2021-08-11T15:27:56-05:00 2020-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2019-10-01 570370242 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC % 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 1056348603 false X www.mcleodhealth.org X 1906 SC ACUTE CARE HOSPITAL 10 0 5421 237 0 -25563 4266504 36981141 734216919 723426292 25678105 17185857 19950666 18977988 784112194 796571278 150000 7500 0 0 303045377 303901933 0 0 0 389529977 409956338 692725354 713865771 91386840 82705507 2078619232 2090467381 411873361 503273982 1666745871 1587193399 ORGANIZATION IS PART OF THE MCLEOD HEATH 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. false false 672280117 7500 723426292 SEE COMMUNITY BENEFIT REPORT ON SCHEDULE H. 672280117 true true false false false false false false false false true true false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true false true false true 398 0 true 5421 true false false false false false false false false false false false false false X 10 0 false false false false true true true true true false false true true true true true true true true true true X MARK W CAMERON 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 Robert L Colones President/CEO OF REL ORG 5.0 35.0 X 0 1248620 499280 Carmen M Piccolo IIIDO Staff Physician 40.0 0.0 X 0 809295 37327 Rajesh Bajaj MD Staff Physician 39.0 1.0 X 781453 0 41215 S FULTON ERVIN III CFO OF RELATED ORG 5.0 35.0 X X 0 705672 105339 JAMES SMITH MD STAFF PHYSICIAN 39.0 1.0 X 715097 0 40170 DONNA C ISGETT COO REL ORG 5.0 35.0 X X 0 627619 104341 MICHAEL R ROSE MD CHAIRMAN/ SR VP 1.0 39.0 X X 0 560824 85900 ERIK DEHLINGER MD STAFF PHYSICIAN 40.0 0.0 X 620687 0 16795 VINOD K JONA MD CHIEF OF STAFF REL ORG 1.0 39.0 X 0 601880 31835 JEREMY C ROBERTSON MD Staff Physician 40.0 0.0 X 565796 0 38955 MARWAN K ELYA MD Staff Physician 40.0 0.0 X 554816 0 38468 Sreenivas V Rao MD Staff Physician 40.0 0.0 X 570430 0 19419 D Parker Lilly MD Chief of Staff REL ORG 40.0 0.0 X 486056 0 38070 Joseph K Wangeh MD CHIEF OF STAFF REL ORG 1.0 39.0 X 0 357352 39056 John W McLeod SR. VICE PRESIDENT 40.0 0.0 X 264435 0 61269 TONY M DERRICK CHIEF OF NURSING MRMC 40.0 0.0 X 219241 0 49685 4778011 4911262 1247124 356 false true false BALFOUR BEATTY CONSTRUCTION LLC 1930 CAMDEN ROAD CHARLOTTE NC 28203 CONSTRUCTION SVCS 38122224 DESIGN STRATEGIES LLC 130 S MAIN ST GREENVILLE SC 29601 ARCHITECTURAL SVCS 3874151 QUALIVIS LLC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 STAFFING SVCS 2931379 MEDSYS GROUP DBAGENESYS ASSOC LLC 5466 LEGACY DR SUITE 550 PLANO TX 75024 MEDICAL SVCS 2729023 PEDIATRIX MEDICAL GROUP PO BOX 281034 ATLANTA GA 303841034 MEDICAL SVCS 2390945 68 5156526 31809597 15018 36981141 PATIENT SERVICES 624100 712549168 712549168 ALL OTHER PROGRAM SERVICE REVENUE 900099 10877124 10877124 723426292 11231023 11231023 0 0 8878191 14564051 -5685860 0 -5685860 -5685860 251160464 7644 244916392 296882 6244072 -289238 5954834 5954834 0 0 0 0 0 0 0 0 0 PHARMACY REVENUE 446110 19301700 19301700 NUTRITIONAL SERVICES 722320 2083627 2083627 GIFT SHOP 453220 727542 727542 2550979 2550979 24663848 796571278 723426292 36163845 7500 7500 0 0 0 1173691 1104758 68933 0 243956269 229628249 14328020 0 58771973 57197429 1574544 0 0 681295 32325 648970 47300 47300 0 0 0 34913529 28369169 6544360 1215403 485159 730244 172934022 171408606 1525416 1585445 1233033 352412 0 8870773 8870773 598914 567156 31758 0 271068 261258 9810 8520446 8520446 0 44010316 44010316 4310578 4284591 25987 INTERCOMPANY MANAGEMENT FEES 70855402 70855402 LICENSES AND TAXES 13264359 408180 12856179 MPA SUPPORT 6203695 6203695 PHYSICIAN FEES 20982013 20976513 5500 20691780 17808259 2883521 0 713865771 672280117 41585654 0 0 0 23583715 185918297 0 0 99242232 102248903 0 0 0 0 0 0 6849785 8869584 6604842 7179890 1181803049 600097143 538965198 581705906 0 0 1034910626 1068440143 0 0 0 0 368462834 136104658 2078619232 2090467381 98548202 109174387 0 0 123580 6154314 289759756 282489787 0 0 0 0 0 0 0 0 23441823 105455494 411873361 503273982 X 1666745871 1587193399 0 0 1666745871 1587193399 2078619232 2090467381 X 82705507 29561434 -191819413 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 73425023 73425023 694889827 407712003 287177824 6714784 3784668 2930116 305514495 188600472 116914023 101258920 101258920 581705906 LARGE CAP 144178626 SMALL & MID CAP 89510701 INTERNATIONAL 180250889 GLOBAL EQUITY 145492622 FIXED INCOME 267670585 GLOBAL MACRO 161312039 OTHER MANAGED FUNDS 80024681 1068440143 OTHER RECEIVABLES 4591478 DUE FROM AFFILIATED ENTITIES 105349000 GOODWILL 3261544 OTHER ASSETS 11566000 INVESTMENTS IN SUBSIDIARIES 11336636 136104658 0 CURRENT PORTION LONG TERM DEBT 7358075 DUE TO THIRD PARTY PAYORS 98097419 105455494 X 840986001 29561434 14853289 44414723 796571278 796571278 728719060 14853289 14853289 713865771 713865771 PART XI, LINE 2d AND PART XII, LINE 2D: RENT EXPENSE RECLASSIFIED TO REVENUE $14,853,289 LOSS (GAIN) ON SALE OF PROPERTY RECLASSIFIED TO REVENUE $289,238 SCHEDULE D, 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. true true X true X true X true true false true true 55671023 14575620 41095403 0.05760 118233721 90578384 27655337 0.03870 173904744 105154004 68750740 0.09630 1699956 1699956 0.00240 6047993 3716921 2331072 0.00330 284686 40312 244374 0.00030 1907923 329821 1578102 0.00220 551633 551633 0.00080 10492191 4087054 6405137 0.00900 184396935 109241058 75155877 0.10530 25047 25047 80000 80000 0.00010 150000 150000 0.00020 255047 255047 0.00030 true 29376839 1944251 209066671 218446997 -9380326 X true true 3 1 MCLEOD REGIONAL MEDICAL CENTER 555 EAST CHEVES STREET FLORENCE SC 29502 www.mcleodhealth.org SC HTL-0384 X X X X X X A 2 MCLEOD MEDICAL CENTER DARLINGTON 701 CASHUA FERRY ROAD DARLINGTON SC 29532 www.mcleodhealth.org SC HTL-0631 X X A 3 MCLEOD BEHAVIORAL HEALTH 701 CASHUA FERRY ROAD DARLINGTON SC 29532 www.mcleodhealth.org SC HTL-0631 X A A 3 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 PART V, SECTION B, LINE 3: MCLEOD REGIONAL MEDICAL CENTER: For the 2019 Florence 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 - Access to Primary Care Providers and Services - Heart Disease/Stroke - Diabetes - Drug Abuse Source: McLeod Health 2019 Survey Top Health Concerns Reported Among Health Professionals Most frequent health concerns: - Cancer - Diabetes - Heart Disease/Stroke - Addressing Mental Health Services - Access to Primary Care Providers - Obesity Source: McLeod Health 2019 Survey Primary Diagnosis Admitted to Emergency Department Most frequent health needs presenting to McLeod Regional Medical Center Emergency Department October 2017 September 2018: - Abdominal Pain - Chest Pain - Acute Upper Respiratory Infection - Urinary Tract Infection - Headache - Injury of Head - Influenza - Hypertension - Acute Bronchitis Source: McLeod Health Clinical Outcomes Primary Inpatient Diagnosis Most frequent health needs presenting to McLeod Regional Medical Center October 2017 September 2018: - Obstetrical Care, Labor and Delivery, Vaginal and Cesarean Section - Sepsis - Acute Kidney Failure - Non-ST-Elevation Myocardial Infarction - Hypertension with Heart Failure - Pneumonia - Hypertension with Heart Disease and Heart Failure - Paroxysmal Atrial Fibrillation Source: McLeod Health Clinical Outcomes Opportunities & Plan Priorities McLeod Regional Medical Center has developed an action plan that collaborates with community partners to provide community health initiatives that are focused on areas listed below and further described within the Implementation Plan that utilizes evidence-based practices for addressing: - Access to Health Care Services for Vulnerable Populations - Heart Disease and Stroke - Diabetes - Cancer - Oral Health Overview This Community Health Needs Assessment serves as a tool to evaluate the overall health status, behaviors and needs of Florence 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 screenings, immunizations, PART V, SECTION B, LINE 4: MCLEOD MEDICAL CENTER DARLINGTON & MCLEOD BEHAVIORAL HEALTH HOSPITALS ARE BOTH IN DARLINGTON, SC SO WERE BOTH COVERED BY THAT DARLINGTON CHNA. PART V, SECTION B, LINE 11: THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME. MCLEOD REGIONAL MEDICAL CENTER: NEEDS IDENTIFIED AS SHOWN IN THE LINE 3 EXPLANATION ARE BEING ADDRESSED BUT THE TWO TOP WAYS IDENTIFIED TO IMPROVE HEALTH IN THE COMMUNITY, HEALTHY LIFESTYLE AND EXERCISE, ARE NOT SHORT-TERM ISSUES TO SOLVE. MCLEOD MEDICAL CENTER DARLINGTON: NEEDS IDENTIFIED AS SHOWN IN THE LINE 3 EXPLANATION ARE BEING ADDRESSED BUT THE TWO TOP WAYS IDENTIFIED TO IMPROVE HEALTH IN THE COMMUNITY, HEALTHY LIFESTYLE AND EXERCISE, ARE NOT SHORT-TERM ISSUES TO SOLVE. MCLEOD BEHAVIORAL HEALTH: NEEDS IDENTIFIED AS SHOWN IN THE LINE 3 EXPLANATION ARE BEING ADDRESSED BUT THE TWO TOP WAYS IDENTIFIED TO IMPROVE HEALTH IN THE COMMUNITY, HEALTHY LIFESTYLE AND EXERCISE, ARE NOT SHORT-TERM ISSUES TO SOLVE. PART I, LINE 6A THE COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., OR "MRMC") IS FILED ANNUALLY WITH THE SC HOSPITAL ASSOCIATION. THE REPORT IS AVAILABLE TO ANYONE UPON REQUEST. PART I, LINE 7G THESE SUBSIDIZED SERVICES COME FROM THE OPERATION OF A CANCER CLINIC. 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 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). PART III, LINE 8 THE ORGANIZATION FEELS THE TOTAL SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS COMMUNITY BENEFIT. THE HOSPITAL IMPROVES ACCESS TO PATIENT CARE BY PROVIDING SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY OR THE HOSPITAL'S ABILITY TO RECEIVE FULL COST REIMBURSEMENT FOR SERVICES. THE HOSPITAL ALSO RELIEVES THE GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES CARE TO PUBLICLY-INSURED PATIENTS WHERE REIMBURSEMENT IS LESS THAN COST OF PROVIDING THE SERVICE. PART III, LINE 9B MCLEOD'S CHARITY POLICY OUTLINES THE CRITERIA USED TO DETERMINE PATIENTS WHO QUALIFY FOR CHARITY. WHEN PATIENTS HAVE FURNISHED THE REQUIRED INFORMATION, IT IS REVIEWED AND A DETERMINATION IS MADE. IF APPROVED FOR CHARITY CARE, THEIR ACCOUNT BALANCES ARE ADJUSTED BASED ON THE PERCENTAGE THEY QUALIFY FOR USING A CHARITY ADJUSTMENT CODE. IF ALL 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. PART VI, LINE 2 IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (OR MRMC) MRMC HAS A COMMUNITY BOARD THAT CONSISTS OF LOCAL PHYSICIANS AND OTHER INFLUENTIAL COMMUNITY LEADERS. THIS BOARD MEETS SEMI-MONTHLY AND THE LEADERS PROVIDE INPUT FROM VARIOUS PARTS OF THE COMMUNITY TO ASSIST MRMC IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY. ADDITIONALLY, MRMC IS ACTIVELY INVOLVED IN AGENCIES LIKE UNITED WAY, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, CHILDREN'S MIRACLE NETWORK TO FURTHER STAY ON THE PULSE OF THE HEALTH NEEDS OF THE COMMUNITY. PART VI, LINE 3 UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR 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. PART VI, LINE 4 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. {MRMC), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD MEDICAL CENTER-DILLON, MCLEOD LORIS SEACOAST HOSPITAL, MCLEOD HEALTH CHERAW, MCLEOD HEALTH CLARENDON, AND MCLEOD PHYSICIAN ASSOCIATES II CONSIDERS ITS PRIMARY SERVICE AREA (PSA) AS THE SOUTH CAROLINA COUNTIES OF FLORENCE, DARLINGTON, CHESTERFIELD, DILLON, HORRY, CLARENDON, 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. MRMC HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTIES OF FLORENCE AND DARLINGTON. PART VI, LINE 5 MRMC IS THE FLAGSHIP HOSPITAL OF MCLEOD HEALTH. Recognized nationally for its quality and safety initiatives, McLeod Health has a leading regional presence in Northeastern South Carolina and Southeastern North Carolina and a dedication to the health of the more than one million residents of those communities it serves from the midlands to the coast. Constantly seeking to improve its patient care with efforts that are physician-led, data-driven and evidence-based, McLeod Regional Medical Center was most recently honored as 5-Star rated for Cranial Neurosurgery and Stroke Treatment outcomes for 2021, according to new research released by Healthgrades, the leading resource that connects consumers, physicians and health systems. McLeod is also the recipient of 5-Star in Treatment of Stroke for nine consecutive years (2013 - 2021). Service Area The primary service area has been defined as these eight South Carolina counties: Chesterfield, Clarendon, Darlington, Dillon, Florence, Horry, Marion, and Marlboro The secondary service area includes the following counties: Georgetown, Lee, Sumter and Williamsburg in South Carolina and Anson, Brunswick, Columbus, Richmond, Robeson and Scotland in North Carolina About McLeod Health Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of approximately 750 members on its medical staff and more than 2,700 licensed nurses (Registered Nurses; Advanced Practice Nurses - including Certified Nurse Anesthetists, Nurse Practitioners and Certified Nurse Midwives; as well as Licensed Practical Nurses). McLeod Health is also composed of approximately 8,900 employees and more than 75 physician practices throughout its 18 county service area. With six hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, and McLeod Health Clarendon. Mission Statement 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. Values The Core Values of McLeod Health, The Value of Caring, The Value of Quality, The Value of Integrity, The Value of the Person, are reflected in McLeod's day to day operations. Governance The McLeod Health Board of Trustees is a self-perpetuating, governing board that includes professional members and physicians. The board is composed of representation from those counties within our primary service area. Board members serve five-year terms and are eligible to serve three consecutive five-year terms. The McLeod Health Community Board is an advisory board selected by the McLeod Health Board. More than 50% of the board members are physicians. Board members serve three-year terms. Organizational Characteristics Teaching Hospital and Residency Program Yes Heart and Vascular Institute Yes Stroke Unit (only one in region) Yes Comprehensive Cancer Services Yes Children's Hospital Yes Pediatric Intensive Care Yes Neonatal Intensive Care Yes Emergency and Trauma Services Yes Trauma Surgical Intensive Care Yes Orthopedics Program Yes Hospice and Home Health Care Yes Medicaid Disproportionate Share Hospital: Yes Medicare Disproportionate Share Hospital: Yes Perinatal Designation: Regional Perinatal Center Trauma Designation: Level II Quality Improvement McLeod Health has been recognized numerous times for its outstanding work in quality care, best practices and clinical outcomes as well as its physicians' dedication to quality improvement. The efforts to improve quality and patient safety are physician led, data-driven and evidence-based. Because of this commitment by strong, active physician and staff participation, McLeod has received national recognition for quality including the 2010 American Hospital Association-McKesson Quest for Quality Prize. Awarded annually to one hospital in the country, McLeod was the first hospital in South Carolina to receive this prestigious honor since the inception of the national Quest for Quality Prize in 2002. Most recently, McLeod Regional Medical Center was honored as 5-Star rated for Cranial Neurosurgery and Stroke Treatment outcomes for 2021, according to new research released by Healthgrades, the leading resource that connects consumers, physicians and health systems. McLeod is also the recipient of 5-Star in Treatment of Stroke for nine consecutive years (2013 - 2021). In the fall of 2020, Mcleod Health was honored with 38 South Carolina "Certified Zero Harm Awards" from the South Carolina Hospital Association (SCHA) in recognition of the hospital system's excellent work in preventing hospital-acquired infections. The following McLeod Health hospitals were recognized with Zero Harm Awards: McLeod Health Cheraw, McLeod Health Clarendon, McLeod Health Darlington, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast and McLeod Regional Medical Center. To earn a Certified Zero Harm Award, hospitals must experience no preventable hospital-acquired infections of a specific nature over an extended period of time. McLeod Regional Medical Center Specialty Services The diverse array of services offered allows McLeod to meet the unique healthcare needs of the region from an accredited Cancer Center and Stereotactic Radiosurgery program to three dedicated open heart surgery suites and two vascular hybrid ORs within the Heart & Vascular Institute as well as a dedicated Neuro-interventional Biplane X-ray Suite for thrombectomy procedures and endovascular coiling.. All of these are added to the hospital's Centers of Excellence in Surgery, Neurosurgery, Trauma, Orthopedics and Women's Services in addition to the Diabetes Center, Rehabilitation and Sports Medicine Services, and the Center for Advanced Surgery, which all deliver an unmatched level of care and experience to people in the region. One of only five state-designated regional perinatal centers, McLeod Regional Medical Center also offers the region's only Children's Hospital which includes a 48-bed Neonatal Intensive Care Unit and six-bed Pediatric Intensive Care Unit. A teaching facility since 1980, McLeod supports a three-year Family Medicine Residency Program and Family Medicine Rural Residency Program, a one-year Pharmacy Practice Residency Program, a one-year Nurse Residency Program and the McLeod School of Medical Technology. In addition, the McLeod Hospice House, a 24-bed inpatient facility, is located on the campus. The McLeod Health and Fitness Center in Florence is the region's largest and only medically-based health and wellness center. In addition, the team of McLeod Sports Medicine therapists, trainers and physicians meet the needs of a very active region. McLeod Outpatient Rehabilitation and Sports Medicine Services is also located on the McLeod Wellness Campus adjacent to the McLeod Health and Fitness Center. This facility houses the adult outpatient therapy services of physical therapy, occupational therapy, speech therapy, work recovery, sports medicine and the Occupational Therapy Hand Center. As McLeod continues to serve the region as the choice for medical excellence, preserving those high standards means continually expanding both services and facilities to meet the healthcare needs of its patients. For critically ill patients, the Center for Intensive Care on the campus of McLeod Regional Medical Center opened in 2013 for the convenience of patients and staff. The center includes 100 critical care beds and 20 step-down beds. Improvements to its facilities on the campus of McLeod Regional Medical Center include consolidation of specialized services and expansions to better serve patients and guests. In the area of Oncology, the Center for Cancer Treatment and Research opened at the end of 2013. Dedicated to the physical and emotional needs of cancer patients and their families, the Cancer Center is a beacon of hope and healing for the communities McLeod serves. As one of the most patient-centered environments, the Center has been designed to offer the highest quality, individualized care with convenient access to all cancer services and care. The McLeod Center for Cancer Treatment & Research offers natural light, a cascading water wall, garden views, and relaxing furnishings to inspire, soothe and comfort patients and family members. Patients can also easily manage their physician appointments and infusion or radiation treatments all in one location. In addition, they can participate in cancer research and meet with an oncology navigator or social worker without ever leaving the Cancer Center. In 2018, the Cancer Center installed its third TrueBeam linear accelerator capable of performing an advanced form of radiation therapy to treat lung and li PART VI, LINE 5 CONTINUED In 2017, the health system began offering McLeod TeleHealth, a service that enables patients to connect through live video with a doctor anytime from anywhere in the Carolinas using a computer, smart phone or tablet. McLeod TeleHealth is the only hospital-affiliated telehealth service in the region that enables patients to directly communicate with doctors online, making health care access faster, easier, and more affordable. Patients can access a board-certified physician for minor illnesses or recurring conditions like cough, cold, ear infections, bronchitis, rashes, or the flu. Doctors are available 24 hours a day, seven days a week and no appointment is necessary. Sign-up is free at McLeodTeleHealth.org. A free mobile app is also available for download. In August of 2019, McLeod Health announced a partnership with Florence 1 Schools and The King's Academy (TKA) to offer the School-Based Telehealth Program. The hospital system recently expanded the program to Florence County School District Two - Hannah-Pamplico Elementary/Middle School and Hannah-Pamplico High School. SBTP offers an option for non-emergency medical care through McLeod TeleHealth visits with a McLeod Provider. McLeod provided each of the participating schools with telehealth equipment including a computer, monitor, camera and other devices such as a remote stethoscope and otoscope. McLeod Providers working with the School-Based Telehealth Program include Dr. Focell Jackson-Dozier; Lisa Wallace, NP; Allison Slice, FNP; and Brandi Powell Russ, NP. 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 66-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 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 joined McLeod Health in June 2015 and is a 59 bed community hospital located in Cheraw, SC. 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 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 BOARDTHE "BOARD"). CURRENTLY, THERE ARE 25 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 60% 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. PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC true SCNF Palmetto Gold 1301 GERVAIS ST STE 802 COLUMBIA SC 29201 570772080 501(C)(3) 7500 CASH NURSING SCHOLARSHIPS 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANTS THE GRANTS ARE MADE TO GOVERNMENTAL OR CHARITABLE ORGANIZATIONS FOR USE IN THEIR CHARITABLE ACTIVITIES. ACCORDINGLY, MCLEOD HEALTH EXPECTS THE ORGANIZATION TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT MONITOR THESE GRANTS. X X X X X X false true false false false false false true false ERIK DEHLINGER MD STAFF PHYSICIAN 616831 0 0 0 3856 0 0 0 16795 0 637482 0 0 0 JEREMY C ROBERTSON MD Staff Physician 499477 0 62569 0 3750 0 0 0 38955 0 604751 0 0 0 MICHAEL R ROSE MD CHAIRMAN/ SR VP 0 468788 0 88070 0 3966 0 65878 0 20022 0 646724 0 0 JAMES SMITH MD STAFF PHYSICIAN 712747 0 0 0 2350 0 0 0 40170 0 755267 0 0 0 John W McLeod SR. VICE PRESIDENT 236261 0 25500 0 2674 0 35401 0 25868 0 325704 0 0 0 MARWAN K ELYA MD Staff Physician 523036 0 30000 0 1780 0 0 0 38468 0 593284 0 0 0 DONNA C ISGETT COO REL ORG 0 527697 0 90799 0 9123 0 72308 0 32033 0 731960 0 0 TONY M DERRICK CHIEF OF NURSING MRMC 188459 0 27614 0 3168 0 29817 0 19868 0 268926 0 0 0 S FULTON ERVIN III CFO OF RELATED ORG 0 584204 0 108806 0 12662 0 78688 0 26651 0 811011 0 0 VINOD K JONA MD CHIEF OF STAFF REL ORG 0 598618 0 0 0 3262 0 0 0 31835 0 633715 0 0 Rajesh Bajaj MD Staff Physician 775678 0 0 0 5775 0 0 0 41215 0 822668 0 0 0 D Parker Lilly MD Chief of Staff REL ORG 396198 0 86679 0 3179 0 0 0 38070 0 524126 0 0 0 Robert L Colones President/CEO OF REL ORG 0 1070180 0 166093 0 12347 0 451800 0 47480 0 1747900 0 0 Carmen M Piccolo IIIDO Staff Physician 0 808374 0 0 0 921 0 0 0 37327 0 846622 0 0 Joseph K Wangeh MD CHIEF OF STAFF REL ORG 0 282390 0 72000 0 2962 0 0 0 39056 0 396408 0 0 Sreenivas V Rao MD Staff Physician 566302 0 0 0 4128 0 0 0 19419 0 589849 0 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 FLORENCE COUNTY SOUTH CAROLINA 576000351 340122JN1 2010-08-05 170200565 SEE PART VI false false false B FLORENCE COUNTY SOUTH CAROLINA 576000351 340122LC2 2014-08-07 70222080 SEE PART VI false false false C SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY 570960018 83703FKU5 2018-06-28 91030737 SEE PART VI false false false D FLORENCE COUNTY SOUTH CAROLINA 576000351 FOREIGNUS 2020-08-06 86970000 SEE PART VI false false false A 118000000 0 170300986 0 3239045 0 2092445 0 0 100009563 64859512 0 2013 true false true true B 1665000 0 70222080 0 0 0 953271 0 0 0 69268809 0 2014 true false true true C 3730200 0 94347213 0 8853433 0 1030737 0 0 79422563 0 5524953 2021 true false true true D 0 0 86970000 0 0 0 27604 0 0 0 86942396 0 2020 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true D false false true true false 0 false false false true A false false false true true false 0 false 0 false true B false false false true false false 0 false 0 false true C false true false false false false 0 true TORONTO-DOMINION 2.5 true false true D false true false false false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, LINE A Bond A DESCRIPTION OF PURPOSE: TO CONSTRUCT AND EQUIP PORTIONS OF THE HOSPITAL, AND TO REFUND 2004 BONDS ISSUED ON APRIL 12, 2004. Schedule K, Part I, Line B Bond B Description of Purpose: To Refund 2004 bonds issued on April 22, 2004. SCHEDULE K, PART I, LINE C Bond C DESCRIPTION OF PURPOSE: TO CONSTRUCT NEW EMERGENCY DEPARTMENT IN FLORENCE, SC HOSPITAL SCHEDULE K, PART I, LINE D Bond D DESCRIPTION OF PURPOSE: TO REFUND $86,970,000 OF 2010A BOND. DATE OF ISSUANCE: 08/06/2020 SCHEDULE K, PART IV, LINE 2C Bond A DATE THE LAST REBATE COMPUTATION WAS PERFORMED - 11/10/2020 BOND B DATE THE REBATE COMPUTATION WAS PERFORMED - 10/31/2019 Form 990 Part VI Line 6 MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. 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 REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.'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 REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. 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 17, 2020. Form 990 Part VI Line 12c MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. 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 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 CONFLICT OF INTEREST POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSE. Form 990 Part VI Line 15b IN DETERMINING COMPENSATION OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS 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 SIMILARLY SITUATED ORGANIZATION AND POSITIONS. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED. Form 990 Part VI Line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. 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 XII, LINE 2B THE FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS. FORM 990 PART XI LINE 9 There was an equity contribution to related entity McLeod Physician Associates II (MPA) due to a Board Resolution to forgive MPA's intercompany liability to MRMC. This equity contribution decreased MRMC's Net Assets by $191,819,413 and increased MPA's Net Assets by the same amount. 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