2021-08-12T11:06:01-05:00 2020-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2019-10-01 474914917 PRISMA HEALTH TUOMEY PRIS 8647977611 129 NORTH WASHINGTON STREET SUMTER SC 29150 MICHAEL BURKE EVP-CHIEF FINANCIAL OFFICER 8647977611 2021-08-12 1 AMY BIBBY P00445891 8282542254 2021-08-12 2019 2022-09-23 18:48:47Z MICHAEL BURKE 129 NORTH WASHINGTON STREET SUMTER SC 29150 238392961 0 X WWW.PRISMAHEALTH.ORG X 2015 SC INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 4 1 1892 0 118018 76266 1042842 3135028 208152665 233168741 148858 -69633 8737205 2089192 218081570 238323328 0 0 0 0 87592863 96749428 0 0 0 135327698 160607053 222920561 257356481 -4838991 -19033153 132817194 132146048 5588881 26008030 127228313 106138018 INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 0 0 207698533 234597601 PRISMA HEALTH TUOMEY IS AN ACUTE CARE FACILITY LOCATED IN SUMTER, SOUTH CAROLINA. PRISMA HEALTH TUOMEY WAS ESTABLISHED AS A NONPROFIT ACUTE CARE HOSPITAL TO ADVANCE OR SUPPORT THE PROVISION OF THE HEALTH CARE SERVICES FOR ALL RESIDENTS OF SUMTER AND ITS OUTLYING AREAS. PLEASE READ THE ANNUAL REPORT FOR MORE DETAIL ABOUT NEW AND EXPANDED SERVICES AND INNOVATIVE COLLABORATIONS AT THIS WEBSITE: HTTPS://PRISMAHEALTH.ORG/PDFS/PRISMA-HEALTH-FY2020-HIGHLIGHTS-AND-STATISTICS 207698533 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 277 0 1 1892 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X KEVIN HODGE 8647977611 300 EAST MCBEE AVE STE 302 GREENVILLE SC 29601 SARA B FISHER CHAIR 1.00 0.00 X X 0 0 0 CAROLYN SWINTON MN VICE CHAIR 1.00 40.00 X X 0 422254 68724 ELMER POLITE SECRETARY/TREASURER 1.00 40.00 X X 0 332537 81231 JAMES H HERLONG MD DIRECTOR 1.00 0.00 X 0 0 0 MARK S O'HALLA PRESIDENT AND CEO OF PRISMA HEALTH 1.00 40.00 X 0 752796 86436 MALCOLM W ISLEY EVP CHIEF STRATEGY OFFICER 1.00 40.00 X 0 722482 143161 ANGELO SINOPOLI MD EVP CHIEF CLINICAL OFFICER 1.00 40.00 X 0 770555 165387 AMY LINSIN EVP CHIEF HR AND DIVERSITY OFFICER 1.00 40.00 X 0 404497 113285 RICH ROGERS SVP CHIEF INFORMATION OFFICER 1.00 40.00 X 0 497338 130635 GREGORY J RUSNAK EVP CHIEF OPERATING OFFICER 1.00 40.00 X 0 663568 163458 HOWARD P WEST EVP GENERAL COUNSEL 1.00 40.00 X 0 687751 68164 DAVID WILLIAMS MD CEO, PRISMA HEALTH MEDICAL GROUP 1.00 40.00 X 0 652157 90209 TERRI T NEWSOM EVP CHIEF FINANCIAL OFFICER (UNTIL 4/1/20) 1.00 40.00 X 0 684387 167816 LETTIE M LOGAN-OWENS CEO OF PRISMA HEALTH TUOMEY 40.00 0.00 X 0 270679 33706 ETNA C GRIFFIN NURSE ANESTHETIST 40.00 0.00 X 0 208776 37045 JOSEPH A BARBARINO NURSE ANESTHETIST 40.00 0.00 X 0 200170 51560 MARCIA A ISZARD NURSE ANESTHETIST 40.00 0.00 X 0 212597 60304 MICHAEL S SAND NURSE ANESTHETIST 40.00 0.00 X 0 200319 19046 JOHN J SINGERLING III FORMER PRESIDENT, MIDLANDS AFF'L (UNTIL 4/19) 0.00 0.00 X 0 963109 25200 CHARLES D BEAMAN JR FORMER CO-CEO OF PRISMA HEALTH (UNTIL 7/20/19) 0.00 0.00 X 0 1569772 61472 MICHAEL C RIORDAN FORMER CO-CEO OF PRISMA HEALTH (UNTIL 5/31/19) 0.00 0.00 X 0 939610 83777 JOSEPH J BLAKE FORMER VP OF LEGAL AFFAIRS AND GENERAL COUNSEL 0.00 0.00 X 0 141181 64464 0 11296535 1715080 79 1 1 0 MIDLANDS ER PHYSICIANS 129 N WASHINGTON ST SUMTER SC 29150 EMERGENCY MEDICAL SERVICES 2045273 HAYES LOCUMS LLC 6700 N ANDREWS AVE 600 FORT LAUDERDALE FL 33309 PHYSICIAN PLACEMENT SERVICES 711856 CCMMA SC LLC 224 WEST 18TH STREET APT 8A NEW YORK NY 10011 PHYSICIAN SERVICES 504000 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 494605 MORGAN CONSTRUCTION OF SUMTER 230 LAKEWOOD DR SUMTER SC 29150 CONSTRUCTION SERVICES 481760 61 3135028 3135028 NET PATIENT SERVICE 621400 209802651 209684633 118018 CARES RELIEF FUNDS 900099 23366090 23366090 233168741 1546878 0 1546878 1546878 1546878 69633 -69633 -69633 -69633 MISCELLANEOUS REVENUE 900099 542314 542314 542314 238323328 234597601 118018 472681 148100 148100 79312149 77562177 1749972 17289179 16908415 380764 26998 5448 21550 19435470 19092697 342773 45117 35841 9276 9873411 8765789 1107622 379041 379041 7179533 6765810 413723 230217 225624 4593 2709166 2709166 8748336 1093666 7654670 259009 259009 BAD DEBT EXPENSE 41312977 39498543 1814434 MISCELLANEOUS 33440413 4737894 28702519 MEDICAL SUPPLIES 33095071 32479488 615583 MEDICAID DSH TAX 3872294 3872294 257356481 207698533 49657948 0 -82922 284670 27554202 25339143 4258184 4336270 432730 1180786 187769984 119454283 72053348 68315701 27990294 27210696 611358 5478782 132817194 132146048 5588881 4689947 0 21318083 5588881 26008030 X 118526275 97539749 8702038 8598269 127228313 106138018 132817194 132146048 X -19033153 -2057142 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 0 PART II-B, LINE 1: PRISMA HEALTH TUOMEY ENGAGED IN LOBBYING ACTIVITIES DURING THE YEAR BUT DID NOT INCUR ANY EXPENSES RELATED TO THESE EFFORTS. A PORTION OF PRISMA HEALTH TUOMEY'S SC HOSPITAL ASSOCIATION DUES ARE USED FOR LOBBYING EXPENSES, THESE WERE PAID BY PRISMA HEALTH ON PRISMA HEALTH TUOMEY'S BEHALF. 5556790 5556790 116192527 73164905 43027622 862982 6205 856777 62585716 45148289 17437427 2571969 1134884 1437085 68315701 INVESTMENT IN FOUNDATION 27210696 C 27210696 ESTIMATED THIRD PARTY OBLIGATIONS 17639855 FINANCE LEASE OBLIGATIONS 3678228 21318083 X PART X, LINE 2: PRISMA HEALTH TUOMEY IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF PRISMA HEALTH AND SUBSIDIARIES. PRISMA HEALTH QUALIFIES AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). AS OF SEPTEMBER 30, 2020, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. 1 1 X 1 X 0 1 1 1 0 1 1 2514529 665577 1848952 0.00860 36344593 28099930 8244663 0.03820 38859122 28765507 10093615 0.04680 969289 412610 556679 0.00260 114753691 96944480 17809211 0.08240 115722980 97357090 18365890 0.08500 154582102 126122597 28459505 0.13180 1 9708928 860726 66119704 70925182 -4805478 X 1 1 1 1 PRISMA HEALTH TUOMEY 129 NORTH WASHINGTON ST SUMTER SC 29150 X X X PRISMA HEALTH TUOMEY 1 0 0 1 X X X X X X X X X 18 1 1 0 1 X SEE DISCLOSURE X 1 18 1 SEE DISCLOSURE 0 1 X 100.000000000000 100.000000000000 X X X X X 1 1 X X X X 1 X SEE DISCLOSURE X SEE DISCLOSURE X SEE DISCLOSURE X X X X X X 1 X 0 X X X X X 1 X 0 0 PRISMA HEALTH TUOMEY PART V, SECTION B, LINE 5: PRISMA HEALTH FORMED A MULTI-STAKEHOLDER TEAM TO CARRY OUT THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THE TEAM IDENTIFIED SEVEN COUNTIES TO FOCUS ON IN COLLECTING DATA FOR PRISMA HEALTH'S 2019 CHNA. THESE COUNTIES WERE: GREENVILLE, LAURENS, LEXINGTON, OCONEE, PICKENS, RICHLAND AND SUMTER.A TOTAL OF 5,572 SURVEYS WERE COMPLETED ACROSS THE SEVEN COUNTIES. DATA AND INFORMATION GATHERING USED BOTH QUALITATIVE AND QUANTITATIVE METHODS. PRIMARY RESEARCH-QUALITATIVE AND QUANTITATIVE- WAS COLLECTED THROUGH INTERNAL DATA SOURCES, FOCUS GROUPS, COMMUNITY STAKEHOLDER INTERVIEWS AND COMMUNITY MEMBER SURVEYS. COMMUNITY AGENCIES PROVIDED SECONDARY RESEARCH.PUBLIC HEALTH EXPERTS GUIDED THE TEAM'S OBJECTIVES IN DEVELOPING TOOLS, ANALYZING DATA AND PRIORITIZING NEEDS. PRISMA HEALTH TUOMEY PART V, SECTION B, LINE 6A: PRISMA HEALTH-MIDLANDS, PRISMA HEALTH-UPSTATE, PRISMA HEALTH TUOMEY, AND THE SHRINER'S HOSPITAL OF GREENVILLE ALL CONDUCTED THE CHNA JOINTLY. PRISMA HEALTH TUOMEY PART V, SECTION B, LINE 11: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS INDICATED THREE DISTINCTIVE HEALTH ISSUES AND PRIORITY AREAS FOR INTERVENTION IN LEXINGTON, RICHLAND, SUMTER, GREENVILLE, OCONEE, PICKENS AND LAURENS COUNTY. THOSE NEEDS ARE:1. MENTAL HEALTH2. OBESITY3. DRUG USEDURING THE NEXT THREE YEARS, PRISMA HEALTH IS COMMITTED TO PARTNERING WITH HEALTH CARE AND COMMUNITY LEADERS TO PRIORITIZE AND SELECT CRITICAL AREAS FOR INTERVENTION AND ACTION PLANNING. WE HAVE OUTLINED STRATEGIES FOR PRIORITY AREAS IN PARTNERSHIP WITH VARIOUS COMMUNITY PARTNERS. PRISMA HEALTH TUOMEY PART V, SECTION B, LINE 20E: CONSPICUOUS POSTINGS IN THE HOSPITAL REGISTRATION AREAS INFORMING OF THE FINANCIAL ASSISTANCE POLICY AS WELL AS SENT STATEMENTS WITH LANGUAGE INDICATING ASSISTANCE WAS AVAILABLE. PART V, LINE 7A AND 10A: WEBSITE FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY:HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH-HUB/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 16A, 16B, AND 16C: HTTPS://WWW.PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILL-PAY/FINANCIAL-ASSISTANCE 5 1 - PRISMA HEALTH TUOMEY CRNAS SERVICES 129 N WASHINGTON STREET SUMTER SC 291504949 NURSE ANESTHETIST, CERTIFIED REGISTERED 2 - PRISMA HEALTH TUOMEY HOME HEALTH 500 PINEWOOD ROAD STE 2 SUMTER SC 291546197 HOME HEALTH 3 - PRISMA HEALTH TUOMEY HOSPICE 500 PINEWOOD ROAD STE 2 SUMTER SC 291546197 HOSPICE CARE, COMMUNITY BASED 4 - PRISMA HEALTH TUOMEY ACUTE REHABILITATIO 129 N WASHINGTON STREET SUMTER SC 291504949 REHABILITATION UNIT 5 - PRISMA HEALTH EMERGENCY PHYSICIANS TUOME 129 N WASHINGTON STREET SUMTER SC 291504949 GENERAL ACUTE CARE HOSPITAL PART I, LINE 7: COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS, INTERNAL COST ACCOUNTING SYSTEM AND PRISMA HEALTH-TUOMEY'S MEDICARE COST REPORT. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 41,312,977. PART III, LINE 2: THE COST OF BAD DEBT IS FORMULATED BY MULTIPLYING THE APPROPRIATE COST TO CHARGE RATIO FOR EACH ENTITY BY THE ACTUAL BAD DEBT CHARGES FOR EACH CORRELATING ENTITY REPORTED WITHIN THE AUDITED FINANCIAL STATEMENTS. THIS AMOUNT IS THEN REDUCED BY A PORTION OF THE NET MEDICAID DSH REVENUE. PART III, LINE 3: THE AMOUNT REPRESENTS THE BAD DEBT EXPENSE FOR THOSE WHO QUALIFIED FOR OUR CHARITY CARE POLICY BUT DID NOT PROVIDE THE APPROPRIATE PAPERWORK. THEREFORE, THEY WOULD BE CLASSIFIED AS SELF PAY WITHIN OUR FINANCIAL STATEMENTS. THE APPROPRIATE COST TO CHARGE RATIO FOR EACH ENTITY IS MULTIPLIED BY THE TOTAL CHARGES FOR EACH PATIENT. PART III, LINE 4: SEE THE FY2020 FINANCIALS, NOTE 2 - NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE. PART III, LINE 8: THE AMOUNT WITHIN LINE 7 OF PART 3 REPRESENTS THE SHORTFALL AFTER COMPARING THE NET REVENUE AND COST OF PATIENTS CLASSIFIED AS MEDICARE WHO WERE NOT INCLUDED WITHIN THE SUBSIDIZED HEALTH SERVICE COMPONENT. THE SHORTFALL CONSISTS OF MEDICARE PATIENTS THAT INCURRED A LOSS AFTER USING DATA FORMULATED WITHIN THE INTERNAL COST ACCOUNTING SYSTEM. ($4.8 MILLION) PART VI, LINE 2: A DESCRIPTION OF HOW PRISMA HEALTH TUOMEY CONDUCTS ITS NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH-HUB/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 3: PRISMA HEALTH TUOMEY STRIVES TO IMPROVE THE WELL BEING OF THE COMMUNITIES IT SERVES. QUALITY SERVICES ARE MADE AVAILABLE TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF AN ABILITY TO PAY. PRISMA HEALTH TUOMEY WILL WORK WITH UNDERINSURED PATIENTS TO SEEK FINANCIAL ASSISTANCE OR POTENTIAL GOVERNMENT BENEFITS.PATIENTS ARE EDUCATED ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER PRISMA HEALTH TUOMEY'S FINANCIAL ASSISTANCE POLICY(FAP). DURING PRE-REGISTRATION AND REGISTRATION, PATIENTS CAN BE INTERVIEWED BY A FINANCIAL COUNSELOR TO DETERMINE WHETHER THE PATIENT HAS A NEED FOR FINANCIAL ASSISTANCE OR POTENTIAL ELIGIBILITY UNDER GOVERNMENT PROGRAMS. FINANCIAL COUNSELING STAFF REVIEW THE FINANCIAL STATUS OF THE PATIENT TO DETERMINE WHICH PROGRAM(S) THE PATIENT MAY BE ELIGIBLE TO PARTICIPATE. IF IT IS DEEMED THAT A PATIENT MAY BE ELIGIBLE FOR A STATE GOVERNMENT PROGRAM, I.E. MEDICAID, ASSISTANCE WILL BE PROVIDED WITH THE APPLICATION PROCESS IF THERE IS A NEED. PRISMA HEALTH TUOMEY'S WEBSITE, WWW.PRISMAHEALTH.ORG, STATES PRISMA HEALTH TUOMEY WILL WORK WITH UNINSURED PATIENTS TO SEEK FINANCIAL ASSISTANCE OR GOVERNMENT BENEFITS. POST DISCHARGE, PATIENTS EXPRESSING ISSUES WITH BEING UNABLE TO PAY THEIR BILL WILL BE DIRECTED TO FINANCIAL COUNSELORS TO ASSIST IN EDUCATING THE PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY(FAP) AND OTHER OPPORTUNITIES FOR PAYMENT ASSISTANCE. PART VI, LINE 4: THE PRIMARY SERVICE AREA (PSA) FOR PRISMA HEALTH TUOMEY CONSISTS OF SUMTER COUNTY. THE SECONDARY SERVICE AREA (SSA) FOR PRISMA HEALTH TUOMEY CONSISTS OF CLARENDON AND LEE COUNTIES. PART VI, LINE 5: INFORMATION ON WAYS PRISMA HEALTH TUOMEY PROMOTES COMMUNITY HEALTH CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH-HUB/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 6: THE ORGANIZATION IS A COMPONENT OF AN AFFILIATED HEALTH CARE SYSTEM IN THE STATE OF SOUTH CAROLINA. THE SYSTEM HAS MULTIPLE HOSPITAL SYSTEMS THAT PROVIDE HOSPITALS SERVICES TO THE RESPECTIVE COMMUNITIES. PART VI, LINE 7, REPORTS FILED WITH STATES SC X X X X 1 1 0 0 0 0 0 0 0 CAROLYN SWINTON MN VICE CHAIR 0 381932 0 0 0 40322 0 39294 0 29430 0 490978 0 0 ELMER POLITE SECRETARY/TREASURER 0 322801 0 9322 0 414 0 52372 0 28859 0 413768 0 0 MARK S O'HALLA PRESIDENT AND CEO OF PRISMA HEALTH 0 603033 0 140030 0 9733 0 75001 0 11435 0 839232 0 0 MALCOLM W ISLEY EVP CHIEF STRATEGY OFFICER 0 491061 0 214692 0 16729 0 105876 0 37285 0 865643 0 0 ANGELO SINOPOLI MD EVP CHIEF CLINICAL OFFICER 0 749828 0 0 0 20727 0 151346 0 14041 0 935942 0 0 AMY LINSIN EVP CHIEF HR AND DIVERSITY OFFICER 0 399428 0 1264 0 3805 0 91665 0 21620 0 517782 0 0 RICH ROGERS SVP CHIEF INFORMATION OFFICER 0 483187 0 0 0 14151 0 99306 0 31329 0 627973 0 0 GREGORY J RUSNAK EVP CHIEF OPERATING OFFICER 0 658658 0 0 0 4910 0 133251 0 30207 0 827026 0 0 HOWARD P WEST EVP GENERAL COUNSEL 0 495015 0 29775 0 162961 0 44000 0 24164 0 755915 0 0 DAVID WILLIAMS MD CEO, PRISMA HEALTH MEDICAL GROUP 0 589524 0 53707 0 8926 0 53625 0 36584 0 742366 0 0 TERRI T NEWSOM EVP CHIEF FINANCIAL OFFICER (UNTIL 4 0 680204 0 0 0 4183 0 133625 0 34191 0 852203 0 0 LETTIE M LOGAN-OWENS CEO OF PRISMA HEALTH TUOMEY 0 240383 0 0 0 30296 0 32771 0 935 0 304385 0 0 ETNA C GRIFFIN NURSE ANESTHETIST 0 201236 0 6379 0 1161 0 34976 0 2069 0 245821 0 0 JOSEPH A BARBARINO NURSE ANESTHETIST 0 193503 0 6656 0 11 0 20304 0 31256 0 251730 0 0 MARCIA A ISZARD NURSE ANESTHETIST 0 212361 0 116 0 120 0 29861 0 30443 0 272901 0 0 MICHAEL S SAND NURSE ANESTHETIST 0 195767 0 3441 0 1111 0 16200 0 2846 0 219365 0 0 JOHN J SINGERLING III FORMER PRESIDENT, MIDLANDS AFF'L (UN 0 225908 0 0 0 737201 0 13362 0 11838 0 988309 0 0 CHARLES D BEAMAN JR FORMER CO-CEO OF PRISMA HEALTH (UNTI 0 1525975 0 0 0 43797 0 37306 0 24166 0 1631244 0 0 MICHAEL C RIORDAN FORMER CO-CEO OF PRISMA HEALTH (UNTI 0 715486 0 0 0 224124 0 47625 0 36152 0 1023387 0 0 JOSEPH J BLAKE FORMER VP OF LEGAL AFFAIRS AND GENER 0 141100 0 0 0 81 0 47030 0 17434 0 205645 0 0 PART I, LINES 4A-B THE FOLLOWING EMPLOYEE RECEIVED A SEVERANCE PAYMENT UPON TERMINATION OF THEIR EMPLOYMENT CONTRACT: JOHN J. SINGERLING - $736,417 PRISMA HEALTH-MIDLANDS (A RELATED ORGANIZATION) PROVIDES A SUPPLEMENTAL RETIREMENT BENEFIT TO SENIOR EXECUTIVES THAT IS CONTINGENT ON THEM REMAINING AT PRISMA HEALTH-MIDLANDS UNTIL RETIREMENT. THE ACCRUAL AMOUNTS ABOVE REFLECT THE CHANGE IN THE ACTUARIAL VALUE DURING THE YEAR AND ARE IMPACTED BY VARIOUS FACTORS, INCLUDING THE AGE OF THE PARTICIPANT AND CHANGES IN INTEREST RATES. THE PARTICIPANTS BECOME ELIGIBLE TO RECEIVE BENEFIT PAYMENTS IN THE MONTH COINCIDING WITH THE LATER OF THEIR RESPECTIVE 62ND OR 65TH BIRTHDAYS, DEPENDENT UPON THE PARTICIPANT, OR 36 MONTHS OF PARTICIPATION. SUCH PLAN WAS TERMINATED EFFECTIVE DECEMBER 31, 2017, WITH CERTAIN MEMBERS BEING PAID OUT AND OTHERS TRANSFERRING INTO EXISTING PRISMA HEALTH-MIDLANDS COMPENSATION PLANS. THE 457(F) PLAN IS PROVIDED TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (WITHIN THE MEANING OF SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF ERISA) OF PRISMA HEALTH AND SUBSIDIARIES WHO CONTRIBUTE SIGNIFICANTLY TO THE FUTURE BUSINESS SUCCESS OF THE COMPANY WITH SUPPLEMENTAL RETIREMENT INCOME THROUGH COMPANY CONTRIBUTIONS. EMPLOYEES ELIGIBLE FOR THE PROGRAM ARE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THOSE ELIGIBLE RECEIVE A 10 - 20 PERCENT CONTRIBUTION ON AN ANNUAL BASIS BASED ON PRIOR FISCAL YEAR BASE COMPENSATION. SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE MICHAEL RIORDAN, CHARLES BEAMAN, JOHN SINGERLING, MALCOLM ISLEY, AMY LINSIN, MARK O'HALLA, GREGORY RUSNAK 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 OR 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. BARRETT CASE FAMILY RELATIONSHIP WITH BOARD MEMBER 148100 COMPENSATED AS EMPLOYEE 0 FORM 990, PART VI, SECTION A, LINE 6 PRISMA HEALTH-MIDLANDS IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, PRISMA HEALTH-MIDLANDS, HAS THE AUTHORITY AND PRIVILEGE TO APPROVE OR REMOVE DIRECTORS ON THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER, PRISMA HEALTH-MIDLANDS, IS GRANTED THE AUTHORITY AND PRIVILEGE TO: 1. APPROVE THE ADDITION OR ADMISSION OF ANY NEW MEMBERS OF THE CORPORATION AND THE DETERMINATION OF ANY CONSIDERATION OR TERMS FOR SUCH MEMBERSHIP. 2. APPROVE THE MERGER, CONSOLIDATION, SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS ON THE CORPORATION. 3. APPROVE THE DISSOLUTION OF THE CORPORATION. 4. APPROVE THE BORROWING OF MONEY BY THE CORPORATION IN EXCESS OF $500,000 FROM ANY PERSON OR ENTITY OTHER THAN THE MEMBER OR THE INCURRING OF ANY OTHER DEBT ON BEHALF OF THE CORPORATION OTHER THAN IN THE ORDINARY COURSE OF THE CORPORATION'S BUSINESS. 5. APPROVE ANY LIEN, PLEDGE, SECURITY INTEREST OR OTHER ENCUMBERANCE EXCEPT FOR THOSE SECURING DEBT ISSUED BY THE MEMBER, MECHANIC'S LIENS FOR ACCOUNTS NOT PAST DUE, AND TAX LIENTS NOT YET DUE AND PAYABLE. 6. APPROVE THE INDEMNIFICATION OF ANY OFFICER, DIRECTOR, EMPLOYEE, OR AGENT OF THE CORPORATION AS MAY BE PERMITTED PURSANT TO SECTIONS 33-31-850 THROUGH 33-31-858 OF THE ACT. 7. APPROVE OF ANY DISTRIBUTION OF ASSETS UPON LIQUIDATION OF THE CORPORATION. 8. APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OF THE CORPORATION 9. APPROVE THE AMENDMENT OR REPEAL OF THE BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY 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 TUOMEY BOARD OF DIRECTORS AND THE PRISMA HEALTH BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY THE CORPORATE COMPLIANCE AND LEGAL DEPARTMENTS OF PRISMA HEALTH. ADDITIONALLY, CORPORATE COMPLIANCE COMPARES ANNUAL DISCLOSURES BY EMPLOYED PHYSICIANS TO THOSE DISCLOSED BY VENDORS THROUGH THE OPEN PAYMENTS SYSTEMS. ANY EXCEPTIONS ARE REVIEWED AND COMMUNICATED TO THE CONFLICT OF INTEREST COMMITTEE AND THE DEPARTMENT CHAIRPERSON. FORM 990, PART VI, SECTION B, LINE 15 PRISMA HEALTH IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION PHILOSOPHY. AS PART OF THIS UNDERTAKING, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF PRISMA HEALTH, WHICH IS COMPOSED SOLELY OF INDEPENDENT DIRECTORS OF PRISMA HEALTH, SETS THE COMPENSATION PAYABLE TO THE EXECUTIVES AND MANAGEMENT LEADERS EMPLOYED BY PRISMA HEALTH AND ITS RELATED ORGANIZATIONS WHO ARE CONSIDERED AS DISQUALIFIED PERSONS IN ACCORDANCE WITH SECTION 4958 OF THE CODE AND THE APPLICABLE COMPENSATION PHILOSOPHY TO MANAGERS, DIRECTORS, AND EMPLOYEES. THIS PROCESS OF INDEPENDENT ESTABLISHMENT AND REVIEW OF COMPENSATION BY THE PARENT ORGANIZATION OR THE SYSTEM IS CONSISTENT WITH THAT UTILIZED BY THE MAJORITY OF LARGE, MULTI-INSTITUTIONAL HEALTHCARE SYSTEMS. THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES AN EXPERT INDEPENDENT COMPENSATION CONSULTANT RETAINED BY THE COMMITTEE TO PROVIDE AND EVALUATE COMPENSATION BASED ON COMPARABILITY DATA, MARKET CONDITIONS, COMPETITION FOR TALENT, AND OTHER SIGNIFICANT FACTORS. BASE COMPENSATION, VARIABLE INCENTIVE COMPENSATION, AND BENEFITS ARE ALL ESTABLISHED AND SET AFTER REVIEW BY THE COMMITTEE OF THIS DATA AND THE PERFORMANCE OF THE ORGANIZATION, AND REPORTS FROM THE INDEPENDENT CONSULTANT ARE INCLUDED IN THE MINUTES OF THE DELIBERATION BY THE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VI, LINE 1B PRISMA HEALTH TUOMEY'S BOARD OF DIRECTORS DOES NOT POSSESS A MAJORITY OF INDEPENDENT DIRECTORS. PRISMA HEALTH TUOMEY'S SOLE MEMBER IS PRISMA HEALTH-MIDLANDS. PRISMA HEALTH-MIDLANDS'S BOARD OF DIRECTORS MAINTAINS A MAJORITY INDEPENDENCE. FORM 990, PART XI, LINE 9: OTHER CHANGES -480,645. EQUITY TRANSFERS -1,576,497. PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS PROCESS. PRISMA HEALTH 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 822595551 HEALTHCARE SC 501(C)(3) LINE 12C, III-FI N/A 0 PRISMA HEALTH-UPSTATE 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 811723202 HOSPITAL SC 501(C)(3) LINE 3 PRISMA HEALTH 0 PRISMA HEALTH-MIDLANDS PO BOX 2266 COLUMBIA SC 29202 582296052 HOSPITAL SC 501(C)(3) LINE 3 PRISMA HEALTH 0 PRISMA HEALTH-UNIVERSITY MEDICAL GROUP 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 571004971 PHYSICIAN PRACTICES SC 501(C)(3) LINE 10 PRISMA HEALTH-UPSTATE 0 GREENVILLE HEALTH CORPORATION 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 570835816 HEALTHCARE SC 501(C)(3) LINE 10 PRISMA HEALTH-UPSTATE 0 THE TUOMEY FOUNDATION 102 N MAIN STREET SUMTER SC 29150 571041691 SUPPORTS HOSPITAL SC 501(C)(3) LINE 12C, III-FI N/A 0 TIMOTHY J TUOMEY TRUST 129 NORTH WASHINGTON STREET SUMTER SC 29150 237127466 SUPPORTS SC 501(C)(3) LINE 12C, III-FI N/A 0 CCI LABS 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 813849641 HEALTHCARE SC 501(C)(3) LINE 7 PRISMA HEALTH-UPSTATE 0 BAPTIST EASLEY HOSPITAL 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 352363050 HOSPITAL SC 501(C)(3) LINE 3 PRISMA HEALTH-UPSTATE 0 RADIATION ONCOLOGY 7 RICHLAND MEDICAL PARK ROAD COLUMBIA SC 29203 364542465 HEALTHCARE SC N/A CAROLINA HOME THERAPEUTICS 1528 UNION ROAD GASTONIA NC 28054 570880120 HEALTHCARE NC N/A HEALTHSOURCE INC PO BOX 2266 COLUMBIA SC 29202 570938686 HEALTHCARE SC N/A C 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0