GEORGETOWN MEMORIAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GEORGETOWN MEMORIAL HOSPITAL (EIN 57-0341194)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-08
IRS object ID
201212219349301036
Schema version
2010v3.4
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)
Timestamp2012-08-08T14:50:18-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570341194EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GEORGETOWN MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGEORNameControl
Phone8435277100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 1718AddressLine1
CityGEORGETOWNCity
StateSCState
ZIP Code294421718ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE P BAILEYName
TitleCEOTitle
Phone8435277100Phone
Date Signed2012-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRUCE P BAILEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO DRAWER 1718AddressLine1
CityGEORGETOWNCity
StateSCState
ZIP Code294421718ZIPCode
FieldValueIRS element (for citing)
Gross Receipts125621852GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GEORGETOWNHOSPITALSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1946YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY HEALTHCARE TO THE CITIZENS OF GEORGETOWN CO. AND SURROUNDING AREASActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers115TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year454913ContributionsGrantsPriorYear
Contributions Grants Current Year400826ContributionsGrantsCurrentYear
Program Service Revenue Prior Year121563822ProgramServiceRevenuePriorYear
Program Service Revenue CY119039930ProgramServiceRevenueCY
Investment Income Prior Year3591838InvestmentIncomePriorYear
Investment Income Current Year4770645InvestmentIncomeCurrentYear
Other Revenue Prior Year3489147OtherRevenuePriorYear
Other Revenue Current Year1269547OtherRevenueCurrentYear
Total Revenue Prior Year129099720TotalRevenuePriorYear
Total Revenue Current Year125480948TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year348039GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY258705GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year57756928SalariesEtcPriorYear
Salaries Etc Current Year58556725SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year310734TotalFundrsngExpCurrentYear
Other Expense Prior Year67385897OtherExpensePriorYear
Other Expenses Current Year58324299OtherExpensesCurrentYear
Total Expenses Prior Year125490864TotalExpensesPriorYear
Total Expenses Current Year117139729TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3608856RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8341219RevenuesLessExpensesCY
Total Assets BOY287164867TotalAssetsBOY
Total Assets EOY283539480TotalAssetsEOY
Total Liabilities BOY80415110TotalLiabilitiesBOY
Total Liabilities EOY75026602TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY206749757NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY208512878NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionGEORGETOWN HOSPITAL SYSTEM IS COMMITTED TO PROVIDING HIGH QUALITY HEALTHCARE TO THE CITIZENS OF GEORGETOWN COUNTY AND SURROUNDING AREAS. OUR MISSION IS TO CONTINUOUSLY IMPROVE THE CARE WE ARE ABLE TO RENDER TO EXCEED THE EXPECTATIONS OF OUR PATIENTS AND CUSTOMERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense100800449Expense
Grants258705Grants
Revenue118821793Revenue
DescriptionGEORGETOWN MEMORIAL HOSPITAL PROVIDES QUALITY HEALTH CARE AND PROMOTES HEALTH AND WELLNESS TO GEORGETOWN COUNTY AND SURROUNDING AREAS. GEORGETOWN MEMORIAL HOSPITAL IS A 131 BED ACUTE FACILITY LOCATED IN THE CITY OF GEORGETOWN, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 1946 FOR THE PURPOSE OF OPERATING A COMMUNITY HOSPITAL IN GEORGETOWN COUNTY. 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 QUALIFIED FOR TAX EXEMPT STATUS.THE HOSPITAL OPERATES ITS FACILITIES IN A MANNER DESCRIBED IN REV. RUL. 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, 2011, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $12,082,659. 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. 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 WEEKLY CHOLESTEROL AND BLOOD PRESSURE SCREENINGS, AN ANNUAL HEALTH FAIR HELD AT TWO COUNTY LOCATIONS WHICH OFFERS 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 OPEN TO THE PUBLIC, INCLUDING CPR, WEIGHT CONTROL, SMOKING CESSATION, CHILDBIRTH EDUCATION, PRE-NATAL AND INFANT NUTRITION, AND OTHERS.Description
Total Program Service Expense100800449TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096103NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TERRY KISERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8435277100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1606 BLACK RIVER RDAddressLine1
CityGEORGETOWNCity
StateSCState
ZIP Code29440ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
H MCROY SKIPPER
CHAIRMAN1.00XX000
ALAN S ALTMAN
VICE CHAIRMAN1.00XX000
JULIAN A REYNOLDS
SECRETARY1.00XX000
MARTHENA MORANT
TRUSTEE1.00X000
FRANCIS B FORD JR
TRUSTEE1.00X000
WALTER F JOHNSON III
TRUSTEE1.00X000
DR VICTOR M DIAZ-GONZALES
CHIEF OF STAFF1.00X308800
BRUCE BAILEY
CEO16.00X20735031102452350
TERRY KISER
CFO20.00X14175914006733668
GAYLE RESETAR
COO22.00X18621315235737209
RICK KAYLOR
CHIEF PLANNING & DEV. OFFI18.00X11547613926871107
FRANK SCAFIDI
CHIEF INFORMATION OFFICER18.008694210485565162X
SUZANNE DOSCHER
OPERATIONS ADMINISTRATOR40.00165187038096X
ANN WATERS
ADMIN. OF PATIENT CARE40.00217343070673X
JAMES F HARPER
VICE PRESIDENT OF HUMAN RE23.001223209310767915X
ROY E GILBREATH III
VICE PRESIDENT OF MEDICAL18.0016692920132496642X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1412607TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1142002TotalReportableCompFrmRltdOrgs
Total Other Compensation532822TotalOtherCompensation
Number Individuals GT100 K38NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO
PO BOX 536922ATLANTAGA30353FOOD SERVICE2920190
PALMETTO EMERGENCY PHYSICIANS
86 SHOREBIRD LOOPPAWLEYS ISLANDSC29585ER PHYSICIANS2334009
ARAMARK HEALTHCARE (SERVICE MASTER)
22506 NETWORK PLACECHICAGOIL60673HOUSEKEEPING2229234
GEORGETOWN ANESTHESIA CONSULTANTS PC
130 PRESERVATION CIRCLEPAWLEYS ISLANDSC29585ANESTHESIA SERVICES1149303
EAGLE HOSPITAL PHYSICIANS
5901-C PEACHTREE DUNWOODY RD 350ATLANTAGA30328HOSPITALISTS1146219
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Fundraising Events183308FundraisingEvents
All Other Contributions217518AllOtherContributions
Total Contributions400826TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT SERVICES621400116186211116186211
FITNESS CENTER71394016816591681659
MEALS722210497126497126
ANCILLARY SERVICES900099393201393201
OTHER RELATED SERVICE900099218137$218,137

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column63596TotalRevenueColumn
Related Or Exempt Function Income63596RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue119039930TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3442192TotalRevenueColumn
Exclusion$3,442,192ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1265443Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1265443Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1265443TotalRevenueColumn
Exclusion$1,265,443ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities988178Securities
Other340275Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities988178Securities
Other340275Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1328453TotalRevenueColumn
Exclusion$1,328,453ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events16475GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events183308CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses40753FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-24278TotalRevenueColumn
Exclusion-$24,278ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory86549GrossSalesOfInventory
Cost Of Goods Sold100151CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-13602TotalRevenueColumn
Exclusion-$13,602ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDISCOUNTS/REBATESDescription
Business Code900099BusinessCode
Total Revenue Column41984TotalRevenueColumn
Exclusion$41,984ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue41984TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column125480948TotalRevenueColumn
Related Or Exempt Function Income118821793RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,258,329ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total258705Total
Program Services258705ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total744459Total
Program Services3088ProgramServices
Management And General741371ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total43275135Total
Program Services35223669ProgramServices
Management And General7846123ManagementAndGeneral
Fundraising205343Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2346112Total
Program Services1903115ProgramServices
Management And General431902ManagementAndGeneral
Fundraising11095Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9061876Total
Program Services7350797ProgramServices
Management And General1668226ManagementAndGeneral
Fundraising42853Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3129143Total
Program Services2538293ProgramServices
Management And General576053ManagementAndGeneral
Fundraising14797Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total433337Total
Management And General433337ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total953836Total
Management And General953836ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56459Total
Management And General56459ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4258227Total
Program Services4352545ProgramServices
Management And General-97961ManagementAndGeneral
Fundraising3643Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total388235Total
Program Services8341ProgramServices
Management And General379894ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21322159Total
Program Services19813002ProgramServices
Management And General1504327ManagementAndGeneral
Fundraising4830Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2085011Total
Program Services2062957ProgramServices
Management And General22054ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total570876Total
Program Services256831ProgramServices
Management And General307419ManagementAndGeneral
Fundraising6626Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2059585Total
Program Services2059585ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8717285Total
Program Services8717285ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total602006Total
Management And General602006ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT EXPENSE1612306416123064
RECRUITMENT485862485862
MISCELLANEOUS EXPENSES26835712917211763821547

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total117139729Total
Program Services100800449ProgramServices
Management And General16028546ManagementAndGeneral
Fundraising310734Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8190BOY
EOY3765EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY45007302BOY
EOY49515515EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12213355BOY
EOY11367012EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4499981BOY
EOY4664171EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2829070BOY
EOY2729623EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis206670081LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec117879131LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY91356547BOY
EOY88790950EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY90004078BOY
EOY87261343EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY37987550BOY
EOY35149966EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3258794BOY
EOY4057135EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY287164867BOY
EOY283539480EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15094781BOY
EOY16569496EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY37489998BOY
EOY40711714EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY51664BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY12000000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15778667BOY
EOY17745392EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80415110BOY
EOY75026602EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY206357766BOY
EOY207786022EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY391991BOY
EOY726856EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY206749757BOY
EOY208512878EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY287164867BOY
EOY283539480EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses8341219ReconcilationRevenueExpenses
Reconcilation Other Changes-6578098ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$50MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$3,980OtherActivitiesAmount
Total Lobbying Expenditures IIB4030TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
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 $1,218 FOR AHA AND $2,762 FOR SCHA.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16937678OtherCostOrOtherBasis
Book Value16937678BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis88369318OtherCostOrOtherBasis
Depreciation36285060Depreciation
Book Value52084258BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2944505OtherCostOrOtherBasis
Depreciation2097996Depreciation
Book Value846509BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis97847295OtherCostOrOtherBasis
Depreciation79496075Depreciation
Book Value18351220BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis571285OtherCostOrOtherBasis
Book Value571285BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings88790950TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN WACCAMAW ENDOSCOPY CENTER159152F
DUE FROM AFFILIATE34990814C
FieldValueIRS element (for citing)
Total Of Book Value Program Related35149966TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$3,478,684
ACCRUED PENSION LIABILITY$14,266,708
FieldValueIRS element (for citing)
Total Of Amounts17745392TotalOfAmounts
Total Revenue125480948TotalRevenue
Total Expenses117139729TotalExpenses
Excess Or Deficit For Year8341219ExcessOrDeficitForYear
Net Unrealized GL On Investments-5500999NetUnrealizedGLOnInvestments
Other-$1,077,099OtherAmount
Total Adjustments-6578098TotalAdjustments
Excess Or Deficit Per FS1763121ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt118943603TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-5500999NetUnrealizedGainsInvestments
Other Revenues-1036346OtherRevenues
Revenue Not Rptd F990-6537345RevenueNotRptdF990
Revenue Subtotal125480948RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990125480948TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt117180482TotExpensesEtcAuditedFinclStmt
Other Expenses Included40753OtherExpensesIncluded
Expenses Not Rptd F99040753ExpensesNotRptdF990
Expenses Subtotal117139729ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990117139729TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:GEORGETOWN MEMORIAL 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, 2011. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN ADDITIONAL PENSION LIABILITY -1,102,637. EQUITY TRANSFER TO AFFILIATE 25,538.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN ADDITIONAL PENSION LIABILITY -1,102,637. FUNDRAISING EVENT DIRECT EXPENSES 40,753. EQUITY TRANSFER TO AFFILIATE 25,538.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENT DIRECT EXPENSES 40,753.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WOMEN'S BOARD GALANameOfEvent1
Gross Receipts Event164883GrossReceiptsEvent1
Charitable Contributions Event161053CharitableContributionsEvent1
Gross Revenue Event13830GrossRevenueEvent1
Food And Beverage Event18826FoodAndBeverageEvent1
Entertainment Event11500EntertainmentEvent1
Other Direct Expenses Event13768OtherDirectExpensesEvent1
Name Of Event2BREAST CANCER AWARENESS WALKNameOfEvent2
Gross Receipts Event265200GrossReceiptsEvent2
Charitable Contributions Event265200CharitableContributionsEvent2
Entertainment Event2200EntertainmentEvent2
Other Direct Expenses Event212079OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events69700GrossReceiptsOtherEvents
Charitable Contrib Other Events57055CharitableContribOtherEvents
Gross Revenue Other Events12645GrossRevenueOtherEvents
Non Cash Prizes Other Events2200NonCashPrizesOtherEvents
Rent Facility Costs Other Events11000RentFacilityCostsOtherEvents
Food And Beverage Other Events1180FoodAndBeverageOtherEvents
Gross Receipts Total199783GrossReceiptsTotal
Charitable Contributions Total183308CharitableContributionsTotal
Gross Revenue Total Events16475GrossRevenueTotalEvents
Non Cash Prizes Total Events2200NonCashPrizesTotalEvents
Rent Facility Costs Total Events11000RentFacilityCostsTotalEvents
Food And Beverage Total Events10006FoodAndBeverageTotalEvents
Entertainment Total Events1700EntertainmentTotalEvents
Other Direct Expenses Total Events15847OtherDirectExpensesTotalEvents
Direct Expense Summary Events40753DirectExpenseSummaryEvents
Net Income Summary-24278NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3840653TotalCommunityBenefitExpense
Direct Offsetting Revenue1417825DirectOffsettingRevenue
Net Community Benefit Expense2422828NetCommunityBenefitExpense
Percent Of Total Expense0.02400PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense16619272TotalCommunityBenefitExpense
Direct Offsetting Revenue13280010DirectOffsettingRevenue
Net Community Benefit Expense3339262NetCommunityBenefitExpense
Percent Of Total Expense0.03310PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20459925TotalCommunityBenefitExpense
Direct Offsetting Revenue14697835DirectOffsettingRevenue
Net Community Benefit Expense5762090NetCommunityBenefitExpense
Percent Of Total Expense0.05710PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense492701TotalCommunityBenefitExpense
Net Community Benefit Expense492701NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense72006TotalCommunityBenefitExpense
Net Community Benefit Expense72006NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense204950TotalCommunityBenefitExpense
Direct Offsetting Revenue38531DirectOffsettingRevenue
Net Community Benefit Expense166419NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense769657TotalCommunityBenefitExpense
Direct Offsetting Revenue38531DirectOffsettingRevenue
Net Community Benefit Expense731126NetCommunityBenefitExpense
Percent Of Total Expense0.00720PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21229582TotalCommunityBenefitExpense
Direct Offsetting Revenue14736366DirectOffsettingRevenue
Net Community Benefit Expense6493216NetCommunityBenefitExpense
Percent Of Total Expense0.06430PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense10800TotalCommunityBuildingExpense
Net Community Building Expense10800NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense399519TotalCommunityBuildingExpense
Net Community Building Expense399519NetCommunityBuildingExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense410319TotalCommunityBuildingExpense
Net Community Building Expense410319NetCommunityBuildingExpense
Percent Of Total Expense0.00410PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,124,956BadDebtExpenseAmount
Amount Attributable To3834207AmountAttributableTo
Amount Reimbursed By Medicare34372285AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare39071521CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4699236MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 WACCAMAW ENDOSCOPY CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityHEALTHCARE SERVICESDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.50000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.50000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GEORGETOWN MEMORIAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1606 BLACK RIVER ROADAddressLine1
CityGEORGETOWNCity
StateSCState
ZIP Code29442ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherDISPROPORTIONATE SHARE HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NA FOR 2010 - IRS ANNON 2011-37BusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
NEXTSTEP PHYSICAL THERAPY & PAIN MGMT CE
219 CHURCH STREETGEORGETOWNSC29440ADULT REHAB/PAIN MGMT
HEALTHPOINT CENTER FOR HEALTH & FITNESS
12965 OCEAN HIGHWAYPAWLEYS ISLANDSC29585FITNESS CLUB/ADULT REHAB
NEXTSTEP REHABILITATION SERVICES
3515 CADUCEUS DRIVEMYRTLE BEACHSC29588ADULT & PEDIATRIC REHAB
NEXTSTEP REHABILITATION SERVICES
4033 HWY 17 SOUTH 102MURRELLS INLETSC29576ADULT REHABILITATION
NEXTSTEP REHABILITATION SERVICES
4033 HWY 17 SOUTH 103MURRELLS INLETSC29576ADULT NEUROLOGICAL REHAB
NEXTSTEP REHABILITATION SERVICES
701 S MORGAN AVEANDREWSSC29510ADULT REHABILITATION
NEXTSTEP REHABILITATION SERVICES
407 CHURCH ST SUITE EGEORGETOWNSC29440PEDIATRIC REHABILITATION

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 6A: THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT AND DISTRIBUTES TO RESIDENTS OF THE SURROUNDING COUNTIES. THE REPORT OFFERS STATISTICAL, FINANCIAL AND INFORMATIONAL DATA, TARGETED TO PORTRAY THE VITAL COMMITMENT THE ORGANIZATION HAS TO THE COMMUNITY. THE REPORT IS MAILED TO HOMES THROUGHOUT THE COMMUNITY AND CAN BE ACCESSED BY VISITING OUR WEBSITE AT WWW.GEORGETOWNHOSPITALSYSTEM.ORG.
PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2010 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
PART I, L7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $16,123,064 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
PART II: THE ORGANIZATION ENGAGES IN RECYCLING AND WASTE REDUCTION EFFORTS TO REDUCE ITS FOOTPRINT ON THE ENVIRONMENT AND PROVIDE FOR A CLEANER COMMUNITY. IN ADDITION,$390,000 WAS SPENT TO RECRUIT PHYSICIANS WITH THE SKILLS AND TRAINING NECESSARY TO BEST SERVE THE NEEDS OF THE COMMUNITY IN AREAS SUCH AS ORTHOPEDICS, FAMILY AND INTERNAL MEDICINE, PEDIATRICS, AND GASTROENTEROLOGY.
PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE 2010 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. 50% 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. COLLECTION PRACTICES WILL CONTINUE AS NORMAL UNTIL THE PATIENT PROVIDES ALL NECESSARY PAPERWORK TO BE OFFICIALLY CONSIDERED FOR FINANCIAL ASSISTANCE. ONCE FINANCIAL ASSISTANCE IS GRANTED, COLLECTION PRACTICES WILL EITHER CEASE, OR CONTINUE AT A REDUCED PATIENT RESPONSIBILITY.
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 ARE EDUCATED AT THE TIME OF REGISTRATION ON FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. IN ADDITION, 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 A POPULATION OF APPROXIMATELY 269,000. 17% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $43,000. IN ADDITION, AN ESTIMATED 16% OF THE POPULATION IS BELOW THE POVERTY LEVEL. GEORGETOWN COUNTY (815 SQ. MILES) HAS A POPULATION OF APPROXIMATELY 60,000 PEOPLE AND AN ESTIMATED 20% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $43,000 AND AN ESTIMATED 20% OF THE POPULATION IS BELOW THE POVERTY LEVEL. COMPETING HOSPITALS ARE LOCATED APPROXIMATELY 40-45 MILES NORTH AND NORTHWEST AND 60 MILES SOUTH. MAJOR SURROUNDING CITIES INCLUDE: CHARLESTON, SC (60 MILES), COLUMBIA, SC (150 MILES) AND CHARLOTTE, NC (215 MILES).
PART VI, LINE 6: 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 7: GEORGETOWN MEMORIAL HOSPITAL IS PART OF GEORGETOWN HOSPITAL SYSTEM. GEORGETOWN HOSPITAL SYSTEM IS A RELATED 501(C)(3) HEALTHCARE ORGANIZATION.
SCREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
HORRY GEORGETOWN TECHNICAL COLLEGE FOUNDATION INC
PO BOX 261966CONWAYSC29528570681224501(C)(3)5000OPERATIONAL SUPPORT
GEORGETOWN COUNTY UNITED WAY
PO BOX 1065GEORGETOWNSC29442570526145501(C)(3)5000OPERATIONAL SUPPORT
MARCH OF DIMES FOUNDATION
314 LAUREL STREET SUITE 201CONWAYSC29526131846366501(C)(3)5000OPERATIONAL SUPPORT
AMERICAN CANCER SOCIETY
950 48TH AVE N SUITE 101MYRTLE BEACHSC29577131788491501(C)(3)5000OPERATIONAL SUPPORT
SMITH MEDICAL CLINIC
PO BOX 1740PAWLEYS ISLANDSC29585570786699501(C)(3)25000OPERATIONAL SUPPORT
ST JAMES HIGH SCHOOL SHARKS BOOSTER CLUB
PO BOX 4140MURRELLS INLETSC29576331022599501(C)(3)5000OPERATIONAL SUPPORT
AMERICAN HEART ASSOCIATION (MID-ATLANTIC AFFILIATE)
4217 PARK PLACE COURTGLEN ALLENVA23060135613797501(C)(3)10000OPERATIONAL SUPPORT
HEALTHY LEARNERS PROGRAM
2711 MIDDLEBURG DRIVE SUITE 206COLUMBIASC29204571127197501(C)(3)50000OPERATIONAL SUPPORT
THE ASHELEY G CHARITABLE FOUNDATION
PO BOX 14PAWLEYS ISLANDSC29585262115367501(C)(3)5000OPERATIONAL SUPPORT
THE FOUNDATION OF THE NATIONAL STUDENT NURSES ASSOCIATION INC
45 MAIN STREET SUITE 606BROOKLYNNY11201133123125501(C)(3)7500OPERATIONAL SUPPORT
GEORGETOWN COUNTY FAMILY YMCA
PO BOX 1087GEORGETOWNSC29442570747196501(C)(3)125000OPERATIONAL SUPPORT
GEORGETOWN HIGH SCHOOL BULLDOG ATHLETICS
25000 ANTHUAN MAYBANK DRGEORGETOWNSC294405000OPERATIONAL SUPPORT
WACCAMAW HIGH SCHOOL ATHLETICS
2412 KINGS RIVER RDPAWLEYS ISLANDSC295855000OPERATIONAL SUPPORT
CARVERS BAY SCHOOL ALL SPORTS BOOSTER CLUB
13002 CHOPEE ROADHEMINGWAYSC295545000OPERATIONAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants11TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION SELECTS GRANT RECIPIENTS BASED ON COMMUNITY NEEDS AND INDIVIDUAL PROJECT MERIT. FOLLOW-UP ON GRANTS AND ASSISTANCE VARIES DEPENDING ON THE TYPE OF ASSISTANCE AND TYPE OF PROJECT. MANY SMALLER GRANTS ARE PROVIDED FOR LOCAL SCHOOLS AND PUBLIC CHARITIES BASED ON A DEMONSTRATED NEED FOR OPERATIONAL FUNDS AND REQUIRE NO MONITORING. LARGER GRANTS, REQUIRE PRE-ESTABLISHED PROJECT MILESTONES TO BE REACHED BEFORE EACH DISBURSEMENT OF THE GRANT IS PAID OUT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRUCE BAILEY
1525492288234289664344119051785734305145175102626522829034243400
TERRY KISER
12718312566500145761440243134262126221247115869415680000
GAYLE RESETAR
14005411459037710308548449691347163859157491288520667816910100
RICK KAYLOR
8086297523242742927510340124701049912662217342621214770917814200
FRANK SCAFIDI
6606079671104501260310432125811048712648190512297611648014047900
SUZANNE DOSCHER
127172023413014602057980322980203283000
ANN WATERS
1459910317140396380257690449040288016000
JAMES F HARPER
8552865102186951423018097137751343810229251241912416088212246000
ROY E GILBREATH III
13257415989025333305539022108811095413211328543962321073725415800

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 5INCENTIVE COMPENSATION PAID TO THE OFFICERS OF THE ORGANIZATION IS CONTINGENT UPON QUALITY INDICATORS, NET REVENUES, AND THE OVERALL PROFITABILITY OF THE ORGANIZATION. IF PREDETERMINED GOALS ARE MET, INCENTIVE COMPENSATION IS PAID TO THE OFFICER 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 IIIPART I, LINE 3: THE 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 II, COMPENSATION FROM UNRELATED ORGANIZATION: COMPENSATION PAID TO BRUCE BAILEY, TERRY KISER, GAYLE RESETAR, AND SUZANNE DOSCHER WAS PAID THROUGH QUORUM HEALTH RESOURCES (QHR), AN UNRELATED MANAGEMENT COMPANY. SEE THE RESPONSE TO PART VI, LINE 3 ON SCHEDULE O FOR DETAILS ON THE ARRANGEMENT. ALL AMOUNTS LISTED ON SCHEDULE J, PART II, LINE (I AND II) FOR EACH INDIVIDUAL ARE FROM QHR, EXCEPT FOR SMALL AUTOMOTIVE STIPENDS PAID DIRECTLY BY THE ORGANIZATION. IN ADDITION, BRUCE BAILEY, TERRY KISER, GAYLE RESETAR, RICK KAYLOR, JAMES F. HARPER, AND ROY E. GILBREATH III ARE COMPENSATED BY A COMMON PAYING AGENT FOR SERVICES PERFORMED FOR BOTH GEORGETOWN MEMORIAL HOSPITAL AND A RELATED ORGANIZATION. COMPENSATION FOR THESE INDIVIDUALS IS PRESENTED TO REFLECT AN ALLOCATION OF SERVICES PERFORMED FOR THESE ORGANIZATIONS.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
570960018NONEAVAIL2010-12-2230000000CAPITAL ACQUISITION000
SC JOBS - ECONOMIC DEVELOPMENT AUTHORITY
570960018NONEAVAIL2011-09-2225565000CURRENT REFUNDING000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancementOther Spent ProceedsOtherSpentProceeds
10000000828074587402532979120120001
93507489469820011011460509210000

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010000
010001

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BEVERLY SUE SKIPPER
FAMILY MEMBER OF BOARD TRUSTEE H. MCROY SKIPPER26070COMPENSATION AS EMPLOYEE OF ORGANIZATION. AMOUNT SHOWN ON SCHEDULE L REPRESENTS GMH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $57,512 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.0
BECCA KAYLOR
FAMILY MEMBER OF OFFICER RICK KAYLOR19967COMPENSATION AS EMPLOYEE OF ORGANIZATION. AMOUNT SHOWN ON SCHEDULE L REPRESENTS GMH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $44,048 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EMPLOYEES REPORTED ON FORM W-3: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 1,034.
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 3THE BOARD OF DIRECTORS HAS ENTERED A MANAGEMENT AGREEMENT WITH QUORUM HEALTH RESOURCES TO PROVIDE KEY MANAGEMENT EMPLOYEES FOR THE ORGANIZATION. THE CEO, CFO, AND COO ARE EMPLOYEES OF QUORUM AND ARE COMPENSATED DIRECTLY BY THAT ORGANIZATION. THE QUORUM EMPLOYEES ARE ACCOUNTABLE TO THE BOARD OF DIRECTORS OF THE HOSPITAL.
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 11THE 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 PRESENSE 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 AND KEY MANAGEMENT. THE INDIVIDUAL COMPENSATION PACKAGE OF EACH PERSON IS BASED ON COMPARABILITY FACTORS INCLUDING, BUT NOT LIMITED TO, THE SIZE OF THE ORGANIZATION, THE GEOGRAPHICAL LOCATION OF THE ORGANIZATION, AND THE EMPLOYEE'S LENGTH OF SERVICE. COMPENSATION IS THEN REVIEWED AND APPROVED BY OFFICERS OF THE ORGANIZATION. OFFICER COMPENSATION IS APPROVED BY THE BOARD OR CEO THROUGH CONTRACT NEGOTIATION WITH THE OUTSIDE MANAGMENT CORPORATION.
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.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -5,500,999. CHANGE IN ADDITIONAL PENSION LIABILITY -1,102,637. EQUITY TRANSFER TO AFFILIATE 25,538. TOTAL TO FORM 990, PART XI, LINE 5: -6,578,098.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORMER CHIEFS OF STAFF:FORM 990, PART VII, LINE 1A:FORMER CHIEFS OF STAFF MAY CONTINUE TO BE COMPENSATED FOR EMERGENCY ROOM CALL PAY, COMMITTEE PAY, ETC.
AVERAGE HOURS PER WEEK:FORM 990, PART VII, LINE 1A:OFFICERS BRUCE BAILEY, TERRY KISER, GAYLE RESETAR, RICK KAYLOR, AND HIGHEST COMPENSATED EMPLOYEES JAMES HARPER, FRANK SCAFIDI AND ROY GILBREATH DEVOTE A PORTION OF THEIR WORK WEEK TO WACCAMAW COMMUNITY HOSPITAL, AN AFFILIATED NON-PROFIT ORGANIZATION. HOURS LISTED ON PART VII, LINE 1A REPRESENT THE AVERAGE TIME SPENT FOR GEORGETOWN MEMORIAL HOSPITAL.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
GEORGETOWN HOSPITAL SYSTEM
PO DRAWER 1718GEORGETOWNSC29442020598440HEALTHCARESC501(C)(3)LINE 11A, I0
WACCAMAW COMMUNITY HOSPITAL
PO BOX 3350MURRELLS INLETSC29576043633263HEALTHCARESC501(C)(3)LINE 30GEORGETOWN HOSPITAL SYSTEM

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1GEORGETOWN RADIATION THERAPY CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12307 N FRASIER STREETAddressLine1
CityGEORGETOWNCity
StateSCState
ZIP Code29440ZIPCode
FieldValueIRS element (for citing)
EIN200131459EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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