KERSHAWHEALTH: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- KERSHAWHEALTH (EIN 57-6005963)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201612289349303436
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T11:15:52-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 576005963 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERSHAWHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KERS | BusinessNameControlTxt |
| Phone | 8037136268 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1558 | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 290203737 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC A QUIGLEY | PersonNm |
| Person Title | SECRETARY OF THE BOARD | PersonTitleTxt |
| Phone | 8037136268 | PhoneNum |
| Signature | 2016-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | DONNIE WEEKS FORMER CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1558 | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 290203737 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $124,317,172 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KERSHAWHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1952 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | OPERATES HEALTH CARE FACILITIES FOR THE BENEFIT OF THE COMMUNITY | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1183 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $63,695 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $38,605 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,589,943 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,315,148 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $120,643,448 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,984,430 | CYProgramServiceRevenueAmt |
| PY Investment Income | $751,841 | PYInvestmentIncomeAmt |
| CY Investment Income | $708,410 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,157,563 | PYOtherRevenueAmt |
| CY Other Revenue | $946,144 | CYOtherRevenueAmt |
| PY Total Revenue | $124,142,795 | PYTotalRevenueAmt |
| CY Total Revenue | $123,954,132 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $462,555 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $530,729 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $54,939,950 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $55,412,809 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $261,663 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $71,304,128 | PYOtherExpensesAmt |
| CY Other Expenses | $70,746,269 | CYOtherExpensesAmt |
| PY Total Expenses | $126,706,633 | PYTotalExpensesAmt |
| CY Total Expenses | $126,689,807 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,563,838 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,735,675 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $97,678,553 | TotalAssetsBOYAmt |
| Total Assets EOY | $94,985,762 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,008,511 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $31,405,952 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $67,670,042 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $63,579,810 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | KERSHAWHEALTH, ITS STAFF, AND AFFILIATED PHYSICIANS WILL WORK AS A TEAM TO IMPROVE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF KERSHAW COUNTY AND SURROUNDING COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $112,795,603 | ExpenseAmt |
| Grant | $530,729 | GrantAmt |
| Revenue | $120,920,735 | RevenueAmt |
| Desc | KERSHAWHEALTH OWNS AND OPERATES A 121-BED ACUTE CARE FACILITY, A 96-BED LONG-TERM FACILITY, A HOME HEALTH/HOSPICE AGENCY, A RURAL HEALTH CLINIC, PHYSICIAN CLINICS, AND TWO MEDICAL COMPLEXES FOR THE BENEFIT OF KERSHAW COUNTY, SOUTH CAROLINA AND SURROUNDING COMMUNITIES. COMMUNITY BENEFITS ARE PROVIDED THROUGH A COLLABORATIVE EFFORT INVOLVING KERSHAWHEALTH, A BROAD SPECTRUM OF COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT AND BUSINESSES, THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL, AND THE ARNOLD SCHOOL OF PUBLIC HEALTH AT THE UNIVERSITY OF SOUTH CAROLINA.SAM KARESH LONG-TERM CARE PROVIDED 33,757 DAYS OF CARE. HOME HEALTH PROVIDED 18,895 VISITS AND HOSPICE PROVIDED 9,192 DAYS OF CARE. KERSHAWHEALTH PROVIDED, AT COST, APPROXIMATELY $2,730,414 IN CHARITY CARE (NET OF REIMBURSEMENTS) AND INCURRED APPROXIMATELY $9,382,291 IN BAD DEBT WRITEOFFS AT COST. KERSHAWHEALTH GAVE CASH DONATIONS OF OVER $826,000.- SUPPORT GROUPS HOSTED 25 MEETINGSFOR CARE-GIVERS DIABETES STEPPING STONES (GRIEF SUPPORT) ALZHEIMER'S - NUTRITION CLASSES - DIABETES EDUCATION - OTHER ACTIVITIES SUCH AS CAR SEAT CHECK, SCHOOL SAFETY DAYS, CAR SEAT/HELMET DISTRIBUTIONS AND VARIOUS PRESENTATIONS AT LOCAL EVENTS WERE CONDUCTED AS A PART OF THE COLLABORATION WITH LIVEWELL KERSHAW, THE COMMUNITY CLINIC, CITY OF CAMDEN FIRE/POLICE DEPARTMENT, THE KERSHAW COUNTY SCHOOL DISTRICT AND OTHER LOCAL ORGANIZATIONS | Desc |
| Total Program Service Expenses | $112,795,603 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 185 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1183 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEBRA L JOHNSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8037136797 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 FAIR STREET | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 290203737 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| KAREN ECKFORD | ||||||||
| CO-CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $420 | $0 | $0 | ||
| TALLULAH HOLMSTROM MD | ||||||||
| CO-CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $420 | $0 | $0 | ||
| ERIC BOLAND | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $420 | $0 | $0 | |||
| STEVE HOLIDAY JR | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $420 | $0 | $0 | |||
| BOBBY T JONES | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $420 | $0 | $0 | |||
| DERIAL L OGBURN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $420 | $0 | $0 | |||
| SUSAN OUTEN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $420 | $0 | $0 | |||
| WAYNE TIDWELL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $420 | $0 | $0 | |||
| TERRY GUNN | ||||||||
| CEO | 40.00 | Yes (X) | $325,350 | $0 | $0 | |||
| MIKE BUNCH | ||||||||
| EVP -COO/CFO | 40.00 | Yes (X) | $236,104 | $0 | $105,358 | |||
| JEFFREY L ROBINSON | ||||||||
| PHYSICIAN | 40.00 | $293,546 | $0 | $21,823 | Yes (X) | |||
| SHELLEY L JANSSEN | ||||||||
| PHYSICIAN | 40.00 | $308,381 | $0 | $37,648 | Yes (X) | |||
| ROBERT E BULLARD | ||||||||
| PHYSICIAN | 40.00 | $271,268 | $0 | $35,278 | Yes (X) | |||
| EDWARD A GILL | ||||||||
| PHYSICIAN | 40.00 | $260,593 | $0 | $18,086 | Yes (X) | |||
| T BRIGHT WILLIAMSOM | ||||||||
| PHYSICIAN | 40.00 | $390,961 | $0 | $35,096 | Yes (X) | |||
| DONNIE J WEEKS | ||||||||
| CEO (FORMER) THROUGH 01/14 | 40.00 | $675,196 | $0 | $61,000 | Yes (X) | |||
| GLORIA J KEEFFE | ||||||||
| CNO (FORMER) THROUGH 04/14 | 40.00 | $170,991 | $0 | $2,058 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,935,750 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $316,347 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PALMETTO HEALTH | |||||
| 293 GREYSTONE BLVD 2ND FLOOR | COLUMBIA | SC | 29210 | LABORATORY MANAGEMENT FEES | $3,817,485 |
| CAROLINA CARE PA | |||||
| 215 REDBAY ROAD | ELGIN | SC | 29045 | EMERGENCY PROFESSIONAL FEES | $1,737,603 |
| MAD MONKEY INC | |||||
| 1631 MAIN STREET | COLUMBIA | SC | 29201 | ADVERTISING | $657,251 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | HOSPITALIST PROFESSIONAL SERVICES | $571,592 |
| NEXSEN PRUET LLC | |||||
| PO DRAWER 2426 | COLUMBIA | SC | 29202 | LEGAL SERVICES | $461,687 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $915,594 | GovernmentGrantsAmt |
| All Other Contributions | $399,554 | AllOtherContributionsAmt |
| Total Contributions | $1,315,148 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $120,800,330 | $120,736,635 | $63,695 |
| EHR MEANINGFUL USE | 621110 | $184,100 | $184,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,984,430 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,061,792 | TotalRevenueColumnAmt |
| Exclusion | $1,061,792 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $176,452 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,658 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $166,794 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $166,794 | TotalRevenueColumnAmt |
| Exclusion | $166,794 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $267,759 | SecuritiesAmt |
| Other | $85,623 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$267,759 | SecuritiesAmt |
| Other | -$85,623 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$353,382 | TotalRevenueColumnAmt |
| Exclusion | -$353,382 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722210 | $457,978 | $457,978 |
| MISCELLANEOUS REVENUES | 900099 | $175,125 | $175,125 |
| DISCOUNTS & REBATES | 900099 | $146,247 | $146,247 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $779,350 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,954,132 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $120,920,735 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $63,695 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,654,554 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,729 | TotalAmt |
| Program Services | $530,729 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,015 | TotalAmt |
| Program Services | $175,843 | ProgramServicesAmt |
| Management And General | $670,172 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,829,347 | TotalAmt |
| Program Services | $40,155,126 | ProgramServicesAmt |
| Management And General | $3,494,801 | ManagementAndGeneralAmt |
| Fundraising | $179,420 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,325,428 | TotalAmt |
| Program Services | $1,196,539 | ProgramServicesAmt |
| Management And General | $123,566 | ManagementAndGeneralAmt |
| Fundraising | $5,323 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,488,318 | TotalAmt |
| Program Services | $5,857,371 | ProgramServicesAmt |
| Management And General | $604,890 | ManagementAndGeneralAmt |
| Fundraising | $26,057 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,923,701 | TotalAmt |
| Program Services | $2,639,390 | ProgramServicesAmt |
| Management And General | $272,569 | ManagementAndGeneralAmt |
| Fundraising | $11,742 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,485,832 | TotalAmt |
| Management And General | $1,485,832 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,125 | TotalAmt |
| Management And General | $65,125 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,385 | TotalAmt |
| Management And General | $124,385 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,314,412 | TotalAmt |
| Program Services | $13,722,110 | ProgramServicesAmt |
| Management And General | $4,582,889 | ManagementAndGeneralAmt |
| Fundraising | $9,413 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,083 | TotalAmt |
| Program Services | $378 | ProgramServicesAmt |
| Management And General | $457,705 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,811,386 | TotalAmt |
| Program Services | $4,433,462 | ProgramServicesAmt |
| Management And General | $1,348,354 | ManagementAndGeneralAmt |
| Fundraising | $29,570 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,202 | TotalAmt |
| Management And General | $3,202 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,896,117 | TotalAmt |
| Program Services | $1,892,015 | ProgramServicesAmt |
| Management And General | $4,102 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,739 | TotalAmt |
| Program Services | $155,855 | ProgramServicesAmt |
| Management And General | $52,746 | ManagementAndGeneralAmt |
| Fundraising | $138 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,127,461 | TotalAmt |
| Program Services | $1,127,461 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,570,921 | TotalAmt |
| Program Services | $4,570,921 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,753 | TotalAmt |
| Program Services | $582,753 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $18,764,582 | $18,764,582 |
| MEDICAL SUPPLIES | $15,723,254 | $15,723,254 |
| FOOD | $1,243,220 | $1,243,220 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,797 | TotalAmt |
| Program Services | $24,594 | ProgramServicesAmt |
| Management And General | $342,203 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,689,807 | TotalAmt |
| Program Services | $112,795,603 | ProgramServicesAmt |
| Management And General | $13,632,541 | ManagementAndGeneralAmt |
| Fundraising | $261,663 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,706,877 | BOYAmt |
| EOY | $2,100,333 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,454 | BOYAmt |
| EOY | $117,775 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,416,352 | BOYAmt |
| EOY | $9,971,203 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,369,133 | BOYAmt |
| EOY | $3,796,439 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $843,294 | BOYAmt |
| EOY | $1,492,118 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $114,509,497 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $69,989,843 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,365,416 | BOYAmt |
| EOY | $44,519,654 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,437,882 | BOYAmt |
| EOY | $29,857,863 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,422,145 | BOYAmt |
| EOY | $3,130,377 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,678,553 | BOYAmt |
| EOY | $94,985,762 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,339,468 | BOYAmt |
| EOY | $7,438,734 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,213,295 | BOYAmt |
| EOY | $18,459,274 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,011,503 | BOYAmt |
| EOY | $409,447 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,444,245 | BOYAmt |
| EOY | $5,098,497 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,008,511 | BOYAmt |
| EOY | $31,405,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,521,650 | BOYAmt |
| EOY | $60,954,547 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,148,392 | BOYAmt |
| EOY | $2,625,263 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,670,042 | BOYAmt |
| EOY | $63,579,810 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,678,553 | BOYAmt |
| EOY | $94,985,762 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,735,675 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $53,136 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,407,693 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $8,938 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $8,938 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE SOUTH CAROLINA HOSPITAL ASSOCIATION. THESE ORGANIZATIONS ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBERSHIP BODIES, AND EACH YEAR, SOME PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTED TO THOSE ENDEAVORS. FOR THE CURRENT YEAR, DUES ATTRIBUTABLE TO LOBBYING FOR THESE ORGANIZATIONS WAS APPROXIMATELY $8,900. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,543,152 | OtherCostOrOtherBasisAmt |
| Book Value | $5,543,152 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,675,210 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,252,540 | DepreciationAmt |
| Book Value | $30,422,670 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,124,069 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,737,303 | DepreciationAmt |
| Book Value | $7,386,766 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,167,066 | OtherCostOrOtherBasisAmt |
| Book Value | $1,167,066 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,519,654 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY OBLIGATIONS | $1,070,386 |
| NET PENSION OBLIGATION | $4,028,111 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,098,497 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $105,127,959 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $53,136 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $9,658 | OtherRevenueAmt |
| Revenue Not Reported | $62,794 | RevenueNotReportedAmt |
| Revenue Subtotal | $105,065,165 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $124,385 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $18,764,582 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $18,888,967 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $123,954,132 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $107,810,498 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $9,658 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $9,658 | ExpensesNotReportedAmt |
| Expenses Subtotal | $107,800,840 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $124,385 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $18,764,582 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $18,888,967 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $126,689,807 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS A POLITICAL SUBDIVISION EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 115 OF THE INTERNAL REVENUE CODE. THE HOSPITAL IS ALSO EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2015. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 9,658. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH REVENUES 18,764,582. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 9,658. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT NET WITH REVENUES 18,764,582. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 138.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,761,278 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,030,864 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,730,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02160 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,864,821 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,581,366 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $283,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,626,099 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,612,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,013,869 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02380 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,561 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,561 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $826,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $826,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $865,161 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $865,161 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,491,260 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,612,230 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,879,030 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03060 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $310,910 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $310,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $310,910 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $310,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,764,582 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $9,382,291 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $27,334,335 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $30,300,576 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,966,241 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 0 | WrittenDebtCollectionPolicyInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERSHAWHEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 ROBERTS STREET | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DISPROPORTIONATE SHARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERSHAWHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE DISCLOSURE FOR URL | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://WWW.LIVEWELLKERSHAW.ORG/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 138.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | 0 | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| KERSHAWHEALTH | PART V, SECTION B, LINE 5: THE HOSPITAL FACILITY COLLABORATED WITH SEVERAL ORGANIZATIONS THAT ARE LISTED IN DETAIL ON THE CHNA. |
| KERSHAWHEALTH | PART V, SECTION B, LINE 7D: WEBSITE URLHTTP://WWW.KERSHAWHEALTH.ORG/MEDIA/22067/LWK-CHNA-REPORT.PDFNEWSPAPER AND CIVIC ORGANIZATION MEETINGS |
| KERSHAWHEALTH | PART V, SECTION B, LINE 11: THE TOP PRIORITIES ADDRESSED IN THIS CHNA WERE IDENTIFIED AS" NUTRITION/PHYSICAL ACTIVITY/OBESITY THE OBJECTIVES TO ADDRESSING THIS NEED INCLUDE: ENCOURAGING ACTIVITY ON BREAKS AT WORK, IMPROVING NEIGHBORHOOD SAFETY TO ENCOURAGE PHYSICIAL ACTIVITY, RECREATION DEPARTMENT TO PROVIDE A WIDE RANGE OF ACTIVITIES FOR ALL AGES, DEVELOPING COMMUNITY GARDENS, DEVELOPING MOBIL MARKET TO ACCESS "FOOD DESERTS, AND EXPANDING FARM TO SCHOOL PROGRAMS. ACCESS TO APPROPRIATE CARETHE OBJECTIVES TO ADDRESSING THIS NEED INCLUDE: IDENTIFYING STRATEGIES TO INCREASE TRANSPORTATION, IDENTIFYING STRATEGIES TO INCREASE PRIMARY CARE IN RURAL AREAS, PROVIDING RESEARCH GRANTS FOR VOUCHER-BASED PROGRAMS, AND COLLABORATING WITH COMMUNITY HEALTH CARE CENTERS TO DEVELOP STRATEGIES THAT HELP RECRUIT AND PROVIDE EQUAL OPPORTUNITIES FOR STUDENTS WORKING TOWARDS MEDICAL DEGREES. SMOKINGTHE OBJECTIVES TO ADDRESSING THIS NEED INCLUDE: IDENTIFYING COMMUNITY EDUCATION CAMPAIGN, ASSESSING ANY CURRENT POLICIES, ENGAGING KEY STAKEHOLDERS, AND PLANNING FOR POLICY IMPLEMENTATION.SEXUAL ACTIVITY & TEEN HEALTHTHE OBJECTIVES TO ADDRESSING THIS NEED INCLUDE: DEVELOPING STRATEGIES TO ADDRESS PRIMARY PREVENTION IN SCHOOLS, COACHING ADULT LEADERSHIP, BUILDING A NETWORK OF ADVOCATES FOR POLICY CHANGE, AND EDUCATING THE CORRELATION BETWEEN SEXUAL ABUSE AND TEEN PREGNANCY.THE OTHER RISK FACTORS THAT WERE IDENTIFIED INCLUDE: PROVERTY/DISPARITIES, CHRONIC LOWER/RESPIRATORY DISEASE, AND ACCIDENTS. DUE TO THE BROAD SCOPE OF POVERTY AND DISPARITIES, IT WAS NOT CHOSEN SPECIFICALLY AS A PRIORITY AREA, BUT INSTEAD, WAS INCORPORATED INTO THE STRATEGIES THE GROUP WOULD UNDERTAKE WITHIN EACH OF THE 4 CHOSEN PRIORITY AREAS.WITH REGARDS TO CHRONIC LOWER/RESPIRATORY DISEASE, IT WAS NOT SPECIFIED AS TO HOW MANY CASES WERE LINKED TO SMOKING (FIRST OR SECOND-HAND SMOKE), WHICH WAS SELECTED AS A PRIORITY. WHILE NO DIRECT CORRELATION COULD BE MADE, THE GROUP FELT THAT TARGETING FIRST AND SECOND-HAND SMOKING PREVENTION STRATEGIES COULD INDIRECTLY IMPACT THIS ISSUE. BOTH STRATEGIC ISSUES WILL CONTINUE TO BE MONITORED IN FUTURE ASSESSMENTS.ACCIDENTS WERE NOT CHOSEN AS AN AREA DUE TO ITS BROAD AND INCONSISTENT DEFINITION. THEREFORE IT WAS UNCLEAR AS TO WHAT TYPES OF ACCIDENTS HAD THE LARGEST IMPACT ON HEALTH OUTCOMES. THE GROUP ALSO NOTED THAT WITH REGARDS TO MOTOR VEHICLE ACCIDENTS AND DUI-RELATED DEATHS, THE KERSHAW COUNTY LAW ENFORCEMENT AGENCIES ARE ALREADY TARGETING THIS AREA. |
| KERSHAWHEALTH | PART V, SECTION B, LINE 16I: SELF PAY INPATIENTS ARE VISITED BY A FINANCIAL COUNSELOR TO DISCUSS ELIGIBILITY FOR GOVERNMENT PROGRAMS OR FINANCIAL ASSISTANCE. ALL SELF-PAY PATIENTS ARE CALLED BY AN ADVOCATE TO DISCUSS ELIGIBILITY FOR GOVERNMENT PROGRAMS OR FINANCIAL ASSISTANCE. WHEN PATIENTS CALL TO DISCUSS BILLS, THEY ARE INFORMED OF THE POLICY. |
| KERSHAWHEALTH | PART V, SECTION B, LINE 20E: FINANCIAL COUNSELOR MEETS WITH SELF PAY INPATIENST. CONTRACTED AGENCY CALLS ALL SELF PAY PATIENTS TO DISCUSS FINANCIAL ASSISTANCE. INCLUDED IN PATIENT INFORMATION BOOK. |
| KERSHAWHEALTH | PART V, SECTION B, LINE 22D: THE HOSPITAL USED FEDERAL POVERTY GUIDELINES TO DETERMINE THE MAXIMUM AMOUNTS CHARGED TO INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| KERSHAWHEALTH | ||||
| 1315 ROBERTS ST | CAMDEN | SC | 29020 | DISPROPORTIONATE SHARE HOSPITAL |
| KERSHAWHEALTH KARESH LONG TERM CARE | ||||
| 1315 ROBERTS ST | CAMDEN | SC | 29020 | SKILLED NURSING/LONG-TERM CARE |
| KERSHAWHEALTH HEALTHCARE PLACE AT BETHUN | ||||
| 103 S MAIN ST | BETHUNE | SC | 29009 | RURAL HEALTH CLINIC |
| KERSHAWHEALTH HOSPICE | ||||
| 124 BATTLESHIP RD | CAMDEN | SC | 29020 | HOSPICE CARE |
| KERSHAWHEALTH HOME HEALTH | ||||
| 124 BATTLESHIP RD | CAMDEN | SC | 29020 | HOME HEALTH CARE |
| KERSHAWHEALTH PRIMARY CARE AT ELGIN | ||||
| 40 PINNACLE PARKWAY BLDG 111 | ELGIN | SC | 29045 | PHYSICIAN CLINIC |
| KERSHAWHEALTH PRIMARY CARE AT CAMDEN | ||||
| 1111 MILL ST | CAMDEN | SC | 29020 | PHYSICIAN CLINIC |
| KERSHAWHEALTH URGENT CARE AT ELGIN | ||||
| 40 PINNACLE PARKWAY BLDG 111 | ELGIN | SC | 29045 | URGENT CARE |
| KERSHAWHEALTH PULMONOLOGY CLINIC | ||||
| 1218 ROBERTS STREET | CAMDEN | SC | 29020 | PHYSICIAN CLINIC |
| KERSHAWHEALTH GASTROENTEROLOGY | ||||
| 1303 MONUMENT SQUARE | CAMDEN | SC | 29020 | PHYSICIAN CLINIC |
| KERSHAWHEALTH INFECTIOUS DISEASE CLINIC | ||||
| 40 PINNACLE PARKWAY BLDG 111 | ELGIN | SC | 29045 | PHYSICIAN CLINIC |
| KERSHAWHEALTH KERSHAWHEALTH SURGERY ASSO | ||||
| 1102 ROBERTS STREET | CAMDEN | SC | 29020 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USED WORKSHEET 2 OF THE 2014 SCHEDULE H INSTRUCTIONS TO COMPUTE A RATIO OF COST TO CHARGES FOR PURPOSES OF THIS LINE. |
| PART I, LN 7 COL(F): | THE AMOUNT ON FORM 990, PART IX, LINE 25 INCLUDES BAD DEBT EXPENSE OF $ 18,764,582 THAT HAS BEEN REMOVED FOR PURPOSES OF CALCULATING PERCENT OF TOTAL EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | KERSHAWHEALTH INCURRED EXPENSE IN 2014 FOR LOAN FORGIVENESS ASSOCIATED WITH PHYSICIANS PREVIOUSLY RECRUITED WHO CONTINUED TO MEET THEIR OBLIGATIONS IN THE MEDICALLY UNDERSERVED SERVICE AREA AS WELL AS EXPENSE ASSOCIATED WITH CONTINUED RECRUITMENT EFFORTS FOR THE MEDICALLY UNDERSERVED SERVICE AREA. |
| PART III, LINE 4: | BAD DEBTS ON PART III, LINE 2 ARE PRESENTED AT GROSS CHARGES PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.THE HOSPITAL PROVIDES SERVICES PRIMARILY TO THE RESIDENTS OF KERSHAW COUNTY, SOUTH CAROLINA AND SURROUNDING COUNTIES WITHOUT COLLATERAL. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS PROVIDED IN AN AMOUNT EQUAL TO THE ESTIMATED LOSSES TO BE INCURRED IN COLLECTION OF THE RECEIVABLES. THE ALLOWANCE IS BASED ON HISTORICAL COLLECTION EXPERIENCES AND A REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLES.THE ORGANIZATION ESTIMATES THAT APPROXIMATELY 50% OF ITS BAD DEBTS MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. THERE ARE A NUMBER OF IMPEDIMENTS TO OBTAINING THE NECESSARY DATA TO QUALIFY A PATIENT FOR CHARITY CARE. THE HOSPITAL MAKES EVERY EFFORT TO OBTAIN THIS INFORMATION CORRECTLY AND TIMELY; HOWEVER DUE TO THE LIMITATION ON THE AVAILABILITY OF INFORMATION AND THE WILLINGNESS TO PROVIDE IT, IT IS ASSUMED THAT SOME ELIGIBLE PATIENTS ARE CHARGED TO BAD DEBT. THE HOSPITAL EXAMINED ITS GROSS CHARGES FOR SELF-PAY PATIENTS FOR WHOM ALL INFORMATION WAS AVAILABLE AND DETERMINED THE PORTION OF CHARGES THAT WERE WRITTEN OFF TO CHARITY CARE. |
| PART III, LINE 8: | ALL SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT AS THE GOVERNMENT SHOULD BEAR THE COST OF A GOVERNMENT PROGRAM, AND DOES NOT, LEAVING HOSPITALS TO BEAR THE UNREIMBURSED COST OF THE PROGRAM. |
| PART III, LINE 9B: | THE COLLECTION PROCESS IS SYSTEM-AUTOMATED AND ADJUSTS ACCORDING TO A MATRIX SET UP FOR EACH FINANCIAL CLASS. ADJUSTMENTS FOR FINANCIAL ASSISTANCE ARE MADE UPON APPROVAL, AND THE SYSTEM GENERATES STATEMENTS TO THE PATIENT (IF A PATIENT BALANCE REMAINS) AFTER A CERTAIN NUMBER OF DAYS FROM FINAL BILL DATE (I.E. DATE PATIENT BECOMES LIABLE AFTER ALL OTHER PAYMENTS/ADJUSTMENTS HAVE BEEN MADE). |
| PART VI, LINE 2: | AS PART OF A STATE COLLABORATIVE, THE HOSPITAL PARTICIPATED IN A HEALTH SYSTEM PROFILE PERFORMED BY THE SOUTH CAROLINA RURAL HEALTH RESEARCH CENTER, UNIVERSITY OF SOUTH CAROLINA FOR THE SOUTH CAROLINA HOSPITAL ASSOCIATION. THE OBJECTIVE WAS TO IDENTIFY ACCESS TO AND UTILIZATION OF HEALTHCARE FOR THE UNINSURED. THE RESULT OF THE PROFILE WAS IMPLEMENTATION OF A PROGRAM CALLED ACCESSHEALTH SC FOR SEVERAL COUNTIES, INCLUDING KERSHAW. THE PROGRAM IS FUNDED THROUGH A GRANT FROM THE DUKE ENDOWMENT WITH KERSHAWHEALTH BEING THE PASS-THRU ORGANIZATION FOR KERSHAW COUNTY. ACCESSHEALTH'S FOCUS IS TO DEVELOP A COMMUNITY NETWORK OF CARE FOR THE LOW-INCOME, UNINSURED IN THE COUNTY. THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TO IDENTIFY HEALTH NEEDS OF ALL CITIZENS. AS OF THE FILING OF THIS RETURN, THE REPORT IS IN DRAFT. |
| PART VI, LINE 3: | ALL SELF PAY, URGENT CARE, AND INPATIENT PATIENTS ARE OFFERED A FINANCIAL ASSISTANCE APPLICATION BEFORE DISCHARGE. IN ADDITION, ALL INPATIENTS ARE VISITED FACE-TO-FACE BY A REPRESENSENTATIVE TO DISCUSS FINANCIAL NEEDS AND INFORMATION IS INCLUDED IN THE PATIENT INFORMATION BOOKLET. INFORMATION IS GATHERED TO ASSESS QUALIFICATION FOR MEDICAID, A MEDICALLY INDIGENT ASSISTANCE PROGRAM, OR HOSPITAL CHARITY. THE INFORMATION IS GIVEN TO A SOCIAL WORKER FOR APPLICATION OF AND DETERMINATION FOR THE APPROPRIATE SOURCE. A PHONE BASED TRANSLATION SYSTEM IS AVAILABLE FOR NON-ENGLISH SPEAKING PATIENTS. A CONTRACTED AGENCY CALLS ALL SELF PAY PATIENTS TO DISCUSS FINANCIAL ASSISTANCE AND OTHER PROGRAMS. ON THE WEBSITE UNDER THE BILLING SECTION IS INFORMATION REGARDING WHO TO CONTACT FOR QUESTIONS ABOUT FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | THE ORGANIZATION'S SERVICE AREA IS DEFINED AS ELEVEN ZIP CODES SURROUNDING THE HOSPITAL IN CAMDEN, SC, LOCATED IN KERSHAW COUNTY. THE POPULATION OF THE COUNTY WAS ESTIMATED AT 62,516 IN 2013. THE COUNTY LAND AREA OF APPROXIMATELY 740 SQUARE MILES WAS THE 23RD LARGEST COUNTY IN POPULATION AMONG THE 46 COUNTIES IN THE STATE OF SOUTH CAROLINA BUT WAS THE SEVENTH FASTEST GROWING ONE, ACCORDING TO THE 2000 CENSUS. GEOGRAPHICALLY, THE COUNTY BORDERS RICHLAND COUNTY TO THE WEST, HOME OF THE STATE CAPITAL, COLUMBIA. ETHNIC DEMOGRAPHICS IN 2013: 69.0% WHITE/CAUCASIAN, NON-HISPANIC 24.6% AFRICAN-AMERICAN, NON-HISPANIC 4.2% HISPANIC/LATINO 2.2% OTHER THE UNEMPLOYMENT LEVEL IN 2013 WAS 6.7% VERSUS THE STATE LEVEL OF 7.6%. THE AVERAGE INCOME WAS $ 44,787 VERSUS STATE LEVEL OF $44,310. KERSHAW COUNTY INCLUDES FOUR MEDICALLY UNDERSERVED AREAS. |
| 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 NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY TO ITS DEPARTMENTS. KERSHAWHEALTH USES ALL SURPLUS FUNDS TO PURCHASE NEW AND IMPROVED EQUIPMENT, PROVIDE ADDITIONAL SERVICES, IMPROVE EXISTING SERVICES OR FACILITIES, RECRUIT NEEDED PHYSICIANS TO THE AREA, ALL IN ORDER TO PROVIDE QUALITY HEALTH CARE TO THE RESIDENTS OF KERSHAW AND SURROUNDING COUNTIES.SEE PROGRAM SERVICE ACCOMPLISHMENTS FOR ACTIVITIES AT HEALTH RESOURCE CENTER. KERSHAWHEALTH CLOSED ITS HEALTH RESOURCE CENTER IN 2011 IN ORDER TO MORE EFFECTIVELY DEPLOY RESOURCES OUT INTO THE COMMUNITY. THE FOCUS OF THESE EFFORTS WILL BE THE LAUNCH OF THE HEALTHY KERSHAW COUNTY INITIATIVE WITH A GOAL OF MAKING THE COUNTY THE HEALTHIEST IN SOUTH CAROLINA. THIS IS A COLLABORATIVE EFFORT INVOLVING KERSHAWHEALTH, A BROAD SPECTRUM OF COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT AND BUSINESSES, THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL, AND THE ARNOLD SCHOOL OF PUBLIC HEALTH AT THE UNIVERSITY OF SOUTH CAROLINA. IN ADDITION TO THOSE ACTIVITIES, KERSHAWHEALTH IS ACTIVE IN THE COMMUNITY AND LEADS AND PARTICIPATES IN DISASTER/EMERGENCY EXERCISES WITH OTHER COUNTY AGENCIES. WE OFFER PROGRAMS TO COUNTY EMPLOYEES SUCH AS CPR CLASSES. INFECTION CONTROL AND DIABETES EDUCATORS PARTICIPATE IN PRESENTATIONS TO COMMUNITY GROUPS AND SCHOOLS WITHIN KERSHAW COUNTY. KERSHAWHEALTH ACTIVELY PARTICIPATES IN RECRUITING NEEDED PHYSICIANS TO THIS SERVICE AREA WHICH INCLUDES MEDICALLY UNDERSERVED AREAS. WE FINANCIALLY SUPPORT THE COMMUNITY CLINIC OF KERSHAW COUNTY WHICH SERVES INDIGENT PATIENTS. WE AND OUR EMPLOYEES SUPPORT THE UNITED WAY THROUGH AN ANNUAL GIVING CAMPAIGN. KERSHAWHEALTH OWNS AND OPERATES THE COUNTY AMBULANCE SERVICE WHICH OPERATES AT A SIGNIFICANT DEFICIT. KERSHAWHEALTH SUBSIDIZES THE COUNTY 911 DISPATCHER SALARY AND FUNDS A PERSONAL TRAINER FOR THE SCHOOL SYSTEM. |
| PART VI, LINE 6: | THE ORGANIZATION IS NOT A MEMBER OF AN AFFILIATED HEALTH CARE SYSTEM. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | SC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| KERSHAW COUNTY | |||||||
| 1121 BROAD ST | CAMDEN | SC | 29020 | 576000368 | GOVERNMENT | $41,197 | 911 DISPATCHER SALARY |
| KERSHAW COUNTY SCHOOL DISTRICT | |||||||
| 2029 WEST DEKALB ST | CAMDEN | SC | 29020 | 576000369 | GOVERNMENT | $45,000 | ATHLETIC TRAINER SALARY |
| KERSHAW COUNTY COMMUNITY CLINIC | |||||||
| 110C E DEKALB ST STE 1B | CAMDEN | SC | 29020 | 571074191 | 501(C)(3) | $90,000 | FINANCIAL ASSISTANCE |
| UNITED WAY OF KERSHAW COUNTY | |||||||
| PO BOX 737 | CAMDEN | SC | 29021 | 570717334 | 501(C)(3) | $11,000 | CONTRIBUTION |
| SANDHILLS MEDICAL FOUNDATION | |||||||
| PO BOX 366 | MCBEE | SC | 29101 | 570672342 | 501(C)(3) | $10,627 | PASSTHRU GRANT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION WORKS CLOSELY WITH THE ORGANIZATIONS RECEIVING THE FUNDS AND ENSURES THAT THE FUNDS ARE USED IN ACCORDANCE WITH THE OPERATIONS INTENDED. IN ADDITION, THE ORGANIZATION INCURS EXPENSES ON BEHALF OF THE HOSPITAL FOUNDATION TO ADVANCE HEALTH CARE IN KERSHAW COUNTY TO PROVIDE FOR FUNDRAISING EFFORTS ON BEHALF OF THE ORGANIZATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERRY GUNN | ||||||||||||||
| CEO | $325,350 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $325,350 | $0 | $0 | $0 |
| MIKE BUNCH | ||||||||||||||
| EVP -COO/CFO | $236,104 | $0 | $0 | $0 | $0 | $0 | $87,054 | $0 | $18,304 | $0 | $341,462 | $0 | $69,554 | $0 |
| JEFFREY L ROBINSON | ||||||||||||||
| PHYSICIAN | $262,296 | $0 | $31,250 | $0 | $0 | $0 | $17,500 | $0 | $4,323 | $0 | $315,369 | $0 | $0 | $0 |
| SHELLEY L JANSSEN | ||||||||||||||
| PHYSICIAN | $258,786 | $0 | $49,595 | $0 | $0 | $0 | $17,500 | $0 | $20,148 | $0 | $346,029 | $0 | $0 | $0 |
| ROBERT E BULLARD | ||||||||||||||
| PHYSICIAN | $240,018 | $0 | $31,250 | $0 | $0 | $0 | $23,000 | $0 | $12,278 | $0 | $306,546 | $0 | $0 | $0 |
| EDWARD A GILL | ||||||||||||||
| PHYSICIAN | $202,139 | $0 | $8,572 | $0 | $49,882 | $0 | $0 | $0 | $18,086 | $0 | $278,679 | $0 | $0 | $0 |
| T BRIGHT WILLIAMSOM | ||||||||||||||
| PHYSICIAN | $383,122 | $0 | $7,839 | $0 | $0 | $0 | $23,000 | $0 | $12,096 | $0 | $426,057 | $0 | $0 | $0 |
| DONNIE J WEEKS | ||||||||||||||
| CEO (FORMER) THROUGH 01/14 | $675,196 | $0 | $0 | $0 | $0 | $0 | $61,000 | $0 | $0 | $0 | $736,196 | $0 | $38,000 | $0 |
| GLORIA J KEEFFE | ||||||||||||||
| CNO (FORMER) THROUGH 04/14 | $164,584 | $0 | $6,407 | $0 | $0 | $0 | $2,058 | $0 | $0 | $0 | $173,049 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION'S CEO, AS PART OF HIS EMPLOYMENT AGREEMENT, IS PROVIDED A VEHICLE, SOCIAL CLUB DUES FOR BUSINESS PURPOSES, AND A PERSONAL LIFE INSURANCE POLICY, THE VALUE OF WHICH IS ADDED TO HIS REPORTABLE W-2 COMPENSATION. |
| PART I, LINES 4A-B | COMPENSATION RECEIVED BY DONNIE WEEKS DURING 2014 REPRESENTS SEVERANCE PAY IN CONNECTION WITH HIS POSITION AS CEO. SOME OFFICERS OF THE ORGANIZATION PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED EXECUTIVE RETIREMENT PLAN. DEFERRALS TO THIS PLAN FOR THE CURRENT YEAR ARE SCHEDULED TO BE PAID OUT BEGINNING IN 2015. THESE AMOUNTS ARE REPRESENTED IN PART II, COLUMN (C). FOR THE CURRENT YEAR, THE FOLLOWING ALLOCATIONS WERE MADE: DONNIE WEEKS: $ 38,000 MICHAEL BUNCH: 69,554 |
| PART I, LINE 6 | THE COMPENSATION OF SOME OFFICERS OF THE ORGANIZATION IS BASED ON INCENTIVES COMPENSATION FACTORS (ICF) ESTABLISHED JOINTLY BY THE CEO AND THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. ONE OF THE FACTORS IS THE PROFIT MARGIN OF THE ORGANIZATION. BONUS COMPENSATION UNDER THIS PROGRAM IS COMPUTED AS A PERCENTAGE OF BASE SALARY, AS DEFINED BELOW: CEO: 40% CFO: 30% COO: 30% CNO: 20% PRESENTLY, THE SAME INDIVIDUAL HOLDS BOTH THE CFO AND COO POSITION, AND THE BONUS IS CALCULATED AT 30%. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| KERSHAWHEALTH | ||||||||
| A | 576005963 | 2012-05-04 | $4,462,957 | REFUNDING, CAP. EXPENDITURE | 0 | 0 | 0 | |
| SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY | ||||||||
| B | 570960018 | 2008-07-31 | $19,141,352 | CAPITAL EXPENDITURE | 0 | 0 | 0 | 83703ELM5 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,391,256 | $4,462,957 | $2,202,962 | $1,531,799 | $728,195 | 2013 | Yes (1) | Yes (1) | 0 | Yes (1) | ||
| B | $385,000 | $19,563,625 | $17,211,040 | 2010 | 0 | 0 | Yes (1) | Yes (1) | $1,893,585 | $459,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0.00600 | 0.00600 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: SC JOBS-ECONOMIC DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/16/2014 |
| SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS: | THE AMOUNT PRESENT ON LINE 11 FOR BOND (A) REPRESENTS AMOUNT USED TO CURRENTLY REFUND AND ADVANCE REFUND PRIOR BONDS ISSUES DATED AS FOLLOWS: BONDS ISSUED 8/25/2006; CURRENT REFUNDING; $ 640,945 BONDS ISSUED 2/25/2009; ADVANCE REFUNDING; $ 890,854 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 PART IV LN 20B | THE ORGANIZATION WILL BE RECEIVING AUDITED FINANCIAL STATEMENTS FOR THE 09/30/2015 PERIOD. THE FINANCIAL STATEMENTS WERE NOT ISSUED PRIOR TO THE FILING OF THE FORM 990 AND THEREFORE ARE NOT ATTACHED. |
| FORM 990, PART VI, SECTION A, LINE 1 | AN EXECUTIVE COMMITTEE IS COMPOSED OF THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN, THE CHAIR OF THE FINANCE COMMITTEE, THE CHAIR OF THE STRATEGIC PLANNING COMMITTEE AND ANY OTHER BOARD MEMBERS APPOINTED BY THE CHAIRMAN, NOT EXCEEDING A TOTAL OF FOUR BOARD MEMBERS. THE CHAIRMAN OF THE BOARD CHAIRS THE MEETINGS OF THE COMMITTEE. WHEN THE FULL BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE. IF NECESSARY, THE BOARD ENUMERATES AND DELINEATES THE DUTIES AND POWERS OF THE EXECUTIVE COMMITTEE BY RESOLUTION. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OF THE BOARD ARE APPOINTED BY THE KERSHAW COUNTY COUNCIL FOR TERMS OF SIX YEARS AND UNTIL THEIR SUCCESSORS ARE APPOINTED AND QUALIFIED. ALL APPOINTEES TO THE BOARD ARE TO BE RESIDENTS OF KERSHAW COUNTY, SOUTH CAROLINA WITH AT LEAST ONE MEMBER FROM EACH OF THE FOUR TOWNSHIPS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. A DIGITAL COPY OF THE COMPLETED FORM 990 WAS PROVIDED TO EACH VOTING BOARD MEMBER PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS COVERED IN THE CODE OF CONDUCT AND ANNUAL COMPLIANCE EDUCATION. IT IS ALSO MADE AVAILABLE ON THE ORGANIZATION'S INTRANET WHICH CAN BE ACCESSED BY ALL EMPLOYEES. POTENTIAL CONFLICT DISCLOSURES ARE PRESENTED TO THE BOARD COMPLIANCE COMMITTEE AND THE COMMITTEE DETERMINES WHETHER OR NOT A CONFLICT EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF TRUSTEES FROM TIME TO TIME ENGAGES AN INDEPENDENT CONSULTANT TO PROVIDE COMPARISON ANALYSIS FOR COMPENSATION LEVELS FOR THE CEO. THE EXECUTIVE COMMITTEE OF THE BOARD DETERMINES AND APPROVES THE COMPENSATION FOR THE CEO OF THE ORGANIZATION. A MARKET ANALYSIS IS CONDUCTED BY HUMAN RESOURCES FOR ALL OTHER LEADERSHIP EMPLOYEES AND COMPENSATION LEVELS ARE APPROVED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES 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 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. PLEASE SEE PART VI, LINE 20. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,617,278. MANAGEMENT AND GENERAL EXPENSES 1,070,038. FUNDRAISING EXPENSES 9,244. TOTAL EXPENSES 7,696,560. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,528,645. MANAGEMENT AND GENERAL EXPENSES 2,889,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,418,118. CONSULTANTS: PROGRAM SERVICE EXPENSES 79,380. MANAGEMENT AND GENERAL EXPENSES 21,757. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,137. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 3,397,450. MANAGEMENT AND GENERAL EXPENSES 218,056. FUNDRAISING EXPENSES 169. TOTAL EXPENSES 3,615,675. OUTSIDE FEES: PROGRAM SERVICE EXPENSES 20,387. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,387. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 78,970. MANAGEMENT AND GENERAL EXPENSES 383,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 462,535. |
| FORM 990, PART XI, LINE 9: | ADJUSTMENT FOR GASB 68 - PENSION LIABILITY -1,407,693. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL AUXILIARY OF KERSHAW COUNTY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 428 | AddressLine1Txt |
| City | CAMDEN | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570384831 | EIN |
| Primary Activities | FOUNDATION/ FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | GOV'T | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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