2019-08-15T09:48:43-05:00 2018-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2017-10-01 812772554 MCLEOD HEALTH CLARENDON % MARK W CAMERON MCLE 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF SYSTEM 8437775304 2019-08-09 true WHITNEY E BLAIR P01226647 3362753394 2019-08-09 167.68.102.5 56038220192275000007 2019-08-15 P 1BCEAD005887E94036A02A9F626FFE2CC09880EE D34052DE1B072D2927C37F9DEC95153423C63DB3 2017 2019-02-21 02:37:17Z ROBERT COLONES 555 EAST CHEVES STREET FLORENCE SC 29506 44540535 false X WWW.MCLEODHEALTH.ORG X 2016 SC ACUTE CARE HOSPITAL 12 6 577 17 0 209516 248808 36624367 42586000 5744 5386 3028194 1254806 39867821 44095000 0 0 0 0 18409839 22369678 0 0 0 29562937 18858727 47972776 41228405 -8104955 2866595 40357256 36808553 57531471 51116173 -17174215 -14307620 ORGANIZATION IS PART OF THE MCLEOD HEALTH SYSTEM. THE MISSION OF MCLEOD HEALTH IS TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF PEOPLE LIVING WITHIN SOUTH CAROLINA AND EASTERN NORTH CAROLINA BY PROVIDING EXCELLENCE IN HEALTH CARE. false false 38832190 42586000 MCLEOD 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. 38832190 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 105 0 true 577 true false false false false false false false false false false X 12 6 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 OF RELATED ORG 1.0 39.0 X X 0 516440 89734 S FULTON ERVIN III CFO OF RELATED ORG 1.0 39.0 X X 0 518549 83473 MARVA D WILLIAMS MD DIRECTOR/VICE CHAIRPERSON 1.0 0.0 X X 0 0 0 KIMBERLY O JOHNSON DIRECTOR/SECRETARY 1.0 0.0 X X 0 0 0 KIMBERLY M JOLLY RN CRN DIRECTOR/CHIEF NURSING OFFICER 40.0 0.0 X X 117699 0 33026 ROBERT S EAGERTON JR MD DIRECTOR/STAFF PHYS OF REL ORG 1.0 39.0 X X 305610 0 21514 GEORGE SUMMERS DIRECTOR 1.0 0.0 X X 0 0 0 DAVID W EPPERSON ESQ DIRECTOR 1.0 0.0 X X 0 0 0 STEPHEN V COREY MD DIRECTOR/CHAIRPERSON 1.0 0.0 X X 0 0 0 REV GEORGE WINDLEY DIRECTOR 1.0 0.0 X X 0 0 0 ANSEL MCFADDIN MD DIRECTOR 1.0 39.0 X X 81771 0 5460 RACHEL GAINEY VP/ADMINISTRATOR 40.0 0.0 X X 143551 0 17062 Nicole Ours Staff Physician 40.0 0.0 X 288289 0 20511 Wilmot McCollough III Staff Physician 40.0 0.0 X 286894 0 17977 Frankie White Staff Physician 40.0 0.0 X 266084 0 16549 Tracy Ganes Chief Anesthetist 40.0 0.0 X 205593 0 29216 Alyson Eastep Staff Physician 40.0 0.0 X 190225 0 20851 1885716 1034989 355373 8 false true false EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 Medical Services 820833 AMERICAN ANESTHESIOLOGY OF SC PO BOX 281034 ATLANTA GA 303841034 Medical Services 272841 METZ CULINARY MANAGEMENT 2 WOODLAND DRIVE DALLAS PA 18612 Culinary Mgmt Serv. 220794 TRINITY HEALTHCARE STAFFING PO BOX 531741 ATLANTA GA 303531741 Staffing 215916 TRUSTAFF TRAVEL NURSES LLC PO BOX 63-8231 CINCINNATI OH 452638231 Staffing 168599 18 248808 248808 NET PATIENT REVENUE 624100 41461910 41461910 ALL OTHER PROGRAM SERVICE REVENUE 900099 1124090 1124090 42586000 5386 5386 0 0 302125 445535 -143410 0 -143410 -143410 0 0 0 0 0 0 0 0 0 0 SC TRANSFORMATIONAL POOL REV 900099 800040 800040 NUTRITIONAL SERVICES 722320 306364 306364 PHARMACY REVENUE 446110 1006 1006 290806 290806 1398216 44095000 42586000 1260192 0 0 0 0 210811 198911 11900 0 17592331 16599290 993041 0 4566536 4555838 10698 0 0 0 0 0 0 0 235309 153221 82088 0 138431 373 138058 5113861 4988266 125595 142294 139044 3250 0 661567 661567 25326 14768 10558 0 37075 26303 10772 0 0 2170568 2170568 384706 384706 INTERCOMPANY MANAGEMENT FEES 3776302 3776302 PHYSICIAN FEES 1725597 1725597 LICENSES & TAXES 992834 992834 OTHER EXPENSES 3454857 2444602 1010255 41228405 38832190 2396215 0 2746022 2285845 0 0 0 0 6285979 4779237 0 0 0 0 0 0 825883 583449 653783 624457 70370910 42634076 28833708 27736834 0 0 0 0 0 0 0 0 1011881 798731 40357256 36808553 2240769 1904823 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55290702 49211350 57531471 51116173 X -17174215 -14307620 0 0 0 0 -17174215 -14307620 40357256 36808553 2866595 X false true X true false X 1052601 1052601 38008345 17688725 20319620 31309964 24945351 6364613 27736834 0 INTERCOMPANY PAYABLE 45820494 DUE TO THIRD PARTY PAYOR 1185570 DEFERRED INCOME-SC TRANSFORMAT 2205286 49211350 X 44540535 445535 445535 44095000 44095000 41673940 445535 445535 41228405 41228405 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 XIII LINE 2D RENT EXPENSES RECLASSIFIED TO REVENUE $445,535 true true X true X true X true true false true true 5879317 4364000 1515317 0.03680 9969271 5758205 4211066 0.10210 15848588 10122205 5726383 0.13890 11075 11075 0.00030 8200 8200 0.00020 19275 19275 0.00050 15867863 10122205 5745658 0.13940 5200 5200 0.00010 5200 5200 0.00010 true 2312046 155968 10023350 8655720 1367630 X true true 1 1 MCLEOD HEALTH CLARENDON 10 EAST HOSPITAL STREET MANNING SC 29102 WWW.MCLEODHEALTH.ORG SC L-0930 X X X MCLEOD HEALTH CLARENDON 1 true true true X X X X X X X X 15 true false false true X WWW.MCLEODHEALTH.ORG X true 15 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 true X false false MCLEOD HEALTH CLARENDON MCLEOD HEALTH CLARENDON WAS ACQUIRED DURING 2016 AND HAS BEEN RECOGNIZED AS A HOSPITAL UNDER IRC SECTION 501(C)(3) AND 170(B)(1)(A)(III) BY THE INTERNAL REVENUE SERVICE EFFECTIVE MAY 27, 2016. MCLEOD HEALTH CLARENDON IS OPERATED IN A MANNER CONSISTENT WITH MCLEOD HEALTH AS A CHARITABLE ORGANIZATION. PART V, SECTION B, LINE 5: HIGH 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 LI SCH. H, PART VI, LINE 2 IN 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 3 UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR HEALTHCARE SERVICES. IF THE PATIENT HAS NO ABILITY TO PAY AND IS DEEMED INELIGIBLE FOR GOVERNMENTAL PROGRAMS (MEDICARE, MEDICAID, ETC.) THEN THEY ARE INFORMED OF THE HOSPITAL CHARITY PROGRAM. THEY ARE PROVIDED WITH AN APPLICATION AND A LISTING OF THE APPROPRIATE DOCUMENTS NECESSARY TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL CHARITY PROGRAM. SCH. H, PART VI, LINE 4 MCLEOD 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, HORRY, MARION, AND MARLBORO, AND ITS SECONDARY SERVICE AREA (SSA) AS THE SOUTH CAROLINA COUNTIES OF CLARENDON, 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 5 ESTABLISHED IN 1951, MCLEOD HEALTH CLARENDON HAS SERVED THE RESIDENTS OF CLARENDON COUNTY FOR 67 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 initiatives and methodology, McLeod Health has a leading regional presence in Northeastern South Carolina and Southeastern North Carolina and a reputation for dedication to its patients and their families. McLeod constantly seeks to improve its patient care with efforts that are physician led, data-driven and evidence-based. The 18-county area McLeod serves, from the midlands to the coast, has a population of more than one million including those who live in Southeastern North Carolina. Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 750 members on the medical staff and more than 2,000 registered nurses. In addition to its modern facilities, premier technology and equipment, McLeod is dedicated to improving the health of the residents of those communities served. McLeod Health is composed of more than 8,500 employees and approximately 90 physician practices in the McLeod Health 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 Darlington, McLeod Dillon, McLeod Loris, McLeod Seacoast, McLeod Health Cheraw and McLeod Health Clarendon. 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, three dedicated open heart surgery suites and two hybrid ORs within the Heart & Vascular Institute as well as Centers of Excellence in Heart, Cancer, Orthopedics, Surgery, Neurosurgery, Trauma, Childrens 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. As the only hospital-based teaching facility in the region, McLeod also supports Family Medicine and Pharmacy Residency Programs. 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 located on the campus of McLeod Regional Medical Center houses the Outpatient Surgery Center and McLeod Orthopaedics Physician Practice. In 2018, McLeod Health also established McLeod Medical Park Hartsville located at 1319 South Fourth Street in Hartsville, South Carolina. 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 Health Seacoast. This 43-acre outpatient medical campus is designed to provide services to meet the healthcare needs of residents within and around the Carolina Forest area. At McLeod Health Seacoast, the new four-story bed tower, which opened in September 2018, included the addition of 55 beds to the hospital. McLeod Health has been recognized numerous times for its outstanding work in quality care, best practices and clinical outcomes as well as its physicians' dedication to quality improvement. The efforts to improve quality and patient safety are physician led, data-driven and evidence-based. Because of this commitment by strong, active physician and staff participation, McLeod has received national recognition for quality including the 2010 American Hospital Association-McKesson Quest for Quality Prize. Awarded annually to one hospital in the country, McLeod is the first hospital in South Carolina to receive this prestigious honor since the inception of the national Quest for Quality Prize in 2002. Recently, McLeod Health McLeod Regional Medical Center received the Healthgrades 2018 Distinguished Hospital Award for Clinical Excellence. This distinction recognizes McLeod as one of the Top 5% of more than 4,500 hospitals nationwide for its clinical performance as measured by Healthgrades. In the Fall of 2018, McLeod Health was honored with 23 South Carolina Certified Zero Harm Awards from the South Carolina Hospital Association (SCHA) in recognition of the hospital systems excellent work in preventing hospital-acquired infections. McLeod Health received the most Zero Harm Awards by a hospital system. The following McLeod Health hospitals were recognized with Zero Harm Awards: McLeod Health Cheraw, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast and McLeod Regional Medical Center. To earn a Certified Zero Harm Award, hospitals must experience no preventable hospital-acquired infections of a specific nature over an extended period of time. All hospital data used for the awards is independently verified by the South Carolina Department of Health and Environmental Control and recognizes the exceptional achievement the hospital or hospital unit has made to the safety and quality of care within their facilities. Since 2014, McLeod Hospitals have been awarded 59 Certified Zero Harm Awards. McLeod Regional Medical Center received a Safety Score of A from the Leapfrog Group in November of 2018. Only 855 hospitals in the nation received an A, ranking McLeod among the safest hospitals in the United States. The Leapfrog Group Hospital Safety Score Program grades hospitals on their overall performance in keeping patients safe from preventable harm and medical errors. McLeod Regional Medical Center has received the 2017-2018 NRC Health Consumer Loyalty Award. McLeod is rated No. 5 in the nation for this inaugural consumer loyalty rating. The metric developed by NRC provides an all-around view of consumer loyalty and recognizes the top performers in the health care industry. McLeod is among the 71 percent of provider organizations citing patient engagement as a top priority. NRC added that consumers have more choice than theyve ever had when it comes to their health care and the Consumer Loyalty Award winners like McLeod are at the forefront of this shift towards a consumer-centered approach to care. As one of the region's largest service organizations, including physicians, nurses, and pharmacists as well as computer technicians, environmental services workers, therapists and other medical professionals, McLeod employees' direct wage impact to the region last year was $511 Million. This money flows into numerous local organizations to help stimulate the region's economy each year. McLeod has prudently built and developed reserves in order to continue to grow as a mission minded hospital committed to improving the health of people in the region. In terms of surpluses, like any business or family, a hospital must earn more than it spends to be viable and fulfill its mission. McLeod has set aside funds for the future growth needed in healthcare services. These funds are professionally managed and are in accordance with guidelines established by Moody's Investors Service for a service organization appropriate to McLeod's size and scope. Money from the operating margin is reinvested in the local economy and used for expansion or replacement of equipment, technology and facilities to meet the highest standards of care, quality and safety for patients. Improvements translate to services needed in the community, as well as access to medical care for acutely ill patients and those impacted by the state's most prevalent diseases, many of which are the highest in the nation. McLeod's projects and medical developments are consistent with the needs identified by the South SCH. H, PART VI, LINE 5 CONTINUED 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. In Fiscal Year 2018, McLeod Health provided the region with $327.3 Million dollars worth of Charity Care to benefit community families. McLeod Health not only provides community benefit through the services offered but also by stimulating the local economy by being the region's largest employer. 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 benefit the McLeod Cancer Center, Hospice Services, Childrens Hospital, the Diabetes Center and many other programs that the Foundation funds to care for the well-being of people living in the 18-county region McLeod Health serves. The community outreach budget allocates approximately $250,000 across the healthcare system for sponsorships and donations to serve in civic, academic and corporate partnerships. In order to promote health within, McLeod has developed a health incentive program for employees called Healthier You. Healthier You is a free care management program for employees and their families on the McLeod Health insurance plan. The McLeod Mobile Mammography Unit began making visits to businesses and industries in January 2008 to reach working women where scheduling the time for a mammogram is an issue. For calendar year 2018, there were 2,799 screening mammograms completed on the Mobile Mammography Unit. Of these, 29 cases of breast cancer were diagnosed. Safe Kids Pee Dee/Coastal, led by McLeod Health, works to reduce the number of unintentional childhood injuries through a multi-faceted approach combining community action, safety events, public awareness, education, and public policy initiatives. Events and awareness programs are held regularly throughout the community, including car seat checks, bicycle rodeos, Safe Sleep classes, Injury Prevention talks, Fire Safety education through school districts, and health fairs. McLeod Health also works to support the services of the American Red Cross with financial support as well as through resources and blood donations made by employees during regular McLeod blood drives. According to the Red Cross, there is a critical need at national and state levels for blood, which is used in emergency situations as well as for patients with cancer, blood disorders and other illnesses. Unyielding service and a commitment to serve others is evident in the organization's outreach efforts to the community, day-to-day operations, and long-range planning. The McLeod Health team of physicians, nurses, staff members, board members and volunteers are dedicated to providing the community with much more than medical care. Their commitment extends beyond the medical center's walls and into the region by participating in community events, education programs and outreach to local industries, in an effort to build a stronger and healthier place for patients, co-workers, children and neighbors to live and work. SCH. H, PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC X X X X X X false true false false false false false true false RONALD L BORING COO OF RELATED ORG 0 503252 0 0 0 13188 0 60566 0 29168 0 606174 0 0 S FULTON ERVIN III CFO OF RELATED ORG 0 505880 0 0 0 12669 0 59566 0 23907 0 602022 0 0 KIMBERLY M JOLLY RN CRN DIRECTOR/CHIEF NURSING OFFICER 117097 0 0 0 602 0 2514 0 30512 0 150725 0 0 0 ROBERT S EAGERTON JR MD DIRECTOR/STAFF PHYS OF REL ORG 305034 0 0 0 576 0 5400 0 16114 0 327124 0 0 0 RACHEL GAINEY VP/ADMINISTRATOR 142960 0 0 0 591 0 5083 0 11979 0 160613 0 0 0 Nicole Ours Staff Physician 287104 0 0 1185 0 0 20511 0 308800 0 0 0 Wilmot McCollough III Staff Physician 284358 0 0 2536 0 0 17977 0 304871 0 0 0 Frankie White Staff Physician 265642 0 0 442 0 0 16549 0 282633 0 0 0 Tracy Ganes Chief Anesthetist 204425 0 0 1168 0 7461 0 21755 0 234809 0 0 0 Alyson Eastep Staff Physician 189463 0 0 762 0 3903 0 16948 0 211076 0 0 0 SCHEDULE J, PART I, LINE 3 MCLEOD HEALTH USES ALL OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF ITS EXECUTIVES SERVING THE HOSPITALS AND AFFILIATED ORGANIZATIONS IN THE MCLEOD HEALTH SYSTEM. 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 469-BED TERTIARY CARE FACILITY AND A 40-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD MEDICAL CENTER-DARLINGTON, A 49-BED COMMUNITY HOSPITAL LOCATED IN DARLINGTON, SOUTH CAROLINA; -MCLEOD BEHAVIORAL HEALTH, A 23-BED PSYCHIATRIC FACILITY LOCATED ON THE CAMPUS OF MCLEOD MEDICAL CENTER-DARLINGTON; -MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE- COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT HOSPICE FACILITY LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD HEALTH & FITNESS CENTER, A COMPREHENSIVE HEALTH AND FITNESS CENTER LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD AMBULATORY SURGERY CENTER, A FREE-STANDING OUTPATIENT SERVICE CENTER LOCATED ON THE CAMPUS OF MCLEOD REGIONAL MEDICAL CENTER. ADDITIONALLY, MRMC IS THE MAJORITY OWNER IN A JOINT VENTURE, MCLEOD MEDICAL PARTNERS, LLC, WHICH OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE CAMPUS. MCLEOD MEDICAL CENTER-DILLON: MCLEOD MEDICAL CENTER-DILLON IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE CODE. MCLEOD MEDICAL CENTER-DILLON OWNS AND OPERATES A 66-BED COMMUNITY HOSPITAL LOCATED IN THE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS 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 100 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 7A THE 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 7B THE 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 11B FORM 990, PART VI, SECTION B, LINE 11: THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 CONSISTS OF PROVIDING COPIES OF THE FORM 990 TO THE FINANCE COMMITTEE OF MCLEOD HEALTH (SOLE MEMBER OF MCLEOD HEALTH CLARENDON) AT THE MAY 2019 FINANCE COMMITTEE MEETING, ALONG WITH A PRESENTATION COVERING THE FORM 990 BY THE PREPARING FIRM, KPMG LLP, TO ALLOW FOR A THOROUGH REVIEW BY THE SOLE MEMBER'S FINANCE COMMITTEE BEFORE THE FILING DATE OF AUGUST 15, 2019. FORM 990 PART VI LINE 12C FORM 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 15A IN 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 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 CLARENDON) WERE AUDITED ON A CONSOLIDATED BASIS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018. MCLEOD REG MED CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE SC 29506 570370242 HOSPITAL SC 501(C)(3) LINE 3 NA false MCLEOD HEALTH FOUNDATION 555 EAST CHEVES STREET FLORENCE SC 29506 570818672 FUNDRAISING SC 501(C)(3) LINE 12A NA false MCLEOD PHYSICIAN ASSOCIATES II 555 EAST CHEVES STREET FLORENCE SC 29506 202935692 PHYS SVCS SC 501(C)(3) LINE 10 NA false MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE SC 29506 510473500 HEALTHCARE SC 501(C)(3) LINE 12C NA false MCLEOD LORIS SEACOAST HOSPITAL 555 EAST CHEVES STREET FLORENCE SC 29506 453576100 HOSPITAL SC 501(C)(3) LINE 3 NA false MCLEOD MEDICAL CENTER - DILLON 555 EAST CHEVES STREET FLORENCE SC 29506 510473471 HOSPITAL SC 501(C)(3) LINE 3 NA false MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 473712858 HOSPITAL SC 501(C)(3) LINE 3 NA false ADVANCED OUTPATIENT SERVICES 555 EAST CHEVES STREET FLORENCE SC 29506 815006949 HOSPITAL SC 501(C)(3) LINE 3 NA false MCLEOD PHYSICIAN ASSOCIATES INC 555 EAST CHEVES STREET FLORENCE SC 29506 582279897 PHYS SERVICES SC NA C CORP false false false true false false false false false false true false false true false false false false false false MCLEOD HEALTH M 3776302 ACTUAL COST MCLEOD HEALTH FOUNDATION C 248808 CASH MCLEOD PHYSICIAN ASSOCIATES II J 277562 ACTUAL COST