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MCLEOD HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MCLEOD HEALTH (EIN 51-0473500)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201242279349301954
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

FieldValueIRS element (for citing)
Timestamp2012-08-14T10:54:42-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510473500EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1McLeod HealthBusinessNameLine1
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 Signed2012-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn W Sadoff JrName
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 East Cheves StAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode
FieldValueIRS element (for citing)
Gross Receipts96666086GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mcleodhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionTo operate a Health Care System.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees667TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year90603849ProgramServiceRevenuePriorYear
Program Service Revenue CY96929858ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year40899OtherRevenuePriorYear
Other Revenue Current Year-263772OtherRevenueCurrentYear
Total Revenue Prior Year90644748TotalRevenuePriorYear
Total Revenue Current Year96666086TotalRevenueCurrentYear
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 Year78208976SalariesEtcPriorYear
Salaries Etc Current Year83795637SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12394873OtherExpensePriorYear
Other Expenses Current Year13134223OtherExpensesCurrentYear
Total Expenses Prior Year90603849TotalExpensesPriorYear
Total Expenses Current Year96929860TotalExpensesCurrentYear
Revenues Less Expenses Prior Year40899RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-263774RevenuesLessExpensesCY
Total Assets BOY3452628TotalAssetsBOY
Total Assets EOY3681324TotalAssetsEOY
Total Liabilities BOY11245117TotalLiabilitiesBOY
Total Liabilities EOY11737587TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7792489NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-8056263NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo operate a health care system serving the Pee Dee Region of South Carolina.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense37459470Expense
Revenue96929858Revenue
DescriptionMcLeod Health is a supporting organization to McLeod Regional Medical Center of the Pee Dee, Inc. and McLeod Medical Center-Dillon. On a daily basis, McLeod Health coordinates the delivery of quality acute care services to the residents of the Pee Dee Region of South Carolina. See also the community benefit report for McLeod Health at Schedule O.Description
Total Program Service Expense37459470TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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
Hospital0Hospital
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 Organization1BsnssRltnshpWithOrganization
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 Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees667NumberOfEmployees
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
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 StAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Kaye Floyd-Parris
Chairman1.00XX000
Charles J Bethea
Vice-Chairman1.00XX000
James C McLeod Jr
Secretary1.00XX000
J Ronald Ward
Trustee1.00X000
John R Braddy
Trustee1.00X000
Leander Crawford
Trustee1.00X000
Dewey N Ervin MD
Trustee1.00X000
Larry Geddie
Trustee1.00X000
E Daniel Guyton Jr MD
Trustee1.00X000
Mellany F Isom
Trustee1.00X000
William N Boulware MD
Chief of Staff1.00X000
W Crawford Moore
Trustee1.00X000
John D Orr
Trustee1.00X000
John C Pittard MD
Trustee1.00X000
Michael R Rose MD
Staff MD/Trustee40.00X24358008067
Steven R Ross MD
Trustee1.00X000
Gerald T Rosenlund
Trustee1.00X000
J Givens Young
Trustee1.00X000
Benjamin T Zeigler
Trustee1.00X000
Robert L Colones
CEO40.00X729167074257
S Fulton Ervin III
CFO40.00X384170081706
Ronald L Boring
COO (Effective February 1, 2011)40.00X000
Donna C Isgett
Vice President40.00401929083236X
Jeannette C Glenn
Vice President40.00247776080608X
Charles M Jordan
Vice President40.00276707053406X
Jenean M Blackmon
Vice President40.00227951052649X
John Bruyere
Vice President40.00205476047333X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2716756TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation481262TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Siemens Medical Solutions
1640 Phoenix Blvd Suite 110AtlantaGA311920065Data Processing2485145
Lesnik Himmel Wilson etc
3005 Hwy 17 N BypassMyrtle BeachSC29577Advertising709670
Ogletree Deakins PC
PO Box 167GreenvilleSC29602Legal/Consulting396814
Deloitte & Touche LLP
PO Box 403568AtlantaGA303843568Accounting354036
MedAssets Net Revenue Systems
200 North Point Center East Suite 2AlpharettaGA30022Revenue Cycle System230324
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Allocated Benefits5242985316792053167920
Health System Manageme9000993781172037811720
Laundry Allocation81230016581061658106
Internal Phys Billing62410010096881009688
Patient Revenue624100558989558989

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2723435TotalRevenueColumn
Related Or Exempt Function Income2723435RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue96929858TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLoss in subsidiaryDescription
Business Code900099BusinessCode
Total Revenue Column-263772TotalRevenueColumn
Exclusion-$263,772ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-263772TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column96666086TotalRevenueColumn
Related Or Exempt Function Income96929858RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$263,772ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26272601Total
Program Services9983588ProgramServices
Management And General16289013ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7157974Total
Program Services2720030ProgramServices
Management And General4437944ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total34197406Total
Program Services13217620ProgramServices
Management And General20979786ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16167656Total
Program Services6143709ProgramServices
Management And General10023947ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total377416Total
Management And General377416ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total296553Total
Management And General296553ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total48208Total
Program Services18319ProgramServices
Management And General29889ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3886804Total
Program Services1512526ProgramServices
Management And General2374278ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total984639Total
Program Services984639ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2102831Total
Program Services799076ProgramServices
Management And General1303755ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4181505Total
Program Services1588972ProgramServices
Management And General2592533ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total100399Total
Program Services38151ProgramServices
Management And General62248ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total161374Total
Program Services61322ProgramServices
Management And General100052ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total104469Total
Program Services39698ProgramServices
Management And General64771ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total247595Total
Program Services94086ProgramServices
Management And General153509ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Other Direct4239841709532530310
Dues & Subscriptions13978253117866650
Medical4224116052261890
Contract Labor3034111530188110
Bad Debt6082608200

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total96929860Total
Program Services37459470ProgramServices
Management And General59470390ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY873BOY
EOY491EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY148550BOY
EOY147534EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY674741BOY
EOY1169008EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2628464BOY
EOY2364291EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3452628BOY
EOY3681324EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11245117BOY
EOY11737587EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11245117BOY
EOY11737587EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7792489BOY
EOY-8056263EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7792489BOY
EOY-8056263EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3452628BOY
EOY3681324EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-263774ReconcilationRevenueExpenses
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
McLeod Regional Medical Center of the Pee Dee Inc
57037024231$0
McLeod Medical Center - Dillon
51047347131$0
McLeod Physician Associates II
20293569231$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$48,208GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB48208TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart IV, Supplemental Information:Identifier
ExplanationPart II-B, Line 1(i), Other Lobbying Activities: McLeod Health pays dues to Capitol Consultants to lobby on McLeod Health's behalf on certain South Carolina legislative issues that impact McLeod Health's health care activities. In addition, a portion of dues paid to South Carolina Hospital Association are allocated to lobbying activities that SCHA engages in to represent the interests of member hospitals in South Carolina.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Investments in Affiliates2362969
Employee Uniform-678
Rental Security Deposit Rcvble2000
FieldValueIRS element (for citing)
Total Book Value Other Assets2364291TotalBookValueOtherAssets

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 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
Michael R Rose MD
2196720228250108300080670251647000
Robert L Colones
623774098184072090312000430570803424000
S Fulton Ervin III
3096590551110194000220000597060465876000
Donna C Isgett
313672083688045690165000667360485165000
Jeannette C Glenn
206991034794059910385000421080328384000
Charles M Jordan
27079000059170220000314060330113000
Jenean M Blackmon
19167403199704280095700430790280600000
John Bruyere
176455025658033630220000253330252809000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aRonald L. Boring was provided a Housing Allowance upon his relocation to Florence, SC when he began his employment at McLeod Health.
Part I, Line 4bJeanette C. Glenn received $16,973 from a supplemental nonqualified retirement plan.
Part IIIPart 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. 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.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDr Michael R RoseNamePerson
FieldValueIRS element (for citing)
RelationshipBoard MemberRelationship
Amount Of Transaction372556AmountOfTransaction
Description Of TransactionIndependentDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
Explanation(a) Name of Person: Dr. Michael R. Rose (b) Relationship Between Interested Person and Organization: Board Member (c ) Amount of Transaction $ 372,556 (d) Description of Transaction: Independent contractor arrangement for Anesthesia Services, board member is partner (e) Sharing of Organization Revenues? NoExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 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 Board before the filing date of August 15, 2012.
McLeod Health 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.Form 990, Part VI, Section B, line 12c
In determining compensation of McLeod Health's CEO and the other officers and key employees, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The governance committee reviewed and approved the CEO's compensation. In the review of compensation, the CEO, other officers, and othe key employees, was compared to other similarly situated organizations and positions. Individuals were not present when their compensation was determined.Form 990, Part VI, Section B, line 15
Governing documents, conflict of interest policy, and financial statements are available to the public upon request.Form 990, Part VI, Section C, line 19
Community Benefit Report:The McLeod Health system (of which McLeod Health entity is a sole member or parent company) conducts or participates in many community programs that help further McLeod Health's exempt purpose by promoting the health of the community. This narrative highlights just some of these programs: 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.Form 990, Part III, Line 4a:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
McLeod Health Foundation
555 East Cheves StreetFlorenceSC295020551570818672To raise money for McLeodSC501(c)(3)Line 11a, IN/A0
McLeod Regional Medical Center of the Pee Dee Inc
555 East Cheves StreetFlorenceSC295020551570370242To operate a hospitalSC501(c)(3)Line 3N/A0
McLeod Medical Center - Dillon
555 East Cheves StreetFlorenceSC295020551510473471To operate a hospitalSC501(c)(3)Line 3N/A0
McLeod Physician Associates II
555 East Cheves StreetFlorenceSC295020551202935692Physician ServicesSC501(c)(3)Line 3N/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

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1McLeod Physician Associates IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 East Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code29501ZIPCode
FieldValueIRS element (for citing)
EIN582279897EIN
Primary ActivityPhysician ServicesPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
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 Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
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 (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
McLeod Regional Medical Center of the Pee Dee Inc
K34611853Actual Cost of Services Provided
McLeod Medical Center-Dillon
K3038068Actual Cost of Services Provided
McLeod Physician Associates II
K1678587Actual Cost of Services Provided
McLeod Health Foundation
K181185Actual Cost of Services Provided