPYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1885 WOODSTOCK RD STE 430AddressLine1Txt
CityROSWELLCityNm
State AbbreviationGAStateAbbreviationCd
ZIP300752374ZIPCd
FieldValueIRS element (for citing)
ActivityCAPITAL CAMPAIGNActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$4,278,866GrossReceiptsAmt
Retained By Contractor$30,000RetainedByContractorAmt
Net To Organization$4,248,866NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$4,278,866TotalGrossReceiptsAmt
Total Retained By Contractors$30,000TotalRetainedByContractorsAmt
Total Net To Organization$4,248,866TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1IN THE PINK BREAST CANCER AWARENESSEvent1Nm
Gross Receipts Event1$55,172GrossReceiptsEvent1Amt
Charitable Contri Event1$55,172CharitableContriEvent1Amt
Other Direct Expenses Event1$22,695OtherDirectExpensesEvent1Amt
Event2GOLF EVENT (CANCELLED DUE TO COVID)Event2Nm
Gross Receipts Event2$4,000GrossReceiptsEvent2Amt
Charitable Contri Event2$4,000CharitableContriEvent2Amt
Other Direct Expenses Event2$525OtherDirectExpensesEvent2Amt
Gross Receipts Total$59,172GrossReceiptsTotalAmt
Charitable Contributions Tot$59,172CharitableContributionsTotAmt
Oth Direct Expnss Total Events$23,220OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$23,220DirectExpenseSummaryEventsAmt
Net Income Summary-$23,220NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,536,570TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$956,374DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,580,196NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,821,411TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,419,891DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,401,520NetCommunityBenefitExpnsAmt
Total Expense0.00830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,357,981TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,376,265DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,981,716NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,613,055TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,613,055NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$322,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,147DirectOffsettingRevenueAmt
Net Community Benefit Expns$301,853NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$605,693TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,983DirectOffsettingRevenueAmt
Net Community Benefit Expns$537,710NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,540,748TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$88,130DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,452,618NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,898,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,464,395DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,434,334NetCommunityBenefitExpnsAmt
Total Expense0.03820TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$334TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$334NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,038TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,038NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,005TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,005NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$476,714TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$476,714NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$483,091TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$483,091NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$5,262,609BadDebtExpenseAmt
Bad Debt Expense Attributable$2,999,270BadDebtExpenseAttributableAmt
Reimbursed By Medicare$79,333,148ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,250,374CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,917,226MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEORGETOWN MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1606 BLACK RIVER ROADAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29440ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherMEDICARE DISPROPORTIONATE SHARE HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GEORGETOWN MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GEORGETOWN MEMORIAL HOSPITALPART V, SECTION B, LINE 5: THE 2019 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 HOSPITALPART V, SECTION B, LINE 6A: WACCAMAW COMMUNITY HOSPITAL
GEORGETOWN MEMORIAL HOSPITALPART V, SECTION B, LINE 6B: QUORUM HEALTH RESOURCES PROVIDED THE EXPERTISE TO COMPLETE THE CHNA IN PARTNERSHIP WITH TIDELANDS HEALTH REPRESENTATIVES.
GEORGETOWN MEMORIAL HOSPITALPART V, SECTION B, LINE 7D: ALL TCCN PARTNERS WERE SENT AN ELECTONIC COPY.
GEORGETOWN MEMORIAL HOSPITALPART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED AND SELECTED ARE MENTAL HEALTH, ALCOHOL AND SUBSTANCE USE, OBESITY, DIABETES, AND CANCER. AN IMPLEMENTATION PLAN HAS BEEN ESTABLISHED THAT IDENTIFIES KEY INDICATORS FOR EACH SELECTED HEALTH NEED. A DASHBOARD WILL BE MAINTAINED AND REGULARLY REVIEWED THAT TRACKS METRICS. WHILE SEXUALLY TRANSMITTED ILLNESSES WAS IDENTIFIED AS A NEED IN BOTH THE SURVEY AND THROUGH DATA WALK VOTING, TIDELANDS HEALTH DOES NOT HAVE THE PARTNERSHIPS IN PLACE TO ELEVATE THIS AREA OF NEED. TIDELANDS HEALTH WILL SEEK TO ENHANCE RELATIONSHIPS WITH PARTNERS THAT WOULD BE VITAL TO SEXUAL EDUCATION, PREVENTION, SCREENING, AND TREATMENT OF SEXUALLY TRANSMITTED ILLNESSES. TIDELANDS HEALTH WILL WORK IN CONJUNCTION WITH COMMUNITY PARTNERS AND ORGANIZATIONS ALIKE, THESE GROUPS WILL TAKE PART IN COMMUNITY EVENTS TO BRING AWARENESS TO THESE AREAS OF NEED. THE COMMUNITY BENEFIT REPORTING METHOD IS USED TO ORGANIZE FUNCTIONS AND EVENTS TO BETTER SERVE THE POPULATION WHICH OUR HEALTH SYSTEMS OPERATE. THE HEALTH SYSTEM UTILIZES THEIR COMMUNITY RESOURCE DEPARTMENT TO SERVICE OUR DEMOGRAPHIC. TIDELANDS COMMUNITY CARE NETWORK OPERATES TO ASSIST THOSE PATIENTS IN NEED TO HAVE ACCESS TO HEALTH CARE AND OTHER SOCIAL DETERMINATES TO HELP LEAD THEM TO HEALTHIER LIVES. TIDELANDS HEALTH UTILIZES AVAILABLE GRANT OPPORTUNITIES TO ENSURE THAT ADDITIONAL FUNDING IS PROVIDED TO BETTER MEET THE NEEDS ADDRESSED.
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/
FieldValueIRS element (for citing)
Facility14FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - TIDELANDS HEALTH REHABILITATION SERVICES A
12965 OCEAN HWYPAWLEYS ISLANDSC295856549ADULT REHABILITATION & FITNESS CLUB
2 - TIDELANDS HEALTH REHABILITATION SERVICES A
4040 HIGHWAY 17MURRELLS INLETSC295765098ADULT REHABILITATION
3 - TIDELANDS HEALTH PAIN MANAGEMENT SERVICES
219 CHURCH STGEORGETOWNSC294402403PAIN MANAGEMENT
4 - TIDELANDS HEALTH REHABILITATION SERVICES A
3650 COALITION DRMYRTLE BEACHSC295886183ADULT REHABILITATION & PEDIATRIC REHABILITATION
5 - TIDELANDS HEALTH WOUND HEALING CENTER AT M
4367 RIVERWOOD DR UNIT 140MURRELLS INLETSC285764381INFUSION SERVICES & WOUND CLINIC
6 - TIDELANDS HEALTH CANCER CARE NETWORK AT MU
4181 HIGHWAY 17MURRELLS INLETSC295765019INFUSION SERVICES
7 - TIDELANDS HEALTH NEUROLOGICAL REHABILITATI
4033 HIGHWAY 17 STE 102MURRELLS INLETSC295765032ADULT REHABILITATION
8 - TIDELANDS HEALTH CENTER FOR PEDIATRIC DEVE
2361 N FRASER STGEORGETOWNSC294406410PEDIATRIC REHABILITATION
9 - TIDELANDS HEALTH REHABILITATION SERVICES A
106 WACCAMAW MEDICAL PARK CTCONWAYSC295268965ADULT REHABILITATION
10 - TIDELANDS HEALTH REHABILITATION SERVICES A
219 CHURCH STGEORGETOWNSC294402403ADULT REHABILITATION
11 - TIDELANDS HEALTH CANCER CARE NETWORK AT MY
1220 21ST AVE NMYRTLE BEACHSC295777401INFUSION SERVICES
12 - TIDELANDS HEALTH REHABILITATION SERVICES A
701 S MORGAN AVEANDREWSSC295102959ADULT REHABILITATION
13 - TIDELANDS HEALTH CENTER FOR PEDIATRIC DEVE
3650 COALITION DRMYRTLE BEACHSC295886183PEDIATRIC REHABILITATION
14 - TIDELANDS HEALTH FRANCIS B FORD CANCER TR
2405 N FRASER STGEORGETOWNSC294407764INFUSION SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $8,897,843 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:$476,714 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 2021, 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 $11,791,000. 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 2021 POPULATION OF 365,000. 25% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $51,000. IN ADDITION, AN ESTIMATED 13% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 18% 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 29% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $52,000 AND AN ESTIMATED 15% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 14% 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 STATESSC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COASTAL CAROLINA UNIVERSITY
PO BOX 261954CONWAYSC29528570977955501C3$334,500OPERATIONAL SUPPORT
MYRTLE BEACH SPORT CENTER
2115 FARLOW STREETMYRTLE BEACHSC29577364802450$151,000OPERATIONAL SUPPORT
HORRY-GEORGETOWN TECHNICAL COLLEGE FOUNDATION
743 HEMLOCK AVENUEMYRTLE BEACHSC29577570671224501C3$25,000OPERATIONAL SUPPORT
BROOKGREEN GARDENS
PO BOX 3368PAWLEYS ISLANDSC29585570380356501C3$55,000OPERATIONAL SUPPORT
SMITH MEDICAL CLINIC
PO BOX 1740PAWLEYS ISLANDSC29585570786699501C3$25,000OPERATIONAL SUPPORT
BLACK RIVER UNITED WAY
515 FRONT STREETGEORGETOWNSC29440570526145501C3$90,000OPERATIONAL SUPPORT
HEALTHY LEARNERS
2749 LAUREL STREETCOLUMBIASC29204571127197501C3$25,000OPERATIONAL SUPPORT
MARCH OF DIMES
PO BOX 673667MARIETTAGA30006131846366501C3$5,000OPERATIONAL SUPPORT
FAVOR GRAND STRAND
PO BOX 15874SURFSIDE BEACHSC295875874461206306$12,500OPERATIONAL SUPPORT
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET SUITE 4BATLANTAGA30303131788491501C3$12,000OPERATIONAL SUPPORT
MYRTLE BEACH REGIONAL ECONOMIC DEVELOPMENT
2050 HWY 501 EAST BUILDING 900CONWAYSC29526570998125$20,000OPERATIONAL SUPPORT
MYRTLE BEACH PELICANS LP
1251 21ST AVENUE NORTHMYRTLE BEACHSC29577203963234$97,850OPERATIONAL SUPPORT
YMCA OF COASTAL CAROLINA
PO BOX 7338MYRTLE BEACHSC29572570747196$5,000OPERATIONAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTIDELANDS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRUCE BAILEY
PRESIDENT & CEO$262,163$288,253$89,709$98,636$33,139$36,436$4,751$5,224$14,111$15,515$403,873$444,064$0$0
PHILIP DULBERGER
EXECUTIVE VICE PRESIDENT &$225,357$247,784$77,071$84,740$22,616$24,866$4,751$5,224$10,517$11,563$340,312$374,177$0$0
ELIZABETH WARD
EXECUTIVE VICE PRESIDENT &$189,446$208,299$66,705$73,344$25,271$27,787$4,412$4,852$12,110$13,315$297,944$327,597$0$0
GAYLE RESETAR
EXECUTIVE VICE PRESIDENT &$176,467$194,028$60,081$66,061$21,146$23,251$4,509$4,958$10,703$11,768$272,906$300,066$0$0
RICK KAYLOR
FORMER SENIOR VICE PRESIDENT SYSTEM$104,126$114,488$65,107$71,587$54,234$59,631$3,945$4,337$7,019$7,718$234,431$257,761$0$0
DR MICHAEL RATZ
CHIEF OF STAFF & PHYSICIAN$14,487$350,883$0$30,023$0$39,301$0$4,045$0$28,377$14,487$452,629$0$0
GERALD HARMON
VICE PRESIDENT MEDICAL AFFAIRS$143,686$157,985$49,004$53,881$24,313$26,732$1,447$1,591$1,086$1,194$219,536$241,383$0$0
JAMES F HARPER
SENIOR VICE PRESIDENT & CH$108,924$119,764$53,258$58,559$25,995$28,579$2,748$3,021$14,107$15,511$205,032$225,434$0$0
PAM MAXWELL
SENIOR VICE PRESIDENT & CH$96,252$105,830$50,262$55,264$24,141$26,544$2,821$3,102$10,515$11,561$183,991$202,301$0$0
GARY R METCALFE
VICE PRESIDENT SUPPLY CHAIN & SUPPOR$82,243$90,427$21,648$23,803$28,674$31,527$2,708$2,978$5,454$5,998$140,727$154,733$0$0
JOHN LAROCHELLE
VICE PRESIDENT OPERATIONS$78,992$86,852$19,686$21,645$19,560$21,507$2,519$2,770$14,110$15,514$134,867$148,288$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BALL SENIOR CABINET MEMBERS (BRUCE BAILEY, GAYLE RESETAR, ELIZABETH WARD, PHILIP DULBERGER, PAM MAXWELL, RICK KAYLOR, JAN HARPER & GERALD HARMON) WERE ENROLLED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN BEGINNING 10/1/2018. BRUCE, ELIZABETH, GAYLE & PHILIP ARE ENROLLED IN A SPLIT DOLLAR LIFE INSURANCE PLAN. 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. GERALD, PAMELA, RICK & JAMES RECEIVE A RETENTION BONUS EACH YEAR, WHICH IS REPORTED IN COMPENSATION.
PART I, LINE 5INCENTIVE 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 6SEE THE RESPONSE TO LINE 5A AND 5B.
PART I, LINE 3THE 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 IITHE 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
A570960018NONEAVAIL2011-12-22$12,165,620CURRENT REFUNDING000
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
B570960018NONEAVAIL2016-09-09$87,890,000REFUND PRIOR ISSUE AND CONSTRUCT000
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
C570960018NONEAVAIL2016-11-03$35,050,000CURRENT REFUNDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$4,400,000$12,190,000$123,522$12,066,4781999Yes (1)0Yes (1)Yes (1)
B$2,287,710$70,964,870$8,464,870Yes (1)000$62,500,000
C$101,454$14,816,476$71,332$14,745,144Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)0Yes (1)0000
B0Yes (1)00Yes (1)0000
C0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH K, PART II, LINE 11FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
BRUCE BAILEY
PRESIDENT & CEOFUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES.Yes (X)$1,245,763$1,256,1170Yes (1)Yes (1)
GAYLE RESETAR
EVP & COOFUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES.Yes (X)$652,542$657,9710Yes (1)Yes (1)
ELIZABETH S WARD
EVP & CFOFUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES.Yes (X)$771,186$777,5910Yes (1)Yes (1)
PHILIP DULBERGER
VP & CPEFUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES.Yes (X)$830,509$837,4090Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$3,529,088TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BECCA KAYLORBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF OFFICER RICK KAYLORRelationshipDescriptionTxt
Transaction$16,562TransactionAmt
TransactionCOMPENSATION AS EMPLOYEE OF ORGANIZATION. AMOUNT SHOWN ON SCHEDULE L REPRESENTS WCH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $34,771 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L PART IIFormAndLineReferenceDesc
ExplanationTHE 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 $3,529,088. THE CUMULATIVE BALANCE DUE FROM EXECUTIVES IS $3,814,180. 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.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$4,002,758NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 1,130.
FORM 990, PART VI, SECTION A, LINE 1THE 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 6THE 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 7ATHE 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 7BTHE 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 11BTHE 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 12CTHE 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 15THE 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 18PHOTOCOPIES 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 19PHOTOCOPIES 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 -43,797,083.
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 $3,529,088. THE CUMULATIVE BALANCE DUE FROM EXECUTIVES IS $3,814,180. 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 67.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GEORGETOWN HOSPITAL SYSTEM
PO BOX 421718GEORGETOWNSC29442020598440HEALTHCARESC501(C)(3)LINE 12B, IIN/A0
WACCAMAW COMMUNITY HOSPITAL
PO BOX 421718GEORGETOWNSC29442043633263HEALTHCARESC501(C)(3)LINE 30GEORGETOWN HOSPITAL SYSTEM
TIDELANDS HEALTH HOLDINGS
PO BOX 421718GEORGETOWNSC29442850532826HEALTHCARESC501(C)(3)LINE 12B, II0GEORGETOWN HOSPITAL SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
GEORGETOWN RADIATION THERAPY CENTER
4033 HIGHWAY 17MURRELLS INLETSC29576200131459HEALTHCARESCN/A00
TIDELANDS AND MEDQUEST JOINT VENTURE LLC
606 BLACK RIVER RDGEORGETOWNSC29440841945687IMAGINGSCN/A00
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd