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MCLEOD MEDICAL CENTER DILLON: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MCLEOD MEDICAL CENTER DILLON (EIN 51-0473471)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-13
IRS object ID
202442269349301974
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-13T14:58:35-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1634 FRONT AVE NW STE 300AddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49504ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510473471EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD MEDICAL CENTER DILLONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMCLEBusinessNameControlTxt
Phone8437772256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonS FULTON ERVIN IIIPersonNm
Person TitleCFO OF SYSTEMPersonTitleTxt
Phone8437772256PhoneNum
Signature2024-08-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID LOWENTHALPreparerPersonNm
PTINP00378651PTIN
Phone6167748221PhoneNum
Preparation2024-07-10PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONNA ISGETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$69,050,766GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCLEODHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionACUTE CARE HOSPITALActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee431TotalEmployeeCnt
Total Volunteers26TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,627,970PYContributionsGrantsAmt
CY Contributions Grants$1,228,406CYContributionsGrantsAmt
PY Program Service Revenue$66,130,143PYProgramServiceRevenueAmt
CY Program Service Revenue$66,885,089CYProgramServiceRevenueAmt
PY Investment Income$32,443PYInvestmentIncomeAmt
CY Investment Income-$951CYInvestmentIncomeAmt
PY Other Revenue$1,080,907PYOtherRevenueAmt
CY Other Revenue$527,967CYOtherRevenueAmt
PY Total Revenue$68,871,463PYTotalRevenueAmt
CY Total Revenue$68,640,511CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$21,328,860PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,822,029CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$38,925,668PYOtherExpensesAmt
CY Other Expenses$43,683,866CYOtherExpensesAmt
PY Total Expenses$60,254,528PYTotalExpensesAmt
CY Total Expenses$65,518,395CYTotalExpensesAmt
PY Revenues Less Expenses$8,616,935PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,122,116CYRevenuesLessExpensesAmt
Total Assets BOY$117,311,486TotalAssetsBOYAmt
Total Assets EOY$124,107,805TotalAssetsEOYAmt
Total Liabilities BOY$5,863,767TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,537,970TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$111,447,719NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$114,569,835NetAssetsOrFundBalancesEOYAmt
MissionORGANIZATION IS PART OF THE MCLEOD HEALTH SYSTEM. THE MISSION OF MCLEOD HEALTH IS TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF PEOPLE LIVING WITHIN SOUTH CAROLINA AND EASTERN NORTH CAROLINA BY PROVIDING EXCELLENCE IN HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$61,317,459ExpenseAmt
Grant$12,500GrantAmt
Revenue$66,885,089RevenueAmt
DescMCLEOD MEDICAL CENTER - DILLON IS A 79 BED COMMUNITY HOSPITAL LOCATED IN DILLON, SOUTH CAROLINA. MCLEOD MEDICAL CENTER - DILLON OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. SEE ALSO THE COMMUNITY BENEFIT REPORT ON SCHEDULE H.Desc
Total Program Service Expenses$61,317,459TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee431EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK W CAMERONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8437775304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES N WALLACE MD
TRUSTEE/STAFF PHYSICIAN40.000.00Yes (X)$398,586$0$29,791
JOSEPH K WANGEH MD
CHIEF OF STAFF/MD-RLTD ORG1.0039.00Yes (X)$0$455,577$28,327Yes (X)
JOAN O ERVIN - PART YEAR
CEO - MCLEOD DILLON HOSPITAL40.000.00Yes (X)$409,539$0$54,236Yes (X)
ESTHER M WILDS
VP/CHIEF NURSING OFFICER - PART YEAR40.000.00Yes (X)$196,088$0$22,092
MATTHEW JOHNSON MD
CORPORATE COO1.0039.00Yes (X)$0$708,014$79,609Yes (X)
EFREM ADAMS
TRUSTEE1.000.00Yes (X)$0$0$0
DAWN ARNETTE
TRUSTEE1.000.00Yes (X)$0$0$0
JACKIE HAYES
TRUSTEE1.000.00Yes (X)$0$0$0
MAMIE LEGETTE
TRUSTEE1.000.00Yes (X)$0$0$0
JOHNNIE LUEHRS
TRUSTEE1.000.00Yes (X)$0$0$0
DOUGLAS LYNN
TRUSTEE1.000.00Yes (X)$0$0$0
WENDY REAVES
TRUSTEE1.000.00Yes (X)$0$0$0
ROBBY ROBERSON
TRUSTEE1.000.00Yes (X)$0$0$0
ANNIE SMITH
TRUSTEE1.000.00Yes (X)$0$0$0
SHIRLEEN LEWIS
TRUSTEE1.000.00Yes (X)$0$0$0
JENNY HARDEE
CEO - MCLEOD DILLON HOSPITAL40.000.00Yes (X)$0$236,399$12,872Yes (X)
KASEY BUSTAMANTE
TRUSTEE/CHIEF NURSING OFFICER40.000.00Yes (X)$113,234$0$10,391
S FULTON ERVIN III
CORPORATE SR. VP/CFO1.0039.00$0$939,037$111,068Yes (X)
DONNA C ISGETT
CORPORATE PRES/CEO1.0039.00$0$1,540,965$191,159Yes (X)
ALTO B ODIN JR MD
STAFF PHYSICIAN40.000.00$392,131$0$27,612Yes (X)
WILLIAM GOLDSTEIN MD
STAFF PHYSICIAN40.000.00$451,810$0$34,469Yes (X)
BENJAMIN T MITCHELL III MD
STAFF PHYSICIAN40.000.00$519,766$0$31,396Yes (X)
LYNN LETT
PHARMACIST40.000.00$162,432$0$18,730Yes (X)
REGINA MCCULLOUGH
PHARMACIST40.000.00$163,127$0$7,464Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,806,713TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,879,992TotReportableCompRltdOrgAmt
Total Other Compensation$659,216TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K39IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUALIVIS LLC
PO BOX 123847DALLASTX75312CONTRACT LABOR$2,353,236
PARAGON CONTRACTING SERVICES LLC
PO BOX 634850CINCINNATIOH452634850CONTRACTED PHYSICIANS$475,703
BLAKE CONTRACTING LLC
1994 REMOUNT RDGASTONIANC28054CONSTRUCTION SERVICES$472,199
VIRTUAL NEUROLOGY LLC
9110 COLLEGE POINTE CTFORT MYERSFL33919CONTRACTED PHYSICIANS$342,900
HEALTH CAROUSEL LLC
PO BOX 714216CINCINNATIOH452714216CONTRACT LABOR$210,846
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Related Organizations$518,818RelatedOrganizationsAmt
Government Grants$709,588GovernmentGrantsAmt
Total Contributions$1,228,406TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE624100$66,515,813$66,515,813
MEDICAL SURGICAL - ACUTE TO ACUTE624100$363,724$363,724
OTHER MEDICAL SERVICES624100$5,552$5,552
FieldValueIRS element (for citing)
Total Program Service Revenue$66,885,089TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,520TotalRevenueColumnAmt
Exclusion$1,520ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$619,765RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$407,784RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$211,981RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$211,981TotalRevenueColumnAmt
Exclusion$211,981ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$2,471OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,471OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,471TotalRevenueColumnAmt
Exclusion-$2,471ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA/VENDING110000$275,379$275,379
GIFT SHOP459420$36,623$36,623
HEALTH INFORMATION MANAGEMENT624100$1,625$1,625

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,359TotalRevenueColumnAmt
Exclusion$2,359ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$315,986OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,640,511TotalRevenueColumnAmt
Related Or Exempt Func Income$66,885,089RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$527,016ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,500TotalAmt
Program Services$12,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$955,249TotalAmt
Program Services$874,000ProgramServicesAmt
Management And General$81,249ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,419,770TotalAmt
Program Services$15,023,175ProgramServicesAmt
Management And General$1,396,595ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,447,010TotalAmt
Program Services$4,432,920ProgramServicesAmt
Management And General$14,090ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,333,633TotalAmt
Program Services$7,333,633ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,100TotalAmt
Management And General$4,100ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,185,031TotalAmt
Program Services$5,029,662ProgramServicesAmt
Management And General$1,155,369ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$26,848TotalAmt
Management And General$26,848ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,597,396TotalAmt
Program Services$6,395,908ProgramServicesAmt
Management And General$201,488ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$31,482TotalAmt
Program Services$28,899ProgramServicesAmt
Management And General$2,583ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$831,145TotalAmt
Program Services$831,145ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,564TotalAmt
Program Services$3,989ProgramServicesAmt
Management And General$2,575ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,373TotalAmt
Program Services$4,067ProgramServicesAmt
Management And General$4,306ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,181TotalAmt
Program Services$22,181ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,109,836TotalAmt
Program Services$4,109,836ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$350,030TotalAmt
Program Services$350,030ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$13,885,362$13,885,362
LICENSE & TAXES$1,258,562$27,590$1,230,972
DUES & SUBSCRIPTIONS$41,317$23,959$17,358
SPONSORSHIP$23,804$23,804

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,968,202TotalAmt
Program Services$2,928,603ProgramServicesAmt
Management And General$39,599ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,518,395TotalAmt
Program Services$61,317,459ProgramServicesAmt
Management And General$4,200,936ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$312BOYAmt
EOY$309EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,783,833BOYAmt
EOY$5,430,170EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$525,247BOYAmt
EOY$595,480EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY-$27,193BOYAmt
EOY$176,743EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$65,932,794LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,798,335LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,879,878BOYAmt
EOY$23,134,459EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$92,149,409BOYAmt
EOY$94,770,644EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$117,311,486BOYAmt
EOY$124,107,805EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,705,873BOYAmt
EOY$2,578,734EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,157,894BOYAmt
EOY$6,959,236EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,863,767BOYAmt
EOY$9,537,970EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$111,447,719BOYAmt
EOY$114,569,835EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$111,447,719BOYAmt
EOY$114,569,835EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$117,311,486BOYAmt
EOY$124,107,805EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,122,116ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,457,064OtherCostOrOtherBasisAmt
Book Value$1,457,064BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,891,591OtherCostOrOtherBasisAmt
Depreciation$26,564,046DepreciationAmt
Book Value$11,327,545BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,256,268OtherCostOrOtherBasisAmt
Depreciation$915,758DepreciationAmt
Book Value$340,510BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,745,479OtherCostOrOtherBasisAmt
Depreciation$15,318,531DepreciationAmt
Book Value$9,426,948BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$582,392OtherCostOrOtherBasisAmt
Book Value$582,392BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,134,459TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY$91,748,072
HAWQ MKAID MCI RECEIVABLE$3,022,572
FieldValueIRS element (for citing)
Total Book Value Other Assets$94,770,644TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LEASE LIABILITY$504,880
TOTAL DUE TO THIRD PARTY PAYOR$6,454,356
FieldValueIRS element (for citing)
Total Liability$6,959,236TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,204,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,980,785DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,593NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,502,789TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,328,082DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,174,707NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,707,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,308,867DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,398,300NetCommunityBenefitExpnsAmt
Total Expense0.04640TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,411TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,411NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,290TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,290NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,453TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86,453NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$143,154TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$143,154NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,850,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,308,867DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,541,454NetCommunityBenefitExpnsAmt
Total Expense0.04920TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$800TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$800NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,625TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,625NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,000NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,200NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,920TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$69,920NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,868TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,868NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$189,413TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$189,413NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$13,885,362BadDebtExpenseAmt
Bad Debt Expense Attributable$978,929BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,166,718ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,581,762CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$584,956MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD MEDICAL CENTER - DILLONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 EAST JACKSON STREETAddressLine1Txt
CityDILLONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29536ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MCLEODHEALTH.ORGWebsiteAddressTxt
State LicenseSC HTL-0854StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD MEDICAL CENTER DILLONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://TINYURL.COM/2AHS7WJEOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://TINYURL.COM/2AHS7WJEStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://TINYURL.COM/MRXAPD3BFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://TINYURL.COM/MRXAPD3BFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://TINYURL.COM/MRXAPD3BFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MCLEOD MEDICAL CENTER DILLONPART V, SECTION B, LINE 5: FOR THE 2022 DILLON COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, (OR "CHNA"), ONE-ON-ONE INTERVIEWS, QUESTIONNAIRES, AND FORUMS WERE CONDUCTED IN SPRING 2022 AS A MEANS TO GATHER INPUT. HIGHLIGHTS ARE LISTED BELOW (FULL CHNA IS FOUND AT MCLEODHEALTH.ORG).TOP HEALTH CONCERNS REPORTED AMONG COMMUNITY MEMBERS-DRUG ABUSE-HEART DISEASE/STROKE-OBESITY -DIABETESSOURCE: MCLEOD HEALTH 2022 SURVEY TOP HEALTH CONCERNS REPORTED AMONG HEALTH PROFESSIONALS -DIABETES -OBESITY -DRUG ABUSE -SMOKING/TOBACCO USE-VIOLENCESOURCE: MCLEOD HEALTH 2022 SURVEY PRIMARY DIAGNOSIS ADMITTED TO EMERGENCY DEPARTMENT MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH DILLON EMERGENCY DEPARTMENT OCTOBER 2020 SEPTEMBER 2021: -COVID-19 -PAIN IN THROAT AND CHEST-SEVERE BACK PAIN -ABDOMINAL AND PELVIC PAIN -OTHER JOINT DISORDER -OTHER AND UNSPECIFIED SOFT TISSUE DISORDERSOURCE: MCLEOD HEALTH CLINICAL OUTCOMESPRIMARY INPATIENT DIAGNOSIS MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH DILLON OCTOBER 2020 SEPTEMBER 2021: -COVID-19 -LIVEBORN INFANT -SEPSIS -TYPE 2 DIABETES -BACTERIAL PNEUMONIASOURCE: MCLEOD HEALTH CLINICAL OUTCOMES OPPORTUNITIES & PLAN PRIORITIES MCLEOD HEALTH DILLON WILL COLLABORATE WITH COMMUNITY PARTNERS TO PROVIDE COMMUNITY HEALTH INITIATIVES THAT ARE FOCUSED ON AREAS LISTED BELOW AND FURTHER DESCRIBED WITHIN THE IMPLEMENTATION PLAN. EVIDENCE-BASED PRACTICES WILL BE INSTITUTED TO ADDRESS THE FOLLOWING KEY AREAS BY MCLEOD DILLON: -CHRONIC DISEASES -ACCESS TO CARE -MENTAL HEALTH & SUBSTANCE ABUSE -SEXUAL HEALTHOVERVIEWTHIS COMMUNITY HEALTH NEEDS ASSESSMENT SERVES AS A TOOL TO EVALUATE THE OVERALL HEALTH STATUS, BEHAVIORS AND NEEDS OF DILLON COUNTY. THE MARCH 2010 PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) INTRODUCED REPORTING REQUIREMENTS FOR PRIVATE, NOT-FOR-PROFIT HOSPITALS. TO MEET THESE NEW FEDERAL REQUIREMENTS, THE INFORMATION GATHERED IN THIS ASSESSMENT IS USED TO GUIDE THE STRATEGIC PLANNING PROCESS IN ADDRESSING HEALTH DISPARITIES. A COMMUNITY HEALTH NEEDS ASSESSMENT GIVES INFORMATION TO HEALTH CARE PROVIDERS TO MAKE DECISIONS AND COMMIT RESOURCES TO AREAS OF GREATEST NEED, MAKING THE GREATEST IMPACT ON COMMUNITY HEALTH STATUS. THIS ASSESSMENT INCORPORATES DATA FROM WITHIN THE COMMUNITY, SUCH AS INDIVIDUALS SERVED AND HEALTH ORGANIZATIONS, AS WELL AS VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA TO DEVELOP A TAILORED PLAN WHICH TARGETS THE NEEDS OF THE COUNTY.METHODS AN ASSESSMENT TEAM COMPRISED OF MCLEOD HEALTH'S COMMUNITY HEALTH AND COMMUNICATION AND PUBLIC INFORMATION STAFF REVIEWED LITERATURE, DATA AND PUBLICATIONS FROM PUBLIC SOURCES. MEMBERS OF THE ASSESSMENT TEAM REPRESENTED EACH OF THE SEVEN ACUTE CARE HOSPITAL FACILITIES WITHIN MCLEOD HEALTH AND WERE ASSIGNED TO COLLECT DATA THAT REPRESENTED INDICATORS OF COMMUNITY HEALTH STATUS OR ITS SOCIOECONOMIC DETERMINANTS. THEREFORE, FOCUS WAS PLACED ON IDENTIFYING LOCALLY APPROPRIATE INDICATORS, BENCHMARKS, AND PERTINENT HEALTH ISSUES. PRE-EXISTING DATABASES CONTAINING LOCAL, STATE AND NATIONAL HEALTH AND BEHAVIOR DATA WERE USED FOR COMPARISONS WHEN POSSIBLE. DATA COLLECTION WAS LIMITED TO THE MOST RECENT PUBLICLY AVAILABLE RESOURCES AND SOME PRIMARY DATA FROM QUALITATIVE AND QUANTITATIVE INVESTIGATION. AS A RESULT, THIS DOCUMENT PORTRAYS A PARTIAL PICTURE OF THE HEALTH STATUS OF THE COMMUNITY SERVED. DATA ANALYSIS INCLUDED DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH DETERMINANT MEASURES.DATA ANALYSIS INCLUDED DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH DETERMINANT MEASURES. WHEN POSSIBLE, DATA ALSO WAS ANALYZED ACCORDING TO AGE, GENDER AND/OR RACE TO OFFER INSIGHT INTO HEALTH DISPARITIES THAT MAY AFFECT SPECIFIC SUBGROUPS IN THE COMMUNITY. A SUMMARY OF COUNTY DATA IS REFLECTED AS A COMPARISON TO STATE AND NATIONAL DATA WHEN AVAILABLE TO INDICATE COMMUNITY HEALTH CONCERNS.HEALTH DETERMINANTS AND DISPARITIES WHAT ARE THE DETERMINANTS OF HEALTH? HEALTH BEHAVIORS HAD THE MAJORITY OVERALL IMPACT ON FUTURE HEALTH OUTCOMES (I.E., SMOKING, DIET, DRUG & ALCOHOL USE, PHYSICAL ACTIVITY, OTHER LIFESTYLE BEHAVIORS) AND ACCOUNT FOR 40% OF CAUSES FOR PREMATURE DEATH. GENETIC PREDISPOSITION IS RESPONSIBLE FOR 30%, SOCIAL AND ENVIRONMENTAL CIRCUMSTANCES 20%, AND HEALTH CARE FOR ONLY 10% (I.E., ACCESS TO PHYSICIAN AND OTHER HEALTH SERVICES) OF HEALTH RISK FOR PREMATURE DEATH.INDIVIDUAL BEHAVIORAL DETERMINANTS (40%) EXAMPLES: -DIET -PHYSICAL ACTIVITY -ALCOHOL, CIGARETTE, AND OTHER DRUG USE -HAND WASHING GENETIC DETERMINANTS (30%) EXAMPLES: -AGE -SEX -HIV STATUS-INHERITED CONDITIONS, SUCH AS SICKLE-CELL ANEMIA, HEMOPHILIA, AND CYSTIC FIBROSIS-CARRYING THE BRCA1 OR BRCA2 GENE, WHICH INCREASES RISK FOR BREAST AND OVARIAN CANCER -FAMILY HISTORY OF HEART DISEASE, CANCER, ETC. SOCIAL AND ENVIRONMENTAL DETERMINANTS (20%) EXAMPLES OF SOCIAL DETERMINANTS: -AVAILABILITY OF RESOURCES TO MEET DAILY NEEDS, SUCH AS EDUCATIONAL AND JOB OPPORTUNITIES, LIVING WAGES, OR HEALTHFUL FOODS -SOCIAL NORMS AND ATTITUDES, SUCH AS DISCRIMINATION -EXPOSURE TO CRIME, VIOLENCE, AND SOCIAL DISORDER, SUCH AS THE PRESENCE OF TRASH -SOCIAL SUPPORT AND SOCIAL INTERACTIONS SOCIOECONOMIC CONDITIONS, SUCH AS CONCENTRATED POVERTY-QUALITY SCHOOLS-TRANSPORTATION OPTIONS-PUBLIC SAFETYEXAMPLES OF ENVIRONMENTAL DETERMINANTS: -QUALITY OF FOOD, WATER, AND AIR -WORKSITES, SCHOOLS, AND RECREATIONAL SETTINGS -HOUSING, HOMES, AND NEIGHBORHOODS -EXPOSURE TO TOXIC SUBSTANCES AND OTHER PHYSICAL HAZARDS-PHYSICAL BARRIERS, ESPECIALLY FOR PEOPLE WITH DISABILITIESHEALTH CARE DETERMINANTS (10%) EXAMPLES: -QUALITY, AFFORDABILITY, AND AVAILABILITY OF SERVICES -LACK OF INSURANCE COVERAGE -LIMITED LANGUAGE ACCESS WHAT ARE HEALTH DISPARITIES?"HEALTH DISPARITY" REFERS TO A HIGHER BURDEN OF ILLNESS, INJURY, DISABILITY, OR MORTALITY EXPERIENCED BY ONE POPULATION GROUP RELATIVE TO ANOTHER GROUP. HEALTH DISPARITIES CAN INVOLVE THE MEDICAL CARE DIFFERENCES BETWEEN GROUPS IN HEALTH INSURANCE COVERAGE, ACCESS TO CARE, AND QUALITY OF CARE. WHILE DISPARITIES ARE COMMONLY VIEWED THROUGH THE LENS OF RACE AND ETHNICITY, THEY OCCUR ACROSS MANY DIMENSIONS, INCLUDING SOCIOECONOMIC STATUS, AGE, LOCATION, GENDER, AND DISABILITY STATUS. POOR HEALTH STATUS IS OFTEN LINKED WITH PEOPLE WITHOUT HEALTH INSURANCE, THOSE WHO HAVE POOR ACCESS OF CARE (I.E., LIMITED TRANSPORTATION), LOWER SOCIOECONOMIC STATUS, LOWER EDUCATION OBTAINMENT, AND THOSE AMONG RACIAL MINORITY GROUPS. BEYOND THE PROVISION OF HEALTH CARE SERVICES, ELIMINATING HEALTH DISPARITIES WILL NECESSITATE BEHAVIORAL, ENVIRONMENTAL, AND SOCIAL-LEVEL APPROACHES TO ADDRESS ISSUES SUCH AS INSUFFICIENT EDUCATION, INADEQUATE HOUSING, EXPOSURE TO VIOLENCE, AND LIMITED OPPORTUNITIES TO EARN A LIVABLE WAGE. HEALTH DISPARITIES HAVE PERSISTED ACROSS THE NATION AND HAVE BEEN DOCUMENTED FOR MANY DECADES AND, DESPITE OVERALL IMPROVEMENTS IN POPULATION HEALTH OVER TIME, MANY DISPARITIES HAVE PERSISTED AND, IN SOME CASES, WIDENED. MOREOVER, ECONOMIC DOWNTURNS CONTRIBUTED TO A FURTHER WIDENING OF DISPARITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT ATTEMPTS TO IDENTIFY AND QUANTIFY THE HEALTH DISPARITIES WITHIN A DEFINED COUNTY POPULATION THAT ARE AT DISPROPORTIONATELY HIGHER IN INCIDENCE OF DISEASE, DISABILITY, OR AT RISK OF EXPERIENCING WORSE HEALTH OUTCOMES. WITHIN THESE IDENTIFIED DISPARITIES AND AVAILABILITY OF HEALTH RESOURCES, GAPS CAN BE IDENTIFIED AND PRIORITIZED BASED ON NEED SO THAT HEALTH RESOURCES CAN BE TARGETED. PLANNING INITIATIVES TO ADDRESS COMMUNITY HEALTH NEEDS TAKE IN CONSIDERATION THE EXISTING INITIATIVES, THE AVAILABLE RESOURCES THAT WE ARE AWARE OF, AND WHERE FUTURE IMPROVEMENTS CAN BE ANTICIPATED TO MAKE MEANINGFUL IMPACT ON IMPROVING COMMUNITY HEALTH.
PART V, SECTION B, LINE 5 (CONT.):WHAT ARE KEY INITIATIVES TO REDUCE DISPARITIES?IN 2010, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ESTABLISHED A VISION OF, "A NATION FREE OF DISPARITIES IN HEALTH AND HEALTH CARE, AND SET OUT A SERIES OF PRIORITIES, STRATEGIES, ACTIONS, AND GOALS TO ACHIEVE THIS VISION. STATES, LOCAL COMMUNITIES, PRIVATE ORGANIZATIONS, AND PROVIDERS ALSO ARE ENGAGED IN EFFORTS TO REDUCE HEALTH DISPARITIES. FEDERAL, STATE, AND LOCAL AGENCIES AND PROGRAMS WORK ALONG WITH LOCAL HOSPITALS, OFTEN IN COOPERATION, TO PROVIDE ACCESS TO NEEDED HEALTH CARE SERVICES. WITHIN CONSTRAINTS OF LIMITED RESOURCES, EACH OF THESE ENTITIES GENERALLY TARGET POPULATIONS WITH SPECIFIC SERVICES OFFERED WITHIN THE COUNTY. THIS STUDY ATTEMPTS TO INCORPORATE THEIR INPUT INTO DETERMINING THE PRIORITIES AMONG HEALTH DISPARITIES AND LOOK FOR OPPORTUNITIES FOR COLLABORATION. PREVENTATIVE CARE PREVENTATIVE CARE INCLUDES MEDICAL SERVICES SUCH AS SCREENINGS, IMMUNIZATIONS, COUNSELING, AND PREVENTATIVE MEDICATIONS INTENDED TO PREVENT ILLNESS OR DETECT DISEASES EARLY BEFORE SYMPTOMS ARE DEVELOPED. WITH EARLY DETECTION, DISEASES CAN BE TREATED MORE EFFECTIVELY, REDUCING POTENTIAL COMPLICATIONS OF DISEASE OR EVEN DEATH. REGULAR PREVENTATIVE CARE CAN IMPROVE INDIVIDUAL HEALTH AND THE OVERALL HEALTH OF A COMMUNITY. VARIOUS PREVENTATIVE CARE GUIDELINES AND RECOMMENDATIONS ARE PUBLISHED BY DIFFERENT PROFESSIONAL ORGANIZATIONS, BUT MOST HEALTH CARE PROFESSIONALS REFER TO THE RECOMMENDATIONS PUBLISHED BY THE UNITED STATES PREVENTATIVE SERVICES TASK FORCE (USPSTF) AS A RELIABLE, WIDELY ACCEPTED, AND EVIDENCE-BASED GUIDE. THE USPSTF IS AN INDEPENDENT, VOLUNTEER PANEL OF NATIONAL EXPERTS IN PREVENTION AND EVIDENCE-BASED MEDICINE. THEIR RECOMMENDATIONS ARE BASED ON A RIGOROUS REVIEW OF EXISTING PEER-REVIEWED DATA. THE USPSTF ASSIGNS A LETTER GRADE (A, B, C, D, OR I) TO EACH RECOMMENDATION BASED ON THE STRENGTH OF EVIDENCE AND THE BALANCE OF BENEFITS AND POTENTIAL HARMS OF THE PREVENTATIVE SERVICE. GRADE A AND GRADE B PREVENTATIVE SERVICES ARE RECOMMENDED BECAUSE THE USPSTF HAS DETERMINED A HIGH OR MODERATE CERTAINTY THAT THE NET BENEFIT IS MODERATE OR SUBSTANTIAL. USPSTF PREVENTATIVE CARE RECOMMENDATIONS APPLY TO PEOPLE WHO HAVE NO SIGNS OR SYMPTOMS OF A SPECIFIC DISEASE OR CONDITION. USPSTF RECOMMENDATIONS ARE EVIDENCE-BASED GUIDELINES THAT HELP PHYSICIANS IDENTIFY APPROPRIATE PREVENTATIVE SERVICES FOR CERTAIN PATIENT POPULATIONS, BUT PREVENTATIVE CARE SHOULD BE TAILORED FOR EACH PATIENT DEPENDING ON INDIVIDUAL CIRCUMSTANCES. DETERMINING APPROPRIATE PREVENTATIVE SERVICES FOR AN INDIVIDUAL PATIENT REQUIRES A ONE-ON-ONE DISCUSSION BETWEEN THE PHYSICIAN AND PATIENT. A COMPLETE LIST OF USPSTF PREVENTIVE CARE GUIDELINES, INCLUDING A AND B GRADE RECOMMENDATIONS, CAN BE FOUND AT WWW.USPREVENTIVESERVICESTASKFORCE.ORG. COMMUNITY DEFINED FOR THIS ASSESSMENTTHE COMMUNITY FOR THIS CHNA WAS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF MCLEOD DILLON INPATIENT AND OUTPATIENT HOSPITAL DATA. THE STUDY AREA FOR THIS ASSESSMENT IS DEFINED AS DILLON COUNTY WHICH REPRESENTS THE MAJORITY OF PATIENTS SERVED.DEMOGRAPHICS CURRENT POPULATION DEMOGRAPHICS AND CHANGES IN DEMOGRAPHIC COMPOSITION OVER TIME PLAY A DETERMINING ROLE IN THE TYPES OF HEALTH AND SOCIAL SERVICES NEEDED BY COMMUNITIES. TOTAL POPULATION A TOTAL OF 30,473 PEOPLE LIVE IN THE 405.07 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2016-2020 FIVE-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 75 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 92 PERSONS PER SQUARE MILE.TOTAL POPULATION CHANGE, 2010-2020ACCORDING TO THE UNITED STATES CENSUS BUREAU DECENNIAL CENSUS, BETWEEN 2010 AND 2020 THE POPULATION IN THE REPORT AREA FELL BY 3,770 PERSONS, A CHANGE OF -11.76%. A SIGNIFICANT POSITIVE OR NEGATIVE SHIFT IN TOTAL POPULATION OVER TIME IMPACTS HEALTHCARE PROVIDERS AND THE UTILIZATION OF COMMUNITY RESOURCES.POPULATION WITH LIMITED ENGLISH PROFICIENCY THIS INDICATOR REPORTS THE PERCENTAGE OF THE POPULATION AGE 5 AND OLDER WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN "VERY WELL". THIS INDICATOR IS RELEVANT BECAUSE AN INABILITY TO SPEAK ENGLISH WELL CREATES BARRIERS TO HEALTHCARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. OF THE 28,430 TOTAL POPULATION AGE 5 AND OLDER IN THE REPORT AREA, 288 OR 1.01% HAVE LIMITED ENGLISH PROFICIENCY.INCOME AND ECONOMICSECONOMIC AND SOCIAL INSECURITY OFTEN ARE ASSOCIATED WITH POOR HEALTH. POVERTY, UNEMPLOYMENT, AND LACK OF EDUCATIONAL ACHIEVEMENT AFFECT ACCESS TO CARE AND A COMMUNITY'S ABILITY TO ENGAGE IN HEALTHY BEHAVIORS. WITHOUT A NETWORK OF SUPPORT AND A SAFE COMMUNITY, FAMILIES CANNOT THRIVE. ENSURING ACCESS TO SOCIAL AND ECONOMIC RESOURCES PROVIDES A FOUNDATION FOR A HEALTHY COMMUNITY. INCOME - MEDIAN HOUSEHOLD INCOME THIS INDICATOR REPORTS MEDIAN HOUSEHOLD INCOME BASED ON THE LATEST 5-YEAR AMERICAN COMMUNITY SURVEY ESTIMATES. THIS INCLUDES THE INCOME OF THE HOUSEHOLDER AND ALL OTHER INDIVIDUALS 15 YEARS OLD AND OVER IN THE HOUSEHOLD, WHETHER THEY ARE RELATED TO THE HOUSEHOLDER OR NOT. BECAUSE MANY HOUSEHOLDS CONSIST OF ONLY ONE PERSON, AVERAGE HOUSEHOLD INCOME IS USUALLY LESS THAN AVERAGE FAMILY INCOME. THERE ARE 11,147 HOUSEHOLDS IN THE REPORT AREA, WITH AN AVERAGE INCOME OF $50,278 AND MEDIAN INCOME OF $36,429.POVERTY - POPULATION BELOW 100% FPL POVERTY IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. WITHIN THE REPORT AREA 30.2% OR 9,070 INDIVIDUALS FOR WHOM POVERTY STATUS IS DETERMINED ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL (FPL). THIS INDICATOR IS RELEVANT BECAUSE POVERTY CREATES BARRIERS TO ACCESS INCLUDING HEALTH SERVICES, HEALTHY FOOD, AND OTHER NECESSITIES THAT CONTRIBUTE TO POOR HEALTH STATUS.EDUCATION THIS CATEGORY CONTAINS INDICATORS THAT DESCRIBE THE EDUCATION SYSTEM AND THE EDUCATIONAL OUTCOMES OF REPORT AREA POPULATIONS. EDUCATION METRICS CAN BE USED TO DESCRIBE VARIATION IN POPULATION ACCESS, PROFICIENCY, AND ATTAINMENT THROUGHOUT THE EDUCATION SYSTEM, FROM ACCESS TO PRE-KINDERGARTEN THROUGH ADVANCED DEGREE ATTAINMENT. THESE INDICATORS ARE IMPORTANT BECAUSE EDUCATION IS CLOSELY TIED TO HEALTH OUTCOMES AND ECONOMIC OPPORTUNITY. ATTAINMENT - BACHELOR'S DEGREE OR HIGHER12.95% OF THE POPULATION AGED 25 AND OLDER, OR 2,622 HAVE OBTAINED A BACHELOR'S LEVEL DEGREE OR HIGHER. THIS INDICATOR IS RELEVANT BECAUSE EDUCATIONAL ATTAINMENT HAS BEEN LINKED TO POSITIVE HEALTH OUTCOMES.ATTAINMENT - HIGH SCHOOL GRADUATION RATE THE ADJUSTED COHORT GRADUATION RATE (ACGR) IS A GRADUATION METRIC THAT FOLLOWS A "COHORT" OF FIRST-TIME 9TH GRADERS IN A PARTICULAR SCHOOL YEAR AND ADJUST THIS NUMBER BY ADDING ANY STUDENTS WHO TRANSFER INTO THE COHORT AFTER 9TH GRADE AND SUBTRACTING ANY STUDENTS WHO TRANSFER OUT, EMIGRATE TO ANOTHER COUNTRY, OR PASS AWAY. THE ACGR IS THE PERCENTAGE OF THE STUDENTS IN THIS COHORT WHO GRADUATE WITHIN FOUR YEARS. IN THE REPORT AREA, THE ADJUSTED COHORT GRADUATION RATE WAS 84.1% DURING THE MOST RECENTLY REPORTED SCHOOL YEAR. STUDENTS IN THE REPORT AREA PERFORMED WORSE THAN THE STATE, WHICH HAD AN ACGR OF 85.3%.OTHER SOCIAL & ECONOMIC FACTORSECONOMIC AND SOCIAL INSECURITY OFTEN ARE ASSOCIATED WITH POOR HEALTH. POVERTY, UNEMPLOYMENT, AND LACK OF EDUCATIONAL ACHIEVEMENT AFFECT ACCESS TO CARE AND A COMMUNITY'S ABILITY TO ENGAGE IN HEALTHY BEHAVIORS. WITHOUT A NETWORK OF SUPPORT AND A SAFE COMMUNITY, FAMILIES CANNOT THRIVE. ENSURING ACCESS TO SOCIAL AND ECONOMIC RESOURCES PROVIDES A FOUNDATION FOR A HEALTHY COMMUNITY. INSURANCE - UNINSURED POPULATION (ACS) THE LACK OF HEALTH INSURANCE IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. IN THE REPORT AREA 13.08% OF THE TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE. THE RATE OF UNINSURED PERSONS IN THE REPORT AREA IS GREATER THAN THE STATE AVERAGE OF 10.39%. THIS INDICATOR IS RELEVANT BECAUSE LACK OF INSURANCE IS A PRIMARY BARRIER TO HEALTHCARE ACCESS INCLUDING REGULAR PRIMARY CARE, SPECIALTY CARE, AND OTHER HEALTH SERVICES THAT CONTRIBUTES TO POOR HEALTH STATUS.PHYSICAL ENVIRONMENT A COMMUNITY'S HEALTH ALSO IS AFFECTED BY THE PHYSICAL ENVIRONMENT. A SAFE, CLEAN ENVIRONMENT THAT PROVIDES ACCESS TO HEALTHY FOOD AND RECREATIONAL OPPORTUNITIES IS IMPORTANT TO MAINTAINING AND IMPROVING COMMUNITY HEALTH.AIR AND WATER QUALITY PARTICULATE MATTER 2.5THIS INDICATOR REPORTS THE PERCENTAGE OF DAYS WITH PARTICULATE MATTER 2.5 LEVELS ABOVE THE NATIONAL AMBIENT AIR QUALITY STANDARD (35 MICROGRAMS PER CUBIC METER) PER YEAR, CALCULATED USING DATA COLLECTED BY MONITORING STATIONS AND MODELED TO INCLUDE COUNTIES WHERE NO MONITORING STATIONS OCCUR. THIS INDICATOR IS RELEVANT BECAUSE POOR AIR QUALITY CONTRIBUTES TO RESPIRATORY ISSUES AND OVERALL POOR HEALTH.
FOOD ENVIRONMENT - FOOD DESERT CENSUS TRACTSTHIS INDICATOR REPORTS THE NUMBER OF NEIGHBORHOODS IN THE REPORT AREA THAT ARE WITHIN FOOD DESERTS. THE USDA FOOD ACCESS RESEARCH ATLAS DEFINES A FOOD DESERT AS ANY NEIGHBORHOOD THAT LACKS HEALTHY FOOD SOURCES DUE TO INCOME LEVEL, DISTANCE TO SUPERMARKETS, OR VEHICLE ACCESS. THE REPORT AREA HAS A POPULATION OF 5,247 LIVING IN FOOD DESERTS AND A TOTAL OF 1 CENSUS TRACT CLASSIFIED AS FOOD DESERTS BY THE USDA.FOOD ENVIRONMENT - GROCERY STORES HEALTHY DIETARY BEHAVIORS ARE SUPPORTED BY ACCESS TO HEALTHY FOODS, AND GROCERY STORES ARE A MAJOR PROVIDER OF THESE FOODS. THERE ARE 7 GROCERY ESTABLISHMENTS IN THE REPORT AREA, A RATE OF 24.74 PER 100,000 POPULATION. GROCERY STORES ARE DEFINED AS SUPERMARKETS AND SMALLER GROCERY STORES PRIMARILY ENGAGED IN RETAILING A GENERAL LINE OF FOOD, SUCH AS CANNED AND FROZEN FOODS; FRESH FRUITS AND VEGETABLES; AND FRESH AND PREPARED MEATS, FISH, AND POULTRY. DELICATESSEN-TYPE ESTABLISHMENTS ARE ALSO INCLUDED. CONVENIENCE STORES AND LARGE GENERAL MERCHANDISE STORES THAT ALSO RETAIL FOOD, SUCH AS SUPERCENTERS AND WAREHOUSE CLUB STORES, ARE EXCLUDED.FOOD ENVIRONMENT - SNAP-AUTHORIZED FOOD STORES THIS INDICATOR REPORTS THE NUMBER OF SNAP-AUTHORIZED FOOD STORES AS A RATE PER 10,000 POPULATION. SNAP-AUTHORIZED STORES INCLUDE GROCERY STORES AS WELL AS SUPERCENTERS, SPECIALTY FOOD STORES, AND CONVENIENCE STORES THAT ARE AUTHORIZED TO ACCEPT SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM) BENEFITS. THE REPORT AREA CONTAINS A TOTAL OF 45 SNAP-AUTHORIZED RETAILERS WITH A RATE OF 14.82.CLINICAL CARE AND PREVENTION A LACK OF ACCESS TO CARE PRESENTS BARRIERS TO GOOD HEALTH. SUPPLY, ACCESSIBILITY OF FACILITIES AND PHYSICIANS, THE RATE OF UNINSURED, FINANCIAL HARDSHIP, TRANSPORTATION BARRIERS, CULTURAL COMPETENCY, AND COVERAGE LIMITATIONS AFFECT ACCESS. RATES OF MORBIDITY, MORTALITY, AND EMERGENCY HOSPITALIZATIONS CAN BE REDUCED IF COMMUNITY RESIDENTS ACCESS SERVICES SUCH AS HEALTH SCREENINGS, ROUTINE TESTS, AND VACCINATIONS. PREVENTION INDICATORS CAN CALL ATTENTION TO A LACK OF ACCESS OR KNOWLEDGE REGARDING ONE OR MORE HEALTH ISSUES AND CAN INFORM PROGRAM INTERVENTIONS.CANCER SCREENING - MAMMOGRAM (MEDICARE) THIS INDICATOR REPORTS THE PERCENTAGE OF FEMALE MEDICARE BENEFICIARIES AGE 35 AND OLDER WHO HAD A MAMMOGRAM IN THE MOST RECENT REPORTING YEAR. THE AMERICAN CANCER SOCIETY RECOMMENDS THAT WOMEN AGE 45 TO 54 SHOULD GET A MAMMOGRAM EVERY YEAR, AND WOMEN AGE 55 AND OLDER SHOULD GET A MAMMOGRAM EVERY OTHER YEAR. IN THE LATEST REPORTING PERIOD THERE WERE 6,371 MEDICARE BENEFICIARIES IN THE REPORT AREA, AND 33% OF FEMALE BENEFICIARIES AGE 35 OR OLDER HAD A MAMMOGRAM IN THE PAST YEAR. THE RATE IN THE REPORT AREA WAS LOWER THAN THE STATE RATE OF 38% DURING THE SAME TIME PERIOD.DIABETES MANAGEMENT - HEMOGLOBIN A1C TEST THIS INDICATOR REPORTS THE PERCENTAGE OF DIABETIC MEDICARE PATIENTS WHO HAVE HAD A HEMOGLOBIN A1C (HA1C) TEST, A BLOOD TEST WHICH MEASURES BLOOD SUGAR LEVELS, ADMINISTERED BY A HEALTH CARE PROFESSIONAL IN THE PAST YEAR. DATA IS OBTAINED FROM THE DARTMOUTH ATLAS DATA - SELECTED PRIMARY CARE ACCESS AND QUALITY MEASURES (2008-2019). THIS INDICATOR IS RELEVANT BECAUSE ENGAGING IN PREVENTIVE BEHAVIORS ALLOWS FOR EARLY DETECTION AND TREATMENT OF HEALTH PROBLEMS. THIS INDICATOR CAN ALSO HIGHLIGHT A LACK OF ACCESS TO PREVENTIVE CARE, A LACK OF HEALTH KNOWLEDGE, INSUFFICIENT PROVIDER OUTREACH, AND/OR SOCIAL BARRIERS PREVENTING UTILIZATION OF SERVICES. AS OF YEAR 2019, 532 OR 90.02% MEDICARE ENROLLEES WITH DIABETES HAVE HAD AN ANNUAL EXAM OUT OF 591 MEDICARE ENROLLEES WITH DIABETES IN THE REPORT AREA. HOSPITALIZATIONS - PREVENTABLE CONDITIONS THIS INDICATOR REPORTS THE PREVENTABLE HOSPITALIZATION RATE AMONG MEDICARE BENEFICIARIES FOR THE LATEST REPORTING PERIOD. PREVENTABLE HOSPITALIZATIONS INCLUDE HOSPITAL ADMISSIONS FOR ONE OR MORE OF THE FOLLOWING CONDITIONS: DIABETES WITH SHORT-TERM COMPLICATIONS, DIABETES WITH LONG-TERM COMPLICATIONS, UNCONTROLLED DIABETES WITHOUT COMPLICATIONS, DIABETES WITH LOWER EXTREMITY AMPUTATION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, HYPERTENSION, HEART FAILURE, BACTERIAL PNEUMONIA, OR URINARY TRACT INFECTION. RATES ARE PRESENTED PER 100,000 BENEFICIARIES. IN THE LATEST REPORTING PERIOD THERE WERE 6,371 MEDICARE BENEFICIARIES IN THE REPORT AREA. THE PREVENTABLE HOSPITALIZATION RATE WAS 3,281. THE RATE IN THE REPORT AREA WAS LOWER THAN THE STATE RATE OF 3,115 DURING THE SAME TIME PERIOD.HEALTH BEHAVIORS HEALTH BEHAVIORS SUCH AS POOR DIET, A LACK OF EXERCISE, AND SUBSTANCE ABUSE CONTRIBUTE TO POOR HEALTH STATUS.ALCOHOL - HEAVY ALCOHOL CONSUMPTIONIN THE REPORT AREA, 3,889, OR 17.01% ADULTS SELF-REPORT EXCESSIVE DRINKING IN THE LAST 30 DAYS, WHICH IS LESS THAN THE STATE RATE OF 21.69%. DATA FOR THIS INDICATOR WERE BASED ON SURVEY RESPONSES TO THE 2019 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) ANNUAL SURVEY AND ARE USED FOR THE 2022 COUNTY HEALTH RANKINGS. EXCESSIVE DRINKING IS DEFINED AS THE PERCENTAGE OF THE POPULATION WHO REPORT AT LEAST ONE BINGE DRINKING EPISODE INVOLVING FIVE OR MORE DRINKS FOR MEN AND FOUR OR MORE FOR WOMEN OVER THE PAST 30 DAYS, OR HEAVY DRINKING INVOLVING MORE THAN TWO DRINKS PER DAY FOR MEN AND MORE THAN ONE PER DAY FOR WOMEN, OVER THE SAME TIME PERIOD. ALCOHOL USE IS A BEHAVIORAL HEALTH ISSUE THAT IS ALSO A RISK FACTOR FOR A NUMBER OF NEGATIVE HEALTH OUTCOMES, INCLUDING: PHYSICAL INJURIES RELATED TO MOTOR VEHICLE ACCIDENTS, STROKE, CHRONIC DISEASES SUCH AS HEART DISEASE AND CANCER, AND MENTAL HEALTH CONDITIONS SUCH AS DEPRESSION AND SUICIDE. THERE ARE A NUMBER OF EVIDENCE-BASED INTERVENTIONS THAT MAY REDUCE EXCESSIVE/BINGE DRINKING; EXAMPLES INCLUDE RAISING TAXES ON ALCOHOLIC BEVERAGES, RESTRICTING ACCESS TO ALCOHOL BY LIMITING DAYS AND HOURS OF RETAIL SALES, AND SCREENING AND COUNSELING FOR ALCOHOL ABUSE (CENTERS FOR DISEASE CONTROL AND PREVENTION, PREVENTING EXCESSIVE ALCOHOL USE, 2020). PHYSICAL INACTIVITY WITHIN THE REPORT AREA, 6,694 OR 29.5% OF ADULTS AGE 20 AND OLDER WHO SELF-REPORT NO ACTIVE LEISURE TIME, BASED ON THE QUESTION: "DURING THE PAST MONTH, OTHER THAN YOUR REGULAR JOB, DID YOU PARTICIPATE IN ANY PHYSICAL ACTIVITIES OR EXERCISES SUCH AS RUNNING, CALISTHENICS, GOLF, GARDENING, OR WALKING FOR EXERCISE?" THIS INDICATOR IS RELEVANT BECAUSE CURRENT BEHAVIORS ARE DETERMINANTS OF FUTURE HEALTH AND THIS INDICATOR MAY ILLUSTRATE A CAUSE OF SIGNIFICANT HEALTH ISSUES, SUCH AS OBESITY AND POOR CARDIOVASCULAR HEALTH. NOTE: IN 2021, THE CDC UPDATED THE METHODOLOGY USED TO PRODUCE ESTIMATES FOR THIS INDICATOR. ESTIMATED VALUES FOR PRIOR YEARS (2004 - 2017) HAVE BEEN UPDATED IN THIS PLATFORM TO ALLOW COMPARISON ACROSS YEARS. USE CAUTION WHEN COMPARING WITH SAVED ASSESSMENTS GENERATED PRIOR TO NOVEMBER 10, 2021.TOBACCO USAGE - CURRENT SMOKERS THIS INDICATOR REPORTS THE PERCENTAGE OF ADULTS AGE 18 AND OLDER WHO REPORT HAVING SMOKED AT LEAST 100 CIGARETTES IN THEIR LIFETIME AND CURRENTLY SMOKE EVERY DAY OR SOME DAYS. WITHIN THE REPORT AREA THERE ARE 25.3% OF ADULTS WHO HAVE SMOKED OR CURRENTLY SMOKE OUT OF THE TOTAL POPULATION.HEALTH OUTCOMES MEASURING MORBIDITY AND MORTALITY RATES ALLOWS LINKAGES TO BE ASSESSED BETWEEN SOCIAL DETERMINANTS OF HEALTH AND OUTCOMES. BY COMPARING, FOR EXAMPLE, THE PREVALENCE OF CERTAIN CHRONIC DISEASES TO INDICATORS IN OTHER CATEGORIES (E.G., POOR DIET AND EXERCISE) WITH OUTCOMES (E.G., HIGH RATES OF OBESITY AND DIABETES), VARIOUS CAUSAL RELATIONSHIPS MAY EMERGE, ALLOWING A BETTER UNDERSTANDING OF HOW CERTAIN COMMUNITY HEALTH NEEDS MAY BE ADDRESSED. CANCER INCIDENCE - ALL SITES THIS INDICATOR REPORTS THE AGE ADJUSTED INCIDENCE RATE (CASES PER 100,000 POPULATION PER YEAR) OF CANCER (ALL SITES) ADJUSTED TO 2000 U.S. STANDARD POPULATION AGE GROUPS (UNDER AGE 1, 1-4, 5- 9, ..., 80-84, 85 AND OLDER). WITHIN THE REPORT AREA, THERE WERE 169 NEW CASES OF CANCER REPORTED. THIS MEANS THERE IS A RATE OF 446.4 FOR EVERY 100,000 TOTAL POPULATION.CHRONIC CONDITIONS - ASTHMA (MEDICARE POPULATION) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH ASTHMA. DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 195 BENEFICIARIES WITH ASTHMA BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 4.5% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIES.
CHRONIC CONDITIONS - DIABETES (ADULT)THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF ADULTS AGE 20 AND OLDER WHO HAVE EVER BEEN TOLD BY A DOCTOR THAT THEY HAVE DIABETES. THIS INDICATOR IS RELEVANT BECAUSE DIABETES IS A PREVALENT PROBLEM IN THE U.S.; IT MAY INDICATE AN UNHEALTHY LIFESTYLE AND PUTS INDIVIDUALS AT RISK FOR FURTHER HEALTH ISSUES. WITHIN THE REPORT AREA, 2,779 OF ADULTS AGE 20 AND OLDER HAVE DIABETES. THIS REPRESENTS 10.8% OF THE TOTAL SURVEY POPULATION. NOTE: IN 2021, THE CDC UPDATED THE METHODOLOGY USED TO PRODUCE ESTIMATES FOR THIS INDICATOR. ESTIMATED VALUES FOR PRIOR YEARS (2004 - 2017) HAVE BEEN UPDATED IN THIS PLATFORM TO ALLOW COMPARISON ACROSS YEARS. USE CAUTION WHEN COMPARING WITH SAVED ASSESSMENTS GENERATED PRIOR TO NOVEMBER 10, 2021.CHRONIC CONDITIONS - DIABETES (MEDICARE POPULATION) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH DIABETES. DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 1,527 BENEFICIARIES WITH DIABETES BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 35.2% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIES.CHRONIC CONDITIONS - HEART DISEASE (MEDICARE POPULATION) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH ISCHEMIC HEART DISEASE. DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 1,142 BENEFICIARIES WITH ISCHEMIC HEART DISEASE BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 26.4% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIES.CHRONIC CONDITIONS - HIGH BLOOD PRESSURE (MEDICARE POPULATION) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH HYPERTENSION (HIGH BLOOD PRESSURE). DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 3,000 BENEFICIARIES WITH HYPERTENSION (HIGH BLOOD PRESSURE) BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 69.3% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIESLOW BIRTH WEIGHT (CDC)THIS INDICATOR REPORTS THE PERCENTAGE OF LIVE BIRTHS WHERE THE INFANT WEIGHED LESS THAN 2,500 GRAMS (APPROXIMATELY 5 LBS., 8 OZ.). THIS DATA IS REPORTED FOR A 7-YEAR AGGREGATED TIME PERIOD. DATA WAS FROM THE NATIONAL CENTER FOR HEALTH STATISTICS - NATALITY FILES (2014-2020) AND ARE USED FOR THE 2022 COUNTY HEALTH RANKINGS. WITHIN THE REPORT AREA, THERE WERE 347 INFANTS BORN WITH LOW BIRTH WEIGHT. THIS REPRESENTS 12.2% OF THE TOTAL LIVE BIRTHS. NOTE: DATA IS SUPPRESSED FOR COUNTIES WITH FEWER THAN 10 LOW BIRTHWEIGHT BIRTHS IN THE REPORTING PERIOD.MORTALITY - CANCER THIS INDICATOR REPORTS THE 2016-2020 FIVE-YEAR AVERAGE RATE OF DEATH DUE TO MALIGNANT NEOPLASM (CANCER) PER 100,000 POPULATION. FIGURES ARE REPORTED AS CRUDE RATES, AND AS RATES AGE-ADJUSTED TO YEAR 2000 STANDARD. RATES ARE RE-SUMMARIZED FOR REPORT AREAS FROM COUNTY LEVEL DATA, ONLY WHERE DATA IS AVAILABLE. THIS INDICATOR IS RELEVANT BECAUSE CANCER IS A LEADING CAUSE OF DEATH IN THE UNITED STATES. WITHIN THE REPORT AREA, THERE IS A TOTAL OF 344 DEATHS DUE TO CANCER. THIS REPRESENTS AN AGE-ADJUSTED DEATH RATE OF 177.1 PER EVERY 100,000 TOTAL POPULATION. NOTE: DATA IS SUPPRESSED FOR COUNTIES WITH FEWER THAN 20 DEATHS IN THE TIME FRAME.SPECIAL TOPICS - COVID-19- CONFIRMED CASESTHIS INDICATOR REPORTS INCIDENCE RATE OF CONFIRMED COVID-19 CASES PER 100,000 POPULATION. DATA FOR THIS INDICATOR IS UPDATED DAILY AND DERIVED FROM THE JOHNS HOPKINS UNIVERSITY DATA FEED. IN THE REPORT AREA, THERE HAVE BEEN 10,465 TOTAL CONFIRMED CASES OF COVID-19. THE RATE OF CONFIRMED CASES IS 34,200.46 PER 100,000 POPULATION, WHICH IS GREATER THAN THE STATE AVERAGE OF 31,572.09. DATA IS CURRENT AS OF 08/04/2022.COVID-19 MORTALITYIN THE REPORT AREA, THERE HAVE BEEN 146 TOTAL DEATHS AMONG PATIENTS WITH CONFIRMED CASES OF THE CORONAVIRUS DISEASE COVID-19. THE MORTALITY RATE IN THE REPORT AREA IS 477.14 PER 100,000 POPULATION, WHICH IS HIGHER THAN THE STATE AVERAGE OF 357.82. DATA IS CURRENT AS OF 08/04/2022.PRIORITY ISSUES AND IMPLEMENTATION PLAN MCLEOD HEALTH UTILIZES RESOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND SOUTH CAROLINA STATE HEALTH IMPROVEMENT PLAN WHICH SERVES TO GUIDE HEALTH PROMOTION AND DISEASE PREVENTION EFFORTS. THE SOUTH CAROLINA STATE HEALTH IMPROVEMENT PLAN (SHIP) LAYS OUT THE FOUNDATION FOR GIVING EVERYONE A CHANCE TO LIVE A HEALTHY LIFE. IT IS A CALL TO ACTION FOR SOUTH CAROLINIANS TO TAKE DATA-DRIVEN, EVIDENCE-BASED STEPS TO ADVANCE THE HEALTH AND WELL-BEING OF ALL SOUTH CAROLINIANS. THE PLAN HIGHLIGHTS GOALS AND STRATEGIES ON WHICH COMMUNITIES CAN FOCUS SO THE STATE CAN MAKE MEASURABLE HEALTH IMPROVEMENT BY 2023. ATTENTION IS FOCUSED ON DETERMINANTS THAT AFFECT THE PUBLIC'S HEALTH THAT CONTRIBUTE TO HEALTH DISPARITIES BY ADDRESSING IDENTIFIED NEEDS THROUGH EDUCATION, PREVENTION, TARGETED INITIATIVES VALIDATED THROUGH RESEARCH, AND THE DELIVERY OF HEALTH SERVICES. CROSS-SECTOR COLLABORATION IS NOW WIDELY CONSIDERED AS ESSENTIAL FOR HAVING MEANINGFUL IMPACTS ON BUILDING HEALTHIER COMMUNITIES. THROUGH COLLABORATION WITH PUBLIC HEALTH AGENCIES, HEALTH CARE ORGANIZATIONS AND PROVIDERS, COMMUNITY LEADERS, AND INPUT FROM ACROSS BUSINESS SECTORS AND OTHERS IN THE COMMUNITY, MCLEOD HEALTH CAN BETTER SERVE ITS MISSION. IN PRIORITIZATION OF NEEDS, CONSIDERATION WAS GIVEN TO THE FOLLOWING: -BASED ON IMPORTANCE TO COMMUNITY -CAPACITY TO ADDRESS CHANGE -ALIGNMENT TO MCLEOD HEALTH MISSION, VISION AND VALUES -COLLABORATION WITH EXISTING ORGANIZATIONS-MAGNITUDE/SEVERITY OF PROBLEM -NEED AMONG VULNERABLE POPULATIONS -WILLINGNESS TO ACT ON ISSUE -ABILITY TO HAVE MEANINGFUL IMPACT -AVAILABILITY OF HOSPITAL RESOURCES PLAN PRIORITIES MCLEOD HEALTH DILLON HAS SELECTED THE FOLLOWING AREAS WHICH TO COLLABORATE WITH COMMUNITY PARTNERS FOR IMPROVING COMMUNITY HEALTH IN DILLON COUNTY.-CHRONIC DISEASES -ACCESS TO CARE -MENTAL HEALTH & SUBSTANCE ABUSE-SEXUAL HEALTHIMPLEMENTATION PLAN PRIORITY ISSUES WERE DETERMINED FROM THE COMMUNITY INPUT GATHERED FOR THE CHNA. THROUGH SUCCESSFUL PARTNERSHIPS AND COLLABORATIONS WITH PUBLIC HEALTH AGENCIES, HEALTH CARE ORGANIZATIONS AND PROVIDERS, COMMUNITY LEADERS, AND INPUT FROM ACROSS BUSINESS SECTORS AND OTHER IN OUR COMMUNITY, MCLEOD HEALTH CAN MORE EFFECTIVELY SATISFY ITS LONG STANDING MISSION DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING IN OUR REGION THROUGH EXCELLENCE IN HEALTH CARE.
MCLEOD MEDICAL CENTER DILLON:PART V, SECTION B, LINE 11: MCLEOD MEDICAL CENTER DILLON IS WORKING WITH THE COMMUNITY PARTNERS SHOWN IN THE IMPLEMENTATION PLAN TO IMPROVE THE SURROUNDING AREAS. THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD MEDICAL CENTER DILLON) IS FILED ANNUALLY WITH SOUTH CAROLINA HOSPITAL ASSOCIATION. HIGHLIGHTS ARE PUBLISHED IN MCLEOD MAGAZINE WHICH IS A PUBLICATION THAT IS DISTRIBUTED FREE TO THE PUBLIC. THE ENTIRE REPORT IS AVAILABLE TO ANYONE UPON REQUEST.
PART I, LINE 7:THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE AMOUNTS ON LINES 7A-7D. THIS WAS CALCULATED BY USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE HOSPITAL'S FINANCIAL COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 13,885,362.
PART II, COMMUNITY BUILDING ACTIVITIES:THE MAIN EXAMPLE OF A COMMUNITY-BUILDING ACTIVITY PERFORMED BY MCLEOD MEDICAL CENTER-DILLON IN FISCAL YEAR 2023 WAS THAT THERE WAS A DISASTER COORDINATOR THAT HELPED DILLON COUNTY FOR A FEW HOURS PER WEEK WITH EMERGENCY PLANNING. HE WORKED WITH THE SCHOOL SYSTEMS AND ALL PUBLIC SAFETY WITHIN THE COUNTY TO AID IN EMERGENCY PREPAREDNESS WORK.
PART III, LINE 2:THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX.
PART III, LINE 3:THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 7.1% OF TOTAL BAD DEBTS.
PART III, LINE 4:ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF MCLEOD HEALTH'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING MCLEOD HEALTH'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, MCLEOD HEALTH RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 8:THE ORGANIZATION FEELS ANY SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS COMMUNITY BENEFIT. THE HOSPITAL IMPROVES ACCESS TO PATIENT CARE BY PROVIDING SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY OR THE HOSPITAL'S ABILITY TO RECEIVE FULL COST REIMBURSEMENT FOR SERVICES. THE HOSPITAL ALSO RELIEVES THE GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES CARE TO PUBLICLY-INSURED PATIENTS WHERE REIMBURSEMENT IS LESS THAN COST OF PROVIDING THE SERVICE.
PART III, LINE 9B:MCLEOD'S CHARITY POLICY OUTLINES THE CRITERIA USED TO DETERMINE PATIENTS WHO QUALIFY FOR CHARITY. WHEN PATIENTS HAVE FURNISHED THE REQUIRED INFORMATION, IT IS REVIEWED AND A DETERMINATION IS MADE. IF APPROVED FOR CHARITY CARE, THEIR ACCOUNT BALANCES ARE ADJUSTED BASED ON THE PERCENTAGE THEY QUALIFY FOR USING A CHARITY ADJUSTMENT CODE. IF ALL REQUIREDINFORMATION IS NOT FURNISHED, THE PATIENT IS NOTIFIED THAT THEIR CHARITY APPLICATION WAS NOT APPROVED DUE TO FAILURE TO PROVIDE THE NECESSARY INFORMATION. FOLLOWING THAT NOTIFICATION, THE ACCOUNT GENERALLY TRANSFERS TO BAD DEBT FOR FURTHER COLLECTION ACTION.
PART VI, LINE 2:IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR PART V, SECTION B, MCLEOD MEDICAL CENTER- DILLON HAS A COMMUNITY ADVISORY BOARD CONSISTING OF PHYSICIANS AND INFLUENTIAL LEADERS IN THE COMMUNITY. IT MEETS QUARTERLY TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. ADDITIONALLY, MCLEODMEDICAL CENTER-DILLON ALONG WITH THE REST OF THE MCLEOD HEALTH SYSTEM IS ACTIVELY INVOLVED IN AGENCIES LIKE UNITED WAY, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, CHILDREN'S MIRACLE NETWORK TO FURTHER STAY ON THE PULSE OF THE HEALTH NEEDS OF THE COMMUNITY.
PART VI, LINE 3:UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. IF THE PATIENT HAS NO ABILITY TO PAY AND IS DEEMED INELIGIBLE FOR GOVERNMENTAL PROGRAMS (MEDICARE, MEDICAID, ETC.) THEN THEY ARE INFORMED OF THE HOSPITAL CHARITY PROGRAM. THEY ARE PROVIDED WITH AN APPLICATION AND A LISTING OF THE APPROPRIATE DOCUMENTS NECESSARY TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL CHARITY PROGRAM.
PART VI, LINE 4:MCLEOD MEDICAL CENTER - DILLON (MMC-D), TOGETHER WITH ITS RELATED ORGANIZATIONS, MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD LORIS SEACOAST HOSPITAL, MCLEOD HEALTH CHERAW, MCLEOD HEALTH CLARENDON, AND MCLEOD PHYSICIAN ASSOCIATES II, CONSIDERS ITS PRIMARYSERVICE AREA (PSA) AS THE SOUTH CAROLINA COUNTIES OF FLORENCE, DARLINGTON, CHESTERFIELD, DILLON, CLARENDON, HORRY, MARION, AND MARLBORO, AND ITS SECONDARY SERVICE AREA (SSA) AS THE SOUTH CAROLINA COUNTIES OF GEORGETOWN, LEE, SUMTER, AND WILLIAMSBURG. THESE TWELVE COUNTIES MAKE UP THE NORTHEASTERN PORTION OF SOUTH CAROLINA. MMC-D HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTY OF DILLON.
PART VI, LINE 5:COMMUNITY BENEFIT REPORT:WITH A STRONG HISTORY IN THE DILLON COMMUNITY SINCE 1943, MCLEOD DILLON HAS CONTINUED TO GROW AND EXPAND TO SERVE RESIDENTS OF DILLON (SC) AND ROBESON (NC) COUNTIES WITH EXCELLENCE IN PATIENT CARE. MCLEOD DILLON OFFERS GENERAL AND ORTHOPEDIC SURGERY, WOMEN'S SERVICES, EMERGENCY SERVICES INTENSIVE CARE, SLEEP LAB SERVICES, REHABILITATIVE SERVICES AND CARDIAC/PULMONARY REHABILITATION. INVESTMENTS IN STATE OF THE ART TECHNOLOGY TO IMPROVE PATIENT CARE HAVE INCLUDED MRI, DIGITAL MAMMOGRAPHY, 4D ULTRASOUNDS, VASCULAR STUDIES, CT SCANS AND NUCLEAR STUDIES.MCLEOD DILLON IS A 79-BED COMMUNITY HOSPITAL IN DILLON, SC, AND SERVES AS THE PRIMARY HEALTHCARE PROVIDER IN ONE OF THE MORE ECONOMICALLY-CHALLENGED COUNTIES IN SOUTH CAROLINA. MCLEOD DILLON PRIMARILY SERVES DILLON COUNTY, AS WELL AS PORTIONS OF MARLBORO COUNTY AND ROBESON COUNTY, NC. DILLON COUNTY HAS A POPULATION OF APPROXIMATELY 32,000. DILLON COUNTY IS IN THE NORTHEASTERN CORNER OF SOUTH CAROLINA AND IS A COUNTY ASSIGNED TO THE PEE DEE REGION OF THE STATE. THE COUNTY'S PER CAPITA INCOME AND POVERTY HAS LAGGED NATIONAL AND STATE AVERAGES. BOTH THE UNEMPLOYMENT RATE AND THE PERCENTAGE OF THE POPULATION THAT HAS RECEIVED A HIGH SCHOOL DIPLOMA IS ALSO SIGNIFICANTLY HIGHER THAN THE NATIONAL AND STATE AVERAGES. IN DILLON COUNTY, THE NUMBER OF UNINSURED UNDER 65 YEARS OF AGE IS CONSISTENTLY GREATER THAN 20%.
PART VI, LINE 6:MCLEOD HEALTH IS THE SOLE MEMBER OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. AND OTHER RELATED ORGANIZATIONS WHICH COMPRISE THE REGIONAL MCLEOD HEALTH SYSTEM. DESCRIPTIONS OF EACH ENTITY FOLLOWS:MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS,WHICH OPERATE AS DIVISIONS OF MRMC:-MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 517-BED TERTIARY CARE FACILITY AND A 48-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD BEHAVIORAL HEALTH, A 23-BED PSYCHIATRIC FACILITY LOCATED IN DARLINGTON, SOUTH CAROLINA;-MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE-COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT HOSPICE FACILITY LOCATED IN FLORENCE, SOUTH CAROLINA;-MCLEOD HEALTH & FITNESS CENTER, A COMPREHENSIVE HEALTH AND FITNESS CENTER LOCATED IN FLORENCE, SOUTH CAROLINA;ADDITIONALLY, MRMC IS THE MAJORITY OWNER IN A JOINT VENTURE, MCLEOD MEDICAL PARTNERS, LLC, WHICH OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE CAMPUS.MCLEOD MEDICAL CENTER-DILLON IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE CODE. MCLEOD MEDICAL ENTER-DILLON OWNS AND OPERATES A 79-BED COMMUNITY HOSPITAL LOCATED INTHE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS FLORENCE COUNTY TO THE NORTHEAST.MCLEOD LORIS SEACOAST HOSPITAL JOINED MCLEOD HEALTH IN JANUARY 2012 AND CONSISTS OF THE FOLLOWING DIVISIONS:-MCLEOD LORIS, A 50-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA.-MCLEOD SEACOAST, A 155-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA.MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015.MCLEOD HEALTH CLARENDON JOINED MCLEOD HEALTH IN JULY 2016 AND IS AN 81-BED COMMUNITY HOSPITAL LOCATED IN MANNING, SC.MCLEOD PHYSICIAN ASSOCIATES II (MPA II) IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(2) OF THE CODE THAT OPERATES A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE OF OVER 140 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 55 OFFICES IN NORTHEASTERN SOUTH CAROLINA. MPA II SUPPORTS THE MISSION OF MCLEOD HEALTH, PROVIDING COMPREHENSIVE MEDICAL AND SURGICAL SERVICES, INCLUDING A WIDE RANGE OF PHYSICIAN SPECIALTIES, TO MCLEOD'S PATIENTS FROM A 12-COUNTY SERVICE AREA.MCLEOD HEALTH FOUNDATION WAS ORGANIZED IN 1986 AS A SOUTH CAROLINA NONPROFIT CORPORATION AND IS AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. THE FOUNDATION IS PRINCIPALLY ENGAGED IN FUNDRAISING ACTIVITIES FOR THE SYSTEM. ACCORDING TO ITS BYLAWS, THE FOUNDATION'S GOVERNING BODY CONSISTS OF NOT LESS THAN 15 AND NOT MORE THAN 30 MEMBERS, EACH OF WHICH IS APPOINTED BY THE BOARD OF TRUSTEES OF MCLEOD HEALTH (THE "MCLEOD HEALTH BOARD OR THE "BOARD"). CURRENTLY, THERE ARE 29 MEMBERS OF THE FOUNDATION'S GOVERNING BODY. AT LEAST ONE MEMBER OF THE FOUNDATION'S GOVERNING BODY MUST BE A MEMBER OF THE MCLEOD HEALTH BOARD.MCLEOD MEDICAL PARTNERS, LLC IS A FOR-PROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 63% SHARE IN THE EQUITY OF THIS COMPANY.MCLEOD PHYSICIAN ASSOCIATES, INC. IS A SOUTH CAROLINA FOR-PROFIT CORPORATION THAT FORMERLY OPERATED A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II.
PART VI, LINE 7:LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHEASTERN TECHINCAL COLLEGE FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 CHESTERFIELD HWYAddressLine1Txt
CityCHERAWCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29536ZIPCd
FieldValueIRS element (for citing)
Recipient EIN570510554RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$12,500CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantSCHOLARSHIPSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE GRANTS ARE MADE TO GOVERNMENTAL OR CHARITABLE ORGANIZATIONS FOR USE IN THEIR CHARITABLE ACTIVITIES. ACCORDINGLY, MCLEOD HEALTH EXPECTS THE ORGANIZATION TO USE THE FUNDS FOR PROPER PURPOSES AND AS SUCH, DOES NOT MONITOR THESE GRANTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DONNA C ISGETT
CORPORATE PRES/CEO$0$1,141,276$0$390,390$0$9,299$0$154,140$0$37,019$0$1,732,124$0$0
S FULTON ERVIN III
CORPORATE SR. VP/CFO$0$625,702$0$154,317$0$159,018$0$82,138$0$28,930$0$1,050,105$0$146,077
MATTHEW JOHNSON MD
CORPORATE COO$0$576,390$0$128,750$0$2,874$0$78,232$0$1,377$0$787,623$0$0
BENJAMIN T MITCHELL III MD
STAFF PHYSICIAN$444,123$0$0$0$75,643$0$0$0$31,396$0$551,162$0$70,687$0
WILLIAM GOLDSTEIN MD
STAFF PHYSICIAN$449,135$0$0$0$2,675$0$0$0$34,469$0$486,279$0$0$0
JOSEPH K WANGEH MD
CHIEF OF STAFF/MD-RLTD ORG$0$454,065$0$0$0$1,512$0$0$0$28,327$0$483,904$0$0
JOAN O ERVIN - PART YEAR
CEO - MCLEOD DILLON HOSPITAL$402,598$0$0$0$6,941$0$31,688$0$22,548$0$463,775$0$0$0
JAMES N WALLACE MD
TRUSTEE/STAFF PHYSICIAN$397,813$0$0$0$773$0$0$0$29,791$0$428,377$0$0$0
ALTO B ODIN JR MD
STAFF PHYSICIAN$390,674$0$0$0$1,457$0$0$0$27,612$0$419,743$0$0$0
JENNY HARDEE
CEO - MCLEOD DILLON HOSPITAL$0$201,085$0$28,934$0$6,380$0$8,079$0$4,793$0$249,271$0$0
ESTHER M WILDS
VP/CHIEF NURSING OFFICER - PART YEAR$168,973$0$25,152$0$1,963$0$3,939$0$18,153$0$218,180$0$0$0
LYNN LETT
PHARMACIST$161,379$0$0$0$1,053$0$5,734$0$12,996$0$181,162$0$0$0
REGINA MCCULLOUGH
PHARMACIST$147,414$0$14,931$0$782$0$4,143$0$3,321$0$170,591$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. COMPENSATION STUDY 3. APPROVAL OF THE BOARD ANNUALLY APPROVING COMPENSATION AMOUNTS 4. INDEPENDENT COMPENSATION CONSULTANT 5. OTHER COMPARABLE ORGANIZATIONS
PART I, LINE 4BMCLEOD HEALTH HAS A 457(F) EXECUTIVE RETIREMENT PLAN (THE "PLAN"). PARTICIPATION IN THE PLAN IS LIMITED TO A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES DESIGNATED BY THE BOARD OF MCLEOD HEALTH AT ITS SOLE DISCRETION. MCLEOD HEALTH MAY MAKE DISCRETIONARY CONTRIBUTIONS TO THE PLAN ON BEHALF OF PARTICIPANTS, WHICH NEED NOT BE UNIFORM AMONG PARTICIPANTS. NO PARTICIPANT CONTRIBUTIONS ARE PERMITTED UNDER THE PLAN SO THE PLAN IS ENTIRELY FUNDED BY MCLEOD HEALTH. CONTRIBUTIONS TO THE PLAN ARE MADE IN A MANNER THAT IS CONSISTENT WITH MCLEOD HEALTH'S POLICIES, PROCESS, AND PROCEDURES FOR DETERMINING COMPENSATION. SERP DISTRIBUTIONS DURING THE YEAR ARE AS FOLLOWS: S. FULTON ERVIN III: $146,077 BENJAMIN T. MITCHELL III: $70,687 PARTICIPANT ACCOUNT BALANCES VEST BASED ON YEARS OF SERVICE AND PARTICIPANT AGE. UNVESTED BALANCES ARE SUBJECT TO FORFEITURE.
PART I, LINE 7THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2S. FULTON ERVIN III AND JOAN O. ERVIN, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 6MCLEOD HEALTH IS THE SOLE MEMBER OF MCLEOD MEDICAL CENTER DILLON AND OTHER RELATED ORGANIZATIONS WHICH COMPRISE THE REGIONAL MCLEOD HEALTH SYSTEM. DESCRIPTIONS OF EACH ENTITY FOLLOWS: MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS, WHICH OPERATE AS DIVISIONS OF MRMC: -MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 517-BED TERTIARY CARE FACILITY AND A 48-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD BEHAVIORAL HEALTH, A 23-BED PSYCHIATRIC FACILITY LOCATED IN DARLINGTON, SOUTH CAROLINA. -MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE-COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT HOSPICE FACILITY LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD HEALTH & FITNESS CENTER, A COMPREHENSIVE HEALTH AND FITNESS CENTER LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD AMBULATORY SURGERY CENTER, A FREE-STANDING OUTPATIENT SERVICE CENTER LOCATED ON THE CAMPUS OF MCLEOD REGIONAL MEDICAL CENTER. ADDITIONALLY, MRMC IS THE MAJORITY OWNER IN A JOINT VENTURE, MCLEOD MEDICAL PARTNERS, LLC, WHICH OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE CAMPUS. MCLEOD MEDICAL CENTER-DILLON IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE CODE. MCLEOD MEDICAL CENTER-DILLON OWNS AND OPERATES A 79-BED COMMUNITY HOSPITAL LOCATED IN THE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS FLORENCE COUNTY TO THE NORTHEAST. MCLEOD LORIS SEACOAST HOSPITAL JOINED MCLEOD HEALTH IN JANUARY 2012 AND CONSISTS OF THE FOLLOWING DIVISIONS: -MCLEOD LORIS, A 50-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA. -MCLEOD SEACOAST, A 155-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA. MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SOUTH CAROLINA. MCLEOD HEALTH CLARENDON IS AN 81-BED COMMUNUNITY HOSPITAL LOCATED IN MANNING, SOUTH CAROLINA. MCLEOD PHYSICIAN ASSOCIATES II (MPA II) IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(2) OF THE CODE THAT OPERATES A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE OF OVER 190 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 90 OFFICES IN SOUTH AND NORTH CAROLINA. MPA II SUPPORTS THE MISSION OF MCLEOD HEALTH, PROVIDING COMPREHENSIVE MEDICAL AND SURGICAL SERVICES, INCLUDING A WIDE RANGE OF PHYSICIAN SPECIALTIES, TO MCLEOD'S PATIENTS FROM A 12-COUNTY SERVICE AREA. MCLEOD HEALTH FOUNDATION WAS ORGANIZED IN 1986 AS A SOUTH CAROLINA NONPROFIT CORPORATION AND IS AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. THE FOUNDATION IS PRINCIPALLY ENGAGED IN FUNDRAISING ACTIVITIES FOR THE SYSTEM. ACCORDING TO ITS BYLAWS, THE FOUNDATION'S GOVERNING BODY CONSISTS OF NOT LESS THAN 15 AND NOT MORE THAN 30 MEMBERS, EACH OF WHICH IS APPOINTED BY THE BOARD OF TRUSTEES OF MCLEOD HEALTH (THE MCLEOD HEALTH BOARD OR THE BOARD). CURRENTLY, THERE ARE 29 MEMBERS OF THE FOUNDATION'S GOVERNING BODY. AT LEAST ONE MEMBER OF THE FOUNDATION'S GOVERNING BODY MUST BE A MEMBER OF THE MCLEOD HEALTH BOARD. MCLEOD MEDICAL PARTNERS, LLC IS A FOR-PROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 63% SHARE IN THE EQUITY OF THIS COMPANY. MCLEOD PHYSICIAN ASSOCIATES, INC. IS A SOUTH CAROLINA FOR-PROFIT CORPORATION THAT FORMERLY OPERATED A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD MEDICAL CENTER-DILLON'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD MEDICAL CENTER-DILLON'S BOARD.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY THE CFO AND THE FINANCE LEADERSHIP OF MCLEOD HEALTH. COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MCLEOD HEALTH BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MCLEOD HEALTH IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MCLEOD HEALTH IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT.
FORM 990, PART VI, SECTION B, LINE 12CMCLEOD MEDICAL CENTER DILLON REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT EACH YEAR.
FORM 990, PART VI, SECTION B, LINE 15IN DETERMINING COMPENSATION OF MCLEOD MEDICAL CENTER - DILLON'S TOP MANAGEMENT OFFICIAL, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS UBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF COMPENSATION, THE TOP MANAGEMENT OFFICIAL WAS COMPARED TO OTHER SIMILARLY SITUATED ORGANIZATIONS AND POSITIONS. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER, THE ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MCLEOD REG MED CENTER OF THE PEE DEE INC
555 EAST CHEVES STREETFLORENCESC29506570370242HOSPITALSC501(C)(3)LINE 3MCLEOD HEALTHYes (1)
MCLEOD PHYSICIAN ASSOCIATES II
555 EAST CHEVES STREETFLORENCESC29506202935692PHYSICIAN SERVICESSC501(C)(3)LINE 10MCLEOD HEALTHYes (1)
MCLEOD LORIS SEACOAST HOSPITAL
555 EAST CHEVES STREETFLORENCESC29506453576100HOSPITALSC501(C)(3)LINE 3MCLEOD HEALTHYes (1)
MCLEOD HEALTH CHERAW
555 EAST CHEVES STREETFLORENCESC29506473712858HOSPITALSC501(C)(3)LINE 3MCLEOD HEALTHYes (1)
MCLEOD HEALTH CLARENDON
555 EAST CHEVES STREETFLORENCESC29506812772554HOSPITALSC501(C)(3)LINE 3MCLEOD HEALTHYes (1)
ADVANCED OUTPATIENT SERVICES
555 EAST CHEVES STREETFLORENCESC29506815006949HOSPITALSC501(C)(3)LINE 3MCLEOD HEALTHYes (1)
MCLEOD HEALTH FOUNDATION
555 EAST CHEVES STREETFLORENCESC29506570818672FUNDRAISINGSC501(C)(3)LINE 12A, IMCLEOD HEALTHYes (1)
MCLEOD HEALTH
555 EAST CHEVES STREETFLORENCESC29506510473500HEALTHCARESC501(C)(3)LINE 12C, III-FI0N/A
MCLEOD HEALTH INNOVATION
555 EAST CHEVES STREETFLORENCESC29506862076430RESEARCHSC501(C)(3)LINE 4MCLEOD HEALTHYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD MEDICAL PARTNERS LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 N HURSTBOURNE PKWYAddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD PHYSICIAN ASSOCIATES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd
FieldValueIRS element (for citing)
EIN582279897EIN
Primary ActivitiesPHYSICIAN SERVICESPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MCLEOD HEALTH
M$7,333,633ACTUAL COST
MCLEOD PHYSICIAN ASSOCIATES II
M$1,033,373ACTUAL COST
MCLEOD PHYSICIAN ASSOCIATES II
A$331,541FAIR MARKET
MCLEOD HEALTH FOUNDATION
C$518,818CASH