2026-07-21T08:43:13-05:00 2025-09-30 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2024-10-01 571017988 HAMPTON REGIONAL MEDICAL CENTER HAMP 8039432771 503 WEST CAROLINA AVENUE VARNVILLE SC 29944 DAVID H HAMILL CEO/PRESIDENT 8039432771 2026-07-20 1 1 EMILIE M KNIERIEM CPA P01330194 5029923500 2026-07-20 2024 2025-03-06 01:10:19Z DAVID H HAMILL 503 WEST CAROLINA AVENUE VARNVILLE SC 29944 53748845 0 X WWW.HAMPTONREGIONAL.ORG X 1950 SC HAMPTON REGIONAL MEDICAL CENTER'S MISSION STATEMENT IS TO PROVIDE COMPASSION, COMMITMENT, & EXCELLENCE TO EVERY PERSON, EVERY TIME. 8 7 368 7 0 0 3166667 4006617 33185547 36017442 580151 470754 0 378235 36932365 40873048 0 5566 0 0 18789131 20163965 0 0 0 14447566 14693138 33236697 34862669 3695668 6010379 63286293 67590057 38016000 35875944 25270293 31714113 X HAMPTON REGIONAL MEDICAL CENTER'S MISSION STATEMENT IS TO PROVIDE COMPASSION, COMMITMENT, & EXCELLENCE TO EVERY PERSON, EVERY TIME. 0 0 29479059 5566 36392228 HAMPTON REGIONAL MEDICAL CENTER PROVIDES EXTENSIVE COMMUNITY BENEFITS IN MANY FORMS, INCLUDING CHARITY CARE, HEALTH EDUCATION, COMMUNITY SPONSORSHIPS, AND NUMEROUS COMMUNITY OUTREACH PROGRAMS WHICH DIRECTLY BENEFIT THE PEOPLE IN THE SERVICE AREA OF THE HOSPITAL.STRIVING TO CONTINUALLY IMPROVE THE HEALTH OF ALL COMMUNITIES SERVED, HRMC IS ACTIVE IN A VARIETY OF COMMUNITY ORGANIZATIONS, AND THE HAMPTON COUNTY COALITION ON ALCOHOL AND DRUG ABUSE. IN CONTRAST, HAMPTON COUNTY COALITION ON ALCOHOL AND DRUG ABUSE IS A COLLABORATIVE PARTNERSHIP OF COMMUNITY LEADERS THAT FOCUSES PRIMARILY ON COMBATING ALCOHOL AND SUBSTANCE MISUSE IN THE SERVICE AREA THROUGH PREVENTION AND INTERVENTION. WELLNESS AND SUBSTANCE ABUSE ARE HIGH PRIORITY HEALTHCARE ISSUES IN THE HOSPITAL'S SERVICE AREA. FOCUSED ON BUILDING COMMUNITY PARTNERSHIPS, HRMC SUPPORTS THE LOCAL ROTARY CLUB, LIONS CLUB, FRIENDS OF HOSPICE, LIFEPOINT, COUNCIL ON AGING, HAMPTON COUNTY CHAMBER OF COMMERCE, HAMPTON COUNTY COALITION ON ACTIVE RESTORATION, AND A VARIETY OF OTHER COMMUNITY ORGANIZATIONS. THE HOSPITAL IS AN INTEGRAL PART OF THE USC SALKEHATCHIE LEADERSHIP INSTITUTE AND MORE RECENTLY THE 4H YOUTH LEADERSHIP PROGRAM. THE 4H YOUTH PROGRAM VISITS HRMC ANNUALLY FOR A DAY OF PROGRAMMING VISITING ALL THE DEPARTMENTS AND LEARNING OF HEALTHCARE CAREERS AVAILABLE IN THE WORKFORCE AND PATHWAYS TO SECURING THOSE JOBS. HRMC PROVIDES LUNCH AND SPEAKERS FOR THE GROUP AS WELL AS LEADING THE TOUR. LEADERSHIP SALKEHATCHIE ALSO VISITS HRMC ANNUALLY WITH ITS 15 TO 20 MEMBER CLASS OF BUSINESS OWNERS, ELECTED OFFICIALS, AND GOVERNMENT EMPLOYEES FROM THE FIVE-COUNTY REGION. IT'S AN OPPORTUNITY FOR HRMC TO SPREAD THE WORD OF EXPANDED SERVICES. GIVEN THE CONSTANTLY EVOLVING LANDSCAPE OF HEALTHCARE, WHERE NEW TECHNOLOGIES, TREATMENTS, AND CARE MODELS ARE CONTINUOUSLY EMERGING, IT IS CRITICALLY IMPORTANT THAT HRMC CONSISTENTLY AND PROACTIVELY COMMUNICATE OUR SERVICES TO THE PUBLIC. HRMC IS ALSO A KEY MEMBER OF THE HAMPTON COUNTY CHAMBER OF COMMERCE, MAINTAINING AN ACTIVE MEMBERSHIP AND A BOARD SEAT. THROUGH THIS ORGANIZATION HRMC SPONSORS OF A QUARTERLY MEETING ON THE HOSPITAL'S CAMPUS EACH YEAR FOR CHAMBER MEMBERS. THE HOSPITAL ALSO PARTICIPATES IN CHILDREN'S DAY IN THE PARK, PROVIDING OUR PEDIATRICIAN AND STAFF AN OPPORTUNITY TO PARTICIPATE IN COMMUNITY OUTREACH, AS WELL AS TRICK OR TREATING ON LEE AVENUE AND HOMETOWN CHRISTMAS IN HAMPTON. AS AN AFFILIATE OF THE MEDICAL UNIVERSITY OF SOUTH CAROLINA, HRMC PARTNERS WITH VARIOUS PROGRAMS TO MAKE THEM AVAILABLE TO THE CITIZENS IN THIS SERVICE AREA. BEGINNING IN 2023, MUSC BEGAN PARTICIPATING IN THE WATERMELON FESTIVAL IN COORDINATION WITH HRMC TO EDUCATE THE COMMUNITY. IN OUR DNA-SC HAS HELD TWO COLLECTION EVENTS AT HAMPTON REGIONAL FOR STAFF AND PATIENTS. THIS NOT ONLY BENEFITED OUR CITIZENS WHO RECEIVED FREE GENE SEQUENCING AND ANALYSIS BUT ALSO ALLOWED THE COMMUNITY RESEARCH PROJECT TO COLLECT MUCH NEEDED DATA. PLANS ARE UNDERWAY FOR ANOTHER COLLECTION EVENT IN 2026. IN 2023 AND 2024 DURING THE MONTH OF SEPTEMBER, HRMC PARTNERED WITH THE AMERICAN RED CROSS TO RECOGNIZE SICKLE CELL AWARENESS MONTH AND INVITED A LOCAL SICKLE CELL AMBASSADOR TO COME SPEAK TO THE STAFF AND LOCAL COMMUNITY, ALONG WITH RED CROSS SICKLE CELL OUTREACH COORDINATOR, VESHA JAMISON. PLANS ARE ALREADY UNDERWAY TO HOST THIS EVENT IN 2026. FROM COMPREHENSIVE EDUCATIONAL INITIATIVES TO AWARENESS CAMPAIGNS AND HEALTH FAIRS, THE HOSPITAL PROMOTES A SAFE, HEALTHY COMMUNITY THROUGH EDUCATION AND OUTREACH. HRMC HEAVILY PROMOTES OUR CARDIOLOGIST DURING HEART HEALTH MONTH EACH FEBRUARY, SENDING HIM ON SPEAKING ENGAGEMENTS TO SPREAD AWARENESS OF CARDIOVASCULAR DISEASE AND EDUCATE THE COMMUNITY. SEVERAL CHURCH GROUPS INCLUDING HOPEWELL BAPTIST CHURCH, NIXVILLE BAPTIST CHURCH AND SANDY RUN BAPTIST CHURCH HAVE INVITED NOT ONLY OUR CARDIOLOGIST BUT ALSO OUR GENERAL SURGEON, DIETITIAN AND NURSE PRACTITIONERS TO PROVIDE EDUCATION AT THEIR MEETING ANNUALLY.EACH JUNE, A HEAT STROKE PREVENTION CAMPAIGN IS ORGANIZED ANNUALLY BY THE HOSPITAL AS A PREVENTATIVE MEASURE AGAINST HEAT ILLNESS DURING THE SUMMER MONTHS. DURING THE TOWN'S WATERMELON FESTIVAL, FREE BOTTLED WATER, EDUCATIONAL MATERIALS, AND OVER 2,000 HAND FANS ARE DISTRIBUTED TO MEMBERS OF THE COMMUNITY. THROUGHOUT THE YEAR, THE HOSPITAL PROVIDES FREE PUBLIC HEALTH EDUCATION PROGRAMS ON A VARIETY OF HEALTH TOPICS. WORKING CLOSELY WITH KEY COMMUNITY STAKEHOLDERS, SUCH AS THE COUNCIL ON AGING AND THE LOCAL SCHOOL DISTRICT, HRMC PROVIDES STROKE EDUCATION IN VARIOUS SETTINGS, IN HOPES OF INCREASING AWARENESS OF HOW TO IDENTIFY THE SIGNS AND SYMPTOMS OF STROKE. THE HOSPITAL IS AN ACCREDITED ACUTE STROKE READY HOSPITAL. STROKE READY CERTIFICATION ENABLES US TO ADDRESS THE HIGH PREVALENCE OF STROKES IN OUR AREA. DESIGNATION OF STROKE CERTIFICATION CREATES A CLINICAL CARE TEAM WITH A CONSISTENT APPROACH TO CARE THEREBY REDUCING VARIATION AND DELAY IN CARE WITH ACUTE STROKE PATIENTS. BREAST CANCER AWARENESS MONTH IS A BIG EVENT AT HRMC. OUR RADIOLOGY DEPARTMENT HOSTS A SPECIAL EVENING EACH YEAR, THE MOST RECENT BEING WELCOMING WOMEN'S WEDNESDAY. DURING THE MONTH OF OCTOBER HRMC OFFERS A SPECIAL SELF-PAY PRICE, AS WELL AS AN EXTENDED HOURS EVENT, WHERE PARTICIPANTS RECEIVE REFRESHMENTS AS WELL AS A COMPLIMENTARY GIFT FROM HRMC AND HELP RAISE AWARENESS AND PREVENTION THROUGH EARLY DETECTION. THE HOSPITAL ALSO SELECTS BREAST CANCER AMBASSADORS FROM THE COMMUNITY TO TELL THEIR STORIES IN A SOCIAL MEDIA CAMPAIGN TO EDUCATE THE COMMUNITY AND ENCOURAGE WOMEN TO GET THEIR ANNUAL SCREENINGS.TRADITIONALLY, A HEALTH FAIR IS HELD ANNUALLY OFFERING DISCOUNTED BLOOD TESTS AND RADIOLOGY EXAMS TO THE COMMUNITY. TO ENSURE THE SAFETY OF OUR PATIENTS, STAFF, AND COMMUNITY, THE ANNUAL HEALTH FAIR WAS SUSPENDED DUE TO COVID-19. IN 2024 HAMPTON REGIONAL MEDICAL CENTER BROUGHT THE HEALTH FAIR BACK IN A BIG WAY. HRMC PARTNERED WITH LOWCOUNTRY COUNCIL OF GOVERNMENTS, MUSC CENTER ON AGING, ENCOMPASS HEALTH AND MY PHARMACY OPTICAL TO A HEALTHCARE RESOURCE FAIR, OFFERING FREE FLU AND COVID VACCINES AND VARIOUS OTHER SERVICES. OVER 60 VENDORS ATTENDED AND APPROXIMATELY 300 PEOPLE WERE SERVED ON NOVEMBER 13, 2024 AT OPEN ARMS FELLOWSHIP. A WIDE RANGE OF ADDITIONAL SERVICES WERE OFFERED INCLUDING FREE DENTAL EXAMS, SKIN CANCER SCREENINGS, SIT TO STAND AND BALANCE ASSESSMENTS, ALZHEIMER SCREENINGS, AARP CAR FIT AND CAR SEAT CHECKS AND MORE. PLANNING FOR A 2026 HEALTH FAIR IS ALREADY IN THE WORKS.IN 2025, THE HOSPITAL CELEBRATED ITS 75-YEAR ANNIVERSARY. A CELEBRATION EVENT WAS HELD, PROVIDING MEANINGFUL BENEFITS TO LOCAL RESIDENTS BY HONORING THE REGION'S HEALTHCARE LEGACY WHILE STRENGTHENING COMMUNITY CONNECTION AND TRUST. A CENTRAL COMPONENT OF THE CELEBRATION WAS A COMMEMORATIVE DOCUMENTARY THAT CAPTURED THE HISTORY OF HEALTHCARE IN THE AREA, HIGHLIGHTING THE INDIVIDUALS, CLINICIANS, STAFF, LEADERS, AND COMMUNITY MEMBERS WHO HAVE SHAPED AND SUSTAINED CARE OVER THE PAST 75 YEARS. THE ANNIVERSARY EVENT, WHICH INCLUDED SPEAKERS FROM MUSC HEALTH, FURTHER EMPHASIZED HRMC'S CONTINUED GROWTH AND FORWARD-THINKING APPROACH UNDER HIS LEADERSHIP. MUSC'S PARTICIPATION HIGHLIGHTED THE STRENGTH OF THE AFFILIATION AND ITS ROLE IN EXPANDING ACCESS TO SPECIALTY CARE AND ADVANCED CLINICAL SERVICES. TOGETHER, THE DOCUMENTARY AND EVENT CREATED A MEANINGFUL CONNECTION BETWEEN PAST ACHIEVEMENTS AND FUTURE PROGRESS, CELEBRATING NOT ONLY THE HISTORY OF HRMC BUT ALSO THE LEADERSHIP AND PARTNERSHIPS THAT CONTINUE TO ADVANCE HIGH-QUALITY, COMMUNITY-FOCUSED HEALTHCARE FOR THE RESIDENTS IT SERVES.IN 2024 CEO DAVE HAMILL WAS PRESENTED THE SOUTH CAROLINA OFFICE OF RURAL HEALTH (SCORH) AWARD OF EXCELLENCE. THIS AWARD IS A PRESTIGIOUS RECOGNITION PRESENTED TO INDIVIDUALS OR ORGANIZATIONS THAT HAVE DEMONSTRATED OUTSTANDING COMMITMENT TO IMPROVING HEALTHCARE ACCESS, QUALITY, AND OUTCOMES IN RURAL COMMUNITIES ACROSS THE STATE. THE AWARD HONORS LEADERSHIP, INNOVATION, AND LONG-TERM IMPACT IN ADDRESSING THE UNIQUE CHALLENGES FACED BY RURAL HEALTHCARE SYSTEMS, INCLUDING PROVIDER SHORTAGES, ACCESS BARRIERS, AND HEALTH DISPARITIES.RECIPIENTS OF THE AWARD OF EXCELLENCE ARE SELECTED BASED ON THEIR SUSTAINED CONTRIBUTIONS TO STRENGTHENING RURAL HEALTHCARE INFRASTRUCTURE, ADVANCING PROGRAMS THAT IMPROVE PATIENT CARE, AND FOSTERING PARTNERSHIPS THAT EXPAND SERVICES IN UNDERSERVED AREAS. IN THE CASE OF HAMPTON REGIONAL MEDICAL CENTER, HAMILL'S RECOGNITION REFLECTS DECADES OF LEADERSHIP DEDICATED TO STABILIZING AND GROWING THE HOSPITAL, EXPANDING SERVICES, AND ENSURING THAT RESIDENTS IN A RURAL REGION HAVE ACCESS TO HIGH-QUALITY, LOCAL CARE. 29479059 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 16 0 1 368 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X THE ORGANIZATION 8039432771 503 WEST CAROLINA AVENUE VARNVILLE SC 29944 DAVE HAMILL CEO/PRESIDENT (VOTING) 39.00 1.00 X X 583752 0 29977 WILLIAM KOGER JR CHAIRMAN 2.00 1.00 X X 0 0 0 ROY HOLLINGSWORTH VICE CHAIRMAN 2.00 1.00 X X 0 0 0 DEBBIE BULLARD SECRETARY 2.00 1.00 X X 0 0 0 TRUDIE WORDEN DIRECTOR 2.00 1.00 X X 0 0 0 ALLAN SWOFFORD DIRECTOR 2.00 1.00 X 0 0 0 DR PATRICK CAWLEY DIRECTOR 2.00 1.00 X 0 0 0 ROBERT BROWN DIRECTOR (BEG 09/25/25) 2.00 1.00 X 0 0 0 JULIE ALLEN CFO 39.00 1.00 X 196661 0 24950 LEE BUTTERFIELD CLINIC PHYSICIAN 40.00 0.00 X 447308 0 20638 HARVEY D WEST JR ER PHYSICIAN 36.00 0.00 X 470882 0 28016 ZANE OSBORNE ER PHYSICIAN 36.00 0.00 X 576334 0 36426 CECIL MCELVEEN ER PHYSICIAN 36.00 0.00 X 488082 0 31182 JEFFERY GERSBACH ER PHYSICIAN 60.00 0.00 X 268152 0 22590 3031171 0 193779 33 0 1 0 0 3671667 334950 4006617 NET PATIENT SERVICE REVENUE 622110 36012436 36012436 PHARMACY REVENUE 622110 5006 5006 36017442 391551 391551 12955000 12875797 79203 79203 79203 3449 0 3449 3449 CAFETERIA INCOME 722514 173450 173450 GPO REBATES 900099 144128 144128 MEDICAL RECORDS REVENUE 621990 35679 35679 21529 21529 374786 40873048 36392228 0 474203 5566 5566 981227 780468 200759 18970 15089 3881 15829785 12591011 3238774 195288 155723 39565 2016147 1607676 408471 1122548 895120 227428 114540 69915 44625 140973 86050 54923 410 410 1658260 1461071 197189 12487 10739 1748 493470 426897 66573 995771 839070 156701 39370 33937 5433 27520 23667 3853 1492944 1283932 209012 1986534 1708419 278115 416058 357810 58248 MEDICAL SUPPLIES AND DR 3705088 3705088 PROVIDER TAX 1726230 1726230 REPAIRS AND MAINTENANCE 1085821 987446 98375 OTHER SUPPLIES 424904 386408 38496 372758 321317 51441 34862669 29479059 5383610 0 1608 1564 5427121 5916634 6016965 6456348 515295 515856 376740 373483 49675518 31951547 16626820 17723971 17450417 18818115 16871327 17784086 63286293 67590057 3692435 3688160 519919 1446414 31415779 30621922 179538 119448 2208329 0 38016000 35875944 X 25260055 31703875 10238 10238 25270293 31714113 63286293 67590057 6010379 433441 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 410 410 0 PART II-B, LINE 1: HRMC PAID MEMBERSHIP DUES TO BOTH AMERICAN HOSPITAL ASSOCIATION AND SOUTH CAROLINA HOSPITAL ASSOCIATION DURING FYE 2025, IN WHICH A PORTION OF DUES WERE ATTRIBUTABLE TOWARDS LOBBYING ACTIVITIES. 296240 296240 17043395 7487143 9556252 27027306 22003239 5024067 5308577 2461165 2847412 17723971 DUE FROM COASTAL PLAINS PHYSICIANS ASSOCIATES 17784086 17784086 X PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, THE HOSPITAL IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE HOSPITAL IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2025 AND 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 1 1 1 X 1 X 399.000000000000 1 1 0 1 1 868563 868563 0.02490 1 5610745 3469514 2141231 0.06140 1 6479308 3469514 3009794 0.08630 28 350 117509 117509 0.00340 7 288932 288932 0.00830 1 997408 665834 331574 0.00950 12 4720 4720 0.00010 48 350 1408569 665834 742735 0.02130 49 350 7887877 4135348 3752529 0.10760 7 5723 5723 0.00020 1 28706 28706 0.00080 8 34429 34429 0.00100 1 8606500 635075 3158534 4431206 -1272672 X 1 1 1 1 HAMPTON REGIONAL MEDICAL CENTER PO BOX 338 VARNVILLE SC 29944 WWW.HAMPTONREGIONAL.ORG HTL-0027 X X X HAMPTON REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 25 1 0 0 1 X SEE PART V, SECTION C X 1 25 1 SEE PART V, SECTION C 0 1 X 200.000000000000 399.000000000000 X X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 HAMPTON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: MULTIPLE DATA COLLECTION STRATEGIES WERE USED TO GAIN A COMPREHENSIVE UNDERSTANDING OF THE COMMUNITY'SLANDSCAPE. SURVEYS WERE DISTRIBUTED TO HRMC PATIENTS, EMPLOYEES, AND COMMUNITY MEMBERS. ONE-ON-ONEINTERVIEWS WERE CONDUCTED WITH LOCAL LEADERS. PERSONS REPRESENTING SPECIAL NEEDS GROUPS SUCH AS MEDICAID RECIPIENTS, THE ELDERLY, MINORITIES, LAW ENFORCEMENT, COUNTY GOVERNMENT, AND OTHERS WERE CONSULTED IN PREPARING THE CHNA. MEETINGS, INTERVIEWS, AND SURVEYS WERE OBTAINED FROM MEMBERS REPRESENTING THESE GROUPS. HAMPTON REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: HAMPTON REGIONAL MEDICAL CENTER ROUTINELY CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) TO HELP US WORK TOWARDS EXPANDING AND IMPROVING THE SERVICES WE OFFER AND TO BETTER MEET THE HEALTH NEEDS OF THE COMMUNITY WE SERVE. IN RESPONSE TO OUR CHNA, AN IMPLEMENTATION PLAN WAS CREATED TO IDENTIFY SPECIFIC ACTIVITIES AND SERVICES WHICH DIRECTLY IMPACT THE COMMUNITY IN WHICH WE SERVE. YEAR ROUND, WE GAIN INSIGHT INTO THE COUNTY'S UNMET HEALTH NEEDS BY BEING INVOLVED IN COMMUNITY BOARDS, PARTNERSHIPS, AND ADVISORY GROUPS. WE ALSO GATHER DATA THAT INCLUDES POPULATION DEMOGRAPHICS, SOCIO-ECONOMIC FACTORS, AND THE USE OF HEALTH SERVICES. OUR PLAN WAS CREATED BY STUDYING THE HEALTH NEEDS IDENTIFIED THROUGH OUR CHNA AND CONSIDERED HRMC'S OVERALL STRATEGIC PLAN AND THE AVAILABILITY OF RESOURCES WITHIN AND OUTSIDE THE COMMUNITY. HIGH PRIORITY HEALTHCARE ISSUES IDENTIFIED IN THE MOST RECENT CHNA INCLUDE CANCER, HEART DISEASE, HEALTH EDUCATION AND WELLNESS. THE MOST RECENT CHNA WAS CONDUCTED IN 2025. CANCER IS THE LEADING CAUSE OF DEATH IN HAMPTON COUNTY. IN 2019, HRMC RECOGNIZED THIS DISEASE AS THE NUMBER ONE ISSUE TO ADDRESS AND IT CONTINUES TO BE AN IMPORTANT ISSUE. HRMC HAS DEVELOPED AN ONCOLOGY/INFUSION PROGRAM TO ADDRESS THIS ISSUE. ACTIVE PROMOTION AND EDUCATION IN THE COMMUNITY IS ONGOING. IN 2024, HRMC WELCOMED BACK MUSC HOLLINGS CANCER CENTER ONCOLOGIST, DR. STEVEN ACKMAN, WHO IS VERY POPULAR IN THE LOCAL COMMUNITY. THIS PROGRAM ALLOWS PATIENTS TO HAVE THEIR OFFICE VISITS AND INFUSION WITHOUT THE HASSLE AND EXPENSE OF TRAVEL. MEGAN GILSON, MUSC ONCOLOGY PA ALSO SEES PATIENTS LOCALLY. THE INFUSION CLINIC CELEBRATED ITS GROWTH THIS YEAR WITH THE INSTALLATION OF A BELL FOR PATIENTS TO RING WHEN THEY COMPLETE THEIR COURSE OF CHEMOTHERAPY. HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH IN HAMPTON COUNTY. HRMC HAS FURTHER DEVELOPED OUR CARDIOLOGY PROGRAM WITH A FULL-TIME CARDIOLOGIST ON SITE. HRMC IS ALSO ABLE TO OFFER MINOR HEART RELATED TESTING AND PROCEDURES. PROMOTING A HEALTHY LIFESTYLE THROUGH EDUCATION, DIET, AND EXERCISE ARE ALSO BEING ADDRESSED FOR BOTH HEART DISEASE AND DIABETES. EACH YEAR HRMC FURTHER PROMOTE AWARENESS OF CARDIOVASCULAR DISEASE BY CELEBRATING HEART HEALTH MONTH IN FEBRUARY. OUR CARDIOLOGIST PARTICIPATES IN OUTREACH AND SPEAKING ENGAGEMENTS. WE HAVE DEVELOPED A SOCIAL MEDIA CAMPAIGN FEATURING VIDEOS WITH MESSAGES FROM OUR DOCTOR, HIGHLIGHTING THE PREVALENCE OF THE DISEASE AND STEPS TO TAKE TO AVOID IT. NURSE PRACTITIONER NANCY SPINDLER ALSO SPECIALIZES IN CARDIOLOGY AND SEES HEART PATIENTS AS WELL. NANCY IS VERY ENGAGED IN COMMUNITY OUTREACH AND EDUCATION. WELLNESS- UNLIKE CANCER, BOTH DIABETES AND HEART DISEASE(STROKE) CAN BE PREVENTED BY ENCOURAGING A HEALTHY LIFESTYLE THROUGH DIET AND EXERCISE. HRMC HAS FOCUSED ITS EFFORTS ON EDUCATION AND DIABETES, BY HOSTING FREE WORKSHOPS ON-SITE TO PROMOTE DIABETES MANAGEMENT. THESE FREE CLASSES ARE OPEN TO THE PUBLIC. HRMC ALSO OFFERS ONE-ON-ONE DIABETIC COUNSELING SERVICES.THE ADDITION OF REGISTERED DIETITIAN EMILY BIGGERSTAFF IN 2024 HAS OPENED MORE DOORS FOR EDUCATION AND OUTREACH. EMILY, IN COLLABORATION WITH MARKETING DIRECTOR MICHELLE STRICKLAND, STARTED A NEW INITIATIVE CALLED HAMPTON HEALTHY IN 2025. THIS EDUCATIONAL OUTREACH SERIES FEATURES RECIPES, COOKING VIDEOS USING FRESH LOCAL INGREDIENTS, SUGGESTIONS FOR GETTING ACTIVE, AND THE BENEFITS OF CERTAIN FOODS FOR HEALTH, ALL SHARED ON SOCIAL MEDIA SITES LIKE FACEBOOK, INSTAGRAM, AND YOUTUBE WITH THE COMMUNITY. THE CAMPAIGN IS HIGHLY FOCUSED DURING NATIONAL NUTRITION MONTH, BUT ALSO FEATURED THROUGHOUT THE YEAR FOR SPECIAL EVENTS LIKE THE HAMPTON COUNTY WATERMELON FESTIVAL. WELLNESS BEGINS EARLY. HRMC BELIEVES THAT ADDRESSING ISSUES EARLY AND TEACHING HEALTHY LIFESTYLES EARLY WILL LEAD TO BETTER OUTCOMES. OUR PEDIATRICIAN PROMOTES HEALTH EDUCATION IN THE OFFICE AND COMMUNITY AT EVENTS THROUGHOUT THE YEAR. IN 2025 PEDIATRICIAN DR. ANNE ABAEO BEAUCHAMP WORKED WITH HAMPTON COUNTY SCHOOL DISTRICT TO PROVIDE FREE SPORTS PHYSICALS FOR THEIR STUDENTS. SHE SAW 38 STUDENTS IN 2024.IN 2026 HRMC WELCOMED A NEW PEDIATRICIAN, DR. PATRICIA BIRGINEAU. DR. PATTY STARTED IN APRIL, AND HAS ALREADY PARTICIPATED IN THE WELCOME BABY INITIATIVE. WELCOME BABY IS A COLLABORATIVE, STATEWIDE INITIATIVE TO DELIVER COORDINATED GUIDANCE AND INFORMATION TO FAMILIES OF NEWBORNS DURING THE IMMEDIATE POSTPARTUM PERIOD. SHE ALSO PLANS TO CONTINUE THE OUTREACH WITH SPORTS PHYSICALS IN THE LOCAL SCHOOLS, AS WELL AS CHILDREN'S DAY IN THE PARK, AN ANNUAL FAMILY EVENT HELD AS PART OF THE HAMPTON COUNTY WATERMELON FESTIVAL. THE EVENT IS HOSTED BY THE TOWN OF HAMPTON AND THE HAMPTON COUNTY CHAMBER OF COMMERCE. HRMC CONTINUES TO WORK ON ACCESS TO CARE AND HAS CONTRACTED WITH A SERVICE TO PAY FOR TRANSPORT OF UNINSURED PATIENTS TO OTHER FACILITIES WHEN ADDITIONAL CARE IS NEEDED. MANY OTHER PROJECTS ARE UNDERWAY, BUT LIMITED RESOURCES IN THE AREA AS WELL AS LIMITED RESOURCES TO IMPLEMENT AND MAINTAIN PROGRAMS CONTINUE TO BE AN ISSUE. THE HOSPITAL IS AN ACCREDITED ACUTE STROKE READY HOSPITAL. STROKE READY CERTIFICATION ENABLES US TO ADDRESS THE HIGH PREVALENCE OF STROKES IN OUR AREA. DESIGNATION OF STROKE CERTIFICATION CREATES A CLINICAL CARE TEAM WITH A CONSISTENT APPROACH TO CARE THEREBY REDUCING VARIATION AND DELAY IN CARE WITH ACUTE STROKE PATIENTS. PART V, SECTION B, LINE 7A HTTPS://WWW.HAMPTONREGIONAL.ORG/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS_ASSESMENT PART V, SECTION B, LINE 10A HTTPS://WWW.HAMPTONREGIONAL.ORG/GETPAGE.PHP?NAME=COMMUNITY_HEALTH_NEEDS_ASSESMENT&SUB=ABOUT%20US PART V, SECTION B, LINE 16A HTTPS://WWW.HAMPTONREGIONAL.ORG/GETPAGE.PHP?NAME=FINANCIAL_ASSISTANCE&SUB=PATIENTS%2FVISITORS PART V, SECTION B, LINE 16B HTTPS://WWW.HAMPTONREGIONAL.ORG/GETPAGE.PHP?NAME=FINANCIAL_ASSISTANCE PART V, SECTION B, LINE 16C HTTPS://WWW.HAMPTONREGIONAL.ORG/GETPAGE.PHP?NAME=FINANCIAL_ASSISTANCE&SUB=PATIENTS%2FVISITORS PART I, LINE 3C: IN ADDITION TO USING THE FEDERAL POVERTY LEVEL (FPL) TO DETERMINE FREE AND DISCOUNTED CARE, (SEE PART I, LINES 3A AND 3B) THE HOSPITAL ALSO OFFERS A 20% DISCOUNT FOR UNINSURED PATIENTS AND AN ADDITIONAL DISCOUNT FOR PROMPT PAYMENT. PART III, LINE 2: THE ORGANIZATION USES WORKSHEET 2 (RATIO OF PATIENT CARE COST TO CHARGES) TO DETERMINE BAD DEBT EXPENSE AT COST. WORKSHEET 2 USES TOTAL OPERATING EXPENSES AND GROSS REVENUE FROM THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 3: TO ESTIMATE THE COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR CHARITY CARE POLICY, WE TOOK PATIENT LEVEL DETAIL REPORTS AS OF OUR FYE 9/30/25 AND SORTED THE REPORT BY SELF PAY FINANCIAL CLASS ONLY. WE THEN USED A PERCENTAGE ALLOCATION BASED ON THE PERCENT OF THE POPULATION BELOW THE FEDERAL POVERTY LEVEL IN OUR SERVICE AREA AND THEN MULTIPLIED THIS BY THE COST TO CHARGE RATIO TO REPORT AT COST. PART III, LINE 4: SEE FYE 2025 AUDITED FINANCIAL STATEMENTS PAGES 9-10. PART III, LINE 8: THE MEDICARE SHORTFALL SHOULD BE ALLOWED AS A COMMUNITY BENEFIT SINCE PROVIDERS CANNOT NEGOTIATE RATES WITH MEDICARE. MEDICARE WAS 52.00% OF OUR TOTAL REVENUE IN FY 2025, MAKING IT OUR LARGEST PAYER. THE MEDICARE COST REPORT WAS USED TO REPORT COST ON PART III, LINES 5 AND 6. PART III, LINE 9B: HAMPTON REGIONAL MEDICAL CENTER (HRMC) MAKES EVERY EFFORT TO IDENTIFY PATIENTS THAT ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BY MEETING WITH PATIENTS FACE TO FACE, CONTACTING THEM BY PHONE AND BY MAIL. FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION AREAS WITHIN OUR FACILITY AND ON-LINE. A FULL-TIME STAFF MEMBER IS AVAILABLE M-F FROM 8:30-5 PM TO ASSIST PATIENTS IN COMPLETING THE APPLICATIONS. OUR OUTSOURCED SELF-PAY BILLING AGENCY ALSO HAS APPLICATIONS AVAILABLE TO MAIL PATIENTS WHEN THEY ARE IDENTIFIED AS POTENTIAL CANDIDATES FOR FINANCIAL ASSISTANCE. IN-HOUSE REPORTS ARE ALSO SCREENED TO IDENTIFY PATIENTS THAT MAY QUALIFY FOR ASSISTANCE. IF A PATIENT DOES NOT MEET CHARITY CARE GUIDELINES OR NEGLECTS TO COMPLETE THE REQUIRED CHARITY CARE APPLICATION, THE PATIENT WILL STILL RECEIVE A 20% DISCOUNT OFF TOTAL CHARGES AND WILL ALSO BE ELIGIBLE FOR A 10% PROMPT PAY DISCOUNT. IT IS NOT THE COLLECTION PRACTICE OF HRMC OR ITS AGENTS TO ATTACH LIENS ON PROPERTY OR PURSUE LEGAL ACTION ON THE DEBTS OWED BY OUR PATIENTS. PART VI, LINE 2: HRMC WORKS CONTINUOUSLY TO RECRUIT PHYSICIANS TO THE AREA. HRMC WORKS WITH 3 LOCAL COLLEGES TO PROVIDE CLINICAL ROTATIONS FOR NURSING STUDENTS, SURGICAL TECHS, RADIOLOGY STUDENTS, PHARMACY STUDENTS, AND MEDICAL STUDENTS. IN ADDITION, HRMC ALSO COLLECTS EMERGENCY ROOM SURVEY DATA TO DETERMINE NEEDS FROM PATIENTS SEEKING HELP THROUGH THE ER. THIS SURVEY PROCESS CONTINUES TO SHOW PATIENTS NEED A PRIMARY CARE PHYSICIAN, PATIENTS CAN'T AFFORD PRESCRIPTION DRUGS, AND PATIENTS DO NOT HAVE THE FINANCIAL RESOURCES TO BE SEEN IN A PHYSICIAN OFFICE. THER SERVICE AREA HAS ONE CLINIC DESIGNATED AS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER (FQHC). RURAL HAMPTON COUNTY IS A MEDICALLY UNDERSERVED AREA AND IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). IN ADDITION TO THIS, HRMC ALSO RELIES ON NATIONAL DATA FOR OTHER OPPORTUNITIES TO SUPPORT THE COMMUNITY SUCH AS OFFERING VARIOUS HEALTH SCREENINGS THROUGHOUT THE YEAR. PART VI, LINE 3: INFORMATION CONCERNING FINANCIAL ASSISTANCE IS AVAILABLE ON OUR HOSPITAL WEBSITE, PATIENT INFORMATION PAMPHLETS AND SIGNAGE LOCATED IN REGISTRATION AREAS. PATIENTS ARE ALSO OFFERED ASSISTANCE AT REGISTRATION IF THEY INDICATE THEY CANNOT AFFORD TO PAY THE BILL. PATIENTS ARE REFERRED TO OUR FINANCIAL COUNSELOR FOR ASSISTANCE WITH THE APPLICATIONS AND GUIDANCE ON APPLYING FOR OTHER PROGRAMS THAT MAY BE AVAILABLE. ALL UNINSURED ACCOUNTS ARE REVIEWED DAILY BY THE FINANCIAL COUNSELOR WHO WILL ATTEMPT TO QUALIFY THE PATIENT FOR A PROGRAM. PART VI, LINE 4: HAMPTON REGIONAL MEDICAL CENTER (HRMC), BASED IN VARNVILLE, SOUTH CAROLINA, IS A VITAL HEALTHCARE PROVIDER FOR THE LOWCOUNTRY REGION. LOCATED IN RURAL HAMPTON COUNTY, PART OF THE FLAT, LOW-LYING COASTAL PLAIN. HRMC OFFERS ACUTE CARE HOSPITAL SERVICES AND DIAGNOSTIC SERVICES. HRMC IS THE ONLY FULL-SERVICE HOSPITAL IN A 40 PLUS MILE RADIUS AND HAS A HEALTH PROFESSIONAL SHORTAGE AREA OF 19 AND MEDICALLY UNDERSERVED AREA DESIGNATION FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. THE PRIMARY SERVICE AREA INCLUDES ALL OF HAMPTON COUNTY, SUBSTANTIAL SECTIONS OF ALLENDALE COUNTY, AND EXTENDS INTO JASPER COUNTY AND PARTS OF COLLETON COUNTY. THE SECONDARY SERVICE AREA FURTHER SPANS JASPER, BAMBERG, COLLETON, AND BARNWELL COUNTIES. ADDITIONAL NEARBY COMMUNITIES REPRESENT MEANINGFUL OPPORTUNITIES FOR GROWTH. THESE COMMUNITIES EXPERIENCE SIMILAR BARRIERS TO CARE, INCLUDING PROVIDER SHORTAGES, TRANSPORTATION CHALLENGES, AND LIMITED ACCESS TO ADVANCED DIAGNOSTIC AND SPECIALTY SERVICES. FOR EXAMPLE NEIGHBORING RURAL COUNTIES SUCH AS ALLENDALE AND JASPER BOTH DEMONSTRATE SIGNIFICANT HEALTHCARE ACCESS CHALLENGES AND HIGH LEVELS OF NEED. THESE COUNTIES SHARE SIMILAR DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS WITH HAMPTON COUNTY, INCLUDING ELEVATED POVERTY RATES, HIGH PREVALENCE OF CHRONIC DISEASE, AND LIMITED ACCESS TO SPECIALTY CARE AND ADVANCED DIAGNOSTIC SERVICES. ALLENDALE COUNTY IN PARTICULAR, IS ONE OF THE MOST MEDICALLY UNDERSERVED AREAS IN SOUTH CAROLINA, WITH PERSISTENT SHORTAGES OF HEALTHCARE PROVIDERS AND LIMITED LOCAL INFRASTRUCTURE TO SUPPORT ADVANCED DIAGNOSTICS AND COMPLEX CARE. SIMILARLY, JASPER COUNTY CONTINUES TO EXPERIENCE RAPID POPULATION GROWTH PAIRED WITH GAPS IN SPECIALTY SERVICES AND ACCESS TO HOSPITAL-BASED CARE. PATIENTS IN BOTH COUNTIES FREQUENTLY REQUIRE TRANSFER FOR SERVICES THAT COULD BE PROVIDED LOCALLY IF INFRASTRUCTURE AND CLINICAL CAPACITY ARE ENHANCED.THE MEDIAN HOUSEHOLD INCOME IS $38,178. TWENTY (20%) OF THE POPULATION IS BELOW THE POVERTY LEVEL. THE PERCENTAGE (%) OF PERSONS 25 YEARS OF AGE OR OLDER WITH A HIGH SCHOOL OR HIGHER EDUCATION LEVEL IS (81%); SIGNIFICANTLY LOWER THAN THE STATE AND NATIONAL AVERAGE (88%). THE PERCENTAGE OF PERSONS HOLDING A BACHELOR OR HIGHER COLLEGE DEGREE IS 11% COMPARED TO THE STATE AND US PERCENTAGE, 29% AND 33% RESPECTIVELY. HAMPTON COUNTY RANKS IN THE TOP FIVE WITH THE HIGHEST UNEMPLOYMENT RATE IN THE STATE. POVERTY, UNEMPLOYMENT, AND LACK OF HEALTH INSURANCE COVERAGE CONTINUE TO BE AN ISSUE IN THE AREA. PART VI, LINE 5: HRMC IS UNDERGOING A CAPACITY BUILDING EXPANSION IN SEVERAL KEY AREAS OF THE HOSPITAL IN ORDER TO ADEQUATELY SERVE OUR PATIENT POPULATION AND SERVE THE COMMUNITY'S HEALTH NEEDS. 1. EMERGENCY DEPARTMENT: TO BETTER SERVE THE NEEDS OF THE COMMUNITY AND PROVIDE CRITICAL ACCESS TO LIFE SAVING CARE, THE HOSPITAL COMPLETED AN EMERGENCY DEPARTMENT EXPANSION IN 2026. THE EXPANSION ADDED 5.947 SQUARE FEET OF SPACE TO THE EXISTING STRUCTURE, THE ADDITION OF REGISTRATION AND WAITING AREA, TRIAGE SPACE, ADDITIONAL EXAM ROOMS, AND A BEHAVIORAL HEALTH CRISIS STABILIZATION UNIT. ADDITIONAL PARKING SPACE AND REROUTED AMBULANCE BAY WILL ALSO BE INCLUDED IN THE PROJECT. THIS PROJECT TOOK THE CURRENT SEVEN BED FACILITY TO A 17 BED, STATE-OF-THE-ART EMERGENCY DEPARTMENT AND IS AN INVESTMENT OF NEARLY 15 MILLION DOLLARS. EIGHT MILLION DOLLARS WERE SECURED THROUGH A GRANT OFFERED THROUGH THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES BEHAVIORAL HEALTH CRISIS STABILIZATION GRANT. THE EXPANSION HAS ALSO ALLOWED HRMC TO BRING MORE PROVIDERS TO THE COMMUNITY WITH THE ADDITION OF TWO MORE EMERGENCY DEPARTMENT PHYSICIANS AND TWO MORE ADVANCED PRACTICE PROVIDERS. THE MID-LEVEL PROVIDERS WILL ALLOW THE LESS ACUTE CASES THAT ARE PRESENTED TO FLOW THROUGH THE ED AT A FASTER PACE IN THE "FAST TRACK" ROOMS, WHICH WILL ALLEVIATE THE STRAIN THEY PREVIOUSLY INFLICTED ON THE ED THROUGHPUT AND REDUCE WAIT TIME FOR PATIENTS.2. SURGICAL SERVICES EXPANSION: THE LACK OF SURGICAL SPECIALISTS AND THE HIGH SURGICAL NEEDS OF THE POPULATION FOSTERS THE EXPANSION OF THE SURGICAL PROGRAM AT HAMPTON REGIONAL. ENHANCEMENT AND UPDATES OF THE OPERATING ROOM FACILITIES AT HRMC ENSURES THE FUTURE OF SURGERY AND THE SUSTAINABILITY OF A SURGICAL PROGRAM IN THE HRMC SERVICE AREA. HRMC HAS INVESTED IN A TWO MILLION DOLLAR INFRASTRUCTURE IMPROVEMENT TO ITS SURGICAL SUITES, INCLUDING ARCHITECTURE, REGULATORY, LICENSING, CONSTRUCTION AND EQUIPMENT AND INSTALLATION COSTS. THIS WAS ACHIEVED THROUGH A GRANT OBTAINED THROUGH THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICALLY UNDERSERVED AREA GRANT. THE FIVE-YEAR CONTRACT PERIOD STARTED IN 2024 AND ENDS IN 2029. HRMC IS CURRENTLY ENTERING THE FINAL PHASES OF CONSTRUCTION AND HAVE ALREADY SEEN AN INCREASE IN VOLUME.3. CAPACITY BUILDING EXPANSION: PLANS FOR A MAJOR INFRASTRUCTURE EXPANSION ARE UNDERWAY FOR 2026-2027 INCLUDING ROOF REPLACEMENT, HVAC REMEDIATION, EMERGENCY POWER SWITCH, MRI AND CT EQUIPMENT UPGRADES, WATER BOOSTER PUMP AND A NEW PHONE SYSTEM. 4. INFORMATION TECHNOLOGY EXPANSION: HRMC PLANS TO IMPLEMENT A COMPREHENSIVE SET OF INFORMATION TECHNOLOGY INFRASTRUCTURE AND CYBERSECURITY UPGRADES DURING 20262027 TO STRENGTHEN SYSTEM SECURITY, RELIABILITY, AND REGULATORY COMPLIANCE. KEY INITIATIVES INCLUDE DEPLOYMENT OF A NEXT-GENERATION FIREWALL, IMPLEMENTATION OF 24/7 MANAGED CYBERSECURITY SERVICES WITH CONTINUOUS MONITORING, THREAT DETECTION, AND INCIDENT RESPONSE, AND COMPLETION OF A FORMAL SECURITY RISK ANALYSIS ALIGNED WITH HIPAA AND THE NIST CYBERSECURITY FRAMEWORK. THE ORGANIZATION WILL ALSO ENHANCE DATA PROTECTION THROUGH SECURE, CLOUD-BASED BACKUP AND RECOVERY SOLUTIONS, UPGRADE ITS VIRTUALIZED INFRASTRUCTURE ENVIRONMENT, AND IMPLEMENT IDENTITY MANAGEMENT AND ACCESS CONTROLS SUCH AS SINGLE SIGN-ON AND BIOMETRIC AUTHENTICATION. THESE EFFORTS WILL BE INTEGRATED WITH BROADER SYSTEM IMPROVEMENTS, INCLUDING CLOUD-BASED EHR ENHANCEMENTS AND EXPANDED INTEROPERABILITY, TO ENSURE SECURE DATA EXCHANGE ACROSS CLINICAL SYSTEMS. COLLECTIVELY, THESE UPGRADES ARE DESIGNED TO REDUCE CYBERSECURITY RISK, IMPROVE SYSTEM RESILIENCE, SAFEGUARD PATIENT INFORMATION, AND SUPPORT UNINTERRUPTED DELIVERY OF HIGH-QUALITY CARE IN A RURAL HEALTHCARE SETTING.5. REMOTE PATIENT MONITORING EXPANSION: HRM PLANS TO IMPLEMENT A RPM PROGRAM DURING 20262027 TO ENHANCE CHRONIC DISEASE MANAGEMENT, IMPROVE ACCESS TO CARE, AND REDUCE AVOIDABLE HOSPITAL UTILIZATION AMONG HIGH-RISK RURAL POPULATIONS. THE INITIATIVE WILL INCLUDE PROCUREMENT OF RPM TECHNOLOGY AND DEVICES, INTEGRATION WITH THE ELECTRONIC HEALTH RECORD, AND DEVELOPMENT OF STANDARDIZED CLINICAL WORKFLOWS AND ESCALATION PROTOCOLS TO SUPPORT TIMELY INTERVENTION. INITIAL DEPLOYMENT WILL FOCUS ON PATIENTS WITH CONDITIONS SUCH AS HYPERTENSION, DIABETES, AND HEART FAILURE, WITH PHASED EXPANSION FOLLOWING PILOT IMPLEMENTATION. THE PROGRAM WILL LEVERAGE EXISTING TELEHEALTH CAPABILITIES AND PROVIDER EXPERTISE TO ENABLE CONTINUOUS MONITORING, IMPROVE CARE COORDINATION, AND SUPPORT VALUE-BASED CARE MODELS. COLLECTIVELY, THESE EFFORTS ARE DESIGNED TO STRENGTHEN PATIENT ENGAGEMENT, IMPROVE CLINICAL OUTCOMES, AND EXTEND ACCESS TO HIGH-QUALITY CARE BEYOND TRADITIONAL CLINICAL SETTINGS IN A MEDICALLY UNDERSERVED COMMUNITY. THE GOVERNING BOARD OF DIRECTORS AT HRMC IS COMPRISED OF CITIZENS WHO RESIDE IN THE PRIMARY AND SECONDARY SERVICE AREA OF THE COMMUNITIES WE SERVE. BOARD MEMBERS ARE ACTIVE PARTICIPANTS IN MANY COMMUNITY PROGRAMS SPONSORED BY THE FACILITY. HRMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY. PART VI, LINE 6: HRMC IS AFFILIATED WITH MEDICAL UNIVERSITY OF SOUTH CAROLINA (MUSC), LOCATED IN CHARLESTON, SC. THIS RELATIONSHIP BEGAN IN 2019 AND HAS GROWN INTO A COMPREHENSIVE, ESTABLISHED MODEL THAT INTEGRATES TELEHEALTH SERVICES, SPECIALTY PROVIDER ACCESS, AND WORKFORCE DEVELOPMENT TO IMPROVE ACCESS AND LONG-TERM SUSTAINABILITY IN A RURAL HEALTHCARE SETTING. THIS RELATIONSHIP ALLOWS HRMC TO PROVIDE MUSC HEALTH LEVEL CARE TO THE RURAL POPULATION BY ROTATING ON-SITE SPECIALTY SERVICES IN ONCOLOGY, PODIATRY, UROLOGY, AND VASCULAR CARE, WHILE ALSO OFFERING ACCESS TO ALL MUSC SPECIALTIES VIA TELEHEALTH. SEVERAL OTHER TELE-PROGRAMS SUPPORT HOSPITAL LEVEL CARE WITHIN THE FACILITY. ADDITIONALLY, HRMC BENEFITS FROM AN ON-SITE MUSC BREAST IMAGING RADIOLOGIST, MUSC RADIOLOGISTS PERFORM ALL THE IMAGING READS, AND A MUSC PATHOLOGIST OVERSEES LABORATORY SERVICES, ENHANCING DIAGNOSTIC CAPABILITIES AND CLINICAL OUTCOMES. THROUGH THIS MUSC HEALTH PARTNERSHIP, HRMC IS ABLE TO DELIVER A SUSTAINABLE, HIGH-QUALITY, AND INTEGRATED MODEL OF CARE.THROUGH THE MUSC HOSPITALIST PROGRAM, APPS PROVIDE CONTINUOUS ONSITE CLINICAL COVERAGE AT HRMC, PERFORMING PATIENT ASSESSMENTS, MANAGING DAY-TO-DAY CARE, AND RESPONDING PROMPTLY TO CHANGES IN PATIENT CONDITION. THEY SERVE AS AN EXTENSION OF THE MUSC HOSPITALISTS, WHO PROVIDE PHYSICIAN OVERSIGHT, GUIDE COMPLEX MEDICAL DECISION-MAKING, AND ENSURE ADHERENCE TO EVIDENCE-BASED PRACTICES.THE TELE-ICU OPERATES THROUGH A COLLABORATIVE PARTNERSHIP WITH MUSC HEALTH AND HICUITY HEALTH TO PROVIDE CONTINUOUS, HIGH-LEVEL CRITICAL CARE SUPPORT FOR PATIENTS IN THE INTENSIVE CARE SETTING. THROUGH THIS MODEL, BEDSIDE CLINICIANS AT HRMC ARE SUPPORTED BY A REMOTE TEAM OF CRITICAL CARE SPECIALISTSINCLUDING INTENSIVISTS AND CRITICAL CARE NURSESWHO MONITOR PATIENTS IN REAL TIME USING ADVANCED AUDIO-VISUAL TECHNOLOGY AND INTEGRATED CLINICAL DATA SYSTEMS.THE TELE-STROKE PROGRAM PROVIDES RAPID ACCESS TO SPECIALIZED STROKE EXPERTISE, ENSURING PATIENTS EXPERIENCING STROKE SYMPTOMS RECEIVE IMMEDIATE, EVIDENCE-BASED CARE REGARDLESS OF LOCATION. THROUGH SECURE, REAL-TIME AUDIO-VISUAL TECHNOLOGY, EMERGENCY DEPARTMENT CLINICIANS AT HRMC CAN CONNECT INSTANTLY WITH MUSC STROKE NEUROLOGISTS, WHO ASSESS PATIENTS REMOTELY, REVIEW IMAGING AND CLINICAL DATA, AND GUIDE CRITICAL TREATMENT DECISIONS. THIS COLLABORATION ENABLES TIMELY EVALUATION FOR LIFE-SAVING INTERVENTIONS SUCH AS THROMBOLYTIC THERAPY (TPA) AND HELPS DETERMINE WHETHER ADVANCED PROCEDURES OR TRANSFER TO A HIGHER LEVEL OF CARE ARE NECESSARY. IN 2024 OUR PHYSICIAN OFFICE MEDICAL ASSISTANTS WERE TRAINED TO WORK IN THE MUSC SYSTEM. THIS ALLOWS THEM TO TAKE VITALS AND INPUT PATIENTS DIRECTLY INTO THE MUSC TELEHEALTH SYSTEM AND, GIVES PATIENTS ACCESS TO ALMOST EVERY SPECIALTY WITHOUT THE HASSLE AND EXPENSE OF TRAVEL. IN 2025 MUSC BEGAN SUPPORTING HRMC MARKETING WITH FUNDING AND OVERSIGHT. AS A SMALL ORGANIZATION, HRMC HISTORICALLY HAS NOT HAD THE BUDGET TO SUPPORT MARKETING EFFORTS. NOW THEY ARE ABLE TO EMPLOY A DEDICATED MARKETING DIRECTOR AND LAUNCH PAID MARKETING CAMPAIGNS, HELPING TO BUILD PATIENT TRUST AND AWARENESS IN A RURAL MARKET. MUSC-SUPPORTED SERVICE LINESSUCH AS HOSPITALIST CARE, TELE-STROKE, TELE-ICU, AND SPECIALTY CLINICSARE OFTEN INCORPORATED INTO MARKETING CAMPAIGNS, MESSAGING, AND COMMUNITY OUTREACH TO DEMONSTRATE THE DEPTH AND QUALITY OF CARE AVAILABLE LOCALLY.MUSC'S MISSION CLOSELY ALIGNS WITH THE MISSION OF HRMC, AND THEY ARE COMMITTED TO BRINGING ADDITIONAL SERVICES TO THE AREA, AND NOW EQUIPPED WITH A SOUNDING BOARD TO SPREAD THE NEWS OF THESE SERVICES, HRMC HOPES TO IMPACT THE HEALTH OF THE REGION INTO THE FUTURE. X X 0 1 0 0 0 0 0 0 0 DAVE HAMILL CEO/PRESIDENT (VOTING) 522628 0 50000 0 11124 0 8274 0 21703 0 613729 0 0 0 ZANE OSBORNE ER PHYSICIAN 572770 0 0 0 3564 0 11567 0 24859 0 612760 0 0 0 CECIL MCELVEEN ER PHYSICIAN 485760 0 0 0 2322 0 9483 0 21699 0 519264 0 0 0 HARVEY D WEST JR ER PHYSICIAN 467592 0 0 0 3290 0 9136 0 18880 0 498898 0 0 0 LEE BUTTERFIELD CLINIC PHYSICIAN 444788 0 198 0 2322 0 0 0 20638 0 467946 0 0 0 JEFFERY GERSBACH ER PHYSICIAN 268152 0 0 0 0 0 0 0 22590 0 290742 0 0 0 JULIE ALLEN CFO 185554 0 10000 0 1107 0 3812 0 21138 0 221611 0 0 0 PART I, LINE 4B ON DECEMBER 16, 2016, THE HOSPITAL ENTERED INTO TWO DEFERRED COMPENSATION AGREEMENTS WITH A KEY EXECUTIVE. THE AGREEMENTS PROVIDE FOR POSTRETIREMENT BENEFITS CONTINGENT ON CERTAIN CONDITIONS. ANNUAL CREDITS ARE MADE EACH PLAN YEAR AS DEFINED IN THE AGREEMENTS. ALL AMOUNTS CREDITED EARN INTEREST AT A RATE OF 5% ANNUALLY. THE KEY EXECUTIVE'S ACCOUNT BALANCE FULLY VESTED ON THE DATE THE EXECUTIVE ATTAINED THE AGE OF 67, WHICH OCCURRED DURING THE YEAR ENDED SEPTEMBER 30, 2021. THE HOSPITAL MAINTAINED THE BALANCE RELATED TO ONE AGREEMENT IN A RABBI TRUST AND INTERNALLY DESIGNATED RESTRICTED ASSETS WITHIN THE HOSPITAL'S INVESTMENT ACCOUNTS FOR THE OTHER DEFERRED COMPENSATION AGREEMENT. THE RABBI TRUST WAS LIQUIDATED AND PAID OUT DURING THE YEAR ENDED SEPTEMBER 30, 2025. THE INVESTMENT BALANCE WAS $-0- AND $1,309,155 FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024, RESPECTIVELY, AND ARE INCLUDED IN ASSETS WHOSE USE IS LIMITED ON THE CONSOLIDATED BALANCE SHEETS. THE INTERNALLY DESIGNATED ASSETS TOTALED $990,000 FOR BOTH YEARS ENDED SEPTEMBER 30, 2025 AND 2024, RESPECTIVELY, AND ARE INCLUDED IN ASSETS WHOSE USE IS LIMITED ON THE CONSOLIDATED BALANCE SHEETS. THE HOSPITAL ACCRUED THE PRESENT VALUE OF THE ESTIMATED FUTURE BENEFIT PAYMENTS OF THE ANNUAL CREDITS USING A DISCOUNT RATE OF 5% AND RECORDED THE AMOUNT OF $990,000 AND $2,196,374 AS OF SEPTEMBER 30, 2025 AND 2024, RESPECTIVELY. A HAMPTON REGIONAL MEDICAL CENTER 571017988 83703FJX1 2017-12-20 33570000 REFUND PRIOR ISSUE 0 0 0 A 3515000 33570000 2265875 678911 3000000 27625214 2017 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 CELIA HAMILL DAUGHTER OF CEO DAVE HAMILL 18970 COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE GOVERNING BODY PRIOR TO FILING FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION SENDS CONFLICT-OF-INTEREST STATEMENTS TO ALL TRUSTEES, DIRECTORS, AND SIGNIFICANT MEMBERS OF THE ORGANIZATION TO DISCLOSE ANY POSSIBLE CONFLICTS. THE GOVERNING BODY REGULARLY REVIEWS ANY CONFLICTS THAT MAY ARISE THROUGHOUT THE YEAR ON A CASE-BY-CASE BASIS. FORM 990, PART VI, SECTION B, LINE 15 HAMPTON REGIONAL MEDICAL CENTER ("HRMC") PERFORMS A THIRD PART EVALUATION OF COMPENSATION EVERY 3-5 YEARS AS DIRECTED BY THE BOARD OF DIRECTORS. COMPENSATION IS REVIEWED ANNUALLY AND THE PROCESS IS DOCUMENTED ON A REVIEW FORM. THE SOUTH CAROLINA HOSPITAL ASSOCIATION HAS REGIONAL SURVEYS USING DATA FROM SOUTH CAROLINA, NORTH CAROLINA, AND VIRGINIA THAT SPECIFICALLY BREAKS DOWN INFORMATION OF SIMILAR SIZED ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICIES ARE PROVIDED FOR PUBLIC REVIEW UPON REQUEST. FORM 990, PART III, LINE 4A (CONTINUED) THE HOSPITAL ACTIVELY PARTICIPATES WITH THE LOCAL TECHNICAL COLLEGES AND PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS, SURGICAL TECH STUDENTS, AND RADIOLOGY TECH STUDENTS. HRMC ALSO PROVIDES CLINICAL ROTATIONS FOR STUDENTS ENROLLED IN THE UNIVERSITY OF SOUTH CAROLINA'S BACHELOR OF SCIENCE IN NURSING DEGREE PROGRAM. LOCALLY, THE HOSPITAL PARTICIPATES IN CAREER FAIRS AND OTHER SCHOOL-RELATED EVENTS THROUGHOUT THE AREA THROUGH THE HAMPTON COUNTY SCHOOL DISTRICT, USC SALKEHATCHIE, AND THE TECHNICAL COLLEGE OF THE LOWCOUNTRY. AFFILIATED WITH THE AT SCHOOL OF OSTEOPATHIC MEDICINE'S BEAUFORT CAMPUS, HRMC SERVES, AT NO COST, AS A RURAL TRAINING HOSPITAL FOR MEDICAL STUDENTS. HOSPITAL STAFF SPEND HUNDREDS OF HOURS EACH YEAR MENTORING THESE STUDENTS. LOCALLY, THE HOSPITAL PLAYS A SIGNIFICANT ROLE IN PROVIDING MUCH-NEEDED SUPPORT TO FAMILIES, INCLUDING HAMPTON COUNTY'S DEPARTMENT OF SOCIAL SERVICES FILL THE STOCKING CAMPAIGN AND OTHER RELIEF EFFORTS. HRMC PARTICIPATES IN THE LOCAL FILL THE STOCKING CAMPAIGN BY DONATING AN ASSORTMENT OF TOYS TO LOCAL YOUTH, IN HOPES OF SPREADING HOLIDAY CHEER TO LESS FORTUNATE FAMILIES DURING THE CHRISTMAS SEASON. HRMC ALSO DONATES TO THE HAMPTON BAPTIST CHURCH COAT CLOSET AND THE CONNEXXION, OPEN ARMS FELLOWSHIP'S LOCAL MISSIONS BRANCH WITH BACK-TO-SCHOOL ITEMS AS WELL AS FOOD DRIVES. THE HOSPITAL PROVIDES MEETING ROOMS FOR VARIOUS COMMUNITY ORGANIZATIONS SUCH AS ROTARY, HAMPTON COUNTY LEADERSHIP, HAMPTON COUNTY AG + ART TOUR COMMITTEE, ALALA BREAST CANCER CLINIC, AND LOWCOUNTRY COUNCIL OF GOVERNMENTS. MEETING ROOM SPACE IS ALSO PROVIDED TO BE USED AS A DISTANT LEARNING CENTER. COASTAL PLAINS PHYSICIANS ASSOCIATES 595 WEST CAROLINA AVENUE VARNVILLE SC 29944 571088306 PHYSICIAN OFFICE SC 501(C)(3) LINE 12A, I HAMPTON REGIONAL MEDICAL CENTER 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 COASTAL PLAINS PHYSICIANS ASSOCIATES D 17784086 CASH COASTAL PLAINS PHYSICIANS ASSOCIATES K 108000 CASH COASTAL PLAINS PHYSICIANS ASSOCIATES R 766000 CASH