2021-08-11T16:19:42-05:00 2020-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2019-10-01 473712858 MCLEOD HEALTH CHERAW % MARK W CAMERON MCLE 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF SYSTEM 8437775304 2021-08-09 true WHITNEY B HEBRON P01226647 3362753394 2021-08-03 2019 2022-09-23 18:48:47Z DONNA ISGETT 555 EAST CHEVES STREET FLORENCE SC 29506 43566402 false X WWW.MCLEODHEALTH.ORG X 2015 SC ACUTE CARE HOSPITAL 4 0 411 14 0 0 124568 1133899 37954930 40746505 -7033 0 1395830 1315884 39468295 43196288 0 0 0 0 20005509 23134985 0 0 0 20159841 22380808 40165350 45515793 -697055 -2319505 21590324 26388062 26716010 33833254 -5125686 -7445192 MCLEOD HEALTH CHERAW OPERATES AS PART OF THE MCLEOD HEALTH SYSTEM. THE MISSION OF MCLEOD HEALTH IS TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF PEOPLE LIVING WITHIN SOUTH CAROLINA AND EASTERN NORTH CAROLINA BY PROVIDING EXCELLENCE IN HEALTH CARE. false false 43696741 40746505 MCLEOD HEALTH CHERAW IS A 59 BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SOUTH CAROLINA. MCLEOD HEALTH CHERAW OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. SEE ALSO THE COMMUNITY BENEFIT REPORT ON SCHEDULE H. 43696741 true true false false false false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 78 0 true 411 true false false false false false false false false false false false false false X 4 0 false false false false true true true true true false false true true true true true true true true false X MARK W CAMERON 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 X S FULTON ERVIN III CFO OF RELATED ORG 1.0 39.0 X X 0 705672 105339 Donna C Isgett COO REL ORG 1.0 39.0 X X 0 627619 104341 TIMOTHY HOLDREDGE MD STAFF PHYSICIAN 40.0 0.0 X 500574 0 43700 FOY CONNELL MD STAFF PHYSICIAN 40.0 0.0 X 457312 0 40636 RYAN CONNER MD STAFF PHYSICIAN 40.0 0.0 X 456921 0 22326 ANDRE DYER MD STAFF PHYSICIAN 40.0 0.0 X 422771 0 22146 Daniel G Simpson MD CHIEF OF STAFF/STAFF PHYSICIAN 40.0 0.0 X X 374144 0 38073 Benjamin Weston MD STAFF PHYSICIAN 40.0 0.0 X 372477 0 17975 Meriba C Scoggins VICE PRESIDENT 40.0 0.0 X X 237974 0 41097 2822173 1333291 435633 24 false true false MEDICAL PROPERTIES TRUST OPERATION 1000 URBAN CENTER DR STE 501 BIRMINGHAM AL 35242 Rent 773884 THEREX INCDBA REHABCARE PO BOX 502096 ST LOUIS VA 631502096 CONTRACT LABOR 500300 METZ CULINARY MANAGEMENT 2 WOODLAND DRIVE DALLAS PA 18612 CULINARY MANAGEMENT 379820 AMERICAN ANESTHESIOLOGY OF SC PO BOX 281034 ATLANTA GA 303841034 CONTRACT LABOR 275238 QUALIVIS LLC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 CONTRACT LABOR 229969 8 196570 937329 0 1133899 NET PATIENT REVENUE 624100 40746505 40746505 40746505 0 0 0 0 389707 370114 19593 0 19593 19593 0 0 0 0 0 0 0 0 0 0 SC TRANSFORMATIONAL POOL REV 900099 599830 599830 VENDING MACH COMM 900099 10919 10919 ALL OTHER REVENUE 900099 685542 685542 1296291 43196288 40746505 1315884 0 0 0 0 526126 502319 23807 0 18693340 17847483 845857 0 3915519 3866571 48948 0 0 27397 27397 0 0 0 0 1556135 1510146 45989 36143 36143 6202832 6110261 92571 184399 184399 0 1504634 1501454 3180 4377 3934 443 0 8659 8659 12248 12248 0 2255588 2255588 579924 579924 INTERCOMPANY MANAGEMENT FEES 3791630 3791630 PHYSICIAN FEES 1478829 1478829 LICENSES & TAXES 1264075 1263840 235 ALL OTHER EXPENSES 3473938 2743313 730625 45515793 43696741 1819052 0 167087 291708 0 0 0 0 3603944 4765130 0 0 0 0 0 0 428648 454978 684850 637876 30855176 10629408 16667270 20225768 0 0 0 0 0 0 0 0 38525 12602 21590324 26388062 2935581 4033977 0 0 0 11547991 0 0 0 0 0 0 0 0 0 0 23780429 18251286 26716010 33833254 X -5125686 -7445192 0 0 -5125686 -7445192 21590324 26388062 -2319505 -1 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10025 10025 3425310 2270 3423040 12209112 1796495 10412617 14819273 8830643 5988630 391456 391456 20225768 0 ACCRUED REAL ESTATE TAXES 333488 INTERCOMPANY PAYABLE 8851855 COST REPORT RESERVE 4063278 DUE TO THIRD PARTY PAYOR 1429024 LONG TERM LEASE LIABILITY 3573641 18251286 X 43566402 370114 370114 43196288 43196288 45885907 370114 370114 45515793 45515793 SCHEDULE D, PART X, LINE 2 FIN 48 FOOTNOTE MCLEOD HEALTH AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON RELATED INCOME HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. PART XI LINE 2D AND PART XII LINE 2D RENT EXPENSE RECLASSIFIED TO REVENUE $370,114 true true X true X true X true true false true true 4650055 3993674 656381 0.01440 8988475 4792620 4195855 0.09220 13638530 8786294 4852236 0.10660 15900 15900 0.00030 20989 20989 0.00050 36889 36889 0.00080 13675419 8786294 4889125 0.10740 1075 1075 1075 1075 true 3068570 204912 11165098 12426057 -1260959 X true true 1 1 MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 WWW.MCLEODHEALTH.ORG SC HTL-0681 X X X MCLEOD HEALTH CHERAW 1 true false true X X X X X X X X 18 true false false true X WWW.MCLEODHEALTH.ORG X true 18 false true false true X 200. 300. X true true X X true X WWW.MCLEODHEALTH.ORG X WWW.MCLEODHEALTH.ORG X WWW.MCLEODHEALTH.ORG X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5: For the 2019 Chesterfield County Community Health Needs Assessment, (or "CHNA"), one-on-one interviews, questionnaires, and forums were conducted in Spring 2019 as a means to gather input. Highlights are listed below (full CHNA is found at mcleodhealth.org). Top Health Concerns Reported Among Community Members - Obesity - Cancer - Access to Primary Care - Care for the Elderly Source: McLeod Health 2019 Survey Top Health Concerns Reported Among Health Professionals Most frequent health concerns: - Access to Primary Care - Access to Specialty Care - Diabetes Source: McLeod Health 2019 Survey Primary Diagnosis Admitted to Emergency Department Most frequent health needs presenting to McLeod Health Cheraw Emergency Department October 2017 September 2018: - Abdominal Pain - Urinary Tract Infection - Chest Pain - Acute Bronchitis - Acute Upper Respiratory Infection - Acute Pharyngitis - Vomiting - Headache - Hypertension Source: McLeod Health Clinical Outcomes Primary Inpatient Diagnosis Most frequent health needs presenting to McLeod Health Cheraw October 2017 September 2018: - Sepsis - Labor & Delivery, Vaginal and Caesarean - Acute Kidney Failure - Pneumonia - Chronic Obstructive Pulmonary Disease - Hypertension - Urinary Tract Infection Source: McLeod Health Clinical Outcomes Opportunities & Plan Priorities McLeod Health Cheraw has developed an action plan that collaborates with community partners to provide community health initiatives that are focused on areas listed below and further described within the Implementation Plan that utilizes evidence-based practices for addressing: - Access to Primary - Diabetes - Heart Disease and Stroke - Lung Disease Overview This Community Health Needs Assessment serves as a tool to evaluate the overall health status, behaviors and needs of Chesterfield County. The March 2010 passage of the Patient Protection and Affordable Care Act (ACA) introduced reporting requirements for private, not-for-profit hospitals. To meet these new federal requirements, the information gathered in this assessment is used to guide the strategic planning process in addressing health disparities. A Community Health Needs Assessment gives information to health care providers to make decisions and commit resources to areas of greatest need, making the greatest impact on community health status. This assessment incorporates data from within the community, such as individuals served and health organizations, as well as vital statistics and other existing health-related data to develop a tailored plan which targets the needs of the county. METHODS An assessment team comprised of McLeod Health's Community Health and Communication and Public Information staff reviewed literature, data and publications from public sources. Members of the assessment team represented each of the seven acute care hospital facilities within McLeod Health and were assigned to collect data that represented indicators of community health status or its socioeconomic determinants. Therefore, focus was placed on identifying locally-appropriate indicators, benchmarks, and pertinent health issues. Pre-existing databases containing local, state and national health and behavior data were used for comparisons when possible. Data collection was limited to the most recent publicly available resources and some primary data from qualitative and quantitative investigation. As a result, this document portrays a partial picture of the health status of the community served. Data analysis included demographic, socioeconomic and health determinant measures. Data analysis included demographic, socioeconomic and health determinant measures. When possible, data also was analyzed according to age, gender and/or race to offer insight into health disparities that may affect specific subgroups in the community. A summary of county data is reflected as a comparison to state and national data when available to indicate community health concerns. HEALTH DETERMINANTS AND DISPARITIES What are the determinants of health? Health behaviors had the majority overall impact on future health outcomes (i.e., smoking, diet, drug & alcohol use, physical activity, other lifestyle behaviors) and account for 40% of causes for premature death. Genetic predisposition is responsible for 30%, Social circumstances 15%, and Health care for only 10% (i.e., access to physician and other health services) of health risk for premature death. Behavioral Determinants (40%) Examples: - Diet - Physical activity - Alcohol, cigarette, and other drug use - Hand washing Genetic Determinants (30%) Examples: - Age - Sex - HIV status - Inherited conditions, such as sickle-cell anemia, hemophilia, and cystic fibrosis - Carrying the BRCA1 or BRCA2 gene, which increases risk for breast and ovarian cancer - Family history of heart disease, cancer, etc. Social Determinants (15%) Examples: - Availability of resources to meet daily needs, such as educational and job opportunities, living wages, or healthful foods - Social norms and attitudes, such as discrimination - Exposure to crime, violence, and social disorder, such as the presence of trash - Social support and social interactions - Socioeconomic conditions, such as concentrated poverty - Quality schools - Transportation options - Public safety Health Care Determinants (10%) Examples: - Quality, affordability, and availability of services - Lack of insurance coverage - Limited language access Environmental Determinants (5%) Examples: - Quality of food, water, and air - Worksites, schools, and recreational settings - Housing, homes, and neighborhoods - Exposure to toxic substances and other physical hazards - Physical barriers, especially for people with disabilities What are health disparities? "Health disparity" refers to a higher burden of illness, disability, or mortality experienced by one population group relative to another group. Health disparities can involve the medical care differences between groups in health insurance coverage, access to care, and quality of care. While disparities are commonly viewed through the lens of race and ethnicity, they occur across many dimensions, including socioeconomic status, age, location, gender, and disability status. Poor health status is often linked with people without health insurance, those who have poor access of care (i.e., limited transportation), lower socioeconomic status, lower education obtainment, and those among racial minority groups. Beyond the provision of health care services, eliminating health disparities will necessitate behavioral, environmental, and social-level approaches to address issues such as insufficient education, inadequate housing, exposure to violence, and limited opportunities to earn a livable wage. Health disparities have persisted across the nation and have been documented for many decades and, despite overall improvements in population health over time, many disparities have persisted and, in some cases, widened. Moreover, economic downturns contributed to a further widening of disparities. The Community Health Needs Assessment attempts to identify and quantify the health disparities within a defined county population that are at disproportionately higher in incidence of disease, disability, or at risk of experiencing worse health outcomes. Within these identified disparities and availability of health resources, gaps can be identified and prioritized based on need so that health resources can be targeted. Planning initiatives to address community health needs take in consideration the existing initiatives, the available resources that we are aware of, and where future improvements can be anticipated to make meaningful impact on improving community health. What are Key Initiatives to reduce disparities? In 2010, the U.S. Department of Health and Human Services (HHS) established a vision of, "a nation free of disparities in health and health care,set out a series of priorities, strategies, actions, and goals to achieve this vision. States, local communities, private organizations, and providers also are engaged in efforts to reduce health disparities. Federal, state, and local agencies and programs work along with local hospitals, often in cooperation, to provide access to needed health care services. Within constraints of limited resources, each of these entities generally target populations with specific services offered within the county. This study attempts to incorporate their input into determining the priorities among health disparities and look for opportunities for collaboration. Preventative Care Preventative care includes medical services such as screenings, immunizations, counseling, and preventative medications intended to prevent illness or detect diseases early before symptoms are developed. With early detection, diseases can be treated more effectively, reducing potential complications of disease or even death. Regular preventative care can improve individual he SCH. H, PART VI, LINE 5 A FUND WAS BEGUN IN 1956 FOR THE FIRST CHESTERFIELD COUNTY MEMORIAL HOSPITAL, WITH SOME $42,000 RAISED THROUGH A DRIVE CONDUCTED BY THE LOCAL CHERAW OF COMMERCE, CHAIRED BY C.E. WATTS, JR. THEN-MAYOR OF CHERAW RUSSELL BENNETT WAS INSTRUMENTAL, IT WAS REPORTED, IN PROVIDING A SITE FOR THE HOSPITAL THROUGH THE TOWN FREE OF CHARGE. FEDERAL FUNDS WERE TO PROVIDE $65,000 WITH THE TOTAL COST TO BE OVER HALF A MILLION DOLLARS. ON JANUARY 16, 1958, CHESTERFIELD COUNTY MEMORIAL HOSPITAL WAS OFFICIALLY OPENED. REPORTS STATED THE HOSPITAL "IS THE NEWEST IN SOUTH CAROLINA AND GENERALLY CONCEDED TO BE AMONG THE MOST MODERN FACILITIES IN THE COUNTRY, WITH THE MOST ADVANCED SURGICAL INSTRUMENTS BEING INSTALLED AND THE LATEST AND MOST PROGRESSIVE EQUIPMENT AND FURNISHINGS AVAILABLE TO OFFER THE MOST COMPLETE MEDICAL CARE." RICHARD T. WALL WAS ADMINISTRATOR AND SAID AT THE DEDICATION, "THIS IS A NATION OF SMALL HOSPITALS, WITH 60% HAVING LESS THAN 100 BEDS. EACH HOSPITAL MUST BE A COMPLETE UNIT IN ITSELF." IN 1976, S. GRANT BOONE, JR. BECAME DIRECTOR OF THE HOSPITAL. PRIOR TO THAT, THE HOSPITAL'S DAILY OPERATIONS WERE OVERSEEN BY JACK MILBURN OF CAROLINAS HOSPITAL AND HEALTH SERVICES, A NON-PROFIT MANAGEMENT ORGANIZATION. THE FOLLOWING YEAR A CONTRACT WAS SIGNED WITH HOSPITAL INVESTORS, INC. OF ATLANTA, GEORGIA TO CONDUCT A SURVEY OF MEDICAL NEEDS IN THE CHERAW AREA. IT WAS RECOMMENDED THAT RECRUITMENT OF PHYSICIANS AND NURSES WAS IMPERATIVE; THEREFORE, IT WAS BEGUN AT ONCE BY THE HEALTH COMMITTEE OF THE CHERAW CHAMBER OF COMMERCE. AT THAT TIME THERE WERE 15 PRACTICING PHYSICIANS IN THE COUNTY; 11 FAMILY AND GENERAL PRACTITIONERS, ONE INTERNIST, ONE SURGEON, ONE RADIOLOGIST, AND ONE PART-TIME PATHOLOGIST. IN MID-1979, TALKS BEGAN AROUND THE IDEA OF A NEW HOSPITAL. THE CONSENSUS WAS THAT THE TWENTY YEAR OLD FACILITY NEEDED TO BE REPLACED. THE BOARD CONSIDERED SELLING THE HOSPITAL TO A PRIVATE ORGANIZATION AND ALSO BEGAN TALKING WITH HCA IN NASHVILLE, TENNESSEE. AFTER CONSIDERING THE POSSIBILITY OF MERGING THE HOSPITALS IN CHERAW AND BENNETTSVILLE, THE HOSPITAL CORPORATION OF AMERICA BOUGHT THE CHESTERFIELD COUNTY MEMORIAL HOSPITAL IN MARCH 1981 ON THE RECOMMENDATION OF THE BOARD OF TRUSTEES. IT WAS AGREED THAT HCA, A PRIVATE, TAX-PAYING ORGANIZATION WOULD TAKE OVER AND ELIMINATE THE COUNTY-OWNED HOSPITAL IN CHERAW AND BUILD A NEW FACILITY. AT THIS TIME, THE COUNTY'S TWO BIGGEST OBLIGATIONS WERE THE COST OF INDIGENT CARE AND OF FINANCING THE AMBULANCE SERVICE. ONE YEAR LATER, DEDICATION CEREMONIES WERE HELD FOR THE NEW CHESTERFIELD GENERAL HOSPITAL. THE GUEST SPEAKER FOR THE OCCASION WAS SOUTH CAROLINA GOVERNOR DICK RILEY. MAYOR HOWARD DUVALL NOTED, "THE COMMUNITY WILL LOOK BACK AT THIS AS A MILESTONE FOR MEDICAL CARE IN CHESTERFIELD COUNTY". IN AUGUST 1987, HEALTHTRUST, INC. WAS CREATED WHEN HCA "SPUN OFF" 104 OF ITS HOSPITALS INTO AN EMPLOYEE STOCK-OWNED COMPANY, THEREFORE CHANGING OWNERSHIP OF CHESTERFIELD GENERAL HOSPITAL. THE FOLLOWING YEAR, WITH THE HOSPITAL CENSUS RUNNING LOW, MAYOR C. H. MCBRIDE, IN AN OPEN LETTER TO THE COMMUNITY, CALLED FOR SUPPORT FOR THE AREA PHYSICIANS AND LOCAL HOSPITAL. IN A STATEMENT, HE DESCRIBED A MEETING WITH HOSPITAL ADMINISTRATION AND THE LOCAL MEDICAL STAFF AND SAID THAT IT WOULD BE NECESSARY IN ORDER TO MAINTAIN THE PRESENT COMMUNITY HOSPITAL THAT THE CITIZENS, INDUSTRIAL COMMUNITY, AND PHYSICIANS SUPPORT THE HOSPITAL. PLANS WERE LAID AND A CERTIFICATE OF NEED PREPARED TO CONVERT FOURTEEN ACUTE CARE BEDS TO A PROGRAM FOR ALCOHOL AND DRUG TREATMENT. THERE WERE ALSO DISCUSSIONS WITH MARLBORO PARK HOSPITAL IN BENNETTSVILLE TO CONSIDER "OPPORTUNITIES TO BRING ADDED SERVICES TO BOTH COMMUNITIES WHILE RETAINING AND CONSOLIDATING CERTAIN SERVICES" TO ADDRESS UNDER-UTILIZATION OF BOTH FACILITIES. IN DECEMBER 1988, THE CERTIFICATE OF NEED WAS AWARDED. IN MAY OF 1989, A STATEMENT IN THE CHERAW CHRONICLE ANNOUNCED THAT "CHESTERFIELD GENERAL HOSPITAL HAS DECIDED AGAINST OPENING A 14-BED ALCOHOL AND DRUG TREATMENT UNIT" IN RESPONSE TO "WIDESPREAD CONCERN ABOUT THE FUTURE OF GENERAL ACUTE CARE SERVICES AT THE HOSPITAL". IN THE FALL OF THAT YEAR, CGH MADE A COMMITMENT TO PHYSICIAN RECRUITMENT. COMMUNITY HEALTH SYSTEMS, INC. IN NASHVILLE, TN PURCHASED THE FACILITY ON AUGUST 14, 1996. ALECTO HEALTHCARE DBA M/C HEALTHCARE ASSUMED OPERATIONS ON APRIL 1, 2015, FROM COMMUNITY HEALTH SYSTEMS. MCLEOD HEALTH ASSUMED OWNERSHIP AS MCLEOD HEALTH CHERAW ON JUNE 22, 2015. SINCE THE TRANSITION, MCLEOD HEALTH CHERAW HAS BEEN DILIGENTLY SERVING THE HEALTH NEEDS OF THE RESIDENTS OF CHESTERFIELD, MARLBORO, ANSON, RICHMOND AND SCOTLAND COUNTIES. THE 59-BED HOSPITAL JOINS SIX OTHER MCLEOD HEALTH NOT-FOR-PROFIT HOSPITALS PROVIDING ADVANCED HEART, VASCULAR, ORTHOPEDIC, SURGICAL, CANCER, WOMEN'S AND CHILDREN'S SERVICES FROM THE MIDLANDS OF SOUTH CAROLINA TO THE COAST. X X X X X X false true false false false false false true false S FULTON ERVIN III CFO OF RELATED ORG 0 584204 0 108806 0 12662 0 78688 0 26651 0 811011 0 0 TIMOTHY HOLDREDGE MD STAFF PHYSICIAN 492410 0 0 0 8164 0 0 0 43700 0 544274 0 0 0 FOY CONNELL MD STAFF PHYSICIAN 451770 0 0 0 5542 0 0 0 40636 0 497948 0 0 0 Benjamin Weston MD STAFF PHYSICIAN 371463 0 0 0 1014 0 0 0 17975 0 390452 0 0 0 RYAN CONNER MD STAFF PHYSICIAN 455566 0 0 0 1355 0 0 0 22326 0 479247 0 0 0 ANDRE DYER MD STAFF PHYSICIAN 421684 0 0 0 1087 0 0 0 22146 0 444917 0 0 0 Meriba C Scoggins VICE PRESIDENT 208668 0 26250 0 3056 0 28483 0 12614 0 279071 0 0 0 Daniel G Simpson MD CHIEF OF STAFF/STAFF PHYSICIAN 371973 0 0 0 2171 0 0 0 38073 0 412217 0 0 0 Donna C Isgett COO REL ORG 0 527697 0 90799 0 9123 0 72308 0 32033 0 731960 0 0 SCHEDULE J, PART I, LINE 3 MCLEOD HEALTH USES ALL OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3 TO ESTABLISH THE COMPENSATION OF ITS EXECUTIVES SERVING THE HOSPITALS AND AFFILIATED ORGANIZATIONS IN THE MCLEOD HEALTH SYSTEM. SCHEDULE J, PART I, LINE 4B MCLEOD HEALTH HAS A 457(F) EXECUTIVE RETIREMENT PLAN (THE "PLAN"). PARTICIPATION IN THE PLAN IS LIMITED TO A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES DESIGNATED BY THE BOARD OF MCLEOD HEALTH AT ITS SOLE DISCRETION. MCLEOD HEALTH MAY MAKE DISCRETIONARY CONTRIBUTIONS TO THE PLAN ON BEHALF OF PARTICIPANTS, WHICH NEED NOT BE UNIFORM AMONG PARTICIPANTS. NO PARTICIPANT CONTRIBUTIONS ARE PERMITTED UNDER THE PLAN SO THE PLAN IS ENTIRELY FUNDED BY MCLEOD HEALTH. CONTRIBUTIONS TO THE PLAN ARE MADE IN A MANNER THAT IS CONSISTENT WITH MCLEOD HEALTH'S POLICIES, PROCESS, AND PROCEDURES FOR DETERMINING COMPENSATION. SCHEDULE J, PART I, LINE 7 THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. FORM 990 PART VI LINE 6 MCLEOD HEALTH IS THE SOLE MEMBER OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. AND OTHER RELATED ORGANIZATIONS WHICH COMPRISE THE REGIONAL MCLEOD HEALTH SYSTEM. DESCRIPTIONS OF EACH ENTITY FOLLOWS: MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.: MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS, WHICH OPERATE AS DIVISIONS OF MRMC: -MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 517-BED TERTIARY CARE FACILITY AND A 40-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD MEDICAL CENTER-DARLINGTON, A 49-BED COMMUNITY HOSPITAL LOCATED IN DARLINGTON, SOUTH CAROLINA; -MCLEOD BEHAVIORAL HEALTH, A 23-BED PSYCHIATRIC FACILITY LOCATED ON THE CAMPUS OF MCLEOD MEDICAL CENTER-DARLINGTON; -MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE-COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT HOSPICE FACILITY LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD HEALTH & FITNESS CENTER, A COMPREHENSIVE HEALTH AND FITNESS CENTER LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD OUTPATIENT SURGERY CENTER, A FREE-STANDING OUTPATIENT SERVICE CENTER LOCATED ON THE CAMPUS OF MCLEOD REGIONAL MEDICAL CENTER. ADDITIONALLY, MRMC IS THE MAJORITY OWNER IN A JOINT VENTURE, MCLEOD MEDICAL PARTNERS, LLC, WHICH OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE CAMPUS. MCLEOD MEDICAL CENTER-DILLON: MCLEOD MEDICAL CENTER-DILLON IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE CODE. MCLEOD MEDICAL CENTER-DILLON OWNS AND OPERATES A 79-BED COMMUNITY HOSPITAL LOCATED IN THE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS FLORENCE COUNTY TO THE NORTHEAST. MCLEOD LORIS SEACOAST HOSPITAL JOINED MCLEOD HEALTH IN JANUARY 2012 AND CONSISTS OF THE FOLLOWING DIVISIONS: -MCLEOD LORIS, A 50-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA. -MCLEOD SEACOAST, A 105-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA. -MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SOUTH CAROLINA. -MCLEOD HEALTH CLARENDON IS AN 81-BED COMMUNUNITY HOSPITAL LOCATED IN MANNING, SOUTH CAROLINA. MCLEOD PHYSICIAN ASSOCIATES II (MPA II): MPA II IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(2) OF THE CODE THAT OPERATES A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE OF OVER 190 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 85 OFFICES IN SOUTH AND NORTH CAROLINA. MPA II SUPPORTS THE MISSION OF MCLEOD HEALTH, PROVIDING COMPREHENSIVE MEDICAL AND SURGICAL SERVICES, INCLUDING A WIDE RANGE OF PHYSICIAN SPECIALTIES, TO MCLEOD'S PATIENTS FROM A 15-COUNTY SERVICE AREA. MCLEOD HEALTH FOUNDATION: THE FOUNDATION WAS ORGANIZED IN 1986 AS A SOUTH CAROLINA NONPROFIT CORPORATION AND IS AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. THE FOUNDATION IS PRINCIPALLY ENGAGED IN FUNDRAISING ACTIVITIES FOR THE SYSTEM. ACCORDING TO ITS BYLAWS, THE FOUNDATION'S GOVERNING BODY CONSISTS OF NOT LESS THAN 15 AND NOT MORE THAN 30 MEMBERS, EACH OF WHICH IS APPOINTED BY THE BOARD OF TRUSTEES OF MCLEOD HEALTH (THE MCLEOD HEALTH BOARD OR THE BOARD). CURRENTLY, THERE ARE 26 MEMBERS OF THE FOUNDATION'S GOVERNING BODY. AT LEAST ONE MEMBER OF THE FOUNDATION'S GOVERNING BODY MUST BE A MEMBER OF THE MCLEOD HEALTH BOARD. MCLEOD MEDICAL PARTNERS, LLC: MCLEOD MEDICAL PARTNERS, LLC IS A FOR- ROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 63% 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- PECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II. FORM 990 PART VI LINE 7A THE BOARD OF MCLEOD HEALTH (SOLE MEMBER} HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990 PART VI LINE 7B THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990 PART VI LINE 11B THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 CONSISTS OF PROVIDING ELECTRONIC COPIES OF THE FORM 990 TO EACH MEMBER OF THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) ALONG WITH AN ELECTRONIC SLIDE PRESENTATION COVERING FORM 990 BY THE PREPARING FIRM, KPMG LLP, TO ALLOW FOR A THOROUGH REVIEW BEFORE THE FILING DATE OF AUGUST 16, 2021. FORM 990 PART VI LINE 12C MCLEOD HEALTH CHERAW 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 CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT EACH YEAR. FORM 990 PART VI LINE 15A IN DETERMINING COMPENSATION OF MCLEOD HEALTH CHERAW'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 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 LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER, THE ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS. MCLEOD REG MED CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE SC 29506 570370242 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD HEALTH FOUNDATION 555 EAST CHEVES STREET FLORENCE SC 29506 570818672 FUNDRAISING SC 501(C)(3) 12A MCLEOD HLTH false MCLEOD PHYSICIAN ASSOCIATES II 555 EAST CHEVES STREET FLORENCE SC 29506 202935692 PHYS SVCS SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE SC 29506 510473500 HEALTHCARE SC 501(C)(3) 12C NA false MCLEOD LORIS SEACOAST HOSPITAL 555 EAST CHEVES STREET FLORENCE SC 29506 453576100 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD MEDICAL CENTER - DILLON 555 EAST CHEVES STREET FLORENCE SC 29506 510473471 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD HEALTH CLARENDON 555 EAST CHEVES STREET FLORENCE SC 29506 812772554 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false ADVANCED OUTPATIENT SERVICES 555 EAST CHEVES STREET FLORENCE SC 29506 815006949 HOSPITAL SC 501(C)(3) 3 MCLEOD HLTH false MCLEOD MEDICAL PARTNERS LLC 500 N HURSTBOURNE PKWY LOUISVILLE KY 40222 570812002 RENTAL SC NA N/A 0 0 0 MCLEOD PHYSICIAN ASSOCIATES INC 555 EAST CHEVES STREET FLORENCE SC 29506 582279897 PHYS SERVICES SC NA C CORP 0 0 false false false true false false false false false false true false false true false false false false false false MCLEOD HEALTH M 3791630 ACTUAL COST MCLEOD HEALTH FOUNDATION C 196570 CASH MCLEOD PHYSICIAN ASSOCIATES II J 157282 FAIR MARKET