Community Benefit Insight - Tax-exempt hospital

View data for this organization below, or select additional hospitals to create a comparison view.

Search tax-exempt hospitals
for comparison purposes.

Prisma Health Tuomey

Prisma Health Tuomey Hospital

129 N Washington Street
Sumter, SC 29150

Bed count	283	Medicare provider number	420070	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 474914917

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

15.33%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 5,039,844 2.33 %
Medicaid as % of operating expenses	$ 13,207,987 6.11 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 1,035,035 0.48 %
Subsidized health services as % of operating expenses	$ 10,504,514 4.86 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 3,323,855 1.54 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	NO
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 7,424,165 3.44 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 2,394,658 32.25 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 188720127 including grants of $ 0) (Revenue $ 184535295)
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. PLEASE READ THE ANNUAL REPORT FOR MORE DETAIL ABOUT NEW AND EXPANDED SERVICES AND INNOVATIVE COLLABORATIONS AT THIS WEBSITE: HTTPS://PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2022

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

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 A, 1
Facility A, 1 - PRISMA HEALTH TUOMEY. PRISMA HEALTH FORMED A MULTI-STAKEHOLDER TEAM TO CARRY OUT THE TAX YEAR 2021 (FISCAL YEAR 9/30/22) COMMUNITY HEALTH NEEDS ASSESSMENT. TOGETHER, THE TEAM IDENTIFIED SEVEN COUNTIES TO FOCUS ON IN COLLECTING DATA FOR PRISMA HEALTH'S 2021 CHNA. THESE COUNTIES WERE: GREENVILLE, LAURENS, LEXINGTON, OCONEE, PICKENS, RICHLAND AND SUMTER. A TOTAL OF 7,613 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 3/2022 AND 6/2022. STATE AND LOCAL ELECTED OFFICIALS, MAJOR EMPLOYERS, COMMUNITY MEMBERS AND COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH SERVICES PROVIDED INPUT. INDIVIDUALS ACROSS MANY SECTORS OF THE COMMUNITY WERE SURVEYED, INCLUDING MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS. INDIVIDUALS CONSISTED OF THE FOLLOWING: HISPANIC COMMUNITY, RURAL COMMUNITY, LGBTQ COMMUNITY, GEN Z POPULATION, SC DHEC, CBOS, HOMELESS SHELTERS, AND OTHER ORGANIZATIONS THAT PROVIDE HEALTH SERVICES.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - PRISMA HEALTH TUOMEY. PRISMA HEALTH-MIDLANDS, PRISMA HEALTH-UPSTATE, PRISMA HEALTH TUOMEY, AND THE SHRINER'S HOSPITAL OF GREENVILLE ALL CONDUCTED THE CHNA JOINTLY.

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - PRISMA HEALTH TUOMEY. THE COMMUNITY HEALTH NEEDS ASSESSMENT DOESN'T LIST ANY SIGNIFICANT NEEDS THAT THE HOSPITAL SYSTEM ISN'T ADDRESSING IN THE ORGANIZATIONS IMPLEMENTATION PLAN. THE 2021 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. HEART DISEASE AND STROKE 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/2022-CHNA-REPORT RESPONDING TO THE PANDEMIC: BEGINNING IN MARCH 2020, COVID-19 BROUGHT NEW AND AMPLIFIED EXISTING HEALTH CONCERNS AND CONSIDERATIONS FOR THE COMMUNITY AND HEALTHCARE PROFESSIONALS. FOR THOSE NEEDING HOSPITALIZATION, PRISMA HEALTH TREATED 30% OF THE STATE'S COVID-19 PATIENTS. IN JANUARY 2021, PRISMA HEALTH CREATED MASS VACCINATION SITES AT SEVERAL FACILITIES, TAKING A LEADERSHIP ROLE IN THE MIDLANDS AND UPSTATE. AT THE VACCINATION PEAK JAN. 22, 2021; 9,656 SHOTS WERE ADMINISTERED. ADDITIONALLY, SIX MOBILE UNITS WERE OUTFITTED TO DISPENSE VACCINATIONS, TARGETING RESIDENTS IN RURAL AND UNDERSERVED AREAS. IN LARGE PART DUE TO COVID-19, PRISMA HEALTH'S VIRTUAL CARE PLATFORMS LOGGED MORE THAN 413,000 VISITS BY VIDEO, PHONE OR EVISIT. THESE OPTIONS HAVE BEEN PARTICULARLY HELPFUL FOR PEOPLE RELUCTANT TO SEEK ON-SITE CARE FOR OTHER HEALTH CONCERNS DURING THE PANDEMIC.

Schedule H, Part V, Section B, Line 13 Facility A, 1
Facility A, 1 - PRISMA HEALTH TUOMEY. 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 A, 1
Facility A, 1 - PRISMA HEALTH TUOMEY. 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 A, 1
Facility A, 1 - PRISMA HEALTH TUOMEY. COMMUNITY CLINICS ARE AWARE OF AND HAVE INFORMATION REGARDING THE PRISMA HEALTH FINANCIAL ASSISTANCE POLICY.

Schedule H, Part V, Section B, Line 20 Facility A, 1
Facility A, 1 - PRISMA HEALTH TUOMEY. CONSPICUOUS POSTINGS IN THE HOSPITAL REGISTRATION AREAS INFORMING INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY.

Supplemental Information

Schedule H (Form 990) Part VI

Schedule H, Part V, Section C FACILITY REPORTING GROUP A CONSISTS OF:
FACILITY 1: PRISMA HEALTH TUOMEY

Schedule H, Part I, Line 7g Subsidized Health Services
COSTING METHODOLOGY FOR INPATIENT AND OUTPATIENT SERVICES WERE DERIVED USING A COMBINATION OF IRS PROVIDED WORKSHEETS, INTERNAL COST ACCOUNTING SYSTEM AND PRISMA HEALTH-TUOMEYS MEDICARE COST REPORT.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
THE SUBSIDIZED HEALTH SERVICES INCLUDE: 1. BEHAVIORAL HEALTH 2. CARDIOVASCULAR 3. FAMILY MEDICINE 4. NEUROSCIENCES 5. ORTHOPEDICS 6. CHILDREN'S HEALTH 7. OTHER

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. THIS AMOUNT IS THEN REDUCED BY A PORTION OF THE NET MEDICAID DSH REVENUE.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
OF THE ACCOUNTS IN BAD DEBT, AN INTERNAL REVIEW SHOWED THAT 54.31% WERE SELF-PAY WITH LOW PROPENSITY TO PAY SCORES. OF THESE, AN ESTIMATED 89.7% OF THESE WOULD QUALIFY FOR CHARITY.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
SEE THE FY2022 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 SHORTFALL CONSISTS OF MEDICARE PATIENTS THAT INCURRED A LOSS AFTER USING DATA FORMULATED WITHIN THE INTERNAL COST ACCOUNTING SYSTEM. ($4.6 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.

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 ARRANGEMENT 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

Schedule H, Part V, Section B, Line 16a FAP website
A - PRISMA HEALTH TUOMEY: 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
A - PRISMA HEALTH TUOMEY: 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
A - PRISMA HEALTH TUOMEY: Line 16c URL: HTTPS://PRISMAHEALTH.ORG/PATIENTS-AND-GUESTS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE;

Schedule H, Part VI, Line 2 Needs assessment
A DESCRIPTION OF HOW PRISMA HEALTH TUOMEY CONDUCTS ITS NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING LINK: HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
PLEASE REFER TO PART V, SECTION B, QUESTION 16 QUESTIONS AND DISCLOSURE.

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 SERVICE AREAS: RICHLAND, LEXINGTON, SUMTER, LAURENS, OCONEE, GREENVILLE AND PICKENS, RESPECTIVELY. IN 2021, THE 7-COUNTY POPULATION BREAKDOWN WAS: POPULATION 1,636,271, MEDIAN HOUSEHOLD INCOME $53,232, AN AVERAGE OF 14.9% BELOW THE FPL, AND AN AVERAGE OF 13% UNINSURED.

Schedule H, Part VI, Line 5 Promotion of community health
PLEASE SEE PAGES 13-14 OF THE CHNA AT THE FOLLOWING LINK TO SEE WAYS PRISMA HEALTH PROMOTES COMMUNITY HEALTH: HTTPS://PRISMAHEALTH.ORG/SERVICES/OTHER-SERVICES/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT

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://WWW.PRISMAHEALTH.ORG/PDFS/HIGHLIGHTS-AND-STATISTICS-REPORT-FY-2022

Schedule H, Part VI, Line 7 State filing of community benefit report
SC

Operating expenses	$ 216,018,762
Total amount spent on community benefits as % of operating expenses	$ 33,111,235 15.33 %