Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $2,917,801

• 1e · Government grants (contributions)

  $958,419

• 1f · All other contributions, gifts and grants

  $755,398

• 2a · Program service revenue: NET PATIENT SERVICE

  total $1,662,720,252 · related or exempt $1,662,669,100 · unrelated business $51,152

• 2b · Program service revenue: PHARMACY SALES

  total $40,962,614 · related or exempt $40,962,614

• 2c · Program service revenue: Medicare Capitated Revenue

  total $15,675,676 · related or exempt $15,675,676

• 2d · Program service revenue: Medicaid Capitated Revenue

  total $13,346,326 · related or exempt $13,346,326

• 2e · Program service revenue: Quality Payments

  total $12,870,586 · related or exempt $12,870,586

• 2f · All other program service revenue

  total $22,474,176 · related or exempt $22,383,639 · unrelated business $90,537 · excluded $0

• 6a · Gross rents

  real property $1,336,407

• 6c · Rental income or loss

  real property $1,336,407 · personal property $0

• 6d · Net rental income or loss

  total $1,336,407 · excluded $1,336,407

• 7b · Less cost or other basis and sales expenses

  other assets $108,725

• 7c · Gain or loss

  securities $0 · other assets -$108,725

• 7d · Net gain or loss

  total -$108,725 · excluded -$108,725

• 11a · Other revenue: Gain/Loss on Joint Ventures

  total $813,066 · related or exempt $813,066

• 11d · All other revenue

  total $0 · related or exempt $0 · unrelated business $0 · excluded $0

• 11e · Other revenue, total

  $813,066

Functional expenses

Part IX, the statement of functional expenses.

• 4 · Benefits paid to or for members

  total $0 · program services $0

• 5 · Compensation of officers, directors and key employees

  total $0 · program services $0 · management and general $0 · fundraising $0

• 7 · Other salaries and wages

  total $444,086,683 · program services $377,207,229 · management and general $66,879,454

• 9 · Other employee benefits

  total $110,314,965 · program services $93,701,531 · management and general $16,613,434

• 11b · Fees: legal

  total $95,458 · program services $81,082 · management and general $14,376

• 11c · Fees: accounting

  total $1,406 · program services $1,194 · management and general $212

• 11g · Fees: other

  total $135,726,367 · program services $115,285,976 · management and general $20,440,391 · fundraising $0

• 13 · Office expenses

  total $533,134 · program services $452,844 · management and general $80,290

• 14 · Information technology

  total $2,907,172 · program services $2,469,352 · management and general $437,820

• 16 · Occupancy

  total $47,117,012 · program services $40,021,190 · management and general $7,095,822

• 17 · Travel

  total $1,086,640 · program services $922,992 · management and general $163,648

• 19 · Conferences, conventions and meetings

  total $359,433 · program services $305,302 · management and general $54,131

• 20 · Interest

  total $737,471 · program services $626,408 · management and general $111,063

• 22 · Depreciation, depletion and amortization

  total $39,726,790 · program services $33,743,935 · management and general $5,982,855

• 23 · Insurance

  total $5,333,105 · program services $4,529,939 · management and general $803,166

• 24a · Other expenses: Medical Supplies

  total $333,292,814 · program services $333,292,814 · management and general $0

• 24b · Other expenses: Corporate Allocations

  total $284,982,726 · program services $242,064,327 · management and general $42,918,399

• 24c · Other expenses: Medicaid and HAWQ Program payments

  total $89,267,670 · program services $75,823,959 · management and general $13,443,711

• 24d · Other expenses: UBTI Tax

  total $110,000 · program services $93,434 · management and general $16,566

• 24e · All other expenses

  total $14,742,979 · program services $12,522,688 · management and general $2,220,291 · fundraising $0

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year -$124,721 · end of year -$291,203

• 4 · Accounts receivable

  beginning of year $275,030,840 · end of year $244,892,615

• 5 · Loans and receivables from officers and key people

  beginning of year $0 · end of year $0

• 6 · Loans and receivables from disqualified persons

  beginning of year $0 · end of year $0

• 8 · Inventories for sale or use

  beginning of year $31,351,506 · end of year $33,611,880

• 10a · Land, buildings and equipment: cost or other basis

  $1,296,251,678

• 10b · Land, buildings and equipment: accumulated depreciation

  $1,053,081,712

• 10c · Land, buildings and equipment, net

  beginning of year $480,990,638 · end of year $243,169,966

• 11 · Investments: publicly traded securities

  beginning of year $102,084 · end of year $102,084

• 12 · Investments: other securities

  beginning of year $4,232,944 · end of year $992,830

• 13 · Investments: program-related

  beginning of year $41,294,362 · end of year $50,986,370

• 15 · Other assets

  beginning of year $341,435,555 · end of year $335,902,150

• 17 · Accounts payable and accrued expenses

  beginning of year $92,074,707 · end of year $72,864,919

• 19 · Deferred revenue

  beginning of year $6,426,094 · end of year $1,599,237

• 20 · Tax-exempt bond liabilities

  beginning of year $119,522,831 · end of year $119,543,652

• 22 · Loans and payables to officers and key people

  beginning of year $0 · end of year $0

• 25 · Other liabilities

  beginning of year $87,657,561 · end of year $78,493,293

• 27 · Net assets without donor restrictions

  beginning of year $832,245,490 · end of year $596,878,382

• 28 · Net assets with donor restrictions

  beginning of year $36,386,525 · end of year $39,987,209

The filer's explanations (Part III)

Schedule J, Part I, Line 1a HOUSING ALLOWANCE

PRISMA HEALTH PROVIDES TEMPORARY HOUSING ALLOWANCES TO EXECUTIVES FOR THE PURPOSES OF RELOCATION ASSISTANCE. THE VALUE IS CALCULATED UNDER APPLICABLE TAX LAWS AND IS INCLUDED IN THE INCOME ON FORM 990.

Schedule J, Part I, Line 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION

PRISMA HEALTH - MIDLANDS IS AN INTEGRAL PART OF PRISMA HEALTH, A SOUTH CAROLINA HEALTHCARE SYSTEM AND RELIES UPON PRISMA HEALTH TO ESTABLISH THE COMPENSATION PHILOSOPHY OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY A RELATED TAX-EXEMPT ORGANIZATION, PRISMA HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, PART VI, LINE 15A FOR THE PROCESS USED BY PRISMA HEALTH.

Schedule J, Part I, Line 4a SEVERANCE OR CHANGE-OF-CONTROL PAYMENT

THE FOLLOWING EMPLOYEES RECEIVED A SEVERANCE PAYMENT UPON TERMINATION OF THEIR EMPLOYMENT CONTRACT. AMOUNTS RECEIVED ARE AS FOLLOWS: MARYANN BARNES - $250,724 CAROLYN SWINTON - $156,464 ELIZABETH TIBBS - $97,344 GREGORY RUSNAK - $515,663 MICHAEL BURKE - $622,577

Schedule J, Part I, Line 4b SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN

THE 457(F) PLAN IS PROVIDED TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (WITHIN THE MEANING OF SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF ERISA) OF PRISMA HEALTH AND SUBSIDIARIES WHO CONTRIBUTE SIGNIFICANTLY TO THE FUTURE BUSINESS SUCCESS OF THE COMPANY WITH SUPPLEMENTAL RETIREMENT INCOME THROUGH COMPANY CONTRIBUTIONS. EMPLOYEES ELIGIBLE FOR THE PROGRAM ARE APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THOSE ELIGIBLE RECEIVE A 13-23 PERCENT CONTRIBUTION ON AN ANNUAL BASIS BASED ON PRIOR FISCAL YEAR BASE COMPENSATION. THE FOLLOWING EMPLOYEES RECEIVED DISTRIBUTIONS FROM THEIR 457(F) PLANS: MATTHEW FOWLER - $8,424 MARK O'HALLA - $26,369 RICH ROGERS - $15,394 AMY LINSIN - $21,887 MALCOLM ISLEY - $28,453 MICHAEL BUNDY - $7,863 MARYANN BARNES - $15,751 CAROLYN SWINTON - $58,994 BENEFITS ACCRUING UNDER THE PRISMA HEALTH PENSION PLAN ARE FROZEN. THE ACCRUAL AMOUNTS REPORTED IN SCH. J, PART II, COLUMN C, REFLECT THE CHANGE IN ACTUARIAL VALUE DURING THE YEAR. SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE MICHAEL BURKE, MALCOLM ISLEY, AMY LINSIN, MARK O'HALLA, GREGORY RUSNAK, CLARENCE SEVILLIAN, MATTHEW ELSEY, WILLIAM GERARD AND ALEXANDER GLADNEY. THE ORGANIZATION DEPOSITED FUNDS INTO LIFE INSURANCE POLICIES ON THE PARTICIPANT'S LIFE. DURING LIFE, AND SUBJECT TO THE POLICIES GENERATING SUFFICIENT VALUES, THE PARTICIPANT CAN BORROW FROM ONE OF THE POLICIES. THE BORROWING IS MONITORED AND LIMITED SO THE POLICIES DO NOT LAPSE. AT THE PARTICIPANT'S DEATH, THE ORGANIZATION RECOVERS AN AMOUNT GENERALLY EQUAL TO ITS PREMIUMS PLUS INTEREST. PARTICIPANTS IN THE PLAN HAVE SIGNED WRITTEN REPRESENTATIONS UNDER REG. 1.78782.15(D)(2) AND THOSE REPRESENTATIONS ARE MAINTAINED ON FILE BY PRISMA HEALTH.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• PRISMA HEALTH MIDLANDS NETWORK

  ACO · SC · income $10,342,008 · assets -$259,544

  Directly controlled by PRISMA HEALTH-MIDLANDS

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• RADIATION ONCOLOGY LLC

  Related · HEALTHCARE · SC · 51% owned · share of income $1,700,894 · share of assets $0

  Directly controlled by PRISMA HEALTH-MIDLANDS

• PRISMA HEALTH URGENT CARE BY WELLSTREET LLC

  N/A · HEALTHCARE · GA

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• HEALTHSOURCE INC

  C Corporation · HEALTHCARE · SC · 100% owned · share of income $1,591,348 · share of assets $4,960,298 · controlled entity

  Directly controlled by PRISMA HEALTH-MIDLANDS

• HOSPITAL SERVICES INC

  C Corporation · HEALTHCARE · SC · 71.85% owned · share of income $0 · share of assets $81,436 · controlled entity

  Directly controlled by PRISMA HEALTH-MIDLANDS

• PHCA INC

  C Corporation · HEALTHCARE · SC

  Directly controlled by NA

• PHVPHIC INC

  C Corporation · HEALTHCARE · SC

  Directly controlled by NA

• PROMISE HEALTH INSURANCE COMPANY SC INC

  C Corporation · INSURANCE · SC

  Directly controlled by NA

• PROMISE FIRST INC

  C Corporation · INSURANCE · SC

  Directly controlled by NA

• MCBEE HOLDINGS INC

  C Corporation · HEALTHCARE · SC

  Directly controlled by NA