2026-08-12T15:02:04+00:00 2025-09-30 346565596 ERNST & YOUNG US LLP 1020 SPRING STREET NW ATLANTA GA 30309 990 2024-12-10 332454250 PRISMA HEALTH LTACH - BAPTIST PRIS 8647977805 300 EAST MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 MATTHEW ELSEY EVP-CFO PRISMA HEALTH 8647977805 2026-08-12 true true AERRIAL M ORR P01598400 4048748300 2026-08-04 2024 2025-03-06 01:10:19Z X MATTHEW ELSEY 86779 false X WWW.PRISMAHEALTH.ORG X 2024 SC INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. 5 3 0 0 0 0 0 0 5462 81317 0 86779 0 0 661009 0 0 933296 1594305 0 -1507526 0 1591209 0 70848 0 1520361 INSPIRE HEALTH. SERVE WITH COMPASSION. BE THE DIFFERENCE. false false 1372785 0 81317 PRISMA HEALTH LTACH - BAPTIST WAS FORMED TO OWN AND OPERATE A 35-BED LONG-TERM ACUTE CARE HOSPITAL WITHIN THE PRISMA HEALTH BAPTIST HOSPITAL LOCATED AT 1130 TAYLOR STREET, 7TH FLOOR, COLUMBIA, SC 29220 (THE LTACH). THE LTACH IS LICENSED AS A SPECIALTY HOSPITAL BY THE SOUTH CAROLINA DEPARTMENT OF PUBLIC HEALTH AND PROVIDES HEALTH CARE SERVICES TO PATIENTS IN THE MIDLANDS REGION OF SOUTH CAROLINA, MORE SPECIFICALLY CARE AND TREATMENT FOR PATIENTS REQUIRING COMPLEX, ACUTE CARE ON A LONG-TERM BASIS. PRISMA HEALTH LTACH - BAPTIST ACQUIRED SUBSTANTIALLY ALL OF THE ASSETS OF THE LTACH ON FEBRUARY 6, 2025 (THE CLOSING DATE). 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PRISMA HEALTH QUALIFIES AS AN ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). AS OF SEPTEMBER 30, 2025, PRISMA HEALTH HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS. true true X true X true X true false true true 0 0 0 0.0 152081 0 152081 0.09539 0 0 0 0.0 0 0 152081 0 152081 0.09539 0 0 0 0.0 0 0 0 0.0 1221802 0 1221802 0.76635 0 0 0 0.0 0 0 0 0.0 0 0 1221802 0 1221802 0.76635 0 0 1373883 0 1373883 0.86174 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 191876 0 0 884054 -884054 X true true 1 1 PRISMA HEALTH LTACH - BAPTIST 1130 TAYLOR STREET 7TH FLOOR COLUMBIA SC 29220 WWW.PRISMAHEALTH.ORG HTL-0983 X X PRISMA HEALTH LTACH - BAPTIST 1 false true true X X X X X X X X X 24 true true false true X HTTPS://PRISMAHEALTH.ORG/PDFS/2025-CHNA-REPORT-SC X true 25 true HTTPS://PRISMAHEALTH.ORG/PDFS/2026-CHNA-ACTION-PLAN-SC false true X 200.0 400.0 X X X X X true true X X X X true X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X X true X false X X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 2 PRISMA HEALTH LTACH - BAPTIST WAS FORMED TO OWN AND OPERATE A 35-BED LONG-TERM ACUTE CARE HOSPITAL WITHIN THE PRISMA HEALTH BAPTIST HOSPITAL LOCATED AT 1130 TAYLOR STREET, 7TH FLOOR, COLUMBIA, SC 29220 (THE LTACH). THE LTACH IS LICENSED AS A SPECIALTY HOSPITAL BY THE SOUTH CAROLINA DEPARTMENT OF PUBLIC HEALTH AND PROVIDES HEALTH CARE SERVICES TO PATIENTS IN THE MIDLANDS REGION OF SOUTH CAROLINA, MORE SPECIFICALLY CARE AND TREATMENT FOR PATIENTS REQUIRING COMPLEX, ACUTE CARE ON A LONG-TERM BASIS. PRISMA HEALTH LTACH - BAPTIST ACQUIRED SUBSTANTIALLY ALL OF THE ASSETS OF THE LTACH ON FEBRUARY 6, 2025. SCHEDULE H, PART V, SECTION B, 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. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - PRISMA HEALTH LTACH - BAPTIST. PRISMA HEALTH FORMED A MULTI-STAKEHOLDER TEAM TO CARRY OUT THE TAX YEAR 2024 (FISCAL YEAR 9/30/25) COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THE TEAM IDENTIFIED SEVEN COUNTIES TO FOCUS ON IN COLLECTING DATA FOR PRISMA HEALTH'S 2024 SOUTH CAROLINA CHNA. THESE COUNTIES WERE: GREENVILLE, LAURENS, LEXINGTON, OCONEE, PICKENS, RICHLAND AND SUMTER. A TOTAL OF 8,854 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 DATA. 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 3/2025 AND 5/2025. PARTICIPATING ORGANIZATIONS INCLUDE COMMUNITY-BASED ORGANIZATIONS, STATE AGENCIES, SCHOOLS, FREE MEDICAL CLINICS, S.C. DEPARTMENT OF PUBLIC HEALTH, PRIMARY CARE PHYSICIANS, PEDIATRICIANS AND SCHOOLS. DIVERSE COMMUNITIES ALSO WERE ENGAGED, INCLUDING ADULT LATINX, GENERATION ZERS, MILLENNIALS, RURAL RESIDENTS AND AFRICAN AMERICAN POPULATIONS. HEALTH PROBLEMS MENTIONED BY THE GREATER COMMUNITY WERE CONSISTENT WITH THOSE DISCUSSED IN ONE ON ONE INTERVIEWS AND FOCUS GROUPS. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - PRISMA HEALTH LTACH - BAPTIST. PRISMA HEALTH-MIDLANDS, PRISMA HEALTH-UPSTATE, PRISMA HEALTH TUOMEY, AND PRISMA HEALTH LTACH - BAPTIST ALL CONDUCTED THE CHNA JOINTLY. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - PRISMA HEALTH LTACH - BAPTIST. THE COMMUNITY HEALTH NEEDS ASSESSMENT DOESN'T LIST ANY SIGNIFICANT NEEDS THAT THE HOSPITAL SYSTEM ISN'T ADDRESSING IN THE ORGANIZATIONS IMPLEMENTATION PLAN. THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS INDICATED THREE DISTINCTIVE HEALTH ISSUES AND PRIORITY AREAS FOR INTERVENTION IN LEXINGTON, RICHLAND, SUMTER, GREENVILLE, OCONEE, PICKENS AND LAURENS COUNTY. THOSE NEEDS ARE: 1. MENTAL HEALTH 2. OVERWEIGHT AND OBESITY 3. DIABETES PRISMA HEALTH IS ADDRESSING ALL THE NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. DURING THE NEXT THREE YEARS, PRISMA HEALTH IS COMMITTED TO PARTNERING WITH HEALTH CARE AND COMMUNITY LEADERS TO PRIORITIZE AND SELECT CRITICAL AREAS FOR INTERVENTION AND ACTION PLANNING. PRISMA HEALTH HAS OUTLINED STRATEGIES FOR PRIORITY AREAS IN PARTNERSHIP WITH VARIOUS COMMUNITY PARTNERS. PLEASE SEE THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN AT THE FOLLOWING LINK: HTTPS://PRISMAHEALTH.ORG/PDFS/2026-CHNA-ACTION-PLAN-SC COVID-19 WHILE THE ACUTE PHASE OF COVID 19 HAS PASSED, THE PANDEMIC'S INFLUENCE ON THE HEALTH CARE LANDSCAPE ENDURES. PRISMA HEALTH REMAINS VIGILANT - MONITORING CASE TRENDS, SUPPORTING ACCESS TO TESTING AND VACCINATION, AND APPLYING LESSONS LEARNED TO STRENGTHEN LONG TERM EMERGENCY PREPAREDNESS. INVESTMENTS MADE DURING THE PANDEMIC CONTINUE TO SHAPE THE WAY CARE IS DELIVERED TODAY. EXPANDED VIRTUAL CARE PLATFORMS, ENHANCED INFECTION PREVENTION PROTOCOLS AND A RENEWED EMPHASIS ON PUBLIC HEALTH INFRASTRUCTURE ARE HELPING TO BUILD A MORE RESILIENT SYSTEM. NOTABLY, THE IMPACT OF TELEHEALTH EXPANSION IS REFLECTED IN COMMUNITY SENTIMENT: 70% OF SURVEY RESPONDENTS NOW SAY THEY FEEL COMFORTABLE USING THE INTERNET TO TALK TO THEIR DOCTOR - NEARLY DOUBLE THE 37% REPORTED JUST THREE YEARS AGO. PRISMA HEALTH IS PLANNING TO PROMOTE CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH ENHANCED EDUCATION PROGRAMS AND OPPORTUNITIES FOR THE COMMUNITY AND PATIENTS - INCLUDING DIABETES PREVENTION PROGRAMS, LIFESTYLE MANAGEMENT PROGRAMS, AND NUTRITION COUNSELING AND EDUCATION. THESE EFFORTS WILL BE PAIRED WITH PROMOTING AND ENCOURAGING GREATER EQUITABLE ACCESS FOR HEALTHY FOODS AND PHYSICAL ACTIVITY, AS WELL AS SUPPORT SERVICES VIA TELEHEALTH AND MOBILE CLINIC PROGRAMS. AS IT RELATES TO BEHAVIORAL AND MENTAL HEALTH, THE ACTION PLAN INVOLVED 5 AREAS: INCREASING COMMUNITY AWARENESS AND BUILDING CAPACITY, STRENGTHENING THE BEHAVIORAL HEALTH WORKFORCE, INCREASING OPPORTUNITIES FOR SCREENING FOR EARLY IDENTIFICATION, IMPROVING ACCESS AND NAVIGATION FOR INDIVIDUALS WITH BEHAVIORAL HEALTH DIAGNOSES AND EXPANDING BEHAVIORAL HEALTH CRISIS RESPONSE SERVICES. FOR BOTH PRIORITY AREAS, INVENTORIES OF BOTH HEALTH SYSTEM AND COMMUNITY/COALITION-BASED SERVICES AND PROGRAMS HAVE BEEN DEVELOPED TO SHARE WITH THE COMMUNITY TO INCREASE AWARENESS. THESE INVENTORIES WILL BE UPDATED AND SHARED WITH THE COMMUNITY AND PRISMA HEALTH PARTNERS ON AN ONGOING BASIS. A MORE DETAILED ACCOUNT OF PRISMA HEALTH'S STRATEGY CAN BE FOUND IN THE IMPLEMENTATION STRATEGY POSTED ON PRISMA HEALTH'S WEBSITE. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - PRISMA HEALTH LTACH - BAPTIST. THERE IS A CATASTROPHIC CLAUSE WHICH ALLOWS FOR AN ALTERNATIVE MEANS OF QUALIFYING BASED ON SIGNIFICANT FINANCIAL HARDSHIP. SCHEDULE H, PART V, SECTION B, LINE 15 FACILITY , 1 FACILITY , 1 - PRISMA HEALTH LTACH - BAPTIST. 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. SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 FACILITY , 1 - PRISMA HEALTH LTACH - BAPTIST. COMMUNITY CLINICS ARE AWARE OF AND HAVE INFORMATION REGARDING THE PRISMA HEALTH FINANCIAL ASSISTANCE POLICY. SCHEDULE H, PART V, SECTION B, LINE 20 FACILITY , 1 FACILITY , 1 - PRISMA HEALTH LTACH - BAPTIST. CONSPICUOUS POSTINGS IN THE HOSPITAL REGISTRATION AREAS INFORMING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY. 0 SCHEDULE H, PART I, LINE 3C FIN. ASSISTANCE ELIGIBILITY FACTORS OTHER THAN FPG PRISMA HEALTH UTILIZES FEDERAL POVERTY GUIDELINES (FPG) AND LIQUID ASSETS FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A SCHEDULE H, PART I, LINE 7 COLUMN (F), PERCENT OF TOTAL EXPENSE THE PROPORTION OF COMMUNITY BENEFIT EXPENSE TO TOTAL EXPENSE IS DUE TO AN OUTLIER COST TO CHARGE RATIO HAVING REASONABLE COSTS INCURRED IN FIRST YEAR OF OPERATIONS WITH LIMITED PATIENT VOLUMES IN THE FIRST FY25 YEAR. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THE SUBSIDIZED HEALTH SERVICES INCLUDE: 1. LONG TERM ACUTE CARE SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION THE PRISMA HEALTH LTACH - BAPTIST COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE PRISMA HEALTH SC COMMUNITY BENEFIT REPORT. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS AND COST TO CHARGE RATIO DERIVED FROM THE PRISMA HEALTH LTACH - BAPTIST'S FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT 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. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY FY25 IS THE FIRST YEAR OF OPERATIONS FOR PRISMA HEALTH LTACH - BAPTIST AND THERE IS NOT COMPLETE DATA AVAILABLE TO DETERMINE AN AMOUNT OF BAD DEBT ELIGIBLE TO BE RECLASSED AS CHARITY IN FY25. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE SEE THE FY2025 FINANCIALS, NOTE 2 - REVENUE RECOGNITION AND PATIENT ACCOUNTS RECEIVABLE. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS 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 MEDICARE ALLOWABLE COST WAS DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM THE FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE 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. PRISMA HEALTH REVENUE CYCLE ADMINISTRATION HAS FINAL RESPONSIBILITY FOR OUTLINING PROCESSES ENSURING THE HOSPITAL FACILITY HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FINANCIAL ASSISTANCE ELIGIBLE BEFORE ENGAGING IN ECAS. HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - PRISMA HEALTH LTACH - BAPTIST: LINE 16A URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - PRISMA HEALTH LTACH - BAPTIST: LINE 16B URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - PRISMA HEALTH LTACH - BAPTIST: LINE 16C URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT BEYOND THE CHNA, PRISMA HEALTH REGULARLY PARTICIPATES IN COMMUNITY EVENTS AND HEALTH FAIRS, FACILITATES LISTENING SESSIONS AND COMMUNITY DATA WALKS, AND PARTNERS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS, COLLEGES, AND UNIVERSITIES TO BETTER UNDERSTAND THE EXPERIENCES, BARRIERS, AND UNMET NEEDS FACING COMMUNITY MEMBERS. THESE EFFORTS HELP ENSURE THE ORGANIZATION IS NOT ONLY USING DATA TO IDENTIFY AREAS OF NEED, BUT ALSO LISTENING DIRECTLY TO RESIDENTS TO UNDERSTAND GAPS IN SERVICES AND OPPORTUNITIES TO IMPROVE ACCESS TO CARE. ONE STRATEGY TO IMPROVE ACCESS INCLUDING MOBILE CLINICS THAT ARE ABLE TO MEET RESIDENTS OUTSIDE OF THE HOSPITAL, ALLEVIATING TRANSPORTATION AND ACCESS BARRIERS. IN ADDITION, THE ORGANIZATION ASSESSES PATIENT AND COMMUNITY NEEDS THROUGH DIRECT SERVICE DELIVERY AND SOCIAL NEEDS SCREENING EFFORTS. THROUGH THE FINDHELP PLATFORM, NEARLY 13,000 COMMUNITY MEMBERS WERE CONNECTED TO COMMUNITY RESOURCES AND SUPPORT SERVICES IN FY25. COMMUNITY HEALTH WORKERS (CHWS) AND CARE NAVIGATORS ALSO WORK CLOSELY WITH PATIENTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND PROGRAMS SUCH AS PASOS FURTHER SUPPORT THIS WORK BY PROVIDING CULTURALLY RELEVANT CARE AND SERVICES TO HISPANIC/LATINO PATIENTS. A DESCRIPTION OF HOW PRISMA HEALTH LTACH - BAPTIST CONDUCTS ITS NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://WWW.PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WHEN PATIENTS ARE BILLED, THEY RECEIVE INFORMATION ON HOW TO APPLY FOR PRISMA HEALTH FINANCIAL ASSISTANCE FROM MAILED PAPER STATEMENTS OR ELECTRONIC STATEMENTS THROUGH MYCHART. WHEN A BALANCE DUE IS POSTED IN MYCHART, PATIENTS RECEIVE AN ALERT WITH INSTRUCTIONS ON HOW TO APPLY FOR PRISMA HEALTH FINANCIAL ASSISTANCE AND/OR SET UP A PAYMENT PLAN, IF DESIRED. ALL HOSPITAL DEPARTMENTS CAN COMMUNICATE THIS INFORMATION AND PROVIDE A PRISMA HEALTH FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENT WHO IS SELF-PAY AND/OR REQUESTING FINANCIAL ASSISTANCE. PLEASE ALSO REFER TO PART V, SECTION B, QUESTION 16 QUESTIONS AND DISCLOSURE FOR ADDITIONAL INFORMATION. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION 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 SOUTH CAROLINA SERVICE AREAS: RICHLAND, LEXINGTON, SUMTER, LAURENS, OCONEE, GREENVILLE AND PICKENS, RESPECTIVELY. IN 2024, THE SOUTH CAROLINA POPULATION BREAKDOWN WAS: POPULATION 5.46 MILLION, MEDIAN HOUSEHOLD INCOME $67,804, AN AVERAGE OF 13.8% BELOW THE FPL, AND AN AVERAGE OF 9.1% UNINSURED. ACROSS THE PRIMARY SERVICE AREA FOR PRISMA HEALTH, APPROXIMATELY 8.7% OF PATIENTS ARE UNINSURED AND 19% OF PATIENTS ARE MEDICAID RECIPIENTS. THERE ARE 7 COMPETING HOSPITALS WITHIN THE SC PRISMA HEALTH PRIMARY SERVICE AREA. 6 OF THE 7 PRIMARY SERVICE AREA COUNTIES IN SC HAVE A MEDICALLY UNDERSERVED DESIGNATION FOR POPULATIONS, PER HRSAS HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) TOOL. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH PRISMA HEALTH PROMOTED COMMUNITY HEALTH IN RESPONSE TO THE CHNA BY: - PROVIDING 109 SOCIAL NEEDS SCREENINGS AT COMMUNITY EVENTS - 20 REFERRALS PROVIDED TO OR RECEIVED FROM PRISMA HEALTH PRACTICES - 240 COMMUNITY RESOURCES SHARED WITH CLIENTS -396 CONTACTS MADE TO REFERRED PATIENTS; 28 TOTAL SESSIONS OF SOCIAL-EMOTIONAL LEARNING (SEL) OFFERED TO STUDENTS AT HYATT PARK ELEMENTARY SCHOOL - $3,860 IN GROCERY GIFT CARDS PROVIDED TO FAMILIES EXPERIENCING FOOD INSECURITY - 44 BUS PASSES PROVIDED TO CLIENTS WHO NEEDED HELP GETTING TO MEDICAL APPOINTMENTS, WORK, GROCERY STORE, ETC. SEE FURTHER INFORMATION IN THE FY25 COMMUNITY OUTREACH PROGRAMS REPORT HERE: HTTPS://PRISMAHEALTH.ORG/GETMEDIA/646C3E7F-9F4B-4280-81DD-2C45291E56DB/PRISMA-HEALTH-COMMUNITY-OUTREACH-REPORT-2025.PDF PLEASE ALSO SEE PAGES 13-19 OF THE SC CHNA AT THE FOLLOWING LINK TO SEE WAYS PRISMA HEALTH PROMOTES COMMUNITY HEALTH: HTTPS://PRISMAHEALTH.ORG/PDFS/2025-CHNA-REPORT-SC SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM 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://PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2025 false true false false false false false false false WILLIAM A JACKSON DIRECTOR - SVP SERVICE LINES & CHIEF COMMUNITY OFFICER 0 20391 0 287387 0 95 0 5201 0 857 0 313931 0 0 MATTHEW M ELSEY EVP CHIEF FINANCIAL OFFICER 0 40134 0 657689 0 577 0 0 0 1228 0 699628 0 0 JONATHAN L GLEASON MD EVP CHIEF CLINICAL OFFICER 0 33548 0 654194 0 489 0 865 0 1978 0 691074 0 0 RICHARD J ROGERS SVP CHIEF INFORMATION OFFICER 0 26098 0 435077 0 223096 0 0 0 879 0 685150 0 0 AMY E LINSIN EVP CHIEF HR AND DIVERSITY OFFICER 0 23484 0 333012 0 107181 0 0 0 882 0 464559 0 0 MALCOLM W ISLEY EVP CHIEF STRATEGY OFFICER (UNTIL 1/21/25) 0 16211 0 153915 0 132862 0 0 0 1005 0 303993 0 0 ALEXANDER D GLADNEY EVP CHIEF LEGAL OFFICER 0 13251 0 146057 0 489 0 0 0 1071 0 160868 0 0 SCHEDULE J, PART I, LINE 1A FIRST-CLASS OR CHARTER TRAVEL PRISMA HEALTH PROVIDES CHARTER TRAVEL FOR EXECUTIVES FOR BUSINESS PURPOSES. THE VALUE IS NOT TAXABLE TO EXECUTIVES AND NOT INCLUDED IN COMPENSATION ON FORM 990. SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE 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 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. SPLIT DOLLAR LIFE INSURANCE PARTICIPANTS ARE MALCOLM W ISLEY, AMY E LINSIN, CLARENCE M SEVILLIAN II, MATTHEW M ELSEY, 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. FORM 990, PART VI, LINE 15 A & B PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL PRISMA HEALTH IS RESPONSIBLE FOR ESTABLISHING THE COMPENSATION PHILOSOPHY. AS PART OF THIS UNDERTAKING, THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF PRISMA HEALTH, WHICH IS COMPOSED SOLELY OF INDEPENDENT DIRECTORS OF PRISMA HEALTH, SETS THE COMPENSATION PAYABLE TO THE EXECUTIVES AND MANAGEMENT LEADERS EMPLOYED BY PRISMA HEALTH AND ITS RELATED ORGANIZATIONS WHO ARE CONSIDERED AS DISQUALIFIED PERSONS IN ACCORDANCE WITH SECTION 4958 OF THE CODE AND THE APPLICABLE COMPENSATION PHILOSOPHY TO MANAGERS, DIRECTORS, AND EMPLOYEES. THIS PROCESS OF INDEPENDENT ESTABLISHMENT AND REVIEW OF COMPENSATION BY THE PARENT ORGANIZATION FOR THE SYSTEM IS CONSISTENT WITH THAT UTILIZED BY THE MAJORITY OF LARGE, MULTI-INSTITUTIONAL HEALTHCARE SYSTEMS. THE EXECUTIVE COMPENSATION COMMITTEE UTILIZES AN EXPERT INDEPENDENT COMPENSATION CONSULTANT RETAINED BY THE COMMITTEE TO PROVIDE AND EVALUATE COMPENSATION BASED ON COMPARABILITY DATA, MARKET CONDITIONS, COMPETITION FOR TALENT, AND OTHER SIGNIFICANT FACTORS. BASE COMPENSATION, VARIABLE INCENTIVE COMPENSATION, AND BENEFITS ARE ALL ESTABLISHED AND SET AFTER REVIEW BY THE COMMITTEE OF THIS DATA AND THE PERFORMANCE OF THE ORGANIZATION, AND REPORTS FROM THE INDEPENDENT CONSULTANT ARE INCLUDED IN THE MINUTES OF THE DELIBERATION BY THE COMMITTEE. THIS PROCESS WAS LAST COMPLETED IN SEPTEMBER 2025. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER IS PRISMA HEALTH. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE INITIAL BOARD OF DIRECTORS SHALL CONSIST OF FIVE DIRECTORS. TWO DIRECTORS SHALL BE DESIGNATED DIRECTORS WHO SHALL BE APPOINTED BY THE MEMBER PRISMA HEALTH, AND THREE DIRECTORS SHALL BE CLASS C DIRECTORS APPOINTED BY MEMBER PRISMA HEALTH. THEREAFTER, THE CLASS C DIRECTORS SHALL SERVE STAGGERED THREE YEAR TERMS AND SHALL BE ELECTED OR RE-ELECTED BY THE BOARD OF PRISMA HEALTH LTACH - BAPTIST. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS EACH OF THE FOLLOWING CORPORATE ACTIONS REQUIRES THE APPROVAL OF THE MEMBER: A. APPROVAL OF ALL AMENDMENTS TO THE BYLAWS, ANY REPEAL OF THE BYLAWS OR ADOPTION OF NEW BYLAWS OF THE CORPORATION. B. APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION, AS AMENDED OR RESTATED. C. VOTING ON ALL MATTERS IN WHICH THE VOTE OF MEMBERS WITH VOTING RIGHTS IS REQUIRED BY LAW, THE ARTICLES OF INCORPORATION, AS AMENDED, OR THE BYLAWS. D. APPROVAL OF ANY CHANGE TO THE LICENSURE OR CERTIFICATION STATUS OF THE LTCH OPERATED BY THE CORPORATION. E. APPROVAL OF ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OF THE CORPORATION. F. APPROVAL OF THE CORPORATION BORROWING MONIES, MAKING LOANS, CONTRIBUTIONS, GRANTS OR ENTERING INTO ANY OTHER FINANCING ARRANGEMENT EXCEEDING $250,000, INCLUDING THE SETTLEMENT OR RESOLUTION OF ANY LITIGATION IN EXCESS OF $250,000. G. APPROVAL OF ANY MERGER, DIVESTITURE, OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. H. APPROVAL OF THE FORMATION OF AN ENTITY BY OR THE ACQUISITION OF ANOTHER ENTITY (OR ALL OR SUBSTANTIALLY ALL OF ANOTHER ENTITY'S ASSETS) BY THE CORPORATION. I. APPROVAL OF THE ADMISSION OF ANY ADDITIONAL OWNER OR MEMBER OF THE CORPORATION. J. APPROVAL OF ANY ACTION THAT MAY AFFECT THE CORPORATION'S OR THE MEMBER'S TAX-EXEMPT STATUS. K. APPROVAL OF THE SLATE OF POTENTIAL COMMUNITY DIRECTORS IDENTIFIED BY THE CORPORATION'S NOMINATING COMMITTEE. L. FILING FOR VOLUNTARY BANKRUPTCY OR TAKING ANY SIMILAR ACTION THAT WOULD RESULT IN THE DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY PRISMA HEALTH MANAGEMENT. THE RETURN WAS REVIEWED BY PRISMA HEALTH MANAGEMENT AND IN-HOUSE LEGAL COUNSEL PRIOR TO FILING WITH THE IRS. IN ADDITION, A COPY OF THE RETURN WAS PROVIDED TO THE PRISMA HEALTH-LTACH BAPTIST BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY THE DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY CONFLICTS OF INTEREST. THESE ARE REVIEWED BY CORPORATE COMPLIANCE AND LEGAL DEPARTMENTS OF PRISMA HEALTH. ADDITIONALLY, CORPORATE COMPLIANCE COMPARES ANNUAL DISCLOSURES BY EMPLOYED PHYSICIANS TO THOSE DISCLOSED BY VENDORS THROUGH THE OPEN PAYMENTS SYSTEMS. ANY EXCEPTIONS ARE REVIEWED AND COMMUNICATED TO THE CONFLICT OF INTEREST COMMITTEE AND THE DEPARTMENT CHAIRPERSON. IF PRISMA HEALTH DETERMINES THAT A PRISMA HEALTH TEAM MEMBER OR MEDICAL GROUP MEMBER COVERED BY THIS POLICY DID NOT COMPLY WITH THE TERMS OF THE CONFLICT OF INTEREST ANNUAL DISCLOSURE POLICY, OR IF PRISMA HEALTH DISCOVERS THAT ONE OF THESE INDIVIDUALS HAD A SIGNIFICANT FINANCIAL OR ORGANIZATIONAL INTEREST THAT WAS NOT DISCLOSED IN A TIMELY MANNER PURSUANT TO THIS POLICY, PRISMA HEALTH WILL CONDUCT A RETROSPECTIVE REVIEW, AND IF, UPON CONCLUSION OF THE REVIEW, THE PRISMA HEALTH CONFLICT OF INTEREST COMMITTEE FINDS THAT A CONFLICT OF INTEREST EXISTED THAT COULD HAVE AFFECTED THE DECISION-MAKING AND/OR INDEPENDENT JUDGEMENT OF THE INDIVIDUAL, PRISMA HEALTH WILL TAKE APPROPRIATE STEPS IN ACCORDANCE WITH THIS POLICY TO MANAGE OR ELIMINATE THE CONFLICT AND REPORT ITS FINDING TO THE APPROPRIATE PRISMA HEALTH ADMINISTRATIVE BODY. A TRANSACTION IN WHICH A DIRECTOR OF THE CORPORATION HAS A CONFLICT OF INTEREST MAY BE AUTHORIZED, APPROVED, OR RATIFIED BY THE VOTE OF THE BOARD OR A COMMITTEE OF THE BOARD IF THE MATERIAL FACTS OF THE TRANSACTION AND THE DIRECTOR'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD OR COMMITTEE OF THE BOARD, AND THE DIRECTORS APPROVING THE TRANSACTION IN GOOD FAITH REASONABLY BELIEVE THAT THE TRANSACTION IS FAIR TO THE CORPORATION. A CONFLICT OF INTEREST TRANSACTION IS AUTHORIZED, APPROVED, OR RATIFIED IF IT RECEIVES THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS OF THE BOARD OR ON THE COMMITTEE WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION, BUT A TRANSACTION MAY NOT BE AUTHORIZED, APPROVED, OR RATIFIED UNDER THIS SECTION BY A SINGLE DIRECTOR. IF A MAJORITY OF THE DIRECTORS ON THE BOARD WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION VOTE TO AUTHORIZE, APPROVE, OR RATIFY THE TRANSACTION, A QUORUM IS PRESENT FOR THE PURPOSE OF TAKING ACTION UNDER THIS SECTION. THE PRESENCE OF, OR A VOTE CAST BY, A DIRECTOR WITH A DIRECT OR INDIRECT INTEREST IN THE TRANSACTION DOES NOT AFFECT THE VALIDITY OF ANY ACTION TAKEN UNDER THIS SECTION IF THE TRANSACTION IS OTHERWISE APPROVED AS PROVIDED IN THIS SECTION. A RESOLUTION OF THE BOARD MAY IMPOSE ADDITIONAL REQUIREMENTS ON CONFLICT OF INTEREST TRANSACTIONS. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES OTHER PATIENT SERVICES - TOTAL EXPENSE: 219699, PROGRAM SERVICE EXPENSE: 188941, MANAGEMENT AND GENERAL EXPENSES: 30758, FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES EQUITY TRANSFER FROM RELATED ORGANIZATIONS - 3027887; TOTAL - 3027887; PRISMA HEALTH 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 822595551 HEALTHCARE SC 501(C)(3) TYPE III-FI NA false PRISMA HEALTH-MIDLANDS 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 582296052 HOSPITAL SC 501(C)(3) 3 PRISMA HEALTH false PRISMA HEALTH TUOMEY 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 474914917 HOSPITAL SC 501(C)(3) 3 PRISMA HEALTH-MIDLANDS false PRISMA HEALTH-UPSTATE 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 811723202 HOSPITAL SC 501(C)(3) 3 PRISMA HEALTH false PRISMA HEALTH-UNIVERSITY MEDICAL GROUP 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 571004971 PHYSICIAN PRACTICES SC 501(C)(3) 10 PRISMA HEALTH false GREENVILLE HEALTH CORPORATION 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 570835816 HEALTHCARE SC 501(C)(3) 10 PRISMA HEALTH-UPSTATE false PRISMA HEALTH MEDICAL GROUP-MIDLANDS 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 471345819 PHYSICIAN PRACTICES SC 501(C)(3) 10 PRISMA HEALTH-MIDLANDS false PRISMA HEALTH-UPSTATE FOUNDATION 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 932009608 FUNDRAISING SC 501(C)(3) 7 PRISMA HEALTH-UPSTATE false PRISMA HEALTH BAPTIST EASLEY FOUNDATION 200 FLEETWOOD DRIVE EASLEY SC 29640 570880538 FUNDRAISING SC 501(C)(3) TYPE I PRISMA HEALTH-UPSTATE false PRISMA HEALTH EASTERN TENNESSEE 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 994621196 HEALTHCARE TN 501(C)(3) TYPE III-FI PRISMA HEALTH false BLOUNT MEMORIAL PHYSICIAN GROUP INC 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 621866708 PHYSICIAN PRACTICES TN 501(C)(3) 10 PRISMA HEALTH false PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 620505512 HOSPITAL TN 501(C)(3) 3 PRISMA HEALTH EASTERN TENNESSEE false PRISMA HEALTH URGENT CARE BY WELLSTREET LLC 3330 CUMBERLAND BLVD SE SUITE 825 ATLANTA GA 30339 921035147 HEALTHCARE GA NA N/A false false PRISMA ATLAS JV LLC 300 E MCBEE AVE SUITE 500 GREENVILLE SC 29601 392304972 HEALTHCARE SC NA N/A false false HEALTHSOURCE INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 570938686 HEALTHCARE SC NA C CORPORATION false PHCA INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 883421661 HEALTHCARE SC NA C CORPORATION false PHVPHIC INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 883279433 HEALTHCARE SC NA C CORPORATION false PROMISE HEALTH INSURANCE COMPANY SC INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 882888859 INSURANCE SC NA C CORPORATION false PROMISE FIRST INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 884158136 INSURANCE SC NA C CORPORATION false MCBEE HOLDINGS INC 300 E MCBEE AVENUE SUITE 500 GREENVILLE SC 29601 921216043 HEALTHCARE SC NA C CORPORATION false false false false false false false false false false false true false false true true false true false false PRISMA HEALTH- MIDLANDS K 195581 BOOK BASIS 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.