PRISMA HEALTH MEDICAL GROUP-MIDLANDS: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PRISMA HEALTH MEDICAL GROUP-MIDLANDS (EIN 47-1345819)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-12
- IRS object ID
- 202122249349301957
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-12T11:06:01-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471345819 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRISMA HEALTH MEDICAL GROUP-MIDLANDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRIS | BusinessNameControlTxt |
| Phone | 8039070350 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 MEDICAL PARK NO 300 | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL BURKE | PersonNm |
| Person Title | EVP-CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 8039070350 | PhoneNum |
| Signature | 2021-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2021-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL BURKE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 MEDICAL PARK NO 300 | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $456,948,831 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 2691 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $403,992,385 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $431,090,166 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $65,996 | PYOtherRevenueAmt |
| CY Other Revenue | $25,858,665 | CYOtherRevenueAmt |
| PY Total Revenue | $404,058,381 | PYTotalRevenueAmt |
| CY Total Revenue | $456,948,831 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $319,954,254 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $352,480,877 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $87,925,664 | PYOtherExpensesAmt |
| CY Other Expenses | $97,908,038 | CYOtherExpensesAmt |
| PY Total Expenses | $407,879,918 | PYTotalExpensesAmt |
| CY Total Expenses | $450,388,915 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,821,537 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,559,916 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $49,468,716 | TotalAssetsBOYAmt |
| Total Assets EOY | $114,338,547 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,274,061 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $66,025,793 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,194,655 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $48,312,754 | NetAssetsOrFundBalancesEOYAmt |
| Mission | INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $437,352,436 | ExpenseAmt |
| Revenue | $431,090,166 | RevenueAmt |
| Desc | PRISMA HEALTH MEDICAL GROUP-MIDLANDS IS A MEDICAL GROUP THAT OPERATES MEDICAL OFFICES. THERE ARE HEALTH CARE PROVIDERS SPECIALIZING IN PHYSICAL MEDICINE AND REHABILITATION, SPORT MEDICINE, OBSTETRICS/GYNECOLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, GENERAL SURGERY, DIAGNOSTIC RADIOLOGY, FAMILY PRACTICE, CARDIOVASCULAR DISEASE (CARDIOLOGY), OPHTHALMOLOGY AND MORE, BEING REPORTED AS MEMBERS OF THE MEDICAL GROUP. MEDICAL TAXONOMIES WHICH ARE COVERED BY PRISMA HEALTH MEDICAL GROUP-MIDLANDS INCLUDE PEDIATRIC ORTHOPEDIC SURGERY, REGISTERED NURSE, GYNECOLOGY, CLINICAL CHILD & ADOLESCENT, ORTHOPEDIC TRAUMA, CLINICAL CARDIAC ELECTROPHYSIOLOGY, CLINICAL NUCLEAR RADIOLOGY, PSYCHOANALYSIS AND MANY MORE. | Desc |
| Total Program Service Expenses | $437,352,436 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 213 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2691 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN HODGE | PersonNm |
| Phone | 8647977611 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 EAST MCBEE AVE STE 302 | AddressLine1Txt |
| City | GREENVILLE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CAUGHMAN TAYLOR MD | |||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GREGORY J RUSNAK | |||||||||
| VICE CHAIR | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $663,568 | $163,458 | ||
| TERRI T NEWSOM | |||||||||
| TREASURER AND SECRETARY | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $684,387 | $167,816 | ||
| EDWARD WALTON | |||||||||
| MANAGER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIAN KIM MD | |||||||||
| MANAGER | 40.00 | 0.00 | Yes (X) | $481,394 | $0 | $55,050 | |||
| CHERYL ADDY | |||||||||
| MANAGER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF PERKINS | |||||||||
| MANAGER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY B BELL MD | |||||||||
| MANAGER | 40.00 | 0.00 | Yes (X) | $161,158 | $0 | $42,912 | |||
| SCOTT SASSER MD | |||||||||
| MANAGER | 1.00 | 40.00 | Yes (X) | $0 | $530,564 | $92,516 | |||
| KEVIN A BOGGS | |||||||||
| CHIEF OPERATIONS EXECUTIVE | 40.00 | 0.00 | Yes (X) | $335,669 | $0 | $58,849 | |||
| MATTHEW RM FOWLER | |||||||||
| GENERAL COUNSEL | 1.00 | 40.00 | Yes (X) | $0 | $277,573 | $79,122 | |||
| WILLIAM D ANDERSON III MD | |||||||||
| PRES. OF MIDLANDS MEDICAL GROUP- MONTH OF JAN 2020 | 40.00 | 0.00 | Yes (X) | $0 | $12,212 | $3,084 | |||
| LES HALL | |||||||||
| PRES. OF MIDLANDS MEDICAL GROUP- UNTIL JAN 2020 | 40.00 | 0.00 | Yes (X) | $0 | $54,382 | $0 | |||
| JAMES ELLIS MD | |||||||||
| PRES. OF MIDLANDS MEDICAL GROUP- START FEB 2020 | 40.00 | 0.00 | Yes (X) | $0 | $629,574 | $139,059 | |||
| DARRELL C COVEN | |||||||||
| CFO UNTIL JAN 2020 | 40.00 | 0.00 | Yes (X) | $220,132 | $0 | $62,037 | |||
| MARK S O'HALLA | |||||||||
| PRESIDENT AND CEO OF PRISMA HEALTH | 1.00 | 40.00 | $0 | $752,796 | $86,436 | Yes (X) | |||
| MALCOLM W ISLEY | |||||||||
| EVP CHIEF STRATEGY OFFICER | 1.00 | 40.00 | $0 | $722,482 | $143,161 | Yes (X) | |||
| AMY LINSIN | |||||||||
| EVP CHIEF HR AND DIVERSITY OFFICER | 1.00 | 40.00 | $0 | $404,497 | $113,285 | Yes (X) | |||
| RICH ROGERS | |||||||||
| SVP CHIEF INFORMATION OFFICER | 1.00 | 40.00 | $0 | $497,338 | $130,635 | Yes (X) | |||
| ANGELO SINOPOLI MD | |||||||||
| EVP CHIEF CLINICAL OFFICER | 1.00 | 40.00 | $0 | $770,555 | $165,387 | Yes (X) | |||
| CAROLYN SWINTON MN | |||||||||
| SVP CHIEF NURSING OFFICER | 1.00 | 40.00 | $0 | $422,254 | $68,724 | Yes (X) | |||
| HOWARD P WEST | |||||||||
| EVP CHIEF LEGAL OFFICER | 1.00 | 40.00 | $0 | $687,751 | $68,164 | Yes (X) | |||
| DAVID WILLIAMS MD | |||||||||
| CEO, PRISMA HEALTH MEDICAL GROUP | 1.00 | 40.00 | $0 | $652,157 | $90,209 | Yes (X) | |||
| DAVID B FULTON | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,668,110 | $0 | $64,332 | Yes (X) | |||
| ROHAM MOFTAKHAR | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,642,771 | $0 | $69,880 | Yes (X) | |||
| MICHAEL PEELLE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,197,555 | $0 | $87,449 | Yes (X) | |||
| ERWIN Z MANGUBAT | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,213,181 | $0 | $56,740 | Yes (X) | |||
| MICKEY PLYMALE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $1,834,703 | $0 | $76,721 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,754,673 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,762,090 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,085,026 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 549 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ATHENAHEALTH INC | |||||
| PO BOX 415615 | BOSTON | MA | 02241 | NETWORK SERVICES | $1,866,497 |
| NAVIGANT CONSULTING INC | |||||
| 4511 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | REVENUE CYCLE CONSULTING | $1,366,922 |
| HAYES LOCUMS LLC | |||||
| 6700 N ANDREWS AVENUE STE 600 | FORT LAUDERDALE | FL | 33309 | STAFFING AGENCY | $1,051,791 |
| GASTROINTESTINAL AND ALIMENTAR | |||||
| 722 ELMBROOK DR | SIMPSONVILLE | SC | 29681 | GI MD | $762,470 |
| NTHRIVE INC | |||||
| PO BOX 733492 | DALLAS | TX | 75373 | REVENUE CYCLE CONSULTING | $752,706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 621110 | $208,907,028 | $208,907,028 |
| MISSION SUPPORT | 621110 | $136,463,500 | $136,463,500 |
| SERVICE REVENUE | 621110 | $37,525,549 | $37,525,549 |
| TEACHING REVENUE | 621110 | $20,525,809 | $20,525,809 |
| EMPLOYEE LEASE AGREEME | 621110 | $1,673,301 | $1,673,301 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,994,979 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,994,979 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $431,090,166 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $181,424 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $181,424 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $181,424 | TotalRevenueColumnAmt |
| Exclusion | $181,424 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| USC TRUST WITHDRAWAL | 900099 | $24,194,661 | $24,194,661 |
| MISCELLANEOUS | 900099 | $1,482,580 | $1,482,580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $25,677,241 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $456,948,831 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $431,090,166 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,858,665 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,417,201 | TotalAmt |
| Management And General | $1,417,201 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,261,176 | TotalAmt |
| Program Services | $295,541,093 | ProgramServicesAmt |
| Management And General | $4,720,083 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,369,498 | TotalAmt |
| Program Services | $6,161,255 | ProgramServicesAmt |
| Management And General | $208,243 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,530,609 | TotalAmt |
| Program Services | $32,433,910 | ProgramServicesAmt |
| Management And General | $1,096,699 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,902,393 | TotalAmt |
| Program Services | $10,491,011 | ProgramServicesAmt |
| Management And General | $411,382 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,649 | TotalAmt |
| Management And General | $51,649 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,330,817 | TotalAmt |
| Program Services | $5,546,376 | ProgramServicesAmt |
| Management And General | $1,784,441 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,398 | TotalAmt |
| Management And General | $51,398 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,098,622 | TotalAmt |
| Program Services | $3,267,368 | ProgramServicesAmt |
| Management And General | $1,831,254 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,977,194 | TotalAmt |
| Program Services | $1,467,038 | ProgramServicesAmt |
| Management And General | $510,156 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,785,976 | TotalAmt |
| Program Services | $17,304,351 | ProgramServicesAmt |
| Management And General | $481,625 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,233 | TotalAmt |
| Program Services | $293,953 | ProgramServicesAmt |
| Management And General | $2,280 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,243,357 | TotalAmt |
| Program Services | $3,223,056 | ProgramServicesAmt |
| Management And General | $20,301 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,407,424 | TotalAmt |
| Program Services | $6,222,397 | ProgramServicesAmt |
| Management And General | $185,027 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $29,239,295 | $29,239,295 | |
| BAD DEBT | $24,446,010 | $24,446,010 | |
| MINOR EQUIPMENT | $1,006,217 | $741,477 | $264,740 |
| SUPPLIES | $973,846 | $973,846 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,388,915 | TotalAmt |
| Program Services | $437,352,436 | ProgramServicesAmt |
| Management And General | $13,036,479 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,027,684 | BOYAmt |
| EOY | -$14,277,386 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,177,402 | BOYAmt |
| EOY | $26,645,538 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,174 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,867 | BOYAmt |
| EOY | $821,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,430,794 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,191,474 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,532,587 | BOYAmt |
| EOY | $8,239,320 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,174,176 | BOYAmt |
| EOY | $92,908,338 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,468,716 | BOYAmt |
| EOY | $114,338,547 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,880,661 | BOYAmt |
| EOY | $31,856,758 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,607,442 | BOYAmt |
| EOY | $134,731 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $785,958 | BOYAmt |
| EOY | $34,034,304 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,274,061 | BOYAmt |
| EOY | $66,025,793 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,194,655 | BOYAmt |
| EOY | $48,312,754 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,194,655 | BOYAmt |
| EOY | $48,312,754 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,468,716 | BOYAmt |
| EOY | $114,338,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,559,916 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $17,558,183 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $172,836,225 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $319,913,201 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $403,992,385 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $431,090,166 | CurrentTaxYearAmt |
| Total | $1,327,831,977 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $172,836,225 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $319,913,201 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $403,992,385 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $431,090,166 | CurrentTaxYearAmt |
| Total | $1,327,831,977 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,327,831,977 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $10,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,996 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $181,424 | CurrentTaxYearAmt |
| Total | $258,286 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $10,866 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,996 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $181,424 | CurrentTaxYearAmt |
| Total | $258,286 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $779,754 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $25,677,241 | CurrentTaxYearAmt |
| Total | $26,456,995 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $173,615,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $319,924,067 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $404,058,381 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $456,948,831 | CurrentTaxYearAmt |
| Total | $1,354,547,258 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98030 | PublicSupportCY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,102,529 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,224,327 | DepreciationAmt |
| Book Value | $1,878,202 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,992,333 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,967,147 | DepreciationAmt |
| Book Value | $5,025,186 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,335,932 | OtherCostOrOtherBasisAmt |
| Book Value | $1,335,932 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,239,320 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $74,499,615 |
| OTHER ASSETS | $18,408,723 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $92,908,338 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITIES | Desc |
| Amt | $34,034,304 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $34,034,304 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PRISMA HEALTH MEDICAL GROUP-MIDLANDS IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PRISMA HEALTH AND SUBSIDIARIES. PRISMA HEALTH QUALIFIES AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). AS OF SEPTEMBER 30, 2020, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GREGORY J RUSNAK | ||||||||||||||
| VICE CHAIR | $0 | $658,658 | $0 | $0 | $0 | $4,910 | $0 | $133,251 | $0 | $30,207 | $0 | $827,026 | $0 | $0 |
| TERRI T NEWSOM | ||||||||||||||
| TREASURER AND SECRETARY | $0 | $680,204 | $0 | $0 | $0 | $4,183 | $0 | $133,625 | $0 | $34,191 | $0 | $852,203 | $0 | $0 |
| JULIAN KIM MD | ||||||||||||||
| MANAGER | $476,809 | $0 | $0 | $0 | $4,585 | $0 | $28,269 | $0 | $26,781 | $0 | $536,444 | $0 | $0 | $0 |
| GARY B BELL MD | ||||||||||||||
| MANAGER | $154,152 | $0 | $0 | $0 | $7,006 | $0 | $17,125 | $0 | $25,787 | $0 | $204,070 | $0 | $0 | $0 |
| SCOTT SASSER MD | ||||||||||||||
| MANAGER | $0 | $485,238 | $0 | $42,856 | $0 | $2,470 | $0 | $53,625 | $0 | $38,891 | $0 | $623,080 | $0 | $0 |
| KEVIN A BOGGS | ||||||||||||||
| CHIEF OPERATIONS EXECUTIVE | $332,937 | $0 | $0 | $0 | $2,732 | $0 | $32,278 | $0 | $26,571 | $0 | $394,518 | $0 | $0 | $0 |
| MATTHEW RM FOWLER | ||||||||||||||
| GENERAL COUNSEL | $0 | $236,579 | $0 | $36,923 | $0 | $4,071 | $0 | $48,562 | $0 | $30,560 | $0 | $356,695 | $0 | $0 |
| JAMES ELLIS MD | ||||||||||||||
| PRES. OF MIDLANDS MEDICAL GROUP- STA | $0 | $585,275 | $0 | $43,858 | $0 | $441 | $0 | $106,625 | $0 | $32,434 | $0 | $768,633 | $0 | $0 |
| DARRELL C COVEN | ||||||||||||||
| CFO UNTIL JAN 2020 | $219,571 | $0 | $0 | $0 | $561 | $0 | $30,211 | $0 | $31,826 | $0 | $282,169 | $0 | $0 | $0 |
| MARK S O'HALLA | ||||||||||||||
| PRESIDENT AND CEO OF PRISMA HEALTH | $0 | $603,033 | $0 | $140,030 | $0 | $9,733 | $0 | $75,001 | $0 | $11,435 | $0 | $839,232 | $0 | $0 |
| MALCOLM W ISLEY | ||||||||||||||
| EVP CHIEF STRATEGY OFFICER | $0 | $491,061 | $0 | $214,692 | $0 | $16,729 | $0 | $105,876 | $0 | $37,285 | $0 | $865,643 | $0 | $0 |
| AMY LINSIN | ||||||||||||||
| EVP CHIEF HR AND DIVERSITY OFFICER | $0 | $399,428 | $0 | $1,264 | $0 | $3,805 | $0 | $91,665 | $0 | $21,620 | $0 | $517,782 | $0 | $0 |
| RICH ROGERS | ||||||||||||||
| SVP CHIEF INFORMATION OFFICER | $0 | $483,187 | $0 | $0 | $0 | $14,151 | $0 | $99,306 | $0 | $31,329 | $0 | $627,973 | $0 | $0 |
| ANGELO SINOPOLI MD | ||||||||||||||
| EVP CHIEF CLINICAL OFFICER | $0 | $749,828 | $0 | $0 | $0 | $20,727 | $0 | $151,346 | $0 | $14,041 | $0 | $935,942 | $0 | $0 |
| CAROLYN SWINTON MN | ||||||||||||||
| SVP CHIEF NURSING OFFICER | $0 | $381,932 | $0 | $0 | $0 | $40,322 | $0 | $39,294 | $0 | $29,430 | $0 | $490,978 | $0 | $0 |
| HOWARD P WEST | ||||||||||||||
| EVP CHIEF LEGAL OFFICER | $0 | $495,015 | $0 | $29,775 | $0 | $162,961 | $0 | $44,000 | $0 | $24,164 | $0 | $755,915 | $0 | $0 |
| DAVID WILLIAMS MD | ||||||||||||||
| CEO, PRISMA HEALTH MEDICAL GROUP | $0 | $589,524 | $0 | $53,707 | $0 | $8,926 | $0 | $53,625 | $0 | $36,584 | $0 | $742,366 | $0 | $0 |
| DAVID B FULTON | ||||||||||||||
| PHYSICIAN | $1,664,252 | $0 | $0 | $0 | $3,858 | $0 | $58,168 | $0 | $6,164 | $0 | $1,732,442 | $0 | $0 | $0 |
| ROHAM MOFTAKHAR | ||||||||||||||
| PHYSICIAN | $1,640,992 | $0 | $0 | $0 | $1,779 | $0 | $42,081 | $0 | $27,799 | $0 | $1,712,651 | $0 | $0 | $0 |
| MICHAEL PEELLE | ||||||||||||||
| PHYSICIAN | $1,195,559 | $0 | $0 | $0 | $1,996 | $0 | $53,445 | $0 | $34,004 | $0 | $1,285,004 | $0 | $0 | $0 |
| ERWIN Z MANGUBAT | ||||||||||||||
| PHYSICIAN | $1,211,864 | $0 | $0 | $0 | $1,317 | $0 | $27,500 | $0 | $29,240 | $0 | $1,269,921 | $0 | $0 | $0 |
| MICKEY PLYMALE | ||||||||||||||
| PHYSICIAN | $1,833,185 | $0 | $0 | $0 | $1,518 | $0 | $42,430 | $0 | $34,291 | $0 | $1,911,424 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | 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 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE BOARD OF MANAGERS OF PRISMA HEALTH MEDICAL GROUP- MIDLANDS (THE "MEDICAL GROUP") AMENDED AND RESTATED THE ARTICLES OF INCORPORATION AND BYLAWS TO REFLECT PRISMA HEALTH-MIDLANDS AS THE SOLE MEMBER OF THE MEDICAL GROUP. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAD TWO MEMBERS- PRISMA HEALTH- MIDLANDS AND THE UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE TRUST (THE "TRUST"). EFFECTIVE FEBRUARY 12, 2020, THE TRUST RESIGNED AS A MEMBER AND ITS REPRESENTATIVES ON THE BOARD OF MANAGERS ALSO RESIGNED. WITH THE RESIGNATION OF THE TRUST MEMBER, PRISMA HEALTH MIDLANDS IS THE REMAINING SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH MEMBER APPOINTS FOUR MANAGERS (BOARD TRUSTEE). EFFECTIVE FEBRUARY 12, 2020, THE TRUST RESIGNED AS A MEMBER AND ITS REPRESENTATIVES ON THE BOARD OF MANAGERS ALSO RESIGNED. THE REMAINING BOARD MANAGERS ARE REPRESENTATIVES OF 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 ALL CURRENT BOARD MEMBERS AND THE PRISMA HEALTH BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH MEMBER OF THE BOARD OF DIRECTORS SHALL COMPLETE AN ANNUAL ACKNOWLEDGEMENT STATEMENT THAT EACH OF THEM (A) HAS RECEIVED A COPY OF THE RULES OF CONDUCT (CONFLICTS OF INTEREST POLICY), (B) HAS READ AND UNDERSTANDS THE POLICY, (C) AGREES TO COMPLY WITH THE POLICY, (D) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES, AND (E) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THESE ACKNOWLEDGEMENT STATEMENTS ARE RETURED TO THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND FOLLOW-UP AS APPROPRIATE. THE CHAIR OF THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE REPORTS TO THE FULL BOARD THAT THE ABOVE-REFERENCED PROCESS HAS BEEN COMPLETED. UPON HIRE, EACH EMPLOYEE IS EDUCATED ON THE POTENTIAL CONFLICTS OF INTEREST POLICY AND IS ASKED TO DOCUMENT ANY RELATIONSHIPS THAT MAY CREATE A POTENTIAL CONFLICT OF INTEREST ON A FORM THAT IS REVIEWED BY CORPORATE COMPLIANCE AND RETAINED IN THE EMPLOYEE'S HUMAN RESOURCES FILE. ANNUALLY, THE POLICY IS REVIEWED VIA COMPUTER-BASED TRAINING THAT IS MANDATORY FOR ALL EMPLOYEES. SITUATIONS THAT ARE BELIEVED TO BE ACTUAL CONFLICTS ARE ADDRESSED BY CORPORATE COMPLIANCE, DEPARTMENT MANAGEMENT AND SENIOR LEADERSHIP AS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR EXECUTIVES IS ESTABLISHED WITH THE ASSISTANCE OF PRISMA HEALTH-MIDLANDS AND THE ORGANIZATION'S MANAGEMENT COMMITTEE. COMPENSATION IS BASED ON COMPARABILITY DATA AND MARKET RATES TO ENSURE REASONABLE COMPENSATION IS PAID. |
| 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 X, 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: | EQUITY TRANSFER 17,558,183. |
| FORM 990, PART XII, LINE 2C: | STARTING IN FY2020 PRISMA HEALTH MEDICAL GROUP-MIDLANDS FINANCIALS WERE INCLUDED IN THE CONSOLIDATED AUDITED FINANCIALS OF PRISMA HEALTH. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 0 | PRISMA HEALTH | |
| PRISMA HEALTH-MIDLANDS | |||||||||||
| PO BOX 2266 | COLUMBIA | SC | 29202 | 582296052 | HOSPITAL | SC | 501(C)(3) | LINE 3 | 0 | PRISMA HEALTH | |
| PRISMA HEALTH-UNIVERSITY MEDICAL GROUP | |||||||||||
| 300 EAST MCBEE AVENUE SUITE 302 | GREENVILLE | SC | 29601 | 571004971 | PHYSICIAN PRACTICES | SC | 501(C)(3) | LINE 10 | 0 | PRISMA HEALTH-UPSTATE | |
| GREENVILLE HEALTH CORPORATION | |||||||||||
| 300 EAST MCBEE AVENUE SUITE 302 | GREENVILLE | SC | 29601 | 570835816 | HEALTHCARE | SC | 501(C)(3) | LINE 10 | 0 | PRISMA HEALTH-UPSTATE | |
| CCI LABS | |||||||||||
| 300 EAST MCBEE AVENUE SUITE 302 | GREENVILLE | SC | 29601 | 813849641 | HEALTHCARE | SC | 501(C)(3) | LINE 7 | 0 | PRISMA HEALTH-UPSTATE | |
| BAPTIST EASLEY HOSPITAL | |||||||||||
| 300 EAST MCBEE AVENUE SUITE 302 | GREENVILLE | SC | 29601 | 352363050 | HOSPITAL | SC | 501(C)(3) | LINE 3 | 0 | PRISMA HEALTH-UPSTATE | |
| PRISMA HEALTH TUOMEY | |||||||||||
| 129 N WASHINGTON STREET | SUMTER | SC | 29150 | 474914917 | HOSPITAL | SC | 501(C)(3) | LINE 3 | 0 | PRISMA HEALTH-MIDLANDS | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| RADIATION ONCOLOGY | |||||||
| 7 RICHLAND MEDICAL PARK ROAD | COLUMBIA | SC | 29203 | 364542465 | HEALTHCARE | SC | N/A |
| CAROLINA HOME THERAPEURICS | |||||||
| 1528 UNION ROAD | GASTONIA | NC | 28054 | 570880120 | HEALTHCARE | NC | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHSOURCE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2266 | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570938686 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |