2020-07-30T15:32:58-05:00 2019-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-10-01 043633263 WACCAMAW COMMUNITY HOSPITAL WACC 8435277102 PO BOX 421718 GEORGETOWN SC 29442 ELIZABETH WARD CFO 8435277102 2020-07-30 1 AMY BIBBY P00445891 8282542254 2020-07-30 99.47.28.203 2020-07-30 15:11:46 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-11-19 02:30:22Z X TIDELANDS WACCAMAW COMMUNITY HOSPITAL BRUCE P BAILEY PO BOX 421718 GEORGETOWN SC 29442 183268854 0 X WWW.TIDELANDSHEALTH.ORG X 2002 SC TO PROVIDE HIGH QUALITY HEALTHCARE TO THE CITIZENS OF GEORGETOWN CO. AND SURROUNDING AREAS. 6 3 0 207 0 0 922007 984268 175300366 179895921 31276 -9994 1243051 2324846 177496700 183195041 0 0 0 0 45312990 41763721 0 0 0 121507868 127293595 166820858 169057316 10675842 14137725 209283391 243196773 87096055 106871712 122187336 136325061 X WE HELP PEOPLE LIVE BETTER LIVES THROUGH BETTER HEALTH. 0 0 141175438 179895921 WACCAMAW COMMUNITY HOSPITAL PROVIDES QUALITY HEALTH CARE AND PROMOTES HEALTH AND WELLNESS TO THE RESIDENTS OF GEORGETOWN COUNTY AND SURROUNDING AREAS. WACCAMAW COMMUNITY HOSPITAL IS A 124 BED ACUTE CARE FACILITY LOCATED IN MURRELLS INLET, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 2002 FOR THE PURPOSE OF OPERATING A COMMUNITY SATELLITE HOSPITAL IN THE NORTHERN PART OF GEORGETOWN COUNTY. PLEASE SEE SCHEDULE O FOR A CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS.THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF GEORGETOWN COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501 (C)(3). REVENUE RULE 69-545, 1969-2 C.B. 117, AS MODIFIED BY REC. RUL. 83-157, 1983-2 C.B. 94, SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICES WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS.THE HOSPITAL OPERATES ITS FACILITIES IN A MANNER DESCRIBED IN REV. RULING 69-545, SUPRA. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID.DURING THE YEAR ENDED SEPTEMBER 30, 2019, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $21,702,889. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL PROVIDES CAR SEATS TO FAMILIES AND NEWBORN INFANTS WHO DO NOT PRESENTLY HAVE OR CANNOT AFFORD TO PURCHASE ONE. IN ADDITION, THE HOSPITAL PROVIDES FREE TAXI SERVICE THROUGH AN AUXILIARY ORGANIZATION FOR INDIVIDUALS THAT CANNOT AFFORD OR ARRANGE FOR TRANSPORTION TO THEIR RESIDENCE OR HEALTHCARE SERVICE. THE HOSPITAL ALSO PARTICIPATES IN STATE PROGRAMS SUCH AS THE BEST CHANCE NETWORK, WHICH TARGETS LOW-INCOME WOMEN FOR PREVENTATIVE HEALTHCARE TESTING.THE HOSPITAL IS PART OF THE GEORGETOWN HOSPITAL SYSTEM WHICH PERIODICALLY CONDUCTS VARIOUS COMMUNITY OUTREACH, SCREENING, AND EDUCATIONAL PROGRAMS. AMONG THESE ARE CHOLESTEROL AND BLOOD PRESSURE SCREENINGS, PERIODIC HEALTH FAIRS HELD THROUGHOUT THE SERVICE AREA WHICH OFFER A VARIETY OF HEALTH-RELATED INFORMATION AND SCREENINGS, SUCH AS GLUCOSE, CHOLESTEROL, BLOOD PRESSURE, BODY FAT ANALYSIS, AND A LABORATORY BLOOD PROFILE. THE HOSPITAL SYSTEM'S COMMUNITY EDUCATION PROGRAM CONDUCTS A VARIETY OF CLASSES AND LECTURE SERIES OPEN TO THE PUBLIC, INCLUDING CPR, WEIGHT CONTROL, SMOKING CESSATION, CHILDBIRTH EDUCATION, PRE-NATAL AND INFANT NUTRITION, AND OTHERS. 141175438 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 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 175 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X ELIZABETH WARD EVP & CFO 8435277102 PO BOX 421718 GEORGETOWN SC 29442 MR DANIEL SCHEFFING CHAIRMAN 1.00 2.00 X X 0 900 0 MR ROBERT L JONES VICE CHAIRMAN 1.00 2.00 X X 0 300 0 MS JUDITH K INGLE SECRETARY/TREASURER 1.00 2.00 X X 0 300 0 MR WILLIE SHELLEY TRUSTEE 1.00 2.00 X 0 900 0 DR WILLIAM GREER TRUSTEE & PHYSICIAN 1.00 42.00 X 2000 849665 37819 DR MICHAEL RATZ VICE CHIEF OF STAFF & PHYSICIAN 1.00 42.00 X 0 418095 38801 BRUCE BAILEY PRESIDENT & CEO 21.00 19.00 X 360069 336523 42548 ELIZABETH WARD EXECUTIVE VICE PRESIDENT & CFO 21.00 19.00 X 252813 236283 36682 GAYLE RESETAR EXECUTIVE VICE PRESIDENT & COO 21.00 19.00 X 257667 240819 32309 RICK KAYLOR SENIOR VICE PRESIDENT SYSTEM DEVELOPMENT & STRATEG 21.00 19.00 X 225413 210673 23818 PHILIP DULBERGER EXECUTIVE VICE PRESIDENT & CHIEF PHYSICIAN EXECUTI 21.00 19.00 X 326352 305012 41856 JAMES F HARPER SENIOR VICE PRESIDENT & CHIEF HUMAN RESOURCE OFFIC 21.00 19.00 X 185810 173662 38360 PAM MAXWELL SENIOR VICE PRESIDENT & CHIEF NURSING OFFICER 21.00 19.00 X 170309 159172 33948 GARY METCALFE VICE PRESIDENT OF SUPPLY CHAIN AND SUPPORT SERVICE 21.00 19.00 X 135079 126246 19834 DR GERALD HARMON VP MEDICAL AFFAIRS 21.00 19.00 X 224208 209546 6909 2139720 3268096 352884 68 0 1 1 COASTAL STRUCTURES CORPORATION PO BOX 937 GEORGETOWN SC 29442 CONSTRUCTION 11464624 PALMETTO EMERGENCY PHYSICIANS 86 SHOREBIRD LOOP PAWLEYS ISLAND SC 29585 EMERGENCY PHYSICIAN SERVICES 4219077 SODEXO INC PO BOX 360170 PITTSBURGH PA 15251 FOOD & HOUSEKEEPING 3480964 INLET ANESTHESIA CONSULTANTS 130 PRESERVATION CIRCLE PAWLEYS ISLAND SC 29585 ANESTHESIA SERVICES 2124265 NELSON MULLINS RILEY & SCARBOROUGH PO BOX 11009 COLUMBIA SC 29211 LEGAL SERVICES 1690098 62 948703 35565 984268 NET PATIENT SERVICE REVENUE 621400 176583758 176583758 PHARMACY 446110 1846156 1846156 OTHER RELATED SERVICES 900099 1063719 1063719 CAFETERIA 722210 402288 402288 179895921 21291 21291 2310992 0 2310992 2310992 2310992 31285 -31285 -31285 -31285 56382 42528 13854 13854 183195041 179895921 0 2314852 X 1167929 1167929 66161 35592 30569 31933218 30198778 1734440 710174 671644 38530 5583856 5280909 302947 2302383 2177469 124914 294063 55809 238254 2287167 2287167 50732 50732 62806721 42209248 20597473 424909 424909 2238816 2082127 156689 1824109 1766308 57801 92390 90785 1605 1679216 1679216 7991171 7646713 344458 522254 499742 22512 MEDICAL SUPPLIES 31977747 31977747 BAD DEBT EXPENSE 14679186 14679186 RECRUITMENT 359333 58554 300779 MISCELLANEOUS EXPENSE 65781 65611 170 169057316 141175438 27881878 0 3498 3500 3064925 1034794 20760349 22029028 3198980 3708752 2247459 1874201 251974538 105455842 121705335 146518696 1000000 1000000 792727 512941 56510118 66514861 209283391 243196773 8131597 7264486 73964458 95370226 5000000 4237000 87096055 106871712 X 121536198 135373923 651138 951138 122187336 136325061 209283391 243196773 14137725 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7151 7151 0 PART II-B, LINE 1: THE HOSPITAL IS A MEMBER OF BOTH THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). THESE ORGANIZATIONS ENGAGE IN LOBBYING FOR THE BENEFIT OF THEIR MEMBERSHIP BODIES, AND A PORTION OF THE MEMBERSHIP DUES PAID TO THE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING EXPENDITURES. FOR THE YEAR, THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING EXPENDITURES WAS $2,563 FOR AHA AND $4,588 FOR SCHA. 3320466 3320466 127041074 39523688 87517386 1804609 1451968 352641 76774073 64480186 12293887 43034316 43034316 146518696 OTHER RECEIVABLES 27095 DUE FROM AFFILIATES 66487766 66514861 ESTIMATED THIRD-PARTY SETTLEMENTS 4237000 4237000 X 168557476 -14680093 -14680093 183237569 -42528 -42528 183195041 154419751 -14680093 -14680093 169099844 -42528 -42528 169057316 PART X, LINE 2: WACCAMAW COMMUNITY HOSPITAL HAS BEEN GRANTED EXEMPTION FROM INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE -14,679,187. EXPENSES NET WITH REVENUE -906. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD NET WITH REVENUE -42,528. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE -14,679,187. EXPENSES NET WITH REVENUE -906. PART XII, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD NET WITH REVENUE -42,528. 1 1 X 1 X 0 1 1 1 0 1 1 4183079 1129934 3053145 0.01980 11068613 10273123 795490 0.00520 15251692 11403057 3848635 0.02500 1821983 1821983 0.01180 5171988 1522987 3649001 0.02360 482176 74812 407364 0.00260 7476147 1597799 5878348 0.03800 22727839 13000856 9726983 0.06300 5133 5133 0.00000 5711 5711 0.00000 9266 9266 0.00010 132931 132931 0.00090 153041 153041 0.00100 0 4761251 1497771 68441666 78498406 -10056740 X 1 1 1 1 WACCAMAW COMMUNITY HOSPITAL 4070 HIGHWAY 17 BYPASS MURRELLS INLET SC 29576 X X X X DISPROPORTIONATE SHARE HOSPITAL WACCAMAW COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X SEE PART V, SECTION C X X 1 18 1 SEE PART V, SECTION C 0 1 X 200.000000000000 X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 WACCAMAW COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: THE 2019 TIDELANDS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS DESIGNED IN CONJUNCTION WITH GEORGETOWN AND HORRY COUNTY PARTNERS AND UTILIZED METHODOLOGY AND BEST PRACTICES IDENTIFIED BY LEADING NATIONAL RESEARCH HOSPITALS. SURVEYS WERE SENT OUT ELECTRONICALLY AND BY PAPER TO COMMUNITY NONPROFIT LEADERS, GOVERNMENT OFFICIALS, SCHOOL DISTRICTS, MEDICAL FACILITIES, FAITH LEADERS, BUSINESS LEADERS, KEY TIDELANDS HEALTH STAFF MEMBERS, AND THE COMMUNITY AT LARGE. TIDELANDS HELD TWO EVENTS TO SELECT THE MOST SIGNIFICANT NEEDS BASED ON THE 2019 CHNA SURVEY. WACCAMAW COMMUNITY HOSPITAL PART V, SECTION B, LINE 6A: GEORGETOWN MEMORIAL HOSPITAL WACCAMAW COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: QUORUM HEALTH RESOURCES PROVIDED THE EXPERTISE TO COMPLETE THE CHNA IN PARTNERSHIP WITH TIDELANDS HEALTH REPRESENTATIVES. WACCAMAW COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: ALL TCCN PARTNERS WERE SENT AN ELECTONIC COPY. WACCAMAW COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED AND SELECTED ARE MENTAL HEALTH, ALCOHOL AND SUBSTANCE USE, OBESITY, DIABETES, AND CANCER. AN IMPLEMENTATION PLAN HAS BEEN ESTABLISHED THAT IDENTIFIES KEY INDICATORS FOR EACH SELECTED HEALTH NEED. A DASHBOARD WILL BE MAINTAINED AND REGULARLY REVIEWED THAT TRACKS METRICS. WHILE SEXUALLY TRANSMITTED ILLNESSES WAS IDENTIFIED AS A NEED IN BOTH THE SURVEY AND THROUGH DATA WALK VOTING, TIDELANDS HEALTH DOES NOT HAVE THE PARTNERSHIPS IN PLACE TO ELEVATE THIS AREA OF NEED. TIDELANDS HEALTH WILL SEEK TO ENHANCE RELATIONSHIPS WITH PARTNERS THAT WOULD BE VITAL TO SEXUAL EDUCATION, PREVENTION, SCREENING, AND TREATMENT OF SEXUALLY TRANSMITTED ILLNESSES. TIDELANDS HEALTH WILL WORK IN CONJUNCTION WITH COMMUNITY PARTNERS AND ORGANIZATIONS ALIKE, THESE GROUPS WILL TAKE PART IN COMMUNITY EVENTS TO BRING AWARENESS TO THESE AREAS OF NEED. THE COMMUNITY BENEFIT REPORTING METHOD IS USED TO ORGANIZE FUNCTIONS AND EVENTS TO BETTER SERVE THE POPULATION WHICH OUR HEALTH SYSTEMS OPERATE. THE HEALTH SYSTEM UTILIZES THEIR COMMUNITY RESOURCE DEPARTMENT TO SERVICE OUR DEMOGRAPHIC. TIDELANDS COMMUNITY CARE NETWORK OPERATES TO ASSIST THOSE PATIENTS IN NEED TO HAVE ACCESS TO HEALTH CARE AND OTHER SOCIAL DETERMINATES TO HELP LEAD THEM TO HEALTHIER LIVES. TIDELANDS HEALTH UTILIZES AVAILABLE GRANT OPPORTUNITIES TO ENSURE THAT ADDITIONAL FUNDING IS PROVIDED TO BETTER MEET THE NEEDS ADDRESSED. PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 10A: IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, LINE 16B & C, FAP, FAP APPLICATION & PLAIN LANGUAGE SUMMARY: HTTP://WWW.TIDELANDSHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ 9 1 - IMAGING CENTER 4181 HIGHWAY 17 BYPASS MURRELLS INLET SC 29576 IMAGING CENTER 2 - PAIN MANAGEMENT CENTER 4040 HIGHWAY 17 BYPASS SUITE 206 MURRELLS INLET SC 29576 PAIN MANAGEMENT 3 - ENDOSCOPY CENTER 4040 HIGHWAY 17 BYPASS SUITE 102 MURRELLS INLET SC 29576 ENDOSCOPY CENTER 4 - IMAGING SUITE 4040 HIGHWAY 17 BYPASS SUITE 103 MURRELLS INLET SC 29576 IMAGING CENTER 5 - REHABILITATION SERVICES 198 VILLAGE CENTER BOULEVARD MYRTLE BEACH SC 29579 ADULT REHABILITATION 6 - SURGERY CENTER 3911 HIGHWAY 17 BYPASS SUITE B MURRELLS INLET SC 29576 SURGERY CENTER 7 - REHABILITATION SERVICES 543 HIGHWAY 17 NORTH NORTH MYRTLE BEACH SC 29582 ADULT REHABILITATION 8 - WOMEN'S IMAGING 4017 HIGHWAY 17 BYPASS SUITE 101 MURRELLS INLET SC 29576 IMAGING CENTER 9 - LABORATORY AT TMC 2200 CROWE LANE MYRTLE BEACH SC 29577 LABORATORY SERVICES PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. PART I, LN 7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $14,679,186 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: $132,931 WAS SPENT TO RECRUIT PHYSICIANS WITH THE SKILLS AND TRAINING NECESSARY TO BEST SERVE THE NEEDS OF THE COMMUNITY IN AREAS SUCH AS OBSTETRICS/GYNECOLOGY AND PULMONOLOGY. PART III, LINE 3: FOR AUDITED FINANCIAL STATEMENT PURPOSES, IN 2019, THE ORGANIZATION ASSESSED THE POPULATION OF PATIENTS UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE RESPONSIBLE IN CONJUNCTION WITH STATISTICS OF THE LOCAL POPULATION FALLING BELOW FEDERAL POVERTY LIMITS. THE ORGANIZATION BELIEVES A SIGNIFICANT PORTION OF THE UNPAID PATIENT SERVICES WOULD QUALIFY FOR CHARITY CARE IF THE PATIENT WERE TO APPLY IN ACCORDANCE WITH THE CURRENT POLICY. AS A RESULT, CHARITY CARE, AT CHARGES RECLASSIFIED FROM BAD DEBT TOTALED $6,737,000. THE IMPACT OF THIS RECLASSIFICATION HAS BEEN REMOVED FOR SCHEDULE H PRESENTATION PURPOSES. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF LINE PART III, LINES 2 AND 3.THE PERCENTAGE OF FAMILIES BELOW THE POVERTY LEVEL IN THE AREA SERVED IS USED TO ESTIMATE THE PERCENTAGE OF NET REVENUE EXPECTED TO BE AWARDED CHARITY CARE. THE VARIANCE WITH ACTUAL CHARITY CARE ADJUSTMENTS IS THE AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. APPROXIMATELY 60% OF THE ORGANIZATION'S PAYER MIX IS DEVOTED TO MEDICARE. PART III, LINE 9B: GEORGETOWN HOSPITAL SYSTEM HAS A PROCESS IN PLACE TO ASSIST PATIENTS IN UNDERSTANDING THEIR FINANCIAL RESPONSIBILITY, BEGINNING WITH SCHEDULING AND REGISTRATION. SIGNAGE AND FINANCIAL RESPONSIBILITY BROCHURES ARE CLEARLY DISPLAYED THROUGHOUT THE REGISTRATION AREAS OF THE SYSTEM. THIS INFORMATION DETAILS THE POTENTIAL PATIENT RESPONSIBILITY AND ALSO PROVIDES INFORMATION ON THE AVAILABLE PROGRAMS IN THE EVENT THE PATIENT CAN NOT PAY THE BILL. IF THE PATIENT COMMUNICATES THEIR INABILITY TO PAY, THE FINANCIAL ASSISTANCE PROGRAM IS REVIEWED AND THE PATIENT IS DIRECTED TO THE FINANCIAL ASSISTANCE DEPARTMENT. UPON APPLICATION FOR FINANCIAL ASSISTANCE, COLLECTION PRACTICES ARE HALTED UNTIL THE APPLICATION HAS BEEN REVIEWED AND PROCESSED. IF FINANCIAL ASSISTANCE IS APPROVED, COLLECTION PRACTICES WILL CEASE. IF FINANCIAL ASSISTANCE IS DENIED, COLLECTION PRACTICES WILL CONTINUE. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY WITH THE ASSISTANCE OF STATE AND INTERNAL REPORTING INFORMATION. THE INFORMATION IS INTERPRETED, REVIEWED AND ANALYZED. IF A NEED IS PRESENT, A STRATEGIC PLAN IS DEVELOPED, WITH THE GOAL OF PROVIDING AS MANY LOCAL SERVICES AS POSSIBLE. THE PLAN IS THEN PRESENTED TO THE BOARD FOR APPROVAL. ONCE BOARD APPROVAL IS RECEIVED, THE IMPLEMENTATION PROCESS BEGINS. THE ORGANIZATION'S COMMUNITY HEALTH PROGRAM'S OBJECTIVE IS TO ENHANCE THE HEALTH CARE STATUS OF THE COMMUNITY, PROVIDING EDUCATION, SCREENINGS, AND REGULAR FOLLOW UP TO ENSURE READY ACCESS TO QUALITY HEALTHCARE. PART VI, LINE 3: THE ORGANIZATION REGULARLY ADVERTISES THE AVAILABLE STATE, FEDERAL, AND LOCAL FINANCIAL ASSISTANCE PROGRAMS. ALL PATIENTS WITHOUT INSURANCE ARE SCREENED FOR AVAILABLE STATE AND FEDERAL PROGRAMS. PATIENTS NOT MEETING STATE AND FEDERAL PROGRAM GUIDELINES ARE PROVIDED A ONE ON ONE CONSULTATION FOR LOCAL FINANCIAL ASSISTANCE, IF DESIRED. THE HOSPITAL FEATURES SIGNAGE AND BROCHURES THROUGHOUT THE REGISTRATION AREAS THAT OUTLINE RESPONSIBILITIES AND OPTIONS. PART VI, LINE 4: THE ORGANIZATION SERVES THE SOUTH CAROLINA COUNTIES OF HORRY AND GEORGETOWN, AS WELL AS OUTLYING AREAS. HORRY COUNTY (1,100 SQ. MILES) HAS AN ESTIMATED 2019 POPULATION OF 354,000. 24% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000. IN ADDITION, AN ESTIMATED 14% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 17% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. GEORGETOWN COUNTY (815 SQ. MILES) HAS A POPULATION OF APPROXIMATELY 63,000 PEOPLE AND AN ESTIMATED 28% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000 AND AN ESTIMATED 20% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 14% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. COMPETING HOSPITALS ARE LOCATED APPROXIMATELY 25 MILES NORTH AND NORTHWEST AND 75 MILES SOUTH. MAJOR SURROUNDING CITIES INCLUDE: CHARLESTON, SC (60 MILES), COLUMBIA, SC (150 MILES) AND CHARLOTTE, NC (215 MILES). PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MANY OF ITS DEPARTMENTS.USAGE OF THE ORGANIZATION'S SURPLUS OF FUNDS IS DESCRIBED ON FORM 990, PART III; HOWEVER IN GENERAL, A SURPLUS OF FUNDS IS USED TO REINVEST IN PROPERTY AND EQUIPMENT IN ORDER TO CONTINUE PROVIDING TO THE PUBLIC THE BEST IN PATIENT CARE AND TECHNOLOGY. PART VI, LINE 6: WACCAMAW COMMUNITY HOSPITAL IS PART OF GEORGETOWN HOSPITAL SYSTEM. GEORGETOWN HOSPITAL SYSTEM IS A RELATED 501(C)(3) HEALTHCARE ORGANIZATION. PART VI, LINE 7, REPORTS FILED WITH STATES SC X X X X 0 1 0 1 1 1 1 0 0 DR WILLIAM GREER TRUSTEE & PHYSICIAN 2000 708949 0 110141 0 30575 0 4813 0 33006 2000 887484 0 0 DR MICHAEL RATZ VICE CHIEF OF STAFF & PHYSICIAN 0 199236 0 181520 0 37339 0 6502 0 32299 0 456896 0 0 BRUCE BAILEY PRESIDENT & CEO 260479 243446 68928 64420 30662 28657 4975 4650 17018 15905 382062 357078 0 0 ELIZABETH WARD EXECUTIVE VICE PRESIDENT & CFO 200016 186937 27723 25911 25074 23435 4468 4176 14493 13545 271774 254004 0 0 GAYLE RESETAR EXECUTIVE VICE PRESIDENT & COO 186981 174754 49288 46066 21398 19999 4975 4650 11725 10959 274367 256428 0 0 RICK KAYLOR SENIOR VICE PRESIDENT SYSTEM DEVELOP 149172 139417 57466 53709 18775 17547 4601 4301 7710 7206 237724 222180 0 0 PHILIP DULBERGER EXECUTIVE VICE PRESIDENT & CHIEF PHY 235625 220218 67562 63144 23165 21650 4975 4650 16660 15571 347987 325233 0 0 JAMES F HARPER SENIOR VICE PRESIDENT & CHIEF HUMAN 108479 101386 47451 44349 29880 27927 4728 4419 15100 14113 205638 192194 0 0 PAM MAXWELL SENIOR VICE PRESIDENT & CHIEF NURSIN 100840 94246 44503 41592 24966 23334 4975 4650 12573 11750 187857 175572 0 0 GARY METCALFE VICE PRESIDENT OF SUPPLY CHAIN AND S 86373 80725 19367 18101 29339 27420 3694 3453 6558 6129 145331 135828 0 0 DR GERALD HARMON VP MEDICAL AFFAIRS 152623 142643 47088 44008 24497 22895 2488 2325 1083 1013 227779 212884 0 0 PART I, LINE 4B THE ORGANIZATION DEPOSITED FUNDS INTO A LIFE INSURANCE POLICY ON THE PARTICIPANT'S LIFE. DURING LIFE, AND SUBJECT TO THE POLICY GENERATING SUFFICIENT VALUES, THE PARTICIPANT CAN BORROW FROM THE POLICY. AT DEATH, THE ORGANIZATION RECOVERS ITS PREMIUMS PLUS INTEREST PLUS ADDITIONAL KEY-PERSON INSURANCE PROCEEDS. PART I, LINE 5 ANY INCENTIVE COMPENSATION PAID TO THE OFFICERS AND OTHER ADMINISTRATORS OF THE ORGANIZATION IS CONTINGENT UPON QUALITY INDICATORS, NET REVENUES, AND THE OVERALL PROFITABILITY OF THE ORGANIZATION. IF PREDETERMINED GOALS ARE MET, INCENTIVE COMPENSATION IS PAID TO THE OFFICER OR ADMINISTRATOR IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PROGRAM. SEE PART II, COLUMN (B)(II). PART I, LINE 6 SEE THE RESPONSE TO LINE 5A AND 5B. PART I, LINE 3 THE ORGANIZATION RELIES ON THE BOARD OF ITS SOLE MEMBER ORGANIZATION TO NEGOTIATE AND ESTABLISH THE COMPENSATION AGREEMENTS FOR ITS CEO AND OTHER OFFICERS. THE BOARD OF GEORGETOWN HOSPITAL SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANTS - COMPENSATION STUDY/SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE BOARD OF GEORGETOWN HOSPITAL SYSTEM IS A MAJORITY INDEPENDENT. PART II THE ORGANIZATION UTILIZES A COMMON PAYING AGENT FOR SERVICES PERFORMED FOR BOTH WACCAMAW COMMUNITY HOSPITAL AND A RELATED ORGANIZATION. COMPENSATION FOR THESE INDIVIDUALS IS PRESENTED TO REFLECT AN ALLOCATION OF SERVICES PERFORMED FOR THESE ORGANIZATIONS. A SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2011-09-22 25565000 CURRENT REFUNDING 0 0 0 B SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2012-02-23 30850000 CAPITAL ACQUISITION 0 0 0 C SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2016-09-09 87890000 REFUND PRIOR ISSUE 0 0 0 D SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2016-11-03 35050000 CURRENT REFUNDING 0 0 0 A 13811884 16214252 164252 16050000 2001 1 0 1 1 B 5942837 30850000 172596 30614582 62822 2012 0 0 1 1 C 2641320 16925130 16925130 1 0 1 1 D 80817 20233524 97411 20136113 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 0 1 0 1 0 0 0 0 C 0 1 1 0 1 0 0 0 0 D 0 0 1 0 0 0 0 0 0 A 0 B 0 C 0 D 0 FORM 990, SCH K, PART II, LINE 11 THE AMOUNTS ON THIS LINE WERE USED TO REFUND PRIOR ISSUE BONDS. THE AMOUNTS IN COLUMN A (ENTITY 1) WERE USED TO REFUND BONDS THAT WERE ISSUED ON 8/15/1999 AND 8/1/2001. THE AMOUNTS IN COLUMN C (ENTITY 1) WERE USED TO REFUND BONDS THAT WERE ISSUED ON 12/22/2010. THE AMOUNTS IN COLUMN D (ENTITY 1) WERE USED TO REFUND BONDS THAT WERE ISSUED ON 5/30/2012. A SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 NONEAVAIL 2017-11-01 45295000 CONSTRUCTION 0 0 0 A 45295000 305281 34012433 10977286 0 0 0 0 A 0 0 0 0 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 BECCA KAYLOR FAMILY MEMBER OF OFFICER RICK KAYLOR 30569 COMPENSATION AS EMPLOYEE OF ORGANIZATION. AMOUNT SHOWN ON SCHEDULE L REPRESENTS WCH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $59,138 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS. 0 CASEY MAIER FAMILY MEMBER OF BOARD MEMBER WILLIE SHELLEY 35592 COMPENSATION AS EMPLOYEE OF ORGANIZATION. 0 FORM 990, PART V, LINE 2A: THE ORGANIZATION HAS NO DIRECT EMPLOYEES. GEORGETOWN HOSPITAL SYSTEM, A RELATED ORGANIZATION, FILES PAYROLL FOR THE ORGANIZATION. THE NUMBER OF EMPLOYEES REPORTED BY GEORGETOWN HOSPITAL SYSTEM THAT ARE RELATED TO THE ORGANIZATION IS 1,257. FORM 990, PART VI, SECTION A, LINE 1 THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, FINANCE COMMITTEE, AND COMPENSATION COMMITTEE THAT HAVE LIMITED POWERS DELEGATED FROM THE FULL VOTING BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS COMPRISED OF FIVE OR MORE MEMBERS, INCLUDING FOUR WHO ARE ALSO MEMBERS OF THE MEMBER ORGANIZATION'S BOARD OF DIRECTORS. THE FINANCE COMMITTEE CONTAINS FOUR OR MORE MEMBERS INCLUDING THE TREASURER OF THE MEMBER ORGANIZATION. THE COMPENSATION COMMITTEE IS AS APPOINTED BY THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBER ORGANIZATION WITHIN THE MEANING OF THE SOUTH CAROLINA NONPROFIT CORPORATION ACT OF 1994. THE SOLE MEMBER OF THE CORPORATION IS GEORGETOWN HOSPITAL SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE SOLE AUTHORITY TO APPOINT OR REMOVE A TRUSTEE OR THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE SOLE AUTHORITY TO (1) DIRECT HEALTHCARE SERVICES UNDERTAKEN BY THE ORGANIZATION, INCLUDING THE ADDITION OR DELETION OF CLINICAL SERVICE LINES, AND AUDIT COMPLIANCE WITH SUCH DIRECTIVES, (2) VETO POLICIES AND PROCEDURES, (3) REQUIRE DISTRIBUTION OF INCOME, ASSETS, OR OTHER PROPERTY FROM, OR MAKE CONTRIBUTIONS TO THE ORGANIZATION TO ACHIEVE THE MUTUAL OBJECTIVES OF THE ORGANIZATION AND THE SOLE MEMBER, (4) APPROVE BUDGETS, (5) AUTHORIZE CAPITAL TRANSACTIONS, (6) ADOPT A PLAN OF DISSOLUTION, (7) ADMIT NEW MEMBERS TO THE ORGANIZATION, (8) AMEND THE ARTICLES OF THE ORGANIZATION, AND (9) NEGOTIATE AND AUTHORIZE MANAGEMENT AGREEMENTS WITH THIRD PARTIES. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE ASSISTANCE AND OVERSIGHT OF MANAGEMENT. A REPRESENTATIVE OF THE ACCOUNTING FIRM PRESENTED THE RETURN TO THE FINANCE COMMITTEE WITH MANAGEMENT AND ANSWERED QUESTIONS FROM BOARD MEMBERS. THE CEO AND CFO THEN REVIEWED THE FORM WITH ALL BOARD MEMBERS, AS EVIDENCED IN THE BOARD MINUTES. A COPY OF THE RETURN WAS PROVIDED TO EACH VOTING BOARD MEMBER. AFTER A DISCUSSION PERIOD, THE BOARD VOTED TO APPROVE THE FILING OF THE FORM 990 WITH THE IRS AS PRESENTED. THE CFO/CEO MET IN PERSON WITH ANY MEMBERS ABSENT FROM THE MEETING TO DISCUSS THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS AND VOTES FOR WHICH A CONFLICT EXISTS. DETERMINATION OF WHETHER A CONFLICT EXISTS IS MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED BY MANAGEMENT AND THE BOARD WITHOUT THE PRESENCE OF THE INTERESTED PARTY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES OUTSIDE AGENCIES TO ESTABLISH, ASSESS THE REASONABLENESS OF, REVIEW, AND APPROVE THE COMPENSATION OF DIRECTORS, SENIOR MANAGEMENT & PHYSICIANS. SENIOR MANAGEMENT PROVIDES OVERSIGHT ON DIRECTOR COMPENSATION, THE BOARD COMPENSATION COMMITTEE PROVIDES OVERSIGHT ON PHYSICIAN COMPENSATION AND THE CEO PROVIDES OVERSIGHT (WITH THE ASSISTANCE OF THE CFO) ON SENIOR MANAGEMENT COMPENSATION. CEO COMPENSATION IS EVALUATED AND APPROVED BY THE FULL BOARD AND BOARD COMPENSATION COMMITTEE. FAIR MARKET VALUATIONS ARE COMPLETED FOR ALL COMPENSATION AT LEAST ANNUALLY AND MONTHLY COMPENSATION MEETINGS ARE HELD TO REVIEW ANY AND ALL COMPENSATION RELATED ACTIVITIES. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 42,209,248. MANAGEMENT AND GENERAL EXPENSES 20,597,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,806,721. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VII, LINE 1A FORMER CHIEFS OF STAFF MAY CONTINUE TO BE COMPENSATED FOR EMERGENCY ROOM CALL PAY, COMMITTEE PAY, ETC. GEORGETOWN HOSPITAL SYSTEM PO BOX 421718 GEORGETOWN SC 29442 020598440 HEALTHCARE SC 501(C)(3) LINE 12B, II N/A 0 GEORGETOWN MEMORIAL HOSPITAL PO BOX 421718 GEORGETOWN SC 29442 570341194 HEALTHCARE SC 501(C)(3) LINE 3 GEORGETOWN HOSPITAL SYSTEM 0 GEORGETOWN RADIATION THERAPY CENTER 4033 HIGHWAY 17 BYPASS MURRELLS INLET SC 29576 200131459 HEALTHCARE SC N/A 0 0 0 1 0 0 0 0 1 1 1 0 1 1 1 1 1 0 0