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PRISMA HEALTH MEDICAL GROUP-MIDLANDS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PRISMA HEALTH MEDICAL GROUP-MIDLANDS (EIN 47-1345819)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-12
IRS object ID
202202249349302300
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)
Return2022-08-12T12:51:23-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 IVAN ALLEN JR BLVD SUITE 1000AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30308ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN471345819EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRISMA HEALTH MEDICAL GROUP-MIDLANDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRISBusinessNameControlTxt
Phone8647977611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 MEDICAL PARK NO 300AddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29203ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL BURKEPersonNm
Person TitleEVP-CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone8647977611PhoneNum
Signature2022-07-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastBURKEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAERRIAL M ORRPreparerPersonNm
PTINP01598400PTIN
Phone4048748300PhoneNum
Preparation2022-07-26PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL BURKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 MEDICAL PARK NO 300AddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$323,120,713GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionINSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2595TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$2,103,369CYContributionsGrantsAmt
PY Program Service Revenue$431,090,166PYProgramServiceRevenueAmt
CY Program Service Revenue$320,828,331CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$25,858,665PYOtherRevenueAmt
CY Other Revenue$189,013CYOtherRevenueAmt
PY Total Revenue$456,948,831PYTotalRevenueAmt
CY Total Revenue$323,120,713CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$352,480,877PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$357,969,065CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$97,908,038PYOtherExpensesAmt
CY Other Expenses$120,833,918CYOtherExpensesAmt
PY Total Expenses$450,388,915PYTotalExpensesAmt
CY Total Expenses$478,802,983CYTotalExpensesAmt
PY Revenues Less Expenses$6,559,916PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$155,682,270CYRevenuesLessExpensesAmt
Total Assets BOY$114,338,547TotalAssetsBOYAmt
Total Assets EOY$92,874,056TotalAssetsEOYAmt
Total Liabilities BOY$66,025,793TotalLiabilitiesBOYAmt
Total Liabilities EOY$59,944,901TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$48,312,754NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,929,155NetAssetsOrFundBalancesEOYAmt
MissionINSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$395,213,517ExpenseAmt
Grant$0GrantAmt
Revenue$320,828,331RevenueAmt
DescPRISMA HEALTH MEDICAL GROUP-MIDLANDS IS A MEDICAL GROUP THAT OPERATES MEDICAL OFFICES. THERE ARE HEALTH CARE PROVIDERS SPECIALIZING IN PHYSICAL MEDICINE AND REHABILITATION, SPORT MEDICINE, OBSTETRICS/GYNECOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, GENERAL SURGERY, DIAGNOSTIC RADIOLOGY, FAMILY PRACTICE, CARDIOVASCULAR DISEASE (CARDIOLOGY), OPHTHALMOLOGY AND MORE, BEING REPORTED AS MEMBERS OF THE MEDICAL GROUP. MEDICAL TAXONOMIES WHICH ARE COVERED BY PRISMA HEALTH MEDICAL GROUP-MIDLANDS INCLUDE PEDIATRIC ORTHOPEDIC SURGERY, REGISTERED NURSE, GYNECOLOGY, CLINICAL CHILD & ADOLESCENT, ORTHOPEDIC TRAUMA, CLINICAL CARDIAC ELECTROPHYSIOLOGY, CLINICAL NUCLEAR RADIOLOGY, PSYCHOANALYSIS AND MANY MORE.Desc
Total Program Service Expenses$395,213,517TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 AssetsYes (1)ReportOtherAssetsInd
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 Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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
IRP Document103IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2595EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
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 Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 Approva0DecisionsSubjectToApprovaInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEVIN HODGEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8647977611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 EAST MCBEE AVE STE 302AddressLine1Txt
CityGREENVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GARY B BELL MD
MANAGER40.000.00Yes (X)$160,824$0$38,161
GREGORY J RUSNAK
MNGR, EVP CHIEF OPERATING OFFICER1.0040.00Yes (X)$0$1,154,593$136,167
SCOTT M SASSER MD
MNGR, CEO OF PHMG (TO 4/21)1.0040.00Yes (X)$0$841,634$83,032
JAMES ELLIS MD
PRESIDENT OF MIDLANDS MEDICAL GROUP1.0040.00$0$911,453$86,554Yes (X)
KEVIN A BOGGS
CHIEF OPERATIONS EXECUTIVE40.000.00$455,736$0$45,999Yes (X)
MATTHEW RM FOWLER
GENERAL COUNSEL1.0040.00$0$486,984$51,544Yes (X)
MARK S O'HALLA
PRESIDENT AND CEO OF PRISMA HEALTH1.0040.00$0$1,560,326$77,713Yes (X)
KEITH ALEXANDER
SVP ACUTE CARE OPERATIONS1.0040.00$0$566,710$67,524Yes (X)
MICHAEL T BURKE
EVP CHIEF FINANCIAL OFFICER1.0040.00$0$801,170$48,957Yes (X)
MALCOLM W ISLEY
EVP CHIEF STRATEGY OFFICER1.0040.00$0$699,315$93,297Yes (X)
AMY LINSIN
EVP CHIEF HR AND DIVERSITY OFFICER1.0040.00$0$849,830$47,165Yes (X)
RICH ROGERS
SVP CHIEF INFORMATION OFFICER1.0040.00$0$858,437$77,518Yes (X)
ANGELO SINOPOLI MD
EVP CHIEF CLINICAL OFFICER1.0040.00$0$1,016,868$220,942Yes (X)
CAROLYN SWINTON MN
SVP CHIEF NURSING OFFICER1.0040.00$0$711,415$54,946Yes (X)
ELIZABETH TIBBS
SVP AMBULATORY CARE1.0040.00$0$197,505$11,887Yes (X)
HOWARD P WEST
EVP CHIEF LEGAL OFFICER1.0040.00$0$1,049,058$69,650Yes (X)
BILL GERARD MD
SVP OF NETWORK SERVICES1.0040.00$0$313,000$0Yes (X)
DAVID B FULTON
PHYSICIAN40.000.00$1,646,742$0$50,261Yes (X)
DAVID STRAUS
PHYSICIAN40.000.00$1,433,437$0$72,212Yes (X)
ERWIN Z MANGUBAT
PHYSICIAN40.000.00$1,434,631$0$45,218Yes (X)
MICKEY PLYMALE
PHYSICIAN40.000.00$1,441,416$0$71,932Yes (X)
ROHAM MOFTAKHAR
PHYSICIAN40.000.00$1,746,760$0$72,212Yes (X)
JULIAN KIM MD
FORMER MANAGER40.000.00$496,695$0$63,861Yes (X)
TERRI T NEWSOM
FORMER TREASURER AND SECRETARY0.000.00$0$787,861$8,948Yes (X)
DAVID WILLIAMS MD
FORMER CEO, PRISMA MEDICAL GROUP0.0040.00$0$970,489$88,179Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,816,241TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,776,648TotReportableCompRltdOrgAmt
Total Other Compensation$1,683,879TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K575IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE UNIVERSITY OF SOUTH CAROLINA
1600 HAMPTON STREETCOLUMBIASC29208TEMPORARY AND CONTRACTED SERVICES$5,838,423
HAYES LOCUMS LLC
6700 N ANDREWS AVENUESTE 600FORT LAUDERDALEFL33309STAFFING AGENCY$321,169
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$2,103,369GovernmentGrantsAmt
Total Contributions$2,103,369TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SVC REV621110$222,268,323$222,268,323
SERVICE REVENUE621110$58,207,854$58,207,854
TEACHING REVENUE621110$20,866,173$20,866,173
REIMBURSED CLINIC EXP621110$6,513,013$6,513,013
EMPLOYEE LEASE AGMT621110$3,544,798$3,544,798

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,428,170TotalRevenueColumnAmt
Related Or Exempt Func Income$9,428,170RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$320,828,331TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$189,013RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$189,013RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$189,013TotalRevenueColumnAmt
Exclusion$189,013ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$323,120,713TotalRevenueColumnAmt
Related Or Exempt Func Income$320,828,331RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$189,013ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$700,720TotalAmt
Management And General$700,720ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$560,556TotalAmt
Management And General$560,556ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$306,221,592TotalAmt
Program Services$253,428,990ProgramServicesAmt
Management And General$52,792,602ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,494,890TotalAmt
Program Services$6,202,771ProgramServicesAmt
Management And General$1,292,119ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,013,979TotalAmt
Program Services$24,839,569ProgramServicesAmt
Management And General$5,174,410ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,977,328TotalAmt
Program Services$10,740,037ProgramServicesAmt
Management And General$2,237,291ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$37,356TotalAmt
Program Services$30,916ProgramServicesAmt
Management And General$6,440ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,200TotalAmt
Program Services$2,648ProgramServicesAmt
Management And General$552ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,077,497TotalAmt
Program Services$9,167,737ProgramServicesAmt
Management And General$1,909,760ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,084,104TotalAmt
Program Services$897,204ProgramServicesAmt
Management And General$186,900ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$913,189TotalAmt
Program Services$755,755ProgramServicesAmt
Management And General$157,434ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,511,124TotalAmt
Program Services$15,319,806ProgramServicesAmt
Management And General$3,191,318ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$911,133TotalAmt
Program Services$754,054ProgramServicesAmt
Management And General$157,079ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$977,887TotalAmt
Program Services$809,299ProgramServicesAmt
Management And General$168,588ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,971,527TotalAmt
Program Services$2,459,236ProgramServicesAmt
Management And General$512,291ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,419,305TotalAmt
Program Services$6,140,217ProgramServicesAmt
Management And General$1,279,088ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CORPORATE ALLOCATIONS$39,790,086$32,930,275$6,859,811
MEDICAL SUPPLIES$32,968,331$27,284,591$5,683,740
ELIGIBLE 340B EXPENSES$2,659,929$2,201,357$458,572

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,509,250TotalAmt
Program Services$1,249,055ProgramServicesAmt
Management And General$260,195ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$478,802,983TotalAmt
Program Services$395,213,517ProgramServicesAmt
Management And General$83,589,466ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$14,277,386BOYAmt
EOY$10,152,064EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$303,245EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$26,645,538BOYAmt
EOY$31,478,171EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,174BOYAmt
EOY$957EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$821,563BOYAmt
EOY$859,485EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,044,934LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,272,756LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,239,320BOYAmt
EOY$8,772,178EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$92,908,338BOYAmt
EOY$41,307,956EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$114,338,547BOYAmt
EOY$92,874,056EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,856,758BOYAmt
EOY$32,443,260EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$134,731BOYAmt
EOY$601,996EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,034,304BOYAmt
EOY$26,899,645EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,025,793BOYAmt
EOY$59,944,901EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$48,312,754BOYAmt
EOY$32,929,155EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,312,754BOYAmt
EOY$32,929,155EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$114,338,547BOYAmt
EOY$92,874,056EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$155,682,270ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$140,298,670OtherChangesInNetAssetsAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$2,103,369CurrentTaxYearAmt
Total$2,103,369TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$172,836,225CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$319,913,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$403,992,385CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$431,090,166CurrentTaxYearMinus1YearAmt
Current Tax Year$320,828,331CurrentTaxYearAmt
Total$1,648,660,308TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$172,836,225CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$319,913,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$403,992,385CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$431,090,166CurrentTaxYearMinus1YearAmt
Current Tax Year$322,931,700CurrentTaxYearAmt
Total$1,650,763,677TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,650,763,677PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$10,866CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,996CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$181,424CurrentTaxYearMinus1YearAmt
Current Tax Year$189,013CurrentTaxYearAmt
Total$447,299TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$10,866CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,996CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$181,424CurrentTaxYearMinus1YearAmt
Current Tax Year$189,013CurrentTaxYearAmt
Total$447,299TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$779,754CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$25,677,241CurrentTaxYearMinus1YearAmt
Total$26,456,995TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$173,615,979CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$319,924,067CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$404,058,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$456,948,831CurrentTaxYearMinus1YearAmt
Current Tax Year$323,120,713CurrentTaxYearAmt
Total$1,677,667,971TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,752,354OtherCostOrOtherBasisAmt
Depreciation$1,612,841DepreciationAmt
Book Value$2,139,513BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,225,718OtherCostOrOtherBasisAmt
Depreciation$2,646,778DepreciationAmt
Book Value$1,578,940BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,919,626OtherCostOrOtherBasisAmt
Depreciation$7,007,139DepreciationAmt
Book Value$4,912,487BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$147,236OtherCostOrOtherBasisAmt
Depreciation$5,998DepreciationAmt
Book Value$141,238BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,772,178TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED ORGANIZATIONS$27,410,639
OTHER ASSETS$13,897,317
FieldValueIRS element (for citing)
Total Book Value Other Assets$41,307,956TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
FINANCE LEASE OBLIGATION$11,191,503
DUE TO MEDICARE - ACCELERATED PAYMENT$5,257,572
OTHER LIABILITIES$10,450,570
FieldValueIRS element (for citing)
Total Liability$26,899,645TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFORM 990, SCHEDULE D, PART X, LINE 2 PRISMA HEALTH MEDICAL GROUP-MIDLANDS IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PRISMA HEALTH AND SUBSIDIARIES. PRISMA HEALTH QUALIFIES AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). AS OF SEPTEMBER 30, 2021, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 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
ROHAM MOFTAKHAR
PHYSICIAN$1,743,458$0$707$0$2,595$0$39,000$0$33,212$0$1,818,972$0$0$0
DAVID B FULTON
PHYSICIAN$1,642,041$0$708$0$3,993$0$44,855$0$5,406$0$1,697,003$0$0$0
MARK S O'HALLA
PRESIDENT AND CEO OF PRISMA HEALTH$0$1,524,870$0$0$0$35,456$0$45,763$0$31,950$0$1,638,039$0$0
MICKEY PLYMALE
PHYSICIAN$1,439,016$0$705$0$1,695$0$39,000$0$32,932$0$1,513,348$0$0$0
DAVID STRAUS
PHYSICIAN$1,431,185$0$705$0$1,547$0$39,000$0$33,212$0$1,505,649$0$0$0
ERWIN Z MANGUBAT
PHYSICIAN$1,432,347$0$707$0$1,577$0$19,500$0$25,718$0$1,479,849$0$0$0
GREGORY J RUSNAK
MNGR, EVP CHIEF OPERATING OFFICER$0$728,110$0$384,950$0$41,533$0$106,467$0$29,700$0$1,290,760$0$0
ANGELO SINOPOLI MD
EVP CHIEF CLINICAL OFFICER$0$686,206$0$182,105$0$148,557$0$208,415$0$12,527$0$1,237,810$0$0
HOWARD P WEST
EVP CHIEF LEGAL OFFICER$0$557,179$0$338,541$0$153,338$0$45,481$0$24,169$0$1,118,708$0$0
DAVID WILLIAMS MD
FORMER CEO, PRISMA MEDICAL GROUP$0$634,632$0$319,411$0$16,446$0$58,019$0$30,160$0$1,058,668$0$0
JAMES ELLIS MD
PRESIDENT OF MIDLANDS MEDICAL GROUP$0$642,366$0$258,381$0$10,706$0$54,858$0$31,696$0$998,007$0$0
RICH ROGERS
SVP CHIEF INFORMATION OFFICER$0$559,038$0$279,078$0$20,321$0$47,600$0$29,918$0$935,955$0$0
SCOTT M SASSER MD
MNGR, CEO OF PHMG (TO 4/21)$0$595,834$0$239,973$0$5,827$0$45,827$0$37,205$0$924,666$0$0
AMY LINSIN
EVP CHIEF HR AND DIVERSITY OFFICER$0$489,720$0$307,905$0$52,205$0$26,000$0$21,165$0$896,995$0$0
MICHAEL T BURKE
EVP CHIEF FINANCIAL OFFICER$0$457,309$0$314,812$0$29,049$0$41,781$0$7,176$0$850,127$0$0
TERRI T NEWSOM
FORMER TREASURER AND SECRETARY$0$199,810$0$0$0$588,051$0$263$0$8,685$0$796,809$0$0
MALCOLM W ISLEY
EVP CHIEF STRATEGY OFFICER$0$382,665$0$294,597$0$22,053$0$61,365$0$31,932$0$792,612$0$0
CAROLYN SWINTON MN
SVP CHIEF NURSING OFFICER$0$434,473$0$217,304$0$59,638$0$26,000$0$28,946$0$766,361$0$0
KEITH ALEXANDER
SVP ACUTE CARE OPERATIONS$0$389,569$0$131,652$0$45,489$0$45,500$0$22,024$0$634,234$0$0
JULIAN KIM MD
FORMER MANAGER$490,790$0$697$0$5,208$0$36,544$0$27,317$0$560,556$0$0$0
MATTHEW RM FOWLER
GENERAL COUNSEL$0$313,505$0$162,279$0$11,200$0$19,500$0$32,044$0$538,528$0$0
KEVIN A BOGGS
CHIEF OPERATIONS EXECUTIVE$346,899$0$106,475$0$2,362$0$18,515$0$27,484$0$501,735$0$0$0
BILL GERARD MD
SVP OF NETWORK SERVICES$0$0$0$0$0$313,000$0$0$0$0$0$313,000$0$0
ELIZABETH TIBBS
SVP AMBULATORY CARE$0$170,410$0$10,000$0$17,095$0$0$0$11,887$0$209,392$0$0
GARY B BELL MD
MANAGER$152,104$0$6,712$0$2,008$0$4,511$0$33,650$0$198,985$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHOUSING ALLOWANCE FOR PERSONAL USE PRISMA HEALTH PROVIDES TEMPORARY HOUSING ALLOWANCES TO EXECUTIVES FOR THE PURPOSES OF RELOCATION ASSISTANCE. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND IS INCLUDED IN THE INCOME REPORTED ON FORM 990.
PART I, LINE 3DESCRIPTION OF PROCESS TO REVIEW COMPENSATION PAID TO TOP MANAGEMENT OFFICIAL PRISMA HEALTH MEDICAL GROUP-MIDLANDS IS AN INTEGRAL PART OF PRISMA HEALTH, A SOUTH CAROLINA HEALTHCARE SYSTEM AND RELIES UPON PRISMA HEALTH TO ESTABLISH THE COMPENSATION PHILOSPHY OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PRISMA HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PRISMA HEALTH.
FORM 990, SCHEDULE J, PART I, LINES 4A & 4BTHE FOLLOWING EMPLOYEE RECEIVED A SEVERANCE PAYMENT UPON TERMINATION OF THEIR EMPLOYMENT CONTRACT: TERRI T. NEWSOM - $ 286,045 THE 457(F) PLAN IS PROVIDED TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (WITHIN THE MEANING OF SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF ERISA) OF PRISMA HEALTH AND SUBSIDIARIES WHO CONTRIBUTE SIGNIFICANTLY TO THE FUTURE BUSINESS SUCCESS OF THE COMPANY WITH SUPPLEMENTAL RETIREMENT INCOME THROUGH COMPANY CONTRIBUTIONS. EMPLOYEES ELIGIBLE FOR THE PROGRAM ARE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THOSE ELIGIBLE RECEIVE A 10 - 20 PERCENT CONTRIBUTION ON AN ANNUAL BASIS BASED ON THE PRIOR FISCAL YEAR BASE COMPENSATION. SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE MICHAEL BURKE, MALCOLM ISLEY, AMY LINSIN, MARK O'HALLA, GREGORY RUSNAK AND ANGELO SINOPOLI. THE ORGANIZATION DEPOSITED FUNDS INTO LIFE INSURANCE POLICIES ON THE PARTICIPANT'S LIFE. DURING LIFE, AND SUBJECT TO THE POLICIES GENERATING SUFFICIENT VALUES, THE PARTICIPANT CAN BORROW FROM ONE OF THE POLICIES. THE BORROWING IS MONITORED AND LIMITED SO THE POLICIES DO NOT LAPSE. AT THE PARTICIPANT'S DEATH, THE ORGANIZATION RECOVERS AN AMOUNT GENERALLY EQUAL TO ITS PREMIUMS OR PREMIUMS PLUS INTEREST. PARTICIPANTS IN THE PLAN HAVE SIGNED WRITTEN REPRESENTATIONS UNDER REG. 1.78782.15(D)(2) AND THOSE REPRESENTATIONS ARE MAINTAINED ON FILE BY PRISMA HEALTH.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PRISMA HEALTH-MIDLANDS IS THE SOLE MEMBER OF PRISMA HEALTH MEDICAL GROUP-MIDLANDS AS OF FEBRUARY 12, 2020.
FORM 990, PART VI, SECTION A, LINE 7AAS OF FEBRUARY 12, 2020, PRISMA HEALTH-MIDLANDS, SOLE MEMBER OF PRISMA HEALTH MEDICAL GROUP- MIDLANDS, APPOINTS FOUR MEMBERS TO THE BOARD OF MANAGERS. THE BOARD MANAGERS ARE REPRESENTATIVES OF PRISMA HEALTH-MIDLANDS.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY PRISMA HEALTH MANAGEMENT. THE RETURN WAS REVIEWED BY PRISMA HEALTH MANAGEMENT AND IN-HOUSE LEGAL COUNSEL PRIOR TO FILING WITH THE IRS. IN ADDITION, A COPY OF THE RETURN WAS PROVIDED TO ALL CURRENT BOARD MEMBERS AND THE PRISMA HEALTH BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE CORPORATE COMPLIANCE AND WHEN APPROPRIATE BY THE LEGAL DEPARTMENTS OF PRISMA HEALTH. ADDITIONALLY, CORPORATE COMPLIANCE COMPARES ANNUAL DISCLOSURES BY EMPLOYED PHYSICIANS TO THOSE DISCLOSED BY VENDORS THROUGH THE OPEN PAYMENTS SYSTEMS. ANY EXCEPTIONS ARE REVIEWED AND COMMUNICATED TO THE CONFLICT OF INTEREST COMMITTEE AND THE DEPARTMENT CHAIRPERSON. IF PRISMA HEALTH DETERMINES THAT A PRISMA HEALTH TEAM MEMBER OR MEDICAL GROUP MEMBER COVERED BY THIS POLICY DID NOT COMPLY WITH THE TERMS OF THE CONFLICT OF INTEREST ANNUAL DISCLOSURE POLICY, OR IF PRISMA HEALTH DISCOVERS THAT ONE OF THESE INDIVIDUALS HAD A SIGNIFICANT FINANCIAL OR ORGANIZATIONAL INTEREST THAT WAS NOT DISCLOSED IN A TIMELY MANNER PURSUANT TO THIS POLICY, PRISMA HEALTH WILL CONDUCT A RETROSPECTIVE REVIEW, AND IF, UPON CONCLUSION OF THE REVIEW, THE PRISMA HEALTH CONFLICT OF INTEREST COMMITTEE FINDS THAT A CONFLICT OF INTEREST EXISTED THAT COULD HAVE AFFECTED THE DECISION-MAKING AND/OR INDEPENDENT JUDGEMENT OF THE INDIVIDUAL, PRISMA HEALTH WILL TAKE APPROPRIATE STEPS IN ACCORDANCE WITH THIS POLICY TO MANAGE OR ELIMINATE THE CONFLICT AND REPORT ITS FINDING TO THE APPROPRIATE PRISMA HEALTH ADMINISTRATIVE BODY.
FORM 990, PART VI, SECTION B, LINE 15PRISMA HEALTH IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION PHILOSOPHY. AS PART OF THIS UNDERTAKING, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF PRISMA HEALTH, WHICH IS COMPOSED SOLELY OF INDEPENDENT DIRECTORS OF PRISMA HEALTH, SETS THE COMPENSATION PAYABLE TO THE EXECUTIVES AND MANAGEMENT LEADERS EMPLOYED BY PRISMA HEALTH AND ITS RELATED ORGANIZATIONS WHO ARE CONSIDERED AS DISQUALIFIED PERSONS IN ACCORDANCE WITH SECTION 4958 OF THE CODE AND THE APPLICABLE COMPENSATION PHILOSOPHY TO MANAGERS, DIRECTORS, AND EMPLOYEES. THIS PROCESS OF INDEPENDENT ESTABLISHMENT AND REVIEW OF COMPENSATION BY THE PARENT ORGANIZATION OR THE SYSTEM IS CONSISTENT WITH THAT UTILIZED BY THE MAJORITY OF LARGE, MULTI-INSTITUTIONAL HEALTHCARE SYSTEMS. THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES AN EXPERT INDEPENDENT COMPENSATION CONSULTANT RETAINED BY THE COMMITTEE TO PROVIDE AND EVALUATE COMPENSATION BASED ON COMPARABILITY DATA, MARKET CONDITIONS, COMPETITION FOR TALENT, AND OTHER SIGNIFICANT FACTORS. BASE COMPENSATION, VARIABLE INCENTIVE COMPENSATION, AND BENEFITS ARE ALL ESTABLISHED AND SET AFTER REVIEW BY THE COMMITTEE OF THIS DATA AND THE PERFORMANCE OF THE ORGANIZATION, AND REPORTS FROM THE INDEPENDENT CONSULTANT ARE INCLUDED IN THE MINUTES OF THE DELIBERATION BY THE COMMITTEE. THIS PROCESS WAS LAST COMPLETED AUGUST 1, 2021.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER FROM RELATED ORGANIZATIONS 140,298,670.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PRISMA HEALTH
300 EAST MCBEE AVENUE SUITE 302GREENVILLESC29601822595551HEALTHCARESC501(C)(3)LINE 12C, III-FIN/A0
PRISMA HEALTH-UPSTATE
300 EAST MCBEE AVENUE SUITE 302GREENVILLESC29601811723202HOSPITALSC501(C)(3)LINE 30PRISMA HEALTH
PRISMA HEALTH-MIDLANDS
PO BOX 2266COLUMBIASC29202582296052HOSPITALSC501(C)(3)LINE 30PRISMA HEALTH
PRISMA HEALTH TUOMEY
129 NORTH WASHINGTON STREETSUMTERSC29150474914917HOSPITALSC501(C)(3)LINE 30PRISMA HEALTH-MIDLANDS
GREENVILLE HEALTH CORPORATION
300 EAST MCBEE AVENUE SUITE 302GREENVILLESC29601570835816HEALTHCARESC501(C)(3)LINE 100PRISMA HEALTH-UPSTATE
PRISMA HEALTH-UNIVERSITY MEDICAL GROUP
300 EAST MCBEE AVENUE SUITE 302GREENVILLESC29601571004971PHYSICIAN PRACTICESSC501(C)(3)LINE 100PRISMA HEALTH-UPSTATE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
RADIATION ONCOLOGY
7 RICHLAND MEDICAL PARK ROADCOLUMBIASC29203364542465HEALTHCARESCN/A00
CAROLINA HOME THERAPEUTICS
1528 UNION ROADGASTONIANC28054570880120HEALTHCARENCN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HEALTHSOURCE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2226AddressLine1Txt
CityCOLUMBIACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29202ZIPCd
FieldValueIRS element (for citing)
EIN570938686EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
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 Org0LoansOrGuaranteesFromOthOrgInd
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PRISMA HEALTH-MIDLANDS
J$4,947,493BOOK BASIS
PRISMA HEALTH-UMG PRISMA HEALTH PRISMA HEALTH-MIDLANDS
I$889,296BOOK BASIS
PRISMA HEALTH-MIDLANDS PRISMA HEALTH TUOMEY
K$4,920,489BOOK BASIS

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART V, LINE 1P:FormAndLineReferenceDesc
ExplanationENTRIES ARE MADE TO TRANSFER EXPENSES BETWEEN RELATED ENTITIES TO THE APPROPRIATE ENTITY; HOWEVER, NO EXCHANGE OF CASH OCCURS.ExplanationTxt