2021-08-11T15:25:05-05:00 2020-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2019-10-01 453576100 MCLEOD LORIS SEACOAST HOSPITAL % MARK W CAMERON MCLE 8437772256 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF SYSTEM 8437772256 2021-08-09 true WHITNEY B HEBRON P01226647 3362753394 2021-08-03 2019 2022-09-23 18:48:47Z DONNA ISGETT 555 EAST CHEVES STREET FLORENCE SC 29506 184380828 false X www.mcleodhealth.org X 2011 SC ACUTE CARE HOSPITAL 14 8 1266 97 0 0 817539 4520731 158899799 175790599 -26262 15433 2892838 3941453 162583914 184268216 0 0 0 0 64769071 76536826 0 0 0 80872378 90374552 145641449 166911378 16942465 17356838 209862281 264848628 85538383 123167892 124323898 141680736 ORGANIZATION IS PART OF MCLEOD HEALTH SYSTEM. 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SEE ALSO THE COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH AT SCHEDULE H. 155453794 true true false false false false false false false false true false false true true false false true false false false false false false false false true true false false true true false false false false false false false true false false false false false false false true false false false true 100 0 true 1266 true false false false false false false false false false false false false false X 14 8 false false false false true true true true true false false true true true true true true true true false X MARK W CAMERON 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF RELATED ORG 1.0 39.0 X 0 705672 105339 AMIT V PANDE MD TRUSTEE 1.0 39.0 X 0 755972 29999 DONNA C ISGETT COO REL ORG 1.0 39.0 X 0 627619 104341 CHRISTOPHER PO MD STAFF PHYSICIAN 40.0 0.0 X 546483 0 24911 EDWARD BOTSE-BAIDOO MD STAFF PHYSICIAN 40.0 0.0 X 511485 0 42989 Joseph R Szulewski MD Staff Physician 40.0 0.0 X 454344 0 36010 Ross Taylor MD VP of Medical Affairs 40.0 0.0 X 433851 0 41691 Kyaw Hein MD STAFF PHYSICIAN 40.0 0.0 X 415595 0 53059 DAVID S BJERKEN MD STAFF PHYSICIAN/RELATED ENTITY 1.0 39.0 X 0 422621 11804 MONICA VEHIGE ADMINISTRATOR 40.0 0.0 X 340382 0 72164 Kenneth D Beasley Sr VP/Related Entity 1.0 39.0 X 0 316769 63241 SHERRILL NIELSON VP NURSING/CNO 40.0 0.0 X 0 179648 43539 REV CHARLES RANDALL TRUSTEE 1.0 0.0 X 0 0 0 BRIAN WALKER SECRETARY 1.0 0.0 X X 0 0 0 EDWARD W PRINCE CHAIRMAN 1.0 0.0 X X 0 0 0 DENNIS D JONES VICE-CHAIRMAN 1.0 0.0 X X 0 0 0 TIM CARR MD TRUSTEE 1.0 0.0 X 0 0 0 BRENT MACKIE TRUSTEE 1.0 0.0 X 0 0 0 RAYMOND HOLT MD TRUSTEE 1.0 0.0 X 0 0 0 BEREND VAN DER MEER TRUSTEE 1.0 0.0 X 0 0 0 ALEXANDER C LOGAN III MD TRUSTEE 1.0 0.0 X 0 0 0 2702140 3008301 629087 80 false true false BALFOUR BEATTY CONSTRUCTION LLC 1930 CAMDEN ROAD CHARLOTTE NC 28203 CONSTRUCTION SVCS 9127357 EMCARE INC 7032 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 1656108 AMERICAN ANESTHESIOLOGY OF SC 4000 Highway 9 East LITTLE RIVER SC 29569 MEDICAL SERVICES 572168 SNB CONSTRUCTION OF DILLON LLC 2125 W JODY RD FLORENCE SC 29501 CONSTRUCTION SVCS 498247 DESIGN STRATEGIES LLC 130 S MAIN ST GREENVILLE SC 29601 ARCHITECTURAL SVCS 458122 9 474140 4046591 0 4520731 NET PATIENT REVENUE 624100 175790599 175790599 175790599 15433 15433 0 0 83186 112612 0 -29426 -29426 -29426 0 0 0 0 0 0 0 0 0 0 0 0 NUTRITIONAL SERVICES 722320 614288 614288 OUTPATIENT PHARMACY 900099 2468924 2468924 GIFT SHOP 453220 105556 105556 782111 782111 3970879 184268216 175790599 3956886 0 0 0 0 566184 542647 23537 0 61738365 59171821 2566544 0 14232277 13464774 767503 0 0 128909 128909 0 0 0 0 25095863 23499892 1595971 354583 8054 346529 33577938 33219931 358007 219200 219200 0 2627616 483895 2143721 23973 18043 5930 0 62745 31130 31615 2801615 2801615 0 12142971 12142971 917023 916080 943 PHYSICIAN FEES 4949012 4893778 55234 MPA SUPPORT 845883 845883 MEDICAL 1354124 1354124 OTHER EXPENSES 5273097 1711047 3562050 166911378 155453794 11457584 0 1949143 5602624 0 0 0 0 21792413 22821179 0 0 0 0 0 0 3294111 3809491 1195326 1155416 282120215 105376402 173479789 176743813 0 0 0 0 0 0 0 0 8151499 54716105 209862281 264848628 3639121 6068138 0 0 0 11199418 67954635 67690452 0 0 0 0 0 0 0 0 13944627 38209884 85538383 123167892 X 124323898 141680736 0 0 124323898 141680736 209862281 264848628 17356838 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6542967 6542967 202473686 57437859 145035827 60603 39468 21135 73042959 47899075 25143884 176743813 INTERCOMPANY ASSETS 54716105 54716105 0 THIRD PARTY PAYOR RESERVE 28950413 WAGES PAYABLE 7855586 ACCRUED INTEREST 1185998 LONG TERM LEASE LIABILITY 217887 38209884 X 184380828 184380828 -112612 -112612 184268216 167023990 167023990 -112612 -112612 166911378 SCHEDULE D, PART X, LINE 2 FIN 48 DISCLOSURE 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 SCHEDULE D, PART XI AND XII RENT EXPENSE OF $112,612 RECLASSIFIED TO REVENUE. true true X true X true X true true false true true 12507776 7841162 4666614 0.02800 23752686 15522976 8229710 0.04930 36260462 23364138 12896324 0.07730 134700 134700 0.00080 111165 111165 0.00070 245865 245865 0.00150 36506327 23364138 13142189 0.07880 true 6840944 483722 53955585 56735195 -2779610 X true true 2 1 MCLEOD LORIS 3655 MITCHELL STREET LORIS SC 29569 www.mcleodhealth.org SC HTL-0033 X X X A 2 MCLEOD SEACOAST 4000 HIGHWAY 9 EAST LITTLE RIVER SC 29566 www.mcleodhealth.org SC HTL-0910 X X X A A 2 false false true X X X X X X X X 18 true false false true X www.mcleodhealth.org X true 18 false true false true X 200. 300. X true true X X true X WWW.MCLEODHEALTH.ORG X WWW.MCLEODHEALTH.ORG X WWW.MCLEODHEALTH.ORG X X X X X X true X false X X X X true X false false Form Sch H Part V, Section B, Line 3 MCLEOD SEACOAST: PART V, SECTION B, LINE 3: For the 2019 Horry County 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 - Care for the Elderly - Addressing Mental Health - Drug Abuse - Preventable Injury/Falls Source: McLeod Health 2019 Survey Top Health Concerns Reported Among Health Professionals Most frequent health concerns: - Addressing Mental Health - Access to Primary Care - Access to Specialty Care - Care for the Elderly - Drug Abuse Source: McLeod Health 2019 Survey Primary Diagnosis Admitted to Emergency Department Most frequent health needs presenting to McLeod Health Loris Seacoast Emergency Department October 2017 September 2018: - Abdominal Pain - Urinary Tract Infection - Acute Bronchitis - Acute Upper Respiratory Infection - Chest Pain - Influenza - Unspecified Injury of Head - Acute Pharyngitis - Non-Infective Gastroenteritis and Colitis - Viral Infection Source: McLeod Health Clinical Outcomes Primary Inpatient Diagnosis Most frequent health needs presenting to McLeod Health Loris Seacoast October 2017 September 2018: - Sepsis - Labor and Delivery, Vaginal and Cesarean Section - Hypertension with Heart Failure - Paroxysmal Atrial Fibrillation - Acute Kidney Failure - Hypertension with Heart Disease and Heart Failure - Pneumonia - Chronic Obstructive Pulmonary Disease Source: McLeod Health Clinical Outcomes Opportunities & Plan Priorities McLeod Loris Seacoast 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: - Lung Disease - Prenatal and Infant Care - Cancer - Heart Disease and Stroke - Drug Abuse and Alcohol - Access to Care Overview This Community Health Needs Assessment serves as a tool to evaluate the overall health status, behaviors and needs of Horry County. The March 2010 passage of the Patient Protection and Affordable Care Act (ACA) introduced reporting requirements for private, not-for-profit hospitals. To meet these new federal requirements, the information gathered in this assessment is used to guide the strategic planning process in addressing health disparities. A Community Health Needs Assessment gives information to health care providers to make decisions and commit resources to areas of greatest need, making the greatest impact on community health status. This assessment incorporates data from within the community, such as individuals served and health organizations, as well as vital statistics and other existing health-related data to develop a tailored plan which targets the needs of the county. METHODS An assessment team comprised of McLeod Health's Community Health and Communication and Public Information staff reviewed literature, data and publications from public sources. Members of the assessment team represented each of the seven acute care hospital facilities within McLeod Health and were assigned to collect data that represented indicators of community health status or its socioeconomic determinants. Therefore, focus was placed on identifying locally-appropriate indicators, benchmarks, and pertinent health issues. Pre-existing databases containing local, state and national health and behavior data were used for comparisons when possible. Data collection was limited to the most recent publicly available resources and some primary data from qualitative and quantitative investigation. As a result, this document portrays a partial picture of the health status of the community served. Data analysis included demographic, socioeconomic and health determinant measures. Data analysis included demographic, socioeconomic and health determinant measures. When possible, data also was analyzed according to age, gender and/or race to offer insight into health disparities that may affect specific subgroups in the community. A summary of county data is reflected as a comparison to state and national data when available to indicate community health concerns. HEALTH DETERMINANTS AND DISPARITIES What are the determinants of health? Health behaviors had the majority overall impact on future health outcomes (i.e., smoking, diet, drug & alcohol use, physical activity, other lifestyle behaviors) and account for 40% of causes for premature death. Genetic predisposition is responsible for 30%, Social 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 washing Genetic Determinants (30%) Examples: - Age - Sex - HIV status - Inherited conditions, such as sickle-cell anemia, hemophilia, and cystic fibrosis - Carrying the BRCA1 or BRCA2 gene, which increases risk for breast and ovarian cancer - Family history of heart disease, cancer, etc. Social 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 safety Health Care Determinants (10%) Examples: - Quality, affordability, and availability of services - Lack of insurance coverage - Limited language access Environmental 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 disabilities What are health disparities? "Health disparity" refers to a higher burden of illness, injury, disability, or mortality experienced by one population group relative to another group. Health disparities can involve the medical care differences between groups in health insurance coverage, access to care, and quality of care. While disparities are commonly viewed through the lens of race and ethnicity, they occur across many dimensions, including socioeconomic status, age, location, gender, and disability status. Poor health status is often linked with people without health insurance, those who have poor access of care (i.e., limited transportation), lower socioeconomic status, lower education obtainment, and those among racial minority groups. Beyond the provision of health care services, eliminating health disparities will necessitate behavioral, environmental, and social-level approaches to address issues such as insufficient education, inadequate housing, exposure to violence, and limited opportunities to earn a livable wage. Health disparities have persisted across the nation and have been documented for many decades and, despite overall improvements in population health over time, many disparities have persisted and, in some cases, widened. Moreover, economic downturns contributed to a further widening of disparities. The Community Health Needs Assessment attempts to identify and quantify the health disparities within a defined county population that are at disproportionately higher in incidence of disease, disability, or at risk of experiencing worse health outcomes. Within these identified disparities and availability of health resources, gaps can be identified and prioritized based on need so that health resources can be targeted. Planning initiatives to address community health needs take in consideration the existing initiatives, the available resources that we are aware of, and where future improvements can be anticipated to make meaningful impact on improving community health. 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,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 screen SCH H, PART V, SECTION B, LINE 4 MCLEOD LORIS AND MCLEOD SEACOAST HOSPITAL WERE BOTH COVERED BY MCLEOD HEALTH'S HORRY COUNTY CHNA SCH H PART V, SECTION B, LINE 11 THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME. 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 PAYOR, AND OTHERS FOR THE SPECIFIC SERVICES AND SUPPLIES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENT WITH THIRD 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 OF RECOVERIES). SCH H, PART III, LINE 8 THE ORGANIZATION FEELS THAT THE TOTAL SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE HOSPITAL IMPROVES ACCESS TO PATIENT CARE BY PROVIDING SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY OR THE HOSPITAL'S ABILITY TO RECEIVE FULL COST REIMBURSEMENT FOR SERVICES. THE HOSPITAL ALSO RELIEVES THE GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES CARE TO PUBLICLY-INSURED PATIENTS WHERE REIMBURSEMENT IS LESS THAN THE COST OF PROVIDING THE SERVICE. 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 ACCOUNT GENERALLY TRANSFERS TO BAD DEBT FOR FURTHER COLLECTION ACTION. SCH H, PART VI, LINE 2 In addition to the CHNA described above for McLeod Loris Seacoast Hospital. The hospital has a community board that consists of local physicians and other influential community leaders. This board meets monthly (alternating between in-person and virtual meetings) and the leaders provide input from various parts of the community to assist the coastal region in assessing the health care 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 HEALTHCARE 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 LORIS SEACOAST HOSPITAL (MLSH), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD MEDICAL CENTER-DILLON, MCLEOD HEALTH CLARENDON, MCLEOD HEALTH CHERAW, AND MCLEOD PHYSICIAN ASSOCIATES II CONSIDERS ITS PRIMARY SERVICE 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. MLSH HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTY OF HORRY. SCH H, PART VI, LINE 5 Community Benefit Report: McLeod Loris Seacoast Hospital primarily serves northern Horry County and the bordering North Carolina geographies. The population of Horry County is approximately 374,000. Horry 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 has lagged both the US and South Carolina averages, and the percentage of its population living below the poverty level is much higher than the national average. In Horry County, the number of uninsured has reached 26%. McLeod Loris Seacoast Hospital is one hospital with three campuses within Horry County. The medical staff consists of more than 200 active and affiliate physicians serving these communities. Short summaries of the three campuses in Horry County follow: McLeod Health Loris: Founded in 1950, McLeod Health Loris is a fully-accredited acute care facility with 50 licensed beds. It offers a wide range of inpatient and outpatient services. McLeod Health Loris has been a vital part of Loris for more than 70 years. As healthcare needs have changed, Mcleod Health Loris has changed to offer new services and technology for its patients. Our team consists of compassionate professionals dedicated to providing quality care and services. McLeod Health Loris specializes in general surgery, dialysis access, women's services, urological surgery, and physical/occupational/speech therapies. The 24/7 Emergency Department, medical/surgical inpatient beds, intensive care unit (ICU), and advanced diagnostic imaging provides surrounding communities with access to hospital care that services an important community benefit. In January 2020, McLeod Health Loris provided another key health care service to the community: a dialysis access center for patients in need of medical repair of their access area where they receive their dialysis treatments. Dialysis is life-sustaining medical treatment for so many who suffer from kidney disease. This treatment aids in preventing delays for dialysis treatment because of medical complications associated with access. McLeod Health Seacoast: McLeod Health Seacoast, located in Little River, SC in the North Myrtle Beach area. McLeod Health Seacoast opened as an outpatient facility in October 2000. In July 2011, McLeod Health Seacoast underwent its first major expansion and added 50 hospital beds. Today, McLeod Health Seacoast offers a wide range of high-quality services, including general, vascular, and orthopedic surgery, cardiology, and cancer care. In 2016, Seacoast expanded its emergency department as part of the first phase in an overall construction plan that included a new inpatient tower and operating rooms. The second phase of construction, completed in March 2017, included a new fast track area to treat less complex emergency cases. In March 2016, McLeod Health opened the first building on the new McLeod Health Carolina Forest campus. This campus is designed to provide comprehensive outpatient services in the heart of Myrtle Beach and Carolina Forest communities. Four primary care physicians as well as a urology practice are in building one. In November 2017, the second building was opened on the McLeod Health Carolina Forest campus. This building is home to McLeod Cardiology Associates Carolina Forest as well as a shared medical specialists suite that allows for regular rotations from our area medical specialists. Plans for outpatient imaging in that building are currently underway. In September 2018, McLeod Health Seacoast opened its new patient tower following the completion of a $110 million dollar expansion that more than doubled its patient capacity. The patient tower added 55 beds bringing total capacity to 105 beds. In addition to the increased patient rooms, the expansion includes six new operating rooms increased total operating room capacity to 10 rooms providing the community with more access to surgical care for emergent and elective surgeries. McLeod Health Seacoast completed construction on its new diagnostic cardiac catheterization and electrophysiology labs in June 2019. These labs were added to meet the cardiac needs of the growing community that McLeod Health Seacoast serves. McLeod Health Carolina Forest In March 2016, McLeod Health started the 43-acre Carolina Forest campus. This campus was designed to provide comprehensive outpatient services in the heart of Myrtle Beach to the Carolina Forest community, one of the fastest growing areas in Horry County. Currently, the campus houses two medical office buildings providing primary care services along with several medical and surgical specialists to support the growing medical needs of this community. Access to outpatient physician care is key to improving the health status of the community. In addition to physician medical practices, in October 2019, McLeod Health opened a 13,000 square foot provider-based emergency department. X-ray, CT, and lab services support the emergency department but also are available on an outpatient basis for patients. In addition, an outpatient rehabilitation department provides physical, speech, pediatric, and occupational health services. This campus continues to expand to meet the needs of the community with a third building currently under construction. 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; -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 OUTPATIENT 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: MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015. McLeod Health Clarendon McLeod Health Clarendon joined McLeod Health in July 2016 and is an 81 bed community hospital located in Manning, SC. MCLEOD PHYSICIAN ASSOCIATES II (MPA II): 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 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 BOARDTHE "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 62% 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 Sch H Part I Line 3C N/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES. FORM SCH H PART I LINE 6A COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD LORIS SEACOAST HOSPITAL) IS FILED ANNUALLY WITH SOUTH CAROLINA HOSPITAL ASSOCIATION. HIGHLIGHTS ARE PUBLISHED IN MCLEOD MAGAZINE WHICH IS A PUBLICATION THAT IS DISTRIBUTED FREE TO THE PUBLIC. ENTIRE REPORT IS AVAILABLE TO ANYONE UPON REQUEST. SCH H, PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC X X X X X X false true false false false false false true false S FULTON ERVIN III CFO OF RELATED ORG 0 584204 0 108806 0 12662 0 78688 0 26651 0 811011 0 0 CHRISTOPHER PO MD STAFF PHYSICIAN 535259 0 5000 0 6224 0 0 0 24911 0 571394 0 0 0 EDWARD BOTSE-BAIDOO MD STAFF PHYSICIAN 504135 0 5000 0 2350 0 17049 0 25940 0 554474 0 0 0 MONICA VEHIGE ADMINISTRATOR 281420 0 54399 0 4563 0 44141 0 28023 0 412546 0 0 0 SHERRILL NIELSON VP NURSING/CNO 0 154350 0 21879 0 3419 0 23591 0 19948 0 223187 0 0 DONNA C ISGETT COO REL ORG 0 527697 0 90799 0 9123 0 72308 0 32033 0 731960 0 0 AMIT V PANDE MD TRUSTEE 0 753055 0 0 0 2917 0 0 0 29999 0 785971 0 0 Kyaw Hein MD STAFF PHYSICIAN 407982 0 5000 0 2613 0 14766 0 38293 0 468654 0 0 0 Kenneth D Beasley Sr VP/Related Entity 0 281758 0 29296 0 5715 0 41434 0 21807 0 380010 0 0 Joseph R Szulewski MD Staff Physician 453613 0 0 0 731 0 15276 0 20734 0 490354 0 0 0 Ross Taylor MD VP of Medical Affairs 426910 0 0 0 6941 0 17882 0 23809 0 475542 0 0 0 DAVID S BJERKEN MD STAFF PHYSICIAN/RELATED ENTITY 0 420225 0 0 0 2396 0 0 0 11804 0 434425 0 0 Schedule J, 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. Schedule J, 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. Schedule J, Part I, Line 7 THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. A SOUTH CAROLINA JOBS-ECONOMIC DEVELPMENT AUTHORITY 570960018 83703fku5 2018-06-28 69674026 SEE PART VI false false false A 1099800 0 69674026 0 0 0 685501 0 0 0 68988525 0 2018 true false true true A false false true true false 0 false false false true A false true false false false false 0 false 0 true A true SCHEDULE K, PART I, LINE A BOND A DESCRIPTION OF PURPOSE: TO REFUND OLD HUD LOAN ORIGINALLY ISSUED ON 12/16/2008. PALMETTO PATHOLOGY PA BOARD MEMBER 208000 INDEPENDENT CONTRACTOR false RELATIONSHIP (B) BOARD MEMBER IS AN OWNER IN COMPANY. (D) ARM'S LENGTH INDEPENDENT CONTRACTOR FOR ROUTINE MEDICAL SERVICES AT HOSPITAL. BOARD MEMBER IS AN OWNER. Form 990 Part VI Line 6 MCLEOD LORIS SEACOAST HOSPITAL HAS A SOLE MEMBER WHICH IS MCLEOD HEALTH. Form 990 Part VI Line 7a THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD LORIS SEACOAST HOSPITAL'S BOARD. Form 990 Part VI Line 7b THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD LORIS SEACOAST HOSPITAL'S BOARD. Form 990 Part VI 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 16, 2021. Form 990 Part VI Line 12c MCLEOD LORIS SEACOAST HOSPITAL AND MCLEOD HEALTH (SOLE MEMBER) REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE 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. Form 990 Part VI Line 15b IN DETERMINING COMPENSATION OF MCLEOD HEALTH'S (SOLE MEMBER'S) OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE GOVERNANCE COMMITTEE REVIEWED AND APPROVED THE CEO'S COMPENSATION. IN THE REVIEW OF COMPENSATION, THE CEO, OTHER OFFICERS, AND OTHER KEY EMPLOYEES, WAS COMPARED TO OTHER SIMILARLY SITUATED ORGANIZATIONS AND POSITIONS. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED. Form 990 Part VI 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. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONSULTING FEES TOTAL FEES:25095863 MCLEOD HEALTH FOUNDATION 555 EAST CHEVES STREET FLORENCE SC 29506 570818672 RAISE MONEY SC 501(C)(3) 12A MCLEOD HLTH false MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE SC 29506 510473500 HEALTHCARE SC 501(C)(3) 12C NA false MCLEOD MEDICAL CENTER - DILLON 555 EAST CHEVES STREET FLORENCE SC 29506 510473471 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD PHYSICIAN ASSOCIATES II 555 EAST CHEVES STREET FLORENCE SC 29506 202935692 PHYSICIAN SVC SC 501(C)(3) 10 MCLEOD HLTH false MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 473712858 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD REG MED CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE SC 29506 570370242 HEALTHCARE SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD HEALTH CLARENDON 555 EAST CHEVES STREET FLORENCE SC 29506 812772554 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false ADVANCED OUTPATIENT SERVICES 555 EAST CHEVES STREET FLORENCE SC 29506 815006949 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD MEDICAL PARTNERS LLC 500 N HURSTBOURNE PKWY LOUISVILLE KY 40222 570812002 RENTAL SC NA N/A 0 0 0 MCLEOD PHYSICIAN ASSOCIATES INC 555 East Cheves Street Florence SC 29506 582279897 PHYS SERVICES SC NA C CORP 0 0 false false false true false false false false false false true false false true false false false false false false MCLEOD HEALTH FOUNDATION C 472537 CASH MCLEOD PHYSICIAN ASSOCIATES II M 845884 ACTUAL COST MCLEOD HEALTH M 16263158 ACTUAL COST MCLEOD PHYSICIAN ASSOCIATES II J 67797 FAIR MARKET