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
2021
Open to Public Inspection
Name of the organization
GEORGETOWN MEMORIAL HOSPITAL
 
Employer identification number

57-0341194
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
 
No
%
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
 
No
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
 
 
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) . . .
    4,500,732 48,656 4,452,076 2.530 %
b Medicaid (from Worksheet 3, column a) . . . . .     16,710,311 13,880,418 2,829,893 1.610 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     21,211,043 13,929,074 7,281,969 4.140 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,871,274   1,871,274 1.060 %
f Health professions education (from Worksheet 5) . . .     440,626 11,416 429,210 0.240 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     234,922 67,477 167,445 0.090 %
j Total. Other Benefits . .     2,546,822 78,893 2,467,929 1.390 %
k Total. Add lines 7d and 7j .     23,757,865 14,007,967 9,749,898 5.530 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
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     2,085   2,085 0 %
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building     12,647   12,647 0.010 %
7 Community health improvement advocacy     521   521 0 %
8 Workforce development     452,809   452,809 0.260 %
9 Other            
10 Total     468,062   468,062 0.270 %
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
 
No
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
6,532,446
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
1,987,393
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
82,126,623
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
92,572,730
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-10,446,107
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) 2021
Schedule H (Form 990) 2021
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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 GEORGETOWN MEMORIAL HOSPITAL
606 BLACK RIVER ROAD
GEORGETOWN,SC29440
X X   X     X   MEDICARE DISPROPORTIONATE SHARE HOSPITAL  
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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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)
GEORGETOWN MEMORIAL HOSPITAL
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):
1
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 21
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 Yes  
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 21
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, SECTION C
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) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
GEORGETOWN MEMORIAL HOSPITAL
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, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Billing and Collections
GEORGETOWN MEMORIAL HOSPITAL
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) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
GEORGETOWN MEMORIAL HOSPITAL
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) 2021
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Schedule H (Form 990) 2021
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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
GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE 2022 TIDELANDS HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS DESIGNED IN CONJUNCTION WITH GEORGETOWN AND HORRY COUNTY PARTNERS AND UTILIZED METHODOLOGY AND BEST PRACTICES IDENTIFIED BY LEADING NATIONAL RESEARCH HOSPITALS. SURVEYS WERE SENT OUT ELECTRONICALLY AND BY PAPER TO COMMUNITY NONPROFIT LEADERS, GOVERNMENT OFFICIALS, SCHOOL DISTRICTS, MEDICAL FACILITIES, FAITH LEADERS, BUSINESS LEADERS, KEY TIDELANDS HEALTH STAFF MEMBERS, AND THE COMMUNITY AT LARGE. TIDELANDS HELD TWO EVENTS TO SELECT THE MOST SIGNIFICANT NEEDS BASED ON THE 2019 CHNA SURVEY.
GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: WACCAMAW COMMUNITY HOSPITAL
GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: QUORUM HEALTH RESOURCES PROVIDED THE EXPERTISE TO COMPLETE THE CHNA IN PARTNERSHIP WITH TIDELANDS HEALTH REPRESENTATIVES.
GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: ALL TCCN PARTNERS WERE SENT AN ELECTONIC COPY.
GEORGETOWN MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED AND SELECTED ARE HEALTH CARE AFFORDABILITY AND ACCESS, CANCER, HEART DISEASE, MENTAL HEALTH, DIABETES, WOMEN'S HEALTH.
PART V, LINE 7A, CHNA WEBSITE: HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, LINE 10B, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.TIDELANDSHEALTH.ORG/DISCOVER/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, LINE 16B & C, FAP, FAP APPLICATION & PLAIN LANGUAGE SUMMARY WEBSITE: HTTP://WWW.TIDELANDSHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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?15
Name and address Type of Facility (describe)
1 1 - TIDELANDS HEALTH REHABILITATION SERVICES
12965 OCEAN HWY
PAWLEYS ISLAND,SC295856549
ADULT REHABILITATION & FITNESS CLUB
2 2 - TIDELANDS HEALTH REHABILITATION SERVICES
4040 HIGHWAY 17
MURRELLS INLET,SC295765098
ADULT REHABILITATION
3 3 - TIDELANDS HEALTH PAIN MANAGEMENT SERVICE
219 CHURCH ST
GEORGETOWN,SC294402403
PAIN MANAGEMENT
4 4 - TIDELANDS HEALTH REHABILITATION SERVICES
3650 COALITION DR
MYRTLE BEACH,SC295886183
ADULT REHABILITATION
5 5 - TIDELANDS HEALTH WOUND HEALING CENTER AT
4367 RIVERWOOD DR UNIT 140
MURRELLS INLET,SC285764381
INFUSION SERVICES & WOUND CLINIC
6 6 - TIDELANDS HEALTH CANCER CARE NETWORK AT
4181 HIGHWAY 17
MURRELLS INLET,SC295765019
INFUSION SERVICES
7 7 - TIDELANDS HEALTH NEUROLOGICAL REHABILITA
4033 HIGHWAY 17 STE 102
MURRELLS INLET,SC295765032
ADULT REHABILITATION
8 8 - TIDELANDS HEALTH CENTER FOR PEDIATRIC DE
2361 N FRASER ST
GEORGETOWN,SC294406410
PEDIATRIC REHABILITATION
9 9 - TIDELANDS HEALTH REHABILITATION SERVICES
106 WACCAMAW MEDICAL PARK CT
CONWAY,SC295268965
ADULT REHABILITATION
10 10 - TIDELANDS HEALTH REHABILITATION SERVICES
219 CHURCH ST
GEORGETOWN,SC294402403
ADULT REHABILITATION
11 11 - TIDELANDS HEALTH CANCER CARE NETWORK AT
1220 21ST AVE N
MYRTLE BEACH,SC295777401
INFUSION SERVICES
12 12 - TIDELANDS HEALTH REHABILITATION SERVICES
701 S MORGAN AVE
ANDREWS,SC295102959
ADULT REHABILITATION
13 13 - TIDELANDS HEALTH CENTER FOR PEDIATRIC DE
3650 COALITION DR
MYRTLE BEACH,SC295886183
PEDIATRIC REHABILITATION
14 14 - TIDELANDS HEALTH FRANCIS B FORD CANCER
2405 N FRASER ST
GEORGETOWN,SC294407764
INFUSION SERVICES
15 15 - TIDELANDS HEALTH ECHOVASCULAR LAB AT MU
4367 RIVERWOOD DR UNIT 140
MURRELLS INLET,SC285764381
ECHO/VASCULAR LAB
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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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: THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
PART I, LN 7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $16,975,977 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES: $452,809 WAS SPENT TO RECRUIT PHYSICIANS WITH THE SKILLS AND TRAINING NECESSARY TO BEST SERVE THE NEEDS OF THE COMMUNITY IN AREAS SUCH AS OBSTETRICS/GYNECOLOGY AND PULMONOLOGY. THE COVID 19 PANDEMIC HAS CAUSED SIGNIFICANT TURNOVER IN HEALTHCARE AND WE HAVE BEEN FORCED TO DEDICATE MATERIAL RESOURCES TO THE RECRUITMENT AND REPLACEMENT OF CLINICAL STAFF TO PROVIDE MUCH NEEDED PATIENT CARE. THE WORKFORCE MARKET HAS BECOME INCREDIBLY COMPETITIVE AND WE HAVE THE NEED TO BE CREATIVE IN PROVIDING INCENTIVES FOR HEALTHCARE PROFESSIONALS TO COME TO OUR SYSTEM.
PART III, LINE 2: FOR AUDITED FINANCIAL STATEMENT PURPOSES, IN 2022, THE ORGANIZATION ASSESSED THE POPULATION OF PATIENTS UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE RESPONSIBLE IN CONJUNCTION WITH STATISTICS OF THE LOCAL POPULATION FALLING BELOW FEDERAL POVERTY LIMITS. THE ORGANIZATION BELIEVES A SIGNIFICANT PORTION OF THE UNPAID PATIENT SERVICES WOULD QUALIFY FOR CHARITY CARE IF THE PATIENT WERE TO APPLY IN ACCORDANCE WITH THE CURRENT POLICY. AS A RESULT, CHARITY CARE, AT CHARGES RECLASSIFIED FROM BAD DEBT TOTALED $7,423,000. THE IMPACT OF THIS RECLASSIFICATION HAS BEEN REMOVED FOR SCHEDULE H PRESENTATION PURPOSES.
PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGE RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF 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.
PART 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. APPROXIMATELY 60% OF THE ORGANIZATION'S PAYER MIX IS DEVOTED TO MEDICARE.
PART 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. UPON APPLICATION FOR FINANCIAL ASSISTANCE, COLLECTION PRACTICES ARE HALTED UNTIL THE APPLICATION HAS BEEN REVIEWED AND PROCESSED. IF FINANCIAL ASSISTANCE IS APPROVED, COLLECTION PRACTICES WILL CEASE. IF FINANCIAL ASSISTANCE IS DENIED, COLLECTION PRACTICES WILL CONTINUE.
PART 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 IMPLEMENTATION 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.
PART VI, LINE 3: THE ORGANIZATION REGULARLY ADVERTISES THE AVAILABLE STATE, FEDERAL, AND LOCAL FINANCIAL ASSISTANCE PROGRAMS. 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.
PART 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 AN ESTIMATED 2022 POPULATION OF 383,000. 26% OF THE POPULATION IS OVER THE AGE OF 65 AND THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $54,000. IN ADDITION, AN ESTIMATED 13% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 16% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. GEORGETOWN COUNTY (815 SQ. MILES) HAS A POPULATION OF APPROXIMATELY 64,000 PEOPLE AND AN ESTIMATED 30% OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $56,000 AND AN ESTIMATED 15% OF THE POPULATION IS BELOW THE POVERTY LEVEL. FINALLY, 15% OF THE POPULATION UNDER THE AGE OF 65 IS ESTIMATED TO BE WITHOUT HEALTH INSURANCE. COMPETING HOSPITALS ARE LOCATED APPROXIMATELY 40-45 MILES NORTH AND NORTHWEST AND 60 MILES SOUTH. MAJOR SURROUNDING CITIES INCLUDE: CHARLESTON, SC (60 MILES), COLUMBIA, SC (150 MILES) AND CHARLOTTE, NC (215 MILES).
PART VI, LINE 5: 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.
PART VI, LINE 6: GEORGETOWN MEMORIAL HOSPITAL IS PART OF GEORGETOWN HOSPITAL SYSTEM. GEORGETOWN HOSPITAL SYSTEM IS A RELATED 501(C)(3) HEALTHCARE ORGANIZATION.
PART VI, LINE 7, REPORTS FILED WITH STATES SC
Schedule H (Form 990) 2021
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