SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Prisma Health-Midlands
 
Employer identification number

58-2296052
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) PRISMA HEALTH MIDLANDS NETWORK
1301 TAYLOR STREET
STE 9A
COLUMBIA,SC29210
27-3029587
ACO SC 16,910,458 80,251 PRISMA HEALTH-MIDLANDS
 










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)PRISMA HEALTH
300 E MCBEE AVE 302

GREENVILLE,SC29601
82-2595551
HEALTHCARE SC 501(c)(3) Type III-FI NA
 
 
No
(2)PRISMA HEALTH-UPSTATE
300 E MCBEE AVE 302

GREENVILLE,SC29601
81-1723202
HOSPITAL SC 501(c)(3) 3 PRISMA HEALTH
 
 
No
(3)PRISMA HEALTH TUOMEY
129 NORTH WASHINGTON STREET

SUMTER,SC29150
47-4914917
HOSPITAL SC 501(c)(3) 3 PRISMA HEALTH - MIDLANDS
 
Yes
 
(4)PRISMA HEALTH UNIVERSITY MEDICAL GROUP
300 E MCBEE AVE 302

GREENVILLE,SC29601
57-1004971
PHYSICIAN PRACTICES SC 501(c)(3) 10 PRISMA HEALTH-UPSTATE
 
 
No
(5)GREENVILLE HEALTH CORPORATION
300 E MCBEE AVE 302

GREENVILLE,SC29601
57-0835816
HEALTHCARE SC 501(c)(3) 10 PRISMA HEALTH-UPSTATE
 
 
No
(6)PRISMA HEALTH MIDLANDS FOUNDATION
1600 MARION STREET

COLUMBIA,SC29202
57-0725699
SUPPORTS HOSPITAL SC 501(c)(3) Type III-FI NA
 
 
No
(7)PALMETTO RICHLAND MEMORIAL AUXILIARY
5 RICHLAND MEDICAL PARK DRIVE

COLUMBIA,SC29203
57-0645678
SUPPORTS HOSPITAL SC 501(c)(3) Type II NA
 
 
No
(8)PRISMA HEALTH MEDICAL GROUP-MIDLANDS
15 MEDICAL PARK STE 300

COLUMBIA,SC29203
47-1345819
PHYSICIAN PRACTICES SC 501(c)(3) 10 PRISMA HEALTH - MIDLANDS
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) RADIATION ONCOLOGY

7 RICHLAND MEDICAL PARK ROAD
COLUMBIA,SC29203
36-4542465
HEALTHCARE SC NA
 
Related 1,150,261 1,714,386   No     No 51 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HEALTHSOURCE INC

PO BOX 2266
COLUMBIA,SC29202
57-0938686
HEALTHCARE SC PRISMA HEALTH-MIDLANDS
 
C Corporation 1,528,499 2,937,811 100 % Yes  
(2) HOSPITAL SERVICES INC

2751 THE BOULEVARD
COLUMBIA INDUSTRIAL PARK
COLUMBIA,SC29209
HEALTHCARE SC PRISMA HEALTH-MIDLANDS
 
C Corporation 0 81,436 71.85 % Yes  
(3) PHCA INC

300 E MCBEE AVENUE SUITE 302
GREENVILLE,SC29601
88-3421661
HEALTHCARE SC NA
 
C Corporation         No
(4) PHVPHIC INC

300 E MCBEE AVENUE SUITE 302
GREENVILLE,SC29601
88-3279433
HEALTHCARE SC NA
 
C Corporation         No
(5) PROMISE HEALTH INSURANCE COMPANY SC INC

300 E MCBEE AVENUE SUITE 302
GREENVILLE,SC29601
88-2888859
INSURANCE SC NA
 
C Corporation         No
(6) PROMISE FIRST INC

300 E MCBEE AVENUE SUITE 302
GREENVILLE,SC29601
88-4158136
INSURANCE SC NA
 
C Corporation         No


Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) PRISMA HEALTH MIDLANDS FOUNDATION

C 1,552,785 BOOK BASIS
(2) Prisma Health University Medical Group Prisma Health Prisma Health-Midlands
Prisma Health Tuomey
I 1,577,822 BOOK BASIS
(3) Prisma Health University Medical Group Greenville Health Corporation Prisma
Health Prisma Health-Upstate Prisma Health Medical Group-Midlands
J 2,322,576 BOOK BASIS



Schedule R (Form 990) 2021
Page 4
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Page 5
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R, Part V, Line 1q ENTRIES ARE MADE TO TRANSFER EXPENSES BETWEEN RELATED ENTITIES TO THE APPROPRIATE ENTITY; HOWEVER, NO EXCHANGE OF CASH OCCURS.
Schedule R (Form 990) 2021

Additional Data


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