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MCLEOD MEDICAL CENTER DILLON: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MCLEOD MEDICAL CENTER DILLON (EIN 51-0473471)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201332259349302803
Schema version
2011v1.5
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)
Timestamp2013-08-13T14:50:35-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1191 Peachtree Street Suite 2000AddressLine1
CityAtlantaCity
StateGAState
ZIP Code30303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510473471EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Center - DillonBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMCLENameControl
Phone8437772256Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 E Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameS Fulton Ervin IIIName
TitleSr VP/CFOTitle
Phone8437772911Phone
Date Signed2013-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn W Sadoff JrName
PTINP00540589PTIN
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert L ColonesNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 E Cheves StAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode
FieldValueIRS element (for citing)
Gross Receipts56335532GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mcleodhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionAcute Care HospitalActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees422TotalNbrEmployees
Total Nbr Volunteers82TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year488152ContributionsGrantsPriorYear
Contributions Grants Current Year142082ContributionsGrantsCurrentYear
Program Service Revenue Prior Year51852205ProgramServiceRevenuePriorYear
Program Service Revenue CY55394347ProgramServiceRevenueCY
Investment Income Prior Year8288InvestmentIncomePriorYear
Investment Income Current Year3509InvestmentIncomeCurrentYear
Other Revenue Prior Year649227OtherRevenuePriorYear
Other Revenue Current Year753107OtherRevenueCurrentYear
Total Revenue Prior Year52997872TotalRevenuePriorYear
Total Revenue Current Year56293045TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18105055SalariesEtcPriorYear
Salaries Etc Current Year18898771SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year32045290OtherExpensePriorYear
Other Expenses Current Year36818587OtherExpensesCurrentYear
Total Expenses Prior Year50150345TotalExpensesPriorYear
Total Expenses Current Year55717358TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2847527RevenuesLessExpensesPriorYear
Revenues Less Expenses CY575687RevenuesLessExpensesCY
Total Assets BOY29517184TotalAssetsBOY
Total Assets EOY29225781TotalAssetsEOY
Total Liabilities BOY11983941TotalLiabilitiesBOY
Total Liabilities EOY11116851TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17533243NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18108930NetAssetsOrFundBalancesEOY
Mission DescriptionOrganization is part of the McLeod Health system. The mission of McLeod Health is to improve the overall health and well being of people living within SC and Eastern NC by providing excellence in healthcare.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense46378753Expense
Revenue55394347Revenue
DescriptionMcLeod Medical Center-Dillon is a 79-bed Community Hospital located in Dillon, South Carolina. McLeod Medical Center-Dillon operates as part of the overall McLeod Health System. See also the community benefit report for McLeod Health at Schedule H.Description
Total Program Service Expense46378753TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109664NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees422NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mark W CameronBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8437775304TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 East Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295010551ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Robert L Colones
CEO of Related Org40.00XX064151696351
S Fulton Ervin III
CFO of Related Org40.00XX0394573116174
Deborah D Locklair
VP of Related Org40.00XX020093222000
Michael J Sutton MD
Staff Physician of Related Org40.00X057812876474
Timothy Idiaghe MD
Staff Physician40.00297313063938X
Loren D Harter MD
Staff Physician40.00304850037506X
Emery J Villeneuve
Anesthetist40.00206107067778X
Lionel J Rajotte
Anesthetist40.00175291056254X
Elizabeth J Ziegler
Anesthetist40.00171835058840X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1155396TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1815149TotalReportableCompFrmRltdOrgs
Total Other Compensation595315TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Emcare Inc
7032 Collection DriveChicagoIL60693Physician Services1073188
Design Strategies LLC
1305 Main StreetGreenvilleSC29601Architectural Services289044
CompHealth Associates
PO Box 97625DallasTX753972625Physician Services128046
Staff Care Inc
PO Box 281923AtlantaGA303841923Physician Services123800
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations125830RelatedOrganizations
Government Grants16252GovernmentGrants
Total Contributions142082TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient RevenueDescription
Business Code624100BusinessCode
Total Revenue Column55394347TotalRevenueColumn
Related Or Exempt Function Income55394347RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue55394347TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-491TotalRevenueColumn
Exclusion-$491ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real410110Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real42487Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real367623Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column367623TotalRevenueColumn
Exclusion$367,623ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4000TotalRevenueColumn
Exclusion$4,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Cafeteria/Vending722210234236$234,236
Contract Pharmacy90009981063$81,063
Gift Shop45322030044$30,044

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column40141TotalRevenueColumn
Exclusion$40,141ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue385484TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column56293045TotalRevenueColumn
Related Or Exempt Function Income55394347RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$756,616ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14864059Total
Program Services12815240ProgramServices
Management And General2048819ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4034712Total
Program Services4034712ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21549Total
Management And General21549ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5900530Total
Program Services1382005ProgramServices
Management And General4518525ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total62693Total
Program Services486ProgramServices
Management And General62207ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4739887Total
Program Services4235922ProgramServices
Management And General503965ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total95259Total
Program Services95259ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total760700Total
Management And General760700ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total41245Total
Program Services36475ProgramServices
Management And General4770ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total55023Total
Program Services36015ProgramServices
Management And General19008ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2036476Total
Program Services2036476ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total384402Total
Program Services28551ProgramServices
Management And General355851ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debts1851187918511879
Physician Fees30821463082146
Miscellaneous Expenses1089118496071039511
Mgt. & Consulting Fees37680339803700

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total55717358Total
Program Services46378753ProgramServices
Management And General9338605ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY875BOY
EOY875EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5522682BOY
EOY5213671EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY472749BOY
EOY507748EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY390787BOY
EOY388652EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46269673LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24546214LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22106337BOY
EOY21723459EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1023754BOY
EOY1391376EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29517184BOY
EOY29225781EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY410550BOY
EOY537336EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY84854BOY
EOY44779EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11488537BOY
EOY10534736EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11983941BOY
EOY11116851EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17533243BOY
EOY18108930EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17533243BOY
EOY18108930EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29517184BOY
EOY29225781EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses575687ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2309327OtherCostOrOtherBasis
Book Value2309327BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26773502OtherCostOrOtherBasis
Depreciation11900618Depreciation
Book Value14872884BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15051812OtherCostOrOtherBasis
Depreciation12051254Depreciation
Book Value3000558BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2135032OtherCostOrOtherBasis
Depreciation594342Depreciation
Book Value1540690BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21723459TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Intercompany$6,568,767
Third Party Payors Reserve$2,766,971
Wages and Benefits Payable$1,198,998
FieldValueIRS element (for citing)
Total Of Amounts10534736TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense5059528TotalCommunityBenefitExpense
Direct Offsetting Revenue1498920DirectOffsettingRevenue
Net Community Benefit Expense3560608NetCommunityBenefitExpense
Percent Of Total Expense0.06390PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense14545492TotalCommunityBenefitExpense
Direct Offsetting Revenue7526330DirectOffsettingRevenue
Net Community Benefit Expense7019162NetCommunityBenefitExpense
Percent Of Total Expense0.12600PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense19605020TotalCommunityBenefitExpense
Direct Offsetting Revenue9025250DirectOffsettingRevenue
Net Community Benefit Expense10579770NetCommunityBenefitExpense
Percent Of Total Expense0.18990PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense49579TotalCommunityBenefitExpense
Direct Offsetting Revenue575DirectOffsettingRevenue
Net Community Benefit Expense49004NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense20460TotalCommunityBenefitExpense
Net Community Benefit Expense20460NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense108582TotalCommunityBenefitExpense
Net Community Benefit Expense108582NetCommunityBenefitExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense178621TotalCommunityBenefitExpense
Direct Offsetting Revenue575DirectOffsettingRevenue
Net Community Benefit Expense178046NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense19783641TotalCommunityBenefitExpense
Direct Offsetting Revenue9025825DirectOffsettingRevenue
Net Community Benefit Expense10757816NetCommunityBenefitExpense
Percent Of Total Expense0.19310PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense57856TotalCommunityBuildingExpense
Direct Offsetting Revenue30000DirectOffsettingRevenue
Net Community Building Expense27856NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense5949TotalCommunityBuildingExpense
Net Community Building Expense5949NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense7200TotalCommunityBuildingExpense
Net Community Building Expense7200NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense4280TotalCommunityBuildingExpense
Net Community Building Expense4280NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense75285TotalCommunityBuildingExpense
Direct Offsetting Revenue30000DirectOffsettingRevenue
Net Community Building Expense45285NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,304,784BadDebtExpenseAmount
Amount Attributable To444492AmountAttributableTo
Amount Reimbursed By Medicare9942955AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare8657562CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1285393MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Center - DillonBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1301 East Jackson StreetAddressLine1
CityDillonCity
StateSCState
ZIP Code29536ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Center - DillonBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
Uses FPG Discounted1UsesFPGDiscounted
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (3 entries)

ExplanationExplanation
1. Part I, Item 6a - Community Benefit report for McLeod Health (Sole Member of McLeod Medical Center - Dillon) 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. Part II - The main example of a Community-Building activity performed by McLeod Medical Center - Dillon (MMC-D) in Fiscal Year 2012 was that there was a Disaster Coordinator that helped Dillon County for a few hours per week with Emergency Planning. He worked with the school systems and all public safety within the county to aid in emergency preparedness work. Also, the McLeod Health organization financially participates each year in the nursing programs at two local higher education schools, Francis Marion University and Florence-Darlington Technical College, to help maintain and expand their nursing programs. These two programs are the cornerstone for recruiting, retention and cultivation of exceptional nurses by the McLeod Health facilities including McLeod Medical Center - Dillon, as well as other health care providers in the region. Part III, Line 4 - Net patient service revenues are reported at the estimated net realizable amounts received, or to be received, from patients, third-party payors, and others for the specific services and supplies rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. For the amounts reported in Lines 2 and 3, we used the IRS method to calculate the Ratio of Patient Care Cost to Charges, as shown on page 8 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). Part III, Line 9b - MMC-D is an organization in the McLeod Health system. McLeod Health'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. 2. McLeod Medical Center- Dillon has a 20-member Community Advisory Board consisting of physicians and influential leaders in the community. It meets quarterly to assess the health care needs of the community. Additionally, McLeod Medical Center-Dillon along with the rest of the McLeod Health system is actively involved in agencies like United Way, American Heart Association, American Cancer Society, Children's Miracle Network to further stay on the pulse of the health needs of the community.3. Uninsured patients are screened at the time of registration for their ability to pay for their health care 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.4. McLeod Medical Center- Dillon (MMC-D),together with its related organizations McLeod Regional Medical Center of the Pee Dee, Inc. 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 corner of South Carolina. MMC-D has the great majority of its discharges from the County of Dillon with those patients comprising approximately 76% of all MMC-D discharges in FY 12.As for some demographics of the PSA and the main County served by MMC-D, the total population of Dillon County in 2010 was 32,062 and the total population of the PSA that same year was 346,357. The median age in Dillon county was 36.7.5. With a strong history in the Dillon community since 1943, McLeod Dillon has continued to grow and expand to serve residents of Dillon (SC) and Robeson (NC) counties with excellence in patient care. The Joint Commission accredited medical center employs 350 and has the strength of 100 physicians on its medical staff. McLeod Dillon offers general and orthopedic surgery, women's services, emergency services, intensive care, rehabilitative services and cardiac rehabilitation. Investments in state of the art technology to improve patient care have included Open MRI, digital mammography, 4D ultrasounds, vascular studies, CT Scans and Nuclear Studies.McLeod Dillon is a 79-bed community hospital in Dillon, SC, and serves as the primary healthcare provider in one of the more economically-challenged counties in South Carolina. McLeod Dillon primarily serves Dillon County which has a population of approximately 32,062. Dillon 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 of $15,792 has lagged both the U.S. and South Carolina averages, and it has 25.2% of its population living below the poverty level, much higher than the national average of 9.9%. The county has an unemployment rate of 8.9% and 34.9% of the population has not received a high school diploma. In Dillon County, the number of uninsured has reached 18%. Nationally recognized for quality, McLeod Health is a not-for-profit regional medical center that is built on the foundation of premier technology, modern facilities, and an unsurpassed dedication to improving the health of the community it serves. The service area covers a 15 county area encompassing nearly 11,500 square miles and a population of more than one million. Since 1906, McLeod Health has been the choice for medical excellence for the communities it has impacted.The hospitals within McLeod include McLeod Regional Medical Center in Florence, McLeod Darlington, McLeod Behavioral Health Center, McLeod Dillon, and, as of January 2012, McLeod Loris and McLeod Seacoast. The Florence facility is the flagship of McLeod Health. This regional referral center features an accredited Cancer Center and Heart & Vascular Institute, three dedicated open-heart surgery suites as well as Centers of Excellence in Heart, Cancer, Surgery, Neurosurgery, Trauma, Children's and Women's Services, and the Center for Advanced Surgery. Additionally, McLeod provides Home Health Services, Hospice, Diabetes Services, state of the art radiology, Health and Fitness, Physical and Cardiac Rehab programs and more. Most recently, McLeod has invested in the community by building a Center for Intensive Care and a new Cancer Center building. The McLeod Foundation also helps financially support specific programs, growth and projects, through philanthropy and grants.
McLeod Health strives to recruit and retain employees that have proven their dedication and loyalty to serving others. Recruitment and retention of dedicated employees demonstrates a loyalty to the healthcare environment. Sustaining critical services and adding an additional personal touch to each patient is accomplished every day by 750 physicians and 6,300 employees. Currently, McLeod Regional Medical center in Florence has nearly 500 beds, and in total, McLeod Health includes 883 licensed beds for patient care. These, coupled with the diverse number of services provided, allow McLeod to meet the unique and vast array of health care needs in our 12 county service area. As one of the region's largest service organizations, including physicians, nurses, and pharmacists, as well as computer technicians, environmental workers, therapists, and other medical professionals, McLeod employees' direct wage impact to the region last year was $299 Million. This money flows to groceries stores, car dealers, restaurants, churches, local vendors and suppliers and other organizations to help stimulate the region's economy each year. The challenge in today's medical climate is to improve the quality of care and the ability of healthcare providers to reduce cost while maintaining quality. This is due to the fact of the shrinking reimbursements and healthcare reform. McLeod has continued to provide and grow essential services to care for patients in the region with the core values of Caring, Person, Quality and Integrity as a guide to quality and operational efficiency.McLeod has been recognized numerous times for its outstanding work in quality care, best practices, and clinically proven outcomes. Guests from across the globe seek out McLeod teams to share and observe best practices in quality and safety. These extensive efforts have resulted in the 2010 American Hospital Association- McKesson Quest for Quality Prize, in which McLeod was the first hospital in South Carolina to be presented with this honor since its inception.McLeod Health has numerous initiatives in place to provide community benefits that promote prevention, healing, and treatment. Some of these initiatives include health education, support groups, city sponsored and industry health fairs, health screenings and immunizations, free and discounted medical supplies, research, and financial and in-kind contributions. The community outreach budget allocates approximately $250,000 across the healthcare system to sponsorships and donations to serve in civic, academic and corporate partnerships.McLeod is proactively affiliating with academic institutions to address our community's healthcare needs. McLeod facilitates a Family Medicine Residency Program and sponsors the Medical University of South Carolina bachelor's degree nursing program as well as Florence Darlington Technical College's associate degree nursing program. Rotations at McLeod Regional Medical Center in clinical and administrative areas are offered to students from educational programs throughout the state, and the South East Cancer Control Consortium collaborates with McLeod in the field of cancer treatment. Through these structured programs, the complex world of healthcare unfolds for participants for further study.Dedicated to stewardship and service for more than 107 years, McLeod has prudently built and developed reserves in order to continue to grow as a mission minded hospital committed to improving the health of our people in the region. In terms of surpluses, like any business or family, a hospital must earn more than it spends to be viable and fulfill its mission. McLeod has set aside funds for the future growth needed in healthcare services. These funds are professionally managed and are in accordance with guidelines established by Moody's Investors Service for a service organization appropriate to McLeod's size and scope.Money from the operating margin is reinvested in the local economy and used for expansion or replacement of equipment, technology and facilities to meet the highest standards of care, quality and safety for patients. Improvements translate to services needed in our 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, these hospitals serve 150,000 patients in their emergency rooms, regardless of a person's ability to pay. McLeod Health hospitals annually diagnose or treat nearly half a million people as outpatients and care for more than 30,000 ill and surgical inpatients. The hospitals and their Emergency Departments are open 24 hours a day, 365 days a year.In Fiscal Year 2012, McLeod Health provided the region with significant amounts worth of Charity Care to benefit community families. McLeod Health not only provides community benefit through the services offered but also by stimulating the local economy. Last year, more than $13 Million was contributed in sales tax, approximately $479,000 in Property Taxes, and more than $14.1 Million in hospital provider taxes to benefit the communities where its employees and patients live and work. Healthy lifestyle promotion is a fundamental principle of McLeod. Health screenings are offered to the community to check for problems in blood pressure, cholesterol, diabetes, breast, skin and prostate cancer, osteoporosis, peripheral vascular disease, and stroke. Nearly 100 support groups, classes, health fairs, seminars, screenings and programs free or at a reduced cost are provided to attendees seeking to learn about and deal with many medical issues. Childbirth preparation classes, Infant/Child CPR, Child Safety Passenger Checks from McLeod SafeKids, and SafeSitters sessions are offered. In addition, a computer located in the McLeod Resource Center is available to the public for Internet access to the most current health information. These benefits to the community demonstrate the heart of serving and compassionate care that is the core, and the legacy, of McLeod Health.
6. McLeod Health is the Sole Member of McLeod Medical Center-Dillon 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 12-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: McLeod Loris Seacoast Hospital (MLSH) is the newest entity in McLeod Health, joining 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;-Loris Extended Care Center, a long-term care facility in Loris, South CarolinaLoris Seacoast Healthcare Foundation: Loris Seacoast Healthcare Foundation solicits funds for facilities, research, and general support of MLSH.McLeod Physician Associates II (MPA II): MPA II is a South Carolina nonprofit corporation and an organization described under Sections 501(c)(3) and 509(a)(2) of the Code that operates a multi-specialty physician group practice of over 100 employed physicians providing primary and specialty care services through over 50 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. In the past five years, the Foundation has received approximately $22 million for the benefit of the System, including approximately $2 million which has been used for Hospice House, $2.2 million for Children's Hospital Block Grants and $740,000 for the Cancer Clinic. 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 24 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. The Borrower 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.7. McLeod Health files a community benefit report annually in the state of South Carolina to the SC Hospital Association.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert L Colones
058315505000008361031200065151073786700
S Fulton Ervin III
032161306582007140022000094174051074700
Deborah D Locklair
01763190213620325102200000022293200
Michael J Sutton MD
0445468000132660031200045274065460200
Timothy Idiaghe MD
29575800015550165000474380361251000
Loren D Harter MD
30344300014070147000228060342356000
Emery J Villeneuve
19980100063060205320472460273885000
Lionel J Rajotte
17203600032550220000342540231545000
Elizabeth J Ziegler
16957700022580195250393150230675000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6McLeod Medical Center-Dillon has a sole member which is McLeod Health.
Form 990, Part VI, Section A, line 7aThe Board of McLeod Health (sole member) has final authority as needed on the makeup and decision-making of McLeod Medical Center-Dillon's Board.
Form 990, Part VI, Section A, line 7bThe Board of McLeod Health (sole member) has final authority as needed on the makeup and decision-making of McLeod Medical Center-Dillon's Board.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of providing copies of the Form 990 to the Board of Trustees of McLeod Health (Sole Member of McLeod Medical Center - Dillon) at the June 2013 Board meeting, along with a presentation covering the Form 990 by the preparing firm, Deloitte Tax, to allow for a thorough review by the Sole Member's Board before the filing date of August 15, 2013.
Form 990, Part VI, Section B, line 12cMcLeod Medical Center - Dillon regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict 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. Yes, each Board Member signs a Conflict of Interest statement each year.
Form 990, Part VI, Section B, line 15aIn determining compensation of McLeod Medical Center - Dillon's top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved in the compensation. In the review of compensation, the top management official was compared to other similarly situated organizations and positions. During the review and approval of the compensation, documentation of the decision was recorded in the Board minutes. Individuals were not present when their compensation was determined.
Form 990, Part VI, Section C, line 19Governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part VII:Robert L. Colones' compensation is paid by McLeod Health, a related organization of McLeod Medical Center - Dillon. The compensation he receives is for his role as CEO of McLeod Health and not for his role as a Board Member, an uncompensated role, of McLeod Medical Center Dillon. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. S. Fulton Ervin, III's compensation is paid by McLeod Health, a related organization of McLeod Medical Center - Dillon. The compensation he receives is for his role as CFO at McLeod Health and not for his role as a Board Member, an uncompensated role, of McLeod Medical Center - Dillon. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Deborah D. Locklair's compensation is paid by McLeod Health, a related organization of McLeod Medical Center - Dillon. The compensation she receives is for her role as Vice President at McLeod Health and not for her role as a Board Member, an uncompensated role, of McLeod Medical Center - Dillon. Therefore, all hours reported on Form 990, VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Michael J. Sutton, MD's compensation is paid by McLeod Physician Associates II, a related organization of McLeod Medical Center - Dillon. The compensation he receives is for his role as a Surgeon in McLeod Physician Associates II and not for his role as a Board Member, an uncompensated role, of McLeod Medical Center- Dillon. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week.Avg hours devoted to related org(s) when related comp is reported:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Medical Regional Medical Center of the Pee Dee Inc
555 E Cheves StreetFlorenceSC29502570370242To operate a hospitalSCsection 501(c)(3)Line 3N/A0
McLeod Health Foundation
555 E Cheves StreetFlorenceSC29502570818672To raise money for McLeod entitiesSCsection 501(c)(3)Line 11aN/A0
McLeod Physician Associates II
555 E Cheves StreetFlorenceSC29502202935692Physician ServicesSCsection 501(c)(3)Line 3N/A0
McLeod Health
555 E Cheves StreetFlorenceSC29502510473500To operate a healthcare systemSCsection 501(c)(3)Line 3N/A0
McLeod Loris Seacoast Hospital
555 E Cheves StreetFlorenceSC29502453576100To operate a community hospitalSCsection 501(c)(3)Line 3N/A0
LorisSeacoast Healthcare Foundation - 2812-93012
555 E Cheves StreetFlorenceSC29502421704953To raise money for McLeod entitiesSCsection 501(c)(3)Line 11aN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Partners LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14401 Barclay Down Dr STE 300AddressLine1
CityCharlotteCity
StateNCState
ZIP Code282094670ZIPCode
FieldValueIRS element (for citing)
EIN570812002EIN
Primary ActivityRentalPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
McLeod Physician Associates Inc
555 East Cheves StreetFlorenceSC29502582279897Physician ServicesSCN/AC
LorisSeacoast Healthcare Foundation - 100111-2712
555 E Cheves StreetFlorenceSC29502421704953To raise money for McLeod entitiesSCN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Mcleod Health Foundation
C142082Actual Cash Transferred
Mcleod Health
L3484315Actual Cost of Services Provided
Mcleod Physician Associates II
L1154338Actual Cost of Services Provided