2019-08-15T09:52:40-05:00 2018-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2017-10-01 471345819 PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP PALM 8039070350 15 MEDICAL PARK NO 300 COLUMBIA SC 29203 DARRELL C COVEN CFO 8039070350 2019-08-15 1 AMY BIBBY P00445891 8282542254 24.241.144.70 2019-08-15 09:52:01 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A22AE24AEF09E58E11297D5713887849BDE471CE 2017 2019-02-21 02:37:17Z DARRELL C COVEN 15 MEDICAL PARK NO 300 COLUMBIA SC 29203 319924067 0 X WWW.PHUSCMG.ORG X 2014 SC WE PROVIDE COMPASSIONATE CARE, PREEMINENT MEDICAL EDUCATION AND TRANSFORMATIVE RESEARCH. 8 8 11 0 0 0 0 0 172836225 319913201 0 0 779754 10866 173615979 319924067 0 0 0 0 167493558 290339336 0 0 0 5960170 32245564 173453728 322584900 162251 -2660833 13833627 46808334 12041224 21631821 1792403 25176513 WE PROVIDE COMPASSIONATE CARE, PREEMINENT MEDICAL EDUCATION AND TRANSFORMATIVE RESEARCH. 0 0 322637024 319913201 THE CORPORATION SERVES TO PROMOTE AND IMPROVE THE PUBLIC HEALTH AND WELFARE OF THE COMMUNITIES SERVED BY THE MEMBERS AND THEIR AFFILIATES, IN FURTHERANCE OF SUPPORTING AND ADVANCING THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL MISSIONS OF THE MEMBERS, THROUGH THE OPERATION OF A MULTI-SPECIALTY PHYSICIAN GROUP ESTABLISHED TO PROMOTE AND FACILITATE COLLABORATION BETWEEN AND AMONG THE MEMBERS AND OTHER HEALTH CARE PROVIDERS AND ACADEMIC INSITUTIONS, WITH THE OBJECTIVE OF ACHIEVING HIGHER QUALITY OF HEALTH CARE SERVICES, TRAINING, AND EDUCATION, LOWER HEALTH CARE COSTS, AND BETTER PATIENT OUTCOMES. 322637024 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 34 0 1 11 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 1 1 0 SC X DARRELL C COVEN 8035455693 15 MEDICAL PARK SUITE 300 COLUMBIA SC 29203 JOHN SINGERLING CHAIR 1.00 X X 0 0 0 EDWARD WALTON VICE CHAIR 1.00 X X 0 0 0 PAUL DUANE MANAGER 1.00 X 0 0 0 JOAN GABEL MANAGER 1.00 X 0 0 0 JIM RAYMOND MD MANAGER 1.00 X 0 0 0 CAUGHMAN TAYLOR MD MANAGER 1.00 X 0 0 0 BILL ANDERSON MD MANAGER 1.00 X 0 0 0 STEVE IZARD MD MANAGER 1.00 X 0 0 0 LES HALL CEO 40.00 X 0 0 0 DARRELL COVEN CFO 40.00 X 265092 0 26880 KEVIN A BOGGS COO 40.00 X 353919 0 21143 DAVID B FULTON PHYSICIAN 40.00 X 1592290 0 30112 MICHAEL W PEELLE PHYSICIAN 40.00 X 1438576 0 43664 JEFFREY T EHRETH PHYSICIAN 40.00 X 1371253 0 39642 ERWIN Z MANGUBAT PHYSICIAN 40.00 X 1298114 0 21216 DAVID STRAUS PHYSICIAN 40.00 X 1193604 0 48231 7512848 0 230888 7 0 1 0 0 EMPLOYEE LEASE AGREEMENT 621110 105611225 105611225 NET PATIENT SERVICE REVENUE 621110 103595042 103595042 MISSION SUPPORT 621110 65926850 65926850 SERVICE REVENUE 621110 20746328 20746328 TEACHING REVENUE 621110 13784645 13784645 10249111 10249111 319913201 10866 0 10866 10866 10866 319924067 319913201 0 10866 619011 619011 251049803 247599465 3450338 4834509 4683457 151052 23090281 22271259 819022 10745732 10328407 417325 10658160 4960746 5697414 192087 192087 4207044 1883594 2323450 444313 378429 65884 10325112 8817204 1507908 116251 115271 980 4001673 2753169 1248504 2483062 2246398 236664 MEDICAL SUPPLIES 6599223 6599223 BAD DEBT 6081276 6081276 MINOR EQUIPMENT 441865 375372 66493 MISCELLANEOUS 5329 5329 -13309831 3346338 -16656169 322584900 322637024 -52124 0 3362065 7018456 1566191 20792085 39170 0 0 237986 18741997 4096334 861613 14645663 8004588 4114144 13833627 46808334 9883102 20277030 0 122616 2158122 1232175 12041224 21631821 X 1792403 25176513 1792403 25176513 13833627 46808334 X -2660833 26044943 X X 0 1 X 1 0 X 172836225 319913201 492749426 172836225 319913201 492749426 0 0 0 492749426 10866 10866 10866 10866 779754 779754 173615979 319924067 493540046 X 3207509 728882 2478627 15534488 3367452 12167036 14645663 DUE FROM AFFILIATES 659282 SUPPLEMENTAL TEACHING 1583950 OTHER RECEIVABLES 1870912 4114144 OTHER CURRENT LIAB PAYABLE 28043 DUE TO AFFILIATES 1204132 1232175 X 313845903 -6078164 -6078164 319924067 0 319924067 316506736 -6078164 -6078164 322584900 0 322584900 PART X, LINE 2: PALMETTO HEALTH-USC MEDICAL GROUP 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, 2018, PHUSC MEDICAL GROUP HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -6,081,276. REALIZED GAIN/LOSS 3,112. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -6,081,276. REALIZED GAIN/LOSS 3,112. 0 0 0 0 0 0 0 0 0 DARRELL COVEN CFO 265092 0 0 0 0 0 10914 0 15966 0 291972 0 0 0 KEVIN A BOGGS COO 353919 0 0 0 0 0 9182 0 11961 0 375062 0 0 0 DAVID B FULTON PHYSICIAN 1541675 0 48669 0 1946 0 30112 0 0 0 1622402 0 0 0 MICHAEL W PEELLE PHYSICIAN 1411946 0 32780 0 -6150 0 27698 0 15966 0 1482240 0 0 0 JEFFREY T EHRETH PHYSICIAN 1257858 0 112420 0 975 0 29970 0 9672 0 1410895 0 0 0 ERWIN Z MANGUBAT PHYSICIAN 650000 0 652035 0 -3921 0 5250 0 15966 0 1319330 0 0 0 DAVID STRAUS PHYSICIAN 650000 0 550142 0 -6538 0 18875 0 29356 0 1241835 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS - PRISMA HEALTH-MIDLANDS AND THE UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE EDUCATIONAL TRUST. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER APPOINTS FOUR MANAGERS (BOARD TRUSTEE). FORM 990, PART VI, SECTION B, LINE 11B PALMETTO HEALTH-USC MEDICAL GROUP'S FORM 990 WAS REVIEWED IN DETAIL BY THE DIRECTOR OF ACCOUNTING. THE FORM WAS DISCUSSED AND REVIEWED IN DETAIL BY OUTSIDE TAX ADVISORS. THE 990 WAS PROVIDED TO BOARD OF DIRECTORS AND EACH MEMBER WAS ALLOWED AMPLE TIME FOR REVIEW AND TO MAKE INQUIRIES BEFORE FILING WITH THE IRS. 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 AUDIT, COMPLIANCE, AND FINANCE COMMITTEE FOR REVIEW AND FOLLOW-UP AS APPROPRIATE. THE CHAIR OF THE AUDIT COMPLIANCE AND FINANCE 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'S AUDITED FINANCIAL STATEMENTS ARE PUBLISHED ANNUALLY. ONE OF THE ORGANIZATION'S MEMBERS, PRISMA HEALTH, UPLOADS QUARTERLY FINANCIAL INFORMATION TO WWW.DACBOND.COM. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION 26,044,943. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.