2016-08-12T15:52:40-05:00 2015-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2014-10-01 453576100 MCLEOD LORIS SEACOAST HOSPITAL % MARK W CAMERON MCLE 8437772256 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III SR VP/CFO 8437772256 2016-08-10 true LAURA A COLLINS P00008888 3362753394 2014 2016-09-27 15:27:22Z ROBERT COLONES 555 EAST CHEVES STREET FLORENCE SC 29506 110989746 false X www.mcleodhealth.org X 2011 SC ACUTE CARE HOSPITAL 18 10 1016 58 0 39771 270629 99055378 109232589 -147202 24230 2620204 1462298 101568151 110989746 0 0 0 0 46446980 44977715 0 0 0 54898090 55936168 101345070 100913883 223081 10075863 94370729 103633761 77691915 76879084 16678814 26754677 ORGANIZATION 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. false false 89444975 109232589 MCLEOD 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. 89444975 true true false false false false false false false false true false false true true false true 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 87 0 true 1016 true false false false false false false false false false false false X 18 10 false false false false true true true true true false false true true true true true true true true true true X MARK W CAMERON 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF REL ORG 4.0 36.0 X 0 527438 87072 RONALD L BORING COO OF RELATED ORG 2.0 38.0 X 0 510082 99005 DANE P FICCO VP OF RELATED ORG 1.0 39.0 X 0 469417 72542 T CHUCK MILLS MD TRUSTEE 0.0 40.0 X 0 326025 17600 MARK F PELSTRING MD CHIEF OF STAFF/MD RELATED ORG 40.0 0.0 X 0 233044 24354 AMANDA MILLS AVP NURSING 40.0 0.0 X 125036 0 15525 EDWARD D TINSLEY SR. 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ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON RELATED INCOME HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. SCHEDULE D, PART XI AND XII GAIN ON SALE OF PROPERTY OF $17,461 RECLASSED FROM EXPENSES TO REVENUE. true true X true X true X true true false true true 3907302 13763306 -9856004 17309144 14504521 2804623 0.02780 21216446 28267827 -7051381 0.02780 52250 52250 0.00050 27000 27000 0.00030 65826 65826 0.00070 145076 145076 0.00150 21361522 28267827 -6906305 0.02930 6500 6500 0.00010 7000 7000 0.00010 13500 13500 0.00020 true 13101931 923696 33157463 40934860 -7777397 X true true 2 1 MCLEOD LORIS 3655 MITCHELL STREET LORIS SC 29569 www.mcleodhealth.org SC HTL-0033 X X X A 2 MCLEOD SEACOAST 4000 HIGHWAY 9 EAST LITTLE RIVER SC 29566 www.mcleodhealth.org SC HTL-0910 X X X A A 2 false false true X X X X X X X X 12 true false false true X www.mcleodhealth.org X true 12 false true false true X 200. 300. X true true X true X WWW.MCLEODHEALTH.ORG true X false X X X X true X false false Form Sch H Part V, Section B, Line 3 MCLEOD 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 4 MCLEOD LORIS AND MCLEOD SEACOAST HOSPITAL WERE BOTH COVERED BY MCLEOD HEALTH'S HORRY COUNTY CHNA. SCH H, PART V, SECTION B, LINE 11 THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME. SCH H. PART III, LINE 4 NET 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 8 THE 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 9B MCLEOD'S CHARITY POLICY OUTLINES THE CRITERIA USED TO DETERMINE PATIENTS WHO QUALIFY FOR CHARITY. WHEN PATIENTS HAVE FURNISHED THE REQUIRED INFORMATION, IT IS REVIEWED AND A DETERMINATION IS MADE. IF APPROVED FOR CHARITY CARE, THEIR ACCOUNT BALANCES ARE ADJUSTED BASED ON THE PERCENTAGE THEY QUALIFY FOR USING A CHARITY ADJUSTMENT CODE. IF ALL REQUIRED INFORMATION IS NOT FURNISHED, THE PATIENT IS NOTIFIED THAT THEIR CHARITY APPLICATION WAS NOT APPROVED DUE TO FAILURE TO PROVIDE THE NECESSARY INFORMATION. FOLLOWING THAT NOTIFICATION, THE ACCOUNT GENERALLY TRANSFERS TO BAD DEBT FOR FURTHER COLLECTION ACTION. SCH H, PART VI, LINE 2 IN 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 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 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 5 Community 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 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 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 3c N/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES. Form Sch H Part I Line 6a COMMUNITY 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 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC X X X X X X false true false false false false false true false S FULTON ERVIN III CFO OF REL ORG 0 433807 0 84660 0 8971 0 61002 0 26070 0 614510 0 0 RONALD L BORING COO OF RELATED ORG 0 395430 0 84048 0 30604 0 59535 0 39470 0 609087 0 0 DANE P FICCO VP OF RELATED ORG 0 386819 0 77316 0 5282 0 55911 0 16631 0 541959 0 0 T CHUCK MILLS MD TRUSTEE 0 323753 0 0 0 2272 0 0 0 17600 0 343625 0 0 MARK F PELSTRING MD CHIEF OF STAFF/MD RELATED ORG 0 228880 0 0 0 4164 0 0 0 24354 0 257398 0 0 CHRISTOPHER PO STAFF PHYSICIAN 656448 0 0 0 1863 0 44074 0 23160 0 725545 0 0 0 EDWARD BOTSE-BAIDOO STAFF PHYSICIAN 357415 0 0 0 19130 0 26304 0 32372 0 435221 0 0 0 DARRYL B BEST MD STAFF PHYSICIAN 329178 0 0 0 946 0 26564 0 14522 0 371210 0 0 0 Sheif Abdou STAFF PHYSICIAN 270263 0 0 0 683 0 4916 0 19451 0 295313 0 0 0 Evgeny Tseplaev STAFF PHYSICIAN 259365 0 0 0 1364 0 20381 0 32086 0 313196 0 0 0 EDWARD D TINSLEY SR. VP OF REL ORG/ADMIN 0 283205 0 57534 0 24455 0 44319 0 21540 0 431053 0 0 ROBERT L COLONES CEO OF RELATED ORG 0 723190 0 165352 0 27225 0 9100 0 38488 0 963355 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. Edward D. Tinsley, administrator of McLeod Loris Seacoast Hospital, is compensated by the system's parent company, McLeod Health. Schedule J, Part I, Line 4b Certain 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 7 THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. Form 990 Part VI Line 6 MCLEOD LORIS SEACOAST HOSPITAL HAS A SOLE MEMBER WHICH IS MCLEOD HEALTH. Form 990 Part VI Line 7a THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD LORIS SEACOAST HOSPITAL'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 LORIS SEACOAST HOSPITAL'S BOARD. Form 990 Part VI Line 11b 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) 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 12c MCLEOD 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 15b IN 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 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 IX LINE 11G DESCRIPTION:OTHER CONSULTING FEES TOTAL FEES:11484899 MCLEOD HEALTH FOUNDATION 555 EAST CHEVES STREET FLORENCE SC 29506 570818672 RAISE MONEY SC 501(C)(3) LINE 11A NA false MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE SC 29506 510473500 HEALTHCARE 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 PHYSICIAN ASSOCIATES II 555 EAST CHEVES STREET FLORENCE SC 29506 202935692 PHYSICIAN SVC 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 MCLEOD REG MED CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE SC 29506 570370242 HEALTHCARE SC 501(C)(3) LINE 3 NA false MCLEOD MED PARTNERS 555 EAST CHEVES STREET FLORENCE SC 29506 570812002 RENTAL SC NA MCLEOD PHYSICIAN ASSOCIATES INC 555 East Cheves Street Florence SC 29506 582279897 PHYS SERVICES SC C CORP false false false false false false false false false false false false true false false false false false true MCLEOD HEALTH S 495674 CASH MCLEOD HEALTH M 5920978 ACTUAL COST