2021-08-12T11:06:02-05:00 2020-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2019-10-01 582296052 PRISMA HEALTH-MIDLANDS PRIS 8647977611 PO BOX 2266 COLUMBIA SC 29202 MICHAEL BURKE EVP-CHIEF FINANCIAL OFFICER 8647977611 2021-08-12 1 AMY BIBBY P00445891 8282542254 2021-08-12 2019 2022-09-23 18:48:47Z MICHAEL BURKE PO BOX 2266 COLUMBIA SC 29202 1892003692 0 X WWW.PRISMAHEALTH.ORG X 1996 SC INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 16 14 11770 443 6630671 967757 9183858 5400618 1679171081 1762356989 9970292 -959043 119921285 124244371 1818246516 1891042935 727138 847138 0 0 653569559 675337468 0 0 0 1188411010 1151098252 1842707707 1827282858 -24461191 63760077 987876140 1188288414 317870981 533320050 670005159 654968364 INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 0 0 1502345571 847138 1755726318 PLEASE READ THE ANNUAL REPORT FOR MORE DETAIL ABOUT NEW AND EXPANDED SERVICES AND INNOVATIVE COLLABORATIONS AT THIS WEBSITE: HTTPS://PRISMAHEALTH.ORG/PDFS/PRISMA-HEALTH-FY2020-HIGHLIGHTS-AND-STATISTICS 1502345571 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 789 0 1 11770 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 SC X KEVIN HODGE 8647977611 300 EAST MCBEE AVE STE 302 GREENVILLE SC 29601 BEVERLY D CHRISMAN CHAIR 1.00 0.00 X 0 0 0 JAMES L BEST VICE CHAIR 1.00 0.00 X 0 0 0 MARK MACGREGOR CRABBE MD DIRECTOR 1.00 0.00 X 0 0 0 LEROY P CREECH SECRETARY/TREASURER 1.00 0.00 X 0 0 0 JOSEPH A CAMPBELL MD DIRECTOR 1.00 0.00 X 0 0 0 EDWARD M CARNEY DM DIRECTOR 1.00 0.00 X 0 0 0 JEANNE U CAVANAUGH MN RN NEA-BC DIRECTOR 1.00 0.00 X 0 0 0 TRACI YOUNG COOPER EDD DIRECTOR 1.00 0.00 X 0 0 0 ROBERT E DYE JR DIRECTOR 1.00 0.00 X 0 0 0 BEN E GRIFFITH JR DIRECTOR 1.00 0.00 X 0 0 0 CYNTHIA S OTTONE DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH ANDREW PAINTER DIRECTOR 1.00 0.00 X 0 0 0 RONALD T SCOTT JD DIRECTOR 1.00 0.00 X 0 0 0 CHARLES D WADDELL DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN W WATSON MD DIRECTOR 1.00 0.00 X 0 0 0 MARY WINTER CLARK TEASTER DIRECTOR 1.00 0.00 X 0 0 0 GREGORY J RUSNAK EVP CHIEF OPERATING OFFICER 1.00 40.00 X 0 663568 163458 MICHAEL T BURKE EVP CHIEF FINANCIAL OFFICER (BEG 4/1/20) 1.00 40.00 X 0 0 0 HOWARD P WEST EVP GENERAL COUNSEL 1.00 40.00 X 0 687751 68164 MATTHEW RM FOWLER SR VP AND DEPUTY GENERAL COUNSEL 1.00 40.00 X 277573 0 79122 MONA W COLE CORPORATE SECRETARY 1.00 40.00 X 0 59529 33846 MARK S O'HALLA PRESIDENT AND CEO OF PRISMA HEALTH 1.00 40.00 X 0 752796 86436 MALCOLM W ISLEY EVP CHIEF STRATEGY OFFICER 1.00 40.00 X 0 722482 143161 ANGELO SINOPOLI MD EVP CHIEF CLINICAL OFFICER 1.00 40.00 X 0 770555 165387 AMY LINSIN EVP CHIEF HR AND DIVERSITY OFFICER 1.00 40.00 X 404497 0 113285 RICH ROGERS SVP CHIEF INFORMATION OFFICER 1.00 40.00 X 0 497338 130635 CAROLYN SWINTON MN SVP CHIEF NURSING OFFICER 1.00 40.00 X 422254 0 68724 DAVID WILLIAMS MD CEO, PRISMA HEALTH MEDICAL GROUP 1.00 40.00 X 0 652157 90209 TERRI T NEWSOM EVP CHIEF FINANCIAL OFFICER (UNTIL 4/1/20) 1.00 40.00 X 0 684387 167816 JENNIFER M RISINGER PHYSICIAN 40.00 0.00 X 551081 0 67357 GRETA S HARPER ACUTE CARE CHIEF MEDICAL OFFICER 40.00 0.00 X 349785 0 57221 KEITH SHAH EXECUTIVE 40.00 0.00 X 414025 0 28991 VINCE FORD SVP COMMUNITY AFFAIRS 40.00 0.00 X 373651 0 58906 NATHAN HENDERSON PHYSICIAN 40.00 0.00 X 345964 0 69360 ELMER POLITE FORMER VP, CHIEF FINANCIAL EXECUTIVE 40.00 1.00 X 332537 0 81231 CHARLES D BEAMAN JR FORMER CO-CEO OF PRISMA HEALTH (UNTIL 7/20/19) 0.00 0.00 X 45000 1524772 61472 JOSEPH J BLAKE FORMER VP OF LEGAL AFFAIRS AND GENERAL COUNSEL 0.00 0.00 X 0 141181 64464 MICHAEL C RIORDAN FORMER CO-CEO OF PRISMA HEALTH (UNTIL 5/31/19) 0.00 0.00 X 0 939610 83777 JOHN J SINGERLING III FORMER PRESIDENT, MIDLANDS AFF'L (UNTIL 4/19) 0.00 0.00 X 0 963109 25200 3516367 9059235 1908222 756 1 1 0 CERNER CORPORATION 2800 ROCK CREEK PKWY KANSAS CITY MO 64117 IT & MEDICAL RECORD HOSTING 26958998 CAROLINA CARE 136 RIVER FLOW COURT WEST COLUMBIA SC 29169 EMERGENCY CARE PHYSICIANS 19412302 QUALIVIS LLC PO BOX 123847 DALLAS TX 75312 CLINICAL STAFFING SERVICES 10173492 ALLIED UNIVERSAL 1 INDEPENDENCE POINT SUITE 115 GREENVILLE SC 29615 SECURITY SERVICES 5812436 LANDMARK BUILDERS OF SC LLC 1118 SHOP RD COLUMBIA SC 29201 CONSTRUCTION SERVICES 5709284 511 5400618 5400618 NET PATIENT REVENUE 621300 1571740710 1565110039 6630671 CARES RELIEF FUND 900099 144013112 144013112 PHARMACY 446110 24510523 24510523 SENIOR CARE 623000 22092644 22092644 1762356989 1714 1714 11066153 0 11066153 11066153 11066153 960757 -960757 -960757 -960757 MISCELLANEOUS REVENUE 900099 108331382 108331382 CAFETERIA 900099 4846836 4846836 113178218 1891042935 1755726318 6630671 123285328 X 752138 752138 95000 95000 1365455 1365455 601292 142524 458768 541131894 444982725 96149169 14247464 14247464 82483733 67603911 14879822 35507630 29102158 6405472 1452252 1248 1451004 93532 10082 83450 265414522 230973069 34441453 2441296 16835 2424461 35238451 10922078 24316373 50277403 845876 49431527 64881969 54149386 10732583 837557 814204 23353 27181345 22438593 4742752 68054896 48150793 19904103 5544373 -4720 5549093 MEDICAL SUPPLIES 308199939 273613303 34586636 BAD DEBT EXPENSE 285939708 285939708 MEDICAID DSH TAX 27612421 27612421 OTHER - NOT CLASSIFIED 7928588 4184239 3744349 1827282858 1502345571 324937287 0 X 1087798 -42708969 49530869 427515 207841134 273423837 7360691 7843220 29522941 36412351 260238 6305143 1724257894 1154304144 578771378 569953750 102836 102838 34143268 32944826 20524183 3723161 58730804 299860742 987876140 1188288414 139743024 187597184 3963558 119446832 119464791 58681125 222294517 317870981 533320050 X 628487496 621468319 41517663 33500045 670005159 654968364 987876140 1188288414 X 63760077 5939411 -84736283 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26000 26000 0 PART II-B, LINE 1: PRISMA HEALTH-MIDLANDS PAID INDEPENDENT CONSULTING GROUP, JET CORP CONSULTING GROUP, LLC, ($26,000) FOR LOBBYING SERVICES. PRISMA HEALTH- MIDLANDS PAYS ANNUAL MEMBERSHIP DUES AS PART OF ITS MEMBERSHIP WITH THE SC HOSPITAL ASSOCIATION. A PORTION OF PRISMA HEALTH-MIDLAND'S SC HOSPITAL ASSOCIATION DUES ARE USED FOR LOBBYING EXPENSES, THESE WERE PAID BY PRISMA HEALTH ON PRISMA HEALTH-MIDLAND'S BEHALF. 45097914 45097914 763037812 433729796 329308016 12165738 5562887 6602851 860791664 706307226 154484438 43164766 8704235 34460531 569953750 OTHER CURRENT ASSETS 43291098 DUE FROM RELATED PARTIES 256569644 299860742 FINANCE LEASE OBLIGATIONS 93976045 OTHER LIABILITIES 37612985 ESTIMATED THIRD PARTY OBLIGATIONS 90705487 222294517 X PART X, LINE 2: PRISMA HEALTH-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, 2020, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. 1 1 X 1 X 0 1 1 1 0 1 1 60734176 12957041 47777135 0.03100 283538453 242292471 41245982 0.02670 344272629 255249512 89023117 0.05770 4257954 1984151 2273803 0.00150 45703670 18410954 27292716 0.01770 62323769 57251878 5071891 0.00330 1375489 1375489 0.00090 113660882 77646983 36013899 0.02340 457933511 332896495 125037016 0.08110 1 61550238 8019345 333889227 451268447 -117379220 X 1 1 1 RADIATION ONCOLOGY OUTPATIENT ONCOLOGY 0.51000 0.49000 3 2 PRISMA HEALTH RICHLAND 5 MEDICAL PARK COLUMBIA SC 29203 X X X X X HEART, CHILDREN'S HOSPITAL A 3 PRISMA HEALTH BAPTIST MARION STREET COLUMBIA SC 29220 X X X X A 4 PRISMA HEALTH BAPTIST PARKRIDGE 400 PALMETTO HEALTH PARKWAY COLUMBIA SC 29212 X X X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE DISCLOSURE X 1 18 1 SEE DISCLOSURE 0 1 X 100.000000000000 100.000000000000 X X X X 1 1 X X X 1 X SEE DISCLOSURE X SEE DISCLOSURE X SEE DISCLOSURE X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, LINE 7A AND 10A: WEBSITE FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY: HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH-HUB/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 16A HTTPS://WWW.PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B HTTPS://WWW.PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16C HTTPS://WWW.PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILL-PAY/FINANCIAL-ASSISTANCE PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 2: PRISMA HEALTH RICHLAND, - FACILITY 3: PRISMA HEALTH BAPTIST, - FACILITY 4: PRISMA HEALTH BAPTIST PARKRIDGE FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: PRISMA HEALTH FORMED A MULTI-STAKEHOLDER TEAM TO CARRY OUT THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THE TEAM IDENTIFIED SEVEN COUNTIES TO FOCUS ON IN COLLECTING DATA FOR PRISMA HEALTH'S 2019 CHNA. THESE COUNTIES WERE: GREENVILLE, LAURENS, LEXINGTON, OCONEE, PICKENS, RICHLAND AND SUMTER.A TOTAL OF 5,572 SURVEYS WERE COMPLETED ACROSS THE SEVEN COUNTIES. DATA AND INFORMATION GATHERING USED BOTH QUALITATIVE AND QUANTITATIVE METHODS. PRIMARY RESEARCH-QUALITATIVE AND QUANTITATIVE- WAS COLLECTED THROUGH INTERNAL DATA SOURCES, FOCUS GROUPS, COMMUNITY STAKEHOLDER INTERVIEWS AND COMMUNITY MEMBER SURVEYS. COMMUNITY AGENCIES PROVIDED SECONDARY RESEARCH.PUBLIC HEALTH EXPERTS GUIDED THE TEAM'S OBJECTIVES IN DEVELOPING TOOLS, ANALYZING DATA AND PRIORITIZING NEEDS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: PRISMA HEALTH-MIDLANDS, PRISMA HEALTH-UPSTATE, PRISMA HEALTH TUOMEY, AND THE SHRINER'S HOSPITAL OF GREENVILLE ALL CONDUCTED THE CHNA JOINTLY. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS INDICATED THREE DISTINCTIVE HEALTH ISSUES AND PRIORITY AREAS FOR INTERVENTION IN LEXINGTON, RICHLAND, SUMTER, GREENVILLE, OCONEE, PICKENS AND LAURENS COUNTY. THOSE NEEDS ARE:1. MENTAL HEALTH2. OBESITY3. DRUG USEDURING THE NEXT THREE YEARS, PRISMA HEALTH IS COMMITTED TO PARTNERING WITH HEALTH CARE AND COMMUNITY LEADERS TO PRIORITIZE AND SELECT CRITICAL AREAS FOR INTERVENTION AND ACTION PLANNING. WE HAVE OUTLINED STRATEGIES FOR PRIORITY AREAS IN PARTNERSHIP WITH VARIOUS COMMUNITY PARTNERS. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E: SENT STATEMENTS WITH LANGUAGE INDICATING ASSISTENCE WAS AVAILABLE. 24 1 - PRISMA HEALTH BEHAVIORAL CARE 720 GRACERN RD STE 120 COLUMBIA SC 292107657 PSYCHIATRY & NEUROLOGY BEHAVIORAL NEUROLOGY & NEUROPSYCHIATRY 2 - PRISMA HEALTH BEHAVIORAL CARE 1330 TAYLOR ST COLUMBIA SC 292012915 PSYCHIATRIC UNIT 3 - PRISMA HEALTH COLUMBIA CRNA SERVICES 400 PALMETTO HEALTH PKWY STE 100 COLUMBIA SC 292121760 NURSE ANESTHETIST, CERTIFIED REGISTERED 4 - PRISMA HEALTH COLUMBIA CRNA SERVICES 5 RICHLAND MEDICAL PARK DR COLUMBIA SC 292036863 NURSE ANESTHETIST, CERTIFIED REGISTERED 5 - PRISMA HEALTH COLUMBIA CRNA SERVICES 1330 TAYLOR ST COLUMBIA SC 292012915 NURSE ANESTHETIST, CERTIFIED REGISTERED 6 - PRISMA HEALTH COUNSELING COLUMBIA 9 RICHLAND MEDICAL PARK DR COLUMBIA SC 292036859 SINGLE SPECIALTY GROUP COUNSELOR 7 - PRISMA HEALTH COUNSELING SUMTER 250 W WESMARK BLVD SUMTER SC 291504958 SINGLE SPECIALTY GROUP COUNSELOR 8 - PRISMA HEALTH DIABETES EDUCATION 9 MEDICAL PARK STE 205 COLUMBIA SC 292036859 CLINIC/CENTER MULTI-SPECIALTY 9 - PRISMA HEALTH DIABETES EDUCATION 1333 TAYLOR ST STE 4E COLUMBIA SC 292012949 CLINIC/CENTER MULTI-SPECIALTY 10 - PRISMA HEALTH DIABETES PREVENTION PROGRAM 1330 TAYLOR ST COLUMBIA SC 292012915 CLINIC/CENTER MULTI-SPECIALTY 11 - PRISMA HEALTH EMERGENCY PHYSICIANS BAPTIST 1330 TAYLOR ST COLUMBIA SC 292012942 GENERAL ACUTE CARE HOSPITAL 12 - PRISMA HEALTH EMERGENCY PHYSICIANS PARKRID 400 PALMETTO HEALTH PKWY STE 100 COLUMBIA SC 292121760 GENERAL ACUTE CARE HOSPITAL 13 - PRISMA HEALTH EMERGENCY PHYSICIANS RICHLAN 5 RICHLAND MEDICAL PARK DR STE 100 COLUMBIA SC 292036863 GENERAL ACUTE CARE HOSPITAL 14 - PRISMA HEALTH HOME HEALTH 1400 PICKENS ST COLUMBIA SC 292013465 HOME HEALTH 15 - PRISMA HEALTH HOSPICE MIDLANDS 1400 PICKENS ST COLUMBIA SC 292013465 HOSPICE CARE, COMMUNITY BASED 16 - PRISMA HEALTH HOSPICE MIDLANDS NEWBERRY 1400 CAMELLIA AVENUE COLUMBIA SC 292027275 HOSPICE CARE, COMMUNITY BASED 17 - PRISMA HEALTH OCCUPATIONAL MEDICINE 1333 TAYLOR ST STE 3H COLUMBIA SC 292012947 HEALTHWORKS FOR EMPLOYEE 18 - PRISMA HEALTH PRIVATE SERVICES 1400 PICKENS ST COLUMBIA SC 292013465 VOLUNTARY OR CHARITABLE 19 - PRISMA HEALTH RICHLAND LAB OUTREACH 5 RICHLAND MEDICAL PARK DR COLUMBIA SC 292036863 GENERAL ACUTE CARE HOSPITAL 20 - PRISMA HEALTH RICHLAND SPRINGS HOSPITAL 5 RICHLAND MEDICAL PARK DR COLUMBIA SC 292036813 PSYCHIATRIC UNIT 21 - PRISMA HEALTH SENIOR PRIMARY CARE PRACTICE 3010 FARROW RD STE 300 COLUMBIA SC 292037603 CLINIC/CENTER 22 - PRISMA HEALTH SENIOR PRIMARY CARE PRACTICE 100 PALMETTO HEALTH PKWY STE G100 COLUMBIA SC 292121754 CLINIC/CENTER 23 - PRISMA HEALTH SENIOR PRIMARY CARE PRACTICE 2133 WALKER SOLOMON WAY COLUMBIA SC 292041131 CLINIC/CENTER 24 - PRISMA HEALTH SENIORCARE 15 MEDICAL PARK DR STE 203 COLUMBIA SC 29203 CLINIC/CENTER PART I, LINE 7: COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS, INTERNAL COST ACCOUNTING SYSTEM AND PRISMA HEALTH-MIDLANDS' MEDICARE COST REPORT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 285,119,140. PART III, LINE 2: THE COST OF BAD DEBT IS FORMULATED BY MULTIPLYING THE APPROPRIATE COST TO CHARGE RATIO FOR EACH ENTITY BY THE ACTUAL BAD DEBT CHARGES FOR EACH CORRELATING ENTITY REPORTED WITHIN THE AUDITED FINANCIAL STATEMENTS. THIS AMOUNT IS THEN REDUCED BY A PORTION OF THE NET MEDICAID DSH REVENUE. PART III, LINE 3: THE AMOUNT REPRESENTS THE BAD DEBT EXPENSE FOR THOSE WHO QUALIFIED FOR OUR CHARITY CARE POLICY BUT DID NOT PROVIDE THE APPROPRIATE PAPERWORK. THEREFORE, THEY WOULD BE CLASSIFIED AS SELF PAY WITHIN OUR FINANCIAL STATEMENTS. THE APPROPRIATE COST TO CHARGE RATIO FOR EACH ENTITY IS MULTIPLIED BY THE TOTAL CHARGES FOR EACH PATIENT. PART III, LINE 4: SEE THE FY2020 FINANCIALS, NOTE 2 - NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE. PART III, LINE 8: THE AMOUNT WITHIN LINE 7 OF PART 3 REPRESENTS THE SHORTFALL AFTER COMPARING THE NET REVENUE AND COST OF PATIENTS CLASSIFIED AS MEDICARE WHO WERE NOT INCLUDED WITHIN THE SUBSIDIZED HEALTH SERVICE COMPONENT. THE SHORTFALL CONSISTS OF MEDICARE PATIENTS THAT INCURRED A LOSS AFTER USING DATA FORMULATED WITHIN THE INTERNAL COST ACCOUNTING SYSTEM ($117.4 MILLION). PART III, LINE 9B: PRE-REGISTRATION STAFF, ACCESS SERVICES STAFF, AND THE FINANCIAL COUNSELING STAFF ARE PROACTIVE IN EXPLAINING A PATIENT'S FINANCIAL EXPECTATIONS AND THE POTENTIAL FOR ANY HOSPITAL OR STATE AGENCY ASSISTANCE. IN ADDITION TO THE FINANCIAL COUNSELING STAFF, PRISMA HEALTH-MIDLANDS UTILIZES ADDITIONAL RESOURCES TO ASSIST PATIENTS. THESE RESOURCES INCLUDE A BUSINESS PARTNER TO REVIEW CASES FOR POTENTIAL MEDICAID AND/OR DISABILITY AND DEPARTMENT OF HEALTH AND HUMAN SERVICES(DHHS) ON-SITE WORKERS. PRISMA HEALTH-MIDLANDS ALSO PROVIDES HELPFUL INFORMATION ON FINANCIAL ASSISTANCE IN THE PATIENTS' HANDBOOK AND AS PART OF THE BILLING PROCESS IN BOTH ENGLISH AND SPANISH. THERE ARE SIGNS POSTED AROUND THE CAMPUSES AND INFORMATION ON THE WEBSITE FOR RELATED PROGRAMS AVAILABLE AT PRISMA HEALTH-MIDLANDS. POST DISCHARGE, ALL STATEMENTS TO SELF PAY PATIENTS INCLUDE DISCLOSURES THAT PROVIDE INFORMATION ON HOW TO INQUIRE ABOUT POSSIBLE FINANCIAL ASSISTANCE. PATIENTS WHO INQUIRE ABOUT ASSISTANCE WILL BE REFERRED TO THE APPROPRIATE AREA BY THE CUSTOMER SERVICE TEAM. IN ADDITION, PATIENTS WHO DO NOT RESPOND TO INTERNAL COLLECTION EFFORTS ARE REFERRED TO THIRD PARTY COLLECTION AGENCIES WHO CAN REVIEW THE PATIENTS' STATUS FOR FINANCIAL ASSISTANCE AND REFER TO THE HOSPITAL FOR FINAL DETERMINATION. PART VI, LINE 2: A DESCRIPTION OF HOW PRISMA HEALTH-MIDLANDS CONDUCTS ITS NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING LINK:HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH-HUB/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 3: PRISMA HEALTH-MIDLANDS STRIVES TO IMPROVE THE WELL BEING OF THE COMMUNITIES IT SERVES. QUALITY SERVICES ARE MADE AVAILABLE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF AN ABILITY TO PAY. PRISMA HEALTH-MIDLANDS WILL WORK WITH UNDERINSURED PATIENTS TO SEEK FINANCIAL ASSISTANCE OR POTENTIAL GOVERNMENT BENEFITS.PATIENTS ARE EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER PRISMA HEALTH-MIDLANDS' FINANCIAL ASSISTANCE POLICY(FAP). DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS CAN BE INTERVIEWED BY A FINANCIAL COUNSELOR TO DETERMINE WHETHER THE PATIENT HAS A NEED FOR FINANCIAL ASSISTANCE OR POTENTIAL ELIGIBILITY UNDER GOVERNMENT PROGRAMS. ALSO PRISMA HEALTH-MIDLANDS SENDS SELF PAY AND UNINSURED PATIENTS AN INFORMATIONAL MAILING ABOUT COVERAGE OPTIONS DURING THE OPEN ENROLLMENT PERIOD FOR BENEFITS UNDER THE HEALTH INSURANCE EXCHANGE.FINANCIAL COUNSELING STAFF REVIEW THE FINANCIAL STATUS OF THE PATIENT TO DETERMINE WHICH PROGRAM(S) THE PATIENT MAY BE ELIGIBLE TO PARTICIPATE. IF IT IS DEEMED THAT A PATIENT MAY BE ELIGIBLE FOR A STATE GOVERNMENT PROGRAM, I.E. MEDICAID, ASSISTANCE WILL BE PROVIDED WITH THE APPLICATION PROCESS IF THERE IS A NEED. PRISMA HEALTH-MIDLANDS' WEBSITE, WWW.PRISMAHEALTH.ORG, STATES PRISMA HEALTH-MIDLANDS WILL WORK WITH UNINSURED PATIENTS TO SEEK FINANCIAL ASSISTANCE OR GOVERNMENT BENEFITS. POST DISCHARGE, PATIENTS EXPRESSING ISSUES WITH BEING UNABLE TO PAY THEIR BILL WILL BE DIRECTED TO FINANCIAL COUNSELORS TO ASSIST IN EDUCATING THE PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY(FAP) AND OTHER OPPORTUNITIES FOR PAYMENT ASSISTANCE. PART VI, LINE 4: THE PRIMARY SERVICE AREA (PSA) FOR PRISMA HEALTH RICHLAND, BAPTIST, AND PARKRIDGE CONSISTS OF RICHLAND, LEXINGTON, AND FAIRFIELD COUNTIES.THE SECONDARY SERVICE AREA (SSA) FOR PRISMA HEALTH RICHLAND, BAPTIST, AND PARKRIDGE CONSISTS OF CALHOUN, CLARENDON, KERSHAW, LEE, NEWBERRY, ORANGEBURG, SALUDA AND SUMTER COUNTIES. PART VI, LINE 5: INFORMATION ON WAYS PRISMA HEALTH-MIDLANDS PROMOTES COMMUNITY HEALTH CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH-HUB/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 6: THE ORGANIZATION IS A COMPONENT OF AN AFFILIATED HEALTH CARE SYSTEM IN THE STATE OF SOUTH CAROLINA. THE SYSTEM HAS MULTIPLE HOSPITAL SYSTEMS THAT PROVIDE HOSPITALS SERVICES TO THE RESPECTIVE COMMUNITIES. PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC 1 PRISMA HEALTH CARE AND CONDITION MANAGEMENT TEAM COLUMBIA HOUSING AUTHORITY 1917 HARDEN ST COLUMBIA SC 29204 822595551 501(C)(3) 33138 GENERAL SUPPORT FACT FORWARD 1331 ELMWOOD AVENUE SUITE 300 COLUMBIA SC 29201 570897120 501(C)(3) 10000 GENERAL SUPPORT FAMILY CONNECTION OF SC 1800 ST JULIAN PLACE 104 COLUMBIA SC 29204 570901467 501(C)(3) 15000 GENERAL SUPPORT FOODSHARE SC 1600 HAMPTON STREET COLUMBIA SC 29201 501(C)(3) 34000 GENERAL SUPPORT THE GOOD SAMARITAN CLINIC PO BOX 158 LEXINGTON SC 29071 571109766 501(C)(3) 20000 GENERAL SUPPORT JAMES R CLARK SICKLE CELL FOUNDATION 1420 GREGG STREET COLUMBIA SC 29201 570858930 501(C)(3) 40000 GENERAL SUPPORT MEDNEED OF SC PO BOX 6882 W COLUMBIA SC 29171 900340073 501(C)(6) 25000 GENERAL SUPPORT THE MENTAL ILLNESS RECOVERY CENTER INC (MIRCI) 3809 ROSEWOOD DR COLUMBIA SC 29240 570984185 501(C)(6) 90000 GENERAL SUPPORT SC HIVAIDS COUNCIL CENTER PO BOX 1489 COLUMBIA SC 29202 570994526 501(C)(3) 10000 GENERAL SUPPORT PASO'S 730 DEVINE STREET COLUMBIA SC 29208 501(C)(3) 25000 GENERAL SUPPORT SEXUAL TRAUMA SERVICES OF THE MIDLANDS (STSM) 3830 FOREST DR STE 201 COLUMBIA SC 29204 570763120 501(C)(6) 20000 GENERAL SUPPORT THE COOPERATIVE MINISTRY (IPAP) 3821 W BELTLINE BLVD COLUMBIA SC 29204 570825025 501(C)(3) 60000 GENERAL SUPPORT WELLPARTNERS DENTAL AND EYE HEALTH 1818 BLANDING STREET COLUMBIA SC 29201 501(C)(3) 345000 GENERAL SUPPORT WELVISTA 121 GREYSTONE BLVD COLUMBIA SC 29210 501(C)(3) 25000 GENERAL SUPPORT 11 3 ELIZABETH H. MCCULLOGH HIGH POTENTIAL EMPLOYEE SCHOLARSHIP 18 95000 PART I, LINE 2: PRISMA HEALTH-MIDLANDS PROVIDES FUNDING TO A NUMBER OF NON-PROFIT ORGANIZATIONS TO EXPAND SERVICES IN OUR COMMUNITY. ORGANIZATIONS THAT RECEIVE FUNDING MUST SUBMIT MONTHLY REPORTS THAT DETAIL THE SCOPE AND TYPE OF SERVICES PROVIDED TO PATIENTS/CLIENTS EACH MONTH. ORGANIZATIONS RECEIVE PAYMENT IF REPORTS ARE RECEIVED IN A TIMELY MANNER AND IF ALL CONDITIONS OF THE AGREEMENT WITH PRISMA HEALTH-MIDLANDS ARE MET. IN ADDITION, ACCORDING TO THE AGREEMENT PRISMA HEALTH-MIDLANDS RESERVES THE RIGHT TO PERFORM A FINANCIAL AUDIT REGARDING THE USE OF FUNDING DOLLARS PROVIDED TO THE ORGANIZATION. PRISMA HEALTH-MIDLANDS WILL ALERT THE ORGANIZATION OF THE AUDIT 10 BUSINESS DAYS BEFORE SUCH AUDIT OCCURS. ADDITIONALLY, THE ORGANIZATION MAKES CHARITABLE DONATIONS TO OTHER ORGANIZATIONS IN OUR COMMUNITY THAT ARE CONSISTENT WITH OUR MISSION. X X X X 1 1 0 0 0 0 0 0 0 GREGORY J RUSNAK EVP CHIEF OPERATING OFFICER 0 658658 0 0 0 4910 0 133251 0 30207 0 827026 0 0 HOWARD P WEST EVP GENERAL COUNSEL 0 495015 0 29775 0 162961 0 44000 0 24164 0 755915 0 0 MATTHEW RM FOWLER SR VP AND DEPUTY GENERAL COUNSEL 236579 0 36923 0 4071 0 48562 0 30560 0 356695 0 0 0 MARK S O'HALLA PRESIDENT AND CEO OF PRISMA HEALTH 0 603033 0 140030 0 9733 0 75001 0 11435 0 839232 0 0 MALCOLM W ISLEY EVP CHIEF STRATEGY OFFICER 0 491061 0 214692 0 16729 0 105876 0 37285 0 865643 0 0 ANGELO SINOPOLI MD EVP CHIEF CLINICAL OFFICER 0 749828 0 0 0 20727 0 151346 0 14041 0 935942 0 0 AMY LINSIN EVP CHIEF HR AND DIVERSITY OFFICER 399428 0 1264 0 3805 0 91665 0 21620 0 517782 0 0 0 RICH ROGERS SVP CHIEF INFORMATION OFFICER 0 483187 0 0 0 14151 0 99306 0 31329 0 627973 0 0 CAROLYN SWINTON MN SVP CHIEF NURSING OFFICER 381932 0 0 0 40322 0 39294 0 29430 0 490978 0 0 0 DAVID WILLIAMS MD CEO, PRISMA HEALTH MEDICAL GROUP 0 589524 0 53707 0 8926 0 53625 0 36584 0 742366 0 0 TERRI T NEWSOM EVP CHIEF FINANCIAL OFFICER (UNTIL 4 0 680204 0 0 0 4183 0 133625 0 34191 0 852203 0 0 JENNIFER M RISINGER PHYSICIAN 518995 0 0 0 32086 0 39286 0 28071 0 618438 0 0 0 GRETA S HARPER ACUTE CARE CHIEF MEDICAL OFFICER 307305 0 0 0 42480 0 53267 0 3954 0 407006 0 0 0 KEITH SHAH EXECUTIVE 123890 0 0 0 290135 0 13619 0 15372 0 443016 0 0 0 VINCE FORD SVP COMMUNITY AFFAIRS 189362 0 0 0 184289 0 48368 0 10538 0 432557 0 0 0 NATHAN HENDERSON PHYSICIAN 330814 0 14700 0 450 0 33454 0 35906 0 415324 0 0 0 ELMER POLITE FORMER VP, CHIEF FINANCIAL EXECUTIVE 322801 0 9322 0 414 0 52372 0 28859 0 413768 0 0 0 CHARLES D BEAMAN JR FORMER CO-CEO OF PRISMA HEALTH (UNTI 45000 1480975 0 0 0 43797 0 37306 0 24166 45000 1586244 0 0 JOSEPH J BLAKE FORMER VP OF LEGAL AFFAIRS AND GENER 0 141100 0 0 0 81 0 47030 0 17434 0 205645 0 0 MICHAEL C RIORDAN FORMER CO-CEO OF PRISMA HEALTH (UNTI 0 715486 0 0 0 224124 0 47625 0 36152 0 1023387 0 0 JOHN J SINGERLING III FORMER PRESIDENT, MIDLANDS AFF'L (UN 0 225908 0 0 0 737201 0 13362 0 11838 0 988309 0 0 PART I, LINES 4A-B THE FOLLOWING EMPLOYEES RECEIVED A SEVERANCE PAYMENT UPON TERMINATION OF THEIR EMPLOYMENT CONTRACT: JOHN J. SINGERLING - $736,417 KEITH SHAH - $290,014 PRISMA HEALTH-MIDLANDS PROVIDES A SUPPLEMENTAL RETIREMENT BENEFIT TO SENIOR EXECUTIVES THAT IS CONTINGENT ON THEM REMAINING AT PRISMA HEALTH-MIDLANDS UNTIL RETIREMENT. THE ACCRUAL AMOUNTS ABOVE REFLECT THE CHANGE IN THE ACTUARIAL VALUE DURING THE YEAR AND ARE IMPACTED BY VARIOUS FACTORS, INCLUDING THE AGE OF THE PARTICIPANT AND CHANGES IN INTEREST RATES. THE PARTICIPANTS BECOME ELIGIBLE TO RECEIVE BENEFIT PAYMENTS IN THE MONTH COINCIDING WITH THE LATER OF THEIR RESPECTIVE 62ND OR 65TH BIRTHDAYS, DEPENDENT UPON THE PARTICIPANT, OR 36 MONTHS OF PARTICIPATION. SUCH PLAN WAS TERMINATED EFFECTIVE DECEMBER 31, 2017, WITH CERTAIN MEMBERS BEING PAID OUT AND OTHERS TRANSFERRING INTO EXISTING PRISMA HEALTH-MIDLANDS COMPENSATION PLANS. 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 PRIOR FISCAL YEAR BASE COMPENSATION. SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE MICHAEL RIORDAN, CHARLES BEAMAN, JOHN SINGERLING, 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. A SC JOBS - ECONOMIC DEVELOPMENT AUTH 570960018 83703FHQ8 2016-04-28 120000000 SEE PART VI 0 0 0 A 120296871 610000 56755849 62931022 2018 0 1 1 1 A 0 1 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART I, COLUMN (A), ROW A: ISSUER NAME: SOUTH CAROLINA JOBS - ECONOMIC DEVELOPMENT AUTHORITY. SCHEDULE K, PART I, COLUMN (F), ROW A: DESCRIPTION OF PURPOSE: RE-ISSUE DATE WAS 5/1/2019 BUT TREATED AS CURRENT REFUNDING. SCHEDULE K, PART II, LINE 3, COLUMN A: TOTAL PROCEEDS ARE GREATER THAN ISSUE PRICE DUE TO INVESTMENT EARNINGS. SCHEDULE K, PART II, LINE 11, COLUMN A: THE OTHER SPENT PROCEEDS ARE THE PROCEEDS USED TO PAYOFF TAXABLE LOAN AT THE BOND CLOSING. CHARLES D BEAMAN JR FORMER OFFICER SPLIT DOLLAR LIFE INSURANCE X 2834477 2898447 0 1 1 JOHN J SINGERLING FORMER OFFICER SPLIT DOLLAR LIFE INSURANCE X 5706161 4944773 0 1 1 7843220 CASSANDRA WADDELL FAMILY RELATIONSHIP WITH BOARD MEMBER 62510 COMPENSATED AS EMPLOYEE 0 NANCY WATSON FAMILY RELATIONSHIP WITH BOARD MEMBER 80014 COMPENSATED AS EMPLOYEE 0 FORM 990, PART VI, SECTION A, LINE 6 PRISMA HEALTH-MIDLANDS HAS FOUR MEMBERS: RICHLAND MEMORIAL HOSPITAL (CLASS R MEMBER), BAPTIST HEALTHCARE SYSTEM OF SC, INC. (CLASS B MEMBER), TUOMEY (CLASS T MEMBER), AND PRISMA HEALTH (CLASS HC MEMBER). FORM 990, PART VI, SECTION A, LINE 7A SIX (6) DIRECTORS SHALL BE NOMINATED AND ELECTED BY RICHLAND (THE "RICHLAND DIRECTORS"), SIX (6) DIRECTORS SHALL BE NOMINATED AND ELECTED BY BAPTIST (THE "BAPTIST DIRECTORS"), AND THREE (3) DIRECTORS SHALL BE NOMINATED AND ELECTED BY THE CLASS T MEMBER (THE "TUOMEY DIRECTORS") (THE RICHLAND DIRECTORS, THE BAPTIST DIRECTORS, AND THE TUOMEY DIRECTORS ARE REFERRED TO COLLECTIVELY AS THE "ELECTED DIRECTORS"). THE CHAIR OF THE BOARD OF TRUSTEES OF THE CLASS R MEMBER WILL BE ONE OF THE RICHLAND DIRECTORS, THE CHAIR OF THE BOARD OF TRUSTEES OF THE CLASS B MEMBER WILL BE ONE OF THE BAPTIST DIRECTORS, AND THE CHAIR OF THE BOARD OF DIRECTORS OF THE CLASS T MEMBER SHALL BE ONE OF THE TUOMEY DIRECTORS, WITH ALL THREE (COLLECTIVELY, THE "3 CHAIRS") SERVING FOR A TERM EQUAL TO HIS OR HER TERM AS CHAIR OF A BOARD AND OTHERWISE WITHOUT TERM LIMITS. NOTWITHSTANDING THE FOREGOING, (I) AT LEAST ONE (1) RICHLAND DIRECTOR AND ONE (1) BAPTIST DIRECTOR SHALL BE A LICENSED PHYSICIAN OR DENTIST; (II) AT LEAST ONE (1) TUOMEY DIRECTOR SHALL BE A LICENSED PHYSICIAN AND AN ACTIVE MEMBER OF THE MEDICAL STAFF OF PRISMA HEALTH TUOMEY; (III) THE TUOMEY DIRECTOR WHO IS NOT A LICENSED PHYSICIAN OR CHAIR SHALL BE A MEMBER OF THE BOARD OF DIRECTORS OF THE CLASS T MEMBER; AND (IV) APPOINTMENT AND REAPPOINTMENT OF THE TWO (2) TUOMEY DIRECTORS WHO ARE NOT THE CHAIR OF THE BOARD OF DIRECTORS OF THE CLASS T MEMBER ARE SUBJECT TO THE CONSENT OF THE BOARD, WHICH SHALL NOT BE UNREASONABLY WITHHELD OR DELAYED, AND FOR WHICH PURPOSE ALL TUOMEY DIRECTORS ARE DEEMED TO HAVE A CONFLICT OF INTEREST AND THEREFORE ARE INELIGIBLE TO VOTE. ADDITIONALLY, THREE (3) DIRECTORS SHALL BE APPOINTED BY THE BOARD FOLLOWING NOMINATIONS. THE ELECTED DIRECTORS AND THE APPOINTED DIRECTORS WILL BE REFERRED TO COLLECTIVELY AS THE "DIRECTORS." THE CLASS HC MEMBER SHALL HAVE NO AUTHORITY TO ELECT, APPOINT, OR REMOVE ANY DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS' AUTHORITY AND PRIVILEGES SHALL BE LIMITED TO THOSE SET FORTH BELOW. THE RIGHT TO ELECT, SOLELY BY CLASS, THE NUMBER OF DIRECTORS SPECIFIED IN, AND IN ACCORDANCE WITH THE RIGHT TO REMOVE, SOLELY BY CLASS, DIRECTORS THE APPROVAL OF THE CLASS R MEMBER AND THE CLASS B MEMBER SHALL BE REQUIRED IN ORDER FOR ANY OF THE FOLLOWING ACTIONS TO BE EFFECTIVE; PROVIDED, HOWEVER, THAT THE MEMBERS MAY NOT INITIATE, OR WITHOUT ACTION BY THE BOARD CAUSE, THE APPROVAL OF ANY SUCH ACTIONS: (I) ANY CHANGE IN THE BOARD THAT WOULD RESULT IN THOSE DIRECTORS SELECTED BY THE CLASS R AND CLASS B MEMBERS COMPRISING, ON A COMBINED BASIS, LESS THAN A MAJORITY OF THE TOTAL NUMBER OF DIRECTORS; (II) ANY CHANGE THAT WOULD RESULT IN THE CLASS R MEMBER HAVING THE RIGHT TO ELECT A DIFFERENT NUMBER OF DIRECTORS THAN THE CLASS B MEMBER; (III) ANY CHANGE IN A CLASS R OR CLASS B MEMBER'S RIGHTS REGARDING THE ELECTION OR REMOVAL OF DIRECTORS; AND (IV) ANY AMENDMENT OR REPEAL OF THESE BYLAWS THAT WOULD AFFECT ANY AUTHORITY OR PRIVILEGE OF A CLASS R MEMBER OR A CLASS B MEMBER THE APPROVAL OF THE CLASS B MEMBER, THE CLASS R MEMBER, AND THE CLASS HC MEMBER SHALL BE REQUIRED FOR ANY OF THE FOLLOWING ACTIONS TO BE EFFECTIVE: (I) APPROVAL OF ANY AMENDMENT TO, OR REPEAL OF, THE ARTICLES OF INCORPORATION OF THE CORPORATION (THE "ARTICLES") WHICH AFFECTS ANY AUTHORITY OR PRIVILEGE OF ANY MEMBER STATED IN THESE BYLAWS; (II) APPROVAL OF THE DISSOLUTION, CONVERSION, OR LIQUIDATION (INCLUDING ANY BANKRUPTCY OR INSOLVENCY FILING WITH RESPECT TO THE CORPORATION AS DEBTOR) OF THE CORPORATION THAT AFFECTS ANY DISTRIBUTION UPON OR IN CONNECTION WITH A DISSOLUTION; AND (III) APPROVAL OF ANY MATERIAL AMENDMENT TO OR TERMINATION OF THE CERTIFICATE OF PUBLIC ADVANTAGE DATED MAY 8, 1997, AND ISSUED BY THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL, AS AMENDED FROM TIME TO TIME. ONLY THE APPROVAL OF THE CLASS HC MEMBER, IN CONSULTATION WITH THE BOARD, SHALL BE REQUIRED IN ORDER FOR ANY OF THE FOLLOWING ACTIONS TO BE EFFECTIVE: (I) ANY CHANGE IN THE MISSION STATEMENT, PURPOSE STATEMENT, VISION STATEMENT OR SIMILAR STATEMENT(S) OF THE CORPORATION; (II) SUBJECT TO ALL EXISTING ENCUMBRANCES AND OTHER COMMITMENTS AND TO FUTURE ENCUMBRANCES AND COMMITMENTS APPROVED BY HC, APPROVAL OF ANY MERGER, CONSOLIDATION, SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (III) APPROVAL OF THE ADDITION OF A MEMBER; (IV) THE CORPORATION'S ENTRY, DIRECTLY OR INDIRECTLY, INTO ANY JOINT VENTURE OR JOINT ENTERPRISE WITH ONE OR MORE THIRD PARTIES; (V) SUBJECT TO ALL EXISTING REAL PROPERTY LEASES, APPROVAL OF A MERGER, CONSOLIDATION, SALE, OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF BAPTIST EASLEY JOINT VENTURE F/K/A PALMETTO HEALTH BAPTIST EASLEY ("PHBE"), APPROVAL OF THE CONVERSION OF PHBE TO PRIMARILY AN OUTPATIENT FACILITY, OR APPROVAL OF THE DISCONTINUATION OF OPERATION OF PHBE; (VI) APPROVAL OF THE DISSOLUTION, CONVERSION, OR LIQUIDATION (INCLUDING ANY BANKRUPTCY OR INSOLVENCY FILING WITH RESPECT TO THE CORPORATION AS DEBTOR) OF THE CORPORATION THAT DOES NOT AFFECT ANY DISTRIBUTION UPON OR IN CONNECTION WITH A DISSOLUTION; AND (VII) ANY AMENDMENT OR REPEAL OF THESE BYLAWS THAT WOULD AFFECT ANY RIGHT, POWER, AND/OR DUTY OF THE CLASS HC MEMBER UNDER THESE BYLAWS, PROVIDED, THAT, THE CLASS HC MEMBER MAY NOT EXERCISE ANY POWER STATED OR CONTEMPLATED IN ANY MANNER THAT WOULD CAUSE THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION TO BE IN BREACH OF ANY MATERIAL CONTRACTUAL COMMITMENT OR OBLIGATION OR LICENSURE REQUIREMENT TO WHICH IT IS A PARTY OR BY WHICH IT IS BOUND, OR WOULD REASONABLY BE EXPECTED TO HAVE A MATERIAL ADVERSE EFFECT ON THE TAX-EXEMPT STATUS OF THE CORPORATION OR ANY OF ITS AFFILIATES, OR WOULD REASONABLY BE EXPECTED TO GIVE RISE TO A DEFAULT UNDER OR A RIGHT TO ACCELERATE ANY INDEBTEDNESS OF THE CORPORATION OR ANY AFFILIATE OF THE CORPORATION. THE APPROVAL OF THE CORPORATION'S BOARD SHALL NOT BE REQUIRED FOR ANY OF SUCH ACTIONS, UNLESS OTHERWISE REQUIRED BY THESE BYLAWS OR BY APPLICABLE LAW. UPON APPROVAL BY THE BOARD OF ANY OF THE FOLLOWING ACTIONS, THE APPROVAL OF ALL MEMBERS SHALL BE REQUIRED IN ORDER FOR THE FOLLOWING ACTIONS TO BE EFFECTIVE; PROVIDED, HOWEVER, THAT THE MEMBERS MAY NOT INITIATE, OR WITHOUT ACTION BY THE BOARD, CAUSE THE APPROVAL OF SUCH ACTIONS: (I) ANY CHANGE IN THE BYLAWS REGARDING THE CLASS T MEMBER'S RIGHTS REGARDING THE NUMBER, ELECTION OR REMOVAL OF TUOMEY DIRECTORS; (II) ANY AMENDMENT TO, OR REPEAL OF, THE ARTICLES AS IT RELATES TO THE CLASS T MEMBER'S RIGHTS ARISING THEREUNDER; OR (III) ANY CHANGE IN THE TOTAL NUMBER OF DIRECTORS WHICH DOES NOT MAINTAIN TUOMEY'S APPROXIMATE PRO RATA NUMBER OF DIRECTORS, AS SUCH PRO RATA SHARE IS DESCRIBED IN THAT CERTAIN SUPPORT AGREEMENT BY AND BETWEEN PRISMA HEALTH-MIDLANDS AND PRISMA HEALTH TUOMEY DATED NOVEMBER 10, 2015. SUCH OTHER RIGHTS AND AUTHORITY AS CANNOT BE RESERVED EXCLUSIVELY TO THE BOARD UNDER THE SOUTH CAROLINA NONPROFIT CORPORATION ACT OF 1994, AS IT MAY BE AMENDED FROM TIME TO TIME (THE "ACT"). CLASS T REMEDIAL RIGHTS. THE CLASS T MEMBER HAS CERTAIN REMEDIAL RIGHTS, WHICH MAY INCLUDE THE ULTIMATE RIGHT TO ACQUIRE CERTAIN ASSETS OF PALMETTO HEALTH TUOMEY (NOW KNOWN AS "PRISMA HEALTH TUOMEY"), ON THE TERMS AND CONDITIONS SET FORTH IN THAT CERTAIN SUPPORT AGREEMENT BY AND BETWEEN PRISMA HEALTH-MIDLANDS AND PRISMA HEALTH TUOMEY DATED NOVEMBER 10, 2015. UPON THE CONSUMMATION OF AN ACQUISITION, THE CLASS T MEMBER'S MEMBERSHIP IN THE CORPORATION SHALL AUTOMATICALLY TERMINATE. RESIGNATION. A MEMBER MAY RESIGN ITS MEMBERSHIP AT ANY TIME. THE RESIGNATION OF A MEMBER DOES NOT RELIEVE THE MEMBER FROM ANY OBLIGATIONS THE MEMBER MAY HAVE TO THE CORPORATION AS A RESULT OF OBLIGATIONS INCURRED OR COMMITMENTS MADE BEFORE RESIGNATION AND DOES NOT ENTITLE A MEMBER TO A DISTRIBUTION IN REGARD TO ITS MEMBERSHIP INTEREST. TRANSFER. NO MEMBER OF THE CORPORATION MAY TRANSFER A MEMBERSHIP OR ANY RIGHT ARISING THEREFROM WITHOUT THE CONSENT OF THE OTHER MEMBERS. NOTWITHSTANDING THE FOREGOING, (A) THE CLASS R MEMBER MAY TRANSFER ALL, AND NOT LESS THAN ALL, OF ITS MEMBERSHIP RIGHTS UPON APPROVAL OF THE CLASS B MEMBER; (B) THE CLASS B MEMBER MAY TRANSFER ALL, AND NOT LESS THAN ALL, OF ITS MEMBERSHIP RIGHTS UPON APPROVAL OF THE CLASS R MEMBER; (C) THE CLASS T MEMBER MAY MAKE A ONE-TIME TRANSFER OF ALL, AND NOT LESS THAN ALL, OF ITS MEMBERSHIP RIGHTS UPON APPROVAL OF THE BOARD PURSUANT TO AND (D) OTHERWISE, THE CLASS T MEMBER MAY TRANSFER ALL, AND NOT LESS THAN ALL, OF ITS MEMBERSHIP RIGHTS UPON THE APPROVAL OF THE CLASS B AND CLASS R MEMBERS. PROVISION OF CARE. NOTWITHSTANDING ANY OTHER PROVISION OF THESE BYLAWS, THE POWERS VESTED HEREIN WILL BE USED TO ENSURE THAT THE APPROPRIATE QUALITY OF HEALTHCARE AND ACCESS THERETO CONTINUES TO BE PROVIDED TO THE CITIZENS OF RICHLAND COUNTY AND OTHER COMMUNITIES SERVED BY PRISMA HEALTH-MIDLANDS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY PRISMA HEALTH MANAGEMENT. THE RETURN WAS REVIEWED BY PRISMA HEALTH MANAGEMENT AND IN-HOUSE LEGAL COUNSEL PRIOR TO FILING WITH THE IRS. IN ADDITION, A COPY OF THE RETURN WAS PROVIDED TO THE PRISMA HEALTH-MIDLANDS BOARD OF DIRECTORS AND THE PRISMA HEALTH BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE CORPORATE COMPLIANCE AND 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. FORM 990, PART VI, SECTION B, LINE 15 PRISMA HEALTH IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION PHILOSOPHY. AS PART OF THIS UNDERTAKING, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF PRISMA HEALTH, WHICH IS COMPOSED SOLELY OF INDEPENDENT DIRECTORS OF PRISMA HEALTH, SETS THE COMPENSATION PAYABLE TO THE EXECUTIVES AND MANAGEMENT LEADERS EMPLOYED BY PRISMA HEALTH AND ITS RELATED ORGANIZATIONS WHO ARE CONSIDERED AS DISQUALIFIED PERSONS IN ACCORDANCE WITH SECTION 4958 OF THE CODE AND THE APPLICABLE COMPENSATION PHILOSOPHY TO MANAGERS, DIRECTORS, AND EMPLOYEES. THIS PROCESS OF INDEPENDENT ESTABLISHMENT AND REVIEW OF COMPENSATION BY THE PARENT ORGANIZATION OR THE SYSTEM IS CONSISTENT WITH THAT UTILIZED BY THE MAJORITY OF LARGE, MULTI-INSTITUTIONAL HEALTHCARE SYSTEMS. THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES AN EXPERT INDEPENDENT COMPENSATION CONSULTANT RETAINED BY THE COMMITTEE TO PROVIDE AND EVALUATE COMPENSATION BASED ON COMPARABILITY DATA, MARKET CONDITIONS, COMPETITION FOR TALENT, AND OTHER SIGNIFICANT FACTORS. BASE COMPENSATION, VARIABLE INCENTIVE COMPENSATION, AND BENEFITS ARE ALL ESTABLISHED AND SET AFTER REVIEW BY THE COMMITTEE OF THIS DATA AND THE PERFORMANCE OF THE ORGANIZATION, AND REPORTS FROM THE INDEPENDENT CONSULTANT ARE INCLUDED IN THE MINUTES OF THE DELIBERATION BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 230,973,069. MANAGEMENT AND GENERAL EXPENSES 34,441,453. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 265,414,522. FORM 990, PAGE 11, LINE 1 THE AMOUNT OF NEGATIVE CASH REPORTED ON LINE 1 IS A NET AMOUNT DUE TO A RELATED ENTITY. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS -6,164,338. NET ADJUSTMENT FOR DEFINED BENEFIT 2,266,122. INCREASE IN INTEREST IN AFFILIATED FOUNDATION 380,346. NET ASSETS RELEASED FROM RESTRICTION 6,850,662. EQUITY IN AFFILIATE ENTITIES -88,069,075. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PRISMA HEALTH MIDLANDS NETWORK 1301 TAYLOR STREET STE 9A COLUMBIA SC 29210 273029587 ACO SC 1537450 5854136 PRISMA HEALTH-MIDLANDS PRISMA HEALTH 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 822595551 HEALTHCARE SC 501(C)(3) LINE 12C, III-FI N/A 0 PRISMA HEALTH-UPSTATE 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 811723202 HOSPITAL SC 501(C)(3) LINE 3 PRISMA HEALTH 0 PRISMA HEALTH TUOMEY 129 NORTH WASHINGTON STREET SUMTER SC 29150 474914917 HOSPITAL SC 501(C)(3) LINE 3 PRISMA HEALTH-MIDLANDS 1 PRISMA HEALTH-UNIVERSITY MEDICAL GROUP 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 571004971 PHYSICIAN PRACTICES SC 501(C)(3) LINE 10 PRISMA HEALTH-UPSTATE 0 GREENVILLE HEALTH CORPORATION 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 570835816 HEALTHCARE SC 501(C)(3) LINE 10 PRISMA HEALTH-UPSTATE 0 PRISMA HEALTH MIDLANDS FOUNDATION 1600 MARION STREET COLUMBIA SC 29202 570725699 SUPPORTS HOSPITAL SC 501(C)(3) LINE 12C, III-FI N/A 0 PALMETTO RICHLAND MEMORIAL AUXILIARY 5 RICHLAND MEDICAL PARK DRIVE COLUMBIA SC 29203 570645678 SUPPORTS HOSPITAL SC 501(C)(3) LINE 12B, II N/A 0 CCI LABS 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 813849641 HEALTHCARE SC 501(C)(3) LINE 7 PRISMA HEALTH-UPSTATE 0 BAPTIST EASLEY HOSPITAL 300 EAST MCBEE AVENUE EASLEY SC 29640 352363050 HOSPITAL SC 501(C)(3) LINE 12B, II PRISMA HEALTH-UPSTATE 0 RADIATION ONCOLOGY 7 RICHLAND MEDICAL PARK ROAD COLUMBIA SC 29203 364542465 HEALTHCARE SC N/A RELATED 1413071 4818303 0 0 0.51000 CAROLINA HOME THERAPEUTICS 1528 UNION ROAD GASTONIA NC 28054 570880120 HEALTHCARE NC N/A RELATED 3825845 3326235 0 1 0.49000 HEALTHSOURCE INC PO BOX 2266 COLUMBIA SC 29202 570938686 HEALTHCARE SC PRISMA HEALTH-MIDLANDS C 3388029 3389614 1.00000 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 1 0 0