STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MCLEOD HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MCLEOD HEALTH (EIN 51-0473500)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-15
IRS object ID
201142279349302784
Schema version
2009v1.7
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)
Timestamp2011-08-15T13:10:13-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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
TitleChief Financial OfficerTitle
Phone8437772911Phone
Date Signed2011-08-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn W Sadoff JrName
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts90644748GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees668TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year45000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85448776ProgramServiceRevenuePriorYear
Program Service Revenue CY90603849ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year-187829OtherRevenuePriorYear
Other Revenue Current Year40899OtherRevenueCurrentYear
Total Revenue Prior Year85305947TotalRevenuePriorYear
Total Revenue Current Year90644748TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year73813172SalariesEtcPriorYear
Salaries Etc Current Year78208976SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11680603OtherExpensePriorYear
Other Expenses Current Year12394873OtherExpensesCurrentYear
Total Expenses Prior Year85493775TotalExpensesPriorYear
Total Expenses Current Year90603849TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-187828RevenuesLessExpensesPriorYear
Revenues Less Expenses CY40899RevenuesLessExpensesCY
Total Assets BOY3482231TotalAssetsBOY
Total Assets EOY3452628TotalAssetsEOY
Total Liabilities BOY11127791TotalLiabilitiesBOY
Total Liabilities EOY11245117TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7645560NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7792489NetAssetsOrFundBalancesEOY
Mission DescriptionTo operate a health care system serving the Pee Dee Region of South Carolina.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense35085972Expense
Revenue90603849Revenue
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 Expense35085972TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees668NumberOfEmployees
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
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
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 DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Charles J Bethea
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
Gregory H Jones
Staff MD/Chief of Staff40.00X052465254446
W Crawford Moore
Trustee1.00X000
John D Orr
Trustee1.00X000
William N Boulware MD
Chief of Staff1.00X000
John C Pittard MD
Trustee1.00X000
Michael R Rose MD
Staff MD/Trustee40.00X0246028591
Steven R Ross MD
Trustee1.00X000
Gerald T Rosenlund
Trustee1.00X000
J Givens Young
Trustee1.00X000
Benjamin T Zeigler
Trustee1.00X000
J Ronald Ward
Chairman1.00000X
Kaye Floyd-Parris
Vice-Chairman1.00000X
James C McLeod Jr
Secretary1.00000X
Robert L Colones
CEO40.00714862071143X
S Fulton Ervin III
CFO40.00367217055968X
Donna Isgett
Vice President40.00357031051567X
Jeannette C Glenn
Vice President40.00242962054262X
Edward D Tinsley
Vice President40.00215498047910X
Peter Johnson
Staff Physician40.00214649047409X
Michael E Payne
Vice President40.00207329046696X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2319548TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs770680TotalReportableCompFrmRltdOrgs
Total Other Compensation429992TotalOtherCompensation
Number Individuals GT100 K24NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Siemens Medical Solutions
1640 Phoenix Blvd Suite 110AtlantaGA311920065Data Processing2483442
Lesnik Himmel Wilson Etc
3005 Hwy 17 N BypassMyrtle BeachSC29577Advertising923340
Deloitte & Touche LLP
PO Box 403568AtlantaGA303843568Accounting324408
MedAssets Net Revenue Systems
200 NPoint Center East Ste 200AlpharettaGA30022Revenue Cycle System187233
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Allocated Benefits9000995053432450534324
Health System Manageme9000993412423334124233
Laundry Allocation81230016402851640285
Internal Phys Billing62410013725861372586
Patient Revenue624100606957606957

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column2325464TotalRevenueColumn
Related Or Exempt Function Income2325464RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue90603849TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionGain in subsidiaryDescription
Business Code900099BusinessCode
Total Revenue Column40899TotalRevenueColumn
Exclusion$40,899ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue40899TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column90644748TotalRevenueColumn
Related Or Exempt Function Income90603849RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$40,899ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1203794Total
Program Services1083415ProgramServices
Management And General120379ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22387873Total
Program Services7947516ProgramServices
Management And General14440357ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6147791Total
Program Services2308496ProgramServices
Management And General3839295ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32948150Total
Program Services12754897ProgramServices
Management And General20193253ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15521368Total
Program Services5898120ProgramServices
Management And General9623248ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total720410Total
Management And General720410ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total234317Total
Management And General234317ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total68208Total
Program Services25919ProgramServices
Management And General42289ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2892700Total
Program Services1104364ProgramServices
Management And General1788336ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1172457Total
Program Services1172457ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2045522Total
Program Services777299ProgramServices
Management And General1268223ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3790035Total
Program Services1440213ProgramServices
Management And General2349822ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total117677Total
Program Services44717ProgramServices
Management And General72960ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total213684Total
Program Services81200ProgramServices
Management And General132484ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total109857Total
Program Services41746ProgramServices
Management And General68111ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total245236Total
Program Services93190ProgramServices
Management And General152046ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Other Direct4550041729022821020
Dues & Subscriptions13738952208851810
Contract Labor4293816316266220
Medical3891914789241300
Bad Debt143761437600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total96144Total
Program Services41832ProgramServices
Management And General54312ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total90603849Total
Program Services35085972ProgramServices
Management And General55517877ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY831BOY
EOY873EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY115865BOY
EOY148550EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY577175BOY
EOY674741EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2788360BOY
EOY2628464EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3482231BOY
EOY3452628EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11127791BOY
EOY11245117EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11127791BOY
EOY11245117EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-7645560BOY
EOY-7792489EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7645560BOY
EOY-7792489EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3482231BOY
EOY3452628EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$81,415GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB81415TotalLobbyingExpendituresIIB
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 (2 entries)

DescriptionDescriptionBook ValueBookValue
Investments in Affiliates2626464
Rental Security Deposit Rcvble2000
FieldValueIRS element (for citing)
Total Book Value Other Assets2628464TotalBookValueOtherAssets

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gregory H Jones
05154150009237032064022382057909800
Michael R Rose MD
021300103196701060000591024661900
Robert L Colones
5830440981840336340312000399430786005000
S Fulton Ervin III
2955200535060181910220000339680423185000
Donna Isgett
271671081250041100165000350670408598000
Jeannette C Glenn
1986520337800105300287780254840297224000
Edward D Tinsley
1778610274160102210220000259100263408000
Peter Johnson
20857400060750203430270660262058000
Michael E Payne
1724620236470112200170270296690254025000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationPart 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.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Dr Michael R RoseBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipBoard MemberRelationship
Amount Of Transaction353180AmountOfTransaction
Description Of TransactionIndependent contractor arrangement for Anesthesia Services , board member is partnerDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 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 2011 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, 2011.
Form 990, Part VI, Section B, line 12cMcLeod 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 15In 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 other key employees, was compared to other similarly situated organizations and positions. Individuals were not present when their compensation was determined.
Form 990, Part VI, Section C, line 19Governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Schedule L: Interested Persons(a) Name of Person: Dr. Michael R. Rose (b) Relationship Between Interested Person and Organization: Board Member (c ) Amount of Transaction $ 353,180 (d) Description of Transaction: Independent contractor arrangement for Anesthesia Services, board member is partner (e) Sharing of Organization Revenues? No
Form 990, Part VII:Gregory Jones' compensation is paid by McLeod Physician Associates II, a related organization of McLeod Health. The compensation he receives is for his role as a Surgeon in McLeod Physician Associates II and not for his role as a Board Member, an uncompensated role, of McLeod Health. 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. Michael Rose's compensation is paid by McLeod Regional Medical Center of the Pee Dee, Inc., a related organization of McLeod Health. The compensation he receives is for his role as a Vice President of Surgical Services at McLeod Regional Medical Center of the Pee Dee, Inc. and not for his role as a Board Member, an uncompensated role, of McLeod Health. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week.Avg hours devoted to related org(s) when related comp is reported:
Form 990, Part III, Line 4a:The McLeod Health system (of which the McLeod Health entity is the 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: 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. The medical center has championed this mission for more than a century -- celebrating 105 years of exceptional medical service to the region. McLeod Health is driven by a spirit of willing and compassionate service to others that is evident in the day-to-day hospital operations, long-range planning, and the people who are chosen to be a part of the McLeod team of professionals. This team of physicians, nurses, staff members, board members and volunteers are dedicated to providing the community with much more than medical care. Their commitment extends past the medical center's walls and into the region in an effort to build a stronger and healthier place for patients, co-workers, children and neighbors to live and work. McLeod Support to Area Organizations: McLeod Health supports more than 50 not-for-profit and local organizations by participating in events and fundraisers for these groups, providing financial contributions, and by offering the talents of McLeod staff members who serve as board members on planning committees for these organizations as well. McLeod Health annually partners with the American Heart Association for the Pee Dee Heart Walk each October. Hundreds of employees from the McLeod Cardiac and Stroke Units, Cardiac Rehabilitation Centers, Cardiac Catheterization Lab, McLeod Health & Fitness Center and other areas of McLeod Health passionately raise funds and walk in this event to reduce the prevalence of coronary heart disease and stroke in the region. For many McLeod participants, they are committed to the Heart Walk because they have been personally affected by heart disease, while others rise to the challenge in support of their patients and prevention efforts. Employees from many different areas of McLeod Health touched by cancer also join forces to take part in area American Cancer Society Relay for Life events in an effort to celebrate survivorship, prevent cancer, save lives, and diminish suffering from this disease. Each spring, walkers from the McLeod Neonatal Intensive Care Unit, McLeod Children's Hospital, Labor & Delivery and Newborn Nursery Units at McLeod Regional Medical Center and McLeod Medical Center Dillon also participate with their families in area March of Dimes' March for Babies events in hopes that someday every mom and baby will experience a healthy, full-term pregnancy. These McLeod physicians, nurses, support staff and volunteers form teams to support causes that have touched their lives in some way -- both personally and professionally-- in honor of the patients they serve and the families they have provided care. McLeod Health also works to uphold the services of the American Red Cross with financial support as well as through resources and blood donations made by employees during regular McLeod blood drives. According to the Red Cross, there is a critical need at national and state levels for blood, which is used in emergency situations as well as for people with cancer, blood disorders and other illnesses. Last year, McLeod Health collected 714 units of blood. This number is significant as one unit of blood can save up to three lives -- indicating that McLeod Health employees and community members who donated at McLeod facilities and events could potentially have saved more than 2,000 lives from one year's worth of donations. In addition, McLeod staff members dedicate invaluable time to serve on community boards including the Florence County Board of Health, Mercy Medicine, Science South, the Florence Public School District One Board and United Way, amongst others. McLeod Community Health Education Outreach Programs: McLeod Community Health Education outreach programs have provided numerous industries, school groups, churches, community festivals and countless organizations with tools to improve the health of these individuals and their loved ones. In fiscal year 2010, more than 10,000 community members were provided with information on cancer, diabetes, heart disease, diet and exercise, and safety for children, in addition to free or reduced-cost health screenings including blood pressure, blood sugar, bone density, and cholesterol screenings. Often this information can be the key to recognizing the signs and symptoms of a potentially serious health problem, allowing for more timely attention and follow up with one's physician. McLeod Resource Center: The McLeod Resource Center is a hub of information for the community with an emphasis on pregnancy, childbirth and family health. The Resource Center houses an Internet research area, which provides patients and their families with computer stations and a resource guide they can use to find reliable health information online. Patients in need of additional information about their diagnosis can visit the Resource Center to research their condition, ask questions of the clinically trained staff, or enjoy the quiet atmosphere and read educational materials provided by the American Heart Association, McLeod Diabetes Center, and the American Cancer Society as well as many others. Free childbirth and parenting magazines, baby care booklets, samples and informational literature are also available for expectant mothers who visit the Resource Center. In addition, the McLeod Resource Center offers an extensive series of free maternity education classes including Childbirth Preparation, Breastfeeding, Baby Care Postpartum, Maternity Tour, Big Sibling, and Family & Friends CPR. In addition, the Center hosts a free informal class for pregnant women called the Night for Expectant Women, or NEW. In the last year, there were more than 1,500 participants who attended the five to ten courses that are offered each month for expectant families. McLeod Safe Kids Florence: Safe Kids Florence, led by McLeod Health, works to reduce the number of unintentional childhood injuries through a multi-faceted approach combining community action, public awareness, education, technology and public policy initiatives. In the past 12 months, McLeod Safe Kids has checked more than 500 child safety seats for proper installation and trained an additional 155 caregivers on correct car seat installation techniques; attended nearly 20 area health fairs; provided more than 150 child photo ID cards; trained more than 20 teens in babysitting safety with the Safe Sitter program, and donated more than 50 helmets, and 100 smoke detectors to local children and their families. McLeod Safe Kids continues to grow and expand with the support of the McLeod Health Foundation and a grant from their community partner, Kohl's Cares for Kids. A number of McLeod Safe Kids programs have touched many families locally helping to ensure safety for them and their community. Two ongoing examples are the Third Thursday with Kohl's Safe Seats Child Safety Seat Check program and the Photo Identification project. - The Third Thursday with Kohl's Safe Seats Child Safety Seat Check program has made a tremendous impact in the community by helping educate parents of young children that they are required by law to have their children secured in child safety seats. The Kohl's program, which originated in November of 2008, is also extremely valuable as four out of five child safety seats are installed incorrectly. Safe Kids holds a child safety seat check the third Thursday of each month from 4:00 p.m. until 6:00 p.m. in the Florence Kohl's parking lot. McLeod Safe Kids certified child safety seat technicians check for proper installation of child safety seats, correct those in need, and educate parents on proper installation and use of car seats. If the technician determines a new child safety seat is needed, the car seats are available on site. - The Photo Identification project allows parents to maintain an ID card featuring their child's up-to-date picture and accurate identification information. Safe Kids Florence recommends that children have a new photo identification card made each year. These cards provide valuable information for law enforcement such as digital fingerprint scans to assist in a missing child case. The photo identification cards are an invaluable tool for parents should anything happen to their child.Community Benefit Report:
Form 990, Part III, Line 4a:Retention of Nurses and Support of Nursing Programs in the Region: As mentioned in #5, McLeod Health continues to support Florence-Darlington Technical College and Francis Marion University to help maintain and expand their nursing programs. These nursing programs are vital to the community as the medical center continues to grow and expand to meet the needs of the region's patients as well as offer enhanced services which will require need additional staffing and nurses. McLeod also serves as a learning site for more than 100 nurses a year who are students in local nursing programs. In addition, McLeod offers scholarships to eligible students to assist those who need financial aid with nursing school. McLeod scholarships are available to college students who have been accepted in an accredited allied healthcare program such as nursing. Other Notable Contributions Made by McLeod Health during Fiscal Year 2010 included: - McLeod Medical Center Darlington provided a free breast health screening for the community in October during National Breast Cancer Awareness month. The screening was held on October 6, 2009. - Free Saturday morning Injury Clinics are hosted each fall athletic season for high school athletes. The clinics are staffed by the Certified Athletic Trainers of McLeod Sports Medicine along with the physicians of McLeod Orthopaedics and Pee Dee Orthopaedic Associates. These healthcare professionals provide a complimentary medical assessment to evaluate the athlete's injury and make sure the injury is properly treated. They also determine if the injury requires an x-ray, if a referral is needed for physical therapy or if the athlete needs to see an orthopedic surgeon or other specialist. - For children with chronic illnesses including Asthma, Sickle Cell, and Type I Diabetes, McLeod Children's Hospital annually hosts Camp Health each summer. A free, three-day camp for children ages five to 12, Camp Health allows medical professionals to educate the pediatric participants and their caregivers on their conditions while offering fun and exciting activities such as trips to the Myrtle Beach Aquarium, Science South and the McLeod Health and Fitness Center. In Fiscal Year 2010, McLeod Health provided the region with $96.0 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 $296 million dollars in salaries and benefits, approximately $10 million dollars in sales tax, approximately $818,000 in property taxes, and more than $13.3 million dollars in hospital provider taxes to benefit the communities where its employees and patients live and work. These efforts demonstrate the spirit of willing and compassionate service that is at the heart, and the legacy, of McLeod Health.Community Benefit Report (Continued):

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 NADirectControllingEntityNA
McLeod Health Foundation
555 East Cheves StreetFlorenceSC295020551570818672To raise money for McLeodSC501(c)(3)Line 11, Type 1N/A
McLeod Regional Medical Center of the Pee Dee
555 East Cheves StreetFlorenceSC295020551570370242To operate a hospitalSC501(c)(3)Line 3N/A
McLeod Medical Center - Dillon
555 East Cheves StreetFlorenceSC295020551510473471To operate a hospitalSC501(c)(3)Line 3N/A
McLeod Physician Associates II
555 East Cheves StreetFlorenceSC295020551202935692Physician ServicesSC501(c)(3)Line 3N/A

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
Predominant Income TypeN/APredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

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
Share Of Total Income28138ShareOfTotalIncome
Share Of EOY Assets1351808ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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 InvolvedAmountInvolved
McLeod Regional Medical Center of the Pee Dee Inc
K31759427
McLeod Medical Center Dillon
K2706144
McLeod Physician Associates II
K1171830
McLeod Health Foundation
K28262