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Nonprofiteer
← SELF MEMORIAL REGIONAL HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by SELF MEMORIAL REGIONAL HEALTH SERVICES INC.

Totals

Total revenue
$5,213,366
Total expenses
$4,866,894
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$5,198,247
Investment income
$15,119
Other revenue
$0
Total assets, end of year
$11,001,642
Total liabilities, end of year
$1,088,250
Net assets or fund balances, end of year
$9,913,392
Program services expenses (Part IX)
$4,866,894
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$4,866,894

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PATIENT SERVICE REVENU

    total $4,903,941 · related or exempt $4,903,941

  • 2b · Program service revenue: OTHER PROGRAM SERVICE

    total $160,395 · related or exempt $160,395

  • 2c · Program service revenue: RENTAL INCOME

    total $133,911 · related or exempt $133,911

  • 3 · Investment income

    total $15,119 · excluded $15,119

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,467,817 · program services $1,467,817

  • 8 · Pension plan contributions

    total $31,998 · program services $31,998

  • 9 · Other employee benefits

    total $235,030 · program services $235,030

  • 10 · Payroll taxes

    total $82,656 · program services $82,656

  • 11g · Fees: other

    total $104,432 · program services $104,432

  • 12 · Advertising and promotion

    total $3,063 · program services $3,063

  • 13 · Office expenses

    total $146,817 · program services $146,817

  • 14 · Information technology

    total $10,773 · program services $10,773

  • 16 · Occupancy

    total $432,070 · program services $432,070

  • 17 · Travel

    total $3,894 · program services $3,894

  • 19 · Conferences, conventions and meetings

    total $460 · program services $460

  • 22 · Depreciation, depletion and amortization

    total $233,725 · program services $233,725

  • 23 · Insurance

    total $12,428 · program services $12,428

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $2,045,235 · program services $2,045,235

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $56,496 · program services $56,496

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,852,727 · end of year $6,640,719

  • 4 · Accounts receivable

    beginning of year $381,471 · end of year $951,071

  • 8 · Inventories for sale or use

    beginning of year $292,360 · end of year $301,055

  • 9 · Prepaid expenses and deferred charges

    beginning of year $16,678 · end of year $103,550

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

    $8,425,274

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

    $6,068,027

  • 10c · Land, buildings and equipment, net

    beginning of year $2,048,109 · end of year $2,357,247

  • 11 · Investments: publicly traded securities

    beginning of year $4,257,877 · end of year $648,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $282,302 · end of year $1,088,250

  • 27 · Net assets without donor restrictions

    beginning of year $9,566,920 · end of year $9,913,392

Mission and programs · 2022

Mission

THE MISSION OF SELF MEMORIAL REGIONAL HEALTH SERVICES IS TO PROVIDE SUPPORT TO SELF REGIONAL HEALTHCARE.

Activities or mission (Part I)

TO PROVIDE SUPPORT TO SELF REGIONAL HEALTHCARE.

  • SELF MEMORIAL REGIONAL HEALTH SERVICES (SMRHS) IS A 501(C)(3) ORGANIZATION THAT PROVIDES HEALTHCARE RELATED SERVICES TO THE RESIDENTS OF GREENWOOD COUNTY AND THE SURROUNDING AREAS. FURTHER, THE ORGANIZATION IS DEDICATED TO SUPPORTING RELATED ENTITY SELF REGIONAL HEALTHCARE IN ACCOMPLISHING ITS MISSION.

    Expenses $4,866,894 · Revenue $294,295

As filed on the 2022 return.

Listed in Part VII

  • Matthew Logan MD

    CHAIR

    Total calculated
    $831,098
    From this org
    $0
    From related orgs
    $799,421
    Other
    $31,677
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $516,701 related
    Bonus
    $0 + $272,646 related
    Other
    $0 + $10,074 related
    Deferred
    $0 + $20,500 related
    Nontaxable benefits
    $0 + $11,177 related
    Filer's total
    $0 + $831,098 related

  • Rob Tiller MD

    BOARD MEMBER

    Total calculated
    $638,228
    From this org
    $0
    From related orgs
    $601,006
    Other
    $37,222
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $421,942 related
    Bonus
    $0
    Other
    $0 + $179,064 related
    Deferred
    $0 + $25,975 related
    Nontaxable benefits
    $0 + $11,247 related
    Filer's total
    $0 + $638,228 related

  • David Hastings

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

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

  • THE SURGERY CENTER AT SELF MEMORIAL HOSPITAL LLC

    SURGERY CENTER · SC · income $4,903,951 · assets $5,105,090

    Directly controlled by SELF MEMORIAL REGIONAL HEALTH SERVICES INC

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202442279349301434

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