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MCLEOD LORIS SEACOAST HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MCLEOD LORIS SEACOAST HOSPITAL (EIN 45-3576100)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-12
IRS object ID
201642259349303864
Schema version
2014v6.0
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)
Return2016-08-12T15:52:40-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453576100EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD LORIS SEACOAST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARK W CAMERONInCareOfNm
Business Name ControlMCLEBusinessNameControlTxt
Phone8437772256PhoneNum

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 TitleSR VP/CFOPersonTitleTxt
Phone8437772256PhoneNum
Signature2016-08-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA A COLLINSPreparerPersonNm
PTINP00008888PTIN
Phone3362753394PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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$110,989,746GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mcleodhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionACUTE CARE HOSPITALActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1016TotalEmployeeCnt
Total Volunteers58TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$39,771PYContributionsGrantsAmt
CY Contributions Grants$270,629CYContributionsGrantsAmt
PY Program Service Revenue$99,055,378PYProgramServiceRevenueAmt
CY Program Service Revenue$109,232,589CYProgramServiceRevenueAmt
PY Investment Income-$147,202PYInvestmentIncomeAmt
CY Investment Income$24,230CYInvestmentIncomeAmt
PY Other Revenue$2,620,204PYOtherRevenueAmt
CY Other Revenue$1,462,298CYOtherRevenueAmt
PY Total Revenue$101,568,151PYTotalRevenueAmt
CY Total Revenue$110,989,746CYTotalRevenueAmt
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$46,446,980PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$44,977,715CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$54,898,090PYOtherExpensesAmt
CY Other Expenses$55,936,168CYOtherExpensesAmt
PY Total Expenses$101,345,070PYTotalExpensesAmt
CY Total Expenses$100,913,883CYTotalExpensesAmt
PY Revenues Less Expenses$223,081PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,075,863CYRevenuesLessExpensesAmt
Total Assets BOY$94,370,729TotalAssetsBOYAmt
Total Assets EOY$103,633,761TotalAssetsEOYAmt
Total Liabilities BOY$77,691,915TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,879,084TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,678,814NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,754,677NetAssetsOrFundBalancesEOYAmt
MissionORGANIZATION IS PART OF 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 HEALTHCARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$89,444,975ExpenseAmt
Revenue$109,232,589RevenueAmt
DescMCLEOD LORIS SEACOAST HOSPITAL IS A 155-BED COMMUNITY HOSPITAL SYSTEM LOCATED IN LORIS AND LITTLE RIVER, SOUTH CAROLINA. MCLEOD LORIS SEACOAST HOSPITAL OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. SEE ALSO THE COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH AT SCHEDULE H.Desc
Total Program Service Expenses$89,444,975TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 Document87IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1016EmployeeCnt
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
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 (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
S FULTON ERVIN III
CFO OF REL ORG4.036.0Yes (X)$0$527,438$87,072
RONALD L BORING
COO OF RELATED ORG2.038.0Yes (X)$0$510,082$99,005
DANE P FICCO
VP OF RELATED ORG1.039.0Yes (X)$0$469,417$72,542
T CHUCK MILLS MD
TRUSTEE0.040.0Yes (X)$0$326,025$17,600
MARK F PELSTRING MD
CHIEF OF STAFF/MD RELATED ORG40.00.0Yes (X)$0$233,044$24,354
AMANDA MILLS
AVP NURSING40.00.0Yes (X)$125,036$0$15,525
EDWARD D TINSLEY
SR. VP OF REL ORG/ADMIN39.01.0Yes (X)$0$365,194$65,859
TRACY RAY OD
TRUSTEE1.00.0Yes (X)$0$0$0
RONALD M FOWLER
TRUSTEE1.00.0Yes (X)$0$0$0
ALEXANDER C LOGAN III MD
CHAIRMAN1.00.0Yes (X)$0$0$0
FRANKIE BLANTON
TRUSTEE SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
FRANK BOULINEAU
TRUSTEE1.00.0Yes (X)$0$0$0
MAURICE JONES
TRUSTEE1.00.0Yes (X)$0$0$0
DORIS P HICKMAN
VICE CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
EDWARD W PRINCE III
TRUSTEE SECRETARY1.00.0Yes (X)$0$0$0
DONALD N LUDLOW MD
TRUSTEE1.00.0Yes (X)$0$0$0
GAVIN LEASK MD
CHIEF OF STAFF/MD REL CO1.00.0Yes (X)$0$0$0
ROBERT L COLONES
CEO OF RELATED ORG0.00.0Yes (X)$0$915,767$47,588
CHRISTOPHER PO
STAFF PHYSICIAN40.00.0$658,311$0$67,234Yes (X)
EDWARD BOTSE-BAIDOO
STAFF PHYSICIAN40.00.0$376,545$0$58,676Yes (X)
DARRYL B BEST MD
STAFF PHYSICIAN40.00.0$330,124$0$41,086Yes (X)
Sheif Abdou
STAFF PHYSICIAN40.00.0$270,946$0$24,367Yes (X)
Evgeny Tseplaev
STAFF PHYSICIAN40.00.0$260,729$0$52,467Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,021,691TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,346,967TotReportableCompRltdOrgAmt
Total Other Compensation$673,375TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K37IndivRcvdGreaterThan100KCnt
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
EMCARE INC
7032 COLLECTION CENTER DRIVECHICAGOIL60693MEDICAL SERVICES$1,547,966
MEDICAL ANESTHESIA CONSULTANTS LLC
PO BOX 13759FLORENCESC29504MEDICAL SERVICES$948,003
ALLIED BARTON SECURITY SERVICE LLC
PO BOX 828854PHILADELPHIAPA191828854Security Services$601,197
INTERIM PHYSICIANS LLC
12140 WOODCREST EXECUTIVE DR STE 31ST LOUISMO63141MEDICAL SERVICES$233,162
EAGLE HOSPITALIST CONNECTIONS LLC
16000 N DALLAS PARKWAY SUITE 450DALLASTX75248MEDICAL SERVICES$214,492
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$270,629RelatedOrganizationsAmt
Total Contributions$270,629TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT REVENUEDesc
Business624100BusinessCd
Total Revenue Column$109,232,589TotalRevenueColumnAmt
Related Or Exempt Func Income$109,232,589RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$109,232,589TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,769TotalRevenueColumnAmt
Exclusion$6,769ExclusionAmt

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)
Personal$112,192PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$112,192PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$112,192TotalRevenueColumnAmt
Exclusion$112,192ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$17,461OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$17,461OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,461TotalRevenueColumnAmt
Exclusion$17,461ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
NUTRITIONAL SERVICES722320$441,334$441,334
CONTRACT PHARMACY900099$329,163$329,163
GIFT SHOP453220$93,861$93,861

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$485,748TotalRevenueColumnAmt
Exclusion$485,748ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,350,106OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,989,746TotalRevenueColumnAmt
Related Or Exempt Func Income$109,232,589RelatedOrExemptFuncIncomeAmt
Exclusion$1,486,528ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

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$136,782TotalAmt
Program Services$136,782ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,414,941TotalAmt
Program Services$33,328,777ProgramServicesAmt
Management And General$3,086,164ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,425,992TotalAmt
Program Services$7,607,358ProgramServicesAmt
Management And General$818,634ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

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$171,515TotalAmt
Program Services$171,515ProgramServicesAmt
Fundraising$0FundraisingAmt

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$11,484,899TotalAmt
Program Services$10,214,554ProgramServicesAmt
Management And General$1,270,345ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$313,426TotalAmt
Program Services$365ProgramServicesAmt
Management And General$313,061ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,178,370TotalAmt
Program Services$15,742,264ProgramServicesAmt
Management And General$436,106ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$268,882TotalAmt
Program Services$135,698ProgramServicesAmt
Management And General$133,184ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,707,285TotalAmt
Program Services$59,736ProgramServicesAmt
Management And General$1,647,549ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$40,762TotalAmt
Program Services$20,168ProgramServicesAmt
Management And General$20,594ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$105,897TotalAmt
Program Services$34,925ProgramServicesAmt
Management And General$70,972ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,953,325TotalAmt
Program Services$4,953,325ProgramServicesAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,125,138TotalAmt
Program Services$5,125,138ProgramServicesAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,479,389TotalAmt
Program Services$1,479,389ProgramServicesAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
MPA SUPPORT$5,140,158$5,140,158$0
PHYSICIAN FEES$4,391,895$4,382,433$0$9,462
MEDICAL$240,932$239,057$0$1,875
Other expenses$4,334,295$673,333$0$3,660,962

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$100,913,883TotalAmt
Program Services$89,444,975ProgramServicesAmt
Management And General$11,468,908ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,556,852BOYAmt
EOY$6,677,504EOYAmt

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$13,375,504BOYAmt
EOY$12,784,301EOYAmt

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$2,346,141BOYAmt
EOY$2,448,801EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,198,152BOYAmt
EOY$1,672,862EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$147,762,042LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$73,570,181LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$66,900,074BOYAmt
EOY$74,191,861EOYAmt

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$3,994,006BOYAmt
EOY$5,858,432EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$94,370,729BOYAmt
EOY$103,633,761EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,152,956BOYAmt
EOY$3,002,523EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$41,090BOYAmt
EOY$69,976EOYAmt

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$68,970,664BOYAmt
EOY$67,602,671EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,527,205BOYAmt
EOY$6,203,914EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,691,915BOYAmt
EOY$76,879,084EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,678,814BOYAmt
EOY$26,754,677EOYAmt

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$16,678,814BOYAmt
EOY$26,754,677EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$94,370,729BOYAmt
EOY$103,633,761EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$10,075,863ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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)
Other Cost Or Other Basis$4,541,331OtherCostOrOtherBasisAmt
Book Value$4,541,331BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$95,519,373OtherCostOrOtherBasisAmt
Depreciation$38,818,124DepreciationAmt
Book Value$56,701,249BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,828OtherCostOrOtherBasisAmt
Depreciation$21,786DepreciationAmt
Book Value$32,042BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,647,510OtherCostOrOtherBasisAmt
Depreciation$34,730,271DepreciationAmt
Book Value$12,917,239BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$74,191,861TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
FUNDS HELD BY TRUSTEES$5,362,758
INTERCOMPANY$495,674
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,858,432TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY PAYOR RESERVE$2,739,152
WAGES PAYABLE$3,464,762
FieldValueIRS element (for citing)
Total Liability$6,203,914TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$110,972,285TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$110,972,285RevenueSubtotalAmt
Other Revenues Not Included$17,461OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$17,461RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$110,989,746TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$100,896,422TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$100,896,422ExpensesSubtotalAmt
Other Expenses Not Included$17,461OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$17,461ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$100,913,883TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2FIN 48 DISCLOSURE MCLEOD HEALTH AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON RELATED INCOME HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
SCHEDULE D, PART XI AND XIIGAIN ON SALE OF PROPERTY OF $17,461 RECLASSED FROM EXPENSES TO REVENUE.

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$3,907,302TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,763,306DirectOffsettingRevenueAmt
Net Community Benefit Expns-$9,856,004NetCommunityBenefitExpnsAmt

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,309,144TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,504,521DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,804,623NetCommunityBenefitExpnsAmt
Total Expense0.02780TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,216,446TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,267,827DirectOffsettingRevenueAmt
Net Community Benefit Expns-$7,051,381NetCommunityBenefitExpnsAmt
Total Expense0.02780TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,250TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$52,250NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,826TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$65,826NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$145,076TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$145,076NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,361,522TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,267,827DirectOffsettingRevenueAmt
Net Community Benefit Expns-$6,906,305NetCommunityBenefitExpnsAmt
Total Expense0.02930TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,500NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,500NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$13,101,931BadDebtExpenseAmt
Bad Debt Expense Attributable$923,696BadDebtExpenseAttributableAmt
Reimbursed By Medicare$33,157,463ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$40,934,860CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,777,397MedicareSurplusOrShortfallAmt

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 Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
MCLEOD LORIS
13655 MITCHELL STREETLORISSC29569www.mcleodhealth.orgSC HTL-0033Yes (X)Yes (X)Yes (X)A
MCLEOD SEACOAST
24000 HIGHWAY 9 EASTLITTLE RIVERSC29566www.mcleodhealth.orgSC HTL-0910Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility2FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
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 Adpt12ImplementationStrategyAdptYr
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
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MCLEODHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form Sch H Part V, Section B, Line 3MCLEOD SEACOAST: PART V, SECTION B, LINE 3: SIGNIFICANT HEALTH CHALLENGES AND KEY HEALTH NEEDS: A WRITTEN SURVEY WAS DISTRIBUTED TO COMMUNITY MEMBERS IN HORRY COUNTY. A TOP CONCERN NOTED BY RESPONDERS PERTAINED TO THE AGING POPULATION IN THE AREA AND IF HEALTH CARE PROVIDERS HAD THE NECESSARY SERVICES FOR THE GERIATRIC POPULATION. WITH THE AGING POPULATION IN MIND, MANY REPORTED SUCH ISSUES AS DIABETES, DECLINING CARDIAC HEALTH, AND THE DEVELOPMENT OF CANCER. THE LARGEST RESPONSE FROM SURVEY PARTICIPANTS REGARDING HEALTH CHALLENGES WAS THE COST OF HEALTH CARE. SUB-SPECIALTY CARE WAS ALSO A COMMON THEME, CITING TRAUMA, HEART, AND CANCER SERVICES AS AN OPPORTUNITY. SOME RESPONDERS WERE CONCERNED ABOUT NOT BEING ABLE TO RECEIVE TREATMENT IN CLOSE PROXIMITY TO THEIR HOMES, WHICH CAN LEAD TO TRANSPORTATION ISSUES. SIGNIFICANT HEALTH CHALLENGES IDENTIFIED: -HEALTH SERVICES AND SPECIALTIES AVAILABLE -EXPENSE OF HEALTH CARE -MENTAL HEALTH SERVICES -CARDIAC HEALTH, INCLUDING SMOKING CESSATION TOP PRIORITIES AND KEY HEALTH NEEDS COMMUNITY LEADERS AND SERVICE ORGANIZATIONS THAT SERVE HORRY COUNTY WITH SPECIAL KNOWLEDGE AND EXPERTISE OF PUBLIC HEALTH WERE INTERVIEWED TO OBTAIN VARIOUS PERSPECTIVES OF THE COUNTY'S HEALTH NEEDS. INFORMATION WAS SOLICITED FROM 20 LOCAL AGENCIES AND SERVICE PROVIDERS. RESIDENTS LEARN ABOUT THE SERVICES PROVIDED BY THESE AGENCIES BY WORD OF MOUTH, NEWS/LOCAL MEDIA, ADVERTISING, COMMUNITY LEADERS, AND PUBLIC EDUCATION AND A MAJORITY SERVE A WIDE VARIETY OF AGES AND RACES. THE MAJORITY OF RESPONDERS NOTED LACK OF ADEQUATE OR AFFORDABLE HEALTH CARE WAS A SIGNIFICANT HEALTH CHALLENGE IN THE COUNTY. THIS GOES HAND IN HAND WITH HORRY COUNTY'S HIGH UNEMPLOYMENT RATES AND UNINSURED POPULATION. THE SECOND MOST PREVALENT HEALTH CHALLENGE IDENTIFIED WAS OBESITY, IN WHICH MANY RESPONDERS CITED THE DOMINO EFFECT THAT OCCURS WITH OBESITY THAT BEGINS WITH POOR NUTRITION AND LEADS TO HEART DISEASE AND STROKE. THE AMERICAN HEART ASSOCIATION POINTED OUT THAT OUR AREA IS INFAMOUSLY REFERRED TO AS THE STROKE BELT. MICHAEL BARGAGLIOTTI, VICE PRESIDENT OF DEVELOPMENT AT THE AHA, STATED THAT PREVENTIVE HEALTH IS NOT IMPACTING OUR COMMUNITY FAST ENOUGH TO REVERSE THE TREND OF POOR NUTRITION. RESPIRATORY DISEASES WERE CITED AS ANOTHER TOP HEALTH ISSUE. HORRY COUNTY SCHOOLS REPORT THAT 10% OF STUDENTS HAVE ASTHMA. ANOTHER COMMUNITY HEALTH CARE PROVIDER REPORTED THAT COPD IS ONE OF THE TOP PATIENT DIAGNOSES AT THEIR FACILITY. KEY HEALTH NEEDS IDENTIFIED: -HEALTH CARE ACCESS FOR CHILDREN, INCLUDING SPECIAL NEEDS AND MEDICAID RECIPIENTS -AFFORDABLE MEDICATIONS -SMOKING CESSATION COURSES AND EDUCATION -MORE MENTAL HEALTH SERVICES, INCLUDING THOSE AIDING IN ADDICTION AND SEXUAL AND DOMESTIC VIOLENCE VICTIMS -ADDRESS THE HUNGER ISSUE. 1 IN 4 CHILDREN IN THE COUNTY ARE MALNOURISHED, A RESULT OF ECONOMIC CIRCUMSTANCES -MORE PREVENTIVE HEALTH PROGRAMS PHYSICIANS THAT PROVIDE CARE IN HORRY COUNTY AND HAVE SPECIAL KNOWLEDGE AND HEALTH CARE EXPERTISE WERE ALSO INTERVIEWED ABOUT THE COUNTY'S HEALTH NEEDS. FOUR PHYSICIANS REPRESENTING FAMILY MEDICINE, INTERNAL MEDICINE, SURGERY AND EMERGENCY MEDICINE WERE INTERVIEWED. THESE HEALTH CARE PROVIDERS IDENTIFIED THE GREATEST HEALTH CHALLENGES FOR PATIENTS AS: DIABETES, HYPERTENSION, AND CANCER. THE GREATEST AND CHRONIC HEALTH NEEDS IN HORRY WERE IDENTIFIED AS: HEALTH EDUCATION, THE UNDER AND UNINSURED, PREVENTATIVE HEALTH, NEED FOR NUTRITION COUNSELING, AND SUBSTANCE ADDICTIONS. ALL PHYSICIANS AGREED THAT HEALTH EDUCATION AND PREVENTIVE MEASURES, SUCH AS HEALTH SCREENINGS, WOULD BE BENEFICIAL TO THE COMMUNITIES SERVED BY MCLEOD HEALTH. HEALTH SCREENINGS COULD AID IN THE PREVENTION OF POSSIBLE HEALTH ISSUES. IT WAS NOTED THAT DIABETES AND HYPERTENSION WERE THE MOST PREVALENT PROBLEMS TREATED BY THESE PHYSICIANS. DIABETES AND HYPERTENSION ARE COMMONLY BROUGHT ON BY THE LACK OF HEALTH EDUCATION, NUTRITION COUNSELING AND OBESITY. POOR NUTRITION CAN ALSO LEAD TO CANCER, DISEASE, AND HEART FAILURE. OFTEN, WHEN A PERSON FALLS ILL, THEY NEED ACUTE CARE. THE PHYSICIANS INTERVIEWED SEE THIS AS A DOMINO EFFECT AND PREFER TO GO STRAIGHT TO THE SOURCE OF THE PROBLEM. COMMUNITY LEADERS & REPRESENTATIVES INVOLVED: 1) AMERICAN HEART ASSOCIATION MICHAEL BARGAGLIOTTI, VICE PRESIDENT OF DEVELOPMENT, COASTAL REGION MICHAEL BARGAGLIOTTI SERVES AS A REPRESENTATIVE OF COMMUNITY MEMBERS WITH HEART DISEASE, ONE OF THE TOP LEADERS OF DEATH IN THE COUNTY. 2) AMERICAN RED CROSS MEGGIN HEALTH, DONOR RECRUITER SERVING HORRY COUNTY, MEGGIN HEATH SERVES AS A REPRESENTATIVE OF THE FAMILIES SERVED IN THE COUNTY. 3) HORRY COUNTY SCHOOLS PAM ALLSBROOK, RN, LEAD FLOAT NURSE THROUGH HER ROLE IN THE SCHOOL SYSTEM, PAM ALLSBROOK HAS SPECIAL KNOWLEDGE OF THE PEDIATRIC HEALTH NEEDS OF THE COUNTY. 4) MERCY CARE JENNIFER BEVERLY, VOLUNTEER PROGRAM MANAGER MERCY CARE IS NOT-FOR-PROF IT HOSPICE AGENCY. JENNIFER BEVERLY HAS SPECIAL KNOWLEDGE OF END OF LIFE DISEASES AND CARE OF RESIDENTS OF HORRY COUNTY. 5) RAPE CRISIS CENTER BEVELYN MITCHELL, SEXUAL ASSAULT SERVICES COORDINATOR REPRESENTING THOSE IN CRISIS SITUATIONS, BEVELYN MITCHELL HAS EXPERTISE WITH THE SEXUAL ASSAULT HEALTH NEEDS OF HORRY COUNTY RESIDENTS. 6) SALVATION ARMY MICHELLE BORBELY, SOCIAL WORKER MICHELLE BORBELY HAS SPECIAL HEALTH KNOWLEDGE OF THE NEEDS OF THE LOW-INCOME AND UNDERSERVED RESIDENTS OF THE COUNTY. 7) DILLON COUNTY DHEC SUZETTE MCCLELLAN, MPH, MCHES - COMMUNITY SYSTEMS DIRECTOR SUZETTE MCCLELLAN HAS EXPERTISE WITH THE PUBLIC HEALTH NEEDS OF DILLON RESIDENTS, INCLUDING LOW-INCOME AND UNDERSERVED PATIENTS. 8) SOS HEALTH CARE MONIQUE CLEMENT, EXECUTIVE ASSISTANT SOS HEALTH CARE IS A NONPROFIT ORGANIZATION FUNDED BY GRANTS, FUNDRAISERS, AND PRIVATE DONATIONS. THE AGENCY'S OUTREACH EFFORTS SEEK TO SERVE THE HEALTH, URGENT DENTAL CARE, AUTISM, AND ALZHEIMER'S NEEDS OF CLIENTS WITH UNMET NEEDS. THROUGH HER WORK, MONIQUE CLEMENT HAS SPECIAL HEALTH KNOWLEDGE OF THE NEEDS OF THE LOW-INCOME AND UNDERSERVED RESIDENTS OF THE COUNTY. 9) OTHER AGENCIES WERE CONTACTED WITH NO RESPONSE. COMMUNITY PHYSICIANS INVOLVED: SERVING PATIENTS IN HORRY COUNTY GIVES EACH MEDICAL EXPERT INTERVIEWED HAS SPECIAL KNOWLEDGE OF THE MEDICAL AND PUBLIC HEALTH NEEDS OF RESIDENTS. EMERGENCY DEPARTMENT PHYSICIANS ALSO HAVE SPECIAL HEALTH KNOWLEDGE OF THE PUBLIC HEALTH NEEDS OF LOW-INCOME AND UNDERSERVED PATIENTS. 1) DR. MARIE LIVIGNI, INTERNAL MEDICINE, MCLEOD INTERNAL MEDICINE SEACOAST 2) DR. RAYMOND HOLT, FAMILY MEDICINE, MCLEOD FAMILY MEDICINE SEACOAST 3) DICK TINSLEY, ADMINISTRATOR, MCLEOD LORIS SEACOAST 4) DR. KENNETH MINCEY, SURGEON, MCLEOD LORIS SEACOAST SURGERY 5) DR. PAUL RUBINTON, EMERGENCY MEDICINE, EMERGENCY DEPARTMENT
SCH, H PART V, SECTION B, LINE 4MCLEOD LORIS AND MCLEOD SEACOAST HOSPITAL WERE BOTH COVERED BY MCLEOD HEALTH'S HORRY COUNTY CHNA.
SCH H, PART V, SECTION B, LINE 11THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCH H. PART III, LINE 4NET PATIENT REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNT RECEIVED, OR TO BE RECEIVED, FROM PATIENTS, THIRD PARTY PAYOR, AND OTHERS FOR THE SPECIFIC SERVICES AND SUPPLIES RENDERED, INCLUDING ESTIMATE RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENT WITH THIRD PARTY PAYOR. FOR THE AMOUNTS REPORTED IN LINES 2 AND 3, WE USED THE IRS METHOD TO CALCULATE THE RATIO OF PATIENT COST TO CHARGES, AS SHOWN ON PAGE 13 OF THE INSTRUCTIONS FOR SCHEDULE H (WORKSHEET 2). THE CALCULATED RATIO WAS THEN APPLIED TO THE GROSS CHARGES WRITTEN OFF TO BAD DEBT (NET OF RECOVERIES).
SCH H, PART III, LINE 8THE ORGANIZATION FEELS THAT THE TOTAL SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE HOSPITAL IMPROVES ACCESS TO PATIENT CARE BY PROVIDING SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY OR THE HOSPITAL'S ABILITY TO RECEIVE FULL COST REIMBURSEMENT FOR SERVICES. THE HOSPITAL ALSO RELIEVES THE GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES CARE TO PUBLICLY-INSURED PATIENTS WHERE REIMBURSEMENT IS LESS THAN THE COST OF PROVIDING THE SERVICE.
SCH H, PART III, LINE 9BMCLEOD'S CHARITY POLICY OUTLINES THE CRITERIA USED TO DETERMINE PATIENTS WHO QUALIFY FOR CHARITY. WHEN PATIENTS HAVE FURNISHED THE REQUIRED INFORMATION, IT IS REVIEWED AND A DETERMINATION IS MADE. IF APPROVED FOR CHARITY CARE, THEIR ACCOUNT BALANCES ARE ADJUSTED BASED ON THE PERCENTAGE THEY QUALIFY FOR USING A CHARITY ADJUSTMENT CODE. IF ALL REQUIRED INFORMATION IS NOT FURNISHED, THE PATIENT IS NOTIFIED THAT THEIR CHARITY APPLICATION WAS NOT APPROVED DUE TO FAILURE TO PROVIDE THE NECESSARY INFORMATION. FOLLOWING THAT NOTIFICATION, THE ACCOUNT GENERALLY TRANSFERS TO BAD DEBT FOR FURTHER COLLECTION ACTION.
SCH H, PART VI, LINE 2IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR MCLEOD LORIS SEACOAST HOSPITAL(LORIS). LORIS HAS A COMMUNITY BOARD THAT CONSISTS OF LOCAL PHYSICIANS AND OTHER INFLUENTIAL COMMUNITY LEADERS. THIS BOARD MEETS SEMI-MONTHLY AND THE LEADERS PROVIDE INPUT FROM VARIOUS PARTS OF THE COMMUNITY TO ASSIST LORIS 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 LORIS SEACOAST HOSPITAL (MLSH), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD MEDICAL CENTER-DILLON, 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. MLSH HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTY OF HORRY.
SCH H, PART VI, LINE 5Community Benefit Report: McLeod Loris Seacoast primarily serves Horry County which has a population of approximately 321,500. Horry County is in the northeastern corner of South Carolina and is a county assigned to the Pee Dee Region of the state. The county's per capita income has lagged both the U.S. and South Carolina averages, and the percentage of its population living below the poverty level is much higher than the national average. In Horry County, the number of uninsured has reached 26%. Short summaries of the two flagship hospitals follow: McLeod Loris: Founded in 1950, McLeod Loris is a fully-accredited acute care facility with 105 licensed beds. It offers a wide range of inpatient and outpatient services, and a medical staff made up of more than 120 active and affiliate physicians. McLeod Loris has been a vital part of Loris for more than 60 years. As healthcare needs have changed, McLeod Loris has changed to offer new services and technology for its patients. Our team consists of compassionate professionals dedicated to providing quality care and services. McLeod Loris offers a wide range of high-quality services, including advanced digital radiology and diagnostic imaging, general, vascular and orthopedic surgery, cardiopulmonary rehabilitation, and 24/7 emergency department with dedicated rooms for gynecology, cardiac, orthopedics and traumas. The experience, knowledge and access to technology found at McLeod Loris are unsurpassed locally. Our physicians, nurses and other healthcare professionals are among the best in the nation, and their dedication to quality is a never-ending process. McLeod Seacoast: McLeod Seacoast, located in Little River, SC in the North Myrtle Beach area, offers a wide range of inpatient and outpatient services. Its medical staff includes more than 120 active and affiliate physicians. McLeod Seacoast opened as an outpatient facility in October of 2000. For more than 10 years, it has been providing comprehensive imaging and diagnostic services, outpatient surgery services, rehabilitation programs, cardiac rehab, and emergency care. In 2004, a certificate of need was filed and that same spirit of community partnership was evident when work began to bring inpatient beds to McLeod Seacoast. It would take several more years of petitioning and legal battles before construction could begin in 2009. On July 11, 2011, McLeod Seacoast opened its doors as a 50-bed hospital. Designed with the ideal healthcare experience in mind, the new inpatient addition consisted of 32 medical/surgical beds, a 10-bed progressive care unit and an 8-bed intensive care unit. McLeod Seacoast offers a wide range of high-quality services, including advanced digital radiology and diagnostic imaging, general, vascular and orthopedic surgery, cardiopulmonary rehabilitation and 24/7 emergency department with dedicated rooms for gynecology, cardiac, orthopedics and traumas. The expertise, knowledge and access to technology found at McLeod Seacoast are unmatched locally. Our physicians, nurses and other healthcare professionals are among the best in the nation, and their dedication to quality is a never-ending process. McLeod Seacoast offers some of the newest and most advanced imaging services available for diagnoses and treatment. In an effort to continually grow and enhance medical services to the people in Horry County and beyond, McLeod Seacoast offers a new addition to the Radiology department: the Optima MR.450w. McLeod Seacoast is the only facility in the Coastal Carolinas to install this revolutionary new MRI machine. McLeod Seacoast has now broken ground to expand the current Emergency Department. This will offer 28 patient rooms including 3 trauma bays. This new space has a state-of-the-art design offering staff ease of work flow. The new Emergency Department is slated to open in June 2016. Mcleod Loris Seacoast Hospital is a subsidiary company 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 is constantly seeking to improve its patient care with efforts that are physician led, data-driven and evidence-based. The 15-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 over 1,800 nurses. In addition to its modern facilities, premier technology and equipment, McLeod is dedicated to improving the health of the residents of those communities it serves. McLeod Health is composed of approximately 7,100 employees and more than 70 physician practices in ten counties. With six hospitals, McLeod Health also operates a Health and Fitness Center, 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 and McLeod Health Cheraw. 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 Treatment and Research Center, three dedicated open heart surgery suites and a vascular hybrid OR within and the Heart & Vascular Institute and the Center for Intensive Care. Centers of Excellence in Heart, Cancer, Surgery, Neurosurgery, Trauma, Children's and Women's Services in addition to a Diabetes Center, Rehabilitation and Sports Medicine Services, and the Center for Advanced Surgery, 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 40-bed Neonatal Intensive Care Unit and six-bed Pediatric Intensive Care Unit. As the only teaching facility in the region, McLeod also supports a Family Medicine Residency Program. To provide access to a growing patient population, an Ambulatory Surgery Center is under construction on the campus of McLeod Regional Medical Center and the Emergency Department at McLeod Seacoast has been enhanced and expanded. Additionally, construction of a medical complex is underway in Carolina Forest as an expansion of McLeod Seacoast. 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. 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 fulfilling 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 South Carolina DHEC's State Health Plan. Every year, the McLeod Hospitals serve more than 166,000 patients in their emergency departments, regardless of a person's ability to pay. McLeod Health hospitals also annually diagnose or treat nearly 225,000 people as outpatients and perform nearly 25,000 surgical operations. The hospitals and their Emergency Departments are open 24 hours a day, seven days a week, 365 days a year. McLeod
SCH H, PART VI, LINE 6MCLEOD 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 453-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 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 105-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA. -MCLEOD SEACOAST, A 50-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA. MCLEOD HEALTH CHERAW: MCLEOD HEALTH CHERAW IS A 59 BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015. MCLEOD 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 140 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 55 OFFICES IN NORTHEASTERN SOUTH CAROLINA. MPA II SUPPORTS THE MISSION OF MCLEOD HEALTH, PROVIDING COMPREHENSIVE MEDICAL AND SURGICAL SERVICES, INCLUDING A WIDE RANGE OF PHYSICIAN SPECIALTIES, TO MCLEOD'S PATIENTS FROM A 12-COUNTY SERVICE AREA. MCLEOD HEALTH FOUNDATION: THE FOUNDATION WAS ORGANIZED IN 1986 AS A SOUTH CAROLINA NONPROFIT CORPORATION AND IS AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. THE FOUNDATION IS PRINCIPALLY ENGAGED IN FUNDRAISING ACTIVITIES FOR THE SYSTEM. ACCORDING TO ITS BYLAWS, THE FOUNDATION'S GOVERNING BODY CONSISTS OF NOT LESS THAN 15 AND NOT MORE THAN 30 MEMBERS, EACH OF WHICH IS APPOINTED BY THE BOARD OF TRUSTEES OF MCLEOD HEALTH (THE "MCLEOD HEALTH 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 62% SHARE IN THE EQUITY OF THIS COMPANY. MCLEOD PHYSICIAN ASSOCIATES, INC.: MCLEOD PHYSICIAN ASSOCIATES, INC. IS A SOUTH CAROLINA FOR-PROFIT CORPORATION THAT FORMERLY OPERATED A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II.
Form Sch H Part I Line 3cN/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES.
Form Sch H Part I Line 6aCOMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD LORIS SEACOAST HOSPITAL) IS FILED ANNUALLY WITH SOUTH CAROLINA HOSPITAL ASSOCIATION. HIGHLIGHTS ARE PUBLISHED IN MCLEOD MAGAZINE WHICH IS A PUBLICATION THAT IS DISTRIBUTED FREE TO THE PUBLIC. ENTIRE REPORT IS AVAILABLE TO ANYONE UPON REQUEST.
SCH H, PART VI, LINE 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
S FULTON ERVIN III
CFO OF REL ORG$0$433,807$0$84,660$0$8,971$0$61,002$0$26,070$0$614,510$0$0
RONALD L BORING
COO OF RELATED ORG$0$395,430$0$84,048$0$30,604$0$59,535$0$39,470$0$609,087$0$0
DANE P FICCO
VP OF RELATED ORG$0$386,819$0$77,316$0$5,282$0$55,911$0$16,631$0$541,959$0$0
T CHUCK MILLS MD
TRUSTEE$0$323,753$0$0$0$2,272$0$0$0$17,600$0$343,625$0$0
MARK F PELSTRING MD
CHIEF OF STAFF/MD RELATED ORG$0$228,880$0$0$0$4,164$0$0$0$24,354$0$257,398$0$0
CHRISTOPHER PO
STAFF PHYSICIAN$656,448$0$0$0$1,863$0$44,074$0$23,160$0$725,545$0$0$0
EDWARD BOTSE-BAIDOO
STAFF PHYSICIAN$357,415$0$0$0$19,130$0$26,304$0$32,372$0$435,221$0$0$0
DARRYL B BEST MD
STAFF PHYSICIAN$329,178$0$0$0$946$0$26,564$0$14,522$0$371,210$0$0$0
Sheif Abdou
STAFF PHYSICIAN$270,263$0$0$0$683$0$4,916$0$19,451$0$295,313$0$0$0
Evgeny Tseplaev
STAFF PHYSICIAN$259,365$0$0$0$1,364$0$20,381$0$32,086$0$313,196$0$0$0
EDWARD D TINSLEY
SR. VP OF REL ORG/ADMIN$0$283,205$0$57,534$0$24,455$0$44,319$0$21,540$0$431,053$0$0
ROBERT L COLONES
CEO OF RELATED ORG$0$723,190$0$165,352$0$27,225$0$9,100$0$38,488$0$963,355$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. Edward D. Tinsley, administrator of McLeod Loris Seacoast Hospital, is compensated by the system's parent company, McLeod Health.
Schedule J, Part I, Line 4bCertain executives are eligible to participate in the system's supplemental non-qualified retirement plan. The determinationof the benefits under the plan follow the filing organization's compensation procedures as outlined in Form 990, Part VI, Section B, Line 15.
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 6MCLEOD LORIS SEACOAST HOSPITAL HAS A SOLE MEMBER WHICH IS MCLEOD HEALTH.
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 LORIS SEACOAST HOSPITAL'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 LORIS SEACOAST HOSPITAL'S BOARD.
Form 990 Part VI Line 11bTHE 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) AT THE MAY 2016 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 FINANCE COMMITTEE BEFORE THE FILING DATE OF AUGUST 15, 2016.
Form 990 Part VI Line 12cMCLEOD LORIS SEACOAST HOSPITAL AND MCLEOD HEALTH (SOLE MEMBER) REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR; PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
Form 990 Part VI Line 15bIN DETERMINING COMPENSATION OF MCLEOD HEALTH'S (SOLE MEMBER'S) OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE GOVERNANCE COMMITTEE REVIEWED AND APPROVED THE CEO'S COMPENSATION. IN THE REVIEW OF COMPENSATION, THE CEO, OTHER OFFICERS, AND OTHER KEY EMPLOYEES, WAS COMPARED TO OTHER SIMILARLY SITUATED ORGANIZATIONS AND POSITIONS. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED.
Form 990 Part VI Line 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 IX LINE 11GDESCRIPTION:OTHER CONSULTING FEES TOTAL FEES:11484899

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MCLEOD HEALTH FOUNDATION
555 EAST CHEVES STREETFLORENCESC29506570818672RAISE MONEYSC501(C)(3)LINE 11ANAfalse
MCLEOD HEALTH
555 EAST CHEVES STREETFLORENCESC29506510473500HEALTHCARESC501(C)(3)LINE 3NAfalse
MCLEOD MEDICAL CENTER - DILLON
555 EAST CHEVES STREETFLORENCESC29506510473471HOSPITALSC501(C)(3)LINE 3NAfalse
MCLEOD PHYSICIAN ASSOCIATES II
555 EAST CHEVES STREETFLORENCESC29506202935692PHYSICIAN SVCSC501(C)(3)LINE 3NAfalse
MCLEOD HEALTH CHERAW
555 EAST CHEVES STREETFLORENCESC29506473712858HOSPITALSC501(C)(3)LINE 3NAfalse
MCLEOD REG MED CENTER OF THE PEE DEE INC
555 EAST CHEVES STREETFLORENCESC29506570370242HEALTHCARESC501(C)(3)LINE 3NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MCLEOD MED PARTNERSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 EAST CHEVES STREETAddressLine1Txt
CityFLORENCECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29506ZIPCd
FieldValueIRS element (for citing)
EIN570812002EIN
Primary ActivitiesRENTALPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt

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
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 OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
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 OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MCLEOD HEALTH
S$495,674CASH
MCLEOD HEALTH
M$5,920,978ACTUAL COST