2020-08-14T08:32:50-05:00 2019-09-30 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2018-10-01 453576100 MCLEOD LORIS SEACOAST HOSPITAL % MARK W CAMERON MCLE 8437772256 555 EAST CHEVES STREET FLORENCE SC 29506 S FULTON ERVIN III CFO OF SYSTEM 8437772256 2020-07-31 true LAURA A COLLINS CPA P00008888 3362753394 2020-07-30 199.206.0.5 56038220202275000005 2020-08-14 P 476EE0312DBAF2F6BE9308648D015EC8A9C660E3 7CE408C3DD4F8A21C067A014E51B91BB4A99AF3C 2018 2020-09-23 17:36:50Z ROBERT COLONES 555 EAST CHEVES STREET FLORENCE SC 29506 162696636 false X www.mcleodhealth.org X 2011 SC ACUTE CARE HOSPITAL 15 8 1130 117 0 0 389372 817539 134859215 158899799 69546 -26262 -7693904 2892838 127624229 162583914 0 0 0 0 58479046 64769071 0 0 0 71832070 80872378 130311116 145641449 -2686887 16942465 202691861 209862281 95310256 85538383 107381605 124323898 ORGANIZATION IS PART OF MCLEOD HEALTH SYSTEM. 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ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON RELATED INCOME HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS SCHEDULE D, PART XI AND XII LOSS ON SALE OF PROPERTY OF $29,221 RECLASSED FROM EXPENSES TO REVENUE.RENT EXPENSE OF $83,501 RECLASSIFIED TO REVENUE. true true X true X true X true true false true true 12082975 8149507 3933468 0.02700 21763018 12817434 8945584 0.06140 33845993 20966941 12879052 0.08840 134700 134700 0.00090 111165 111165 0.00080 245865 245865 0.00170 34091858 20966941 13124917 0.09010 true 5274881 372986 49721425 54676668 -4955243 X true true 2 1 MCLEOD LORIS 3655 MITCHELL STREET LORIS SC 29569 www.mcleodhealth.org SC HTL-0033 X X X A 2 MCLEOD SEACOAST 4000 HIGHWAY 9 EAST LITTLE RIVER SC 29566 www.mcleodhealth.org SC HTL-0910 X X X A A 2 false 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 Form Sch H Part V, Section B, Line 3 MCLEOD SEACOAST: PART V, SECTION B, LINE 3: PRIORITIZED COMMUNITY HEALTH NEEDS WE ASSESSED THE COMMUNITYS HEALTH NEEDS BASED ON QUALITATIVE AND QUANTITATIVE DATA AND PARTICULARLY FROM COMMUNITY FORUM FEEDBACK. THERE ARE THREE PRIORITIZED NEED AREAS AS WELL AS KEY FACTORS AND CONSIDERATIONS OF EACH NEED. THESE THREE AREAS ARE: OBESITY/CHRONIC CONDITIONS, ACCESS TO HEALTH CARE, AND MENTAL HEALTH/SUBSTANCE ABUSE. A BROAD RANGE OF SOCIAL, ECONOMIC, AND OTHER ENVIRONMENTAL FACTORS AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. THE SOCIAL AND ECONOMIC CONDITIONS WHERE PEOPLE LIVE, WORK, LEARN, AND PLAY ARE CALLED SOCIAL DETERMINANTS OF HEALTH. SOCIAL DETERMINANTS CAN HAVE A PROFOUND INFLUENCE ON THE CHOICES THAT PEOPLE HAVE IN THEIR DAILY LIVES THAT PROMOTE OR INHIBIT HEALTH. WITHIN EACH OF THE COMMUNITY HEALTH NEED AREAS, MULTIPLE FACTORS MUST BE CONSIDERED. EDUCATION, AND SOCIOECONOMIC/ENVIRONMENTAL CONDITIONS GREATLY AFFECT AN INDIVIDUALS HEALTH STATUS AND ABILITY TO OVERCOME HEALTH ISSUES IN THE REGION. THE MCLEOD LORIS AND MCLEOD SEACOAST CHNAS NOTED A PLETHORA OF COMMUNITY HEALTH ISSUES AS WELL AS HEALTH DISPARITIES ACROSS THE STUDY AREA. IT IS CRITICAL FOR HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO UNDERSTAND NOT ONLY THE REGIONAL HEALTH ISSUES, BUT TO BE AWARE OF WHERE DISPARITIES OCCUR TO PINPOINT WHAT SERVICES AND IMPROVEMENTS ARE MOST NEEDED. ADDRESSING THE COMMUNITY HEALTH PRIORITIES THE GOALS AND STRATEGIC ACTIONS DELINEATED IN THIS CHNA IMPLEMENTATION PLAN NARRATIVE ARE DEVELOPED TO ADDRESS EACH OF THE IDENTIFIED PRIORITY AREAS AND TO ENSURE A PATIENT-CENTERED AND COMMUNITY ENGAGEMENT APPROACH. PRIORITY 1: OBESITY AND CHRONIC CONDITIONS (NUTRITION, PHYSICAL ACTIVITY, AND HEALTH EDUCATION) OBESITY OBESITY IS AN EPIDEMIC IN THE U.S. AND CONTRIBUTES TO SEVERAL LEADING CAUSES OF DEATH, INCLUDING HEART DISEASE, DIABETES, STROKE, AND SOME CANCERS. IF PRESENT TRENDS CONTINUE, BY 2030, 86 PERCENT OF ADULTS WILL BE OVERWEIGHT; 51 PERCENT WILL BE OBESE; AND NEARLY A THIRD OF ALL CHILDREN WILL BE OVERWEIGHT ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (2012). TOTAL HEALTH CARE COSTS ATTRIBUTABLE TO OBESITY/OVERWEIGHT ARE PREDICTED TO DOUBLE EACH DECADE. ENVIRONMENTAL, ECONOMIC, AND CULTURAL CONDITIONS GREATLY INFLUENCE HEALTH BEHAVIORS SUCH AS DIET AND PHYSICAL ACTIVITY AND CONTRIBUTE TO THE RISE IN OBESITY RATES. OBESITY RATES ARE HIGHER AMONG LOW-INCOME ADULTS AND CHILDREN AND AMONG AMERICAN INDIANS/ALASKA NATIVE, BLACK, AND HISPANIC INDIVIDUALS. CHILDREN LIVING IN DISADVANTAGED COMMUNITIES AND NEIGHBORHOODS ARE MORE LIKELY TO BE OBESE. MOST ADULTS IN THE U.S. DO NOT MEET THE PHYSICAL ACTIVITY GUIDELINES FOR AMERICANS. OBESITY IS PARTICULARLY PREVALENT ACROSS STATES IN THE SOUTHERN PART OF THE U.S. THE STATE OF SOUTH CAROLINA IS PLAGUED BY HIGH RATES OF OBESITY, AS THE STATE HAD THE 10TH HIGHEST OBESITY RATE IN THE NATION IN 2014. NORTH CAROLINA HAD THE 24TH HIGHEST OBESITY RATE IN 2014. BOTH COMMUNITY LEADERS AND STAKEHOLDERS CITED OBESITY AS A TOP HEALTH CONCERN DURING THE PREVIOUS 2013 CHNA PROCESS. THE OBESITY RATES IN THE MCLEOD LORIS AND MCLEOD SEACOAST STUDY AREAS CLOSELY MIMIC THOSE IN THE STATES AND U.S., AS BOTH STUDY AREAS HAVE OBESITY RATES (OR BMI ABOVE 30.0) THAT ARE CLOSE TO 30 PERCENT OF THE POPULATION. AMONG THE COUNTIES, ADULT OBESITY IS HIGHEST IN COLUMBUS COUNTY WITH 30.8 PERCENT OF THE POPULATION BEING OBESE. CHRONIC CONDITIONS OBESITY IS A KEY FACTOR IN PREVENTING CHRONIC DISEASES SUCH AS HYPERTENSION, HEART DISEASE, DIABETES AND STROKE. ADULTS WHO ARE OVERWEIGHT ARE MORE LIKELY TO HAVE HYPERTENSION AND HIGH CHOLESTEROL, BOTH OF WHICH CAN LEAD TO MAJOR HEALTH ISSUES LIKE HEART DISEASE AND STROKE. OBESITY AND CHRONIC DISEASES HAVE A NEGATIVE EFFECT ON A PERSONS GENERAL HEALTH AND OVERALL WELL-BEING. IT IS NOTED THAT THE COUNTIES THAT EXPERIENCE THE HIGHEST RATES OF OBESITY AND CHRONIC CONDITIONS ALSO REPORT HIGHER PERCENTAGES OF RESIDENTS WITH POOR OR FAIR HEALTH. COLUMBUS COUNTY HAS THE HIGHEST PERCENT OF ADULTS WHO ARE OBESE AT 30.8 PERCENT AND ALSO HAS THE HIGHEST PERCENTAGE OF ADULTS WHO REPORT HAVING POOR OR FAIR GENERAL HEALTH AT 28.6 PERCENT OF THE POPULATION. THIS PERCENTAGE IS SIGNIFICANTLY HIGHER THAN THE OTHER COUNTIES, STATES, AND U.S. HEART DISEASE AND HYPERTENSION CHRONIC CONDITIONS THAT STEM FROM OBESITY ARE PROMINENT IN SOUTH CAROLINA, NORTH CAROLINA, AND THE STUDY AREA. SOUTH CAROLINA HAS THE EIGHTH HIGHEST HYPERTENSION RATE IN THE U.S. WHILE NORTH CAROLINA HAS THE 11TH HIGHEST HYPERTENSION RATE IN THE NATION. WHILE BOTH SOUTH CAROLINA AND NORTH CAROLINA HAVE HIGH RATES OF CHRONIC DISEASES, A NUMBER OF CHRONIC DISEASES ARE EVEN MORE PREVALENT IN THE STUDY AREA. -46.1 PERCENT OF THE POPULATION IN THE MCLEOD SEACOAST STUDY AREA HAS HIGH CHOLESTEROL; A GREATER PERCENTAGE OF THE POPULATION IN THE STUDY AREA HAS HIGH CHOLESTEROL COMPARED TO NORTH CAROLINA (38.5 PERCENT), SOUTH CAROLINA (41.5 PERCENT), AND U.S. (38.5 PERCENT). -6.4 PERCENT OF RESIDENTS IN THE STUDY AREA HAVE HEART DISEASE. THIS PERCENTAGE IS HIGHER THAN THE STATES (4.6 PERCENT IN NORTH CAROLINA AND 4.6 PERCENT IN SOUTH CAROLINA) AND NATION (4.4 PERCENT). COMMUNITY LEADERS FREQUENTLY MENTIONED HEART DISEASE AS A CHRONIC DISEASE CONCERN. HEART DISEASE ALSO WAS A TOP CONCERN IN THE 2013 MCLEOD LORIS AND SEACOAST CHNA. -THE STUDY AREA HAS A HIGHER RATE OF MORTALITY DUE TO HEART DISEASE COMPARED TO NORTH CAROLINA, SOUTH CAROLINA, AND THE U.S. THE MORTALITY RATE DUE TO HEART DISEASE IN THE STUDY AREA IS 198.5 PER 100,000 POPULATION. DIABETES NATIONWIDE, IT IS ESTIMATED THAT NEARLY 26 MILLION PEOPLE HAVE DIABETES, INCLUDING OVER A QUARTER WITH THE CONDITION UNDIAGNOSED, AND THAT 79 MILLION PEOPLE ARE PRE-DIABETIC, WITH BLOOD GLUCOSE LEVELS THAT INCREASE THE RISK OF DEVELOPING DIABETES. THE PREVALENCE OF DIABETES INCREASES WITH AGE, AND NEARLY 27 PERCENT OF THOSE OVER AGE 65 HAVE DIABETES. AMONG RACIAL AND ETHNIC GROUPS, DIABETES PREVALENCE IS HIGHEST AMONG AFRICAN AMERICANS. THE RISE OF DIABETES PREVALENCE CORRESPONDS WITH THE RISE IN OBESITY RATES, AND CHILDREN ARE INCREASINGLY AFFECTED BY BOTH OBESITY AND DIABETES. IT IS DOCUMENTED AMONG DIABETES EDUCATORS THAT MANY PATIENTS ARE GENERALLY UNAWARE OF THE SERIOUSNESS OF DIABETES. THEY ALSO NOTE THAT PEOPLE WHO ARE NEWLY DIAGNOSED ARE OFTEN OVERWHELMED, CONFRONTED WITH MISINFORMATION, OR FEEL THEY ARE POWERLESS TO MAKE POSITIVE CHANGES TO CONTROL THE DISEASE. SOUTH CAROLINA HAS THE SEVENTH HIGHEST DIABETES RATE IN THE U.S. 15.0 PERCENT OF THE POPULATION IN THE MCLEOD SEACOAST HAS DIABETES, WHILE 11.2 PERCENT OF THE POPULATION IN SOUTH CAROLINA, 10.2 PERCENT IN NORTH CAROLINA, AND 9.1 PERCENT IN THE U.S. HAS DIABETES. RESIDENTS WHO ARE LIVING IN POVERTY AND ARE UNINSURED OFTENTIMES FACE CHALLENGES ACCESSING CARE FOR HEALTH CONDITIONS ASSOCIATED WITH DIABETES DUE TO THE COST OF CARE, WHICH CAN RESULT IN HIGHER RATES OF HOSPITALIZATIONS DUE TO DIABETES COMPLICATIONS. A MAJORITY OF COMMUNITY LEADERS WHO WERE INTERVIEWED AND PARTICIPATED IN THE FORUM, AS PART OF THE CHNA, IDENTIFIED ACCESS TO HEALTH CARE AS THE TOP HEALTH NEED FOR THE POPULATIONS THEY SERVED. MANY DEATHS THAT ARE ATTRIBUTED TO CHRONIC DISEASE ARE CONSIDERED TO BE PREMATURE, BEFORE AGE 75, BECAUSE OF BEHAVIORS LIKE SMOKING, POOR DIET, LACK OF PHYSICAL ACTIVITY, AND SUBSTANCE ABUSE, AS WELL AS SOCIAL AND ENVIRONMENTAL FACTORS. IN THE U.S., PEOPLE WITH LOWER INCOMES ARE MORE LIKELY TO DIE PREMATURELY THAN THOSE WITH HIGHER INCOMES. LIFE EXPECTANCY AT BIRTH IS THE NUMBER OF YEARS A NEWBORN CAN EXPECT TO LIVE IF THE CURRENT AGE-SPECIFIC DEATH RATES STAY THE SAME FOR HIS OR HER LIFE. IN SOUTH CAROLINA, LIFE EXPECTANCY IS 76.5 YEARS. LIFE EXPECTANCY IN NORTH CAROLINA IS 77.8 YEARS. NUTRITION MANY ADULTS AND CHILDREN DO NOT EAT THE RECOMMENDED SERVINGS OF FRUITS AND VEGETABLES AS THE FOODS THAT ARE ASSOCIATED WITH HEALTHY DIETS OFTEN COST MORE THAN UNHEALTHY FOODS AND ARE UNAFFORDABLE FOR MANY LOW INCOME AND UNINSURED FAMILIES. IN 2015, 45.2 PERCENT OF SURVEYED ADULTS REPORTED CONSUMING FRUIT LESS THAN ONE TIME DAILY, WHILE 26.8 PERCENT OF ADULTS REPORTED CONSUMING VEGETABLES LESS THAN ONE TIME DAILY. BOTH BRUNSWICK AND HORRY COUNTIES HAVE HIGH PERCENTAGES OF RESIDENTS WHO DO NOT EAT THE RECOMMENDED AMOUNT OF FRUIT AND VEGETABLES PER DAY (FIVE OR MORE SERVINGS) WITH 87.1 PERCENT AND 86.0 PERCENT, RESPECTIVELY, OF RESIDENTS WHO DO NOT CONSUME THE RECOMMENDED SERVING. THESE PERCENTAGES ARE HIGHER THAN THOSE IN NORTH CAROLINA (78.4 PERCENT), SOUTH CAROLINA (80.9 PERCENT), AND U.S. (75.7 PERCENT). PHYSICAL ACTIVITY IN ADDITION TO A HEALTHY DIET, PHYSICAL ACTIVITY ALSO IS IMPORTANT TO LEADING A HEALTHY LIFESTYLE AND OBESITY AND CHRONIC DISEASE PREVENTION. PHYSICAL INACTIVITY IS RESPONSIBLE FOR ONE IN 10 DEATHS AMONG U.S. ADULTS. AMONG THE STATES IN THE U.S., SOUTH CAROLINA IS THE 13TH MOST PHYSICALLY INACTIVE STATE, WHILE NORTH CAROLINA FALLS IN THE MIDDLE AS THE 25TH MOST PHYSICALLY INACTIVE STATE. HEALTH EDUCA SCH, H PART V, SECTION B, LINE 3 CONTINUED MENTAL HEALTH THE MAJORITY OF ADULTS WITH MENTAL ILLNESS RECEIVED NO MENTAL HEALTH TREATMENT IN THE LAST YEAR, INDICATING A NATIONWIDE ISSUE WITH INDIVIDUALS BEING ABLE TO RECEIVE PROPER MENTAL HEALTH SERVICES AND TREATMENT. THERE IS A LACK OF MENTAL HEALTH PROVIDERS AVAILABLE TO UNITED STATES CITIZENS. CLOSE TO 91 MILLION ADULTS LIVE IN AREAS WHERE THERE IS A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. THE PRIMARY DATA RECEIVED FROM RESIDENTS, HEALTH PROFESSIONALS, AND COMMUNITY LEADERS ACROSS THE CHNA STUDY AREAS SHOWED THE NEED FOR ATTENTION TO MENTAL HEALTH SERVICES. SUBSTANCE ABUSE IN MANY INSTANCES, MENTAL ILLNESS AND SUBSTANCE ABUSE GO HAND-IN-HAND; AMONG THE 20.2 MILLION ADULTS IN THE U.S. WITH A SUBSTANCE ABUSE ISSUE, APPROXIMATELY 10.2 MILLION ALSO HAVE A CO-OCCURRING MENTAL HEALTH ISSUE. IN PARTICULAR, PRESCRIPTION DRUG ABUSE HAS BECOME A GROWING CONCERN IN THE MCLEOD LORIS AND MCLEOD SEACOAST COMMUNITIES. SOUTH CAROLINA HAS THE 11TH HIGHEST RATE IN THE COUNTRY FOR PRESCRIBING PAINKILLERS, WITH 102 PRESCRIPTIONS WRITTEN FOR EVERY 100 PATIENTS. ACCESS TO BEHAVIORAL CARE MANAGING BEHAVIORAL HEALTH ISSUES IS ESSENTIAL, AS MENTAL HEALTH AND SUBSTANCE ABUSE CAN HAVE DETRIMENTAL EFFECTS ON THE HEALTH OF INDIVIDUALS AND COMMUNITIES. UNTREATED MENTAL ILLNESS AND SUBSTANCE ABUSE ADDICTIONS PREVENT INDIVIDUALS FROM LEADING EVERY DAY LIVES, WHICH INCLUDES OBTAINING AN EDUCATION AND HAVING A STABLE JOB, BOTH OF WHICH ARE IMPORTANT TO AN INDIVIDUALS WELL-BEING AS WELL AS THE OVERALL HEALTH OF A COMMUNITY. THE RATE OF BEHAVIORAL HEALTH PROVIDERS, COST OF CARE, AND UNINSURED LEVELS PLAY A ROLE IN A PERSONS ABILITY TO RECEIVE BEHAVIORAL HEALTH CARE. COMMUNITY LEADERS DURING THE CHNA PROCESS CITED THE NEED FOR MORE BEHAVIORAL HEALTH CARE PROVIDERS AS MENTAL ILLNESS AND SUBSTANCE ABUSE BECOME INCREASINGLY PREVALENT IN THE REGION. THE COUNTIES THAT COMPRISE THE MCLEOD LORIS AND MCLEOD SEACOAST STUDY AREAS HAVE A LOWER RATE OF MENTAL HEALTH PROVIDERS IN COMPARISON TO SOUTH CAROLINA, NORTH CAROLINA, AND U.S. THE PRIMARY FOCUS OF THE FOLLOWING GOALS AND STRATEGIES ADDRESS IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY. GOAL 1: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES. STRATEGY 1: PARTNER WITH WACCAMAW MENTAL HEALTH TO FIND PLACEMENT FOR MENTAL HEALTH PATIENTS. STRATEGY 2: CONTRACT WITH AN INDEPENDENT PSYCHIATRIST TO SERVE IN THE EMERGENCY DEPARTMENT WHEN NEEDED. STRATEGY 3: CREATE NEW PSYCHIATRIC ROOM AT MCLEOD LORIS AND MCLEOD SEACOAST. STRATEGY 4: OFFER TELE-PSYCH SERVICES THROUGH THE SC DEPARTMENT OF MENTAL HEALTH. STRATEGY 5: IMPROVE ACCESS TO HEALTH CARE SERVICES AND MEDICATIONS FOR UNINSURED ADULTS THROUGHOUT HORRY COUNTY. ACTION -PROVIDE REPRESENTATIVES ONSITE AT MCLEOD LORIS AND MCLEOD SEACOAST TO ASSIST PATIENTS WITH SIGNING UP FOR THE PROGRAM. STRATEGY 6: ENCOURAGE EMPLOYEES TO USE THE EMPLOYEE ASSISTANCE PROGRAM (EAP) FOR MENTAL HEALTH AND SUBSTANCE ABUSE ASSISTANCE. THE NEED FOR MORE BEHAVIORAL HEALTH CARE PROVIDERS WAS STRONGLY EMPHASIZED BY COMMUNITY LEADERS DURING THE MCLEOD LORIS AND MCLEOD SEACOAST CHNA STUDIES AS MENTAL ILLNESS AND SUBSTANCE ABUSE HAS BECOME INCREASINGLY PREVALENT IN THE REGION. TREATMENT OF MENTAL HEALTH IS OFTEN REACTIVE IN THE FORM OF CRISIS INTERVENTION THROUGH HOSPITAL EMERGENCY ROOMS RATHER THAN PROACTIVE PRACTICES. ADDITIONAL BARRIERS TO MENTAL HEALTH SERVICES INCLUDE OUT-OF-POCKET COSTS/INSURANCE COVERAGE, NEGATIVE SOCIAL STIGMAS, AND LACK OF HEALTH EDUCATION. MANY RESIDENTS WHO HAVE MENTAL HEALTH ISSUES ALSO TEND TO HAVE MULTIPLE BEHAVIORAL DIAGNOSES, MAKING IT EVEN MORE ESSENTIAL FOR THOSE IN NEED TO HAVE ACCESS TO AND RECEIVE CONTINUOUS TREATMENT. MCLEOD LORIS AND SEACOAST WILL TAKE A PROACTIVE APPROACH TO COMBATTING THE BEHAVIORAL HEALTH ISSUES IN THE COMMUNITY BY PARTNERING WITH WACCAMAW MENTAL HEALTH TO FIND PROPER PLACEMENT FOR MENTAL HEALTH PATIENTS, WHERE PATIENTS CAN RECEIVE CARE AND TREATMENT TAILORED TO THEIR MENTAL HEALTH NEEDS. HAVING AN INDEPENDENT PSYCHIATRIST IN THE EMERGENCY DEPARTMENTS OF LORIS AND SEACOAST, AS WELL AS CREATING A PSYCHIATRIC ROOM AT BOTH HOSPITALS WILL PROVIDE THE HOSPITALS WITH TOOLS TO PROVIDE ADDITIONAL BEHAVIORAL HEALTH CARE SERVICES WITHIN THEIR OWN FACILITIES. THE USE OF TELE-PSYCHIATRY SERVICES HAS GREATLY ENHANCED ACCESS TO SPECIALTY PROVIDERS FOR RURAL AND UNDERSERVED RESIDENTS. IN THE ABSENCE OF A READILY AVAILABLE SPECIALIST AND PROVIDERS, TELEPSYCHIATRY CAN BE AN EFFECTIVE TOOL FOR PATIENT EVALUATION AND FACILITATING ACCESS TO CARE WITHIN A RURAL SETTING. THE SC DEPARTMENT OF MENTAL HEALTH AND PALMETTO CARE CONNECTIONS WILL SERVE AS AN IMPORTANT COMMUNITY RESOURCE FOR THIS INITIATIVE. MCLEOD LORIS AND MCLEOD SEACOAST ALSO WILL ENCOURAGE AND SUPPORT PROGRAMS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE ASSISTANCE TO RESIDENTS AND EMPLOYEES. LORIS AND SEACOAST WILL CONTINUE TO PARTNER WITH ACCESSHEALTH HORRY, WHICH HELPS UNINSURED RESIDENTS IN HORRY COUNTY FIND REDUCED-FEE MEDICAL CARE AND PRESCRIPTION DRUG ASSISTANCE. LORIS AND SEACOAST WILL WORK WITH ACCESSHEALTH TO ENROLL RESIDENTS IN HOP; THIS PROGRAM WILL HELP RESIDENTS DEALING WITH FREQUENT MENTAL HEALTH AND SUBSTANCE ABUSE FIND A HEALTH CARE PROVIDER AND HEALTH SERVICES TO TREAT THEIR BEHAVIORAL HEALTH ISSUES. THE EMPLOYEE ASSISTANCE PROGRAM (EAP) AT LORIS AND SEACOAST HELPS TO PROVIDE SIMILAR MENTAL HEALTH AND SUBSTANCE ABUSE ASSISTANCE THROUGH MATCHING EMPLOYEES WITH THE PROPER HEALTH CARE TREATMENT SERVICES, AS EVIDENCE SHOWS WORK SITE BASED INTERVENTIONS ARE HIGHLY EFFECTIVE. IMPLEMENTATION NEXT STEPS THE MCLEOD LORIS AND MCLEOD SEACOAST CHNA IMPLEMENTATION PLAN DEFINES OUR COMMITMENT TO THE COMMUNITY, DOCUMENTS HOW THE IDENTIFIED COMMUNITY NEEDS WILL BE MET, AND ENSURES THAT RESULTS AND IMPACT ON THE HEALTH OF THE COMMUNITY WILL BE REPORTED AND COMMUNICATED. EFFORTS TO MEASURABLY IMPACT THE HEALTH OF THE COMMUNITY ARE ON-GOING AS 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES ARE ALIGNED WITH THE SYSTEMS STRATEGIC FOCUS AND ORGANIZATIONAL GOALS. COMMUNICATION AND CONTINUOUS PLANNING EFFORTS ARE VITAL THROUGHOUT THE NEXT FEW YEARS. INFORMATION REGARDING THE CHNA FINDINGS AND IMPLEMENTATION PLAN DEPLOYMENT WILL BE IMPORTANT TO RESIDENTS, COMMUNITY GROUPS, LEADERS AND OTHER ORGANIZATIONS THAT SEEK TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITIES IN THE MCLEOD LORIS AND MCLEOD SEACOAST STUDY AREAS AND HOW TO BEST SERVE THOSE NEEDS. EVALUATION AND PROGRESS ON THE IMPLEMENTATION OF COMMUNITY INITIATIVES WILL BE REPORTED AT LEAST ANNUALLY AND WILL BE INCLUDED IN COMMUNITY BENEFIT REPORTING. SCH H, PART V, SECTION B, LINE 4 MCLEOD LORIS AND MCLEOD SEACOAST HOSPITAL WERE BOTH COVERED BY MCLEOD HEALTH'S HORRY COUNTY CHNA SCH H PART V, SECTION B, LINE 11 THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME. SCH H. PART III, LINE 4 NET PATIENT REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNT RECEIVED, OR TO BE RECEIVED, FROM PATIENTS, THIRD PARTY PAYOR, AND OTHERS FOR THE SPECIFIC SERVICES AND SUPPLIES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENT WITH THIRD PARTY PAYOR. FOR THE AMOUNTS REPORTED IN LINES 2 AND 3, WE USED THE IRS METHOD TO CALCULATE THE RATIO OF PATIENT COST TO CHARGES, AS SHOWN ON PAGE 13 OF THE INSTRUCTIONS FOR SCHEDULE H (WORKSHEET 2). THE CALCULATED RATIO WAS THEN APPLIED TO THE GROSS CHARGES WRITTEN OFF TO BAD DEBT (NET OF RECOVERIES). SCH H, PART III, LINE 8 THE ORGANIZATION FEELS THAT THE TOTAL SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE HOSPITAL IMPROVES ACCESS TO PATIENT CARE BY PROVIDING SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY OR THE HOSPITAL'S ABILITY TO RECEIVE FULL COST REIMBURSEMENT FOR SERVICES. THE HOSPITAL ALSO RELIEVES THE GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES CARE TO PUBLICLY-INSURED PATIENTS WHERE REIMBURSEMENT IS LESS THAN THE COST OF PROVIDING THE SERVICE. SCH H, PART III, LINE 9B MCLEOD'S CHARITY POLICY OUTLINES THE CRITERIA USED TO DETERMINE PATIENTS WHO QUALIFY FOR CHARITY. WHEN PATIENTS HAVE FURNISHED THE REQUIRED INFORMATION, IT IS REVIEWED AND A DETERMINATION IS MADE. IF APPROVED FOR CHARITY CARE, THEIR ACCOUNT BALANCES ARE ADJUSTED BASED ON THE PERCENTAGE THEY QUALIFY FOR USING A CHARITY ADJUSTMENT CODE. IF ALL REQUIRED INFORMATION IS NOT FURNISHED, THE PATIENT IS NOTIFIED THAT THEIR CHARITY APPLICATION WAS NOT APPROVED DUE TO FAILURE TO PROVIDE THE NECESSARY INFORMATION. FOLLOWING THAT NOTIFICATION, THE ACCOUNT GENERALLY TRANSFERS TO BAD DEBT FOR FURTHER COLLECTION ACTION. SCH H, PART VI, LINE 2 IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR MCLEOD LORIS SEACOAST HOSPITAL (LORIS). LORIS HAS A COMMUNITY BOARD THAT CONSISTS OF LOCAL PHYSICIANS AND OTHER INFLUENTIAL COMMUNITY LEADERS. THIS BOARD MEETS SEMI-MONTHLY AND THE LEADERS PROVIDE INPUT FROM VARIOUS PARTS OF THE COMMUNITY TO ASSIST LORIS IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY. SCH H, PART VI, LINE 3 UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR HEALTHCARE SERVICES. IF THE PATIENT HAS NO ABILITY TO PAY AND IS DEEMED INELIGIBLE FOR GOVERNMENTAL PROGRAMS (MEDICARE, MEDICAID, ETC.) THEN THEY ARE INFORMED OF THE HOSPITAL CHARITY PROGRAM. THEY ARE PROVIDED WITH AN APPLICATION AND A LISTING OF THE APPROPRIATE DOCUMENTS NECESSARY TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL CHARITY PROGRAM. SCH H, PART VI, LINE 4 MCLEOD LORIS SEACOAST HOSPITAL (MLSH), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD MEDICAL CENTER-DILLON, MCLEOD HEALTH CLARENDON, MCLEOD HEALTH CHERAW, AND MCLEOD PHYSICIAN ASSOCIATES II CONSIDERS ITS PRIMARY SERVICE AREA (PSA) AS THE SOUTH CAROLINA COUNTIES OF FLORENCE, DARLINGTON, CHESTERFIELD, DILLON, CLARENDON, HORRY, MARION, AND MARLBORO, AND ITS SECONDARY SERVICE AREA (SSA) AS THE SOUTH CAROLINA COUNTIES OF GEORGETOWN, LEE, SUMTER, AND WILLIAMSBURG. THESE TWELVE COUNTIES MAKE UP THE NORTHEASTERN PORTION OF SOUTH CAROLINA. MLSH HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTY OF HORRY. SCH H, PART VI, LINE 5 Community Benefit Report: McLeod Loris Seacoast primarily serves Horry County which has a population of approximately 309,199. Horry County is in the northeastern corner of South Carolina and is a county assigned to the Pee Dee Region of the state. The county's per capita income has lagged both the U.S. and South Carolina averages, and the percentage of its population living below the poverty level is much higher than the national average. In Horry County, the number of uninsured has reached 26%. Short summaries of the two flagship hospitals follow: McLeod Health Loris: Founded in 1950, McLeod Health Loris is a fully-accredited acute care facility with 50 licensed beds. It offers a wide range of inpatient and outpatient services, and a medical staff made up of more than 120 active and affiliate physicians. McLeod Health Loris has been a vital part of Loris for almost 70 years. As healthcare needs have changed, McLeod Health Loris has changed to offer new services and technology for its patients. Our team consists of compassionate professionals dedicated to providing quality care and services. McLeod Health Loris offers a wide range of high-quality services, including advanced digital radiology and diagnostic imaging, general, labor and delivery, vascular surgery, rehabilitation, genitourinary surgery, and 24/7 emergency department with dedicated rooms for gynecology, cardiac and traumas. The experience, knowledge and access to technology found at McLeod Health Loris are unsurpassed locally. Our physicians, nurses and other healthcare professionals are among the best in the nation, and their dedication to quality is a never-ending process. McLeod Health Seacoast: McLeod Health Seacoast, located in Little River, SC in the North Myrtle Beach area, offers a wide range of inpatient and outpatient services. Its medical staff includes more than 120 active and affiliate physicians. McLeod Seacoast opened as an outpatient facility in October of 2000. For almost 20 years, it has been providing comprehensive imaging and diagnostic services, outpatient surgery services, rehabilitation programs, cardiac rehab, and emergency care. In 2004, a certificate of need was filed and that same spirit of community partnership was evident when work began to bring inpatient beds to McLeod Health Seacoast. It would take several more years of petitioning and legal battles before construction could begin in 2009. On July 11, 2011, McLeod Health Seacoast opened its doors as a 50-bed hospital. Designed with the ideal healthcare experience in mind, the new inpatient addition consisted of 32 medical/surgical beds, a 10-bed progressive care unit and an 8-bed intensive care unit. McLeod Health Seacoast offers a wide range of high-quality services, including advanced digital radiology and diagnostic imaging, general, vascular and orthopedic surgery, cardiopulmonary rehabilitation and 24/7 emergency department with dedicated rooms for gynecology, cardiac, orthopedics and traumas. The expertise, knowledge and access to technology found at McLeod Health Seacoast are unmatched locally. Our physicians, nurses and other healthcare professionals are among the best in the nation, and their dedication to quality is a never-ending process. McLeod Health Seacoast offers some of the newest and most advanced imaging services available for diagnoses and treatment. In an effort to continually grow and enhance medical services to the people in Horry County and beyond, McLeod Health Seacoast offers a new addition to the Radiology department: the Optima MR.450w. McLeod Health Seacoast is the only facility in the Coastal Carolinas to install this revolutionary new MRI machine. In 2016, McLeod Health Seacoast opened its new, expanded Emergency Department. The Emergency Department offers 28 patient rooms including 3 trauma bays and triage. This new space has a state-of-the-art design offering staff-ease of work flow. Fast Track treatment is projected to open in April 2017, adding 5 additional Emergency Department beds. In March 2016, McLeod Health opened the first building on the new McLeod Health Carolina Forest Campus. This campus is designed to provide comprehensive outpatient services in the heart of the Myrtle Beach and Carolina Forest communities. Four primary care physicians as well as a urology practice are in building one. In November 2017, the second building was opened on the McLeod Health Carolina Forest Campus. This building is home to McLeod Cardiology Associates Carolina Forest as well as a shared medical specialist suite that allows for regular rotations from our area medical specialists. Plans for outpatient imaging in that building are currently underway. In September 2018, McLeod Health Seacoast opened its new patient tower following the completion of a $110 million dollar expansion that more than doubles its patient capacity and transforms the delivery of medical care to the community. The new tower accommodates more patients and staff. The previous hospital had been running at or near capacity. The patient tower adds 55 beds bringing total capacity to 105 beds. The two patient floors incorporate an evidence-based design, which is both family-focused on the environment and for visitor convenience. In addition to the increased patient rooms, the expansion includes six new operating rooms, escalating the total operating room capacity to 10 rooms. These rooms increase surgical capabilities and decrease patient wait times for outpatient, non-emergent surgeries. McLeod Health Seacoast completed construction on its new cardiac catheterization (Cath) and electrophysiology (EP) labs in June 2019. These state-of-the-art labs have been added to meet the needs of the growing community that McLeod Health Seacoast serves. MCLEOD LORIS SEACOAST HOSPITAL IS ONE OF THE SUBSIDIARY COMPANIES FOR MCLEOD HEALTH. Recognized nationally for its quality and safety initiatives, McLeod Health has a leading regional presence in Northeastern South Carolina and Southeastern North Carolina and a dedication to the health of the more than one million residents of those communities it serves from the midlands to the coast. Constantly seeking to improve its patient care with efforts that are physician led, data-driven and evidence-based, McLeod recently received the Healthgrades 2019 Outstanding Patient Experience Award. This distinction recognizes McLeod as being among the Top 10% of hospitals nationwide for patient experience for a third year consecutive year (2017-2019). Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of approximately 750 members on its medical staff and more than 2,700 licensed nurses (RNs, CRNAs, NPs, APRNs, LPNs). McLeod Health is also composed of more than 8,500 employees and more than 75 physician practices throughout its 18 county service area. With seven hospitals, McLeod Health also operates three Health and Fitness Centers, a 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 Health Darlington, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw and McLeod Health Clarendon. In addition to McLeod Regional Medical Center with 517 licensed beds and 48 additional Neonatal Intensive Care Unit Beds (20 of these are acute beds), these McLeod Health respected acute-care facilities give McLeod greater flexibility in providing care to those outside of Florence County: McLeod Health Darlington with 49 licensed beds, McLeod Health Dillon with 79 licensed beds, McLeod Health Loris with 50 licensed beds, McLeod Health Seacoast with 105 licensed beds, McLeod Health Cheraw with 59 licensed beds, McLeod Health Clarendon with 81 licensed beds, and McLeod Behavioral Health Services, located on the McLeod Darlington Campus, provides 23 inpatient psychiatric beds. McLeod Hospice serves the community with inpatient Hospice Beds for respite and end of life care. The only inpatient Hospice facility in the Pee Dee region, the McLeod Hospice House includes 24 licensed beds. McLeod Regional Medical Center 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, a Stereotactic Radiosurgery program, three dedicated open heart surgery suites and two vascular hybrid ORs within the Heart & Vascular Institute as well as Centers of Excellence in Surgery, Neurosurgery, Trauma and Womens 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 SCH H, PART VI, LINE 5 CONTINUED The McLeod Center for Cancer Treatment & Research offers natural light, a cascading water wall, garden views, and relaxing furnishings to inspire, soothe and comfort patients and family members. Patients can also easily manage their physician appointments and infusion or radiation treatments all in one location. In addition, they can participate in cancer research and meet with an oncology navigator or social worker without ever leaving the Cancer Center. In 2018, the Cancer Center installed its third TrueBeam linear accelerator capable of performing an advanced form of radiation therapy to treat lung and liver cancer. Advantages to patients include the ability to deliver a large radiation dose to a tumor in the body, reducing the amount of time during treatment and resulting in fewer treatments. In addition to these units, McLeod offers the only active linear accelerator (LINAC) based Stereotactic Radiosurgery (SRS) program from the midlands to the coast for the treatment of brain cancer and nerve conditions such as trigeminal neuralgia. In 2019, the McLeod Center for Cancer Treatment and Research was named a Novalis Certified Cancer Center following a rigorous and voluntary audit conducted by an independent, third-party panel of experts in radiation oncology, patient safety and treatment quality. One of only eight Novalis Certified Centers in the United States, McLeod is the only such cancer center in South Carolina. The hospital also represents one of only 46 certified centers worldwide. Located within the McLeod Heart and Vascular Institute are three dedicated open heart surgery suites, two hybrid surgical suites, a cardiovascular intensive care unit, the cardiovascular day hospital, and an area for general ultrasound services, echocardiography, and EKG. The Vascular Hybrid Surgical Suite offers McLeod Vascular Surgeons the flexibility of performing both diagnostic and surgical procedures in one location. The hybrid suite eliminates the necessity of moving the patient by combining the two capabilities, X-ray imaging and surgery, into one area. The suite is equipped with X-ray imaging systems mounted to the ceiling. If the patient should require surgery, the equipment is easily moved out of the way and the table converted to a surgical table. In a region that has a high incidence of heart and vascular disease, McLeod added a second state-of-the-art Hybrid Operating Suite in 2017. This operating suite combines the medical expertise of interventional cardiologists and the surgical expertise of the cardiothoracic surgeons with the most advanced heart technology available to perform TAVR, transcatheter aortic valve replacement. TAVR targets patients with aortic valve stenosis, a condition that results in the narrowing of the main valve that allows the blood to exit the heart causing blood to back up in the lungs. Performed through very small incisions, and in some cases needle punctures, this procedure inserts a new valve without removing the old, degenerated valve. Committed to bringing excellence in healthcare and access to leading edge technology to deliver the highest quality and most innovative surgical treatment to patients in the region, McLeod Medical Park Five is now open on the campus of McLeod Regional Medical Center. The new facility houses the ambulatory surgery center and orthopedic physician offices. In 2018, McLeod Health also established McLeod Medical Park Hartsville located in Hartsville, SC. Services offered in Hartsville include physical therapy and rehabilitation services through McLeod Sports Medicine and Rehabilitation, as well as rotating physician appointments in Cardiology, Vascular, and Orthopedics. On the coast, the McLeod Health Carolina Forest complex has opened the first two of seven medical park office buildings. Multiple physician practices occupy these two office buildings as an extension of McLeod Loris Seacoast Hospital. At the entrance of the campus is Building 1 which includes McLeod Family Medicine-Carolina Forest and Atlantic Urology Clinics. Building 2 encompasses McLeod Cardiology Associates, McLeod Vascular Associates, McLeod Loris Seacoast Surgery, McLeod OB/GYN Seacoast and McLeod Neurology-Carolina Forest. In addition, a new outpatient rehabilitation department provides physical, speech, pediatric and occupational therapy services. In October of 2019, McLeod Health also announced the opening of the new McLeod Health Carolina Forest Emergency Department. The 13,000 square-foot Emergency Department, which is open 24/7, offers streamlined services, including 15 spacious exam rooms and state-of-the-art trauma facilities with advanced diagnostic equipment. The only Emergency Department in Carolina Forest, the facility includes a trauma room, triage room, and other specialized areas. In addition, Radiology/CT and Lab services are housed within the Emergency Department to expedite a diagnosis. McLeod Health now offers McLeod TeleHealth, a service that enables patients to connect through live video with a doctor anytime from anywhere in the Carolinas using a computer, smart phone or tablet. McLeod TeleHealth is the only hospital-affiliated telehealth service in the region that enables patients to directly communicate with doctors online, making health care access faster, easier, and more affordable. Patients can access a board-certified physician for minor illnesses or recurring conditions like cough, cold, ear infections, bronchitis, rashes, or the flu. Doctors are available 24 hours a day, seven days a week and no appointment is necessary. Sign-up is free at McLeodTeleHealth.org. A free mobile app is also available for download. McLeod is affiliated with academic institutions to address the communitys healthcare needs. McLeod facilitates Family Medicine and Pharmacy Residency Programs and supports Francis Marion University's Bachelor of Science Nursing Degree Program as well as Florence-Darlington Technical Colleges Associate Degree Nursing Program. Rotations at McLeod Regional Medical Center in clinical and administrative areas are also offered to students from educational programs throughout the state. For more than 35 years, McLeod has participated in state-of-the-art cancer research and made clinical trials available to people living in northeastern South Carolina and southeastern North Carolina. McLeod's involvement in cancer research is supported by multiple research partners, including the National Cancer Institute (NCI) and the Southeast Clinical Oncology Research Consortium, (SCOR). McLeod is dedicated to providing area residents the opportunity to participate in a clinical trial that best suits the unique needs of the individual. As nurses are a part of the future of health care, the region is very fortunate to have two excellent nursing education programs in Florence at Francis Marion University and Florence-Darlington Technical College. These two programs are the cornerstone for recruiting, retention and cultivation of exceptional nurses by McLeod and other health care providers in the region. Annually, McLeod Health donates $75,000 to both the Florence-Darlington Technical College and Francis Marion University Nursing Programs. These contributions recognize each school's Nursing Program for their commitment to the development of outstanding health care professionals for the region. The success of the relationships with the two college Nursing Programs, coupled with strong recruiting efforts, has helped McLeod and other health care providers in the region improve their nursing vacancy rate considerably. In addition to this years gifts to the Francis Marion University and Florence-Darlington Technical College Nursing Programs, McLeod also 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. McLeod Health has numerous initiatives in place to provide community benefits that promote prevention, healing, and treatment. Some of these initiatives include health education through seminars and written sources, support groups, health fairs, health screenings and immunizations, free and discounted medical supplies, research, and financial and in-kind contributions. The health screenings that are offered to the community check for problems with blood pressure, cholesterol, diabetes, skin cancer, peripheral vascular disease, and stroke. Childbirth preparation classes, Infant/Child CPR, Community Car Seat Safety Checks by Certified Child Passenger Safety Technicians, and Safe Sitter sessions are also offered to the community. Established in 1986, the McLeod Health Foundation was created to help generate philanthropic, financial and community support for specific programs, projects and growth. Since that time, the McLeod Health Foundation has raised in excess of $73 Million. The donations given have helped bene SCH H, 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 48-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: MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015. McLeod Health Clarendon McLeod Health Clarendon joined McLeod Health in July 2016 and is an 81 bed community hospital located in Manning, SC. 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 NORTHEASTERN SOUTH CAROLINA. MPA II SUPPORTS THE MISSION OF MCLEOD HEALTH, PROVIDING COMPREHENSIVE MEDICAL AND SURGICAL SERVICES, INCLUDING A WIDE RANGE OF PHYSICIAN SPECIALTIES, TO MCLEOD'S PATIENTS FROM A 12-COUNTY SERVICE AREA. MCLEOD HEALTH FOUNDATION: THE FOUNDATION WAS ORGANIZED IN 1986 AS A SOUTH CAROLINA NONPROFIT CORPORATION AND IS AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. THE FOUNDATION IS PRINCIPALLY ENGAGED IN FUNDRAISING ACTIVITIES FOR THE SYSTEM. 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 BOARDTHE "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-PROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 62% SHARE IN THE EQUITY OF THIS COMPANY. MCLEOD PHYSICIAN ASSOCIATES, INC.: MCLEOD PHYSICIAN ASSOCIATES, INC. IS A SOUTH CAROLINA FOR-PROFIT CORPORATION THAT FORMERLY OPERATED A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II. Form Sch H Part I Line 3C N/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES. FORM SCH H PART I LINE 6A COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD LORIS SEACOAST HOSPITAL) IS FILED ANNUALLY WITH SOUTH CAROLINA HOSPITAL ASSOCIATION. HIGHLIGHTS ARE PUBLISHED IN MCLEOD MAGAZINE WHICH IS A PUBLICATION THAT IS DISTRIBUTED FREE TO THE PUBLIC. ENTIRE REPORT IS AVAILABLE TO ANYONE UPON REQUEST. SCH H, PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC X X X X X X false true false false false false false true false S FULTON ERVIN III CFO OF RELATED ORG 0 520075 0 95339 0 12662 0 70576 0 25291 0 723943 0 0 RONALD L BORING COO REL ORG (until Sept. 2019) 0 508238 0 64654 0 13188 0 67902 0 34304 0 688286 0 0 T CHUCK MILLS MD TRUSTEE 0 346124 0 0 0 2451 0 0 0 36461 0 385036 0 0 CHRISTOPHER PO MD STAFF PHYSICIAN 591862 0 5000 0 6143 0 0 0 23290 0 626295 0 0 0 EDWARD BOTSE-BAIDOO MD TRUSTEE SECRETARY 413717 0 5000 0 2198 0 15681 0 25429 0 462025 0 0 0 JOHN A CHARLES MD VP MED AFFAIRS 382970 0 0 11414 0 2710 0 34957 0 432051 0 0 0 GRACE LIANG MD STAFF PHYSICIAN 319546 0 5000 0 674 0 14733 0 17127 0 357080 0 0 0 MONICA VEHIGE ADMINISTRATOR 267906 0 69040 0 3482 0 26643 0 26138 0 393209 0 0 0 SHERRILL NIELSON VP NURSING/CNO 137102 0 0 0 1742 0 8785 0 17889 0 165518 0 0 0 DONNA C ISGETT COO REL ORG(Starting Sept.2019 0 557658 0 81561 0 9028 0 74196 0 30629 0 753072 0 0 AMIT V PANDE MD TRUSTEE 0 762947 0 0 0 1706 0 0 0 27902 0 792555 0 0 Kyaw Hein MD STAFF PHYSICIAN 326561 0 5000 0 1842 0 14089 0 36977 0 384469 0 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. A South Carolina Jobs-Economic Development Authority 570960018 83703FKU5 2018-06-28 69674026 SOUTH CAROLINA JOBS-ECONOMIC DEVEL false false false A 1099800 0 69674026 0 0 0 0 685501 0 0 68988525 0 2018 true false true true A false false true true false 0 false false false true A false true false false false false 0 false 0 true A true SCHEDULE K, PART I, LINE A TO REFINANCE OLD HUD LOAN. ORIGINAL HUD LOAN DATE - 12/16/08. PALMETTO PATHOLOGY PA BOARD MEMBER 192000 INDEPENDENT CONTRACTOR false RELATIONSHIP (B) BOARD MEMBER IS AN OWNER IN COMPANY. (C) $192,000 (D) ARM'S LENGTH INDEPENDENT CONTRACTOR FOR ROUTINE MEDICAL SERVICES AT HOSPITAL. BOARD MEMBER IS AN OWNER. Form 990 Part VI Line 6 MCLEOD LORIS SEACOAST HOSPITAL HAS A SOLE MEMBER WHICH IS MCLEOD HEALTH. 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 LORIS SEACOAST HOSPITAL'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 LORIS SEACOAST HOSPITAL'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 FINANCE COMMITTEE 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 17, 2020. Form 990 Part VI Line 12c MCLEOD LORIS SEACOAST HOSPITAL AND MCLEOD HEALTH (SOLE MEMBER) REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE 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. Form 990 Part VI Line 15b IN DETERMINING COMPENSATION OF MCLEOD HEALTH'S (SOLE MEMBER'S) 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 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. FORM 990 PART XI LINE 9 NET ASSETS RELEASED FROM RESTRICTION IN THE AMOUNT OF $-172. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONSULTING FEES TOTAL FEES:22861441 MCLEOD HEALTH FOUNDATION 555 EAST CHEVES STREET FLORENCE SC 29506 570818672 RAISE MONEY SC 501(C)(3) LINE 12A NA false MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE SC 29506 510473500 HEALTHCARE SC 501(C)(3) LINE 12C NA false MCLEOD MEDICAL CENTER - DILLON 555 EAST CHEVES STREET FLORENCE SC 29506 510473471 HOSPITAL SC 501(C)(3) LINE 3 NA false MCLEOD PHYSICIAN ASSOCIATES II 555 EAST CHEVES STREET FLORENCE SC 29506 202935692 PHYSICIAN SVC SC 501(C)(3) LINE 10 NA false MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 473712858 HOSPITAL SC 501(C)(3) LINE 3 NA false MCLEOD REG MED CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE SC 29506 570370242 HEALTHCARE SC 501(C)(3) LINE 3 NA false MCLEOD HEALTH CLARENDON 555 EAST CHEVES STREET FLORENCE SC 29506 812772554 HOSPITAL SC 501(C)(3) LINE 3 NA false ADVANCED OUTPATIENT SERVICES 555 EAST CHEVES STREET FLORENCE SC 29506 815006949 HOSPITAL SC 501(C)(3) LINE 3 NA false MCLEOD PHYSICIAN ASSOCIATES INC 555 East Cheves Street Florence SC 29506 582279897 PHYS SERVICES SC NA C CORP false false false true false false false false false true false false true false false false false false false MCLEOD HEALTH FOUNDATION C 273984 CASH MCLEOD PHYSICIAN ASSOCIATES II M 15543584 ACTUAL COST MCLEOD HEALTH M 904695 ACTUAL COST MCLEOD PHYSICIAN ASSOCIATES II J 71128 ACTUAL COST