2020-08-14T08:12:06-05:00 2019-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2018-10-01 473712858 MCLEOD HEALTH CHERAW % MARK W CAMERON MCLE 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF SYSTEM 8437775304 2020-07-31 true LAURA A COLLINS CPA P00008888 3362753394 2020-07-30 199.206.0.5 56038220202275000002 2020-08-14 P 8F19B9F495BC84E9D542349129F56F1D1957B426 7CE408C3DD4F8A21C067A014E51B91BB4A99AF3C 2018 2020-09-22 18:59:49Z ROBERT COLONES 555 EAST CHEVES STREET FLORENCE SC 29506 39834727 false X WWW.MCLEODHEALTH.ORG X 2015 SC ACUTE CARE HOSPITAL 5 0 399 14 0 0 81785 124568 37848991 37954930 0 -7033 1405119 1395830 39335895 39468295 0 0 0 0 18139176 20005509 0 0 0 20833097 20159841 38972273 40165350 363622 -697055 19837619 21590324 24266250 26716010 -4428631 -5125686 MCLEOD HEALTH CHERAW OPERATES AS PART OF THE MCLEOD HEALTH SYSTEM. THE MISSION OF MCLEOD HEALTH IS TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF PEOPLE LIVING WITHIN SOUTH CAROLINA AND EASTERN NORTH CAROLINA BY PROVIDING EXCELLENCE IN HEALTH CARE. false false 38080295 37954930 MCLEOD HEALTH CHERAW IS A 59 BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SOUTH CAROLINA. MCLEOD HEALTH CHERAW OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. SEE ALSO THE COMMUNITY BENEFIT REPORT ON SCHEDULE H. 38080295 true true false false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 98 0 true 399 true false false false false false false false false false false false false false X 5 0 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 RONALD L BORING COO REL ORG (until Sept. 2019) 1.0 39.0 X X 0 586080 102206 S FULTON ERVIN III CFO OF RELATED ORG 1.0 39.0 X X 0 628076 95867 Meriba C Scoggins VICE PRESIDENT 40.0 0.0 X X 236319 0 37944 Daniel G Simpson MD CHIEF OF STAFF/STAFF PHYSICIAN 40.0 0.0 X X 358468 0 36362 Donna C Isgett COO REL ORG(STARTING SEPT. 19) 1.0 39.0 X X 0 648247 104825 TIMOTHY HOLDREDGE MD STAFF PHYSICIAN 40.0 0.0 X 392165 0 42151 FOY CONNELL MD STAFF PHYSICIAN 40.0 0.0 X 339863 0 38861 BEN E BURNETT MD STAFF PHYSICIAN 40.0 0.0 X 262372 0 30301 RYAN CONNER MD STAFF PHYSICIAN 40.0 0.0 X 367814 0 21044 ANDRE DYER MD STAFF PHYSICIAN 40.0 0.0 X 406228 0 21030 2363229 1862403 530591 24 false true false GOLDFISH LOCUM TENENS 6865 WINDCREST DRIVE PLANO TX 75024 Contract Physicians 185446 JACKSON COKER LOCUMTENENS LLC PO BOX 277638 ATLANTA GA 303847638 Contract Physicians 204957 THEREX INCDBA REHABCARE PO BOX 502096 ST LOUIS MO 631502096 Contract Labor 364756 METZ CULINARY MANAGEMENT 2 WOODLAND DRIVE DALLAS PA 18612 Culinary Management 432162 MEDICAL PROPERTIES TRUST OPERATION 1000 URBAN CENTER DR STE 501 BIRMINGHAM AL 35242 Rent 866113 12 124568 124568 NET PATIENT REVENUE 624100 37954930 37954930 37954930 0 0 0 0 391282 359399 31883 0 31883 31883 7033 -7033 -7033 -7033 0 0 0 0 0 0 0 0 0 SC TRANSFORMATIONAL POOL REV 900099 800040 800040 VENDING MACH COMM 900099 23838 23838 ALL OTHER REVENUE 900099 540069 540069 1363947 39468295 37954930 0 1388797 0 0 0 0 704799 657960 46839 0 15829331 14777351 1051980 0 3471379 3414778 56601 0 0 71573 71573 0 0 0 0 361495 305899 55596 43695 43695 5623167 5492474 130693 199271 195675 3596 0 1342817 1342817 6282 5072 1210 0 7172 6129 1043 0 0 2091605 2091605 507541 507541 INTERCOMPANY MANAGEMENT FEES 3394179 3394179 0 0 PHYSICIAN FEES 1991340 1991024 316 0 LICENSES & TAXES 1064131 1064131 0 0 ALL OTHER EXPENSES 3455573 2789966 665607 0 40165350 38080296 2085054 0 655259 167087 0 0 0 0 3391081 3603944 0 0 0 0 0 0 393937 428648 827148 684850 24819081 8151811 14471723 16667270 0 0 0 0 0 0 0 0 98471 38525 19837619 21590324 2722503 2935581 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21543747 23780429 24266250 26716010 X -4428631 -5125686 0 0 0 0 -4428631 -5125686 19837619 21590324 -697055 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11835853 1169844 10666009 12884798 6981967 5902831 98430 98430 16667270 0 ACCRUED REAL ESTATE TAXES 256198 INTERCOMPANY PAYABLE 22158448 COST REPORT RESERVE -395121 DUE TO THIRD PARTY PAYOR 1161074 SC TRANSFORMATIONAL POOL 599830 23780429 X 39834727 366432 366432 39468295 39468295 40531782 366432 366432 40165350 40165350 SCHEDULE D, PART X, LINE 2 FIN 48 FOOTNOTE MCLEOD HEALTH AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON RELATED INCOME HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. PART XI LINE 2D AND PART XII LINE 2D RENT EXPENSE RECLASSIFIED TO REVENUE $359,399 LOSS ON SALE OF PROPERTY RECLASSIFIED TO REVENUE $7,033. true true X true X true X true true false true true 4390540 3761293 629247 0.01570 9196269 4684821 4511448 0.11230 13586809 8446114 5140695 0.12800 15900 15900 0.00040 20989 20989 0.00050 36889 36889 0.00090 13623698 8446114 5177584 0.12890 1075 1075 1075 1075 true 2883925 192582 9968158 10482765 -514607 X true true 1 1 MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 WWW.MCLEODHEALTH.ORG SC HTL-0681 X X X MCLEOD HEALTH CHERAW 1 true 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 5: PRIORITIZED COMMUNITY HEALTH NEEDS THERE ARE THREE PRIORITIZED COMMUNITY HEALTH NEED AREAS IN THE CHERAW COMMUNITY BASED ON QUALITATIVE AND QUANTITATIVE DATA AND PARTICULARLY FROM COMMUNITY FORUM FEEDBACK. THESE AREAS ARE ACCESS TO HEALTH CARE, OBESITY/CHRONIC CONDITIONS, AND TRANSPORTATION. A BROAD RANGE OF SOCIAL, ECONOMIC, AND OTHER ENVIRONMENTAL FACTORS AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. THE SOCIAL AND ECONOMIC CONDITIONS WHERE PEOPLE LIVE, WORK, LEARN, AND PLAY ARE CALLED SOCIAL DETERMINANTS OF HEALTH. SOCIAL DETERMINANTS CAN HAVE A PROFOUND INFLUENCE ON THE CHOICES THAT PEOPLE HAVE IN THEIR DAILY LIVES THAT PROMOTE OR INHIBIT HEALTH. WITHIN EACH OF THE COMMUNITY HEALTH NEED AREAS, MULTIPLE FACTORS MUST BE CONSIDERED. HEALTH BEHAVIORS, EDUCATION, AND SOCIOECONOMIC/ENVIRONMENTAL CONDITIONS GREATLY AFFECT AN INDIVIDUALS HEALTH STATUS AND ABILITY TO OVERCOME HEALTH ISSUES IN THE REGION. THE MCLEOD CHERAW CHNA NOTED A PLETHORA OF COMMUNITY HEALTH ISSUES AS WELL AS HEALTH DISPARITIES ACROSS THE STUDY AREA. IT IS CRITICAL FOR HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO UNDERSTAND NOT ONLY THE REGIONAL HEALTH ISSUES, BUT TO BE AWARE OF WHERE DISPARITIES OCCUR TO PINPOINT WHAT SERVICES AND IMPROVEMENTS ARE MOST NEEDED. ADDRESSING THE COMMUNITY HEALTH PRIORITIES THE GOALS AND STRATEGIC ACTIONS DELINEATED IN THIS CHNA IMPLEMENTATION PLAN NARRATIVE ARE DEVELOPED TO ADDRESS EACH OF THE IDENTIFIED PRIORITY AREAS AND TO ENSURE A PATIENT CENTERED AND COMMUNITY ENGAGEMENT APPROACH. PRIORITY 1: ACCESS TO HEALTH CARE (ACCESS TO BEHAVIORAL HEALTH CARE, ACCESS TO SPECIALTY CARE, PHYSICIAN RECRUITMENT AND RETENTION, AND SOCIOECONOMIC BARRIERS) ACCESS TO HEALTH CARE THE SLOW NATIONAL AND LOCAL ECONOMY SINCE 2008 HAS LEFT MANY ACROSS THE NATION WITHOUT EMPLOYER-SPONSORED HEALTH INSURANCE AND MANY SENSE AN INSECURITY REGARDING THEIR FINANCIAL WELLBEING. PRIOR TO THE AFFORDABLE CARE ACT (ACA), LOW INCOME, UNINSURED AND UNDERINSURED INDIVIDUALS AND FAMILIES STRUGGLED TO GAIN ACCESS TO HEALTH CARE WHEN NEEDED. MANY INDIVIDUALS AND FAMILIES DELAYED SEEKING CARE BECAUSE THEY LACKED HEALTH INSURANCE AND WERE UNABLE TO PAY OUT OF POCKET HEALTH CARE COSTS. AS A RESULT, LOW INCOME AND UNINSURED POPULATIONS OFTEN SEEK CARE IN THE EMERGENCY ROOM RATHER THAN THROUGH REGULAR PRIMARY CARE OFFICE VISITS. LACK OF HEALTH INSURANCE LEADS MANY TO DEFER OR DELAY PREVENTIVE CARE AND EARLY INTERVENTION WITH CHRONIC CONDITIONS. LACK OF HEALTH CARE ACCESS IS A SIGNIFICANT ISSUE ACROSS THE STATE OF SOUTH CAROLINA. THE STATE RANKS 41ST IN THE U.S. IN TERMS OF ACCESS AND AFFORDABILITY OF CARE ACCORDING TO THE COMMONWEALTH FUND OF STATE HEALTH SYSTEM PERFORMANCE IN 2015. BOTH COUNTIES IN THE STUDY AREA RANK WITHIN THE LOWEST TEN PERCENT (UNFAVORABLE RANKINGS) IN THE STATE IN TERMS OF CLINICAL CARE ACCORDING TO THE 2016 COUNTY HEALTH RANKINGS REPORT, WITH MARLBORO COUNTY HAVING THE LOWEST CLINICAL CARE RANKING IN THE STATE. THE CLINICAL CARE CATEGORY TAKES INTO CONSIDERATION THE EASE OF ACCESSING CARE AND THE QUALITY OF CARE ONCE ACCESSED; IT ALSO CONSIDERS THE PREVENTIVE CARE MEASURES THAT PATIENTS TAKE TO MANAGE THEIR HEALTH, INCLUDING IMMUNIZATION RATES, CANCER SCREENING RATES, AND PERCENTAGE OF THE POPULATION THAT RECEIVES A YEARLY DENTAL EXAMINATION. LACK OF HEALTH INSURANCE COVERAGE IS A KEY INDICATOR FOR ACCESS TO HEALTH CARE. PEOPLE WITHOUT INSURANCE ARE MORE LIKELY TO LACK A HEALTH CARE MEDICAL PROVIDER AND ARE AT INCREASED RISK FOR SERIOUS HEALTH CONDITIONS. THE MCLEOD CHERAW STUDY AREA OVERALL HAS A HIGHER PERCENTAGE OF UNINSURED AT 17.7 PERCENT THAN THE STATE AT 15.9 PERCENT AND U.S. AT 14.2 PERCENT (SEE CHART 1). WITH A LACK OF ACCESS TO CARE AND HEALTH CONDITIONS BEING DIAGNOSED AT LATER STAGES, THE UNINSURED AND LOW INCOME RESIDENTS OFTEN HAVE HIGHER MORTALITY RATES. BEHAVIORAL HEALTH CARE BEHAVIORAL HEALTH IS A MAJOR CONCERN ACROSS THE NATION AND IS A TOP HEALTH PRIORITY IN THE CHNA STUDY AREA. THE ISSUES AFFECT NOT ONLY THE MENTAL WELL-BEING OF AN INDIVIDUAL; BUT ALSO SPIRITUAL, EMOTIONAL, AND PHYSICAL HEALTH. UNMANAGED MENTAL ILLNESSES INCREASE THE LIKELIHOOD OF ADVERSE HEALTH OUTCOMES, CHRONIC DISEASE, AND SUBSTANCE ABUSE PARTLY DUE TO A DECREASE IN ACCESSING MEDICAL CARE. PATIENTS OFTEN DEAL WITH LENGTHY WAITING PERIODS, TRAVELING LONG DISTANCES, AND BEING UNABLE TO SECURE APPOINTMENTS WHEN IT COMES TO RECEIVING BEHAVIORAL HEALTH SERVICES. THE MAJORITY OF ADULTS WITH MENTAL ILLNESS RECEIVED NO MENTAL HEALTH TREATMENT IN THE LAST YEAR, INDICATING A NATIONWIDE ISSUE WITH INDIVIDUALS BEING ABLE TO RECEIVE PROPER MENTAL HEALTH SERVICES AND TREATMENT. THERE IS A LACK OF MENTAL HEALTH PROVIDERS AVAILABLE TO UNITED STATES CITIZENS. CLOSE TO 91 MILLION ADULTS LIVE IN AREAS WHERE THERE IS A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. THE PRIMARY DATA RECEIVED FROM RESIDENTS, HEALTH PROFESSIONALS AND COMMUNITY LEADERS ACROSS THE CHNA STUDY AREA SHOWED THE NEED FOR ATTENTION TO MENTAL HEALTH SERVICES. A LACK OF MENTAL HEALTH PROVIDERS IS NOTED AS 75.2 MENTAL HEALTH PROVIDERS PER 100,000 POPULATION, WHICH IS LOWER THAN THE STATE RATE OF 97.6 AND THE U.S. RATE OF 134.1 PER 100,000 POPULATION. IN THE STUDY AREA, APPROXIMATELY 29.0 PERCENT OF RESIDENTS REPORTED HAVING A LACK OF SOCIAL AND EMOTIONAL SUPPORT. MARLBORO COUNTY REPORTED THE HIGHEST RATE OF RESIDENTS CITING A LACK OF SOCIAL AND EMOTIONAL SUPPORT AT 34.5 PERCENT. ACROSS THE STATE, 22.3 PERCENT OF RESIDENTS DEALING WITH BEHAVIORAL HEALTH ISSUE REPORTED AN INABILITY TO RECEIVE ADEQUATE CARE OR TREATMENT. PHYSICIAN RECRUITMENT AND RETENTION A SIGNIFICANT PHYSICIAN SHORTAGE IS ANTICIPATED BY 2025, ESPECIALLY AMONG SPECIALTY PHYSICIANS. A SHORTFALL OF 28,200 TO 63,700 NON-PRIMARY PHYSICIANS, 12,300 MEDICAL SPECIALISTS, NEARLY 31,600 SURGICAL SPECIALISTS, AND UP TO 20,200 OTHER SPECIALISTS IS PREDICTED. IN THE MCLEOD CHERAW STUDY AREA, THERE ARE SIGNIFICANTLY LOWER RATES OF PRIMARY PHYSICIANS IN CHESTERFIELD COUNTY AND MARLBORO COUNTY COMPARED TO STATE AND NATIONAL RATES. SOCIOECONOMIC BARRIERS AS DOCUMENTED BY THE CHNA, BARRIERS TO CARE AND TREATMENT ARE NOTED AS UNINSURED AND LOW-INCOME RESIDENTS EXPERIENCE FINANCIAL AND MEDICAL CHALLENGES THAT PREVENT AND LIMIT ACCESS TO HEALTH CARE. BASIC NECESSITIES LIKE FOOD AND HOUSING BECOME MORE IMPORTANT THAN RECEIVING CARE. THE INABILITY TO AFFORD HEALTH INSURANCE ALSO PLAYS A MAJOR ROLE IN RESIDENTS CHOOSING NOT TO SCHEDULE MEDICAL APPOINTMENTS AND NOT TAKING PREVENTIVE CARE MEASURES. MCLEOD CHERAW WILL FOCUS ON ACCESS TO BEHAVIORAL HEALTH CARE, SPECIALTY CARE, PHYSICIAN RECRUITMENT AND RETENTION, AND SOCIOECONOMIC BARRIERS THROUGH THE FOLLOWING GOALS AND STRATEGIES: GOAL 1: IMPROVE ACCESS TO BEHAVIORAL CARE. STRATEGY 1: PROVIDE ACCESS TO PSYCHIATRISTS FOR INPATIENTS AND ED PATIENTS THROUGH USE OF TELEHEALTH. STRATEGY 2: PLACE A COUNSELOR IN THE OB AND PEDIATRIC OFFICES TO ADDRESS BEHAVIORAL HEALTH CONCERNS. GOAL 2: IMPROVE ACCESS TO SPECIALTY CARE. STRATEGY 1: PROVIDE ACCESS THROUGH TELEHEALTH TO STROKE ED AND INPATIENTS TO IDENTIFY SIGNS AND SYMPTOMS OF A STROKE. STRATEGY 2: CONTINUE TO GROW ACCESS BY UTILIZING PHYSICIANS OF MCLEOD REGIONAL MEDICAL CENTER IN AREAS OF VASCULAR AND CARDIOLOGY. ACTION/TASK: -INCREASE NUMBER OF DAYS HEART AND VASCULAR CLINICS ARE OPEN. -EXTENDING DAYS AND HOURS OF SERVICE AT THE HEART AND VASCULAR CLINICS WILL PROVIDE GREATER ACCESS FOR PATIENTS. STRATEGY 3: FURTHER DEVELOPMENT THE NURSE-FAMILY PARTNERSHIP PROGRAM. GOAL 3: ADD ORTHOPEDIC SERVICE LINE. STRATEGY 1: RECRUIT A FULL-SERVICE ORTHOPEDIC SURGEON. GOAL 4: INCREASE NUMBER OF PRIMARY CARE PHYSICIANS SERVING THE COMMUNITY. STRATEGY 1: WORK WITH THE SOUTH CAROLINA OFFICE OF RURAL HEALTH TO HELP WITH RECRUITMENT OF PHYSICIANS. GOAL 5: REDUCE SOCIOECONOMIC BARRIERS. STRATEGY 1: WORK WITH COORDINATING COUNSELS IN CHESTERFIELD AND CHERAW COUNTIES AS PART OF THEIR HEALTH CARE SUBCOMMITTEES TO ADDRESS SOCIOECONOMIC BARRIERS. STRATEGY 2: ADDRESS EDUCATION ISSUES THROUGH COMMUNITY AND OCCUPATIONAL HEALTH FAIRS. THE CHESTERFIELD AND CHERAW COORDINATING COUNCILS IS COLLABORATION AMONG HEALTH CARE PROVIDERS, LOCAL GOVERNMENT, AND HUMAN SERVICE ORGANIZATIONS WITH AN AIM TO ADDRESS IDENTIFIED SOCIOECONOMIC BARRIERS. EVIDENCE SHOWS THAT COMMUNITY-WIDE APPROACHES ARE EFFECTIVE. MCLEOD CHERAW WILL WORK TO SPECIFICALLY ADDRESS EDUCATION ISSUES BY PROVIDING COMMUNITY AND OCCUPATIONAL HEALTH FAIRS. PRIORITY 2: OBESITY AND CHRONIC CONDITIONS (NUTRITION, PHYSICAL ACTIVITY AND HEALTH AND WELLNESS EDUCATION) OBESITY OBESITY IS AN EPIDEMIC IN THE U.S. AND CONTRIBUTES TO SEVERAL LEADING CAUSES OF DEATH, INCLUDING HEART DISEASE, DIABETES, STROKE, AND SOME CANCERS. IF PRESENT TRENDS CONTINUE, BY 2030, 86 PERCENT OF ADULTS WILL BE OVERWEIGHT; 51 PERCENT WILL BE OBESE; AND NEARLY A THIRD OF ALL CHILDREN WILL BE OVERWEIGHT ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (2012). TOTAL HEALTH CARE COSTS ATTRIBUTABLE TO OBESITY/OVERWEIGHT ARE PREDICTED TO DOUBLE EACH DECADE. ENVIRONMEN SCH. H, PART VI, LINE 5 A FUND WAS BEGUN IN 1956 FOR THE FIRST CHESTERFIELD COUNTY MEMORIAL HOSPITAL, WITH SOME $42,000 RAISED THROUGH A DRIVE CONDUCTED BY THE LOCAL CHERAW OF COMMERCE, CHAIRED BY C.E. WATTS, JR. THEN-MAYOR OF CHERAW RUSSELL BENNETT WAS INSTRUMENTAL, IT WAS REPORTED, IN PROVIDING A SITE FOR THE HOSPITAL THROUGH THE TOWN FREE OF CHARGE. FEDERAL FUNDS WERE TO PROVIDE $65,000 WITH THE TOTAL COST TO BE OVER HALF A MILLION DOLLARS. ON JANUARY 16, 1958, CHESTERFIELD COUNTY MEMORIAL HOSPITAL WAS OFFICIALLY OPENED. REPORTS STATED THE HOSPITAL "IS THE NEWEST IN SOUTH CAROLINA AND GENERALLY CONCEDED TO BE AMONG THE MOST MODERN FACILITIES IN THE COUNTRY, WITH THE MOST ADVANCED SURGICAL INSTRUMENTS BEING INSTALLED AND THE LATEST AND MOST PROGRESSIVE EQUIPMENT AND FURNISHINGS AVAILABLE TO OFFER THE MOST COMPLETE MEDICAL CARE." RICHARD T. WALL WAS ADMINISTRATOR AND SAID AT THE DEDICATION, "THIS IS A NATION OF SMALL HOSPITALS, WITH 60% HAVING LESS THAN 100 BEDS. EACH HOSPITAL MUST BE A COMPLETE UNIT IN ITSELF." IN 1976, S. GRANT BOONE, JR. BECAME DIRECTOR OF THE HOSPITAL. PRIOR TO THAT, THE HOSPITAL'S DAILY OPERATIONS WERE OVERSEEN BY JACK MILBURN OF CAROLINAS HOSPITAL AND HEALTH SERVICES, A NON-PROFIT MANAGEMENT ORGANIZATION. THE FOLLOWING YEAR A CONTRACT WAS SIGNED WITH HOSPITAL INVESTORS, INC. OF ATLANTA, GEORGIA TO CONDUCT A SURVEY OF MEDICAL NEEDS IN THE CHERAW AREA. IT WAS RECOMMENDED THAT RECRUITMENT OF PHYSICIANS AND NURSES WAS IMPERATIVE; THEREFORE, IT WAS BEGUN AT ONCE BY THE HEALTH COMMITTEE OF THE CHERAW CHAMBER OF COMMERCE. AT THAT TIME THERE WERE 15 PRACTICING PHYSICIANS IN THE COUNTY; 11 FAMILY AND GENERAL PRACTITIONERS, ONE INTERNIST, ONE SURGEON, ONE RADIOLOGIST, AND ONE PART-TIME PATHOLOGIST. IN MID-1979, TALKS BEGAN AROUND THE IDEA OF A NEW HOSPITAL. THE CONSENSUS WAS THAT THE TWENTY YEAR OLD FACILITY NEEDED TO BE REPLACED. THE BOARD CONSIDERED SELLING THE HOSPITAL TO A PRIVATE ORGANIZATION AND ALSO BEGAN TALKING WITH HCA IN NASHVILLE, TENNESSEE. AFTER CONSIDERING THE POSSIBILITY OF MERGING THE HOSPITALS IN CHERAW AND BENNETTSVILLE, THE HOSPITAL CORPORATION OF AMERICA BOUGHT THE CHESTERFIELD COUNTY MEMORIAL HOSPITAL IN MARCH 1981 ON THE RECOMMENDATION OF THE BOARD OF TRUSTEES. IT WAS AGREED THAT HCA, A PRIVATE, TAX-PAYING ORGANIZATION WOULD TAKE OVER AND ELIMINATE THE COUNTY-OWNED HOSPITAL IN CHERAW AND BUILD A NEW FACILITY. AT THIS TIME, THE COUNTY'S TWO BIGGEST OBLIGATIONS WERE THE COST OF INDIGENT CARE AND OF FINANCING THE AMBULANCE SERVICE. ONE YEAR LATER, DEDICATION CEREMONIES WERE HELD FOR THE NEW CHESTERFIELD GENERAL HOSPITAL. THE GUEST SPEAKER FOR THE OCCASION WAS SOUTH CAROLINA GOVERNOR DICK RILEY. MAYOR HOWARD DUVALL NOTED, "THE COMMUNITY WILL LOOK BACK AT THIS AS A MILESTONE FOR MEDICAL CARE IN CHESTERFIELD COUNTY". IN AUGUST 1987, HEALTHTRUST, INC. WAS CREATED WHEN HCA "SPUN OFF" 104 OF ITS HOSPITALS INTO AN EMPLOYEE STOCK-OWNED COMPANY, THEREFORE CHANGING OWNERSHIP OF CHESTERFIELD GENERAL HOSPITAL. THE FOLLOWING YEAR, WITH THE HOSPITAL CENSUS RUNNING LOW, MAYOR C. H. MCBRIDE, IN AN OPEN LETTER TO THE COMMUNITY, CALLED FOR SUPPORT FOR THE AREA PHYSICIANS AND LOCAL HOSPITAL. IN A STATEMENT, HE DESCRIBED A MEETING WITH HOSPITAL ADMINISTRATION AND THE LOCAL MEDICAL STAFF AND SAID THAT IT WOULD BE NECESSARY IN ORDER TO MAINTAIN THE PRESENT COMMUNITY HOSPITAL THAT THE CITIZENS, INDUSTRIAL COMMUNITY, AND PHYSICIANS SUPPORT THE HOSPITAL. PLANS WERE LAID AND A CERTIFICATE OF NEED PREPARED TO CONVERT FOURTEEN ACUTE CARE BEDS TO A PROGRAM FOR ALCOHOL AND DRUG TREATMENT. THERE WERE ALSO DISCUSSIONS WITH MARLBORO PARK HOSPITAL IN BENNETTSVILLE TO CONSIDER "OPPORTUNITIES TO BRING ADDED SERVICES TO BOTH COMMUNITIES WHILE RETAINING AND CONSOLIDATING CERTAIN SERVICES" TO ADDRESS UNDER-UTILIZATION OF BOTH FACILITIES. IN DECEMBER 1988, THE CERTIFICATE OF NEED WAS AWARDED. IN MAY OF 1989, A STATEMENT IN THE CHERAW CHRONICLE ANNOUNCED THAT "CHESTERFIELD GENERAL HOSPITAL HAS DECIDED AGAINST OPENING A 14-BED ALCOHOL AND DRUG TREATMENT UNIT" IN RESPONSE TO "WIDESPREAD CONCERN ABOUT THE FUTURE OF GENERAL ACUTE CARE SERVICES AT THE HOSPITAL". IN THE FALL OF THAT YEAR, CGH MADE A COMMITMENT TO PHYSICIAN RECRUITMENT. COMMUNITY HEALTH SYSTEMS, INC. IN NASHVILLE, TN PURCHASED THE FACILITY ON AUGUST 14, 1996. ALECTO HEALTHCARE DBA M/C HEALTHCARE ASSUMED OPERATIONS ON APRIL 1, 2015, FROM COMMUNITY HEALTH SYSTEMS. MCLEOD HEALTH ASSUMED OWNERSHIP AS MCLEOD HEALTH CHERAW ON JUNE 22, 2015. SINCE THE TRANSITION, MCLEOD HEALTH CHERAW HAS BEEN DILIGENTLY SERVING THE HEALTH NEEDS OF THE RESIDENTS OF CHESTERFIELD, MARLBORO, ANSON, RICHMOND AND SCOTLAND COUNTIES. THE 59-BED HOSPITAL JOINS SIX OTHER MCLEOD HEALTH NOT-FOR-PROFIT HOSPITALS PROVIDING ADVANCED HEART, VASCULAR, ORTHOPEDIC, SURGICAL, CANCER, WOMENS AND CHILDRENS SERVICES FROM THE MIDLANDS OF SOUTH CAROLINA TO THE COAST. MCLEOD HEALTH CHERAW IS ONE OF THE SUBSIDIARY COMPANIES 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 recently received the Healthgrades 2019 Outstanding Patient Experience Award. This distinction recognizes McLeod as being among the Top 10% of hospitals nationwide for patient experience for a third year consecutive year (2017-2019). 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 (RNs, CRNAs, NPs, APRNs, LPNs). McLeod Health is also composed of more than 8,500 employees and more than 75 physician practices throughout its 18 county service area. With seven hospitals, McLeod Health also operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, a Behavioral Health Center, Hospice, and Home Health Services. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Darlington, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw and McLeod Health Clarendon. In addition to McLeod Regional Medical Center with 517 licensed beds and 48 additional Neonatal Intensive Care Unit Beds (20 of these are acute beds), these McLeod Health respected acute-care facilities give McLeod greater flexibility in providing care to those outside of Florence County: McLeod Health Darlington with 49 licensed beds, McLeod Health Dillon with 79 licensed beds, McLeod Health Loris with 50 licensed beds, McLeod Health Seacoast with 105 licensed beds, McLeod Health Cheraw with 59 licensed beds, McLeod Health Clarendon with 81 licensed beds, and McLeod Behavioral Health Services, located on the McLeod Darlington Campus, provides 23 inpatient psychiatric beds. McLeod Hospice serves the community with inpatient Hospice Beds for respite and end of life care. The only inpatient Hospice facility in the Pee Dee region, the McLeod Hospice House includes 24 licensed beds. McLeod Regional Medical Center The flagship hospital of the McLeod Health organization is McLeod Regional Medical Center in Florence, South Carolina. This regional referral tertiary care center serves patients and families living in the northeastern region of South Carolina. The medical center includes an accredited Cancer Center, a Stereotactic Radiosurgery program, three dedicated open heart surgery suites and two vascular hybrid ORs within the Heart & Vascular Institute as well as Centers of Excellence in Surgery, Neurosurgery, Trauma and Womens Services in addition to a 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 for residents since 1980, McLeod additionally supports a three-year Family Medicine Residency Program. McLeod Health Darlington McLeod Health Darlington, formerly Wilson Hospital, has been a vital part of Darlington County and the surrounding communities for more than 50 years. Established in 1994, McLeod Health Darlington offers a wide range of outpatient services from physical, occupational and speech therapy to CT scans, laboratory and cardiopulmonary services. In addition, the facility provides acute care with 49 inpatient beds and a skilled care unit that is available for those in need of short-term care, such as Hospice patients, patients waiting for a bed at an inpatient nursing facility or patients i X X X X X X false true false false false false false true false RONALD L BORING COO REL ORG (until Sept. 2019) 0 508238 0 64654 0 13188 0 67902 0 34304 0 688286 0 0 S FULTON ERVIN III CFO OF RELATED ORG 0 520075 0 95339 0 12662 0 70576 0 25291 0 723943 0 0 TIMOTHY HOLDREDGE MD STAFF PHYSICIAN 384094 0 0 0 8071 0 0 0 42151 0 434316 0 0 0 FOY CONNELL MD STAFF PHYSICIAN 334382 0 0 0 5481 0 0 0 38861 0 378724 0 0 0 BEN E BURNETT MD STAFF PHYSICIAN 260555 0 0 0 1817 0 9342 0 20959 0 292673 0 0 0 RYAN CONNER MD STAFF PHYSICIAN 366785 0 0 0 1029 0 0 0 21044 0 388858 0 0 0 ANDRE DYER MD STAFF PHYSICIAN 405217 0 0 0 1011 0 0 0 21030 0 427258 0 0 0 Meriba C Scoggins VICE PRESIDENT 196416 0 37085 0 2818 0 16472 0 21472 0 274263 0 0 0 Daniel G Simpson MD CHIEF OF STAFF/STAFF PHYSICIAN 356888 0 0 0 1580 0 0 0 36362 0 394830 0 0 0 Donna C Isgett COO REL ORG(STARTING SEPT. 19) 0 557658 0 81561 0 9028 0 74196 0 30629 0 753072 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. RONALD L. BORING, CEO, IS COMPENSATED BY THE SYSTEM'S PARENT COMPANY, MCLEOD HEALTH. 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. FORM 990 PART VI LINE 6 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 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 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 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 LINE 7A THE BOARD OF MCLEOD HEALTH (SOLE MEMBER} HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990 PART VI LINE 7B THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990 PART VI LINE 11B FORM 990, PART VI, SECTION B, LINE 11: THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 CONSISTS OF PROVIDING ELECTRONIC COPIES OF THE FORM 990 TO EACH MEMBER OF THE FINANCE COMMITTEE OF MCLEOD HEALTH (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 FORM 990, PART VI, SECTION B, LINE 12C: MCLEOD HEALTH CHERAW REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT EACH YEAR. FORM 990 PART VI LINE 15A IN DETERMINING COMPENSATION OF MCLEOD HEALTH CHERAW'S TOP MANAGEMENT OFFICIAL, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF COMPENSATION, THE TOP MANAGEMENT OFFICIAL WAS COMPARED TO OTHER SIMILARLY SITUATED ORGANIZATIONS AND POSITIONS. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED. FORM 990 PART VI 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 XII LINE 2B THE FINANCIAL STATEMENTS OF MCLEOD HEALTH (SOLE MEMBER OF MCLEOD HEALTH CHERAW) WERE AUDITED ON A CONSOLIDATED BASIS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2019. 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