2020-08-14T13:39:45-05:00 2019-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-10-01 474914917 PRISMA HEALTH TUOMEY PRIS 8647977611 129 NORTH WASHINGTON STREET SUMTER SC 29150 MICHAEL BURKE EVP-CHIEF FINANCIAL OFFICER 8647977611 2020-08-14 1 AMY BIBBY P00445891 8282542254 2020-08-14 99.47.28.203 2020-08-14 13:30:24 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-09-23 17:36:50Z ELMER POLITE 129 NORTH WASHINGTON STREET SUMTER SC 29150 218081570 0 X WWW.PALMETTOHEALTH.ORG X 2015 SC INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 4 1 1807 130 94265 18118 791368 1042842 203052524 208152665 450 148858 1909655 8737205 205753997 218081570 0 0 0 0 85840791 87592863 0 0 0 131113657 135327698 216954448 222920561 -11200451 -4838991 368425142 132817194 20511162 5588881 347913980 127228313 INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 0 0 188184523 209646568 PRISMA HEALTH TUOMEY IS AN ACUTE CARE FACILITY LOCATED IN SUMTER, SOUTH CAROLINA. PRISMA HEALTH TUOMEY WAS ESTABLISHED AS A NONPROFIT ACUTE CARE HOSPITAL TO ADVANCE OR SUPPORT THE PROVISION OF THE HEALTH CARE SERVICES FOR ALL RESIDENTS OF SUMTER AND ITS OUTLYING AREAS. PLEASE READ THE ANNUAL REPORT FOR MORE DETAIL ABOUT NEW AND EXPANDED SERVICES AND INNOVATIVE COLLABORATIONS AT THIS WEBSITE: HTTPS://WWW.PRISMAHEALTH.ORG/STATISTICAL-PROFILE-2019 188184523 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 941 0 1 1807 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X KEVIN HODGE 8647977611 300 EAST MCBEE AVE STE 302 GREENVILLE SC 29601 SARA B FISHER CHAIR 1.00 1.00 X X 0 16685 0 ELMER POLITE SECRETARY/TREASURER 1.00 40.00 X X 0 168072 39203 JAMES H HERLONG MD DIRECTOR 1.00 1.00 X 0 16685 0 CAROLYN SWINTON MN DIRECTOR 1.00 40.00 X 0 362574 75775 JOHN J SINGERLING III PRESIDENT, MIDLANDS AFF'L(UNTIL 4/19) 1.00 40.00 X 0 669270 77361 CHARLES D BEAMAN JR CO-CEO OF PRISMA HEALTH(UNTIL 7/19) 1.00 40.00 X 0 1402521 91282 MICHAEL C RIORDAN CO-CEO OF PRISMA HEALTH(UNTIL 5/19) 1.00 40.00 X 0 1430293 87707 TERRI T NEWSOM CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 1041022 160925 MALCOLM W ISLEY CHIEF STRATEGY OFFICER 1.00 40.00 X 0 797880 144512 ANGELO SINOPOLI MD CHIEF CLINICAL OFFICER 1.00 40.00 X 0 1326231 167693 HOWARD P WEST GENERAL COUNSEL 1.00 40.00 X 0 463767 86144 RICH ROGERS CHIEF INFORMATION OFFICER 1.00 40.00 X 0 415459 139718 JOSEPH J BLAKE JR VP OF LEGAL AFFAIRS AND GENERAL COUNSEL 1.00 40.00 X 0 462064 37297 GREGORY J RUSNAK CHIEF ADMINISTRATIVE OFFICER 1.00 40.00 X 0 1115321 164976 RUTH A CRANNELL NURSE ANESTHETIST 40.00 X 0 179851 74320 ETNA C GRIFFIN NURSE ANESTHETIST 40.00 X 0 202130 34496 MARCIA A ISZARD NURSE ANESTHETIST 40.00 X 0 220865 50673 JUDY L ROBERTS NURSE ANESTHETIST 40.00 X 0 186727 78331 MICHAEL S SAND NURSE ANESTHETIST 40.00 X 0 198279 26510 0 10675696 1536923 57 0 1 0 MIDLANDS EMERGENCY PHYSICIANS PA 129 N WASHINGTON STREET SUMTER SC 29150 EMERGENCY MEDICAL SERVICES 7307660 REHABCARE GROUP PO BOX 502096 ST LOUIS MO 63150 MEDICAL SERVICES 1283345 FRESENIUS MEDICAL CARE 214 W HAMPTON SUMTER SC 29150 MEDICAL SERVICES 1194716 MEDICAL DOCTOR ASSOCIATES INC 3495 HOLCOMB BRIDGE ROAD NORCROSS GA 30092 MEDICAL SERVICES 1097796 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 1063820 91 969981 72861 1042842 NET PATIENT SERVICE 621400 200848468 200754203 94265 DISPROPORTIONATE SHARE 900099 7304197 7304197 208152665 1588168 0 1588168 1588168 1588168 148858 0 148858 148858 148858 NON-OPERATING REVENUE 900099 6062150 6062150 CAFETERIA 722210 1035120 1035120 MISCELLANEOUS REVENUE 900099 51767 51767 7149037 218081570 209646568 94265 7297895 X 69334330 61084881 8249449 1520449 1339545 180904 11766369 10366398 1399971 4971715 4380177 591538 505793 505793 12750 12750 26506336 9973315 16533021 3650 3650 8716272 4290175 4426097 257218 8903 248315 4393962 2643942 1750020 889722 850309 39413 4072235 4072235 8829283 8829283 36907 36907 BAD DEBT EXPENSE 44250189 44250189 MEDICAL SUPPLIES 30148698 30148698 MEDICAID DSH TAX 3987022 3987022 FOOD AND OTHER CONSUMAB 1959451 1959451 758210 758210 222920561 188184523 34736038 0 8066897 -82922 3454225 25282113 27554202 4396393 4258184 1489011 432730 183892735 111839387 72762514 72053348 25272662 27990294 227701327 611358 368425142 132817194 8195274 5588881 12315888 0 20511162 5588881 X 339306701 118526275 3130032 3216818 5477247 5485220 347913980 127228313 368425142 132817194 X -4838991 -215846676 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 0 PART II-B, LINE 1: PRISMA HEALTH TUOMEY ENGAGED IN LOBBYING ACTIVITIES DURING THE YEAR BUT DID NOT INCUR ANY EXPENSES RELATED TO THESE EFFORTS. A PORTION OF PRISMA HEALTH TUOMEY'S AMERICAN HOSPITAL ASSOCIATION AND SC HOSPITAL ASSOCIATION DUES ARE USED FOR LOBBYING EXPENSES, THESE WERE PAID BY PRISMA HEALTH-MIDLANDS ON PRISMA HEALTH TUOMEY'S BEHALF. 5556790 5556790 115953543 70692354 45261189 1414863 1414863 58689474 40161881 18527593 2278065 985152 1292913 72053348 INVESTMENT IN FOUNDATION 27990294 C 27990294 X PART X, LINE 2: PRISMA HEALTH TUOMEY 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, 2019, 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 2983878 604642 2379236 0.01330 30498341 20823973 9674368 0.05410 33482219 21428615 12053604 0.06740 45376987 39249122 6127865 0.03430 45376987 39249122 6127865 0.03430 78859206 60677737 18181469 0.10170 1 10440141 1412476 50856524 61084396 -10227872 X 1 1 1 1 PRISMA HEALTH TUOMEY 129 NORTH WASHINGTON ST SUMTER SC 29150 X X X PRISMA HEALTH TUOMEY 1 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 X 1 1 X 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 X 1 X 0 0 PRISMA HEALTH TUOMEY 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. PRISMA HEALTH TUOMEY 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. PRISMA HEALTH TUOMEY 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. PRISMA HEALTH TUOMEY PART V, SECTION B, LINE 20E: CONSPICUOUS POSTINGS IN THE HOSPITAL REGISTRATION AREAS INFORMING OF THE FINANCIAL ASSISTANCE POLICY AS WELL AS SENT STATEMENTS WITH LANGUAGE INDICATING ASSISTANCE WAS AVAILABLE. PART V, LINE 7A AND 10A: WEBSITE FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY:HTTPS://WWW.PRISMAHEALTH.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 16A, 16B, AND 16C: HTTPS://WWW.PALMETTOHEALTH.ORG/PATIENTS-GUESTS/PATIENTS/FINANCIAL-ARRANGEMENTS/FINANCIAL-ASSISTANCE PART I, LINE 7: COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS AND PRISMA HEALTH-TUOMEY'S MEDICARE COST REPORT. HOWEVER, ACTUAL DATA FROM PRISMA HEALTH'S AUDITED FINANCIAL STATEMENTS WERE USED IN THE COSTING METHODOLOGY FOR SUBSIDIZED HEALTH SERVICES. 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 $ 44,250,189. 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 FY2019 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 FYE 2019 MEDICARE COST REPORT. ($10 MILLION) PART VI, LINE 3: PRISMA HEALTH TUOMEY 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 TUOMEY 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 TUOMEY'S 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. 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 TUOMEY'S WEBSITE, WWW.PALMETTOHEALTH.ORG, STATES PRISMA HEALTH TUOMEY 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 TUOMEY CONSISTS OF SUMTER COUNTY. THE SECONDARY SERVICE AREA (SSA) FOR PRISMA HEALTH TUOMEY CONSISTS OF CLARENDON, AND LEE COUNTIES. PART VI, LINE 5: INFORMATION ON WAYS PRISMA HEALTH TUOMEY PROMOTES COMMUNITY HEALTH CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/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, REPORTS FILED WITH STATES SC X X X X 0 1 0 0 0 0 0 0 0 ELMER POLITE SECRETARY/TREASURER 0 144724 0 23260 0 88 0 22155 0 17048 0 207275 0 0 CAROLYN SWINTON MN DIRECTOR 0 324208 0 0 0 38366 0 40609 0 35166 0 438349 0 0 JOHN J SINGERLING III PRESIDENT, MIDLANDS AFF'L(UNTIL 4/19 0 669023 0 0 0 247 0 48964 0 28397 0 746631 0 0 CHARLES D BEAMAN JR CO-CEO OF PRISMA HEALTH(UNTIL 7/19) 0 1356844 0 0 0 45677 0 49603 0 41679 0 1493803 0 0 MICHAEL C RIORDAN CO-CEO OF PRISMA HEALTH(UNTIL 5/19) 0 1195879 0 56779 0 177635 0 45100 0 42607 0 1518000 0 0 TERRI T NEWSOM CHIEF FINANCIAL OFFICER 0 685283 0 343898 0 11841 0 117053 0 43872 0 1201947 0 0 MALCOLM W ISLEY CHIEF STRATEGY OFFICER 0 549173 0 236848 0 11859 0 101202 0 43310 0 942392 0 0 ANGELO SINOPOLI MD CHIEF CLINICAL OFFICER 0 887838 0 417253 0 21140 0 140622 0 27071 0 1493924 0 0 HOWARD P WEST GENERAL COUNSEL 0 463767 0 0 0 0 0 58707 0 27437 0 549911 0 0 RICH ROGERS CHIEF INFORMATION OFFICER 0 382767 0 20946 0 11746 0 106019 0 33699 0 555177 0 0 JOSEPH J BLAKE JR VP OF LEGAL AFFAIRS AND GENERAL COUN 0 427402 0 23161 0 11501 0 4723 0 32574 0 499361 0 0 GREGORY J RUSNAK CHIEF ADMINISTRATIVE OFFICER 0 729188 0 351561 0 34572 0 122263 0 42713 0 1280297 0 0 RUTH A CRANNELL NURSE ANESTHETIST 0 163099 0 14848 0 1904 0 50636 0 23684 0 254171 0 0 ETNA C GRIFFIN NURSE ANESTHETIST 0 187315 0 13678 0 1137 0 34342 0 154 0 236626 0 0 MARCIA A ISZARD NURSE ANESTHETIST 0 220549 0 200 0 116 0 26300 0 24373 0 271538 0 0 JUDY L ROBERTS NURSE ANESTHETIST 0 185572 0 425 0 730 0 52214 0 26117 0 265058 0 0 MICHAEL S SAND NURSE ANESTHETIST 0 188834 0 2323 0 7122 0 23490 0 3020 0 224789 0 0 PART I, LINE 4B PRISMA HEALTH-MIDLANDS (A RELATED ORGANIZATION) 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. SPLIT-DOLLAR LIFE INSURANCE PARTICIPANTS ARE CHARLES D. BEAMAN, JR. AND JOHN J. SINGERLING. 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 ITS PREMIUMS PLUS INTEREST PLUS ADDITIONAL KEY-PERSON INSURANCE PROCEEDS. 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 OR 15 PERCENT ON AN ANNUAL BASIS BASED ON PRIOR FISCAL YEAR BASE COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 PRISMA HEALTH-MIDLANDS IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, PRISMA HEALTH-MIDLANDS, HAS THE AUTHORITY AND PRIVILEGE TO APPROVE OR REMOVE DIRECTORS ON THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, PRISMA HEALTH-MIDLANDS, IS GRANTED THE AUTHORITY AND PRIVILEGE TO: 1. APPROVE THE ADDITION OR ADMISSION OF ANY NEW MEMBERS OF THE CORPORATION AND THE DETERMINATION OF ANY CONSIDERATION OR TERMS FOR SUCH MEMBERSHIP. 2. APPROVE THE MERGER, CONSOLIDATION, SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS ON THE CORPORATION. 3. APPROVE THE DISSOLUTION OF THE CORPORATION. 4. APPROVE THE BORROWING OF MONEY BY THE CORPORATION IN EXCESS OF $500,000 FROM ANY PERSON OR ENTITY OTHER THAN THE MEMBER OR THE INCURRING OF ANY OTHER DEBT ON BEHALF OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE CORPORATION'S BUSINESS. 5. APPROVE ANY LIEN, PLEDGE, SECURITY INTEREST OR OTHER ENCUMBERANCE EXCEPT FOR THOSE SECURING DEBT ISSUED BY THE MEMBER, MECHANIC'S LIENS FOR ACCOUNTS NOT PAST DUE, AND TAX LIENTS NOT YET DUE AND PAYABLE. 6. APPROVE THE INDEMNIFICATION OF ANY OFFICER, DIRECTOR, EMPLOYEE, OR AGENT OF THE CORPORATION AS MAY BE PERMITTED PURSANT TO SECTIONS 33-31-850 THROUGH 33-31-858 OF THE ACT. 7. APPROVE OF ANY DISTRIBUTION OF ASSETS UPON LIQUIDATION OF THE CORPORATION. 8. APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE CORPORATION 9. APPROVE THE AMENDMENT OR REPEAL OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE RETURN WAS REVIEWED BY 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 TUOMEY 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 VI, LINE 1B PRISMA HEALTH TUOMEY'S BOARD OF DIRECTORS DOES NOT POSSESS A MAJORITY OF INDEPENDENT DIRECTORS. PRISMA HEALTH TUOMEY'S SOLE MEMBER IS PRISMA HEALTH-MIDLANDS. PRISMA HEALTH-MIDLANDS'S BOARD OF DIRECTORS MAINTAINS A MAJORITY INDEPENDENCE. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 69,856. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,856. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 9,606,224. MANAGEMENT AND GENERAL EXPENSES 7,597,715. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,203,939. MEDICAL DIRECTORSHIPS: PROGRAM SERVICE EXPENSES 367,091. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 367,091. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,865,327. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,865,327. PHYSICIAN CALL PAY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 123. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123. FORM 990, PART XI, LINE 9: PARENT/SUB EQUITY TRANSACTION -218,469,548. INCREASE IN INTEREST IN AFFILIATED FOUNDATION 2,622,872. PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS PROCESS. 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-MIDLANDS PO BOX 2266 COLUMBIA SC 29202 582296052 HOSPITAL SC 501(C)(3) LINE 3 PRISMA HEALTH 0 PRISMA HEALTH-UNIVERSITY MEDICAL GROUP 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 571004971 PHYSICIAN PRACTICES SC 501(C)(3) LINE 12B, II PRISMA HEALTH-UPSTATE 0 GREENVILLE HEALTH CORPORATION 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 570835816 HEALTHCARE SC 501(C)(3) LINE 12B, II PRISMA HEALTH-UPSTATE 0 THE TUOMEY FOUNDATION 102 N MAIN STREET SUMTER SC 29150 571041691 SUPPORTS HOSPITAL SC 501(C)(3) LINE 12C, III-FI N/A 0 TIMOTHY J TUOMEY TRUST 129 NORTH WASHINGTON STREET SUMTER SC 29150 237127466 SUPPORTS SC 501(C)(3) LINE 12C, III-FI 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 SUITE 302 GREENVILLE SC 29601 352363050 HOSPITAL SC 501(C)(3) LINE 3 PRISMA HEALTH-UPSTATE 0 RADIATION ONCOLOGY 7 RICHLAND MEDICAL PARK ROAD COLUMBIA SC 29203 364542465 HEALTHCARE SC N/A CAROLINA HOME THERAPEUTICS 1528 UNION ROAD GASTONIA NC 28054 570880120 HEALTHCARE NC N/A THE CARE COORDINATION INSTITUTE LLC 300 EAST MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 813878203 HEALTHCARE SC N/A HEALTHSOURCE INC PO BOX 2266 COLUMBIA SC 29202 570938686 HEALTHCARE SC N/A C 0 PHYSICIAN PRACTICE SERVICES INC PO BOX 2266 COLUMBIA SC 29202 571013538 INACTIVE SC N/A C 0 HOME CARE RESOURCES INC PO BOX 2266 COLUMBIA SC 29202 570938656 INACTIVE SC N/A C 0 PREMIER PRACTICE MANAGEMENT CAROLINAS PO BOX 2266 COLUMBIA SC 29202 364366595 HEALTHCARE SC N/A S 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0