FURP.ORG / PUBLIC DATA EXPLORER

WACCAMAW COMMUNITY HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WACCAMAW COMMUNITY HOSPITAL (EIN 04-3633263)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202132249349300723
Schema version
2019v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-12T11:14:39-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043633263EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WACCAMAW COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWACCBusinessNameControlTxt
Phone8435277102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 421718AddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29442ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIZABETH WARDPersonNm
Person TitleEVP & CFOPersonTitleTxt
Phone8435277102PhoneNum
Signature2021-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum
Preparation2021-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1TIDELANDS WACCAMAW COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBRUCE P BAILEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 421718AddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29442ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$184,286,878GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TIDELANDSHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY HEALTHCARE TO THE CITIZENS OF GEORGETOWN CO. AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers164TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$984,268PYContributionsGrantsAmt
CY Contributions Grants$1,001,337CYContributionsGrantsAmt
PY Program Service Revenue$179,895,921PYProgramServiceRevenueAmt
CY Program Service Revenue$178,281,341CYProgramServiceRevenueAmt
PY Investment Income-$9,994PYInvestmentIncomeAmt
CY Investment Income$49,411CYInvestmentIncomeAmt
PY Other Revenue$2,324,846PYOtherRevenueAmt
CY Other Revenue$4,954,789CYOtherRevenueAmt
PY Total Revenue$183,195,041PYTotalRevenueAmt
CY Total Revenue$184,286,878CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,763,721PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$42,545,864CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$127,293,595PYOtherExpensesAmt
CY Other Expenses$113,379,950CYOtherExpensesAmt
PY Total Expenses$169,057,316PYTotalExpensesAmt
CY Total Expenses$155,925,814CYTotalExpensesAmt
PY Revenues Less Expenses$14,137,725PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,361,064CYRevenuesLessExpensesAmt
Total Assets BOY$243,196,773TotalAssetsBOYAmt
Total Assets EOY$302,710,357TotalAssetsEOYAmt
Total Liabilities BOY$106,871,712TotalLiabilitiesBOYAmt
Total Liabilities EOY$137,970,232TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$136,325,061NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$164,740,125NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE HELP PEOPLE LIVE BETTER LIVES THROUGH BETTER HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$133,069,197ExpenseAmt
Revenue$178,281,341RevenueAmt
DescWACCAMAW COMMUNITY HOSPITAL PROVIDES QUALITY HEALTH CARE AND PROMOTES HEALTH AND WELLNESS TO THE RESIDENTS OF GEORGETOWN COUNTY AND SURROUNDING AREAS. WACCAMAW COMMUNITY HOSPITAL IS A 124 BED ACUTE CARE FACILITY LOCATED IN MURRELLS INLET, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 2002 FOR THE PURPOSE OF OPERATING A COMMUNITY SATELLITE HOSPITAL IN THE NORTHERN PART OF GEORGETOWN COUNTY. PLEASE SEE SCHEDULE O FOR A CONTINUATION OF PROGRAM SERVICE ACCOMPLISHMENTS.THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF GEORGETOWN COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501 (C)(3). REVENUE RULE 69-545, 1969-2 C.B. 117, AS MODIFIED BY REC. RUL. 83-157, 1983-2 C.B. 94, SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICES WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS.THE HOSPITAL OPERATES ITS FACILITIES IN A MANNER DESCRIBED IN REV. RULING 69-545, SUPRA. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID.DURING THE YEAR ENDED SEPTEMBER 30, 2020, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $25,973,499. IN ADDITION TO PROVIDING PATIENT CHARITY CARE, AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, THE HOSPITAL PROVIDES CAR SEATS TO FAMILIES AND NEWBORN INFANTS WHO DO NOT PRESENTLY HAVE OR CANNOT AFFORD TO PURCHASE ONE. IN ADDITION, THE HOSPITAL PROVIDES FREE TAXI SERVICE THROUGH AN AUXILIARY ORGANIZATION FOR INDIVIDUALS THAT CANNOT AFFORD OR ARRANGE FOR TRANSPORTION TO THEIR RESIDENCE OR HEALTHCARE SERVICE. THE HOSPITAL ALSO PARTICIPATES IN STATE PROGRAMS SUCH AS THE BEST CHANCE NETWORK, WHICH TARGETS LOW-INCOME WOMEN FOR PREVENTATIVE HEALTHCARE TESTING.THE HOSPITAL IS PART OF THE GEORGETOWN HOSPITAL SYSTEM WHICH PERIODICALLY CONDUCTS VARIOUS COMMUNITY OUTREACH, SCREENING, AND EDUCATIONAL PROGRAMS. AMONG THESE ARE CHOLESTEROL AND BLOOD PRESSURE SCREENINGS, PERIODIC HEALTH FAIRS HELD THROUGHOUT THE SERVICE AREA WHICH OFFER A VARIETY OF HEALTH-RELATED INFORMATION AND SCREENINGS, SUCH AS GLUCOSE, CHOLESTEROL, BLOOD PRESSURE, BODY FAT ANALYSIS, AND A LABORATORY BLOOD PROFILE. THE HOSPITAL SYSTEM'S COMMUNITY EDUCATION PROGRAM CONDUCTS A VARIETY OF CLASSES AND LECTURE SERIES OPEN TO THE PUBLIC, INCLUDING CPR, WEIGHT CONTROL, SMOKING CESSATION, CHILDBIRTH EDUCATION, PRE-NATAL AND INFANT NUTRITION, AND OTHERS.Desc
Total Program Service Expenses$133,069,197TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH S WARD EVP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8435277102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1606 BLACK RIVER ROADAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29440ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MR JULIAN REYNOLDS
CHAIRMAN1.002.00Yes (X)Yes (X)$0$600$0
MR ROBERT L JONES
VICE CHAIRMAN1.002.00Yes (X)Yes (X)$0$600$0
MS JUDITH K INGLE
SECRETARY/TREASURER1.002.00Yes (X)Yes (X)$0$0$0
MR WILLIE SHELLEY
TRUSTEE1.002.00Yes (X)$0$1,000$0
DR WILLIAM GREER
TRUSTEE & PHYSICIAN1.0042.00Yes (X)$0$1,005,395$37,410
DR THOMAS CHANDLER
VICE CHIEF OF STAFF & PHYSICIAN1.002.00Yes (X)$0$10,450$0
BRUCE BAILEY
PRESIDENT & CEO20.0020.00Yes (X)$306,476$298,730$42,389
ELIZABETH S WARD
EXECUTIVE VICE PRESIDENT & CFO20.0020.00Yes (X)$227,306$221,560$36,431
GAYLE RESETAR
EXECUTIVE VICE PRESIDENT & COO20.0020.00Yes (X)$212,038$206,678$33,907
RICK KAYLOR
SENIOR VICE PRESIDENT SYSTEM DEVELOPMENT & STRATEG20.0020.00Yes (X)$189,165$184,382$22,806
PHILIP DULBERGER
EXECUTIVE VICE PRESIDENT & CHIEF PHYSICIAN EXECUTI20.0020.00$262,211$255,583$40,114Yes (X)
JAMES F HARPER
SENIOR VICE PRESIDENT & CHIEF HUMAN RESOURCE OFFIC20.0020.00$156,159$152,212$42,994Yes (X)
PAM MAXWELL
SENIOR VICE PRESIDENT & CHIEF NURSING OFFICER20.0020.00$140,640$137,085$31,216Yes (X)
FLORIAN ANZEVENO
INTERIM CIO/ADVISER20.0020.00$138,917$135,406$5,022Yes (X)
DR GERALD HARMON
VP MEDICAL AFFAIRS20.0020.00$198,588$193,569$7,155Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,831,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,803,250TotReportableCompRltdOrgAmt
Total Other Compensation$299,444TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K76IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COASTAL STRUCTURES CORPORATION
PO BOX 937GEORGETOWNSC29442CONSTRUCTION$16,796,520
PALMETTO EMERGENCY PHYSICIANS
86 SHOREBIRD LOOPPAWLEYS ISLANDSC29585EMERGENCY PHYSICIAN SERVICES$3,980,100
SODEXO INC
PO BOX 360170PITTSBURGHPA15251FOOD & HOUSEKEEPING$3,971,168
INLET ANESTHESIA CONSULTANTS
130 PRESERVATION CIRCLEPAWLEYS ISLANDSC29585ANESTHESIA SERVICES$2,262,749
NELSON MULLINS RILEY & SCARBOROUGH
PO BOX 11070COLUMBIASC29211LEGAL SERVICES$2,247,511
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K61CntrctRcvdGreaterThan100KCnt
Government Grants$900,000GovernmentGrantsAmt
All Other Contributions$101,337AllOtherContributionsAmt
Total Contributions$1,001,337TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$166,767,399$166,767,399
OTHER RELATED SERVICES900099$9,165,698$9,165,698
PHARMACY446110$2,055,364$2,055,364
CAFETERIA722210$292,880$292,880
FieldValueIRS element (for citing)
Total Program Service Revenue$178,281,341TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,261TotalRevenueColumnAmt
Exclusion$34,261ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,928,640RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,928,640RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,928,640TotalRevenueColumnAmt
Exclusion$4,928,640ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$15,150OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$15,150OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,150TotalRevenueColumnAmt
Exclusion$15,150ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$26,149GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,149TotalRevenueColumnAmt
Exclusion$26,149ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$184,286,878TotalRevenueColumnAmt
Related Or Exempt Func Income$178,281,341RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,004,200ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,003,617TotalAmt
Management And General$1,003,617ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$372,761TotalAmt
Program Services$340,544ProgramServicesAmt
Management And General$32,217ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,665,276TotalAmt
Program Services$31,217,152ProgramServicesAmt
Management And General$448,124ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$844,777TotalAmt
Program Services$832,839ProgramServicesAmt
Management And General$11,938ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,244,378TotalAmt
Program Services$6,156,135ProgramServicesAmt
Management And General$88,243ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,415,055TotalAmt
Program Services$2,380,926ProgramServicesAmt
Management And General$34,129ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$311,046TotalAmt
Program Services$251,483ProgramServicesAmt
Management And General$59,563ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,852,644TotalAmt
Management And General$2,852,644ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,994TotalAmt
Management And General$50,994ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$54,417,085TotalAmt
Program Services$36,806,407ProgramServicesAmt
Management And General$17,610,678ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$220,984TotalAmt
Management And General$220,984ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,220,108TotalAmt
Program Services$2,098,573ProgramServicesAmt
Management And General$121,535ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,991,135TotalAmt
Program Services$1,929,257ProgramServicesAmt
Management And General$61,878ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$118,508TotalAmt
Program Services$118,508ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,319,910TotalAmt
Program Services$2,319,910ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,407,530TotalAmt
Program Services$8,405,008ProgramServicesAmt
Management And General$2,522ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$616,773TotalAmt
Program Services$616,588ProgramServicesAmt
Management And General$185ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$31,607,947$31,607,947
BAD DEBT EXPENSE$7,536,812$7,536,812
MISCELLANEOUS EXPENSE$426,256$419,896$6,360
RECRUITMENT$282,218$31,212$251,006

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$155,925,814TotalAmt
Program Services$133,069,197ProgramServicesAmt
Management And General$22,856,617ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,500BOYAmt
EOY$3,500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,034,794BOYAmt
EOY$182,545EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,029,028BOYAmt
EOY$27,145,640EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,708,752BOYAmt
EOY$4,113,920EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,874,201BOYAmt
EOY$1,991,691EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$251,220,632LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$113,466,068LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$146,518,696BOYAmt
EOY$137,754,564EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$8,036,490EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$512,941BOYAmt
EOY$233,156EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,514,861BOYAmt
EOY$123,248,851EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$243,196,773BOYAmt
EOY$302,710,357EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,264,486BOYAmt
EOY$8,091,177EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$95,370,226BOYAmt
EOY$103,328,825EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,237,000BOYAmt
EOY$26,550,230EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,871,712BOYAmt
EOY$137,970,232EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$135,373,923BOYAmt
EOY$163,788,987EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$951,138BOYAmt
EOY$951,138EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$136,325,061BOYAmt
EOY$164,740,125EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$243,196,773BOYAmt
EOY$302,710,357EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$28,361,064ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$54,000OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,800OtherActivitiesAmt
Total Lobbying Expenditures$5,800TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL IS A MEMBER OF BOTH THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). THESE ORGANIZATIONS ENGAGE IN LOBBYING FOR THE BENEFIT OF THEIR MEMBERSHIP BODIES, AND A PORTION OF THE MEMBERSHIP DUES PAID TO THE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING EXPENDITURES. FOR THE YEAR, THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING EXPENDITURES WAS $2,491 FOR AHA AND $3,309 FOR SCHA.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,328,202OtherCostOrOtherBasisAmt
Book Value$4,328,202BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,493,540OtherCostOrOtherBasisAmt
Depreciation$43,586,901DepreciationAmt
Book Value$115,906,639BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,598,052OtherCostOrOtherBasisAmt
Depreciation$1,569,760DepreciationAmt
Book Value$1,028,292BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,626,542OtherCostOrOtherBasisAmt
Depreciation$68,309,407DepreciationAmt
Book Value$12,317,135BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,174,296OtherCostOrOtherBasisAmt
Book Value$4,174,296BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$137,754,564TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$182,760
DUE FROM AFFILIATES$123,066,091
FieldValueIRS element (for citing)
Total Book Value Other Assets$123,248,851TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ESTIMATED THIRD-PARTY SETTLEMENTS$4,521,026
PROVIDER RELIEF FUNDS$1,703,918
MEDICARE ADVANCE CONTRACT LIABILITY$20,325,286
FieldValueIRS element (for citing)
Total Liability$26,550,230TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$176,749,021TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$7,536,812OtherRevenueAmt
Revenue Not Reported-$7,536,812RevenueNotReportedAmt
Revenue Subtotal$184,285,833RevenueSubtotalAmt
Other Revenues Not Included$1,045OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,045RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$184,286,878TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$148,387,957TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$7,536,812OtherExpensesIncludedAmt
Expenses Not Reported-$7,536,812ExpensesNotReportedAmt
Expenses Subtotal$155,924,769ExpensesSubtotalAmt
Other Expenses Not Included$1,045OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,045ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$155,925,814TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:WACCAMAW COMMUNITY HOSPITAL HAS BEEN GRANTED EXEMPTION FROM INCOME TAXES AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. ACCORDINGLY, THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2020.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT NET WITH REVENUE -7,536,812.
PART XI, LINE 4B - OTHER ADJUSTMENTS:COST OF GOODS SOLD NET WITH REVENUE 1,045.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT NET WITH REVENUE -7,536,812.
PART XII, LINE 4B - OTHER ADJUSTMENTS:COST OF GOODS SOLD NET WITH REVENUE 1,045.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,455,141TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$977,068DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,478,073NetCommunityBenefitExpnsAmt
Total Expense0.01590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,505,324TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,199,619DirectOffsettingRevenueAmt
Net Community Benefit Expns$305,705NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,960,465TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,176,687DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,783,778NetCommunityBenefitExpnsAmt
Total Expense0.01790TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,740,182TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,740,182NetCommunityBenefitExpnsAmt
Total Expense0.01120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,084,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,086,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,997,816NetCommunityBenefitExpnsAmt
Total Expense0.02560TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$467,939TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,233DirectOffsettingRevenueAmt
Net Community Benefit Expns$407,706NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,292,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,147,040DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,145,704NetCommunityBenefitExpnsAmt
Total Expense0.03940TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,253,209TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,323,727DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,929,482NetCommunityBenefitExpnsAmt
Total Expense0.05730TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$284TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$284NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,152TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,152NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,087TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,087NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,293TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,293NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,276TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86,276NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,092TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$93,092NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$4,657,873BadDebtExpenseAmt
Bad Debt Expense Attributable$3,004,044BadDebtExpenseAttributableAmt
Reimbursed By Medicare$69,039,420ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$74,654,790CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,615,370MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WACCAMAW COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14070 HIGHWAY 17 BYPASSAddressLine1Txt
CityMURRELLS INLETCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29576ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherDISPROPORTIONATE SHARE HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WACCAMAW COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WACCAMAW COMMUNITY HOSPITALPART V, SECTION B, LINE 5: THE 2019 TIDELANDS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS DESIGNED IN CONJUNCTION WITH GEORGETOWN AND HORRY COUNTY PARTNERS AND UTILIZED METHODOLOGY AND BEST PRACTICES IDENTIFIED BY LEADING NATIONAL RESEARCH HOSPITALS. SURVEYS WERE SENT OUT ELECTRONICALLY AND BY PAPER TO COMMUNITY NONPROFIT LEADERS, GOVERNMENT OFFICIALS, SCHOOL DISTRICTS, MEDICAL FACILITIES, FAITH LEADERS, BUSINESS LEADERS, KEY TIDELANDS HEALTH STAFF MEMBERS, AND THE COMMUNITY AT LARGE. TIDELANDS HELD TWO EVENTS TO SELECT THE MOST SIGNIFICANT NEEDS BASED ON THE 2019 CHNA SURVEY.
WACCAMAW COMMUNITY HOSPITALPART V, SECTION B, LINE 6A: GEORGETOWN MEMORIAL HOSPITAL
WACCAMAW COMMUNITY HOSPITALPART V, SECTION B, LINE 6B: QUORUM HEALTH RESOURCES PROVIDED THE EXPERTISE TO COMPLETE THE CHNA IN PARTNERSHIP WITH TIDELANDS HEALTH REPRESENTATIVES.
WACCAMAW COMMUNITY HOSPITALPART V, SECTION B, LINE 7D: ALL TCCN PARTNERS WERE SENT AN ELECTONIC COPY.
WACCAMAW COMMUNITY HOSPITALPART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED AND SELECTED ARE MENTAL HEALTH, ALCOHOL AND SUBSTANCE USE, OBESITY, DIABETES, AND CANCER. AN IMPLEMENTATION PLAN HAS BEEN ESTABLISHED THAT IDENTIFIES KEY INDICATORS FOR EACH SELECTED HEALTH NEED. A DASHBOARD WILL BE MAINTAINED AND REGULARLY REVIEWED THAT TRACKS METRICS. WHILE SEXUALLY TRANSMITTED ILLNESSES WAS IDENTIFIED AS A NEED IN BOTH THE SURVEY AND THROUGH DATA WALK VOTING, TIDELANDS HEALTH DOES NOT HAVE THE PARTNERSHIPS IN PLACE TO ELEVATE THIS AREA OF NEED. TIDELANDS HEALTH WILL SEEK TO ENHANCE RELATIONSHIPS WITH PARTNERS THAT WOULD BE VITAL TO SEXUAL EDUCATION, PREVENTION, SCREENING, AND TREATMENT OF SEXUALLY TRANSMITTED ILLNESSES. TIDELANDS HEALTH WILL WORK IN CONJUNCTION WITH COMMUNITY PARTNERS AND ORGANIZATIONS ALIKE, THESE GROUPS WILL TAKE PART IN COMMUNITY EVENTS TO BRING AWARENESS TO THESE AREAS OF NEED. THE COMMUNITY BENEFIT REPORTING METHOD IS USED TO ORGANIZE FUNCTIONS AND EVENTS TO BETTER SERVE THE POPULATION WHICH OUR HEALTH SYSTEMS OPERATE. THE HEALTH SYSTEM UTILIZES THEIR COMMUNITY RESOURCE DEPARTMENT TO SERVICE OUR DEMOGRAPHIC. TIDELANDS COMMUNITY CARE NETWORK OPERATES TO ASSIST THOSE PATIENTS IN NEED TO HAVE ACCESS TO HEALTH CARE AND OTHER SOCIAL DETERMINATES TO HELP LEAD THEM TO HEALTHIER LIVES. TIDELANDS HEALTH UTILIZES AVAILABLE GRANT OPPORTUNITIES TO ENSURE THAT ADDITIONAL FUNDING IS PROVIDED TO BETTER MEET THE NEEDS ADDRESSED.
PART V, LINE 7A, CHNA WEBSITE:HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, LINE 10A: IMPLEMENTATION STRATEGY WEBSITE:HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, LINE 16B & C, FAP, FAP APPLICATION & PLAIN LANGUAGE SUMMARY:HTTP://WWW.TIDELANDSHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - IMAGING CENTER
4181 HIGHWAY 17 BYPASSMURRELLS INLETSC29576IMAGING CENTER
2 - PAIN MANAGEMENT CENTER
4040 HIGHWAY 17 BYPASS SUITE 206MURRELLS INLETSC29576PAIN MANAGEMENT
3 - ENDOSCOPY CENTER
4040 HIGHWAY 17 BYPASS SUITE 102MURRELLS INLETSC29576ENDOSCOPY CENTER
4 - IMAGING SUITE
4040 HIGHWAY 17 BYPASS SUITE 103MURRELLS INLETSC29576IMAGING CENTER
5 - REHABILITATION SERVICES
198 VILLAGE CENTER BOULEVARDMYRTLE BEACHSC29579ADULT REHABILITATION
6 - SURGERY CENTER
3911 HIGHWAY 17 BYPASS SUITE BMURRELLS INLETSC29576SURGERY CENTER
7 - REHABILITATION SERVICES
543 HIGHWAY 17 NORTHNORTH MYRTLE BEACHSC29582ADULT REHABILITATION
8 - WOMEN'S IMAGING
4017 HIGHWAY 17 BYPASS SUITE 101MURRELLS INLETSC29576IMAGING CENTER
9 - LABORATORY AT TMC
2200 CROWE LANEMYRTLE BEACHSC29577LABORATORY SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
PART I, LN 7 COL(F):TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $7,536,812 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:$86,276 WAS SPENT TO RECRUIT PHYSICIANS WITH THE SKILLS AND TRAINING NECESSARY TO BEST SERVE THE NEEDS OF THE COMMUNITY IN AREAS SUCH AS OBSTETRICS/GYNECOLOGY.
PART III, LINE 3:FOR AUDITED FINANCIAL STATEMENT PURPOSES, IN 2020, THE ORGANIZATION ASSESSED THE POPULATION OF PATIENTS UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE RESPONSIBLE IN CONJUNCTION WITH STATISTICS OF THE LOCAL POPULATION FALLING BELOW FEDERAL POVERTY LIMITS. THE ORGANIZATION BELIEVES A SIGNIFICANT PORTION OF THE UNPAID PATIENT SERVICES WOULD QUALIFY FOR CHARITY CARE IF THE PATIENT WERE TO APPLY IN ACCORDANCE WITH THE CURRENT POLICY. AS A RESULT, CHARITY CARE, AT CHARGES RECLASSIFIED FROM BAD DEBT TOTALED $13,690,000. THE IMPACT OF THIS RECLASSIFICATION HAS BEEN REMOVED FOR SCHEDULE H PRESENTATION PURPOSES.
PART III, LINE 4:THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF LINE PART III, LINES 2 AND 3.THE PERCENTAGE OF FAMILIES BELOW THE POVERTY LEVEL IN THE AREA SERVED IS USED TO ESTIMATE THE PERCENTAGE OF NET REVENUE EXPECTED TO BE AWARDED CHARITY CARE. THE VARIANCE WITH ACTUAL CHARITY CARE ADJUSTMENTS IS THE AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY.
PART III, LINE 8:THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. APPROXIMATELY 60% OF THE ORGANIZATION'S PAYER MIX IS DEVOTED TO MEDICARE.
PART III, LINE 9B:GEORGETOWN HOSPITAL SYSTEM HAS A PROCESS IN PLACE TO ASSIST PATIENTS IN UNDERSTANDING THEIR FINANCIAL RESPONSIBILITY, BEGINNING WITH SCHEDULING AND REGISTRATION. SIGNAGE AND FINANCIAL RESPONSIBILITY BROCHURES ARE CLEARLY DISPLAYED THROUGHOUT THE REGISTRATION AREAS OF THE SYSTEM. THIS INFORMATION DETAILS THE POTENTIAL PATIENT RESPONSIBILITY AND ALSO PROVIDES INFORMATION ON THE AVAILABLE PROGRAMS IN THE EVENT THE PATIENT CAN NOT PAY THE BILL. IF THE PATIENT COMMUNICATES THEIR INABILITY TO PAY, THE FINANCIAL ASSISTANCE PROGRAM IS REVIEWED AND THE PATIENT IS DIRECTED TO THE FINANCIAL ASSISTANCE DEPARTMENT. UPON APPLICATION FOR FINANCIAL ASSISTANCE, COLLECTION PRACTICES ARE HALTED UNTIL THE APPLICATION HAS BEEN REVIEWED AND PROCESSED. IF FINANCIAL ASSISTANCE IS APPROVED, COLLECTION PRACTICES WILL CEASE. IF FINANCIAL ASSISTANCE IS DENIED, COLLECTION PRACTICES WILL CONTINUE.
PART VI, LINE 2:THE ORGANIZATION ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY WITH THE ASSISTANCE OF STATE AND INTERNAL REPORTING INFORMATION. THE INFORMATION IS INTERPRETED, REVIEWED AND ANALYZED. IF A NEED IS PRESENT, A STRATEGIC PLAN IS DEVELOPED, WITH THE GOAL OF PROVIDING AS MANY LOCAL SERVICES AS POSSIBLE. THE PLAN IS THEN PRESENTED TO THE BOARD FOR APPROVAL. ONCE BOARD APPROVAL IS RECEIVED, THE IMPLEMENTATION PROCESS BEGINS. THE ORGANIZATION'S COMMUNITY HEALTH PROGRAM'S OBJECTIVE IS TO ENHANCE THE HEALTH CARE STATUS OF THE COMMUNITY, PROVIDING EDUCATION, SCREENINGS, AND REGULAR FOLLOW UP TO ENSURE READY ACCESS TO QUALITY HEALTHCARE.
PART VI, LINE 3:THE ORGANIZATION REGULARLY ADVERTISES THE AVAILABLE STATE, FEDERAL, AND LOCAL FINANCIAL ASSISTANCE PROGRAMS. ALL PATIENTS WITHOUT INSURANCE ARE SCREENED FOR AVAILABLE STATE AND FEDERAL PROGRAMS. PATIENTS NOT MEETING STATE AND FEDERAL PROGRAM GUIDELINES ARE PROVIDED A ONE ON ONE CONSULTATION FOR LOCAL FINANCIAL ASSISTANCE, IF DESIRED. THE HOSPITAL FEATURES SIGNAGE AND BROCHURES THROUGHOUT THE REGISTRATION AREAS THAT OUTLINE RESPONSIBILITIES AND OPTIONS.
PART VI, LINE 4:THE ORGANIZATION SERVES THE SOUTH CAROLINA COUNTIES OF HORRY AND GEORGETOWN, AS WELL AS OUTLYING AREAS. HORRY COUNTY (1,100 SQ. MILES) HAS AN ESTIMATED 2019 POPULATION OF 354,000. 25% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $51,000. IN ADDITION, AN ESTIMATED 13% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 17% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. GEORGETOWN COUNTY (815 SQ. MILES) HAS A POPULATION OF APPROXIMATELY 63,000 PEOPLE AND AN ESTIMATED 29% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000 AND AN ESTIMATED 18% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 14% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. COMPETING HOSPITALS ARE LOCATED APPROXIMATELY 25 MILES NORTH AND NORTHWEST AND 75 MILES SOUTH. MAJOR SURROUNDING CITIES INCLUDE: CHARLESTON, SC (60 MILES), COLUMBIA, SC (150 MILES) AND CHARLOTTE, NC (215 MILES).
PART VI, LINE 5:A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MANY OF ITS DEPARTMENTS.USAGE OF THE ORGANIZATION'S SURPLUS OF FUNDS IS DESCRIBED ON FORM 990, PART III; HOWEVER IN GENERAL, A SURPLUS OF FUNDS IS USED TO REINVEST IN PROPERTY AND EQUIPMENT IN ORDER TO CONTINUE PROVIDING TO THE PUBLIC THE BEST IN PATIENT CARE AND TECHNOLOGY.
PART VI, LINE 6:WACCAMAW COMMUNITY HOSPITAL IS PART OF GEORGETOWN HOSPITAL SYSTEM. GEORGETOWN HOSPITAL SYSTEM IS A RELATED 501(C)(3) HEALTHCARE ORGANIZATION.
PART VI, LINE 7, REPORTS FILED WITH STATESSC

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR WILLIAM GREER
TRUSTEE & PHYSICIAN$0$703,870$0$270,172$0$31,353$0$4,900$0$32,510$0$1,042,805$0$0
BRUCE BAILEY
PRESIDENT & CEO$270,225$263,395$0$0$36,251$35,335$4,963$4,837$16,503$16,086$327,942$319,653$0$0
ELIZABETH S WARD
EXECUTIVE VICE PRESIDENT & CFO$201,642$196,545$0$0$25,664$25,015$4,490$4,376$13,959$13,606$245,755$239,542$0$0
GAYLE RESETAR
EXECUTIVE VICE PRESIDENT & COO$187,437$182,699$0$0$24,601$23,979$4,963$4,837$12,208$11,899$229,209$223,414$0$0
RICK KAYLOR
SENIOR VICE PRESIDENT SYSTEM DEVELOP$152,009$148,166$17,198$16,763$19,958$19,453$4,603$4,487$6,946$6,770$200,714$195,639$0$0
PHILIP DULBERGER
EXECUTIVE VICE PRESIDENT & CHIEF PHY$238,963$232,923$0$0$23,248$22,660$4,963$4,837$15,351$14,963$282,525$275,383$0$0
JAMES F HARPER
SENIOR VICE PRESIDENT & CHIEF HUMAN$110,098$107,315$13,998$13,645$32,063$31,252$4,665$4,547$17,107$16,675$177,931$173,434$0$0
PAM MAXWELL
SENIOR VICE PRESIDENT & CHIEF NURSIN$102,715$100,119$13,211$12,877$24,714$24,089$3,457$3,369$12,351$12,039$156,448$152,493$0$0
FLORIAN ANZEVENO
INTERIM CIO/ADVISER$109,845$107,069$0$0$29,072$28,337$2,543$2,479$0$0$141,460$137,885$0$0
DR GERALD HARMON
VP MEDICAL AFFAIRS$156,074$152,129$17,580$17,136$24,934$24,304$2,481$2,419$1,142$1,113$202,211$197,101$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BALL SENIOR CABINET MEMBERS (BRUCE BAILEY, GAYLE RESETAR, BETH WARD, PHILIP DULBERGER, PAM MAXWELL, RICK KAYLOR, JAN HARPER & GERALD HARMON) WERE ENROLLED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN BEGINNING 10/1/2018. BRUCE, BETH, GAYLE & PHIL ARE ENROLLED IN A SPLIT DOLLAR LIFE INSURANCE PLAN. THE ORGANIZATION DEPOSITED FUNDS INTO A LIFE INSURANCE POLICY ON THE PARTICIPANT'S LIFE. DURING LIFE, AND SUBJECT TO THE POLICY GENERATING SUFFICIENT VALUES, THE PARTICIPANT CAN BORROW FROM THE POLICY. AT DEATH, THE ORGANIZATION RECOVERS ITS PREMIUMS PLUS INTEREST PLUS ADDITIONAL KEY-PERSON INSURANCE PROCEEDS. DR. HARMON, PAM, RICK & JAN RECEIVE A RETENTION BONUS EACH YEAR (INCLUDED IN COMPENSATION).
PART I, LINE 5INCENTIVE COMPENSATION PAID TO NON-PHYSICIAN LEADERSHIP/EXECUTIVES IS CONTINGENT UPON QUALITY INDICATORS, NET REVENUES, AND THE OVERALL PROFITABILITY OF THE ORGANIZATION. INCENTIVE COMPENSATION PAID TO PHYSICIANS AND PHYSICIAN LEADERSHIP IS BASED ON PRODUCTION AND QUALITY INDICATORS. PHYSICIAN INCENTIVE COMPENSATION DOES NOT INCLUDE INCOME RELATED METRICS. IF PREDETERMINED GOALS ARE MET, INCENTIVE COMPENSATION IS PAID IN ACCORDANCE WITH AN INCENTIVE COMPENSATION PROGRAM. SEE PART II, COLUMN (B)(II).
PART I, LINE 6SEE THE RESPONSE TO LINE 5A AND 5B.
PART I, LINE 3THE ORGANIZATION RELIES ON THE BOARD OF ITS SOLE MEMBER ORGANIZATION TO NEGOTIATE AND ESTABLISH THE COMPENSATION AGREEMENTS FOR ITS CEO AND OTHER OFFICERS. THE BOARD OF GEORGETOWN HOSPITAL SYSTEM USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANTS - COMPENSATION STUDY/SURVEY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE BOARD OF GEORGETOWN HOSPITAL SYSTEM IS A MAJORITY INDEPENDENT.
PART IITHE ORGANIZATION UTILIZES A COMMON PAYING AGENT FOR SERVICES PERFORMED FOR BOTH WACCAMAW COMMUNITY HOSPITAL AND A RELATED ORGANIZATION. COMPENSATION FOR THESE INDIVIDUALS IS PRESENTED TO REFLECT AN ALLOCATION OF SERVICES PERFORMED FOR THESE ORGANIZATIONS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
A570960018NONEAVAIL2011-09-22$25,565,000CURRENT REFUNDING000
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
B570960018NONEAVAIL2012-02-23$30,850,000CAPITAL ACQUISITION000
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
C570960018NONEAVAIL2016-09-09$87,890,000REFUND PRIOR ISSUE000
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
D570960018NONEAVAIL2016-11-03$35,050,000CURRENT REFUNDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$15,153,429$16,214,252$164,252$16,050,0002001Yes (1)0Yes (1)Yes (1)
B$7,017,837$30,850,000$172,596$62,822201200Yes (1)Yes (1)$30,614,582
C$3,591,795$16,925,130$16,925,130Yes (1)0Yes (1)Yes (1)
D$109,681$20,233,524$97,411$20,136,113Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)000000
B00Yes (1)0Yes (1)0000
C0Yes (1)Yes (1)0Yes (1)0000
D00Yes (1)000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH K, PART II, LINE 11FormAndLineReferenceDesc
ExplanationTHE AMOUNTS ON THIS LINE WERE USED TO REFUND PRIOR ISSUE BONDS. THE AMOUNTS IN COLUMN A (ENTITY 1) WERE USED TO REFUND BONDS THAT WERE ISSUED ON 8/15/1999 AND 8/1/2001. THE AMOUNTS IN COLUMN C (ENTITY 1) WERE USED TO REFUND BONDS THAT WERE ISSUED ON 12/22/2010. THE AMOUNTS IN COLUMN D (ENTITY 1) WERE USED TO REFUND BONDS THAT WERE ISSUED ON 5/30/2012.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN570960018BondIssuerEIN
CUSIPNONEAVAILCUSIPNum
Bond Issued2017-11-01BondIssuedDt
Issue Price$45,295,000IssuePriceAmt
PurposeCONSTRUCTIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$45,295,000TotalProceedsAmt
Issuance Costs From Proceeds$305,281IssuanceCostsFromProceedsAmt
Capital Expenditures$37,984,005CapitalExpendituresAmt
Unspent$7,005,714UnspentAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec Maint0AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BECCA KAYLOR
FAMILY MEMBER OF OFFICER RICK KAYLOR$32,217COMPENSATION AS EMPLOYEE OF ORGANIZATION. AMOUNT SHOWN ON SCHEDULE L REPRESENTS WCH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $63,620 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.0
CASEY MAIER
FAMILY MEMBER OF BOARD MEMBER WILLIE SHELLEY$45,531RADIOLOGIC TECHNOLOGIST0
COASTAL CRITICAL CARE CONSULTANTS
PARTIALLY OWNED BY BOARD MEMBER DR. THOMAS CHANDLER$295,013CONTRACTED PHYSICIAN SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 2A:THE ORGANIZATION HAS NO DIRECT EMPLOYEES. GEORGETOWN HOSPITAL SYSTEM, A RELATED ORGANIZATION, FILES PAYROLL FOR THE ORGANIZATION. THE NUMBER OF EMPLOYEES REPORTED BY GEORGETOWN HOSPITAL SYSTEM THAT ARE RELATED TO THE ORGANIZATION IS 1,329.
FORM 990, PART VI, SECTION A, LINE 1THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE, FINANCE COMMITTEE, AND COMPENSATION COMMITTEE THAT HAVE LIMITED POWERS DELEGATED FROM THE FULL VOTING BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE IS COMPRISED OF FIVE OR MORE MEMBERS, INCLUDING FOUR WHO ARE ALSO MEMBERS OF THE MEMBER ORGANIZATION'S BOARD OF DIRECTORS. THE FINANCE COMMITTEE CONTAINS FOUR OR MORE MEMBERS INCLUDING THE TREASURER OF THE MEMBER ORGANIZATION. THE COMPENSATION COMMITTEE IS AS APPOINTED BY THE CHAIRMAN OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A MEMBER ORGANIZATION WITHIN THE MEANING OF THE SOUTH CAROLINA NONPROFIT CORPORATION ACT OF 1994. THE SOLE MEMBER OF THE CORPORATION IS GEORGETOWN HOSPITAL SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER HAS THE SOLE AUTHORITY TO APPOINT OR REMOVE A TRUSTEE OR THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER HAS THE SOLE AUTHORITY TO (1) DIRECT HEALTHCARE SERVICES UNDERTAKEN BY THE ORGANIZATION, INCLUDING THE ADDITION OR DELETION OF CLINICAL SERVICE LINES, AND AUDIT COMPLIANCE WITH SUCH DIRECTIVES, (2) VETO POLICIES AND PROCEDURES, (3) REQUIRE DISTRIBUTION OF INCOME, ASSETS, OR OTHER PROPERTY FROM, OR MAKE CONTRIBUTIONS TO THE ORGANIZATION TO ACHIEVE THE MUTUAL OBJECTIVES OF THE ORGANIZATION AND THE SOLE MEMBER, (4) APPROVE BUDGETS, (5) AUTHORIZE CAPITAL TRANSACTIONS, (6) ADOPT A PLAN OF DISSOLUTION, (7) ADMIT NEW MEMBERS TO THE ORGANIZATION, (8) AMEND THE ARTICLES OF THE ORGANIZATION, AND (9) NEGOTIATE AND AUTHORIZE MANAGEMENT AGREEMENTS WITH THIRD PARTIES.
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WITH THE ASSISTANCE AND OVERSIGHT OF MANAGEMENT. A REPRESENTATIVE OF THE ACCOUNTING FIRM PRESENTED THE RETURN TO THE FINANCE COMMITTEE WITH MANAGEMENT AND ANSWERED QUESTIONS FROM BOARD MEMBERS. THE CEO AND CFO THEN REVIEWED THE FORM WITH ALL BOARD MEMBERS, AS EVIDENCED IN THE BOARD MINUTES. A COPY OF THE RETURN WAS PROVIDED TO EACH VOTING BOARD MEMBER. AFTER A DISCUSSION PERIOD, THE BOARD VOTED TO APPROVE THE FILING OF THE FORM 990 WITH THE IRS AS PRESENTED. THE CFO/CEO MET IN PERSON WITH ANY MEMBERS ABSENT FROM THE MEETING TO DISCUSS THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSIONS AND VOTES FOR WHICH A CONFLICT EXISTS. DETERMINATION OF WHETHER A CONFLICT EXISTS IS MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED BY MANAGEMENT AND THE BOARD WITHOUT THE PRESENCE OF THE INTERESTED PARTY.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES OUTSIDE AGENCIES TO ESTABLISH, ASSESS THE REASONABLENESS OF, REVIEW, AND APPROVE THE COMPENSATION OF DIRECTORS, SENIOR MANAGEMENT & PHYSICIANS. SENIOR MANAGEMENT PROVIDES OVERSIGHT ON DIRECTOR COMPENSATION, THE BOARD COMPENSATION COMMITTEE PROVIDES OVERSIGHT ON PHYSICIAN COMPENSATION AND THE CEO PROVIDES OVERSIGHT (WITH THE ASSISTANCE OF THE CFO) ON SENIOR MANAGEMENT COMPENSATION. CEO COMPENSATION IS EVALUATED AND APPROVED BY THE FULL BOARD AND BOARD COMPENSATION COMMITTEE. FAIR MARKET VALUATIONS ARE COMPLETED FOR ALL COMPENSATION AT LEAST ANNUALLY AND MONTHLY COMPENSATION MEETINGS ARE HELD TO REVIEW ANY AND ALL COMPENSATION RELATED ACTIVITIES.
FORM 990, PART VI, SECTION C, LINE 18PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990, PART IX, LINE 11GOTHER FEES: PROGRAM SERVICE EXPENSES 36,806,407. MANAGEMENT AND GENERAL EXPENSES 17,610,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,417,085.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER 54,000.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART V, LINE 1A:THE ORGANIZATION DID NOT DIRECTLY ISSUE ANY 1099'S DURING THE TAX PERIOD. GEORGETOWN MEMORIAL HOSPITAL, A RELATED ORGANIZATION, FILES THE FORMS 1099'S FOR THE ORGANIZATION. THE NUMBER OF 1099'S REPORTED BY GEORGETOWN MEMORIAL HOSPITAL THAT ARE RELATED TO THE ORGANIZATION IS 168.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GEORGETOWN HOSPITAL SYSTEM
PO BOX 421718GEORGETOWNSC29442020598440HEALTHCARESC501(C)(3)LINE 12B, IIN/A0
GEORGETOWN MEMORIAL HOSPITAL
PO BOX 421718GEORGETOWNSC29442570341194HEALTHCARESC501(C)(3)LINE 30GEORGETOWN HOSPITAL SYSTEM
TIDELANDS HEALTH HOLDINGS
PO BOX 421718GEORGETOWNSC29442850532826HEALTHCARESC501(C)(3)LINE 12B, II0GEORGETOWN HOSPITAL SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
GEORGETOWN RADIATION THERAPY CENTER
4033 HIGHWAY 17 BYPASSMURRELLS INLETSC29576200131459HEALTHCARESCN/A
TIDELANDS AND MEDQUEST JOINT VENTURE LLC
606 BLACK RIVER RDGEORGETOWNSC29440841945687IMAGINGSCN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd