MCLEOD MEDICAL CENTER DILLON: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MCLEOD MEDICAL CENTER DILLON (EIN 51-0473471)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202242279349302589
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T12:55:09-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 W 5TH ST STE 800 | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510473471 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLEOD MEDICAL CENTER DILLON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MCLE | BusinessNameControlTxt |
| Phone | 8437772256 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 EAST CHEVES STREET | AddressLine1Txt |
| City | FLORENCE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29506 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | S FULTON ERVIN III | PersonNm |
| Person Title | CFO OF SYSTEM | PersonTitleTxt |
| Phone | 8437772256 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | S | PersonFirstNm |
| Person Last | FULTON ERVIN III | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDREW ROE | PreparerPersonNm |
| PTIN | P01876391 | PTIN |
| Phone | 3362753394 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONNA ISGETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 EAST CHEVES STREET | AddressLine1Txt |
| City | FLORENCE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $57,798,324 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCLEODHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | ACUTE CARE HOSPITAL | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 457 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,018,327 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,022,513 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $46,504,688 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $53,723,555 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,055 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,542 | CYInvestmentIncomeAmt |
| PY Other Revenue | $714,957 | PYOtherRevenueAmt |
| CY Other Revenue | $752,646 | CYOtherRevenueAmt |
| PY Total Revenue | $51,246,027 | PYTotalRevenueAmt |
| CY Total Revenue | $57,500,256 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,632,326 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,576,731 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,177,149 | PYOtherExpensesAmt |
| CY Other Expenses | $23,819,002 | CYOtherExpensesAmt |
| PY Total Expenses | $39,809,475 | PYTotalExpensesAmt |
| CY Total Expenses | $45,395,733 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,436,552 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,104,523 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $99,462,185 | TotalAssetsBOYAmt |
| Total Assets EOY | $110,037,034 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,735,924 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,206,250 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $90,726,261 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $102,830,784 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ORGANIZATION 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $44,270,558 | ExpenseAmt |
| Revenue | $53,723,555 | RevenueAmt |
| Desc | MCLEOD 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 | $44,270,558 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 457 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK W CAMERON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8437775304 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 EAST CHEVES STREET | AddressLine1Txt |
| City | FLORENCE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29506 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| S FULTON ERVIN III | ||||||||
| CFO OF RELATED ORG | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $1,294,108 | $87,509 | |
| DONNA C ISGETT | ||||||||
| COO REL ORG, PRES/CEO AS OF 3/1/21 | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $1,310,135 | $97,201 | |
| JOSEPH K WANGEH MD | ||||||||
| CHIEF OF STAFF REL ORG | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $415,816 | $37,244 | |
| JOAN O ERVIN | ||||||||
| VICE PRESIDENT | 40.00 | 0.00 | Yes (X) | Yes (X) | $262,413 | $0 | $43,978 | |
| ALTO B ODIN JR MD | ||||||||
| STAFF PHYSICIAN | 40.00 | 0.00 | $364,742 | $0 | $33,968 | Yes (X) | ||
| WILLIAM GOLDSTEIN MD | ||||||||
| STAFF PHYSICIAN | 40.00 | 0.00 | $445,170 | $0 | $39,498 | Yes (X) | ||
| JAMES N WALLACE MD | ||||||||
| STAFF PHYSICIAN | 40.00 | 0.00 | $398,863 | $0 | $34,454 | Yes (X) | ||
| JARETT TAYLOR | ||||||||
| ANESTHETIST | 40.00 | 0.00 | $304,646 | $0 | $29,820 | Yes (X) | ||
| LIONEL D RAJOTTE | ||||||||
| ANESTHETIST | 40.00 | 0.00 | $275,201 | $0 | $31,304 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,051,035 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,020,059 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $434,976 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUALIVIS LLC | |||||
| 5930 CORNERSTONE CT W 300 | SAN DIEGO | CA | 92121 | CONTRACT LABOR | $1,213,339 |
| PARAGON CONTRACTING SERVICES LLC DBA TEA | |||||
| PARAGON CONTRACTING SERV LLC | CINCINNATI | OH | 452634850 | CONTRACT LABOR | $612,295 |
| LABORATORY CORPORATION OF AMERICA HOLDIN | |||||
| PO BOX 12140 | BURLINGTON | NC | 272152140 | MEDICAL SERVICES | $292,684 |
| EMCARE INC | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | MEDICAL SERVICES | $144,516 |
| CAROLINA SLEEP DIAGNOSTICS | |||||
| 200 WEST HARRISON ST STE B | DILLON | SC | 29536 | MEDICAL SERVICES | $127,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $83,069 | RelatedOrganizationsAmt |
| Government Grants | $2,939,444 | GovernmentGrantsAmt |
| Total Contributions | $3,022,513 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $53,723,555 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,723,555 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $53,723,555 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,542 | TotalRevenueColumnAmt |
| Exclusion | $1,542 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $585,614 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $298,068 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $287,546 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $287,546 | TotalRevenueColumnAmt |
| Exclusion | $287,546 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA/VENDING | 110000 | $208,120 | $208,120 |
| GIFT SHOP | 211110 | $24,320 | $24,320 |
| PHARMACY | 900099 | $24,183 | $24,183 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $208,477 | TotalRevenueColumnAmt |
| Exclusion | $208,477 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $465,100 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,500,256 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,723,555 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $754,188 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,431 | TotalAmt |
| Program Services | $262,744 | ProgramServicesAmt |
| Management And General | $17,687 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,015,118 | TotalAmt |
| Program Services | $15,941,990 | ProgramServicesAmt |
| Management And General | $1,073,128 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,281,182 | TotalAmt |
| Program Services | $4,281,182 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,741 | TotalAmt |
| Program Services | $8,741 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,725,496 | TotalAmt |
| Program Services | $2,725,496 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,183 | TotalAmt |
| Program Services | $57,183 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,569,019 | TotalAmt |
| Program Services | $6,552,547 | ProgramServicesAmt |
| Management And General | $16,472 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,922 | TotalAmt |
| Program Services | $54,922 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,272 | TotalAmt |
| Program Services | $724,272 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,904 | TotalAmt |
| Program Services | $12,904 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,441 | TotalAmt |
| Program Services | $4,441 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,817 | TotalAmt |
| Program Services | $2,817 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,823,587 | TotalAmt |
| Program Services | $3,823,587 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,507 | TotalAmt |
| Program Services | $319,507 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| INTERCOMPANY MANAGEMENT | $4,986,112 | $4,986,112 |
| PHYSICIAN FEES | $1,251,088 | $1,251,088 |
| LICENSE & TAXES | $855,742 | $855,742 |
| MPA SUPPORT | $52,916 | $52,916 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,370,255 | TotalAmt |
| Program Services | $2,352,367 | ProgramServicesAmt |
| Management And General | $17,888 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,395,733 | TotalAmt |
| Program Services | $44,270,558 | ProgramServicesAmt |
| Management And General | $1,125,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $876 | BOYAmt |
| EOY | $876 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,279,082 | BOYAmt |
| EOY | $5,720,152 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,341 | BOYAmt |
| EOY | $462,736 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $422,889 | BOYAmt |
| EOY | $378,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,892,773 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $37,679,077 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,652,620 | BOYAmt |
| EOY | $21,213,696 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,710,377 | BOYAmt |
| EOY | $82,260,652 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,462,185 | BOYAmt |
| EOY | $110,037,034 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,057,578 | BOYAmt |
| EOY | $2,361,545 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,233,348 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,444,998 | BOYAmt |
| EOY | $4,844,705 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,735,924 | BOYAmt |
| EOY | $7,206,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,726,261 | BOYAmt |
| EOY | $102,830,784 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,726,261 | BOYAmt |
| EOY | $102,830,784 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,462,185 | BOYAmt |
| EOY | $110,037,034 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $12,104,523 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,457,064 | OtherCostOrOtherBasisAmt |
| Book Value | $1,457,064 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,990,557 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,550,336 | DepreciationAmt |
| Book Value | $11,440,221 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,256,268 | OtherCostOrOtherBasisAmt |
| Depreciation | $831,127 | DepreciationAmt |
| Book Value | $425,141 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,561,682 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,297,614 | DepreciationAmt |
| Book Value | $6,264,068 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,627,202 | OtherCostOrOtherBasisAmt |
| Book Value | $1,627,202 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,213,696 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY | Desc |
| Book Value | $82,260,652 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $82,260,652 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| TOTAL CURRENT PORTION - LONG T | $124,972 |
| TOTAL DUE TO THIRD PARTY PAYOR | $4,717,213 |
| LT LEASE LIABILITY EQUIPMENT | $2,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,844,705 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $57,798,324 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $298,068 | OtherRevenueAmt |
| Revenue Not Reported | $298,068 | RevenueNotReportedAmt |
| Revenue Subtotal | $57,500,256 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $57,500,256 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $45,693,801 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $298,068 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $298,068 | ExpensesNotReportedAmt |
| Expenses Subtotal | $45,395,733 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $45,395,733 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | 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: | RENTAL EXPENSES RECLASSIFICATION 298,068. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES RECLASSIFICATION 298,068. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,332,878 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,569,034 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,763,844 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08290 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,052,369 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,708,795 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,343,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13970 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,385,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,277,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,107,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22260 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,078 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,078 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $103,713 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $103,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $215,081 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $215,081 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,600,328 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,277,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,322,499 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22740 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $800 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $800 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,625 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,625 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,920 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,920 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,856 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $170,401 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $170,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,826,263 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $199,254 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $11,257,751 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,448,384 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,809,367 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 NONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLEOD MEDICAL CENTER - DILLON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 EAST JACKSON STREET | AddressLine1Txt |
| City | DILLON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29536 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MCLEODHEALTH.ORG | WebsiteAddressTxt |
| State License | SC HTL-0854 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLEOD MEDICAL CENTER DILLON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MCLEODHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MCLEODHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MCLEODHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MCLEODHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MCLEODHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MCLEOD MEDICAL CENTER DILLON | PART V, SECTION B, LINE 5: MCLEOD MEDICAL CENTER - DILLON:PART V, SECTION B, LINE 5:PRIORITIZED COMMUNITY HEALTH NEEDS.FOR THE 2019 DILLON 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- DRUG ABUSE- CANCER- HEART DISEASE/STROKESOURCE: MCLEOD HEALTH 2019 SURVEYTOP HEALTH CONCERNS REPORTED AMONG HEALTH PROFESSIONALS MOST FREQUENT HEALTH CONCERNS:- DRUG ABUSE- OBESITY- ACCESS TO SPECIALTY CARESOURCE: MCLEOD HEALTH 2019 SURVEYPRIMARY DIAGNOSIS ADMITTED TO EMERGENCY DEPARTMENT MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH DILLON EMERGENCY DEPARTMENT OCTOBER 2017 - SEPTEMBER 2018:- ABDOMINAL PAIN- CHEST PAIN- URINARY TRACT INFECTION- ACUTE UPPER RESPIRATORY INFECTION- ACUTE PHARYNGITIS- INFLUENZA- ACUTE BRONCHITIS- HEADACHE- ACUTE SINUSITIS- VOMITINGSOURCE: MCLEOD HEALTH CLINICAL OUTCOMESPRIMARY INPATIENT DIAGNOSISMOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH DILLON OCTOBER 2017 - SEPTEMBER 2018:- OBSTETRICAL CARE, LABOR AND DELIVER, VAGINAL AND CESAREAN SECTION- SEPSIS - ACUTE AND CHRONIC RESPIRATORY FAILURE- ACUTE KIDNEY FAILURE- HYPERTENSION WITH HEART FAILURE- CHRONIC OBSTRUCTIVE PULMONARY DISEASE- ACUTE RESPIRATORY FAILURE- CEREBRAL INFARCTIONSOURCE: MCLEOD HEALTH CLINICAL OUTCOMESOPPORTUNITIES & PLAN PRIORITIESMCLEOD DILLON 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:- CHRONIC DISEASES- ACCESS TO CARE- 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.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 WITHINMCLEOD 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. SOURCES OF THIS DATA ARE LISTED AT THE END OF THIS DOCUMENT.DATA COLLECTION WAS LIMITED TO THE MOST RECENT PUBLICLY AVAILABLERESOURCES 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. 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 AND OVARIAN CANCER- FAMILY HISTORY OF HEART DISEASE, CANCER, ETCSOCIAL 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, 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 INCONSIDERATION 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. |
| SCH. H, PART V, SECTION B, LINE 11 | THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH. H, PART I, LINE 3C | N/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES |
| SCH. H, PART II | THE MAIN EXAMPLE OF A COMMUNITY-BUILDING ACTIVITY PERFORMED BY MCLEOD MEDICAL CENTER-DILLON IN FISCAL YEAR 2020 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. |
| SCH. H, PART III, LINE 4 | NET PATIENT REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNT RECEIVED, OR TO BE RECEIVED, FROM PATIENTS, THIRD PARTY PAYORS, AND OTHERS FOR THE SPECIFIC SERVICES AND SUPPLIES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENT WITHTHIRD PARTY PAYOR.FOR THE AMOUNTS REPORTED IN LINES 2 AND 3, WE USED THE IRS METHOD TO CALCULATE THE RATIO OF PATIENT COST TO CHARGES, AS SHOWN ON PAGE 13 OF THE INSTRUCTIONS FOR SCHEDULE H (WORKSHEET 2). THE CALCULATED RATIO WAS THEN APPLIED TO THE GROSS CHARGES WRITTEN OFF TO BAD DEBT (NET OFRECOVERIES). |
| SCH. H, 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 REQUIRED INFORMATION 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 INDIVIDUAL IS TRANSFERED TO BAD DEBT FOR FURTHER COLLECTION ACTION. |
| SCH. H, 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. |
| SCH. H, 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. |
| SCH. H, 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. |
| SCH. H, 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%. |
| SCH. H, 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.: 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 MEDICAL CENTER-DARLINGTON, A 49-BED COMMUNITY HOSPITAL LOCATED IN DARLINGTON,SOUTH CAROLINA, WHICH PERMANENTLY CLOSED IN JANUARY 2021 AND SERVICES OFFERED AT THIS LOCATION WERE MOVED 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 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 118-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA.MCLEOD HEALTH CHERAW:MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015.MCLEOD HEALTH CLARENDONMCLEOD 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): 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: 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. |
| SCH. H, PART VI, LINE 7 | LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DONNA C ISGETT | ||||||||||||||
| COO REL ORG, PRES/CEO AS OF 3/1/21 | $0 | $644,730 | $0 | $80,325 | $0 | $585,080 | $0 | $64,896 | $0 | $32,305 | $0 | $1,407,336 | $0 | $575,957 |
| S FULTON ERVIN III | ||||||||||||||
| CFO OF RELATED ORG | $0 | $596,354 | $0 | $92,485 | $0 | $605,269 | $0 | $59,885 | $0 | $27,624 | $0 | $1,381,617 | $0 | $592,607 |
| WILLIAM GOLDSTEIN MD | ||||||||||||||
| STAFF PHYSICIAN | $441,908 | $0 | $0 | $0 | $3,262 | $0 | $14,991 | $0 | $24,507 | $0 | $484,668 | $0 | $0 | $0 |
| JOSEPH K WANGEH MD | ||||||||||||||
| CHIEF OF STAFF REL ORG | $0 | $413,033 | $0 | $0 | $0 | $2,783 | $0 | $0 | $0 | $37,244 | $0 | $453,060 | $0 | $0 |
| JAMES N WALLACE MD | ||||||||||||||
| STAFF PHYSICIAN | $397,860 | $0 | $0 | $0 | $1,003 | $0 | $13,551 | $0 | $20,903 | $0 | $433,317 | $0 | $0 | $0 |
| ALTO B ODIN JR MD | ||||||||||||||
| STAFF PHYSICIAN | $363,377 | $0 | $0 | $0 | $1,365 | $0 | $12,287 | $0 | $21,681 | $0 | $398,710 | $0 | $0 | $0 |
| JARETT TAYLOR | ||||||||||||||
| ANESTHETIST | $303,378 | $0 | $0 | $0 | $1,268 | $0 | $8,864 | $0 | $20,956 | $0 | $334,466 | $0 | $0 | $0 |
| LIONEL D RAJOTTE | ||||||||||||||
| ANESTHETIST | $275,048 | $0 | $0 | $0 | $153 | $0 | $0 | $0 | $31,304 | $0 | $306,505 | $0 | $0 | $0 |
| JOAN O ERVIN | ||||||||||||||
| VICE PRESIDENT | $222,267 | $0 | $34,855 | $0 | $5,291 | $0 | $21,896 | $0 | $22,082 | $0 | $306,391 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | TWO OFFICERS, S. FULTON ERVIN III AND JOAN O. ERVIN, HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | MCLEOD 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.: 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 469-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; -MCLEOD BEHAVIORAL HEALTH, A 23-BED PSYCHIATRIC FACILITY LOCATED ON THE CAMPUS OF MCLEOD MEDICAL CENTER-DARLINGTON; -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 66-BED COMMUNITY HOSPITAL LOCATED IN THE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS LORENCE 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 118-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 190 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 85 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 15-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 MEDICAL CENTER-DILLON'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 MEDICAL CENTER-DILLON'S BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 CONSISTS OF PROVIDING ELECTRONIC COPIES OF THE FORM 990 TO EACH MEMBER OF THE MCLEOD HEALTH BOARD (SOLE MEMBER) ALONG WITH AN ELECTRONIC SLIDE PRESENTATION COVERING 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 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 15 | IN 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 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MCLEOD REG MED CENTER OF THE PEE DEE INC | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 570370242 | HOSPITAL | SC | 501(C)(3) | LINE 3 | MCLEOD HLTH | 0 | |
| MCLEOD PHYSICIAN ASSOCIATES II | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 202935692 | PHYSICIAN SVC | SC | 501(C)(3) | LINE 10 | MCLEOD HLTH | 0 | |
| MCLEOD LORIS SEACOAST HOSPITAL | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 453576100 | HOSPITAL | SC | 501(C)(3) | LINE 3 | MCLEOD HLTH | 0 | |
| MCLEOD HEALTH CHERAW | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 473712858 | HOSPITAL | SC | 501(C)(3) | LINE 3 | MCLEOD HLTH | 0 | |
| MCLEOD HEALTH CLARENDON | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 812772554 | HOSPITAL | SC | 501(C)(3) | LINE 3 | MCLEOD HLTH | 0 | |
| ADVANCED OUTPATIENT SERVICES | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 815006949 | HOSPITAL | SC | 501(C)(3) | LINE 3 | MCLEOD HLTH | 0 | |
| MCLEOD HEALTH FOUNDATION | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 570818672 | RAISE MONEY | SC | 501(C)(3) | 12A | MCLEOD HLTH | 0 | |
| MCLEOD HEALTH | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 510473500 | HEALTHCARE | SC | 501(C)(3) | 12C | 0 | N/A | |
| MCLEOD HEALTH INNOVATION | |||||||||||
| 555 EAST CHEVES STREET | FLORENCE | SC | 29506 | 862076430 | RESEARCH | SC | 501(C)(3) | 4 | MCLEOD HLTH | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLEOD MEDICAL PARTNERS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 N HURSTBOURNE PKWY | AddressLine1Txt |
| City | LOUISVILLE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCLEOD PHYSICIAN ASSOCIATES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 EAST CHEVES STREET | AddressLine1Txt |
| City | FLORENCE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29506 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582279897 | EIN |
| Primary Activities | PHYSICIAN SVC | PrimaryActivitiesTxt |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MCLEOD HEALTH | ||
| M | $4,986,112 | ACTUAL COST |
| MCLEOD HEALTH FOUNDATION | ||
| C | $83,069 | CASH |
| MCLEOD PHYSICIAN ASSOCIATES II | ||
| J | $312,638 | FAIR MARKET |
| MCLEOD PHYSICIAN ASSOCIATES II | ||
| M | $52,916 | ACTUAL COST |