2012-08-14T15:48:00-05:00 2010-09-30 Grant Thornton LLP 201 S COLLEGE ST STE 2500 CHARLOTTE NC 28244 990 2009-10-01 582296052 PALMETTO HEALTH PALM 8032962100 293 GREYSTONE BLVD 2ND FLOOR COLUMBIA SC 29210 PAUL K DUANE 2012-08-14 true 7046323500 2009 2016-02-24 21:20:13Z X CHARLES D BEAMAN JR 293 GREYSTONE BOULEVARD COLUMBIA SC 29210 1305907789 false X WWW.PALMETTOHEALTH.ORG X 1996 SC SEE SCHEDULE 0 15 10 10713 331 10887473 93974 13983069 11683437 1254600887 1252101150 1375919 30552420 -500334 -1433366 1269459541 1292903641 1472064 9156285 0 0 543117597 566818899 0 0 0 700412068 652420385 1245001729 1228395569 24457812 64508072 1342033292 1442111218 748687007 772882196 593346285 669229022 SEE SCHEDULE O false true 1110133790 9041285 1252101150 SEE SCHEDULE O 1110133790 true true false true false false false false true true false true false false true false false false false false true true true true true false false false false false false false true true true false false false false 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James I Raymond MD 50.0 X 566874 0 148719 Ellis M Knight MD 50.0 X 432744 0 73042 John J Singerling 50.0 X 380118 0 95185 James Bridges 50.0 X 349630 0 138102 Howard P West 50.0 X 347651 0 129175 Michael S Stinson 50.0 X 316907 0 23682 Willis Gregory III 50.0 X 304493 0 101930 Roddey E Gettys III 50.0 X 262555 0 92064 Caroline Seigler 50.0 X 241724 0 20334 Vince Ford 50.0 X 211113 0 68272 Michelle E Edwards 50.0 X 209970 0 43519 Carolyn R Swinton 50.0 X 201730 0 22471 Ronald Carroll 50.0 X 199128 0 14690 Benjamin M Cunningham Jr 50.0 X 199045 0 19891 Gregory Gattman 50.0 X 197325 0 13674 Katherine G Stephens 50.0 X 196527 0 16314 Edward S Hickson 50.0 X 186874 0 17772 Deborah J Tapley 50.0 X 175736 0 15028 James Pope 50.0 X 172623 0 14518 Jay D Hamm 50.0 X 159233 0 9471 Jeffrey T Ehreth MD 50.0 X 1232180 0 14698 Harris H Parker MD 50.0 X 810708 0 11031 Reid W Tribble MD 50.0 X 656987 0 11196 Scott J Petit MD 50.0 X 653993 0 23483 John T Parrott MD 50.0 X 651794 0 1674 James E Lathren 50.0 X 162442 0 17864 11060448 0 1645515 508 true true false Carolina Care 3 Richland Medical Park Suite 350 COLUMBIA SC 29203 Emergency Room Physi 13839561 MRI Inc of the Carolinas BMCC 1519 Marion St COLUMBIA SC 29201 Physicians 6152570 Fresenius Medical Care PO Box 281471 ATLANTA GA 30384 Dialysis Services 2955098 Professional Pathology Services PC PO Box 865 COLUMBIA SC 29202 Physicians 2781788 Radiation Oncology PO Box 2046 WEST COLUMBIA SC 29171 Physicians 2104213 107 4006283 5910902 1766252 11683437 NET PATIENT REVENUE 621300 1139061037 1139061037 BAPTIST EASLEY FEE 561000 59421261 59421261 PALMETTO SENIOR CARE 623000 19530116 19530116 REFERENCE LABORATORY 621500 9774263 9774263 PHARMACY 446110 7095193 7095193 17219280 10996516 1114563 5108201 1252101150 13644353 13644353 515675 515675 0 6800259 8233625 -1433366 -1433366 -1353 -1432013 21162915 78972 4691551 -78972 16471364 16392392 16392392 0 0 0 0 1292903641 1229008930 10887473 41323801 9041285 9041285 115000 115000 0 0 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The remaining $214,775 are fees paid to Darrell M. Campbell, hired by McNair Law Firm, an independent consultant that provides lobbying services. 3436758 2875614 2404084 3908288 2933753 6515193 6012188 3436758 0.03680 0.21850 0.74470 false true true 33815377 33815377 507903999 259228858 248675141 6553042 3386104 3166938 668313873 522972651 145341222 18438198 2815876 15622322 446621000 0 DERIVATIVE CHANGE IN VALUE 37520960 CAPITAL LEASE OBLIGATIONS 22197565 POST RETIREMENT RESERVE 10793502 DEFERRED COMPENSATION 7850578 SELF INSURANCE RESERVE 6554336 COMMUNITY OUTREACH PROGRAM 6536211 ASSET RETIREMENT RESERVE 1062077 ARBITRAGE RESERVE 31086 92546315 INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS PART V, LINE 4: Palmetto Health's endowment funds benefit a variety of programs for the well being of their patients which is consistent with the wishes and designations of donors. FIN 48 FOOTNOTE SCHEDULE D, PART X LINE 2 PALMETTO HEALTH CONTINUES TO EVALUATE TAX POSITIONS RELATED TO ASC 740, "INCOME TAXES," WHICH PRESCRIBES FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN TAX RETURNS. Central America and the Caribbean Investments true true X true X true X true true true false true true 68957181 45684132 23273049 0.02240 98343022 90250670 8092352 0.00780 167300203 135934802 31365401 0.03020 10689703 39020 10650683 0.01030 38342156 5585485 32756671 0.03160 73396897 62401477 10995420 0.01060 2731976 0 2731976 0.00260 639271 639271 0.00060 125800003 68025982 57774021 0.05570 293100206 203960784 89139422 0.08590 24202 24202 24202 24202 false 48393955 3708735 198460887 242472745 -44011858 X true true Parkridge Surgery Outpatient Surgery 0.67540 0.32460 Radiation Oncology Outpatient Oncology services 0.51000 0.49000 Palmetto Health Richland

5 Medical Park Columbia SC 29203

X X X X X X Heart/Children's Hospital Palmetto Health Baptist

Marion Street Columbia SC 29220

X X X X Radiation Oncology

166 Stoneridge Drive Columbia SC 29210

Outpatient Oncology Services Parkridge Surgery Center LLC

190 Parkridge Drive Columbia SC 29212

Outpatient Surgery Center Palmetto Health Home Care

1400 Pickens St Columbia SC 29201

Home Health Care Palmetto Health Private Services

1401 Pickens St Columbia SC 29201

Private Services Care Palmetto Health Hospice- Columbia

1402 Pickens St Columbia SC 29201

Hospice Care Palmetto Health Hospice- Newberry

1400 Camellia Ave Newberry SC 29108

Hospice Care Palmetto Health Hospice - Summerville

1815 Old Trolley Road Summerville SC 29485

Hospice Care Palmetto Health Hospice - Bamberg

383 McGee Street Bamberg SC 29003

Hospice Care PH Parkridge Outpatient Diagnostic Ctr

190 Parkridge Drive Suite G- 102 Columbia SC 29212

Imaging Services Palmetto Health Richland Imaging Center

14 Richland Medical Park Drive Columbia SC 29203

Imaging Services Palmetto Senior Care Laurel

1309 Laurel Street Columbia SC 29201

Senior Care Palmetto Senior Care Shandon

1100 Shirley Street Columbia SC 29205

Senior Care Palmetto Senior Care Lexington

700 Knox Abbott Drive West Columbia SC 29169

Senior Care Palmetto Senior Care White Rock

109 Wartburg Street White Rock SC 29177

Senior Care Senior Primary Care Practice

3010 Farrow Road Suite 300 Columbia SC 29203

Senior Primary Care Physicians Senior Primary Care Practice at Parkridg

190 Parkridge Drive Suite G-100 Columbia SC 29212

Senior Primary Care Physicians Palmetto Health Dental Center

10 Medical Park Road Columbia SC 29203

Dental Care Atrium Ridge Internal Medicine

11 Atrium Ridge Court Columbia SC 29223

Physician Practice Blythewood Family Care

738 University Village Drive Blythewood SC 29016

Physician Practice Carolina Cardiac Surgery

8 Med Park Suite 400 Columbia SC 29203

Physician Practice Carolina Colon and Rectal Surgeons

1730 St Julian Place Columbia SC 29204

Physician Practice Childrens Hospital Intensivists

9 Med Park Suite 530 Columbia SC 29203

Physician Practice ColoRectal Associates

1410 Blanding Street Suite 102 Columbia SC 29201

Physician Practice First Care

2406 Decker Blvd Columbia SC 29206

Physician Practice Harbison Family Practice

190 Parkridge Drive Suite 250 Columbia SC 29212

Physician Practice Hospital Internal Medicine

3 Med Park Suite 510 Columbia SC 29203

Physician Practice Baptist Inpatient Medical Associates

Taylor at Marion Street Columbia SC 29220

Physician Practice Irmo Family Practice

190 Parkridge Drive Suite 220 Columbia SC 29212

Physician Practice Midlands Internal Medicine

3000 NE Medical Park Suite 108 Columbia SC 29223

Physician Practice Northeast Family Practice

3000 NE Medical Park Suite 209 Columbia SC 29223

Physician Practice Palmetto Children's Urology

9 Richland Medical Park Suite 420 Columbia SC 29203

Physician Practice PH Children's Hospital Special Care Ctr

9 Richland Medical Park Suite 420 Columbia SC 29203

Physician Practice Premier Orthopedic Specialist

3 Medical Park Suite 330 Columbia SC 29203

Physician Practice Palmetto Infectious Disease

1333 Taylor Street Suite 4-G Columbia SC 29201

Physician Practice Palmetto OBGYN Associates

1333 Taylor Street Suite 5F Columbia SC 29201

Physician Practice Palmetto Pulmonary

1333 Taylor Street Suite 4-G Columbia SC 29201

Physician Practice Parkridge Convenience Care

190 Parkridge Drive Suite 104 Columbia SC 29212

Physician Practice Pediatric Surgery

9 Medical Park Suite 500 Columbia SC 29203

Physician Practice Psych Hospitalists

Taylor at Marion Street Columbia SC 29220

Physician Practice Ridgeview Family Medicine

4311 Hardscrabble Rd Columbia SC 29229

Physician Practice South Hampton Family Practice

5900 Garners Ferry Road Columbia SC 29209

Physician Practice Surgical Associates of South Carolina

1850 Laurel Street Columbia SC 29201

Physician Practice Trauma Surgery Palmetto Health Surgical

9 Medical Park Suite 450 Columbia SC 29203

Physician Practice Twelve Mile Family Creek

4711 Sunset Boulevard Hwy 378 Lexington SC 29072

Physician Practice Orthopedic and Spine Surgeons of SC

1333 Taylor Street Suite 3J Columbia SC 29201

Physician Practice Three Rivers OBGYN

1301 Taylor Street Suite 7B Columbia SC 29201

Physician Practice Women Physicians Associates OBGYN

9 Richland Med Park Suite 620 Columbia SC 29203

Physician Practice Explanation of Costing methodology used: Costing methodology for inpatient and outpatient services was derived using a combination of IRS provided worksheets and Palmetto Health's Medicare Cost report. However, actual data from Palmetto Health's (audited) financial statements was used in the costing methodology for subsidized health services. Consistent with Schedule H Instructions, for purposes of calculating total expense, bad debt expense of $191,585,419 reported in 990 Part IX, has been properly excluded when computing percentages for Column F. Accounts Receivable and Bad-debt expense methodology: Palmetto Health's (audited) financial statements do not contain a specific footnote describing policies around accounts receivable and bad debt expense. Palmetto Health's net accounts receivable on the (audited) financial statements represents the company's best estimate at that point in time of receivables that will eventually be realized. Methodology for calculating such estimate generally includes: 1) Self Pay Accounts Receivable: a. Current Accounts (defined as less than 90 days old) are value at historical collection percentages; b. Accounts aged from 90-180 days are value at 80% of historical collection percentages; c. Accounts aged from 181-365 days are valued at 60% of historical collection percentages; d. Accounts greater than 365 days old are considered uncollectible and are valued at zero. 2) All Other Third Party Accounts Receivable: a. An estimate of 5% of the gross accounts receivable is deemed to be the patient's responsibility and is treated the same as the self pay methodology noted above. All discounts are applied to the patient accounts when accounting for bad debt. This includes third party payor discounts, as well as discounts for those who qualify for financial assistance. All uninsured and under-insured patients are interviewed during the pre-registration and registration processes. The patient is referred to a financial counselor if it is determined there is a potential need. All patients who apply for charity care but never complete the process/do not provide required documentation are notated in the system with a charity care qualifier. Such accounts are reviewed after service has been provided and are written off as bad debt if they were not previously adjusted off as charity care. Portion of the shortfall in Part III, Line 7 that should be considered community benefit and costing methodology: The amount within Line 7 of Part III 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 of Line 7G, Part I. The $44 million shortfall consists of the Medicare patients who incurred a loss but were not included within the Subsidized Health Service community benefit figure. The costs reported within Line 6, Part III were formulated using a hospital wide cost to charge ratio. Debt-collection practices for Financial Assistance patients: On the front end of the debt collection process, pre-registration staff, as well as financial counselors, are proactive in explaining financial and agency assistance. Palmetto Health utilizes Department of Health and Human Services on-site workers, in addition to financial counselors, who meet with the patients or family to determine their eligibility for assistance. Palmetto Health also provides helpful information on financial assistance in the patients' handbook and as part of the billing process in both English and Spanish. There are signs posted around the campuses and information on the website for related programs available at Palmetto Health. Post discharge, a designated unit, pursues financial assistance or agency assistance for the patient, including possible discounts or payment plans. Third parties are employed to work the more difficult and time consuming supplemental security income cases. In addition, patients who do not respond to internal collection efforts are turned over to collection agencies. All third party agencies are required to review the patients' status for financial assistance. Palmetto Health has contributed more than $29 million dollars towards community health outreach initiatives over the past twelve years. These community outreach programs benefit the community by offering services in areas of need and by supporting existing successful community health outreach initiatives. In order to assess the needs of the communities and determine what Palmetto Health's community priorities are, Palmetto Health studies disease specific research and statistics for national, state and county data. Palmetto Health also uses inpatient and emergency department trends data and focus group data to help determine what community priorities will be. In addition, Palmetto Health utilizes Healthy People 2020 (formerly known as Healthy People 2010) objectives to help drive the community needs program design. Palmetto Health 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. Palmetto Health will work with uninsured or under insured patients to seek financial assistance or charity care. Patients are educated about their eligibility for assistance under federal, state or local government programs or under Palmetto Health's charity care policy during the registration process. During pre-registration and registration, all patients are interviewed by a financial counselor to determine whether the patient has a need for financial assistance or charity care. The financial counselor reviews 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 financial assistance, Department of Health and Human Services workers are available to assist patients and their families with completing applications. In order to make patients aware of financial assistance or charity care, Palmetto Health's Patient Bill of Rights is posted throughout its facilities with information and contact phone numbers. It is also posted in patient brochures. Patient statements contain an abbreviated version of the Patient Bill of Rights. Palmetto Health's website, www.palmettohealth.org, states Palmetto Health will work with uninsured or under insured patients to seek financial assistance or charity care. 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. The primary service area for Palmetto Health consists of Richland and Lexington Counties. There are approximately 627,230 residents who live within the primary service area. The median income of the constituents in Richland and Lexington Counties is $62,100. The unemployment rate for Richland County is 9.1% and Lexington County is 7.6%. The secondary service area for Palmetto Health consists of Fairfield, Kershaw, Newberry, Orangeburg and Sumter Counties. There are approximately 316,755 residents who live in these secondary service areas. The median income for Fairfield county is $62,100 (Fairfield is included with the Richland and Lexington area for statistical purposes), Kershaw county is $55,900, Newberry County $50,500, Orangeburg County $43,700 and Sumter County is $47,600. The unemployment rate for the secondary market is Fairfield County 12.2%, Kershaw County 9.8%, Newberry county 9.9%, Orangeburg 14.1% and Sumter 11.8%. Palmetto Health's workforce development aids in the professional development of health care professionals. Over 1,280 individuals participated in monthly job shadowing programs through Midlands Technical College and the University of South Carolina during fiscal year 2010. There were also 36 high school students who participated in workforce development programs throughout the year. Around 7,300 contacts were made at various career fairs and community speaking engagements. Promotion of healthcare: Palmetto Health is central South Carolina's largest and most comprehensive not-for-profit health system. In our progressive environment, the latest technology and treatment protocols go hand-in-hand with quality patient care. Palmetto Health is a South Carolina nonprofit public benefit corporation recognized as an IRC section 501(c) (3) charity, which consists of the outstanding hospitals - Palmetto Health Richland and Palmetto Health Baptist, Children's Hospital and Palmetto Health Heart Hospital in Columbia. Palmetto Health also jointly owns Baptist Easley Hospital in Easley, SC. The 1,247-bed system is a JCAHO-accredited institution and has more than 8,500 employees and 1,300 physicians. Palmetto Health furthers its exempt purposes by adopting a charity care policy that provides free care to individuals who are at or below the 200% of Federal Poverty Guidelines. Palmetto Health also provides care to Medicare, Medicaid and other government payor programs. Palmetto Health also operates 24-hour emergency rooms and offers services to all patients regardless of their ability to pay. An open medical staff is maintained in order to have proper staffing coverage and allow for more efficient care and delivery of services in our hospital facilities. Palmetto Health community health outreach programs benefit the community by offering services in areas of need and by supporting existing successful community health outreach initiatives. Palmetto Health provides cash and in-kind contributions to nonprofit community healthcare organizations in the community in order to further promote the health, wellness and welfare of the communities served. Palmetto Health also sponsors continuing medical education classes, health education workshops and health fairs in the community. Some Community Health Initiatives include: Cancer Education and Prevention, Real Men Prostate Health Campaign, Free Yourself From Smoking, Trumpeter - Tobacco prevention campaign and contest, Diabetes Initiative, Palmetto Healthy Start - For new parents and expecting moms and dads, Teen Talk! It's time to make good choices, Richland Care. Additional Community Service Programs: Dental Health Initiative: In partnership with Family Service Center, Palmetto Health provides dental services to underinsured and Medicaid-eligible and -ineligible children and adults at the Children's Dental Clinic. These patients often have difficulty in finding a dentist who will accept new Medicaid patients. Nationally, the adult program was one of the first of its kind to be offered. Palmetto Health also partners with the Columbia Oral Health Clinic to provide dental services to HIV/AIDS patients who otherwise could not afford dental care. As the only program of its kind in South Carolina, it provides high-risk patients with a source for dental care. Family Connection-Project Breathe Easy: Project Breathe Easy is an asthma education program developed by Family Connection. Palmetto Health provides funds to enhance services to asthmatic children and their families through the provision of asthma education, transportation and medical assistance to patients. Program participants have shown a reduction in missed days from school and work, fewer emergency room visits, and a reduction in the number of preventable asthma emergencies. Health Administration Scholarship: Since the Fall 1998 semester, Palmetto Health has provided scholarship funds for qualified minority students enrolled in the master's degree program in Health Administration at the University of South Carolina School of Public Health. The scholarships give students an opportunity to earn a degree in a field that lacks minority participation. The program has received a special commendation from the Accrediting Commission on Education for Health Services Administration, one of only two commendations awarded nationwide. Parish Nurse Program: Palmetto Health, in collaboration with the Columbia Housing Authority, initiated a Parish Nurse Medical Program for elderly and indigent residents of Columbia Housing Authority. Residents of these facilities were anticipated to have a diagnosis of high blood pressure, diabetes, cancer, obesity and other medical problems. These residents, who often receive little or no medical care, benefit from the Parish Nurse services. SC true AMERICAN HEART ASSOCIATION 520 Gervais Street Columbia SC 29201 135613797 501(c)(3) 17000 Sponsorship CITY CENTER PARTNERSHIP INC 1201 MAIN STREET COLUMBIA SC 29201 571116130 501(c)(3) 60500 General Purpose COLUMBIA BLOWFISH HWS BASEBALL V LLC 301 South Assembly Street Columbia SC 29201 202706317 15000 Sponsorship COLUMBIA CITY BALLET 1545 Main Street Columbia SC 29201 237133145 501(c)(3) 5200 Sponsorship COLUMBIA ORAL HEALTH CLINIC PO Box 3206 Columbia SC 29230 571073100 501(c)(3) 75000 Indigent Healthcare EAU CLAIRE COOPERATIVE HEALTH 1228 HARDEN STREET COLUMBIA SC 29204 570965445 501(c)(3) 111300 Indigent Healthcare FAMILY SERVICE CENTER 2712 Middleburg Dr PO Box 4246 Columbia SC 29204 570630921 501(c)(3) 150000 Indigent Healthcare FREE MEDICAL CLINIC -COLA PO Box 4616 Columbia SC 29240 570779279 501(c)(3) 55000 Indigent Healthcare IRMO CHAMBER OF COMMERCE 1248 Lake Murray Blvd Irmo SC 29063 570669817 501(c)(3) 8550 Sponsorship CLINICS JAMES R CLARK MEM SICKLE CELL FD 1420 Gregg Street Columbia SC 29201 570858930 501(c)(3) 25000 Indigent Healthcare LEXINGTON DIXIE BASEBALL PO Box 821 Lexington SC 29071 562121648 501(c)(3) 10000 Sponsorship MARCH OF DIMES - COLA 240 Stonebridge Dr Columbia SC 29210 131846366 501(c)(3) 25000 Prematurity Campaign MENTAL ILLNESS RECOVERY CENTER 3809 Rosewood Dr Columbia SC 29240 570984185 501(c)(3) 75000 Homeless Housing MIDLANDS EDUCATIONAL AND BUSINESS ALLIAN PO Box 2408 Columbia SC 29202 200350584 501(c)(3) 10000 Comment Training MIDLANDS HOUSING ALLIANCE 1901 Main Street Columbia SC 29201 203524141 501(c)(3) 200000 Homeless Housing NAVIGATING FROM GOOD TO GREAT FOUNDATION 930 Richland Street Columbia SC 29201 208781550 501(c)(3) 20000 General Purpose NEWBERRY MEMORIAL FOUNDATION 2669 KINARD STREET NEWBERRY SC 29108 582340652 501(c)(3) 1250000 General Purpose PALMETTO CONSERVATION FOUNDATION 1314 Lincoln Street Columbia SC 29201 570907043 501(c)(3) 59950 Sponsorship RICHLAND COMMUNITY HEALTHCARE LAUREL 1520 LAUREL ST COLUMBIA SC 29201 570944745 501(c)(3) 100000 Indigent Healthcare SC CAMPAIGN TO PREVENT TEEN PREGNANCY 1331 Elmwood Avenue Columbia SC 29201 570897120 501(c)(3) 50000 Teen Pregnancy Prevention SCHAC SC HIV AIDS COUNCIL PO PO Box 2531 Columbia SC 29202 570994526 501(c)(3) 28915 HIV Testing and Prevention SILVER RING 238 Moon Clinton Rd Moon Township PA 15108 364550882 501(c)(3) 10000 General Purpose SOUTH CAROLINA RESEARCH FOUNDATION 730 Devine Street Columbia SC 29208 570967350 501(c)(3) 25000 Child Health THE LEADERSHIP INSTITUTE AT COLUMBIA 1301 Columbia College Drive Columbia SC 29203 570324915 501(c)(3) 50000 General Purpose UNITED WAY OF THE MIDLANDS 1800 Main Street Columbia SC 29201 570314396 501(c)(3) 32500 Asthma Education UNIV OF SC EDUCATIONAL FOUNDATION 1600 Hampton St Columbia SC 29208 576017985 501(c)(3) 20000 Scholarship 25 1 HELEN GOLDING LYNCH 24 35000 HIGH POTENTIAL EMPLOYEES 9 80000 ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS PART I, LINE 2: Palmetto Health provides funding to a number of non-profit organizations to expand services in our community. All funded organizations enter into a funding agreement with Palmetto Health that details the scope of services to be provided. Organizations must submit monthly reports that detail the scope and type of services provided to patients/clients each month. Organizations receive payment if these reports are received in a timely manner and if all conditions of the agreement with Palmetto Health are met. In addition, according to the agreement Palmetto Health reserves the right to perform a financial audit regarding the use of funding dollars provided to the organization. Palmetto Health will alert the organization of the audit 10 business days before such audit occurs. X X true true X X X X X false true false false false false false false false Charles D Beaman Jr 700209 0 142413 0 12942 0 317384 0 16074 0 1189022 0 0 0 James I Raymond MD 486074 0 75043 0 5757 0 138242 0 10477 0 715593 0 0 0 Paul K Duane 397185 0 70565 0 17498 0 136650 0 17608 0 639506 0 0 0 Ellis M Knight MD 390560 0 40831 0 1353 0 65558 0 7484 0 505786 0 0 0 John J Singerling 311962 0 56334 0 11822 0 85553 0 9632 0 475303 0 0 0 James Bridges 296708 0 51409 0 1513 0 131668 0 6434 0 487732 0 0 0 Howard P West 288489 0 54786 0 4376 0 108854 0 20321 0 476826 0 0 0 Michael S Stinson 259311 0 56721 0 875 0 7890 0 15792 0 340589 0 0 0 Willis Gregory III 253244 0 47614 0 3635 0 91229 0 10701 0 406423 0 0 0 Roddey E Gettys III 207373 0 50082 0 5100 0 85933 0 6131 0 354619 0 0 0 Caroline Seigler 215877 0 22754 0 3093 0 11905 0 8429 0 262058 0 0 0 Vince Ford 173659 0 36606 0 848 0 58741 0 9531 0 279385 0 0 0 Michelle E Edwards 209318 0 450 0 202 0 36494 0 7025 0 253489 0 0 0 Carolyn R Swinton 175640 0 25714 0 376 0 8984 0 13487 0 224201 0 0 0 Ronald Carroll 177621 0 19040 0 2467 0 9124 0 5566 0 213818 0 0 0 Benjamin M Cunningham Jr 179303 0 19353 0 389 0 7422 0 12469 0 218936 0 0 0 Gregory Gattman 175625 0 21139 0 561 0 3663 0 10011 0 210999 0 0 0 Katherine G Stephens 171407 0 23598 0 1522 0 6637 0 9677 0 212841 0 0 0 Edward S Hickson 162340 0 24225 0 309 0 6763 0 11009 0 204646 0 0 0 Deborah J Tapley 169802 0 5562 0 372 0 8730 0 6298 0 190764 0 0 0 James Pope 154174 0 17149 0 1300 0 8684 0 5834 0 187141 0 0 0 Jay D Hamm 135651 0 10015 0 13567 0 0 0 9471 0 168704 0 0 0 Jeffrey T Ehreth MD 669043 0 561361 0 1776 0 4097 0 10601 0 1246878 0 0 0 Harris H Parker MD 479104 0 330983 0 621 0 0 0 11031 0 821739 0 0 0 Reid W Tribble MD 551631 0 104104 0 1252 0 5980 0 5216 0 668183 0 0 0 Scott J Petit MD 549055 0 104104 0 834 0 5488 0 17995 0 677476 0 0 0 John T Parrott MD 324426 0 327314 0 54 0 0 0 1674 0 653468 0 0 0 James E Lathren 160312 0 1225 0 905 0 6352 0 11512 0 180306 0 0 0 CEO Perquisites PART 1, LINE 1: A Flexible Perquisites option is available to the CEO under an accountable plan as part of his taxable compensation package. He may choose to be reimbursed for certain of the following items (within prescribed plan limits) under a board approved compensation plan: automobile, country club membership, dining club membership, supplemental life insurance, supplemental long-term disability or certain personal services which include estate planning, tax return planning, investment counseling, annual physical exam. These services do NOT include items such as maid, chauffer, chef or similar, but rather are limited to the services described above. SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART 1, LINE 4B: The following individuals participated in a supplemental nonqualified plan: Name: Amounts: Charles D. Beaman, Jr $306,600, Paul K. Duane $128,400, James I. Raymond, MD $127,700, John J. Singerling $76,400, Ellis M. Knight, MD $58,300, Howard P. West $98,000, James Bridges $119,400, Willis Gregory, III $81,500, Roddey E. Gettys, III $75,300, Vince Ford $49,700 Michelle E. Edwards $27,200 Palmetto provides a supplemental retirement benefit to senior executives that is contingent on them remaining at Palmetto until retirement. The accrual amounts 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. SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 83703ehd0 2003-08-28 188070805 Refund 3-30-2000 Bonds true false South Carolina Jobs-Economic Development Authority 570960018 83703eht5 2003-08-28 260110624 See Schedule O true false South Carolina Jobs-Economic Develoment Authority 570960018 83703ejc0 2005-12-15 257150000 Refund 8-28-2003 Bonds true false South Carolina Jobs-Economic Develoment Authority 570960018 83703fax0 2007-03-15 120000000 Construct and equip health facilit false false South Carolina Jobs-Economic Development Authority 570960018 83703fbn1 2008-06-12 252139754 Refund 12-05-05 Bonds true false 137715188 5425421 129446031 2843736 false true true true 161322208 4195753 3083904 154042551 2006 true false true true 269920822 17347167 237324640 15249015 false true true true 118741507 20019649 1211798 97510060 2009 false false false true 1943244 1943244 true false true true false true true true true 0.00220 0.00220 true false true true true true 0.00160 0.00160 true false true true true true 0.00240 0.00240 true false true true true true 0.00130 0.00130 true false true true true true 0.00240 0.00240 true false true false false false false false false false false true false false false true Merril Lynch 7.8 false false false false true true Merril Lynch 32.5 false true false false false false false false true KSF CONSULTING LLC SEE SCHEDULE O 166875 INDEPENDENT CONTRACTOR HOSPITAL RECEIVABLE SERVICES SEE SCHEDULE O 785386 COLLECTION SERVICES TONI ODOM SEE SCHEDULE O 20758 EMPLOYEE RADIATION ONCOLOGY SEE SCHEDULE O 718197 RENT: FACILITY/EQUIPMENT CAROLINA UROCORP SEE SCHEDULE O 1620549 PERFORMANCE OF SERVICES CAROLINA CARE SEE SCHEDULE O 14296716 PERFORMANCE OF SERVICES PARKRIDGE SURGERY CENTER SEE SCHEDULE O 1121930 RENT/LOAN HOSPITAL SERVICES INC SEE SCHEDULE O 2715689 LAUNDRY SERVICES COLUMBIA UROLOGICAL ASSOCIATES SEE SCHEDULE O 602514 PERFORMANCE OF SERVICES ORGANIZATION'S MISSION FORM 990: PART I AND III, LINE 1: Palmetto Health is committed to improving the physical, emotional and spiritual health of all individuals and communities we serve; to providing care with excellence and compassion; and, to working with others who share our fundamental commitment to improving the human condition. SIGNIFICANT PROGRAM SERVICES CHANGES PART III, LINE 3 On October 1, 2009, Palmetto Health transferred to a new entity all real and personal property comprising the hospital facility in Easley, South Carolina. The new entity operates the Baptist Easley Hospital (BEH) as a nonprofit entity (a hospital organization exempt under internal revenue code sections 501(c)(3) and 170(b)(1)(A)(iii)) consisting of two equal members: Palmetto Health and Greenville Health Corporation (GHC) (GHC is a hospital organization exempt under internal revenue code sections 501(c)(3) and 170(b)(1)(A)(iii)). In connection with this transaction, Palmetto Health transferred net assets (at fair market value) to the new entity and received a 50% membership interest in the new entity. Palmetto Health entered into this arrangement in order to further our mission and better serve the healthcare needs of the Easley community. As this change represents considerably less than a 25% transfer of Palmetto Health's assets, Schedule N is not required to be completed. PROGRAM SERVICES PART III, LINE 4A: Palmetto Health is central South Carolina's largest and most comprehensive not-for-profit health system. In our progressive environment, the latest technology and treatment protocols go hand-in-hand with quality patient care. Palmetto Health is a South Carolina nonprofit public benefit corporation recognized as an IRC section 501(c) (3) charity, which consists of the outstanding hospitals - Palmetto Health Richland and Palmetto Health Baptist, Children's Hospital and Palmetto Health Heart Hospital in Columbia. Palmetto Health also jointly owns Baptist Easley Hospital in Easley, SC. The 1,247-bed system is a JCAHO-accredited institution and has more than 8,500 employees and 1,300 physicians. Being the largest private employer in the Midlands and the third largest in SC is an important economic development driver for our region, but also having the best employees is a recognition for which the system is very proud. For the last three years, Palmetto Health was named one of the Top 100 Places to Work in Healthcare, after a survey of US healthcare organizations by Modern Healthcare magazine, last year placing 29th in the nation. The SC Chamber of Commerce named Palmetto Health one of the top 20 places to work in SC for the second year. Four years in a row, Palmetto Health has been named one of the top places in the country to work in Information Technology by ComputerWorld magazine. In keeping with Palmetto Health's vision: to be remembered by each patient as providing the care and compassion we want for our families and ourselves, the system focuses on putting patients at the center of all we do. Each year, our hospitals treat nearly a half million patients, welcome more than 6,700 babies into the world, treat more than 80,000 pediatric patients and 3,000 cancer patients, accommodate more than 149,000 emergency department visits, perform more than 50,000 mammograms, and make more than 32,000 home care visits. We proudly offer services that are available nowhere else in the region. Among those are the largest private behavioral health services, the only Level I trauma center in the region, the only two Level III neonatal intensive care units in the region providing the highest level of care for premature infants, pediatric intensive care unit, children's emergency room, robotic assisted surgery, gamma knife and many others. Many of our programs and services have been uniquely accredited for excellence, such as the state's first accredited chest pain center and accredited breast center by the American College of Surgeons' National Accreditation Program. The Joint Commission recently accredited Palmetto Health's Heart Failure program and accreditation as a Primary Stroke Center is pending. Blue Cross has designated centers for cardiac care and total joint replacement for their Blue Distinction designation. Palmetto Health provides health care for nearly 70 percent of the residents of Richland County and almost 55 percent of the health care for the combined Richland/Lexington County area. Patients are rendered services without distinction due to race, religion, color, national origin, ancestry, sex, gender, age, veteran's status and disability. Palmetto Health provides the local community with more low or no cost services than any other health provider. We do this under local ownership, local management and local accountability. Our goal is to provide the best for our community, in the best equipped facilities in the state while working with others to achieve our mission. Palmetto Health has pledged 10 percent of its annual bottom line for 35 years to fund community health care initiatives in cancer education and prevention, and maternal and child health services and many others. In the last decade, Palmetto Health has spent $29 million in this special effort alone. This tithe is a contribution over and above the care provide provided in our hospitals for services to patients in need. During 2010, Palmetto Health conducted a community benefits assessment of free services provided by our system to the communities we served during the previous year. The total included $73 million in care to patients who were unable to pay, as well as $38 million associated with Medicare and Medicaid programs. Palmetto Health is proud to have focused on quality and patient safety improvement initiatives and set about creating the structure, culture and accountability to achieve it. These efforts allowed our hospitals to achieve significant progress in decreasing mortality and increasing the performance in appropriate care measures for nationally benchmarked standards of care for six high-volume procedures. This ambitious and concerted quality goal of eliminating all preventable errors and deaths continues to be a focus of all at Palmetto Health while attention has increased on reducing "harm events" such as infections, falls and the like, and on reducing unnecessary readmissions. In addition to the healthcare outreach efforts in which Palmetto Health engages, the system accepts a key role in community support through investment by its employees in the United Way and our own Palmetto Health Foundation. Additionally, the organization and its employees participate and invest in community agencies such as the Heart Association, March of Dimes, American Cancer Society, and a myriad of other health and human services organizations. With key leaders taking significant leadership roles in organizations like the Chambers of Commerce, City Center Partnership, Central Carolina Economic Development Alliance and a host of others, Palmetto Health is making its presence known and essential in the community. ORGANIZATION'S STOCKHOLDERS PART VI, SECTION A, LINE 6 Palmetto Health has two members Richland Memorial Hospital (Class R Member) and Baptist Healthcare System of SC, Inc. (Class B member) ORGANIZATION'S MEMBERS ELECTION RIGHTS PART VI, SECTION A, LINE 7a The Class R member and the Class B member nominate and elect six directors each to the Palmetto Health Board of Directors. Those twelve directors nominate and elect an additional three members for a total of 15 voting directors DECISIONS SUBJECT TO MEMBERS APPROVAL PART VI, SECTION A, LINE 7B: The Class R and Class B member have "reserved powers." These powers include (quoted directly from Palmetto Health Bylaws): "(i) any change in the Board that would result in those directors selected by the Class R and Class B Members comprising, on a combined basis, less than a majority of the total number of directors; (ii) any change that would result in the Class R Member having the right to elect a different number of directors than the Class B Member; (iii) any change in a Member's rights regarding the election or removal of directors; (iv) approval of any amendment to, or repeal of, the Articles of Incorporation of the Corporation (the "Articles"); (v) approval of any merger, consolidation, sale, or lease of all or substantially all of the assets of the Corporation; (vi) approval of the dissolution of the Corporation; (vii) approval of the addition of a Member; (viii) any change in provisions of the Members' Pre-incorporation and Joint Operating Agreement (the "Joint Operating Agreement") or these Bylaws that require that if the Chair is elected from among the Richland Directors, the Vice Chair must be elected from among the Baptist Directors and vice versa; (ix) any change in provisions of the Joint Operating Agreement or these Bylaws regarding the duties or composition requirements of the Executive Management Committee of the Board; (x) any of the Board actions described in Section 3.14.2.7, below, regarding Palmetto Health Baptist Easley; (xi) any change in the Mission Statement; (xii) approval of the strategic plan of the Corporation or any material modification thereto; and (xiii) any amendment or repeal of these Bylaws that would affect any authority or privilege of a Member as described above." Further explanation for item (x): approval of a merger, consolidation, sale, or lease of all or substantially all of the assets of Palmetto Health Baptist Easley ("PHBE"), approval of the conversion of PHBE to primarily an outpatient facility, or approval of the discontinuation of operation of PHBE. ORGANIZATION'S FORM 990 REVIEW PROCESS PART VI, SECTION B, LINE 11: Palmetto Health's Form 990 was reviewed in detail by the Accounting Manager and Vice President of Finance. The form was discussed and reviewed in detail by Grant Thornton (outside tax advisors). The CFO then conducted a higher level review of the form with the Vice President of Finance. The 990 was provided to Palmetto Health's board of directors and each member was allowed ample time for review and to make inquiries before filing with the IRS. ORGANIZATION'S MONITORING CONFLICT OF INTEREST POLICY 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 returned to the Audit and Compliance Committee for review and follow-up as appropriate. The Chair of the Audit and Compliance Committee reports to the full Board that the above-referenced process has been completed. Upon hire, each employee is educated on Palmetto Health's 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. OFFICER/KEY EMPLOYEE COMPENSATION DECISIONS PART VI, SECTION B, LINE 15B: Palmetto Health's Executive Compensation Committee (the "Committee"), composed of members of the board of directors who are disinterested in and independent from the persons compensated, oversees Palmetto Health's executive compensation and benefits programs. The Committee annually receives a report from its independent executive compensation consultant on the executive compensation program, including third-party comparability data for functionally-similar positions at similarly-situated organizations (the "Compensation Review"). Last completed in the fall of 2010, the Compensation Review includes market analyses for base salaries, total cash compensation, benefits and perquisites and aggregate total compensation values for the President & Chief Executive Officer, Executive Vice Presidents and Senior Vice Presidents. In of the qualification for the rebuttable presumption of reasonableness, the Committee reviews and approves the President's & CEO's compensation, based on the board-approved compensation philosophy and the Compensation Review, and the decision is documented in meeting minutes. In addition, the Committee reviews the information in the Compensation Review relating to aggregate total compensation paid to the Executive Vice President and Senior Vice President positions and positions that are functionally-similar at similarly situated organizations. Utilizing the information contained in the Compensation Review provided to and reviewed by the Committee, the President and CEO approve the compensation levels payable to the Vice Presidents, Executive Vice President and Senior Vice President positions. DOCUMENTS AVAILABLE TO THE PUBLIC PART VI, SECTION C, LINE 19: The organization's audited financial statements are published annually and quarterly financial information is available to the public at www.dacbond.com SCHEDULE K Bond Issue 8/28/2003 - CUSIP# 83703EHD0: Part II, line 5 includes the following: Underwriters fees $1,404,575; Actual (Cost of Issuance) COI Funds expended $638,021; Credit Enhancement Fees $801,140 Bond Issue 8/28/2003 - CUSIP# 83703EHT5: Part I, Column f - Description of purpose: Refund of 7-10-91, 9-8-93 and 6-29-95 Bonds and Construct and Equip health facilities Part II, line 5 includes the following: Underwriters fees $2,210,425; Actual COI Funds expended $873,479 Part III, Line 4: This percentage is less than .00%. Part IV, line 5 - Arbitrage calculation performed in 2008 indicated no liability for funds invested beyond temporary period. Bond Issue 12/15/2005 - CUSIP# 83703EJC0: Part II, line 5 includes the following: Actual COI Funds expended $2,804,445; Credit Enhancement Fees $12,444,570 Part III, Line 4: This percentage is less than .00%. Bond Issue 3/15/2007 - CUSIP# 83703FAX0: Part II, line 5 includes the following: Underwriters fees $455,000; Actual COI Funds expended $756,798 Part III, Line 4: This percentage is less than .00%. Part IV, line 5 - Funds invested beyond temporary period were invested in securities yielding rates below the arbitrage yield Bond Issue 06/12/2008 - CUSIP# 83703FBN1: Part II, line 5 includes the following: Underwriters fees $127,035; Actual COI Funds expended $365,000; Debt modification costs $1,080,581; Credit Enhancement Fees $370,628 Part III, Line 4: This percentage is less than .00%. Bond Issue 06/12/2008 - CUSIP# 83703FBP6: Part II, line 5 includes the following: Underwriters fees $143,144; Actual COI Funds expended $645,000; Credit Enhancement Fees $290,587 Part III, Line 4: This percentage is less than .00%. Bond Issue 09/23/2009 - CUSIP# 83703FDG4: Part I, Column F - Description of purpose: Refund of 8-28-2003 Bonds and Contruct and Equip health facilities. Part II, line 5 includes the following: Underwriters fees $1,327,852; Actual COI Funds expended $900,400; Swap Termination Cost $8,867,576 Part III, Line 4: This percentage is less than .00%. Part III, Line 5: This percentage is less than .00%. BUSINESS TRANSACTIONS INVOLVING INTERESTED PARTIES SCHEDULE L, PART IV: (1)(b) KSF Consulting, LLC is an entity owned 100% by Kester S. Freeman, former officer of Palmetto Health. (2)(b) The following individual is a director of Hospital Receivable Services, Inc., a for-profit corporation: Charles D. Beaman, Jr. an officer of Palmetto Health. This individual sits on the board of this entity as a representative of Palmetto Health, but does not hold any ownership interest. (3)(b) Toni Odom is a family member of Dr. Jerome Odom, a board member of Palmetto Health. (4)(b) The following individuals are directors of Radiation Oncology, a for-profit partnership owned in part by Palmetto Health: Benjamin M. Cunningham, Jr, Stan Hickson and Marty Bridges, Key Employees of Palmetto Health. These individuals sit on the board of this entity as representatives of Palmetto Health, but do not hold any ownership interest. (5)(b) Carolina UroCorp is an entity more than 5% owned by Dr. James Herlong, a Board member of Palmetto Health. (6)(b) Carolina Care is an entity in which a board member of Palmetto Health, Dr. N. John Stewart, MD, is an Officer. (7)(b) The following individuals are directors of Parkridge Surgery Center, a for-profit partnership owned in part by Palmetto Health: Paul Duane, Officer of Palmetto Health and Marty Bridges, Key Employee of Palmetto Health, and Arthur M. "Art" Bjontegard, Jr., Board Member of Palmetto Health. These individuals sit on the board of this entity as representatives of Palmetto Health, but do not hold any ownership interest. (8)(b) The following individual is a director of Hospital Services, Inc., a for-profit corporation owned in part by Palmetto Health: James A. Bennett, a board member of Palmetto Health. This individual sits on the board of this entity as a representative of Palmetto Health, but does not hold any ownership interest. (9)(b) Columbia Urological Associates is an entity more than 5% owned by Dr. James Herlong, a Board member of Palmetto Health. FAIR MARKET VALUE OF TRANSACTIONS SCHEDULE R, PART V: For all transactions listed in Part V, Line 2, fair market value is determined by obtaining independent third party valuations. AMENDED RETURN THIS RETURN IS BEING AMENDED TO REFLECT A RESTATEMENT THAT WAS MADE TO THE AUDITED FINANCIAL STATEMENTS WHICH WAS DUE TO A MISCALCULATION MADE BY MEDICARE THAT WAS IDENTIFIED BY PALMETTO HEALTH. CERTAIN BALANCE SHEET, REVENUE, EXPENSE AND SCHEDULE H AMOUNTS WERE IMPACTED BY THE RESTATEMENT. PALMETTO HEALTH QUALITY COLLABORATIVE LL 1301 Taylor Street Suite 9A Columbia SC 29201 273029587 ACO SC 0 0 NA BAPTIST MEDICAL CENTER EASLEY FOUNDATION 200 FLEETWOOD DRIVE EASLEY SC 29640 570880538 SUPPORTS HOSP SC 501(C)(3) 11a-I NA PALMETTO HEALTH FOUNDATION 1600 MARION STREET COLUMBIA SC 29202 570725699 SUPPORTS HOSP SC 501(C)(3) 11c-III-FI NA PALMETTO RICHLAND MEMORIAL AUXILLARY 5 RICHLAND MEDICAL PARK DRIVE COLUMBIA SC 29203 570645678 SUPPORTS HOSP SC 501(C)(3) 11a-I NA RICHLAND MEM HOSP RESEARCH & EDUCATION 293 GREYSTONE BLVD 2ND FLOOR COLUMBIA SC 29210 237010028 SUPPORTS HOSP SC 501(C)(3) 11c-III-FI NA PARKRIDGE SURGERY CENTER LLC 190 PARKRIDGE DRIVE COLUMBIA SC 29212 371470219 HEALTHCARE SC NA RELATED 82853 1934353 false 0 true RADIATION ONCOLOGY 7 RICHLAND MEDICAL PARKS DRIVE COLUMBIA SC 29203 364542465 HEALTHCARE SC NA RELATED 1884733 3486504 false 0 false CAROLINA HOME THERAPEUTICS 26220 ENTERPRISE CT LAKE FOREST CA 92630 570880120 HEALTHCARE CA HEALTHSOURCE RELATED 0 0 false 0 true EASLEY MRI LLC PO BOX 2987 GREENVILLE SC 29602 571131117 HEALTHCARE NA RELATED 68445 66162 false 0 true HEALTHSOURCE INC 293 GREYSTONE BLVD COLUMBIA SC 29210 570938686 HEALTHCARE SC NA C CORP 599830 2140091 1.00000 PHYSICIAN PRACTICE SERVICES INC 293 GREYSTONE BLVD COLUMBIA SC 29210 571013538 HEALTHCARE SC HEALTHSOURCE C CORP 0 0 1.00000 HOME CARE RESOURCES INC 293 GREYSTONE BLVD COLUMBIA SC 29210 570938656 HEALTHCARE SC HEALTHSOURCE C CORP 0 0 1.00000 PREMIER PRACTICE MANAGEMENT CAROLINAS 293 GREYSTONE BLVD COLUMBIA SC 29210 364366595 HEALTHCARE SC N/A S CORP -35981 815953 1.00000 BAPTIST MEDICAL FACILITIES INC 293 GREYSTONE BLVD COLUMBIA SC 28210 570818162 INACTIVE SC NA C CORP 0 0 1.00000 true true true true false false false false true true true false false false false true false false PARKRIDGE SURGERY CENTER LLC A 389308 PARKRIDGE SURGERY CENTER LLC D 732622 RADIATION ONCOLOGY LLC A 437083 RADIATION ONCOLOGY LLC I 281115