SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
PRISMA HEALTH TUOMEY
 
Employer identification number

47-4914917
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    2,584,202 531,096 2,053,106 0.920 %
b Medicaid (from Worksheet 3, column a) . . . . .     36,557,406 26,142,586 10,414,820 4.650 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     39,141,608 26,673,682 12,467,926 5.570 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     9,465,011 1,318,516 8,146,495 3.640 %
f Health professions education (from Worksheet 5) . . .     1,378,423 743,765 634,658 0.280 %
g Subsidized health services (from Worksheet 6) . . . .     102,600,332 91,894,857 10,705,475 4.780 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,000   1,000 0 %
j Total. Other Benefits . .     113,444,766 93,957,138 19,487,628 8.700 %
k Total. Add lines 7d and 7j .     152,586,374 120,630,820 31,955,554 14.270 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
13,228,224
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
4,363,581
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
71,837,869
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
76,811,542
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-4,973,673
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 PRISMA HEALTH TUOMEY
129 NORTH WASHINGTON ST
SUMTER,SC29150
WWW.PRISMAHEALTH.ORG
HTL-096 		X X         X     A
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
PRISMA HEALTH TUOMEY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, PAGE 8
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PRISMA HEALTH TUOMEY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
PRISMA HEALTH TUOMEY
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PRISMA HEALTH TUOMEY
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
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Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: PRISMA HEALTH TUOMEY
FACILITY REPORTING GROUP A PART V, LINE 3E:THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. ALL THE NEEDS IDENTIFIED BY THE CHNA ARE BEING ADDRESSED. PLEASE REFER TO THE SCHEDULE H, PART V, LINE 11 DISCLOSURE FOR DETAILS.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: PRISMA HEALTH FORMED A MULTI-STAKEHOLDER TEAM TO CARRY OUT THE TAX YEAR 2018 (FISCAL YEAR 9/30/19) COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THE TEAM IDENTIFIED SEVEN COUNTIES TO FOCUS ON IN COLLECTING DATA FOR PRISMA HEALTH'S 2018 CHNA. THESE COUNTIES WERE: GREENVILLE, LAURENS, LEXINGTON, OCONEE, PICKENS, RICHLAND AND SUMTER.A TOTAL OF 5,572 SURVEYS WERE COMPLETED ACROSS THE SEVEN COUNTIES. DATA AND INFORMATION GATHERING USED BOTH QUALITATIVE AND QUANTITATIVE METHODS. PRIMARY RESEARCH - QUALITATIVE AND QUANTITATIVE - WAS COLLECTED THROUGH INTERNAL DATA SOURCES, FOCUS GROUPS, COMMUNITY STAKEHOLDER INTERVIEWS AND COMMUNITY MEMBER SURVEYS. COMMUNITY AGENCIES PROVIDED SECONDARY RESEARCH.PUBLIC HEALTH EXPERTS GUIDED THE TEAM'S OBJECTIVES IN DEVELOPING TOOLS, ANALYZING DATA AND PRIORITIZING NEEDS.CONSUMER SURVEYS, ONE TO ONE INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED BETWEEN 2/2019 AND 5/2019. STATE AND LOCAL ELECTED OFFICIALS, MAJOR EMPLOYERS, COMMUNITY MEMBERS AND COMMUNITY ORGANZATIONS THAT PROVIDE HEALTH SERVICES PROVIDED INPUT. PARTICIPATING ORGANZATIONS INCLUDED FREE MEDICAL CLINICS, SC DHEC, PRIMARY CARE PHYSICIANS, PEDITRICIANS, SCHOOLS, CBOS, FAITH BASED ORGANIZATIONS, CONSUMERS, HISPANIC COMMUNITY, RURAL COMMUNITY, AND YOUNG ADULTS.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: PRISMA HEALTH-MIDLANDS, PRISMA HEALTH-UPSTATE, PRISMA HEALTH TUOMEY, AND THE SHRINER'S HOSPITAL OF GREENVILLE ALL CONDUCTED THE CHNA JOINTLY.
FACILITY REPORTING GROUP A PART V, LINE 7A AND 10A:WEBSITE FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY:HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
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
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 13H: THERE IS A CATASTROPHIC CLAUSE WHICH ALLOWS FOR AN ALTERNATIVE MEANS OF QUALIFYING BASED A SIGNIFICANT FINANCIAL HARDSHIP.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 15E: THE FINANCIAL ASSISTANCE POLICY EXPLAINS DIFFERENT METHODS FOR APPLYING FOR FINANCIAL ASSISTANCE BY: VISITING PRISMA HEALTH WEBSITE WITH ADDRESS LISTED, CONTACTING PRISMA HEALTH PATIENT FINANCIAL SERVICES WITH PHONE NUMBERS LISTED, MAILING A REQUEST WITH ADDRESSES LISTED, OR VISITING A PRISMA HEALTH FACILITY.
FACILITY REPORTING GROUP A PART V, LINE 16A, FAP WEBSITE:HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
FACILITY REPORTING GROUP A PART V, LINE 16B, FAP WEBSITE:HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
FACILITY REPORTING GROUP A PART V, LINE 16C, FAP WEBSITE:HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 16J: COMMUNITY CLINICS ARE AWARE OF AND HAVE INFORMATION REGARDING THE PRISMA HEALTH FINANCIAL ASSISTANCE POLICY.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 20E: CONSPICIOUS POSTINGS IN THE HOSPITAL REGISTRATION AREAS INFORMING OF THE FINANCIAL ASSISTANCE POLICY.
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Page 9
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address Type of Facility (describe)
1 1 - PRISMA HEALTH TUOMEY CRNAS SERVICES
129 N WASHINGTON STREET
SUMTER,SC291504949 		NURSE ANESTHETIST, CERTIFIED REGISTERED
2 2 - PRISMA HEALTH TUOMEY HOME HEALTH
500 PINEWOOD ROAD STE 2
SUMTER,SC291546197 		HOME HEALTH
3 3 - PRISMA HEALTH TUOMEY HOSPICE
500 PINEWOOD ROAD STE 2
SUMTER,SC291546197 		HOSPICE CARE, COMMUNITY BASED
4 4 - PRISMA HLTH TUOMEY AC REHABILITATION
129 N WASHINGTON STREET
SUMTER,SC291504949 		REHABILITATION UNIT
5 5 - PRISMA HEALTH EMERG PHYSICIANS TUOMEY
129 N WASHINGTON STREET
SUMTER,SC291504949 		GENERAL ACUTE CARE HOSPITAL
6
7
8
9
10
Schedule H (Form 990) 2020
Page 10
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 7: COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS, INTERNAL COST ACCOUNTING SYSTEM AND PRISMA HEALTH-TUOMEY'S MEDICARE COST REPORT.
PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES INCLUDE:1. BEHAVIORAL HEALTH2. CARDIOVASCULAR3. FAMILY MEDICINE4. NEUROSCIENCES5. ORTHOPEDICS6. SPINE7. SURGERY8. OTHER
PART III, LINE 2: THE COST OF BAD DEBT IS FORMULATED BY MULTIPLYING THE APPROPRIATE COST TO CHARGE RATIO FOR EACH ENTITY BY THE ACTUAL BAD DEBT CHARGES FOR EACH CORRELATING ENTITY REPORTED WITHIN THE AUDITED FINANCIAL STATEMENTS. THIS AMOUNT IS THEN REDUCED BY A PORTION OF THE NET MEDICAID DSH REVENUE.
PART III, LINE 3: OF THE ACCOUNTS IN BAD DEBT, AN INTERNAL REVIEW SHOWED THAT 56.6% WERE SELF-PAY WITH LOW PROPENSITY TO PAY SCORES. OF THESE, OUR ESTIMATE IS THAT 89.7% OF THESE WOULD QUALIFY FOR CHARITY.
PART III, LINE 4: SEE THE FY2021 FINANCIALS, NOTE 2 - REVENUE RECOGNITION AND PATIENT ACCOUNTS RECEIVABLE.
PART III, LINE 8: THE AMOUNT WITHIN LINE 7 OF PART 3 REPRESENTS THE SHORTFALL AFTER COMPARING THE NET REVENUE AND COST OF PATIENTS CLASSIFIED AS MEDICARE WHO WERE NOT INCLUDED WITHIN THE SUBSIDIZED HEALTH SERVICE COMPONENT. THE SHORTFALL CONSISTS OF MEDICARE PATIENTS THAT INCURRED A LOSS AFTER USING DATA FORMULATED WITHIN THE INTERNAL COST ACCOUNTING SYSTEM. ($4.9 MILLION)THE MEDICARE ALLOWABLE COST WAS DETERMINED USING A FACILITY SPECIFIC COST ACCOUNTING SYSTEM. THIS TOOL ALLOCATED BOTH DIRECT AND INDIRECT COST FOR ALL MEDICARE PATIENTS BASED ON THE UTILIZATION OF THE UNIQUE SERVICES PROVIDED TO THOSE PATIENTS.
PART III, LINE 9B: PRISMA HEALTH WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT FOR CARE BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS FINANCIAL ARRANGEMENTS AND ASSISTANCE POLICY. INDIVIDUALS MEETING ALL CRITERIA FOR FINANCIAL ASSISTANCE WITH AN INCOME LEVEL AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE (FPG) RECEIVE FREE CARE. INDIVIDUALS WITH AN INCOME LEVEL OF >200% FPG UP TO 400% FPG RECEIVE DISCOUNTED CARE BASED ON A SLIDING SCALE AS SET FORTH IN THIS POLICY. REFERENCE ATTACHMENT B OF THE FINANCIAL ASSISTANCE POLICY. HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE
PART VI, LINE 2: A DESCRIPTION OF HOW PRISMA HEALTH TUOMEY CONDUCTS ITS NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING LINK:HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART VI, LINE 3: PLEASE REFER TO PART V, SECTION B, QUESTION 16 QUESTIONS AND DISCLOSURE.
PART VI, LINE 4: PRISMA HEALTH'S GEOGRAPHICAL SERVICE AREAS INCLUDE RURAL, URBAN AND SUBURBAN COMMUNITIES. KNOWN AS THE MIDLANDS AND UPSTATE REGIONS, THE FOLLOWING COUNTIES REPRESENT PRISMA HEALTH'S SERVICE AREAS: RICHLAND, LEXINGTON, SUMTER, LAURENS, OCONEE, GREENVILLE AND PICKENS, RESPECTIVELY. IN 2018, THE 7-COUNTY POPULATION BREAKDOWN WAS: POPULATION 1,609,057, AVERAGE HOUSEHOLD INCOME $77,763, MEDIAN HOUSEHOLD INCOME $57,498, AN AVERAGE OF 15.7% BELOW THE FPL, AN AVERAGE OF 13.1% UNINSURED, AND AN AVERAGE OF 40,000 MEDICAID RECIPIENTS.
PART VI, LINE 5: INFORMATION ON WAYS PRISMA HEALTH-TUOMEY PROMOTES COMMUNITY HEALTH CAN BE FOUND AT THE FOLLOWING LINK:HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART VI, LINE 6: PRISMA HEALTH WAS FORMED TO CREATE A BETTER STATE OF HEALTH FOR SOUTH CAROLINA. PRISMA HEALTH IS STRIVING TO REACH THAT GOAL BY PROVIDING HIGH-QUALITY PATIENT CARE, DECREASING HEALTH DISPARITIES, REMOVING ACCESS BARRIERS, DEVELOPING NEW CLINICAL SERVICES AND ACADEMIC PROGRAMS, SHAPING HEALTH POLICY, AND ADDRESSING HEALTHCARE AFFORDABILITY. SEE HIGHLIGHTS AND STATISTICS IN ANNUAL REPORT AT THE FOLLOWING LINK HTTPS://WWW.PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2021
PART VI, LINE 7, REPORTS FILED WITH STATES SC
Schedule H (Form 990) 2020
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