MCLEOD MEDICAL CENTER DILLON: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MCLEOD MEDICAL CENTER DILLON (EIN 51-0473471)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-14
- IRS object ID
- 201232279349301658
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-14T10:45:57-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 Peachtree Street Suite 2000 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 30303 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510473471 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McLeod Medical Center - Dillon | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MCLE | NameControl |
| Phone | 8437772256 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 E Cheves Street | AddressLine1 |
| City | Florence | City |
| State | SC | State |
| ZIP Code | 295020551 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | S Fulton Ervin III | Name |
| Title | Sr VP/CFO | Title |
| Phone | 8437772911 | Phone |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John W Sadoff Jr | Name |
| Phone | 4042201500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert L Colones | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 E Cheves St | AddressLine1 |
| City | Florence | City |
| State | SC | State |
| ZIP Code | 295020551 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53061829 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mcleodhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | Acute Care Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 427 | TotalNbrEmployees |
| Total Nbr Volunteers | 95 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 184922 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 488152 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 49643838 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 51852205 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -30067 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8288 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 626319 | OtherRevenuePriorYear |
| Other Revenue Current Year | 649227 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 50425012 | TotalRevenuePriorYear |
| Total Revenue Current Year | 52997872 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17544111 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18105055 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 30786073 | OtherExpensePriorYear |
| Other Expenses Current Year | 32045290 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 48330184 | TotalExpensesPriorYear |
| Total Expenses Current Year | 50150345 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2094828 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2847527 | RevenuesLessExpensesCY |
| Total Assets BOY | 25753212 | TotalAssetsBOY |
| Total Assets EOY | 29517184 | TotalAssetsEOY |
| Total Liabilities BOY | 11067496 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11983941 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 14685716 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17533243 | NetAssetsOrFundBalancesEOY |
| Mission Description | Organization is part of the McLeod Health system. The mission of McLeod Health is to improve the overall health and well being of people living within SC and Eastern NC by providing excellence in healthcare. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 41598282 | Expense |
| Revenue | 51852205 | Revenue |
| Description | McLeod 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 Expense | 41598282 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 53 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 427 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 1 | Form8899Filed |
| Form1098 C Filed | 1 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark W Cameron | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8437775304 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 East Cheves Street | AddressLine1 |
| City | Florence | City |
| State | SC | State |
| ZIP Code | 295010551 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|
| Robert L Colones | ||||||
| CEO of Related Org | 40.00 | X | 0 | 729167 | 74257 | |
| S Fulton Ervin III | ||||||
| CFO of Related Org | 40.00 | X | 0 | 384170 | 81706 | |
| Deborah D Locklair | ||||||
| VP of Related Org | 40.00 | X | 0 | 200464 | 49369 | |
| Walter B Blum MD | ||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |
| Timothy Idiaghe MD | ||||||
| Staff Physician | 40.00 | 242955 | 0 | 22883 | X | |
| Emery J Villenueve | ||||||
| Anethetist | 40.00 | 204233 | 0 | 55558 | X | |
| Lionel D Rajotte | ||||||
| Anethetist | 40.00 | 177109 | 0 | 49780 | X | |
| Loren D Harter MD | ||||||
| Staff Physician | 40.00 | 185603 | 0 | 14263 | X | |
| Elizabeth J Ziegler | ||||||
| Anethetist | 40.00 | 179084 | 0 | 44210 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 988984 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1313801 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 392026 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Emcare Inc | |||||
| 7032 Collection Drive | Chicago | IL | 606930000 | Physician Services | 1073188 |
| CompHealth Associates Inc | |||||
| P O Box 972625 | Dallas | TX | 753972625 | Physician Services | 124499 |
| Staff Care Inc | |||||
| P O Box 281923 | Atlanta | GA | 303841923 | Medical Services | 103275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 488152 | RelatedOrganizations |
| Total Contributions | 488152 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Revenue | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 51852205 | TotalRevenueColumn |
| Related Or Exempt Function Income | 51852205 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 51852205 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1142 | TotalRevenueColumn |
| Exclusion | $1,142 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 418622 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 49748 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 368874 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 368874 | TotalRevenueColumn |
| Exclusion | $368,874 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 21355 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14209 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7146 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7146 | TotalRevenueColumn |
| Exclusion | $7,146 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria | 722210 | 218103 | $218,103 |
| Gift Shop | 453220 | 27246 | $27,246 |
| Vending | 722210 | 8707 | $8,707 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26297 | TotalRevenueColumn |
| Exclusion | $26,297 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 280353 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 52997872 | TotalRevenueColumn |
| Related Or Exempt Function Income | 51852205 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $657,515 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14215113 | Total |
| Program Services | 12249487 | ProgramServices |
| Management And General | 1965626 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3889942 | Total |
| Program Services | 3889942 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55571 | Total |
| Management And General | 55571 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4871291 | Total |
| Program Services | 971381 | ProgramServices |
| Management And General | 3899910 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40743 | Total |
| Program Services | 3383 | ProgramServices |
| Management And General | 37360 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4829055 | Total |
| Program Services | 4388592 | ProgramServices |
| Management And General | 440463 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66254 | Total |
| Program Services | 66254 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 732098 | Total |
| Management And General | 732098 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46527 | Total |
| Program Services | 43810 | ProgramServices |
| Management And General | 2717 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16054 | Total |
| Program Services | 10288 | ProgramServices |
| Management And General | 5766 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2038634 | Total |
| Program Services | 2038634 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292719 | Total |
| Program Services | 24713 | ProgramServices |
| Management And General | 268006 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Bad Debts | 15065256 | 15065256 | 0 | 0 |
| Physician Fees | 2747217 | 2747217 | 0 | 0 |
| Miscellaneous Expenses | 1115812 | 44970 | 1070842 | 0 |
| Management and Consulti | 128059 | 54355 | 73704 | 0 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50150345 | Total |
| Program Services | 41598282 | ProgramServices |
| Management And General | 8552063 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 875 | BOY |
| EOY | 875 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5191637 | BOY |
| EOY | 5522682 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 556713 | BOY |
| EOY | 472749 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394045 | BOY |
| EOY | 390787 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 44697648 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 22591311 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18955060 | BOY |
| EOY | 22106337 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 654882 | BOY |
| EOY | 1023754 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25753212 | BOY |
| EOY | 29517184 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226146 | BOY |
| EOY | 410550 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 84854 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10841350 | BOY |
| EOY | 11488537 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11067496 | BOY |
| EOY | 11983941 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14685716 | BOY |
| EOY | 17533243 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14685716 | BOY |
| EOY | 17533243 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25753212 | BOY |
| EOY | 29517184 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2847527 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2309327 | OtherCostOrOtherBasis |
| Book Value | 2309327 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26794560 | OtherCostOrOtherBasis |
| Depreciation | 10754418 | Depreciation |
| Book Value | 16040142 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14735441 | OtherCostOrOtherBasis |
| Depreciation | 11290488 | Depreciation |
| Book Value | 3444953 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 858320 | OtherCostOrOtherBasis |
| Depreciation | 546405 | Depreciation |
| Book Value | 311915 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22106337 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Intercompany | $8,054,566 |
| Third Party Payors Reserve Estimates | $2,441,584 |
| Wages and Benefits Payable | $992,387 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11488537 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4763579 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1959389 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2804190 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12633138 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7118227 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5514911 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17396717 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9077616 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8319101 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16590 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 176398 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10552 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 165846 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60304 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 435 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 59869 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 236702 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10987 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 225715 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17633419 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9088603 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8544816 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17040 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 57856 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 30000 | DirectOffsettingRevenue |
| Net Community Building Expense | 27856 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2625 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2625 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7200 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7200 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4280 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4280 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 71961 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 30000 | DirectOffsettingRevenue |
| Net Community Building Expense | 41961 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $5,331,142 | BadDebtExpenseAmount |
| Amount Attributable To | 375882 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9955071 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9126128 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 828943 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McLeod Medical Center - Dillon | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 East Jackson Street | AddressLine1 |
| City | Dillon | City |
| State | SC | State |
| ZIP Code | 29536 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McLeod Medical Center - Dillon | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (2 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 2011 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,Marion, and Marlboro, and its secondary service area (SSA) as the South Carolina counties of Clarendon, Georgetown, Horry, Lee, Sumter, andWilliamsburg. 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 the most recent year with statistics available, FY 11.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 totalpopulation of the PSA that same year was 346,357. The median age in Dilloncounty 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 Commissionaccredited 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, digitalmammography, 4D ultrasounds, vascular studies, CT Scans and NuclearStudies.McLeod Dillon is a 79-bed community hospital in Dillon, SC, and serves asthe primary healthcare provider in one of the more economically-challengedcounties in South Carolina. McLeod Dillon primarily serves Dillon Countywhich has a population of approximately 32,062. Dillon County is in thenortheastern corner of South Carolina and is a county assigned to the PeeDee Region of the state. The county's per capita income of $15,792 haslagged both the U.S. and South Carolina averages, and it has 25.2% of itspopulation living below the poverty level, much higher than the nationalaverage of 9.9%. The county has an unemployment rate of 8.9% and 34.9% ofthe population has not received a high school diploma. In Dillon County,the number of uninsured has reached 18%. 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 has a population 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 nearly 750 members on the medical staff and more than 1,100 full time nurses. In addition to its modern facilities, premier technology and equipment, McLeod is dedicated to improving the health of the residents of those communities served. McLeod Health is composed of more than 4,700 full time employees and over 50 physician practices in eight counties. With five 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, and as of January 2012, McLeod Loris and McLeod Seacoast.The flagship hospital of the McLeod Health organization is McLeod Regional Medical Center in Florence, South Carolina. This regional referral tertiary care center serves patients and families living in the northeastern region of South Carolina. The medical center includes an accredited Cancer Center and Breast Health Center, three dedicated open heart surgery suites and the new Heart & Vascular Institute as well as 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, which all deliver an unmatched level of care and experience to people in the region. One of only five state-designated regional perinatal centers, McLeod Regional Medical Center also offers the region's only Children's Hospital which includes a 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. In addition, the McLeod Hospice House, an inpatient facility which will soon expand to 24-beds, is located on the campus. |
| McLeod Health has been recognized numerous times for its outstanding work in quality care, best practices and clinical outcomes as well as its physician's 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. 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. Through the years, the facility has expanded, developed and created milestones in the areas of cancer services, advanced surgery, pediatrics, heart and vascular, hospice, radiology, women's services and orthopedics. The medical center has championed this mission for more than a century - celebrating 105 years of exceptional medical service to the region. The mission of McLeod Health is anchored by the core values that the institution was built upon in 1906: the values of caring, the person, integrity, and quality. These values are exemplified by the willing and compassionate service to others that is evident in the hospital operations, continuous long-range planning, and the men and women who have chosen to be a part of the McLeod team of talent in their individual fields of expertise.This group of physicians, nurses, staff members, board members and volunteers are dedicated to caring for the community with much more than medical care. Their commitment extends past the medical center's brick and mortar and into the service areas of South Carolina and eastern North Carolina in an effort to build a stronger and healthier place for patients, co-workers, children and neighbors to live and work.The medical community, both nationally and on a state/ local level, has made cut backs due to shrinking reimbursements. McLeod Health is no exception. Shrinking reimbursements and healthcare reform have been the drivers for initiating changes that improve the ability for healthcare providers to reduce cost while maintaining quality.At McLeod, we have continued to provide and grow essential services to care for patients in our region with a commitment to quality and operational efficiency. These treatments and programs address significant disease processes prevalent in our state's population - including heart disease, cancer, diabetes, and premature births. Some of these critical patient care services are located only at McLeod for the people living in the Northeastern region of South Carolina. McLeod Health continues to explore more meaningful and productive ways to meet its mission, offering programs and activities which are a community benefit. Community benefits are defined as programs that respond to public health needs and supply services that would likely be discontinued - or would need to be provided by another not-for-profit or government provider - if the decision was made on a purely financial basis. McLeod Health provides community benefits that promote prevention, healing and treatment including health education, support groups, health screenings and immunizations, free and discounted medical supplies, health education and research, and financial and in-kind contributions. In Fiscal Year 2011, McLeod Health provided the region with $104.1 Million dollars worth of Charity Care to benefit community families. McLeod Health not only provides community benefit through the services offered but also by stimulating the local economy. Last year we contributed more than $10 Million in sales tax, approximately $814,000 in Property Taxes, and more than $12.7 Million in hospital provider taxes to benefit the communities where its employees and patients live and work. These benefits to the community demonstrate the spirit of willing and compassionate service that is at the heart, 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 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 78 employed physicians providing primary and specialty care services through approximately 36 offices in six South Carolina counties. 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 $14 million for the benefit of the System, including approximately 2 million which has been used for Hospice House, $1.3 million for Children's Hospital Block Grants and $810,000 for the Mobile Mammography unit. 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 61% 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert L Colones | |||||||||||||
| 0 | 623774 | 0 | 98184 | 0 | 7209 | 0 | 31200 | 0 | 43057 | 0 | 803424 | 0 | 0 |
| S Fulton Ervin III | |||||||||||||
| 0 | 309659 | 0 | 55111 | 0 | 19400 | 0 | 22000 | 0 | 59706 | 0 | 465876 | 0 | 0 |
| Deborah D Locklair | |||||||||||||
| 0 | 169581 | 0 | 24502 | 0 | 6381 | 0 | 22000 | 0 | 27369 | 0 | 249833 | 0 | 0 |
| Timothy Idiaghe MD | |||||||||||||
| 241696 | 0 | 0 | 0 | 1259 | 0 | 0 | 0 | 22883 | 0 | 265838 | 0 | 0 | 0 |
| Emery J Villenueve | |||||||||||||
| 190266 | 0 | 0 | 0 | 13967 | 0 | 19959 | 0 | 35599 | 0 | 259791 | 0 | 0 | 0 |
| Lionel D Rajotte | |||||||||||||
| 170616 | 0 | 0 | 0 | 6493 | 0 | 22000 | 0 | 27780 | 0 | 226889 | 0 | 0 | 0 |
| Loren D Harter MD | |||||||||||||
| 184645 | 0 | 0 | 0 | 958 | 0 | 11806 | 0 | 2457 | 0 | 199866 | 0 | 0 | 0 |
| Elizabeth J Ziegler | |||||||||||||
| 176811 | 0 | 0 | 0 | 2273 | 0 | 15909 | 0 | 28301 | 0 | 223294 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Information | Part III | Part I, Line 6a: Incentives are available to employees in leadership positions based on a combination of criteria including financial goals as well as quality initiatives. |
| Supplemental Information | Part III | Part I, Line 6b: Incentives are available to employees in leadership positions of this and related organizations based on a combination of criteria including financial goals as well as quality initiatives. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | McLeod Medical Center-Dillon has a sole member which is McLeod Health. | |
| Form 990, Part VI, Section A, line 7a | The 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 7b | The 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 11 | The 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 May 2012 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, 2012. | |
| McLeod 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. Each Board Member signs a Conflict of Interest statement each year. | Form 990, Part VI, Section B, line 12c | |
| In 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 B, line 15a | |
| Governing documents, conflict of interest policy, and financial statements are available to the public upon request. | Form 990, Part VI, Section C, line 19 | |
| Avg hours devoted to related org(s) when related comp is reported: | 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. | Form 990, Part VII: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Medical Regional Medical Center of the Pee Dee Inc | ||||||||||
| 555 E Cheves Street | Florence | SC | 29502 | 570370242 | To operate a hospital | SC | 501(c)(3) | Line 3 | N/A | 0 |
| McLeod Health Foundation | ||||||||||
| 555 E Cheves Street | Florence | SC | 29502 | 570818672 | To raise money for McLeod entities | SC | 501(c)(3) | Line 11a, I | N/A | 0 |
| McLeod Physician Associates II | ||||||||||
| 555 E Cheves Street | Florence | SC | 29502 | 202935692 | Physician Services | SC | 501(c)(3) | Line 3 | N/A | 0 |
| McLeod Health | ||||||||||
| 555 E Cheves Street | Florence | SC | 29502 | 510473500 | To operate a healthcare system | SC | 501(c)(3) | Line 3 | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McLeod Medical Partners LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4401 Barclay Down Dr Suite 300 | AddressLine1 |
| City | Charlotte | City |
| State | NC | State |
| ZIP Code | 282094670 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570812002 | EIN |
| Primary Activity | Rental | PrimaryActivity |
| Legal Domicile State | SC | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McLeod Physician Associates Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 East Cheves Street | AddressLine1 |
| City | Florence | City |
| State | SC | State |
| ZIP Code | 29502 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582279897 | EIN |
| Primary Activity | Physician Services | PrimaryActivity |
| Legal Domicile State | SC | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| McLeod Health Foundation | ||
| C | 488152 | Actual Cash Transferred |
| McLeod Health | ||
| L | 3038068 | Actual Cost of Services Provided |
| McLeod Physician Associates II | ||
| L | 707193 | Actual Cost of Services Provided |