2023-08-11T21:30:37+00:00 2022-09-30 346565596 ERNST & YOUNG US LLP 55 IVAN ALLEN JR BOULEVARD ATLANTA GA 30308 990 2021-10-01 811723202 Prisma Health-Upstate PRIS 8647977611 300 EAST MCBEE AVENUE 302 GREENVILLE SC 29601 MATTHEW ELSEY EVP-CFO PRISMA HEALTH 8647977611 2023-08-11 true MATTHEW ELSEY 999009999 Aerrial M Orr P01598400 4048748300 2023-07-10 2021 2023-04-26 12:10:37Z MATTHEW ELSEY 300 EAST MCBEE AVENUE 302 GREENVILLE SC 29601 2653813635 false X WWW. PRISMAHEALTH.ORG X 2016 SC INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 10 10 13254 0 3248725 4568869 56778843 6890134 2539394825 2639558680 56547 240228 3038138 7124593 2599268353 2653813635 12795942 750000 0 871973689 962570878 0 0 1221045316 1225609867 2105814947 2188930745 493453406 464882890 1520876259 1604003398 962580945 603602929 558295314 1000400469 INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. false false 1912406850 750000 2643180302 PRISMA HEALTH WAS FORMED TO CREATE A BETTER STATE OF HEALTH FOR SOUTH CAROLINA. PRISMA HEALTH IS STRIVING TO REACH THAT GOAL BY PROVIDING HIGH QUALITY PATIENT CARE, DECREASING HEALTH DISPARITIES, REMOVING ACCESS BARRIERS, DEVELOPING NEW CLINICAL SERVICES AND ACADEMIC PROGRAMS, SHAPING HEALTH POLICY, AND ADDRESSING HEALTHCARE AFFORDABILITY. PLEASE READ THE ANNUAL REPORT FOR MORE DETAIL ABOUT NEW AND EXPANDED SERVICES AND INNOVATIVE COLLABORATIONS AT THIS WEBSITE: HTTPS://PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2022 1912406850 true true false true false false false false false true false false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false true false false false true true true false false false true 43 0 true 13254 true true true false false false false false false false false false false false X 10 10 false false false false true true true true true false false true true true true true true true true true false SC X KEVIN HODGE 8647977611 300 EAST MCBEE AVE STE 302 GREENVILLE SC 29601 Andrew J White Jr Board Member 1.0 0 X 0 0 0 Annmarie Higgins Board Member 1.0 0 X 0 0 0 Charles E Dalton Board Member 1.0 0 X 0 0 0 Joe Salgado Jr Board Member 1.0 0 X 0 0 0 Margaret L Jenkins Chair 1.0 0 X 0 0 0 Michael Cumby Board Member 1.0 0 X 0 0 0 Nancy P Whitworth Board Member 1.0 0 X 0 0 0 Prashant Prabhu Board Member (until 12/15/21) 1.0 0 X 0 0 0 Rabbi Mathew Marko Board Member (until 12/15/21) 1.0 0 X 0 0 0 Robert T Nitto Vice Chair 1.0 0 X 0 0 0 Ruth Richburg Board Member (until 12/15/21) 1.0 0 X 0 0 0 Tracy Lamb Board Member 1.0 0 X 0 0 0 W Michael Ellison Board Member 1.0 0 X 0 0 0 Clarence M Sevillian II EVP Chief Operating Officer 1.0 45.0 X 0 649775 13156 Howard P West EVP Chief Legal Officer 1.0 45.0 X 0 1060821 76310 Kristin L Wright Corporate Secretary 20.0 21.0 X 0 76707 13985 Matthew R Fowler Sr VP and Deputy General Counsel 1.0 42.0 X 0 545898 69346 Michael T Burke EVP Chief Financial Officer 1.0 45.0 X 0 1289820 99139 Amy E Linsin EVP Chief HR and Diversity Officer 1.0 45.0 X 0 852277 79188 Carolyn R Swinton SVP Chief Nursing Officer (until 2/4/22) 1.0 45.0 X 0 688689 73904 Charles D Williams III CEO Prisma Health Medical Group (until 7/17/2022) 1.0 45.0 X 0 155284 22288 Elizabeth Tibbs SVP Chief Operating Officer, Medical Group 1.0 45.0 X 0 740452 61754 Keith N Alexander SVP Acute Care Operations (until 1/7/22) 1.0 45.0 X 0 940018 96084 Malcolm W Isley EVP Chief Strategy Officer 1.0 45.0 X 0 780163 97417 Mark S O'Halla President and CEO of Prisma Health 1.0 45.0 X 0 1682042 242364 Richard J Rogers SVP Chief Information Officer 1.0 45.0 X 0 1011743 80691 Scott M Sasser CEO, Prisma Health Medical Group (until 6/20/22) 1.0 45.0 X 0 958379 104597 William C Gerard MD EVP Value Based Care/CMO Prisma Health Plans/CEO inVio Health Networks 1.0 45.0 X 0 261226 674 Catherine M Chang VP Chief Medical Officer- Amb and Clin Council 40.0 0 X 639349 0 55458 Christopher C Wright VP Chief Medical Staff Affairs 40.0 0 X 606443 0 66421 Clyatt W James III Frmr Chief Clinical Officer (until 6/30/22) 40.0 0 X 1010119 0 54444 James S Agnew Hospital CEO 40.0 0 X 641053 0 72960 Susan L Mullinax VP Medical Group Operations 40.0 0 X 533069 0 48914 Angelo Sinopoli MD Frmr EVP Chief Clinical Officer (until 10/1/21) 0.0 0.0 X 0 828663 79597 Gregory J Rusnak Frmr EVP Chief Operating Officer (until 10/1/21) 0.0 0.0 X 0 1417713 70670 Timothy C Moses Frmr VP and Chief Financial Executive (until 7/12/22) 0.0 40.0 X 0 571611 62721 3430033 14511281 1642082 1000 true true false QUALIVIS LLC PO BOX 123847 DALLAS TX 75312 CLINICAL STAFFING SERVICES 61051533 AMERICAN SECURITY OF GREENVILLE LLC 1300 RUTHERFORD RD GREENVILLE SC 29609 SECURITY SERVICES 8043913 CROWN HEALTH CARE LAUNDRY SERVICE 25 W CEDAR STREET SUITE 405 PENSACOLA FL 32502 LAUNDRY SERVICES 6829642 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 911102512 LAB TESTING SERVICES 6201963 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN PLACEMENT SERVICES 6104332 136 6890134 64336 6890134 NET PATIENT SERVICE REVENUE 621400 2522549282 2519300958 3248324 PHARMACY SALES 446110 70680718 70680718 Patient Food Services 722514 8535703 8535703 Directed Payment Program 900099 6263251 6263251 BAD DEBT 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286799408 1520876259 1604003398 134283013 128942898 100156266 98739080 7651027 4945838 332982597 103714766 0 387508042 267260347 962580945 603602929 X 522694219 956419036 35601095 43981433 558295314 1000400469 1520876259 1604003398 X 464882890 7626981 -30404716 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 38351 38351 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY PRISMA HEALTH-UPSTATE ENGAGED IN LOBBYING ACTIVITIES DURING THE YEAR BUT DID NOT INCUR ANY EXPENSES RELATED TO THESE EFFORTS. A PORTION OF PRISMA HEALTH-UPSTATE'S SC HOSPITAL ASSOCIATION DUES ARE USED FOR LOBBYING EXPENSES. THESE WERE PAID BY PRISMA HEALTH ON PRISMA HEALTH-UPSTATE'S BEHALF. 61969025 61969025 872083688 461939280 410144408 636771 10704 626067 943812438 695770447 248041991 42904492 38504626 4399866 725181357 RIGHT OF USE ASSET 210162622 DUE FROM RELATED ORGANIZATIONS 46364182 ESTIMATED THIRD PARTY OBLIGATIONS 22650588 OTHER RECEIVABLES 7622016 286799408 OTHER LIABILITIES 12578346 LEASE OBLIGATIONS 254682001 ESTIMATED THIRD PARTY OBLIGATIONS 267260347 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote PRISMA HEALTH-UPSTATE 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, 2022, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. true true X true X true X true true true false true true 123969540 41962083 82007457 0.0375 338104605 311281831 26822774 0.0123 0 0.0 0 0 462074145 353243914 108830231 0.0497 37107116 2018555 35088561 0.0160 89062317 27025202 62037115 0.0283 16190997 11732620 4458377 0.0020 18792193 16624110 2168083 0.0010 6750000 0 6750000 0.0031 0 0 167902623 57400487 110502136 0.0505 0 0 629976768 410644401 219332367 0.1002 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 26071065 8481777 775495842 843203659 -67707817 X true true 8 1 GREENVILLE MEMORIAL HOSPITAL 701 GROVE ROAD GREENVILLE SC 29605 WWW.PRISMAHEALTH.ORG HTL0936 X X X X X X A 2 PATEWOOD MEMORIAL HOSPITAL 175 PATEWOOD DRIVE GREENVILLE SC 29615 WWW.PRISMAHEALTH.ORG HTL0933 X X X X A 3 OCONEE MEMORIAL HOSPITAL 298 MEMORIAL DRIVE SENECA SC 29672 WWW.PRISMAHEALTH.ORG HTL0937 X X X X A 4 GREER MEMORIAL HOSPITAL 830 S BUNCOMBE RD GREER SC 29650 WWW.PRISMAHEALTH.ORG HTL0934 X X X X A 5 BAPTIST EASLEY HOSPITAL 200 FLEETWOOD DR EASLEY SC 29640 WWW.PRISMAHEALTH.ORG HTL0945 X X X A 6 HILLCREST MEMORIAL HOSPITAL 729 SE MAIN ST SIMPSONVILLE SC 29681 WWW.PRISMAHEALTH.ORG HTL0931 X X X X A 7 LAURENS COUNTY MEMORIAL HOSPITAL 22725 HWY 76 EAST CLINTON SC 29325 WWW.PRISMAHEALTH.ORG HTL0932 X X X A 8 NORTH GREENVILLE HOSPITAL 807 N MAIN ST TRAVELERS SC 29690 WWW.PRISMAHEALTH.ORG HTL0935 X X X A A false false true X X X X X X X X X 21 true true false true X HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X true 21 true HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT false true X 200.0 400.0 X X X true true X X X X true X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. ALL THE NEEDS IDENTIFIED BY THE CHNA ARE BEING ADDRESSED. PLEASE REFER TO THE SCHEDULE H, PART V, LINE 11 DISCLOSURE FOR DETAILS. Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. PRISMA HEALTH FORMED A MULTI-STAKEHOLDER TEAM TO CARRY OUT THE TAX YEAR 2021 (FISCAL YEAR 9/30/22) COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THE TEAM IDENTIFIED SEVEN COUNTIES TO FOCUS ON IN COLLECTING DATA FOR PRISMA HEALTH'S 2021 CHNA. THESE COUNTIES WERE: GREENVILLE, LAURENS, LEXINGTON, OCONEE, PICKENS, RICHLAND AND SUMTER. A TOTAL OF 7,613 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 DATA. PUBLIC HEALTH EXPERTS GUIDED THE TEAM'S OBJECTIVES IN DEVELOPING TOOLS, ANALYZING DATA AND PRIORITIZING NEEDS. CONSUMER SURVEYS, ONE TO ONE INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED BETWEEN 3/2022 AND 6/2022. STATE AND LOCAL ELECTED OFFICIALS, MAJOR EMPLOYERS, COMMUNITY MEMBERS AND COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH SERVICES PROVIDED INPUT. INDIVIDUALS ACROSS MANY SECTORS OF THE COMMUNITY WERE SURVEYED, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. INDIVIDUALS CONSISTED OF THE FOLLOWING: HISPANIC COMMUNITY, RURAL COMMUNITY, LGBTQ COMMUNITY, GEN Z POPULATION, SC DHEC, CBOS, HOMELESS SHELTERS, AND OTHER ORGANIZATIONS THAT PROVIDE HEALTH SERVICES. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. PRISMA HEALTH-MIDLANDS, PRISMA HEALTH-UPSTATE, PRISMA HEALTH TUOMEY, AND THE SHRINER'S HOSPITAL OF GREENVILLE ALL CONDUCTED THE CHNA JOINTLY. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. THE COMMUNITY HEALTH NEEDS ASSESSMENT DOESN'T LIST ANY SIGNIFICANT NEEDS THAT THE HOSPITAL SYSTEM ISN'T ADDRESSING IN THE ORGANIZATIONS IMPLEMENTATION PLAN. THE 2021 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 HEALTH 2. OVERWEIGHT AND OBESITY 3. HEART DISEASE AND STROKE PRISMA HEALTH IS ADDRESSING ALL THE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. DURING 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. PRISMA HEALTH HAS OUTLINED STRATEGIES FOR PRIORITY AREAS IN PARTNERSHIP WITH VARIOUS COMMUNITY PARTNERS. PLEASE SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN AT THE FOLLOWING LINK: HTTPS://PRISMAHEALTH.ORG/PDFS/2022-CHNA-REPORT RESPONDING TO THE PANDEMIC BEGINNING IN MARCH 2020, COVID-19 BROUGHT NEW AND AMPLIFIED EXISTING HEALTH CONCERNS AND CONSIDERATIONS FOR THE COMMUNITY AND HEALTHCARE PROFESSIONALS. FOR THOSE NEEDING HOSPITALIZATION, PRISMA HEALTH TREATED 30% OF THE STATE'S COVID-19 PATIENTS. IN JANUARY 2021, PRISMA HEALTH CREATED MASS VACCINATION SITES AT SEVERAL FACILITIES, TAKING A LEADERSHIP ROLE IN THE MIDLANDS AND UPSTATE. AT THE VACCINATION PEAK JAN. 22, 2021; 9,656 SHOTS WERE ADMINISTERED. ADDITIONALLY, SIX MOBILE UNITS WERE OUTFITTED TO DISPENSE VACCINATIONS, TARGETING RESIDENTS IN RURAL AND UNDERSERVED AREAS. IN LARGE PART DUE TO COVID-19, PRISMA HEALTH'S VIRTUAL CARE PLATFORMS LOGGED MORE THAN 413,000 VISITS BY VIDEO, PHONE OR EVISIT. THESE OPTIONS HAVE BEEN PARTICULARLY HELPFUL FOR PEOPLE RELUCTANT TO SEEK ON-SITE CARE FOR OTHER HEALTH CONCERNS DURING THE PANDEMIC. Schedule H, Part V, Section B, Line 13 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. THERE IS A CATASTROPHIC CLAUSE WHICH ALLOWS FOR AN ALTERNATIVE MEANS OF QUALIFYING BASED ON SIGNIFICANT FINANCIAL HARDSHIP. Schedule H, Part V, Section B, Line 15 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. THE FINANCIAL ASSISTANCE POLICY EXPLAINS DIFFERENT METHODS FOR APPLYING FOR FINANCIAL ASSISTANCE BY: VISITING PRISMA HEALTH WEBSITE WITH ADDRESS LISTED, CONTACTING PRISMA HEALTH PATIENT FINANCIAL SERVICES WITH PHONE NUMBERS LISTED, MAILING A REQUEST WITH ADDRESSES LISTED OR VISITING A PRISMA HEALTH FACILITY. Schedule H, Part V, Section B, Line 16 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. COMMUNITY CLINICS ARE AWARE OF AND HAVE INFORMATION REGARDING THE PRISMA HEALTH FINANCIAL ASSISTANCE POLICY. Schedule H, Part V, Section B, Line 20 Facility A, 1 Facility A, 1 - FACILITY REPORTING GROUP A. CONSPICUOUS POSTINGS IN THE HOSPITAL REGISTRATION AREAS INFORMING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY. 65 PRISMA HEALTH ROGER C PEACE REHAB HOS 701 GROVE RD GREENVILLE SC 296054210 INPATIENT REHABILITATION PRISMA HEALTH CROSS CREEK SURG CENTER 9 DOCTORS DR GREENVILLE SC 296054266 AMBULATORY SURGERY PRISMA HEALTH PED ASSOC-POWDERSVILLE 207 THREE BRIDGES RD GREENVILLE SC 296117549 PEDIATRIC PRIMARY CARE PRISMA HEALTH MTN LAKES FAMILY MED 10110 CLEMSON BLVD SENECA SC 296780812 PRIMARY CARE PRISMA HEALTH SENECA MEDICAL ASSOC 11082 N RADIO STATION RD SENECA SC 296781142 PRIMARY CARE PRISMA HEALTH FAM & INTER MED-SENECA 12016 N RADIO STATION RD SENECA SC 296781143 PRIMARY CARE PRISMA HEALTH FAMILY MED-WALHALLA 103 WHITETAIL WALHALLA SC 296915837 PRIMARY CARE PRISMA HEALTH ADVANCED FAMILY MED 210 S BROAD ST CLINTON SC 293252505 PRIMARY CARE PRISMA HEALTH BAPTIST EASLY OP SVCS 1807A E MAIN ST EASLEY SC 296403841 OUTPATIENT SURGERY AND DIAGNOSTIC PRISMA HLTH BPTST EASLEY OP SVCS MCP 11404 ANDERSON RD GREENVILLE SC 296117502 OUTPATIENT SURGERY AND DIAGNOSTIC PRISMA HLTH BPTST EASLEY OP THER SVCS 11402 ANDERSON RD STE B GREENVILLE SC 296117560 OUTPATIENT THERAPY PRISMA HEALTH CANCER INST-EASLEY 200 FLEETWOOD DR STE 200 EASLEY SC 296402022 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CANCER INST-EASTSIDE 65 INTERNATIONAL DR GREENVILLE SC 296154816 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CANCER INST-FARIS 900 W FARIS RD GREENVILLE SC 296054255 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CANCER INST-GREER 340 MEDICAL PKWY GREER SC 296502441 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CANCER INST-GROVE 3 BUTTERNUT D STE B GREENVILLE SC 296054653 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CANCER INST-LAURENS 22725 HIGHWAY 76 E 3 CLINTON SC 293257527 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CANCER INST-SENECA 131 LILA DOYLE DR SENECA SC 296729495 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CANCER INST-SPARTANBURG 2400 BOILING SPRINGS RD SPARTANSBURG SC 293165304 OUTPATIENT CANCER TREATMENT PRISMA HEALTH CARDIO SVCS GRNV 3 BUTTERNUT DR STE B4 GREENVILLE SC 296054655 CARDIOVASCULAR DIAGNOSTIC PRISMA HEALTH CARDIO SVCS SIMP 719 SE MAIN ST SIMPSONVILLE SC 296813237 CARDIOVASCULAR DIAGNOSTIC PRISMA HEALTH CENTER FOR FAMILY MED 877 W FARIS RD GREENVILLE SC 296054289 PRIMARY CARE PRISMA HEALTH CNTR FOR FAM MED-OCONEE 139 LILA DOYLE DR SENECA SC 296729495 PRIMARY CARE PRISMA HEALTH CNTR FOR PED & INT MED- 5 W MAIN ST GREENVILLE SC 296114215 PEDIATRIC PRIMARY CARE PRISMA HEALTH CENTER FOR PED MED 20 MEDICAL RIDGE DR GREENVILLE SC 296054267 PEDIATRIC PRIMARY CARE PRISMA HEALTH PEDIATRICS-CLEMSON 450 OLD GREENVILLE HWY CLEMSON SC 296311671 PEDIATRIC PRIMARY CARE PRISMA HEALTH PEDIATRICS-SENECA 109 OMNI DR STE B SENECA SC 296729448 PEDIATRIC PRIMARY CARE PRISMA HEALTH DIAB SELF CARE MGT PROG 875 W FARIS RD GREENVILLE SC 296054254 OUTPATIENT DIABETICS CARE PRISMA HEALTH HOME HEALTH-UPSTATE 440 ROPER MOUNTAIN RD STE C GREENVILLE SC 296154235 HOME HEALTH AGENCY PRISMA HEALTH HOSP OF THE FOOTHILLS 390 KEOWEE SCHOOL RD SENECA SC 296726743 HOSPICE - OUTPATIENT PRISMA HEALTH INFUSION CENTER 701 GROVE RD GREENVILLE SC 296054210 OUTPATIENT CANCER TREATMENT PRISMA HEALTH INT MEDSUBSPEC CLINIC 701 GROVE RD GREENVILLE SC 296054210 PRIMARY CARE PRISMA HEALTH KIDNETICS 29 N ACADEMY ST GREENVILLE SC 296012629 PEDIATRIC OCCUPATIONAL, PHYSICAL AND SPEECH THERAPIES PRISMA HEALTH LAURENS FAMILY MED-MAIN 106 PARKVIEW DR LAURENS SC 293602652 PRIMARY CARE PRISMA HEALTH LAURENS FAM MED-GRAY CT 9100 HIGHWAY 14 GRAY COURT SC 296454152 PRIMARY CARE PRISMA HEALTH LILA DOYLE 101 LILA DOYLE DR SENECA SC 296729495 SKILLED NURSING PRISMA HEALTH MARSHALL I PICKENS HOSP 701 GROVE RD GREENVILLE SC 296054210 OUTPATIENT PSYCHIATRIC /CHILD AND ADOLESCENT RESIDENTIAL TREATMENT CENTER PRISMA HEALTH EMS 10 QUEST DRIVE GREENVILLE SC 29605 AMBULANCE SERVICE PRISMA HEALTH OBGYN CLINIC 1120 GROVE RD GREENVILLE SC 296054652 PRIMARY CARE - OB/GYN PRISMA HEALTH OCONEE MEM HOSP EMS 300 MEMORIAL DR SENECA SC 296729443 EMERGENCY SERVICES AND TRANSPORTATION PRISMA HEALTH OCONEE PAIN MANAGEMENT 102B OMNI DR SENECA SC 296729448 PAIN MANAGEMENT PRISMA HEALTH OP RADIOLOGY 1210 W FARIS RD GREENVILLE SC 296054444 OUTPATIENT IMAGING PRISMA HEALTH PATEWOOD OP CNTR BLDG A 200 PATEWOOD DR BLDG A GREENVILLE SC 296153593 OUTPATIENT SURGERY AND DIAGNOSTIC PRISMA HEALTH PEDS HEMO ONCOLOGY 900 W FARIS RD GREENVILLE SC 296054255 DIAGNOSTIC SERVICES AND TREATMENTS FOR CHILDREN PRISMA HEALTH ROGER C PEACE-TBI 100 AUGUSTA ST GREENVILLE SC 296013504 OUTPATIENT BRAIN INJURY REHABILITATION PRISMA HEALTH ROGER C PEACE OP 701 GROVE RD GREENVILLE SC 296054210 OUTPATIENT REHABILITATION PRISMA HEALTH SENIOR CARE 32 CENTENNIAL WAY GREENVILLE SC 296054628 SENIOR CARE PRISMA HEALTH SLEEP DIS CNTR-FARIS 890 W FARIS RD STE 560 GREENVILLE SC 296055894 SLEEP STUDIES/DIAGNOSTIC PRISMA HEALTH SLEEP DIS CTR-HILLCREST 741 SE MAIN ST SIMPSONVILLE SC 296813237 SLEEP STUDIES/DIAGNOSTIC PRISMA HEALTH SLEEP DIS CNTR-VERDAE 1025 VERDAE BLVD STE D GREENVILLE SC 296074032 SLEEP STUDIES/DIAGNOSTIC PRISMA HEALTH SURG CNTR-SPARTANBURG 1413 JOHN B WHITE SR BLVD STE D SPARTANBURG SC 293063995 AMBULATORY SURGERY PRISMA HEALTH SURGERYORTHO CLINIC 13 EDGEWOOD DR GREENVILLE SC 296054235 OUTPATIENT ORTHOPEDIC/SURGERY DIAGNOSTIC, REFERRAL PRISMA HEALTH VASC HEALTH ALLIANCE 200 PATEWOOD DR STE C300 GREENVILLE SC 296156324 OUTPATIENT DIAGNOSTIC SERVICES; WOUND CARE; VENOUS PRISMA HEALTH WOMENSCHILDRENS PROG 701 GROVE RD GREENVILLE SC 296054210 CHILDBIRTH EDUCATION PRISMA HEALTH WONDER CENTER 29 N ACADEMY ST GREENVILLE SC 296012629 DAY TREATMENT CENTER FOR MEDICALLY FRAGILE CHILDREN PRISMA HEALTH WOUND HEAL & HBO GREER 340 MEDICAL PKWY STE 250 GREER SC 296502441 WOUND CARE PRISMA HEALTH BLUE RIDGE WOMEN'S CNTR 103 CARTER PARK DR STE A SENECA SC 296781152 OB/GYN MEDICAL SERVICES PRISMA HEALTH BAPTIST EASLEY HOSP OP 112 JOHN ST STE 104 EASLEY SC 296401405 OUTPATIENT THERAPY PRISMA HEALTH CNTR FOR PERIOP OPT 905 VERDAE BLVD STE 102 GREENVILLE SC 296074029 SURGICAL PREASSESSMENT PRISMA HEALTH HILLCREST HOSP VASC LAB 729 SE MAIN ST SIMPSONVILLE SC 296813218 LAB PRISMA HEALTH PRIM CARE FOUNTAIN INN 200 N NELSON DR FOUNTAIN INN SC 29644 PRIMARY CARE Prisma Health Premier Women's Care 209 Three Bridges Rd GREENVILLE SC 296117549 OB/GYN MEDICAL SERVICES Prisma Health Walk-In Care North Greenville 807 N Main St Travelers Rest SC 296901551 URGENT CARE Prisma Health Transplant Center 890 W Faris Rd Ste 510 GREENVILLE SC 296054286 INPATIENT SURGERY CENTER Prisma Health Primary Care Liberty Hwy 4532 Liberty Hwy Anderson SC 296212327 PRIMARY CARE Schedule H, Part V, Section C FACILITY REPORTING GROUP A CONSISTS OF: FACILITY 1: GREENVILLE MEMORIAL HOSPITAL FACILITY 2: PATEWOOD MEMORIAL HOSPITAL FACILITY 3: OCONEE MEMORIAL HOSPITAL FACILITY 4: GREER MEMORIAL HOSPITAL FACILITY 5: BAPTIST EASLEY HOSPITAL FACILITY 6: HILLCREST MEMORIAL HOSPITAL FACILITY 7: LAURENS COUNTY MEMORIAL HOSPITAL FACILITY 8: NORTH GREENVILLE HOSPITAL Schedule H, Part I, Line 7g Subsidized Health Services THE SUBSIDIZED HEALTH SERVICES INCLUDE: 1. BEHAVORIAL HEALTH 2. CHILDREN'S HEALTH 3. FAMILY MEDICINE 4. NEUROSCIENCES 5. WOMEN'S HEALTH 6. Surgery 7. OTHER Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS, INTERNAL COST ACCOUNTING SYSTEM AND PRISMA HEALTH-UPSTATE'S MEDICARE COST REPORT. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology OF THE ACCOUNTS IN BAD DEBT, AN INTERNAL REVIEW SHOWED THAT 57.79% WERE SELF-PAY WITH LOW PROPENSITY TO PAY SCORES. OF THESE, an estimated 89.7% OF THESE WOULD QUALIFY FOR CHARITY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote SEE THE FY2022 FINANCIALS, NOTE 2 - REVENUE RECOGNITION AND PATIENT ACCOUNTS RECEIVABLE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 INTERNAL COST ACCOUNTING SYSTEM. ($67.7 MILLION) THE MEDICARE ALLOWABLE COST WAS DETERMINED USING A FACILITY SPECIFIC COST PRISMA HEALTH-UPSTATE ACCOUNTING SYSTEM. THIS TOOL ALLOCATED BOTH DIRECT AND INDIRECT COST FOR ALL MEDICARE PATIENTS BASED ON THE UTILIZATION OF THE UNIQUE SERVICES PROVIDED TO THOSE PATIENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance PRISMA HEALTH WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT FOR CARE BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FINANCIAL ARRANGEMENTS AND ASSISTANCE POLICY. INDIVIDUALS MEETING ALL CRITERIA FOR FINANCIAL ASSISTANCE WITH AN INCOME LEVEL AT OR BELOW 200% OF THE FEDERAL POVERY GUIDELINE (FPG) RECEIVE FREE CARE. INDIVIDUALS WITH AN INCOME LEVEL OF >200% FPG UP TO 400% FPG RECEIVE DISCOUNTED CARE BASED ON A SLIDING SCALE AS SET FORTH IN THIS POLICY. REFERENCE ATTACHMENT B OF THE FINANCIAL ASSISTANCE POLICY. HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE Schedule H, Part V, Section B, Line 16a FAP website A - GREENVILLE MEMORIAL HOSPITAL: Line 16a URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16b FAP Application website A - GREENVILLE MEMORIAL HOSPITAL: Line 16b URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part V, Section B, Line 16c FAP plain language summary website A - GREENVILLE MEMORIAL HOSPITAL: Line 16c URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; Schedule H, Part VI, Line 2 Needs assessment A DESCRIPTION OF HOW PRISMA HEALTH-UPSTATE CONDUCTS ITS NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PLEASE REFER TO PART V, SECTION B, QUESTION 16 QUESTIONS AND DISCLOSURE. Schedule H, Part VI, Line 4 Community information PRISMA HEALTH'S GEOGRAPHICAL SERVICE AREAS INCLUDE RURAL, URBAN AND SUBURBAN COMMUNITIES. KNOWN AS THE MIDLANDS AND UPSTATE REGIONS, THE FOLLOWING COUNTIES REPRESENT PRISMA HEALTH'S SERVICE AREAS: RICHLAND, LEXINGTON, SUMTER, LAURENS, OCONEE, GREENVILLE AND PICKENS, RESPECTIVELY. IN 2021, THE 7-COUNTY POPULATION BREAKDOWN WAS: POPULATION 1,636,271, MEDIAN HOUSEHOLD INCOME $53,232, AN AVERAGE OF 14.9% BELOW THE FPL, AND AN AVERAGE OF 13% UNINSURED. Schedule H, Part VI, Line 5 Promotion of community health PLEASE SEE PAGES 13-14 OF THE CHNA AT THE FOLLOWING LINK TO SEE WAYS PRISMA HEALTH PROMOTES COMMUNITY HEALTH: HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT Schedule H, Part VI, Line 6 Affiliated health care system PRISMA HEALTH WAS FORMED TO CREATE A BETTER STATE OF HEALTH FOR SOUTH CAROLINA. PRISMA HEALTH IS STRIVING TO REACH THAT GOAL BY PROVIDING HIGH-QUALITY PATIENT CARE, DECREASING HEALTH DISPARITIES, REMOVING ACCESS BARRIERS, DEVELOPING NEW CLINICAL SERVICES AND ACADEMIC PROGRAMS, SHAPING HEALTH POLICY, AND ADDRESSING HEALTHCARE AFFORDABILITY. SEE HIGHLIGHTS AND STATISTICS IN ANNUAL REPORT AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2022 Schedule H, Part VI, Line 7 State filing of community benefit report SC true Clemson School of Nursing 607 Grove Rd Greenville SC 29605 576000254 GOVERNMENT 750000 SEE PART IV 1 0 Schedule I, Part II, Line 1(h) PURPOSE OF GRANT OR ASSISTANCE CLEMSON SCHOOL OF NURSING: PRISMA HEALTH-UPSTATE, IN PARTNERSHIP WITH CLEMSON UNIVERSITY SCHOOL OF NURSING, MAKES AN ANNUAL CONTRIBUTION OF $750,000 TO CLEMSON UNIVERSITY SCHOOL OF NURSING TO SUPPORT THE BS WITH CLINICALS AT GHS TRACK PROGRAM. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Prisma Health-Upstate, in partnership with Clemson University School of Nursing, makes an annual contribution of $750,000 to Clemson University School of Nursing to support the BS with Clinicals at GHS Track program. true true false false false false false false false Timothy C Moses Frmr VP and Chief Financial Executive (until 7/12/22) 0 337499 0 221794 0 12318 0 34921 0 27800 0 634332 0 0 Gregory J Rusnak Frmr EVP Chief Operating Officer (until 10/1/21) 0 510256 0 373479 0 533978 0 47041 0 23629 0 1488383 0 376895 Michael T Burke EVP Chief Financial Officer 0 859261 0 408156 0 22403 0 83087 0 16052 0 1388959 0 0 Matthew R Fowler Sr VP and Deputy General Counsel 0 334235 0 200244 0 11419 0 38116 0 31230 0 615244 0 0 Clarence M Sevillian II EVP Chief Operating Officer 0 279465 0 306000 0 64310 0 5812 0 7344 0 662931 0 0 Howard P West EVP Chief Legal Officer 0 583410 0 385023 0 92388 0 54050 0 22260 0 1137131 0 0 Angelo Sinopoli MD Frmr EVP Chief Clinical Officer (until 10/1/21) 0 431790 0 0 0 396873 0 71064 0 8533 0 908260 0 356069 Keith N Alexander SVP Acute Care Operations (until 1/7/22) 0 580568 0 339012 0 20438 0 69958 0 26126 0 1036102 0 0 William C Gerard MD EVP Value Based Care/CMO Prisma Health Plans/CEO inVio Health Networks 0 253853 0 0 0 7373 0 0 0 674 0 261900 0 0 Malcolm W Isley EVP Chief Strategy Officer 0 312435 0 353374 0 114354 0 66928 0 30489 0 877580 0 99688 Amy E Linsin EVP Chief HR and Diversity Officer 0 460718 0 359955 0 31604 0 58510 0 20678 0 931465 0 0 Mark S O'Halla President and CEO of Prisma Health 0 1658679 0 0 0 23363 0 211873 0 30491 0 1924406 0 0 Richard J Rogers SVP Chief Information Officer 0 585170 0 344657 0 81916 0 53466 0 27225 0 1092434 0 61818 Scott M Sasser CEO, Prisma Health Medical Group (until 6/20/22) 0 592166 0 351667 0 14546 0 69156 0 35441 0 1062976 0 0 Carolyn R Swinton SVP Chief Nursing Officer (until 2/4/22) 0 455611 0 217760 0 15318 0 46264 0 27640 0 762593 0 0 Elizabeth Tibbs SVP Chief Operating Officer, Medical Group 0 441664 0 285111 0 13677 0 31057 0 30697 0 802206 0 0 Charles D Williams III CEO Prisma Health Medical Group (until 7/17/2022) 0 152975 0 1000 0 1309 0 21513 0 775 0 177572 0 0 James S Agnew Hospital CEO 418975 0 218208 0 3870 0 45337 0 27623 0 714013 0 0 0 Catherine M Chang VP Chief Medical Officer- Amb and Clin Council 435450 0 202356 0 1543 0 28050 0 27408 0 694807 0 0 0 Clyatt W James III Frmr Chief Clinical Officer (until 6/30/22) 686115 0 314861 0 9143 0 35450 0 18994 0 1064563 0 0 0 Susan L Mullinax VP Medical Group Operations 355903 0 169068 0 8098 0 34550 0 14364 0 581983 0 0 0 Christopher C Wright VP Chief Medical Staff Affairs 529147 0 73802 0 3494 0 38813 0 27608 0 672864 0 0 0 Schedule J, Part I, Line 1a Housing Allowance PRISMA HEALTH PROVIDES TEMPORARY HOUSING ALLOWANCES TO EXECUTIVES FOR THE PURPOSES OF RELOCATION ASSISTANCE. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND IS UNCLUDED IN THE INCOME ON FORM 990. Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION PRISMA HEALTH-UPSTATE IS AN INTEGRAL PART OF PRISMA HEALTH, A SOUTH CAROLINA HEALTHCARE SYSTEM AND RELIES UPON PRISMA HEALTH TO ESTABLISH THE COMPENSATION PHILOSPHY OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PRISMA HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PRISMA HEALTH. Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENT THE FOLLOWING EMPLOYEE RECEIVED A SEVERANCE PAYMENT UPON TERMINATION OF THEIR EMPLOYMENT CONTRACT. AMOUNT RECEIVED ARE AS FOLLOWS: Gregory Rusnak - $141,555 Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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 13-23 PERCENT CONTRIBUTION ON AN ANNUAL BASIS BASED ON PRIOR FISCAL YEAR BASE COMPENSATION. THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THEIR 457(F) PLANS: GREGORY RUSNAK - $321,780 ANGELO SINOPOLI - $351,566 SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE Michael Burke, Malcolm Isley, Amy Linsin, Mark O'Halla, Gregory Rusnak, Clarence Sevillian and Angelo Sinopoli. THE ORGANIZATION DEPOSITED FUNDS INTO LIFE INSURANCE POLICIES ON THE PARTICIPANT'S LIFE. DURING LIFE, AND SUBJECT TO THE POLICIES GENERATING SUFFICIENT VALUES, THE PARTICIPANT CAN BORROW FROM ONE OF THE POLICIES. THE BORROWING IS MONITORED AND LIMITED SO THE POLICIES DO NOT LAPSE. AT THE PARTICIPANT'S DEATH, THE ORGANIZATION RECOVERS AN AMOUNT GENERALLY EQUAL TO ITS PREMIUMS PLUS INTEREST. PARTICIPANTS IN THE PLAN HAVE SIGNED WRITTEN REPRESENTATIONS UNDER REG 1.78782.15(D)(2) AND THOSE REPRESENTATIONS ARE MAINTAINED ON FILE BY PRISMA HEALTH. A GREENVILLE HEALTH AUTHORITY FKA GREENVILLE HOSPITAL SYSTEM 576007863 396481AA1 2016-10-01 601263556 SEE PART VI false false false A 498730000 601263556 601263556 2016 true false true true A false false true true false 0.0005 0.0005 false false true A false false true true true false false false true A true Schedule K, Part I, Column (f) LINE A, DESCRIPTION OF PURPOSE ON 10/1/2016, PRISMA HEALTH-UPSTATE, F/K/A UPSTATE AFFILIATE ORGANIZATION, ("UPSTATE") ENTERED INTO A LEASE AND CONTRIBUTION AGREEMENT WITH GREENVILLE HEALTH AUTHORITY F/K/A GREENVILLE HOSPITAL SYSTEM (THE "ISSUER"), PURSUANT TO WHICH UPSTATE WOULD UNDERTAKE THE OPERATIONS OF ISSUER'S HOSPITAL FACILITIES. AT THE TIME OF THE AGREEMENT, THE ISSUER TIMELY UNDERTOOK REMEDIAL ACTION UNDER SECTION 1.141-12(F) OF THE TREASURY REGULATIONS TO CAUSE THE ISSUER BONDS TO BE RE-ISSUED ON 10/01/2016 AS QUALIFIED 501(C)3 BONDS. THE BOND BEING REPORTED ON THIS SCHEDULE K IS THAT RE-ISSUANCE BOND. AS FILED ON FORM 8038, THE RE-ISSUANCE WAS CONSIDERED A CURRENT REFUNDING OF THE ISSUER'S PREVIOUS BONDS WHICH WERE ISSUED ON 06/1/1990 (SERIES 1990); 07/01/2008 (SERIES 2008A); 08/19/2008 (SERIES 2008B); 08/9/2012 (REISSUANCE OF SERIES 2008C); 04/20/2015 (REISSUANCE OF SERIES 2008D); 04/20/2015 (REISSUANCE OF SERIES 2008E); 06/07/2012 (SERIES 2012); 04/01/2014 (SERIES 2014A); 09/23/2014 (SERIES 2014B) Schedule K, Part II, Line 11 COLUMN A THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE DEEMED EXPENDED ON THE REISSUANCE DATE. Schedule K, Part III, Line 3a COLUMN A ALL OF THESE CONTRACTS MEET SAFE HARBOR PROVISIONS. Schedule K, Part IV COLUMN A, LINE 2(A-C) (1) SERIES 1990 - COMPUTATION DATE 7/1/2015 (NO REBATE DUE); (2) SERIES 2008A - FINAL COMPUTATION DATE 12/5/2018 (NO REBATE DUE); (3) SERIES 2008B, REISSUED SERIES 2008D AND REISSUED SERIES 2008E - FINAL COMPUTATION DATE 12/5/2018 (NO REBATE DUE); (4) REISSUED SERIES 2008C - COMPUTATION DATE 8/9/2017 (NO REBATE DUE); (5) SERIES 2012 - COMPUTATION DATE 6/7/2017 (EXCEPTION TO REBATE); (6) SERIES 2014A - COMPUTATION DATE 4/1/2019 (EXCEPTION TO REBATE): (7) SERIES 2014B - COMPUTATION DATE 9/23/2019 (EXCEPTION TO REBATE); (8) SERIES 2015 - COMPUTATION DATE 5/1/2019 (EXCEPTION TO REBATE) X 1 6420 Market value X 50 PILLOWCASES $2,500, 34 LEGOS $2,210, 29 AM GIRL DOLLS $2,935, 27 BOOKS $405, GIFT CRD/MISC $6,502 140 14552 Market value X NuMotion power wheelchair, M3 Base Corpus with seat elevation. 1 21000 Market value X 50,000 ear savers at .24 each. 50000 12000 Market value X FINANCIAL ASST TO PRISMA FAMILIES $7,764, HOLIDAY ASST $1,500, HOLIDAY GIFT CARDS 11 FAMILIES $1,100 31 10364 Market value 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Other - 50 PILLOWCASES $2,500, 34 LEGOS $2,210, 29 AM GIRL DOLLS $2,935, 27 BOOKS $405, GIFT CRD/MISC $6,502 THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Other - NuMotion power wheelchair, M3 Base Corpus with seat elevation. THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Other - 50,000 ear savers at .24 each. THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Securities - Publicly traded - THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Other - FINANCIAL ASST TO PRISMA FAMILIES $7,764, HOLIDAY ASST $1,500, HOLIDAY GIFT CARDS 11 FAMILIES $1,100 THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. Form 990, Part VI, Line 15 A & B PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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 FOR 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. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2022. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER IS PRISMA HEALTH. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER, PRISMA HEALTH, SELECTS THE BOARD MEMBERS AND HAS THE POWER TO REMOVE ANY DIRECTOR AT ANY TIME. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE SOLE MEMBER, PRISMA HEALTH, HAS THE AUTHORITY WITH RESPECT TO THE FOLLOWING MATTERS: 1. APPROVE ANY AMENDMENT OR CHANGE TO THE ARTICLES OF INCORPORATION OR ANY CORRELATIVE DOCUMENT OF THE CORPORATION AS TO WHICH THE APPROVAL OF THE CORPORATION IS REQUIRED IN CONNECTION WITH SUCH AMENDMENT OR CHANGE, IN EACH CASE ABOVE TO THE EXTENT SUCH AMENDMENT OR CHANGE IS INTENDED TO OR WOULD ABROGATE OR DIMINISH IN ANY WAY OR OTHERWISE ELIMINATE THE RIGHTS AND PRIVILEGES OF PRISMA HEALTH; 2. APPROVE ANY AMENDMENT OR CHANGE TO, OR THE REPEAL OF, THE BYLAWS OF THE CORPORATION IS REQUIRED IN CONNECTION WITH SUCH AMENDMENT, CHANGE, OR REPEAL, IN EACH CASE ABOVE TO THE EXTENT SUCH AMENDMENT OR CHANGE IS INTENDED TO OR WOULD ABROGATE OR DIMINISH IN ANY WAY OR OTHERWISE ELIMINATE THE RIGHTS AND PRIVILEGES OF PRISMA HEALTH 3. INITIATE ANY MERGER OR CONSOLIDATION, OR THE DISSOLUTION, CONVERSION, OR LIQUIDATION OF (INCLUDING ANY BANKRUPTCY FILING OR INSOLVENCY PROCEEDING BY) THE CORPORATION; 4. INITIATE THE DISSOLUTION, CONVERSION, OR LIQUIDATION OF (INCLUDING ANY BANKRUPTCY FILING OR INSOLVENCY PROCEEDING BY) THE CORPORATION; 5. APPOINT OR REMOVE THE POST-CLOSING CORPORATION DIRECTORS, WITH OR WITHOUT CAUSE; 6. INITIATE THE ESTABLISHMENT OF ANY NEW MATERIAL ACADEMIC AFFILIATION BY THE CORPORATION; 7. INITIATE THE PARTICIPATION, DIRECTLY OR INDIRECTLY, IN ANY JOINT VENTURE OR JOINT ENTERPRISE WITH ONE OR MORE THIRD PARTIES, OR APPROVE THE PARTICIPATION, DIRECTLY OR INDIRECTLY, IN SUCH A TRANSACTION TO THE EXTENT IT MAY FALL OUTSIDE THE PARAMETERS FOR ENTRY INTO SUCH TRANSACTIONS ESTABLISHED BY PRISMA HEALTH; 8. ON CONSULTATION WITH THE CORPORATION, DEVELOP THE OPERATING AND CAPITAL BUDGETS AND FORECASTS APPLICABLE TO THE CORPORATION, AND MONITOR THE STATUS OF, AND HOLD IT ACCOUNTABLE FOR ITS PERFORMANCE RELATIVE TO, ITS BUDGET OR FORECAST, AS APPLICABLE; 9. ON CONSULTATION WITH THE CORPORATION, DEVELOP THE STRATEGIC, FINANCIAL, CAPITAL, AND OPERATING PLANS APPLICABLE TO THE CORPORATION AND MONITOR THE STATUS OF, AND HOLD IT ACCOUNTABLE FOR ITS PERFORMANCE RELATIVE TO, ITS STRATEGIC, FINANCIAL, CAPITAL, AND OPERATING PLANS; 10. EXERCISE OVERSIGHT OVER MANAGEMENT OF AND POLICIES WITH RESPECT TO, AND INITIATE THE SALE OF OR ANY LIEN ON, THE REAL OR PERSONAL PROPERTY ASSETS (OR ANY INTEREST THEREIN) OF THE CORPORATION; 11. APPROVE THE PARTICIPATION, DIRECTLY OR INDIRECTLY, BY THE CORPORATION IN A SALE OR LIEN TRANSACTION, TO THE EXTENT SUCH TRANSACTION MAY FALL OUTSIDE THE PARAMETERS FOR ENTRY INTO SUCH TRANSACTIONS WITHOUT THE PRIOR APPROVAL PRISMA HEALTH; 12. INITIATE THE INCURRENCE OF ANY INDEBTEDNESS, ANY OPERATING OR CAPITAL EXPENDITURE, OR ANY INVESTMENT IN (INCLUDING ANY LOAN TO) ANY THIRD PARTY, BY THE CORPORATION, IN EACH CASE TO THE EXTENT THE SAME IS NOT INCLUDED IN AN APPROVED BUDGET OR FORECAST OR OTHER ACTION TAKEN BY PRISMA HEALTH APPLICABLE TO THE CORPORATION; 13. CAUSE OR DIRECT THE PAYMENT, LOAN OR TRANSFER TO PRISMA HEALTH OF SUCH FUNDS, AND IN SUCH AMOUNTS, AS PRISMA HEALTH SHALL DETERMINE FROM TIME TO TIME, FROM THE CORPORATION; AND 14. TO THE EXTENT NOT EXPRESSLY SET FORTH ABOVE, DIRECT OR REQUIRE THAT THE CORPORATION TAKE ANY OTHER LAWFUL ACTS OR ACTIONS WITH RESPECT TO SUCH ENTITY'S BUSINESS, AFFAIRS, MANAGEMENT, PROPERTIES, OR ACTIVITIES AS PRISMA HEALTH SHALL DETERMINE FROM TIME TO TIME. Form 990, Part VI, Line 11b Review of form 990 by governing body THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY PRISMA HEALTH MANAGEMENT. THE RETURN WAS REVIEWED BY PRISMA HEALTH MANAGEMENT AND IN-HOUSE LEGAL COUNSEL PRIOR TO FILING WITH THE IRS. IN ADDITION, A COPY OF THE RETURN WAS PROVIDED TO THE PRISMA HEALTH-UPSTATE BOARD OF DIRECTORS AND THE PRISMA HEALTH BOARD OF DIRECTORS PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY 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. IF PRISMA HEALTH DETERMINES THAT A PRISMA HEALTH TEAM MEMBER OR MEDICAL GROUP MEMBER COVERED BY THIS POLICY DID NOT COMPLY WITH THE TERMS OF THE CONFLICT OF INTEREST ANNUAL DISCLOSURE POLICY, OR IF PRISMA HEALTH DISCOVERS THAT ONE OF THESE INDIVIDUALS HAD A SIGNIFICANT FINANCIAL OR ORGANIZATIONAL INTEREST THAT WAS NOT DISCLOSED IN A TIMELY MANNER PURSUANT TO THIS POLICY, PRISMA HEALTH WILL CONDUCT A RETROSPECTIVE REVIEW, AND IF, UPON CONCLUSION OF THE REVIEW, THE PRISMA HEALTH CONFLICT OF INTEREST COMMITTEE FINDS THAT A CONFLICT OF INTEREST EXISTED THAT COULD HAVE AFFECTED THE DECISION-MAKING AND/OR INDEPENDENT JUDGEMENT OF THE INDIVIDUAL, PRISMA HEALTH WILL TAKE APPROPRIATE STEPS IN ACCORDANCE WITH THIS POLICY TO MANAGE OR ELIMINATE THE CONFLICT AND REPORT ITS FINDING TO THE APPROPRIATE PRISMA HEALTH ADMINISTRATIVE BODY. A TRANSACTION IN WHICH A DIRECTOR OF THE CORPORATION HAS A CONFLICT OF INTEREST MAY BE AUTHORIZED, APPROVED, OR RATIFIED BY THE VOTE OF THE BOARD OR A COMMITTEE OF THE BOARD IF THE MATERIAL FACTS OF THE TRANSACTION AND THE DIRECTOR'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD OR COMMITTEE OF THE BOARD, AND THE DIRECTORS APPROVING THE TRANSACTION IN GOOD FAITH REASONABLY BELIEVE THAT THE TRANSACTION IS FAIR TO THE CORPORATION. A CONFLICT OF INTEREST TRANSACTION IS AUTHORIZED, APPROVED, OR RATIFIED IF IT RECEIVES THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS OF THE BOARD OR ON THE COMMITTEE WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION, BUT A TRANSACTION MAY NOT BE AUTHORIZED, APPROVED, OR RATIFIED UNDER THIS SECTION BY A SINGLE DIRECTOR. IF A MAJORITY OF THE DIRECTORS ON THE BOARD WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION VOTE TO AUTHORIZE, APPROVE, OR RATIFY THE TRANSACTION, A QUORUM IS PRESENT FOR THE PURPOSE OF TAKING ACTION UNDER THIS SECTION. THE PRESENCE OF, OR A VOTE CAST BY, A DIRECTOR WITH A DIRECT OR INDIRECT INTEREST IN THE TRANSACTION DOES NOT AFFECT THE VALIDITY OF ANY ACTION TAKEN UNDER THIS SECTION IF THE TRANSACTION IS OTHERWISE APPROVED AS PROVIDED IN THIS SECTION. A RESOLUTION OF THE BOARD MAY IMPOSE ADDITIONAL REQUIREMENTS ON CONFLICT OF INTEREST TRANSACTIONS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue Other Program Service Revenue - Total Revenue: 25785146, Related or Exempt Function Revenue: 25784745, Unrelated Business Revenue: 401, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Medical Director & Med Physician Fees - Total Expense: 93853052, Program Service Expense: 81992692, Management and General Expenses: 11860360, Fundraising Expenses: ; Other Patient Services - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 19652990, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFER TO RELATED ORGANIZATIONS - -30404716; PRISMA HEALTH UPSTATE NETWORK 300 E MCBEE AVE 502 GREENVILLE SC 29601 465600615 HEALTHCARE PROVIDERS SC 10328450 0 PRISMA HEALTH-UPSTATE HEALTH SCIENCES CENTER LLC 300 E MCBEE AVE 502 GREENVILLE SC 29601 813261019 HEALTHCARE PROVIDERS SC 0 0 PRISMA HEALTH-UPSTATE THE CARE COORDINATION INSTITUTE LLC 300 E MCBEE AVE 500 GREENVILLE SC 29601 813878203 HEALTHCARE PROVIDERS SC 0 0 PRISMA HEALTH-UPSTATE PRISMA HEALTH 300 E MCBEE AVE 302 GREENVILLE SC 29601 822595551 HEALTHCARE SC 501(c)(3) Type III-FI NA false PRISMA HEALTH MIDLANDS PO BOX 2266 COLUMBIA SC 29202 582296052 HOSPITAL SC 501(c)(3) 3 PRISMA HEALTH false PRISMA HEALTH TUOMEY 129 NORTH WASHINGTON STREET SUMTER SC 29150 474914917 HOSPITAL SC 501(c)(3) 3 PRISMA HEALTH-MIDLANDS false PRISMA HEALTH UNIVERSITY MEDICAL GROUP 300 E MCBEE AVE 302 GREENVILLE SC 29601 571004971 PHYSICIAN PRACTICES SC 501(c)(3) 10 PRISMA HEALTH-UPSTATE true GREENVILLE HEALTH CORPORATION 300 E MCBEE AVE 302 GREENVILLE SC 29601 570835816 HEALTHCARE SC 501(c)(3) 10 PRISMA HEALTH-UPSTATE true PRISMA HEALTH MEDICAL GROUP-MIDLANDS 15 MEDICAL PARK STE 300 COLUMBIA SC 29203 471345819 PHYSICIAN PRACTICES SC 501(c)(3) 10 PRISMA HEALTH-MIDLANDS false RADIATION ONCOLOGY 7 RICHLAND MEDICAL PARK ROAD COLUMBIA SC 29203 364542465 HEALTHCARE SC NA N/A 0 0 false false HEALTHSOURCE INC PO BOX 2266 COLUMBIA SC 29202 570938686 HEALTHCARE SC NA C Corporation false Hospital Services Inc 2751 THE BOULEVARD COLUMBIA INDUSTRIAL PARK Columbia SC 29209 HEALTHCARE SC NA C Corporation false PHCA Inc 300 E McBee Avenue Suite 302 Greenville SC 29601 883421661 HEALTHCARE SC NA C Corporation false PHVPHIC Inc 300 E McBee Avenue Suite 302 Greenville SC 29601 883279433 HEALTHCARE SC NA C Corporation false Promise Health Insurance Company SC Inc 300 E MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 882888859 INSURANCE SC NA C Corporation false Promise First Inc 300 E McBee Avenue Suite 302 Greenville SC 29601 884158136 INSURANCE SC NA C Corporation false false false false false false false false false true true false false false true true true false false false PRISMA HEALTH UNIVERSITY MEDICAL GROUP PRISMA HEALTH PRISMA HEALTH-MIDLANDS PRISMA HEALTH TUOMEY I 4486702 BOOK BASIS Prisma Health University Medical Group Greenville Health Corporation Prisma Health Prisma Health-Midlands Prisma Health Medical Group-Midlands J 14388511 BOOK BASIS Schedule R, Part V, Line 1p ENTRIES ARE MADE TO TRANSFER EXPENSES BETWEEN RELATED ENTITIES TO THE APPROPRIATE ENTITY; HOWEVER, NO EXCHANGE OF CASH OCCURS.