2018-08-15T08:34:21-05:00 2017-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-10-01 571004971 GHS PARTNERS IN HEALTH INC GHSP 8647977612 300 East McBee Ave SUITE 302 GREENVILLE SC 29601 TERRI T NEWSOM VP AND CFO 8647977612 2018-08-15 1 Amy Bibby P00445891 8282542254 2016 2022-09-23 18:48:47Z SPENCE M TAYLOR MD 300 East McBee Ave SUITE 302 GREENVILLE SC 29601 489268267 0 X N/A X 1994 SC GHS Partners in Health, Inc. was organized for the purposes of promoting health, including the care and treatment of persons suffering from mental or physical illness, disease, or disability. 4 0 4280 0 2266944 145606 2250768 2683765 456940081 486446245 -17593 100539 70147 37718 459243403 489268267 52606 7500 0 0 536357559 567578917 0 0 0 49521403 62841231 585931568 630427648 -126688165 -141159381 75119364 79674205 52965059 60556003 22154305 19118202 GHS Partners in Health, Inc. was organized for the purposes of promoting health, including the care and treatment of persons suffering from mental or physical illness, disease, or disability. 0 0 573545686 7500 484215608 GHS Partners In Health Inc is a Medical Group that has Practice medical offices. There are health care providers, specializing in Physical Medicine And Rehabilitation, Sports Medicine, Obstetrics/Gynecology, Infectious Disease, Internal Medicine, General Surgery, Diagnostic Radiology, Family Practice, Cardiovascular Disease (Cardiology), Ophthalmology and more, being reported as members of the medical group. Medical taxonomies which are covered by GHS Partners In Health Inc include Pediatric Orthopaedic Surgery, Registered Nurse, Gynecology, Clinical Child & Adolescent, Orthopaedic Trauma, Clinical Cardiac Electrophysiology, Clinical, Nuclear Radiology, Psychoanalysis and many more. 573545686 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 4280 1 1 1 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X LESLIE RODWELL 8647977612 300 EAST MCBEE AVENUE SUITE NO 302 GREENVILLE SC 29601 X SPENCE M TAYLOR MD PRESIDENT AND CEO 1.00 40.00 X X 0 217272 122251 TERRI T NEWSOM VP AND CFO 1.00 40.00 X X 0 138774 89062 JOSEPH J BLAKE JR SECRETARY 1.00 40.00 X X 0 4863062 22844 LARRY D GOSNELL TREASURER 1.00 40.00 X X 0 43885 19716 Greg Rusnak EVP & Chief Operating Officer 1.00 40.00 X 0 2581197 36069 Angelo Sinopoli MD EVP & Chief Clinical Officer 1.00 40.00 X 0 225155 114120 BARRY R DAVIS PHYSICIAN 40.00 X 1059884 0 129568 CHARLES C KANOS PHYSICIAN 40.00 X 1256641 0 108395 MICHAEL J KISSENBERTH PHYSICIAN 40.00 X 1124484 0 116967 KEITH T LONERGAN PHYSICIAN 40.00 X 1128859 0 111848 JEFFREY R WIENKE PHYSICIAN 40.00 X 1078155 0 111115 5648023 8069345 981955 1121 0 1 0 INTERNAL MEDICINE ASSOCIATES 1025 VERDAE BLVD STE A GREENVILLE SC 29607 CONTRACT FEES 11853733 WEATHERBY LOCUMS INC 6451 N FEDERAL HWY 800 FORT LAUDERDALE FL 33308 LOCUM TENENS 3080248 MANAGEMENT SERVICES NETWORK PO BOX 2787 COLUMBUS GA 31902 COLLECTION AGENCY SERVICES 992793 GASTROENTEROLOGY ASSOCIATES PO BOX 8676 GREENVILLE SC 29604 GASTROENTEROLOGY SERVICES 785302 MEDAC INC 150 BLUFF AVE NORTH NORTH AUGUSTA GA 30907 BILLING AND COLLECTION SERVICES 608767 19 2683765 2683765 NET PATIENT SERVICE 621400 471637984 469371040 2266944 OTHER REVENUE 900099 6460925 6460925 PHYSICIAN SERVICES 621110 5067498 5067498 MEDICARE SHARED SAVINGS PROGRAM 621110 3279838 3279838 486446245 36307 0 36307 36307 36307 100539 0 100539 100539 100539 VENDING COMMISSION 900099 1411 1411 1411 489268267 484215608 2266944 101950 7500 7500 500007123 456216394 43790729 9625989 8782943 843046 36222155 33049811 3172344 21723650 19821088 1902562 -150 -150 -86875965 -86875965 44683 44683 9093509 9093509 312185 312185 24307869 24307869 1319507 1319507 3252411 3252411 188078 188078 5691091 5691091 7173431 7173431 UBI TAX 50962 50962 BAD DEBT EXPENSE 65979019 65979019 DRUGS 19031881 19031881 ALLOCATION 6216765 6216765 7055955 7055955 630427648 573545686 56881962 0 -464576 -506373 40596099 41417384 1074327 698492 2353579 2352067 72210869 42961440 26145902 29249429 5414033 6463206 75119364 79674205 52965059 60556003 52965059 60556003 X 22154305 19118202 22154305 19118202 75119364 79674205 X -141159381 138123278 X X 0 1 X 1 0 X X X 1 UPSTATE AFFILIATE ORGANIZATION 811723202 3 0 0 573545686 1 0 573545686 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1169636 1169636 21671893 7871608 13800285 46863085 34798059 12065026 2506255 291773 2214482 29249429 OTHER RECEIVABLES 2944632 DUE FROM RELATED ORGANIZATION 3517753 LOAN TAX RECEIVABLE 821 6463206 X Part X, Line 2: SCO, GHS, GHC, PIH, RDC and the Auxiliary are exempt from federal income tax as organizations described in Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Health Resources, GOT, and ONC are not exempt from federal income taxes. MyHFN is classified as a partnership for tax purposes. SCO and Subsidiaries (which includes PIH) recognizes the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. SCO and Subsidiaries has determined that it does not have any material unrecognized tax benefits or obligations. X X 0 1 0 0 0 0 0 0 0 SPENCE M TAYLOR MD PRESIDENT AND CEO 0 182226 0 0 0 35046 0 111850 0 10401 0 339523 0 0 TERRI T NEWSOM VP AND CFO 0 136939 0 0 0 1835 0 77931 0 11131 0 227836 0 0 JOSEPH J BLAKE JR SECRETARY 0 116617 0 0 0 4746445 0 13575 0 9269 0 4885906 0 0 Greg Rusnak EVP & Chief Operating Officer 0 165941 0 0 0 2415256 0 24825 0 11244 0 2617266 0 0 Angelo Sinopoli MD EVP & Chief Clinical Officer 0 223320 0 0 0 1835 0 106225 0 7895 0 339275 0 0 BARRY R DAVIS PHYSICIAN 1056001 0 0 0 3883 0 88549 0 41019 0 1189452 0 0 0 CHARLES C KANOS PHYSICIAN 1254146 0 0 0 2495 0 71950 0 36445 0 1365036 0 0 0 MICHAEL J KISSENBERTH PHYSICIAN 1121617 0 0 0 2867 0 78315 0 38652 0 1241451 0 0 0 KEITH T LONERGAN PHYSICIAN 1126391 0 0 0 2468 0 76008 0 35840 0 1240707 0 0 0 JEFFREY R WIENKE PHYSICIAN 1075662 0 0 0 2493 0 76834 0 34281 0 1189270 0 0 0 Part I, Line 4b IN 2016, UPSTATE AFFILIATE ORGANIZATION LEASED THE ASSETS AND ASSUMED THE LIABILITIES OF GREENVILLE HEALTH SYSTEM, A GOVERNMENTAL BODY (GHS). IN 1997, GHS ENTERED IN DEFINED BENEFIT BASED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AGREEMENTS (SERP) WITH CERTAIN KEY EMPLOYEES, ALL OF WHOM WERE HIRED PRIOR TO 2008. EFFECTIVE OCTOBER 1, 2016, UAO ASSUMED ALL OUTSTANDING LIABILITIES UNDER THESE PLAN AGREEMENTS. THE PLAN CALLED FOR CLIFF VESTING AND PAYMENTS AFTER THE COMPLETION OF A NUMBER OF YEARS OF SERVICE (TYPICALLY 10 TO 20) OR REACHING RETIREMENT. TWO INDIVIDUALS PARTICIPATED IN THE PLAN WHO IN 2016 VESTED AND WERE PAID IN FULL THE BENEFITS OWED UNDER THE PLANS. THIS VALUE IS REFLECTED IN B (iii). Form 990, Part VI, Section A, line 7a UPSTATE AFFILIATE ORGANIZATION HAS THE AUTHORITY TO APPOINT INDIVIDUALS TO THE BOARD. Form 990, Part VI, Section A, line 7b UPSTATE AFFILIATE ORGANIZATION HAS THE AUTHORITY TO EXERCISE THE POWERS OF THE BOARD. Form 990, Part VI, Section B, line 11b THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE RETURN WAS REVIEWED BY MANAGEMENT AND THE IN-HOUSE LEGAL COUNSEL, PRIOR TO FILING WITH THE IRS. IN ADDITION, A COPY OF THE RETURN WAS PROVIDED TO THE SC HEALTH COMPANY Finance Audit and Compliance Committee PRIOR TO FILING. THE SC HEALTH COMPANY ESTABLISHES THE STRATEGIC DIRECTION FOR PIH, SETS ITS BUDGET, OVERSEES ITS FINANCIAL PERFORMANCE, AND SELECTS THE DIRECTORS OF PIH. ACCORDINGLY, THIS FORM 990 IS PROVIDED IN ADVANCE TO THE SC HEALTH COMPANY Finance Audit and Compliance Committee. Form 990, Part VI, Section B, line 12c The Directors and Officers are required to disclose on an annual basis any conflicts of interest. These are reviewed by the corporate compliance and legal departments of Upstate Affiliate Organization d/b/a Greenville Health System. 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 THE SC HEALTH COMPANY IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION PHILOSOPHY FOR THE ENTIRE SYSTEM OF WHICH PIH IS A PART. AS PART OF THIS UNDERTAKING, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF THE SC HEALTH COMPANY, WHICH IS COMPOSED SOLELY OF THE INDEPENDENT DIRECTORS OF THE SC HEALTH COMPANY, SETS THE COMPENSATION PAYABLE TO THE EXECUTIVES AND MANAGEMENT LEADERS EMPLOYED UAO AND ITS RELATED ORGANIZATIONS WHO ARE CONSIDERED AS DISQUALIFIED PERSONS IN ACCORDANCE WITH SECTION 4958 OF THE CODE. 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 SUSTEMS. 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 18 THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE MADE AVAILABLE UPON REQUEST. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. PART VII SECTION B The IMAG Management Service Agreement (MSO) is an Independent Contractor relationship where PIH purchases all non-MD staffing that supports IMA providers. Because IMA does have MD Specialists as well, it also has been allowed to purchase its practice plan supplies needed for its Rheumatology patients. There is also an administrative dollar amount per year that is provided to IMAG as the management fee to oversee its non-MD portion of practice. Form 990, Part XI, line 9: EQUITY TRANSFER 138,123,278. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED. FORM 990, PART VII: effective 10/1/2016, UAO leased the assets and assumed the liabilities of Greenville Health System, a governmental body (GHS). The payroll reporting also changed on this date. The Form 990 is reporting wages from the 2016 Form W-2 that was filed for the remaining three months of 2016. UPSTATE AFFILIATE ORGANIZATION 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 811723202 HEALTH CARE SC 501(c)(3) Line 3 N/A 0 GREENVILLE HEALTH CORPORATION 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 570835816 HEALTH CARE SC 501(c)(3) Line 12a, I UPSTATE AFFILIATE ORGANIZATION 0 GREENVILLE HEALTH RESEARCH DEVELOPMENT CORPORATION 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 300300419 HEALTH CARE SC 501(c)(3) Line 12a, I GREENVILLE HEALTH CORPORATION 0 STRATEGIC COORDINATING ORGANIZATION 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 811705811 STRATEGY SC 501(c)(3) Line 12c, III-FI N/A 0 GHC HEALTH RESOURCES INC 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 571004941 HEALTH CARE SC N/A C 0 GREENVILLE ONCOLOGY THERAPEUTICS 300 EAST MCBEE AVENUE SUITE 302 GREENVILLE SC 29601 200648200 INTELLECTUAL PROPERTY SC N/A C 0 ONCOLIX INC 14405 WALTERS ROAD SUITE 780 HOUSTON TX 77014 208365968 INTELLECTUAL PROPERTY TX N/A C 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0