FURP.ORG / PUBLIC DATA EXPLORER

WACCAMAW COMMUNITY HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WACCAMAW COMMUNITY HOSPITAL (EIN 04-3633263)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-01
IRS object ID
201132139349301058
Schema version
2009v1.7
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)
Timestamp2011-08-01T17:30:55-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043633263EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WACCAMAW COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWACCNameControl
Phone8436521000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3350AddressLine1
CityMURRELLS INLETCity
StateSCState
ZIP Code29576ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE P BAILEYName
TitleCEOTitle
Phone8436521000Phone
Date Signed2011-08-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAmy BibbyName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 BOX 3350AddressLine1
CityMURRELLS INLETCity
StateSCState
ZIP Code29576ZIPCode
FieldValueIRS element (for citing)
Gross Receipts135051502GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.GEORGETOWNHOSPITALSYSTEM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY HEALTHCARE TO THE CITIZENS OF GEORGETOWN CO. AND SURROUNDING AREAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers92TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5842ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year135530898ProgramServiceRevenuePriorYear
Program Service Revenue CY134722229ProgramServiceRevenueCY
Investment Income Prior Year195213InvestmentIncomePriorYear
Investment Income Current Year170945InvestmentIncomeCurrentYear
Other Revenue Prior Year157359OtherRevenuePriorYear
Other Revenue Current Year158328OtherRevenueCurrentYear
Total Revenue Prior Year135889312TotalRevenuePriorYear
Total Revenue Current Year135051502TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year42993770SalariesEtcPriorYear
Salaries Etc Current Year40879266SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year85091396OtherExpensePriorYear
Other Expenses Current Year84723781OtherExpensesCurrentYear
Total Expenses Prior Year128085166TotalExpensesPriorYear
Total Expenses Current Year125603047TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7804146RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9448455RevenuesLessExpensesCY
Total Assets BOY106898776TotalAssetsBOY
Total Assets EOY108416109TotalAssetsEOY
Total Liabilities BOY87753459TotalLiabilitiesBOY
Total Liabilities EOY79822337TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19145317NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY28593772NetAssetsOrFundBalancesEOY
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
Expense106247909Expense
Revenue134722229Revenue
DescriptionWACCAMAW COMMUNITY HOSPITAL PROVIDES QUALITY HEALTH CARE AND PROMOTES HEALTH AND WELLNESS TO THE RESIDENTS OF GEORGETOWN COUNTY AND SURROUNDING AREAS. WACCAMAW COMMUNITY HOSPITAL IS A 124 BED ACUTE CARE AND 43 BED INPATIENT REHABILITATION FACILITY LOCATED IN MURRELLS INLET, SOUTH CAROLINA. THE HOSPITAL WAS ORGANIZED UNDER THE LAWS OF THE STATE OF SOUTH CAROLINA IN 2002 FOR THE PURPOSE OF OPERATING A COMMUNITY SATELLITE HOSPITAL IN THE NORTHERN PART OF GEORGETOWN COUNTY. THE HOSPITAL WAS CREATED FOR THE PURPOSE OF PROMOTING HEALTH FOR ALL RESIDENTS OF GEORGETOWN COUNTY AND ITS OUTLYING AREAS. THE PROMOTION OF HEALTH HAS BEEN ESTABLISHED AS A CHARITABLE PURPOSE UNDER INTERNAL REVENUE CODE (IRC) SECTION 501 (C)(3). REVENUE RULE 69-545, 1969-2 C.B. 117, AS MODIFIED BY REC. RUL. 83-157, 1983-2 C.B. 94, SETS FORTH THE FACTORS THE INTERNAL REVENUE SERVICES WILL CONSIDER IN DETERMINING WHETHER A NONPROFIT HOSPITAL QUALIFIES FOR TAX EXEMPT STATUS.THE HOSPITAL OPERATES ITS FACILITIES IN A MANNER DESCRIBED IN REV. RULING 69-545, SUPRA. THE HOSPITAL HAS A BOARD OF TRUSTEES COMPOSED OF INDEPENDENT CIVIC LEADERS AND PHYSICIANS. AN OPEN MEDICAL STAFF IS MAINTAINED BY THE HOSPITAL, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. ALSO, THE HOSPITAL PROVIDES EMERGENCY AND NON-EMERGENCY CARE TO ANYONE REGARDLESS OF THEIR ABILITY TO PAY, EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT, INCLUDING MEDICARE AND MEDICAID.DURING THE YEAR ENDED SEPTEMBER 30, 2010, THE HOSPITAL FURNISHED CHARITY CARE IN THE AMOUNT OF $10,393,099. 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 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 SERIES OPEN TO THE PUBLIC, INCLUDING CPR, WEIGHT CONTROL, SMOKING CESSATION, CHILDBIRTH EDUCATION, PRE-NATAL AND INFANT NUTRITION, AND OTHERS.Description
Total Program Service Expense106247909TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109672NumberFormsTransmittedWith1096
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 Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
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 Venture0InvestmentInJointVenture
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 (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
RICHARD J FERDON JR
CHAIRMAN1.00XX000
J EDWARD NORRIS III
VICE CHAIRMAN1.00XX000
ELIZABETH F DAWSON
SECRETARY1.00XX000
WALTER F JOHNSON III
TRUSTEE1.00X000
ROBERT L JONES
TRUSTEE1.00X000
JUDITH K INGLE
TRUSTEE1.00X000
DAVID G THOMAS MD
CHIEF OF STAFF, WCH1.00X023000
BRUCE BAILEY
CEO20.00X24309424309497276
TERRY KISER
CFO18.00X15115118474064595
GAYLE RESETAR
COO22.00X17615514412763722
RICK KAYLOR
CHIEF PLANNING & DEV. OFFI21.00X13786512314468362
LEGRAND DAVIS BROWN JR
PHARMACY DIRECTOR40.00158660045182X
PAMELA MAXWELL
ADMIN. OF PATIENT CARE40.00180959056447X
JAMES F HARPER
VICE PRESIDENT OF HUMAN RESOURCES16.008805512723861422X
ROY E GILBREATH III
VICE PRESIDENT OF MEDICAL AFFAIRS21.0016682814901681095X
FRANK SCAFIDI
CHIEF INFORMATION OFFICER21.00907838108955951X
WEBSTER N JONES MD
FORMER CHIEF OF STAFF1.001372500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1407275TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1054748TotalReportableCompFrmRltdOrgs
Total Other Compensation594052TotalOtherCompensation
Number Individuals GT100 K48NumberIndividualsGT100K
Formers Listed1FormersListed
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 536922ATLANTAGA30535FOOD SERVICES3906101
PALMETTO EMERGENCY PHYSICIANS
86 SHOREBIRD LOOPPAWLEYS ISLANDSC29585EMERGENCY ROOM SERVICES2717787
EAGLE HOSPITAL PHYSICIANS
5901-C PEACHTREE DUNWOODY ROAD SUIATLANTAGA30238HOSPITALISTS1145803
INLET ANESTHESIA CONSULTANTS
4070 HIGHWAY 17 BYPASSMURRELLS INLETSC29576ANESTHESIA931765
NWC&HS INC
PO BOX 933430ATLANTAGA31193WOUND HEALING MANAGEMENT461282
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU621400134329442134329442
CAFETERIA REVENUE722210392787392787
FieldValueIRS element (for citing)
Total Program Service Revenue134722229TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column169841TotalRevenueColumn
Exclusion$169,841ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real89676Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real89676Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column89676TotalRevenueColumn
Exclusion$89,676ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1104Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1104Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1104TotalRevenueColumn
Exclusion$1,104ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
GIFT SHOP REVENUE45322036986$36,986
MISCELLANEOUS REVENUE90009931666$31,666
FieldValueIRS element (for citing)
Total Other Revenue68652TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column135051502TotalRevenueColumn
Related Or Exempt Function Income134722229RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$329,273ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total859427Total
Program Services2300ProgramServices
Management And General857127ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30800278Total
Program Services29892566ProgramServices
Management And General907712ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total459132Total
Program Services435774ProgramServices
Management And General23358ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6455598Total
Program Services6127179ProgramServices
Management And General328419ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2304831Total
Program Services2187576ProgramServices
Management And General117255ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total460877Total
Management And General460877ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1145764Total
Management And General1145764ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43920Total
Management And General43920ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32707317Total
Program Services19296880ProgramServices
Management And General13410437ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total342015Total
Program Services450ProgramServices
Management And General341565ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total22675043Total
Program Services22306144ProgramServices
Management And General368899ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1170502Total
Program Services1165356ProgramServices
Management And General5146ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total66998Total
Program Services56481ProgramServices
Management And General10517ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4438948Total
Program Services4438948ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6329350Total
Program Services6329350ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total339494Total
Management And General339494ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1399876913998769
RECRUITMENT947712947712
OTHER EXPENSES570721013646936

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total125603047Total
Program Services106247909ProgramServices
Management And General19355138ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2205BOY
EOY2150EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1935342BOY
EOY4969123EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13432299BOY
EOY15067197EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2492808BOY
EOY2435943EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1311567BOY
EOY1673443EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis121515538LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec42344606LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY82992709BOY
EOY79170932EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3546571BOY
EOY3543799EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1185275BOY
EOY1553522EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY106898776BOY
EOY108416109EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3388982BOY
EOY4057697EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY41344392BOY
EOY40622850EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY89624BOY
EOY42086EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY42930461BOY
EOY35099704EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY87753459BOY
EOY79822337EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18942937BOY
EOY28430079EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY202380BOY
EOY163693EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19145317BOY
EOY28593772EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106898776BOY
EOY108416109EOY
FieldValueIRS element (for citing)
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 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$3,823OtherActivitiesAmount
Total Lobbying Expenditures IIB3873TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities: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 $1,075 FOR AHA AND $2,748 FOR SCHA.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1772581OtherCostOrOtherBasis
Book Value1772581BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis74570582OtherCostOrOtherBasis
Depreciation12303143Depreciation
Book Value62267439BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis939874OtherCostOrOtherBasis
Depreciation554957Depreciation
Book Value384917BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis43476653OtherCostOrOtherBasis
Depreciation29486506Depreciation
Book Value13990147BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis755848OtherCostOrOtherBasis
Book Value755848BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings79170932TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES430786
BOND ISSUANCE COSTS1037533
PHYSICIAN RECEIVABLE85203
FieldValueIRS element (for citing)
Total Book Value Other Assets1553522TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$33,584,683
ESTIMATED THIRD-PARTY SETTLEMENTS$1,515,021
FieldValueIRS element (for citing)
Total Of Amounts35099704TotalOfAmounts
Total Revenue135051502TotalRevenue
Total Expenses125603047TotalExpenses
Excess Or Deficit For Year9448455ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS9448455ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt135051502TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal135051502RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990135051502TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt125603047TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal125603047ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990125603047TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
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 Expense3473374TotalCommunityBenefitExpense
Direct Offsetting Revenue1070420DirectOffsettingRevenue
Net Community Benefit Expense2402954NetCommunityBenefitExpense
Percent Of Total Expense0.02150PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10091102TotalCommunityBenefitExpense
Direct Offsetting Revenue7625043DirectOffsettingRevenue
Net Community Benefit Expense2466059NetCommunityBenefitExpense
Percent Of Total Expense0.02210PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense13564476TotalCommunityBenefitExpense
Direct Offsetting Revenue8695463DirectOffsettingRevenue
Net Community Benefit Expense4869013NetCommunityBenefitExpense
Percent Of Total Expense0.04360PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense190536TotalCommunityBenefitExpense
Net Community Benefit Expense190536NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense109067TotalCommunityBenefitExpense
Net Community Benefit Expense109067NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense309624TotalCommunityBenefitExpense
Direct Offsetting Revenue44897DirectOffsettingRevenue
Net Community Benefit Expense264727NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense609227TotalCommunityBenefitExpense
Direct Offsetting Revenue44897DirectOffsettingRevenue
Net Community Benefit Expense564330NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense14173703TotalCommunityBenefitExpense
Direct Offsetting Revenue8740360DirectOffsettingRevenue
Net Community Benefit Expense5433343NetCommunityBenefitExpense
Percent Of Total Expense0.04870PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense873812TotalCommunityBuildingExpense
Net Community Building Expense873812NetCommunityBuildingExpense
Percent Of Total Expense0.00780PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense873812TotalCommunityBuildingExpense
Net Community Building Expense873812NetCommunityBuildingExpense
Percent Of Total Expense0.00780PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$4,683,269BadDebtExpenseAmount
Amount Attributable To2528912AmountAttributableTo
Amount Reimbursed By Medicare54427112AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare63949255CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9522143MedicareSurplusOrShortfall

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 V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1WACCAMAW COMMUNITY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14070 HIGHWAY 17 BYPASSAddressLine1
CityMURRELLS INLETCity
StateSCState
ZIP Code29576ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Annual Community Benefit ExplnPart 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.AnnualCommunityBenefitExpln
Costing Method UsedPart I, Line 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2009 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.CostingMethodUsed
Percent Of Total Expense ExplnPart I, Line 7f: TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $13,998,769 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).PercentOfTotalExpenseExpln
Bad Debt FootnotePart III, Line 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE 2009 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.BadDebtFootnote
Shortfall As Community BenefitPart 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. 49% OF THE ORGANIZATION'S PAYER MIX IS DEVOTED TO MEDICARE.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Number Of Facility Type ExplnPart V: THE ORGANIZATION ALSO OPERATES AN INPATIENT REHABILITATION FACILITY IN THE SAME BUILDING AS THE MAIN HOSPITAL, 4070 HIGHWAY 17 BYPASS, MURRELLS INLET, SC, 29576.NumberOfFacilityTypeExpln
General ExplanationPART I, LINE 7(I): THE ORGANIZATION HAS BEEN ALLOCATED A PORTION OF CASH AND IN-KIND CONTRIBUTIONS THROUGH ITS CORPORATE PARENT. AMOUNTS PRESENT ON PART I, LINE 7(I) ARE REPRESENTED ON SCHEDULE I OF GEORGETOWN MEMORIAL HOSPITAL, A RELATED ORGANIZATION.GeneralExplanation
Needs AssessmentPart 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 IMPLMENTATION 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.NeedsAssessment
Patient Education AssistancePart 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.PatientEducationAssistance
Community InformationPart 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 264,000. 18% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $42,500. IN ADDITION, AN ESTIMATED 14.5% OF THE POPULATION IS BELOW THE POVERTY LEVEL. GEORGETOWN COUNTY (815 SQ. MILES) HAS A POPULATION OF APPROXIMATELY 61,000 PEOPLE AND AN ESTIMATED 18% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $48,000 AND AN ESTIMATED 17.9% OF THE POPULATION IS BELOW THE POVERTY LEVEL. COMPETING HOSPITALS ARE LOCATED APPROXIMATELY 25 MILES NORTH AND NORTHWEST AND 75 MILES SOUTH. MAJOR SURROUNDING CITIES INCLUDE: CHARLESTON, SC (60 MILES), COLUMBIA, SC (150 MILES) AND CHARLOTTE, NC (215 MILES).CommunityInformation
Community Building ActivitiesPart VI, Line 5: OVER $870,000 WAS SPENT TO RECRUIT PHYSICIANS WITH THE SKILLS AND TRAINING NECESSARY TO BEST SERVE THE NEEDS OF THE COMMUNITY IN AREAS SUCH AS ORTHOPEDICS, CARDIOLOGY, FAMILY AND INTERNAL MEDICINE, PEDIATRICS, AND GASTROENTEROLOGY.CommunityBuildingActivities
Other InformationPart 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.OtherInformation
Affiliated Health Care SystemPart VI, Line 7: WACCAMAW COMMUNITY HOSPITAL IS PART OF GEORGETOWN HOSPITAL SYSTEM. GEORGETOWN HOSPITAL SYSTEM IS A RELATED 501(C)(3) HEALTHCARE ORGANIZATION.AffiliatedHealthCareSystem
Reports Filed With StatesSCReportsFiledWithStates

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 (10 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
1783091783094923249232155531555342884288443504435029173229173200
TERRY KISER
1060811296553232139503127491558238594716252093081118021922026700
GAYLE RESETAR
12942110589037946310478788719047163859303312481621120217280200
RICK KAYLOR
951188496228764256921398312490104949373256152288017397415539700
LEGRAND DAVIS BROWN JR
132946000257140140780311040203842000
PAMELA MAXWELL
149541027742036760180020384450237406000
JAMES F HARPER
585548461013478194751602323153719010389179322591111317716353800
ROY E GILBREATH III
1580231411502335208664705780107089565321262869620966218727700
FRANK SCAFIDI
7952171030204018229222823796028577199501782212033510748800
WEBSTER N JONES MD
1372500000000013725000

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, AND GAYLE RESETAR WAS PAID THROUGH QUORUM HEALTH RESOURCES (QHR), AN UNRELATED MANAGEMENT COMPANY, ON BEHALF OF THE SOLE MEMBER, GEORGETOWN HOSPITAL SYSTEM. SEE THE RESPONSE TO PART VI, LINE 3 ON SCHEDULE O FOR DETAILS ON THE ARRANGEMENT. ALL AMOUNTS LISTED ON SCHEDULE J, PART II, LINES (I) AND (II) FOR EACH INDIVIDUAL ARE FROM QHR, EXCEPT FOR SMALL AUTOMOTIVE AND CELL PHONE STIPENDS PAID DIRECTLY BY THE ORGANIZATION. IN ADDITION, BRUCE BAILEY, TERRY KISER, GAYLE RESETAR, AND RICK KAYLOR ARE COMPENSATED BY A COMMON PAYMASTER FOR SERVICES PERFORMED FOR BOTH WACCAMAW COMMUNITY HOSPITAL AND A RELATED ORGANIZATION. COMPENSATION FOR THESE INDIVIDUALS IS PRESENTED TO REFLECT AN ALLOCATION OF SERVICES PERFORMED FOR THESE ORGANIZATIONS.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOYCE C FERDON
FAMILY MEMBER OF BOARD MEMBER RICHARD FERDON50076COMPENSATION AS EMPLOYEE OF ORGANIZATION. AMOUNT SHOWN ON SCHEDULE L REPRESENTS WCH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $94,805 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.0
BECCA KAYLOR
FAMILY MEMBER OF OFFICER RICK KAYLOR22983COMPENSATION AS EMPLOYEE OF ORGANIZATION AMOUNT SHOWN ON SCHEDULE L REPRESENTS WCH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $43,512 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.0
DANA KISER
FAMILY MEMBER OF OFFICER TERRY KISER70044COMPENSATION AS EMPLOYEE OF ORGANIZATION AMOUNT SHOWN ON SCHEDULE L REPRESENTS WCH'S ALLOCATED PORTION OF TOTAL SALARY PAID FROM A RELATED ORGANIZATION. THE INDIVIDUAL RECEIVED $70,044 IN TOTAL FOR SERVICES RENDERED TO ALL RELATED ORGANIZATIONS.0
INLET ANESTHESIA CONSULTANTS
ORGANIZATION OWNED IN PART BY CHIEF OF STAFF DAVID THOMAS931765COMPENSATION FOR ANESTHESIA SERVICES PROVIDED0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
Form 990, Part VI, Section C, line 19PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990, PART 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 1,063.EMPLOYEES REPORTED ON FORM W-3:
FORM 990, PART VII, LINE 1AFORMER CHIEFS OF STAFF MAY CONTINUE TO BE COMPENSATED FOR EMERGENCY ROOM CALL PAY, COMMITTEE PAY, ETC.FORMER CHIEFS OF STAFF
fORM 990, PART VII, LINE 1A:OFFICERS BRUCE BAILEY, TERRY KISER, GAYLE RESETAR, RICK KAYLOR, AND HIGHEST COMPENSATED EMPLOYEES JAMES HARPER, ROY GILBREATH, AND FRANK SCAFIDI DEVOTE A PORTION OF THEIR WORK WEEK TO GEORGETOWN MEMORIAL HOSPITAL, AN AFFILIATED NON-PROFIT ORGANIZATION. HOURS LISTED ON PART VII, LINE 1A REPRESENT THE AVERAGE TIME SPENT FOR WACCAMAW COMMUNITY HOSPITAL.AVERAGE HOURS PER WEEK:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
GEORGETOWN HOSPITAL SYSTEM
PO DRAWER 1718GEORGETOWNSC29442020598440HEALTHCARESC501(c)(3)Line 11a, I
GEORGETOWN MEMORIAL HOSPITAL
PO DRAWER 1718GEORGETOWNSC29442570341194HEALTHCARESC501(c)(3)Line 3GEORGETOWN 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 Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
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