2022-08-15T11:54:22-05:00 2021-09-30 135565207 KPMG LLP 500 W 5TH ST SUITE 800 WINSTON SALEM NC 27101 990 2020-10-01 473712858 MCLEOD HEALTH CHERAW MCLE 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF SYSTEM 8437775304 2022-08-15 1 S FULTON ERVIN III 999009999 ANDREW ROE P01876391 3362753394 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z DONNA ISGETT 555 EAST CHEVES STREET FLORENCE SC 29506 61844788 0 X WWW.MCLEODHEALTH.ORG X 2015 SC ACUTE CARE HOSPITAL 4 0 437 2 0 0 1133899 7168304 40746505 54059553 0 0 1315884 211105 43196288 61438962 0 0 0 0 23134985 25892703 0 0 0 22380808 31329829 45515793 57222532 -2319505 4216430 26388062 22315957 33833254 25544719 -7445192 -3228762 MCLEOD HEALTH CHERAW OPERATES AS 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 HEALTH CARE. 0 0 54396388 54059553 MCLEOD HEALTH CHERAW IS A 59 BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SOUTH CAROLINA. MCLEOD HEALTH CHERAW OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. SEE ALSO THE COMMUNITY BENEFIT REPORT ON SCHEDULE H. 54396388 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 64 0 1 437 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARK CAMERON 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 BREN T LOWE FROM 10120 CEO- MCLEOD CHERAW 40.00 0.00 X X 42147 0 3939 DANIEL G SIMPSON MD CHIEF OF STAFF/STAFF PHYSICIAN 40.00 0.00 X X 358993 0 38206 DONNA C ISGETT SR VP/COO, PRES/CEO (AS OF 03/01/21) 1.00 39.00 X X 0 1310135 97201 SAMUEL F ERVIN III SR VP/CFO OF RELATED ENTITY 1.00 39.00 X X 0 1294108 87509 ANDRE DYER MD STAFF PHYSICIAN 40.00 0.00 X 425344 0 22455 TIMOTHY HOLDREDGE MD STAFF PHYSICIAN 40.00 0.00 X 499612 0 37230 BENJAMIN HINMAN MD STAFF PHYSICIAN 40.00 0.00 X 378947 0 19022 FOY CONNELL MD STAFF PHYSICIAN 40.00 0.00 X 510550 0 40971 BENJAMIN WESTON MD STAFF PHYSICIAN 40.00 0.00 X 402258 0 19713 2617851 2604243 366246 36 0 1 0 QUALIVIS LLC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 CONTRACT LABOR 1101691 MEDICAL PROPERTIES TRUST OPERATION PARTN 1000 URBAN CENTER DR STE 501 BIRMINGHAM AL 35242 RENT 867439 THEREX LLC DBA KINDRED HOSPITAL REHABIL PO BOX 502096 ST LOUIS MO 631502096 MEDICAL SERVICES 749346 AMERICAN ANESTHESIOLOGY OF SC PO BOX 281034 ATLANTA GA 303841034 CONTRACT LABOR 451844 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 753972633 MEDICAL SERVICES 409771 16 98418 7069886 7168304 NET PATIENT REVENUE 624100 54059553 54059553 54059553 373634 405826 -32192 -32192 -32192 NUTRITION SERVICES 900099 108275 108275 MEDICAL SURGICAL AND O 900099 67869 67869 PHARMACY 900099 2510 2510 64643 64643 243297 61438962 54059553 0 211105 613059 586032 27027 20818303 19900513 917790 4461341 4461341 94091 5475 88616 3284814 3021570 263244 50042 2281 47761 7116033 7031238 84795 51607 51298 309 1723333 1723333 17944 17519 425 5156 3966 1190 8282 8282 6784363 6784363 711891 711891 INTERCOMPANY MANAGEMENT 5022359 5022359 ALL OTHER EXPENSES 4076748 4020741 56007 LICENSES & TAXES 1366187 27207 1338980 PHYSICIAN FEES 1016979 1016979 57222532 54396388 2826144 0 291708 88156 4765130 2944037 454978 547474 637876 612048 35610133 17523942 20225768 18086191 12602 38051 26388062 22315957 4033977 3649860 11547991 0 18251286 21894859 33833254 25544719 X -7445192 -3228762 -7445192 -3228762 26388062 22315957 4216430 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2583358 2583358 16501901 6206099 10295802 16499470 11317843 5181627 25404 25404 18086191 ACCRUED REAL ESTATE TAXES 385108 INTERCOMPANY PAYABLE 14970950 COST REPORT RESERVE 1609502 DUE TO THIRD PARTY PAYOR 1969067 LONG TERM LEASE LIABILITY 2915115 OTHER MISCELLANEOUS LIABILITIES 45117 21894859 X 61844788 405826 405826 61438962 0 61438962 57628358 405826 405826 57222532 0 57222532 PART X, LINE 2: FIN 48 FOOTNOTE MCLEOD HEALTH AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON RELATED INCOME HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE RECLASSIFIED TO REVENUE 405,826. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE RECLASSIFIED TO REVENUE 405,826. 1 1 X 1 X 1 X 1 1 0 1 1 5146081 4106236 1039845 0.01820 11954255 5233660 6720595 0.11740 17100336 9339896 7760440 0.13560 16300 16300 0.00030 14000 14000 0.00020 30300 30300 0.00050 17130636 9339896 7790740 0.13610 1100 1100 0.00000 1100 1100 0.00000 1 3211414 214451 12519449 12516608 2841 X 1 1 1 1 MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 WWW.MCLEODHEALTH.ORG SC HTL-0681 X X X MCLEOD HEALTH CHERAW 1 0 1 X X X X X X X X 18 1 0 0 1 X WWW.MCLEODHEALTH.ORG X 1 18 1 WWW.MCLEODHEALTH.ORG 0 1 X 200.000000000000 300.000000000000 X 1 1 X X 1 X WWW.MCLEODHEALTH.ORG X WWW.MCLEODHEALTH.ORG X WWW.MCLEODHEALTH.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 5: FOR THE 2019 CHESTERFIELD COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, (OR "CHNA"), ONE-ON-ONE INTERVIEWS, QUESTIONNAIRES, AND FORUMS WERE CONDUCTED IN SPRING 2019 AS A MEANS TO GATHER INPUT. HIGHLIGHTS ARE LISTED BELOW (FULL CHNA IS FOUND AT MCLEODHEALTH.ORG).TOP HEALTH CONCERNS REPORTED AMONG COMMUNITY MEMBERS- OBESITY- CANCER- ACCESS TO PRIMARY CARE- CARE FOR THE ELDERLYSOURCE: MCLEOD HEALTH 2019 SURVEYTOP HEALTH CONCERNS REPORTED AMONG HEALTH PROFESSIONALS MOST FREQUENT HEALTH CONCERNS:- ACCESS TO PRIMARY CARE- ACCESS TO SPECIALTY CARE- DIABETESSOURCE: MCLEOD HEALTH 2019 SURVEYPRIMARY DIAGNOSIS ADMITTED TO EMERGENCY DEPARTMENTMOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH CHERAW EMERGENCYDEPARTMENT OCTOBER 2017 - SEPTEMBER 2018:- ABDOMINAL PAIN- URINARY TRACT INFECTION- CHEST PAIN- ACUTE BRONCHITIS- ACUTE UPPER RESPIRATORY INFECTION- ACUTE PHARYNGITIS- VOMITING- HEADACHE- HYPERTENSIONSOURCE: MCLEOD HEALTH CLINICAL OUTCOMESPRIMARY INPATIENT DIAGNOSISMOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH CHERAW OCTOBER2017 - SEPTEMBER 2018:- SEPSIS- LABOR & DELIVERY, VAGINAL AND CAESAREAN- ACUTE KIDNEY FAILURE- PNEUMONIA- CHRONIC OBSTRUCTIVE PULMONARY DISEASE- HYPERTENSION- URINARY TRACT INFECTIONSOURCE: MCLEOD HEALTH CLINICAL OUTCOMESOPPORTUNITIES & PLAN PRIORITIESMCLEOD HEALTH CHERAW HAS DEVELOPED AN ACTION PLAN THAT COLLABORATES WITH COMMUNITY PARTNERS TO PROVIDE COMMUNITY HEALTH INITIATIVES THAT ARE FOCUSED ON AREAS LISTED BELOW AND FURTHER DESCRIBED WITHIN THE IMPLEMENTATION PLAN THAT UTILIZES EVIDENCE-BASED PRACTICES FOR ADDRESSING:- ACCESS TO PRIMARY- DIABETES- HEART DISEASE AND STROKE- LUNG DISEASEOVERVIEWTHIS COMMUNITY HEALTH NEEDS ASSESSMENT SERVES AS A TOOL TO EVALUATE THE OVERALL HEALTH STATUS, BEHAVIORS AND NEEDS OF CHESTERFIELD 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.METHODSAN 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 DISPARITIESWHAT 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 CIRCUMSTANCES 15%, AND HEALTH CARE FOR ONLY 10% (I.E., ACCESS TO PHYSICIAN AND OTHER HEALTH SERVICES) OF HEALTH RISK FOR PREMATURE DEATH.BEHAVIORAL DETERMINANTS (40%)EXAMPLES:- DIET- PHYSICAL ACTIVITY- ALCOHOL, CIGARETTE, AND OTHER DRUG USE- HAND WASHINGGENETIC 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 ANDOVARIAN CANCER- FAMILY HISTORY OF HEART DISEASE, CANCER, ETC.SOCIAL DETERMINANTS (15%)EXAMPLES:- 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 SAFETYHEALTH CARE DETERMINANTS (10%)EXAMPLES:- QUALITY, AFFORDABILITY, AND AVAILABILITY OF SERVICES- LACK OF INSURANCE COVERAGE- LIMITED LANGUAGE ACCESSENVIRONMENTAL DETERMINANTS (5%)EXAMPLES:- 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 DISABILITIESWHAT ARE HEALTH DISPARITIES?"HEALTH DISPARITY" REFERS TO A HIGHER BURDEN OF ILLNESS, 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 IDENTIFIEDDISPARITIES 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.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.1 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.THE COMMUNITY FOR THIS CHNA WAS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF MCLEOD HEALTH CHERAW INPATIENT AND OUTPATIENT HOSPITAL DATA. THE STUDY AREA FOR THIS ASSESSMENT IS DEFINED AS CHESTERFIELD COUNTY WHICH REPRESENTS THE MAJORITY OF PATIENTS SERVED.DEMOGRAPHICSCURRENT 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 POPULATIONA TOTAL OF 46,127 PEOPLE LIVE IN THE 798.99 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2013-17 5-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 57.73 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 90.88 PERSONS PER SQUARE MILE.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.EDUCATION - BACHELOR'S DEGREE OR HIGHER11.25% OF THE POPULATION AGED 25 AND OLDER, OR 3,565 HAVE OBTAINED AN BACHELOR'S LEVEL DEGREE OR HIGHER. THIS INDICATOR IS RELEVANT BECAUSE EDUCATIONAL ATTAINMENT HAS BEEN LINKED TO POSITIVE HEALTH OUTCOMES.EDUCATION - HIGH SCHOOL GRADUATION RATEWITHIN THE REPORT AREA 89.9% OF STUDENTS ARE RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS. DATA REPRESENTS THE 2016-17 SCHOOL YEAR. THIS INDICATOR IS RELEVANT BECAUSE RESEARCH SUGGESTS EDUCATION IS ONE THE STRONGEST PREDICTORS OF HEALTH.POVERTY - POPULATION BELOW 100% FPLPOVERTY IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. WITHIN THE REPORT AREA 23.8% OR 10,844 INDIVIDUALS 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.PRIORITY ISSUES AND IMPLEMENTATION PLANMCLEOD 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 RESOURCESPLAN PRIORITIESMCLEOD HEALTH CHERAW HAS SELECTED THE FOLLOWING AREAS WHICH TO COLLABORATE WITH COMMUNITY PARTNERS FOR IMPROVING COMMUNITY HEALTH IN CHESTERFIELD COUNTY.- ACCESS TO CARE- DIABETES- HEART DISEASE AND STROKE- LUNG DISEASEIMPLEMENTATION PLANPRIORITY 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. PART VI, LINE 5: A FUND WAS BEGUN IN 1956 FOR THE FIRST CHESTERFIELD COUNTY MEMORIAL HOSPITAL, WITH SOME $42,000 RAISED THROUGH A DRIVE CONDUCTED BY THE LOCAL CHERAW OF COMMERCE, CHAIRED BY C.E. WATTS, JR. THEN-MAYOR OF CHERAW RUSSELL BENNETT WAS INSTRUMENTAL, IT WAS REPORTED, IN PROVIDING A SITE FOR THE HOSPITAL THROUGH THE TOWN FREE OF CHARGE. FEDERAL FUNDS WERE TOPROVIDE $65,000 WITH THE TOTAL COST TO BE OVER HALF A MILLION DOLLARS.ON JANUARY 16, 1958, CHESTERFIELD COUNTY MEMORIAL HOSPITAL WAS OFFICIALLY OPENED. REPORTS STATED THE HOSPITAL "IS THE NEWEST IN SOUTH CAROLINA AND GENERALLY CONCEDED TO BE AMONG THE MOST MODERN FACILITIES IN THE COUNTRY, WITH THE MOST ADVANCED SURGICAL INSTRUMENTS BEING INSTALLED AND THE LATEST AND MOST PROGRESSIVE EQUIPMENT AND FURNISHINGS AVAILABLE TO OFFERTHE MOST COMPLETE MEDICAL CARE."RICHARD T. WALL WAS ADMINISTRATOR AND SAID AT THE DEDICATION, "THIS IS A NATION OF SMALL HOSPITALS, WITH 60% HAVING LESS THAN 100 BEDS. EACH HOSPITAL MUST BE A COMPLETE UNIT IN ITSELF."IN 1976, S. GRANT BOONE, JR. BECAME DIRECTOR OF THE HOSPITAL. PRIOR TO THAT, THE HOSPITAL'S DAILY OPERATIONS WERE OVERSEEN BY JACK MILBURN OF CAROLINAS HOSPITAL AND HEALTH SERVICES, A NON-PROFIT MANAGEMENT ORGANIZATION.THE FOLLOWING YEAR A CONTRACT WAS SIGNED WITH HOSPITAL INVESTORS, INC. OF ATLANTA, GEORGIA TO CONDUCT A SURVEY OF MEDICAL NEEDS IN THE CHERAW AREA. IT WAS RECOMMENDED THAT RECRUITMENT OF PHYSICIANS AND NURSES WAS IMPERATIVE; THEREFORE, IT WAS BEGUN AT ONCE BY THE HEALTH COMMITTEE OF THE CHERAW CHAMBER OF COMMERCE. AT THAT TIME THERE WERE 15 PRACTICINGPHYSICIANS IN THE COUNTY; 11 FAMILY AND GENERAL PRACTITIONERS, ONE INTERNIST, ONE SURGEON, ONE RADIOLOGIST, AND ONE PART-TIME PATHOLOGIST.IN MID-1979, TALKS BEGAN AROUND THE IDEA OF A NEW HOSPITAL. THE CONSENSUS WAS THAT THE TWENTY YEAR OLD FACILITY NEEDED TO BE REPLACED. THE BOARD CONSIDERED SELLING THE HOSPITAL TO A PRIVATE ORGANIZATION AND ALSO BEGAN TALKING WITH HCA IN NASHVILLE, TENNESSEE. AFTER CONSIDERING THE POSSIBILITY OF MERGING THE HOSPITALS IN CHERAW AND BENNETTSVILLE, THE HOSPITAL CORPORATION OF AMERICA BOUGHT THE CHESTERFIELD COUNTY MEMORIAL HOSPITAL IN MARCH 1981 ON THE RECOMMENDATION OF THE BOARD OF TRUSTEES. IT WAS AGREED THAT HCA, A PRIVATE, TAX-PAYING ORGANIZATION WOULD TAKE OVER AND ELIMINATE THE COUNTY-OWNED HOSPITAL IN CHERAW AND BUILD A NEW FACILITY. AT THIS TIME, THE COUNTY'S TWO BIGGEST OBLIGATIONS WERE THE COST OF INDIGENT CARE AND OF FINANCING THE AMBULANCE SERVICE.ONE YEAR LATER, DEDICATION CEREMONIES WERE HELD FOR THE NEW CHESTERFIELD GENERAL HOSPITAL. THE GUEST SPEAKER FOR THE OCCASION WAS SOUTH CAROLINA GOVERNOR DICK RILEY. MAYOR HOWARD DUVALL NOTED, "THE COMMUNITY WILL LOOK BACK AT THIS AS A MILESTONE FOR MEDICAL CARE IN CHESTERFIELD COUNTY".IN AUGUST 1987, HEALTHTRUST, INC. WAS CREATED WHEN HCA "SPUN OFF" 104 OF ITS HOSPITALS INTO AN EMPLOYEE STOCK-OWNED COMPANY, THEREFORE CHANGING OWNERSHIP OF CHESTERFIELD GENERAL HOSPITAL. THE FOLLOWING YEAR, WITH THE HOSPITAL CENSUS RUNNING LOW, MAYOR C. H. MCBRIDE, IN AN OPEN LETTER TO THE COMMUNITY, CALLED FOR SUPPORT FOR THE AREA PHYSICIANS AND LOCAL HOSPITAL. IN A STATEMENT, HE DESCRIBED A MEETING WITH HOSPITAL ADMINISTRATION AND THE LOCAL MEDICAL STAFF AND SAID THAT IT WOULD BE NECESSARY IN ORDER TO MAINTAIN THE PRESENT COMMUNITY HOSPITAL THAT THE CITIZENS, INDUSTRIAL COMMUNITY, AND PHYSICIANS SUPPORT THE HOSPITAL.PLANS WERE LAID AND A CERTIFICATE OF NEED PREPARED TO CONVERT FOURTEEN ACUTE CARE BEDS TO A PROGRAM FOR ALCOHOL AND DRUG TREATMENT. THERE WERE ALSO DISCUSSIONS WITH MARLBORO PARK HOSPITAL IN BENNETTSVILLE TO CONSIDER "OPPORTUNITIES TO BRING ADDED SERVICES TO BOTH COMMUNITIES WHILE RETAINING AND CONSOLIDATING CERTAIN SERVICES" TO ADDRESS UNDER-UTILIZATION OF BOTH FACILITIES.IN DECEMBER 1988, THE CERTIFICATE OF NEED WAS AWARDED. IN MAY OF 1989, A STATEMENT IN THE HERAW CHRONICLE ANNOUNCED THAT "CHESTERFIELD GENERAL HOSPITAL HAS DECIDED AGAINST OPENING A 14-BED ALCOHOL AND DRUG TREATMENT UNIT" IN RESPONSE TO "WIDESPREAD CONCERN ABOUT THE FUTURE OF GENERAL ACUTE CARE SERVICES AT THE HOSPITAL". IN THE FALL OF THAT YEAR, CGH MADE A COMMITMENT TO PHYSICIAN RECRUITMENT. COMMUNITY HEALTH SYSTEMS, INC. IN NASHVILLE, TN PURCHASED THE FACILITY ON AUGUST 14, 1996. ALECTO HEALTHCARE DBA M/C HEALTHCARE ASSUMED OPERATIONS ON APRIL 1, 2015, FROM COMMUNITY HEALTH SYSTEMS. MCLEOD HEALTH ASSUMEDOWNERSHIP AS MCLEOD HEALTH CHERAW ON JUNE 22, 2015.SINCE THE TRANSITION, MCLEOD HEALTH CHERAW HAS BEEN DILIGENTLY SERVING THE HEALTH NEEDS OF THE RESIDENTS OF CHESTERFIELD, MARLBORO, ANSON, RICHMOND AND SCOTLAND COUNTIES. THE 59-BED HOSPITAL JOINS SIX OTHER MCLEOD HEALTH NOT-FOR-PROFIT HOSPITALS PROVIDING ADVANCED HEART,VASCULAR, ORTHOPEDIC, SURGICAL, CANCER, WOMEN'S AND CHILDREN'S SERVICES FROM THE MIDLANDS OF SOUTH CAROLINA TO THE COAST. X X X X X 0 1 0 0 0 0 0 1 0 DONNA C ISGETT SR VP/COO, PRES/CEO (AS OF 03/01/21) 0 644730 0 80325 0 585080 0 64896 0 32305 0 1407336 0 575957 SAMUEL F ERVIN III SR VP/CFO OF RELATED ENTITY 0 596354 0 92485 0 605269 0 59885 0 27624 0 1381617 0 592607 FOY CONNELL MD STAFF PHYSICIAN 502386 0 0 0 8164 0 0 0 40971 0 551521 0 0 0 TIMOTHY HOLDREDGE MD STAFF PHYSICIAN 486482 0 0 0 13130 0 0 0 37230 0 536842 0 0 0 ANDRE DYER MD STAFF PHYSICIAN 424103 0 0 0 1241 0 0 0 22455 0 447799 0 0 0 BENJAMIN WESTON MD STAFF PHYSICIAN 400885 0 0 0 1373 0 0 0 19713 0 421971 0 0 0 BENJAMIN HINMAN MD STAFF PHYSICIAN 378162 0 0 0 785 0 0 0 19022 0 397969 0 0 0 DANIEL G SIMPSON MD CHIEF OF STAFF/STAFF PHYSICIAN 356822 0 0 0 2171 0 0 0 38206 0 397199 0 0 0 PART I, LINE 3 MCLEOD HEALTH USES ALL OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF ITS EXECUTIVES SERVING THE HOSPITALS AND AFFILIATED ORGANIZATIONS IN THE MCLEOD HEALTH SYSTEM. PART I, LINE 4B MCLEOD 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. PART I, LINE 7 THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. FORM 990, PART VI, SECTION A, LINE 6 MCLEOD HEALTH IS THE SOLE MEMBER OF MCLEOD HEALTH CHERAW 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.: 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 565-BED TERTIARY CARE FACILITY AND A 40-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD MEDICAL CENTER-DARLINGTON, A 49-BED COMMUNITY HOSPITAL LOCATED IN DARLINGTON, SOUTH CAROLINA; THIS FACILITY PERMANENTLY CLOSED IN JANUARY 2021 AND SERVICES THERE WERE TRANSFERRED TO OTHER FACILITIES. -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: 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 105-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): 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 100 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH APPROXIMATELY 78 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 AN 11-COUNTY SERVICE AREA. MCLEOD HEALTH FOUNDATION: THE 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 26 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: 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.: 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 7A THE BOARD OF MCLEOD HEALTH (SOLE MEMBER} HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 CONSISTS OF PROVIDING COPIES OF THE FORM 990 TO EACH MEMBER OF THE MCLEOD HEALTH BOARD (SOLE MEMBER) ALONG WITH A PRESENTATION COVERING THE FORM 990 BY THE PREPARING FIRM, KPMG LLP, TO ALLOW FOR A THOROUGH REVIEW BEFORE THE FILING DATE OF AUGUST 15, 2022. FORM 990, PART VI, SECTION B, LINE 12C MCLEOD HEALTH CHERAW 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 15 IN DETERMINING COMPENSATION OF MCLEOD HEALTH CHERAW'S TOP MANAGEMENT OFFICIAL, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION 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 19 THE 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. 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