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MCLEOD HEALTH CLARENDON: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MCLEOD HEALTH CLARENDON (EIN 81-2772554)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-14
IRS object ID
202012279349300621
Schema version
2018v3.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-14T08:23:20-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 North Greene Street Suite 400AddressLine1Txt
CityGreensboroCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN812772554EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD HEALTH CLARENDONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARK W CAMERONInCareOfNm
Business Name ControlMCLEBusinessNameControlTxt
Phone8437775304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonS FULTON ERVIN IIIPersonNm
Person TitleCFO OF SYSTEMPersonTitleTxt
Phone8437775304PhoneNum
Signature2020-07-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA A COLLINS CPAPreparerPersonNm
PTINP00008888PTIN
Phone3362753394PhoneNum
Preparation2020-07-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.206.0.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id56038220202275000003FederalOriginalSubmissionId
Federal Original Submission Id2020-08-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id72167CFFD4ECB9A85063F95B5DCA990BC997CCBDAtSubmissionCreationDeviceId
At Submission Filing Device Id7CE408C3DD4F8A21C067A014E51B91BB4A99AF3CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT COLONESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,871,061GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCLEODHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionACUTE CARE HOSPITALActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee547TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$248,808PYContributionsGrantsAmt
CY Contributions Grants$179,604CYContributionsGrantsAmt
PY Program Service Revenue$42,586,000PYProgramServiceRevenueAmt
CY Program Service Revenue$40,132,441CYProgramServiceRevenueAmt
PY Investment Income$5,386PYInvestmentIncomeAmt
CY Investment Income-$554,531CYInvestmentIncomeAmt
PY Other Revenue$1,254,806PYOtherRevenueAmt
CY Other Revenue$1,422,461CYOtherRevenueAmt
PY Total Revenue$44,095,000PYTotalRevenueAmt
CY Total Revenue$41,179,975CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,369,678PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,710,205CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,858,727PYOtherExpensesAmt
CY Other Expenses$19,184,889CYOtherExpensesAmt
PY Total Expenses$41,228,405PYTotalExpensesAmt
CY Total Expenses$45,895,094CYTotalExpensesAmt
PY Revenues Less Expenses$2,866,595PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,715,119CYRevenuesLessExpensesAmt
Total Assets BOY$36,808,553TotalAssetsBOYAmt
Total Assets EOY$38,820,226TotalAssetsEOYAmt
Total Liabilities BOY$51,116,173TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,842,965TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$14,307,620NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$19,022,739NetAssetsOrFundBalancesEOYAmt
MissionORGANIZATION IS PART OF THE MCLEOD HEALTH SYSTEM. THE MISSION OF MCLEOD HEALTH IS TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF PEOPLE LIVING WITHIN SOUTH CAROLINA AND EASTERN NORTH CAROLINA BY PROVIDING EXCELLENCE IN HEALTH CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$43,711,485ExpenseAmt
Revenue$40,132,441RevenueAmt
DescMCLEOD HEALTH CLARENDON IS A 81 BED COMMUNITY HOSPITAL LOCATED IN MANNING, SOUTH CAROLINA. MCLEOD HEALTH CLARENDON OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. SEE ALSO THE COMMUNITY BENEFIT REPORT ON SCHEDULE H.Desc
Total Program Service Expenses$43,711,485TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document78IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee547EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARK W CAMERONPersonNm
Phone8437775304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
RONALD L BORING
COO REL ORG (until Sept. 2019)1.039.0Yes (X)Yes (X)$0$586,080$102,206
S FULTON ERVIN III
CFO OF RELATED ORG1.039.0Yes (X)Yes (X)$0$628,076$95,867
MARVA D WILLIAMS MD
DIRECTOR/VICE CHAIRPERSON1.00.0Yes (X)Yes (X)$0$0$0
KIMBERLY O JOHNSON
DIRECTOR/SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
KIMBERLY M JOLLY RN CRN
DIRECTOR/CHIEF NURSING OFFICER40.00.0Yes (X)Yes (X)$148,408$0$42,994
ROBERT S EAGERTON JR MD
DIRECTOR/STAFF PHYS OF REL ORG1.039.0Yes (X)Yes (X)$0$290,909$17,602
STEPHEN V COREY MD
DIRECTOR/CHAIRPERSON1.00.0Yes (X)Yes (X)$0$0$0
Elaine Elmore
DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
DWIGHT STEWART
DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
REV GEORGE WINDLEY
DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
ANSEL MCFADDIN MD
DIRECTOR1.039.0Yes (X)Yes (X)$0$200,058$17,084
DONNA ISGETT
COO REL ORG(starting Sept 20191.039.0Yes (X)Yes (X)$0$648,247$104,825
RACHEL GAINEY
VP/ADMINISTRATOR40.00.0Yes (X)Yes (X)$236,152$0$32,100
Frankie White MD
Staff Physician40.00.0$289,890$0$20,266Yes (X)
Nicole Ours MD
Staff Physician40.00.0$279,347$0$17,632Yes (X)
Wilmot McCollough III MD
Staff Physician40.00.0$262,673$0$20,277Yes (X)
Tracy Ganes MD
Chief Anesthetist40.00.0$194,694$0$29,234Yes (X)
Alyson Eastep MD
Staff Physician40.00.0$184,025$0$22,230Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,595,189TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,353,370TotReportableCompRltdOrgAmt
Total Other Compensation$522,317TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PEE DEE PATHOLOGY ASSOC PA
PO BOX 6166FLORENCESC29502Medical Services$135,733
CAROLINA SLEEP DIAGNOSTICS
200 WEST HARRISON ST STE BDILLONSC29536Medical Services$145,175
METZ CULINARY MANAGEMENT
2 WOODLAND DRIVEDALLASPA18612Culinary Mgmt Serv.$225,028
XTEND HEALTHCARE
90 VOLUNTEER DRIVEHENDERSONVILLETN37075Collection Service$231,246
EMCARE INC
7032 COLLECTION CENTER DRIVECHICAGOIL60693Contracted Phys.$1,067,083
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$179,604RelatedOrganizationsAmt
Total Contributions$179,604TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE624100$39,084,386$39,084,386
ALL OTHER PROGRAM SERVICE REVENUE900099$1,048,055$1,048,055
FieldValueIRS element (for citing)
Total Program Service Revenue$40,132,441TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,620TotalRevenueColumnAmt
Exclusion$17,620ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$242,216RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$263,237RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$21,021RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$21,021TotalRevenueColumnAmt
Exclusion-$21,021ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other-$572,151OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$572,151OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$572,151TotalRevenueColumnAmt
Exclusion-$572,151ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
SC TRANSFORMATIONAL POOL REV900099$800,040$800,040
NUTRITIONAL SERVICES722320$313,280$313,280
WELLNESS FITNESS CENTER900099$132,960$132,960

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,202TotalRevenueColumnAmt
Exclusion$197,202ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,443,482OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,179,975TotalRevenueColumnAmt
Related Or Exempt Func Income$40,132,441RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$867,930ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$289,157TotalAmt
Program Services$274,744ProgramServicesAmt
Management And General$14,413ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,317,671TotalAmt
Program Services$20,255,087ProgramServicesAmt
Management And General$1,062,584ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,103,377TotalAmt
Program Services$5,097,509ProgramServicesAmt
Management And General$5,868ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$55,823TotalAmt
Management And General$55,823ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,959,751TotalAmt
Program Services$2,512,553ProgramServicesAmt
Management And General$447,198ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$160,033TotalAmt
Program Services$22,838ProgramServicesAmt
Management And General$137,195ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,189,299TotalAmt
Program Services$5,101,779ProgramServicesAmt
Management And General$87,520ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$69,716TotalAmt
Program Services$69,716ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$368,966TotalAmt
Program Services$368,966ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,108TotalAmt
Program Services$36,513ProgramServicesAmt
Management And General$7,595ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,745TotalAmt
Program Services$24,745ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,155,921TotalAmt
Program Services$2,155,921ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$541,256TotalAmt
Program Services$541,256ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERCOMPANY MANAGEMENT FEES$4,051,256$4,051,256
PHYSICIAN FEES$2,059,087$2,059,087
LICENSES & TAXES$949,082$949,082
OTHER EXPENSES$555,846$190,433$365,413

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$45,895,094TotalAmt
Program Services$43,711,485ProgramServicesAmt
Management And General$2,183,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,285,845BOYAmt
EOY$1,094,196EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,779,237BOYAmt
EOY$6,526,791EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$583,449BOYAmt
EOY$539,714EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$624,457BOYAmt
EOY$502,566EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$72,701,284LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,554,325LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,736,834BOYAmt
EOY$30,146,959EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$798,731BOYAmt
EOY$10,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,808,553BOYAmt
EOY$38,820,226EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,904,823BOYAmt
EOY$2,327,463EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,211,350BOYAmt
EOY$55,515,502EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,116,173BOYAmt
EOY$57,842,965EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$14,307,620BOYAmt
EOY-$19,022,739EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$14,307,620BOYAmt
EOY-$19,022,739EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,808,553BOYAmt
EOY$38,820,226EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,715,119ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$977,601OtherCostOrOtherBasisAmt
Book Value$977,601BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$38,726,917OtherCostOrOtherBasisAmt
Depreciation$17,996,814DepreciationAmt
Book Value$20,730,103BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$32,996,766OtherCostOrOtherBasisAmt
Depreciation$24,557,511DepreciationAmt
Book Value$8,439,255BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Depreciation$0DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,146,959TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLE$52,442,954
DUE TO THIRD PARTY PAYOR$1,672,819
DEFERRED INCOME-SC TRANSFORMAT$1,399,729
FieldValueIRS element (for citing)
Total Liability$55,515,502TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$42,015,363TotalRevEtcAuditedFinclStmtAmt
Other Revenue$835,388OtherRevenueAmt
Revenue Not Reported$835,388RevenueNotReportedAmt
Revenue Subtotal$41,179,975RevenueSubtotalAmt
Total Revenue Per Form990$41,179,975TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,730,482TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$835,388OtherExpensesIncludedAmt
Expenses Not Reported$835,388ExpensesNotReportedAmt
Expenses Subtotal$45,895,094ExpensesSubtotalAmt
Total Expenses Per Form990$45,895,094TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2FIN 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 XIII LINE 2DRENT EXPENSES RECLASSIFIED TO REVENUE $263,237 LOSS ON SALE OF ASSET RECLASSIFIED TO REVENUE $572,151

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,451,087TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,568,298DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,882,789NetCommunityBenefitExpnsAmt
Total Expense0.04100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,448,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,319,857DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,128,397NetCommunityBenefitExpnsAmt
Total Expense0.13350TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,899,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,888,155DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,011,186NetCommunityBenefitExpnsAmt
Total Expense0.17450TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,740TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,740NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,200NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,940TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,940NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,931,281TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,888,155DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,043,126NetCommunityBenefitExpnsAmt
Total Expense0.17520TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,073,732BadDebtExpenseAmt
Bad Debt Expense Attributable$274,809BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,039,518ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,070,076CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$30,558MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD HEALTH CLARENDONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 EAST HOSPITAL STREETAddressLine1Txt
CityMANNINGCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29102ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MCLEODHEALTH.ORGWebsiteAddressTxt
State LicenseSC L-0930StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD HEALTH CLARENDONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (true)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MCLEODHEALTH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MCLEODHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MCLEODHEALTH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MCLEODHEALTH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART V, SECTION B, LINE 5:FormAndLineReferenceDesc
ExplanationHIGH PRIORITY HEALTHCARE ISSUES (PRIORITIZATION) THE STEERING COMMITTEE HAS IDENTIFIED THE FOLLOWING HEALTHCARE ISSUES AS A HIGH PRIORITY FOR CLARENDON COUNTY: -CORONARY HEART DISEASE -RESPIRATORY RELATED ILLNESSES -DIABETES -OBESITY -MENTAL HEALTH -ACCESS TO CARE -TRANSPORTATION -CANCER TREATMENT SERVICES THE PRIORITIZED HEALTH ISSUES WERE DETERMINED BY THE COMMITTEE THROUGH REVIEW OF THE DATA, COMMENTS FROM HEALTHCARE EXPERTS, AND INPUT FROM THE FOCUS GROUPS. THE COMMITTEE WAS ESPECIALLY SENSITIVE TO INPUT RELATING TO UNDERSERVED GROUPS. RESOURCES AVAILABLE TO ADDRESS THE ISSUES MCLEOD HEALTH CLARENDON MCLEOD HEALTH CLARENDON SEEKS TO BE THE CHOICE FOR MEDICAL EXCELLENCE FOR RESIDENTS OF CLARENDON COUNTY UTILIZING A DEDICATED MEDICAL STAFF, HIGHLY TRAINED NURSES AND CAREGIVERS, ADVANCED TECHNOLOGY AND EQUIPMENT IN A MODERN FACILITY. IN 1951 CLARENDON MEMORIAL HOSPITAL OPENED AS AN ACUTE CARE HOSPITAL WITH A MEDICAL STAFF OF GENERAL PRACTITIONERS AND ONE GENERAL SURGEON. TODAY, IT HAS GROWN TO BE MORE THAN JUST A COMMUNITY HOSPITAL WITH CHOICES RANGING FROM PRIMARY TO SPECIALTY CARE INCLUDING MID-LEVEL PROVIDERS, AS WELL AS DOZENS OF SERVICES TO MEET THE COMMUNITYS HEALTH AND WELLNESS NEEDS. IN JULY 2016, CLARENDON HEALTH SYSTEM AFFILIATED WITH MCLEOD HEALTH SYSTEM, BASED IN FLORENCE, SC, AND BECAME MCLEOD HEALTH CLARENDON. MCLEOD HEALTH HAS BEEN SERVING THE RESIDENTS OF BOTH SOUTH AND NORTH CAROLINA FOR MORE THAN A CENTURY. AFFILIATION WITH MCLEOD HEALTH WILL ALLOW THE RESIDENTS OF CLARENDON AND SURROUNDING COUNTIES ACCESS TO A NETWORK OF HOSPITAL SYSTEMS, SPECIALTY PROVIDERS, AND OTHER HEALTH SERVICES THAT WILL PROVIDE DISEASE PREVENTION AND MANAGEMENT, AS WELL AS HEALTH & WELLNESS. COMMITMENT TO CARE THAT IS PHYSICIAN-LED AND EVIDENCE-BASED MAKES MCLEOD HEALTH ONE OF THE NATIONS LEADING HEALTHCARE PROVIDERS, THUS ALLOWING RESIDENTS OF THIS AREA TO BENEFIT FROM THE EXPERTISE AS A PART OF THEIR HOMETOWN HEALTHCARE SYSTEM AT MCLEOD HEALTH CLARENDON. MCLEOD HEALTH CLARENDON PROVIDES THE FOLLOWING LIST OF SERVICES TO RESIDENTS OF CLARENDON COUNTY AND SURROUNDING AREAS: CARDIOLOGY, GENERAL SURGERY, ORTHOPEDICS, UROLOGY, OBSTETRICS AND GYNECOLOGY, SKILLED NURSING FACILITIES, GERIATRICS, PRIMARY CARE, LABORATORY, OUTPATIENT REHABILITATION, INFUSION THERAPY, RADIOLOGY & DIGITAL IMAGING, RESPITE CARE, CARDIAC REHABILITATION, HOME HEALTH, DURABLE MEDICAL EQUIPMENT, EMS, CYPRESS TRANSPORT, PHARMACY, PODIATRY, AND WELLNESS. PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS AS OF 2014, CLARENDON COUNTY REPORTED 37 PHYSICIANS SERVICING RESIDENTS IN THE COUNTY: OTHER HEALTH CARE RESOURCES THERE ARE A LIMITED NUMBER OF OTHER HEALTH CARE RESOURCES DUE TO THE SMALLER POPULATION IN CLARENDON COUNTY. OTHER RESOURCES PROVIDED TO COUNTY RESIDENTS INCLUDE SERVICES OFFERED BY THE SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL, SC DEPARTMENT OF MENTAL HEALTH, THE COUNCIL ON AGING, AND THE HOPE HEALTH CLINIC. HEALTH IMPROVEMENT ACTION PLAN MCLEOD HEALTH CLARENDON PROPOSES THE FOLLOWING IMPLEMENTATION AND ACTION PLAN BASED ON THE IDENTIFIED HEALTHCARE ISSUES. THE IMPLEMENTATION OF THESE INITIATIVES WILL GREATLY ENHANCE THE OVERALL HEALTH AND WELL-BEING OF CLARENDON COUNTY RESIDENTS. THE IMPLEMENTATION GOALS DO NOT COVER ALL HEALTH NEEDS, BUT DO COVER THE AREAS OF DIRECT IMPACT IDENTIFIED AND SUPPORTED BY THE RESEARCH PRESENTED. 1. CARDIOVASCULAR DISEASE. THIS IS THE SECOND LEADING CAUSE OF DEATH IN CLARENDON COUNTY AND THUS A MAJOR HEALTH ISSUE. ACTION PLANNED AND RESOURCES NEEDED: IMPLEMENT A MORE ROBUST REFERRAL PROCESS FOR PATIENTS SEEN IN THE INPATIENT AND OUTPATIENT SETTING BY UTILIZING CARDIOVASCULAR CARE PROVIDERS WITHIN THE HEALTH SYSTEM AS WELL AS UTILIZING THE LOCAL CARDIAC REHAB AND HOME HEALTH PROGRAMS IN THE AREA. PROVIDE MORE HEALTH EDUCATION THROUGH VARIOUS MEDIUMS TO PROMOTE HEALTHY LIFE STYLES THROUGH DISEASE MANAGEMENT, DIET AND NUTRITION, PHYSICAL ACTIVITY, SMOKING CESSATION AND DISEASE PREVENTION. IMPROVE CONTINUUM OF CARE FOR PATIENTS THROUGH COLLABORATIVE PROVISION OF CARE IN THE OUTPATIENT CLINIC, PRIMARY CARE SETTINGS, AND HOSPITAL INPATIENT CARE IN AN EFFORT TO REDUCE READMISSIONS OR ED VISITS FOR CARDIAC DISEASE EXACERBATIONS.IMPLEMENTATION TIMELINE: 12-18 MONTHS 2. RESPIRATORY RELATED ILLNESSES. THIS IS THE 5TH LEADING CAUSE OF DEATH IN CLARENDON COUNTY, EMPHASIZING THE NEED TO REDUCE LUNG RELATED ILLNESSES.ACTION PLANNED AND RESOURCES NEEDED: THE CAMPUS IS A "SMOKE-FREE" CAMPUS. PROMOTE MORE INTENSE HEALTH EDUCATION THROUGH VARIOUS MEDIUMS TO PROMOTE HEALTHY LIFE STYLES THROUGH DISEASE MANAGEMENT, DIET AND NUTRITION, PHYSICAL ACTIVITY, SMOKING CESSATION AND DISEASE PREVENTION. RESUME SMOKING CESSATION PROGRAM OFFERED TO COMMUNITY RESIDENTS. IMPROVE THE CONTINUUM OF CARE FOR PATIENTS THROUGH COLLABORATIVE OUTPATIENT CLINIC, PRIMARY CARE PROVIDER AND HOSPITAL INPATIENT SETTING IN AN EFFORT TO REDUCE READMISSIONS OR ED VISITS FOR RESPIRATORY DISEASE EXACERBATIONS. IMPLEMENTATION TIMELINE: 12-18 MONTHS 3. DIABETES. HEALTHCARE PROVIDERS INDICATE MANY DIABETIC PATIENTS ARE NON-COMPLIANT WITH DIRECTIVES FROM PRIMARY CARE PHYSICIANS, FAIL TO KEEP SCHEDULED APPOINTMENTS, AND/OR DO NOT TAKE MEDICATIONS AS PRESCRIBED. THIS GREATLY IMPACTS THE HEALTH OF PATIENTS AND DECREASES THE EFFECTIVENESS AND EFFICIENCY OF THE HEALTH DELIVERY SYSTEM. ACTION PLANNED AND RESOURCES NEEDED: EXPLORE OPPORTUNITIES TO ADD CERTIFIED DIABETIC EDUCATOR TO HOSPITAL STAFF. PROMOTE HEALTH EDUCATION THROUGH VARIOUS MEDIUMS TO PROMOTE HEALTHY LIFE STYLES THROUGH DISEASE MANAGEMENT, DIET AND NUTRITION, PHYSICAL ACTIVITY, SMOKING CESSATION AND DISEASE PREVENTION. PROVIDE IMPROVED ALIGNMENT OF UNINSURED, FINANCIALLY BURDENED PATIENTS WITH MEDICATION AND DIABETIC SUPPLY ASSISTANCE PROGRAMS. IMPROVE CONTINUUM OF CARE FOR PATIENTS THROUGH COLLABORATIVE OUTPATIENT CLINIC, PRIMARY CARE, AND HOSPITAL INPATIENT CARE IN AN EFFORT TO REDUCE READMISSIONS OR ED VISITS FOR DIABETES RELATED DISEASE EXACERBATIONS. IMPLEMENTATION TIMELINE: 12-18 MONTHS 4. OBESITY AWARENESS. CLEARLY, THIS IS A NATIONAL ISSUE THAT AFFECTS THE HEALTH OF INDIVIDUALS IN MANY NEGATIVE WAYS AND IS A MAJOR HEALTH PROBLEM IN CLARENDON COUNTY. ACTION PLANNED AND RESOURCES NEEDED: EXPAND COMMUNITY EDUCATION SESSIONS TO BE PROVIDED IN MULTIPLE LOCATIONS THROUGHOUT THE COUNTY SO THAT ALL RESIDENTS HAVE THE OPPORTUNITY TO PARTICIPATE. PROMOTE EXISTING EXERCISE/FITNESS OPPORTUNITIES IN THE COUNTY. SIGNIFICANT PUBLIC RECREATIONAL RESOURCES ARE PROVIDED BY CLARENDON COUNTY. PROVIDE DIETITIAN EDUCATION SESSIONS FOR INPATIENTS RELATED TO WEIGHT CONTROL THROUGH HEALTHY EATING HABITS. EXPLORE OPTIONS FOR HEALTHY EATING EDUCATION WITHIN THE LOCAL SCHOOLS THROUGHOUT THE COUNTY AND COORDINATION WITH EXISTING DHEC PROGRAMS. IMPLEMENTATION TIMELINE: 12-18 MONTHS 5. HEALTHY MINDS. CLARENDON COUNTY RESIDENTS REPORTED THAT 3.8 DAYS OUT OF THE MONTH THEY FEEL POORLY DUE TO SAD THOUGHTS, FEELINGS OR MENTAL STRESS/FATIGUE. OTHER DATA REFLECT SIGNIFICANT PROBLEMS WITH MENTAL HEALTH ISSUES AND SUBSTANCE ABUSE. ACTION PLANNED AND RESOURCES NEEDED: EXPLORE OFFERING COMMUNITY EDUCATION PROGRAMS RELATED TO MENTAL HEALTH AND SUBSTANCE ABUSE. PROVIDE SUPPORT TO FAITH-BASED, 12-STEP, AND OTHER COMMUNITY SUPPORT GROUPS. IMPLEMENTATION TIMELINE: 12-18 MONTHS 6. ACCESS TO CARE. CLARENDON COUNTY HAS NO MASS PUBLIC TRANSPORTATION SYSTEM AND MANY PATIENTS FACE DIFFICULTIES IN TRAVELING TO OBTAIN HEALTH CARE SERVICES. IN AN ATTEMPT TO PROVIDE CARE TO THOSE IN REMOTE AREAS OR TO THOSE UNABLE TO TRAVEL OUT OF THE COUNTY FOR SPECIALTY CARE WE PROPOSE: ACTION PLANNED AND RESOURCES NEEDED: INVESTIGATE THE FEASIBILITY OF CREATING A SYSTEM TO MAKE HOME VISITS USING PARA MEDICINE UNIT(S) THAT VISIT CHRONIC DISEASE POPULATIONS AT RISK FOR NON-COMPLIANCE DUE TO TRANSPORTATION CHALLENGES. THE INITIAL VISIT WILL BE WITHIN 72 HOURS OF INPATIENT DISCHARGE, THEN AT LEAST WEEKLY FOR 30-DAYS POST HOSPITAL DISCHARGE, THEN BI-WEEKLY FOR 30 DAYS, AND THEN MONTHLY FOR 30 DAYS. EXPAND LOCAL SPECIALTY AVAILABILITY BY UTILIZING SPACE ON THE MCLEOD HEALTH CLARENDON CAMPUS FOR PART-TIME CLINICS. EXAMPLES MAY INCLUDE: ENDOCRINOLOGY, PULMONOLOGY, UROLOGY, DERMATOLOGY, AND ENT. TIMELINE: PARA MEDICINE PROGRAM WILL REQUIRE FUNDING AND PLANNING -- 18-24 MONTHS VISITING SPECIALISTS -- 6-12 MONTHS UNADDRESSED HEALTHCARE ISSUES UNFORTUNATELY, MCLEOD HEALTH CLARENDON IS NOT ABLE TO ADDRESS ALL OF THE HEALTHCARE ISSUES IDENTIFIED IN THIS STUDY. TRANSPORTATION CLARENDON COUNTY HAS NO MASS PUBLIC TRANSPORTATION SYSTEM AND MANY PATIENTS FACE DIFFICULTIES IN TRAVELING TO OBTAIN HEALTH CARE SERVICES. MCLEOD HEALTH CLARENDON RECOGNIZES THERE ARE MEDICAL TRANSPORTATION CHOICES AVAILABLE TO RESIDENTS AND A PROGRAM PROVIDED THROUGH THE SANTEE LYNCHES SERVICES, BUT OBSTACLES STILL EXISTS FOR MANY RESIDENTS WHO NEED TRANSPORTATION FOR HEALTHCARE APPOINTMENTS INSIDE AND OUTSIDE OF THE COUNTY. NUMEROUS GROUPS, STATE AND FEDERAL GRANTS, HAVE ATTEMPTED TO ADDRESS THE TRANSPORTATION ISSUE WITH LIExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCH. H, PART VI, LINE 2IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR PART V, SECTION B, MCLEOD HEALTH CLARENDON (CLARENDON) HAS A COMMUNITY BOARD THAT CONSISTS OF LOCAL PHYSICIANS AND OTHER INFLUENTIAL COMMUNITY LEADERS. THIS BOARD MEETS MONTHLY AND THE LEADERS PROVIDE INPUT FROM VARIOUS PARTS OF THE COMMUNITY TO ASSIST CLARENDON IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY.
SCH H, PART VI, LINE 3UNINSURED 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 4MCLEOD HEALTH CLARENDON (MHC), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD MEDICAL CENTER-DILLON, MCLEOD LORIS SEACOAST HOSPITAL, 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. MHC HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTY OF CLARENDON.
SCH. H, PART VI, LINE 5ESTABLISHED IN 1951, MCLEOD HEALTH CLARENDON HAS SERVED THE RESIDENTS OF CLARENDON COUNTY FOR 68 YEARS. IN 2013, THE HOSPITAL COMPLETED A $22 MILLON, 47,000 SQUARE FOOT EXPANSION AND RENOVATION, ENCOMPASSING NEW OPERATING ROOMS, AN EMERGENCY DEPARTMENT, SAME-DAY SURGERY CENTER AND LARGER PATIENT ROOMS. SERVICES AVAILABLE AT MCLEOD HEALTH CLARENDON INCLUDE: LABOR AND DELIVERY, INFUSION THERAPY, CARDIAC REHABILIATION, OUTPATIENT REHABILITATION, DIAGNOSTIC IMAGING AND HOME HEALTH. THE HOSPITAL HAS NEARLY 30 PHYSICIANS REPRESENTING MEDICAL SPECIALTIES RANGING FROM FAMILY MEDICINE, OB/GYN AND ORTHOPEDICS TO PLASTIC SURGERY AND UROLOGY. MCLEOD HEALTH CLARENDON 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 in need of long-term antibiotic therapy. McLeod Health Dillon With a strong history in the Dillon community since 1943, McLeod Dillon, formerly Saint Eugene Hospital, has continued to grow and expand to serve residents of Dillon (SC) and Robeson (NC) counties with excellence in patient care. The medical center employs 350 and has the strength of 100 physicians on its medical staff. McLeod Dillon, established in 1998, offers general and orthopedic surgery, women's services, emergency services, intensive care, rehabilitative services and cardiac rehabilitation. Investments in state-of-the-art technology to improve patient care have included MRI, digital mammography, 4D ultrasounds, CT Scans, and nuclear and vascular studies. McLeod Health Seacoast An affiliate of McLeod Health, McLeod Seacoast is a not-for-profit, 105-bed hospital serving northern Horry (SC) and southern Brunswick and Columbus (NC) counties. This facility provides advanced diagnostic imaging including MRI, digital mammography, and nuclear medicine. McLeod Seacoast specializes in general surgery, joint replacement surgery, vascular surgery, cancer care, emergency care, critical care, cardiology, cardiac/pulmonary rehabilitation, and physical/occupational/ speech therapies, as well as pediatric rehabilitation. In the Spring of 2016, McLeod Seacoast expanded the Emergency Department (ED) as part of the first phase in an overall construction plan that includes a new inpatient tower and operating rooms as well as an expanded same-day services suite. The second phase of construction, completed in March 2017, included the five-room Fast Track area in the ED to rapidly treat less complex emergency cases, which supports easing congestion and lowering wait times. The four-story bed tower, which is the new face of McLeod Seacoast, opened in September 2018. The hospital, combined with McLeod Loris, has more than 120 physicians on active and affiliate medical staff representing more than 33 specialties. McLeod Health Loris An affiliate of McLeod Health, McLeod Loris is a not-for-profit, 50-bed hospital serving the northern Horry (SC) and southern Columbus (NC) counties since 1950. Diagnostic services include a 64-slice CT scanner, digital mammography, stereotactic breast biopsy, and cardiac catheterization lab. McLeod Loris specializes in general surgery, womens services, urological surgery, emergency care, critical care, cardiac/pulmonary rehabilitation, and physical/occupational/speech therapies. The hospital, combined with McLeod Seacoast, has more than 120 physicians on active and affiliate medical staff representing more than 33 specialties. McLeod Health Cheraw With a strong history in the Chesterfield community since 1958, McLeod Health Cheraw, formerly Chesterfield General Hospital, serves residents of Chesterfield and Marlboro Counties with excellence in patient care. As part of McLeod Health, patients receive access to specialized services, improved technology, an outstanding physician network and enhanced facilities. Services available at McLeod Health Cheraw include: cardiac care, diagnostic imaging, laboratory, rehabilitation, surgery, women's health and hospice. The 59-bed hospital also provides an Emergency Department, an Intensive Care Unit, a Medical Surgical Unit and a Sleep Disorder Center. McLeod Health Clarendon Established in 1951, McLeod Health Clarendon (Formerly Clarendon Memorial Hospital) has served the residents of Clarendon County for 68 years. In 2013, the hospital completed a $22 million, 47,000 square foot expansion and renovation, encompassing new operating rooms, an emergency department, same-day surgery center and larger patient rooms. Services available at McLeod Health Clarendon include: labor and delivery, infusion therapy, cardiac rehabilitation, outpatient rehabilitation, diagnostic imaging, home health and hospice. The hospital has nearly 30 physicians representing medical specialties ranging from family medicine, OB/GYN and orthopedics to plastic surgery and urology. Governance The McLeod Health Board of Trustees is a self-perpetuating, governing board that includes professional members and physicians. The board is composed of
SCH. H, PART VI, LINE 5 CONTINUEDThe 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 liver cancer. Advantages to patients include the ability to deliver a large radiation dose to a tumor in the body, reducing the amount of time during treatment and resulting in fewer treatments. In addition to these units, McLeod offers the only active linear accelerator (LINAC) based Stereotactic Radiosurgery (SRS) program from the midlands to the coast for the treatment of brain cancer and nerve conditions such as trigeminal neuralgia. In 2019, the McLeod Center for Cancer Treatment and Research was named a Novalis Certified Cancer Center following a rigorous and voluntary audit conducted by an independent, third-party panel of experts in radiation oncology, patient safety and treatment quality. One of only eight Novalis Certified Centers in the United States, McLeod is the only such cancer center in South Carolina. The hospital also represents one of only 46 certified centers worldwide. Located within the McLeod Heart and Vascular Institute are three dedicated open heart surgery suites, two hybrid surgical suites, a cardiovascular intensive care unit, the cardiovascular day hospital, and an area for general ultrasound services, echocardiography, and EKG. The Vascular Hybrid Surgical Suite offers McLeod Vascular Surgeons the flexibility of performing both diagnostic and surgical procedures in one location. The hybrid suite eliminates the necessity of moving the patient by combining the two capabilities, X-ray imaging and surgery, into one area. The suite is equipped with X-ray imaging systems mounted to the ceiling. If the patient should require surgery, the equipment is easily moved out of the way and the table converted to a surgical table. In a region that has the highest incidence of heart and vascular disease, McLeod added a second state-of-the-art Hybrid Operating Suite in 2017. This operating suite combines the medical expertise of interventional cardiologists and the surgical expertise of the cardiothoracic surgeons with the most advanced heart technology available to perform TAVR, transcatheter aortic valve replacement. TAVR targets patients with aortic valve stenosis, a condition that results in the narrowing of the main valve that allows the blood to exit the heart causing blood to back up in the lungs. Performed through very small incisions, and in some cases needle punctures, this procedure inserts a new valve without removing the old, degenerated valve. Committed to bringing excellence in healthcare and access to leading edge technology to deliver the highest quality and most innovative surgical treatment to patients in the region, McLeod Medical Park Five is now open on the campus of McLeod Regional Medical Center. The new facility houses the outpatient surgery center and orthopedic physician offices. In 2018, McLeod Health also established McLeod Medical Park Hartsville located in Hartsville, SC. Services offered in Hartsville include physical therapy and rehabilitation services through McLeod Sports Medicine and Rehabilitation, as well as rotating physician appointments in Cardiology, Vascular, and Orthopedics. On the coast, the McLeod Health Carolina Forest complex has opened the first two of seven medical park office buildings. Multiple physician practices occupy these two office buildings as an extension of McLeod Loris Seacoast Hospital. At the entrance of the campus is Building 1 which includes McLeod Family Medicine-Carolina Forest and Atlantic Urology Clinics. Building 2 encompasses McLeod Cardiology Associates, McLeod Vascular Associates, McLeod Loris Seacoast Surgery, McLeod OB/GYN Seacoast and McLeod Neurology-Carolina Forest. In addition, a new outpatient rehabilitation department provides physical, speech, pediatric and occupational therapy services. In October of 2019, McLeod Health also announced the opening of the new McLeod Health Carolina Forest Emergency Department. The 13,000 square-foot Emergency Department, which is open 24/7, offers streamlined services, including 15 spacious exam rooms and state-of-the-art trauma facilities with advanced diagnostic equipment. The only Emergency Department in Carolina Forest, the facility includes a trauma room, triage room, and other specialized areas. In addition, Radiology/CT and Lab services are housed within the Emergency Department to expedite a diagnosis. McLeod Health now offers 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. McLeod is affiliated with academic institutions to address the communitys healthcare needs. McLeod facilitates Family Medicine and Pharmacy Residency Programs and supports Francis Marion University's Bachelor of Science Nursing Degree Program as well as Florence-Darlington Technical Colleges Associate Degree Nursing Program. Rotations at McLeod Regional Medical Center in clinical and administrative areas are also offered to students from educational programs throughout the state. For more than 35 years, McLeod has participated in state-of-the-art cancer research and made clinical trials available to people living in northeastern South Carolina and southeastern North Carolina. McLeod's involvement in cancer research is supported by multiple research partners, including the National Cancer Institute (NCI) and the Southeast Clinical Oncology Research Consortium, (SCOR). McLeod is dedicated to providing area residents the opportunity to participate in a clinical trial that best suits the unique needs of the individual. As nurses are a part of the future of health care, the region is very fortunate to have two excellent nursing education programs in Florence at Francis Marion University and Florence-Darlington Technical College. These two programs are the cornerstone for recruiting, retention and cultivation of exceptional nurses by McLeod and other health care providers in the region. Annually, McLeod Health donates $75,000 to both the Florence-Darlington Technical College and Francis Marion University Nursing Programs. These contributions recognize each school's Nursing Program for their commitment to the development of outstanding health care professionals for the region. The success of the relationships with the two college Nursing Programs, coupled with strong recruiting efforts, has helped McLeod and other health care providers in the region improve their nursing vacancy rate considerably. In addition to this years gifts to the Francis Marion University and Florence-Darlington Technical College Nursing Programs, McLeod also offers scholarships to eligible students to assist those who need financial aid with nursing school. McLeod scholarships are available to college students who have been accepted in an accredited allied healthcare program such as nursing. McLeod Health has numerous initiatives in place to provide community benefits that promote prevention, healing, and treatment. Some of these initiatives include health education through seminars and written sources, support groups, health fairs, health screenings and immunizations, free and discounted medical supplies, research, and financial and in-kind contributions. The health screenings that are offered to the community check for problems with blood pressure, cholesterol, diabetes, skin cancer, peripheral vascular disease, and stroke. Childbirth preparation classes, Infant/Child CPR, Community Car Seat Safety Checks by Certified Child Passenger Safety Technicians, and Safe Sitter sessions are also offered to the community. Established in 1986, the McLeod Health Foundation was created to help generate philanthropic, financial and community support for specific programs, projects and growth. Since that time, the McLeod Health Foundation has raised in excess of $73 Million. The donations given have helped
SCH. H, PART VI, LINE 7LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RONALD L BORING
COO REL ORG (until Sept. 2019)$0$508,238$0$64,654$0$13,188$0$67,902$0$34,304$0$688,286$0$0
S FULTON ERVIN III
CFO OF RELATED ORG$0$520,075$0$95,339$0$12,662$0$70,576$0$25,291$0$723,943$0$0
KIMBERLY M JOLLY RN CRN
DIRECTOR/CHIEF NURSING OFFICER$122,425$0$24,690$0$1,293$0$9,940$0$33,054$0$191,402$0$0$0
ROBERT S EAGERTON JR MD
DIRECTOR/STAFF PHYS OF REL ORG$0$289,339$0$0$0$1,570$0$46$0$17,556$0$308,511$0$0
ANSEL MCFADDIN MD
DIRECTOR$0$195,819$0$0$0$4,239$0$4,288$0$12,796$0$217,142$0$0
DONNA ISGETT
COO REL ORG(starting Sept 2019$0$557,658$0$81,561$0$9,028$0$74,196$0$30,629$0$753,072$0$0
RACHEL GAINEY
VP/ADMINISTRATOR$192,477$0$42,487$0$1,188$0$16,839$0$15,261$0$268,252$0$0$0
Frankie White MD
Staff Physician$289,195$0$0$0$695$0$0$0$20,266$0$310,156$0$0$0
Nicole Ours MD
Staff Physician$278,172$0$0$0$1,175$0$0$0$17,632$0$296,979$0$0$0
Wilmot McCollough III MD
Staff Physician$258,311$0$0$0$4,362$0$0$0$20,277$0$282,950$0$0$0
Tracy Ganes MD
Chief Anesthetist$193,337$0$0$0$1,357$0$7,107$0$22,127$0$223,928$0$0$0
Alyson Eastep MD
Staff Physician$180,600$0$2,500$0$925$0$3,782$0$18,448$0$206,255$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3MCLEOD 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 4BMCLEOD 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 7THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART VI LINE 6PART 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 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.
FORM 990 PART VI LINE 7ATHE BOARD OF MCLEOD HEALTH (SOLE MEMBER} HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CLARENDON'S BOARD.
FORM 990 PART VI LINE 7BTHE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CLARENDON'S BOARD.
FORM 990 PART VI LINE 11BFORM 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 12CFORM 990, PART VI, SECTION B, LINE 12C: MCLEOD HEALTH CLARENDON 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 15AIN DETERMINING COMPENSATION OF MCLEOD HEALTH CLARENDON'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 19THE 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 2BTHE FINANCIAL STATEMENTS OF MCLEOD HEALTH (SOLE MEMBER OF MCLEOD HEALTH CLARENDON) WERE AUDITED ON A CONSOLIDATED BASIS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2019.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MCLEOD REG MED CENTER OF THE PEE DEE INC
555 EAST CHEVES STREETFLORENCESC29506570370242HOSPITALSC501(C)(3)LINE 3NAfalse
MCLEOD HEALTH FOUNDATION
555 EAST CHEVES STREETFLORENCESC29506570818672FUNDRAISINGSC501(C)(3)LINE 12ANAfalse
MCLEOD PHYSICIAN ASSOCIATES II
555 EAST CHEVES STREETFLORENCESC29506202935692PHYS SVCSSC501(C)(3)LINE 10NAfalse
MCLEOD HEALTH
555 EAST CHEVES STREETFLORENCESC29506510473500HEALTHCARESC501(C)(3)LINE 12CNAfalse
MCLEOD LORIS SEACOAST HOSPITAL
555 EAST CHEVES STREETFLORENCESC29506453576100HOSPITALSC501(C)(3)LINE 3NAfalse
MCLEOD MEDICAL CENTER - DILLON
555 EAST CHEVES STREETFLORENCESC29506510473471HOSPITALSC501(C)(3)LINE 3NAfalse
MCLEOD HEALTH CHERAW
555 EAST CHEVES STREETFLORENCESC29506473712858HOSPITALSC501(C)(3)LINE 3NAfalse
ADVANCED OUTPATIENT SERVICES
555 EAST CHEVES STREETFLORENCESC29506815006949HOSPITALSC501(C)(3)LINE 3NAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD PHYSICIAN ASSOCIATES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd
FieldValueIRS element (for citing)
EIN582279897EIN
Primary ActivitiesPHYS SERVICESPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MCLEOD HEALTH
M$4,051,256ACTUAL COST
MCLEOD HEALTH FOUNDATION
C$179,604CASH
MCLEOD PHYSICIAN ASSOCIATES II
J$217,701ACTUAL COST