MCLEOD PHYSICIAN ASSOCIATES II: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MCLEOD PHYSICIAN ASSOCIATES II (EIN 20-2935692)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201422279349305067
Schema version
2012v2.1
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)
Timestamp2014-08-15T18:47:56-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

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 Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202935692EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1McLeod Physician Associates IIBusinessNameLine1
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 Signed2014-08-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn W Sadoff JrName
PTINP00540589PTIN
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1McLeod Physician AssociatesBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert ColonesNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 E Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode
FieldValueIRS element (for citing)
Gross Receipts99509694GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mcleodhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionPhysician ServicesActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees935TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year26400ContributionsGrantsCurrentYear
Program Service Revenue Prior Year80813396ProgramServiceRevenuePriorYear
Program Service Revenue CY98019270ProgramServiceRevenueCY
Investment Income Prior Year10630InvestmentIncomePriorYear
Investment Income Current Year-235842InvestmentIncomeCurrentYear
Other Revenue Prior Year540746OtherRevenuePriorYear
Other Revenue Current Year1320798OtherRevenueCurrentYear
Total Revenue Prior Year81364772TotalRevenuePriorYear
Total Revenue Current Year99130626TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year69033520SalariesEtcPriorYear
Salaries Etc Current Year89783684SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year25042292OtherExpensePriorYear
Other Expenses Current Year23783682OtherExpensesCurrentYear
Total Expenses Prior Year94075812TotalExpensesPriorYear
Total Expenses Current Year113567366TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12711040RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14436740RevenuesLessExpensesCY
Total Assets BOY15513948TotalAssetsBOY
Total Assets EOY15880831TotalAssetsEOY
Total Liabilities BOY56383624TotalLiabilitiesBOY
Total Liabilities EOY71187247TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-40869676NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-55306416NetAssetsOrFundBalancesEOY
Mission DescriptionMcLeod Physician Associates II 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense103019032Expense
Revenue98019270Revenue
DescriptionMcLeod Physician Associates II's primary goal is to provide physician services to the residents of the Eastern Region of South Carolina and the extreme Southeastern Region of North Carolina.Description
Total Program Service Expense103019032TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
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 Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109669NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees935NumberOfEmployees
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
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code29505ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Ronald L Boring
Chairman1.0039.00X0480775147843
S Fulton Ervin III
Vice-Chairman1.0039.00X0425843121656
Dane P Ficco
CEO36.004.00X036616995165
Michael E Payne
CFO36.004.00X021142474030
John Browning MD
Staff Physician40.000.00868427088439X
J Dale Cannon Jr MD
Staff Physician40.000.00782197088502X
Gary Emerson MD
Staff Physician40.000.00936218081797X
Trevor W Poole MD
Staff Physician40.000.00735952082268X
Charles R Tatum MD
Staff Physician40.000.00880484089661X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4203278TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1484211TotalReportableCompFrmRltdOrgs
Total Other Compensation869361TotalOtherCompensation
Number Individuals GT100 K142NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
University Medical Associates
PO Box 250619CharlestonSC29435Medical Services662083
Moore & Van Allen PLLC
PO Box 22828CharlestonSC294132828Legal Services227724
Dr Nandkishore Raghuram
4501 Chesapeake PlaceAmarilloTX791196471Medical Services204378
Medical Doctor Associates
PO Box 277185AtlantaGA303847185Medical Services176739
Comphealth Associates Inc
PO Box 972625DallasTX75397Medical Services147661
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Related Organizations26400RelatedOrganizations
Total Contributions26400TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Physician Services6211107723846877238468
Subsidy Fees6211102078080220780802
FieldValueIRS element (for citing)
Total Program Service Revenue98019270TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other143226Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other379068Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-235842Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-235842TotalRevenueColumn
Exclusion-$235,842ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther RevenueDescription
Business Code900099BusinessCode
Total Revenue Column1320798TotalRevenueColumn
Exclusion$1,320,798ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1320798TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column99130626TotalRevenueColumn
Related Or Exempt Function Income98019270RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,084,956ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total78457694Total
Program Services74949898ProgramServices
Management And General3507796ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total11325990Total
Program Services10361761ProgramServices
Management And General964229ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2274549Total
Management And General2274549ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total364433Total
Program Services67600ProgramServices
Management And General296833ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total442112Total
Program Services442112ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2952682Total
Program Services2094721ProgramServices
Management And General857961ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total329092Total
Program Services199564ProgramServices
Management And General129528ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6356093Total
Program Services6195612ProgramServices
Management And General160481ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total473942Total
Program Services304875ProgramServices
Management And General169067ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5763218Total
Program Services5102078ProgramServices
Management And General661140ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total248009Total
Program Services149332ProgramServices
Management And General98677ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9995Total
Program Services5949ProgramServices
Management And General4046ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2608878Total
Program Services1218095ProgramServices
Management And General1390783ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1795683Total
Program Services1791473ProgramServices
Management And General4210ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Other Direct Expenses14052711376726760
Licenses and Taxes17110154501660
Contract Labor73596745614

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total113567366Total
Program Services103019032ProgramServices
Management And General10548334ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-384222BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5411679BOY
EOY6536810EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY343866BOY
EOY398802EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1302061BOY
EOY1564130EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19091753LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11710664LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7837512BOY
EOY7381089EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1003052BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15513948BOY
EOY15880831EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6866326BOY
EOY8570543EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY49517298BOY
EOY62616704EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY56383624BOY
EOY71187247EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-40869676BOY
EOY-55306416EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-40869676BOY
EOY-55306416EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15513948BOY
EOY15880831EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-14436740ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32200CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58330CurrentTaxYearMinus2Years
Current Tax Year26400CurrentTaxYear
Total154494Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54758295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57100376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64582300CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80813396CurrentTaxYearMinus1Year
Current Tax Year98019270CurrentTaxYear
Total355273637Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54790495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57137940CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64640630CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80813396CurrentTaxYearMinus1Year
Current Tax Year98045670CurrentTaxYear
Total355428131Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509355428131PublicSupportTotal509

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years384387CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-196590CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-72906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year540746CurrentTaxYearMinus1Year
Current Tax Year1320798CurrentTaxYear
Total1976435Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55174882CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56941350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64567724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year81354142CurrentTaxYearMinus1Year
Current Tax Year99366468CurrentTaxYear
Total357404566Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99450PublicSupportPercentage509
Prior Year Support Percentage0.99750PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part II, Line 12, Explanation of Other Income: Other Income - 2008 Amount: $ 384,387. 2009 Amount: $ -196,590. 2010 Amount: $ -72,906. 2011 Amount: $ 540,746. 2012 Amount: $ 1,320,798.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1349049OtherCostOrOtherBasis
Depreciation206352Depreciation
Book Value1142697BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17742704OtherCostOrOtherBasis
Depreciation11504312Depreciation
Book Value6238392BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7381089TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Retirement Liabilities/Split Dollar Plan$1,137,231
Deferred Income-MPA$1,248,709
Voluntary Auxilary Fund-$74
Inter company Payables$60,230,838
FieldValueIRS element (for citing)
Total Of Amounts62616704TotalOfAmounts

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 Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase 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
Ronald L Boring
Chairman036749301009800123020395000108343062861800
S Fulton Ervin III
Vice-Chairman0350033065625010185022500099156054749900
Dane P Ficco
CEO028455407540706208015000080165046133400
Michael E Payne
CFO017845202915003822018687055343028545400
John Browning MD
Staff Physician86377200046550395000489390956866000
J Dale Cannon Jr MD
Staff Physician77946100027360395000490020870699000
Gary Emerson MD
Staff Physician932948000327003400004779701018015000
Trevor W Poole MD
Staff Physician73405300018990340000482680818220000
Charles R Tatum MD
Staff Physician87389400065900395000501610970145000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 3ReturnReference
ExplanationCEO of Sole Member (McLeod Health) of McLeod Physician Associates is Robert Colones who has compensation determined by all methods listed in Schedule J, Line 3.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6McLeod Physician Associates II has a sole member which is McLeod Health.
Form 990, Part VI, Section A, line 7aThe Board of McLeod Health (sole member) has final authority as needed on the makeup and decision-making of McLeod Physician Associate II's Board.
Form 990, Part VI, Section A, line 7bThe Board of McLeod Health (sole member) has final authority as needed on the makeup and decision-making of McLeod Physician Associate II's Board.
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 (Sole Member of McLeod Physician Associates II) at the May 2014 Board meeting, along with a presentation covering the Form 990 by the preparing firm, Deloitte Tax LLP, to allow for a thorough review by the Sole Member's Board before the filing date of August 15, 2014.
Form 990, Part VI, Section B, line 12cMcLeod Physician Associates II 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.
Form 990, Part VI, Section B, line 15In determining compensation of McLeod Health's (sole member'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 were 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.
Form 990, Part XII, Line 2a:The financial statements of McLeod Health (sole member) were audited on a consolidated basis for the fiscal year ended September 30, 2013.
Form 990, Part III, Line 4a:Nationally recognized for quality, McLeod Health is a not-for-profit regional medical center that is built on the foundation of premier technology, modern facilities, and an unsurpassed dedication to improving the lives of the patients and families it serves. For more than a century, McLeod Health (McLeod) has been the choice for medical excellence for the region. The health system covers a service area of 15 counties, encompassing nearly 11,500 square miles and a population of more than one million. 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. McLeod has been recognized numerous times for its outstanding work in quality care, best practices, and clinically proven outcomes. Healthcare visitors from across the globe visit McLeod to share and observe best practices in quality and safety. These extensive efforts have resulted in the 2010 American Hospital Association - McKesson Quest for Quality Prize, in which McLeod was the first hospital in South Carolina to be presented with this honor since its inception. McLeod Health has also recently celebrated national recognition from Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Healthgrades selected McLeod Regional Medical Center for 23 top honors including the 2014 Distinguished Hospital Award for Clinical Excellence. This distinction places McLeod among the Top 5% of more than 4,500 hospitals nationwide for its clinical performance. Based on quality measurements, McLeod was also listed among Healthgrades' Top 100 hospitals in Cardiac Care and Surgical Care. The hospitals within McLeod include McLeod Regional Medical Center in Florence, McLeod Darlington, McLeod Behavioral Health Center, McLeod Dillon, McLeod Loris, and McLeod Seacoast. The Florence facility is the flagship of McLeod Health. This regional referral center features an accredited Cancer Center and Heart & Vascular Institute, three dedicated open-heart surgery suites as well as Centers of Excellence in Heart, Cancer, Surgery, Neurosurgery, Trauma, Children's and Women's Services as well as its 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. McLeod Health also operates a Health and Fitness Center, Sports Medicine and Outpatient Rehabilitation Center, a Behavioral Health Center, Hospice, and Home Health Services. Most recently, McLeod has invested in the community by opening a Center for Intensive Care and a new Center for Cancer Treatment and Research. The McLeod Foundation also helps financially support specific programs, growth, and projects through philanthropy and grants. Sustaining critical services and offering a personal touch to each patient is accomplished every day by over 650 physicians and 6,200 employees. Currently, McLeod Regional Medical center in Florence has 453 licensed beds, and in total, McLeod Health includes 883 licensed beds for patient care. This level of care, coupled with the diverse number of services provided, allows McLeod to meet the unique and vast array of health care needs in its 15-county service area. As one of the region's largest service organizations, including physicians, nurses, and pharmacists, as well as computer technicians, environmental services workers, therapists, and other medical professionals, McLeod is also the region's largest employer. This money flows into numerous local organizations to help stimulate the region's economy each year. McLeod has prudently built and developed reserves in order to continue to grow as a mission-minded hospital committed to improving the health of people in the region. In terms of surpluses, like any business or family, a hospital must earn more than it spends to be viable and fulfill its mission. McLeod has set aside funds for the future growth needed in healthcare services. These funds are professionally managed and are in accordance with guidelines established by Standard & Poor's Financial Services for a service organization appropriate to McLeod's size and scope. Money from the operating margin is reinvested in the local economy and used for expansion or replacement of equipment, technology and facilities to meet the highest standards of care, quality and safety for patients. Improvements translate to services needed in the community, as well as access to medical care for acutely ill patients and those impacted by the state's most prevalent diseases, many of which are the highest in the nation. McLeod's projects and medical developments are consistent with the needs identified by South Carolina DHEC's State Health Plan. Every year, the McLeod Hospitals serve 150,000 patients in their emergency departments, regardless of a person's ability to pay. McLeod Health hospitals also annually diagnose or treat nearly half a million people as outpatients and care for more than 30,000 ill and surgical inpatients. The hospitals and their Emergency Departments are open 24 hours a day, seven days a week, 365 days a year. McLeod is proactively affiliating with academic institutions to address the community's healthcare needs. McLeod facilitates a Family Medicine Residency Program and sponsors Francis Marion University's bachelor of science nursing degree program as well as Florence-Darlington Technical College's 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. In addition, in the area of cancer research, McLeod is a member of the Southeast Cancer Control Consortium (SCCC), which is comprised of a group of community hospitals in North Carolina, South Carolina, Georgia, Virginia and Tennessee, who offer research protocols to their patients under this National Cancer Institute Sponsored Community Clinical Oncology Program. McLeod offers national state-of-the-art cancer research trials for the prevention and treatment of cancer to eligible patients in the northeastern region of South Carolina. Currently, the research department has more than 100 patients involved in cancer studies and approximately 20 to 25 protocols open that patients can participate in. As nurses are so vital to health care, the Pee Dee 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 Pee Dee 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 year's gifts to 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, support groups, health fairs, health screenings and immunizations, free and discounted medical supplies, research, and financial and in-kind contributions. The community outreach budget allocates approximately $250,000 across the healthcare system to sponsorships and donations to serve in civic, academic and corporate partnerships. In Fiscal Year 2013, McLeod Health provided the region with $135 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, more than $14 Million was contributed in sales tax, approximately $665,000 in Property Taxes, and just under $15 Million in hospital provider taxes to benefit the communities where its employees and patients live and work.Community Benefit Report:
Form 990, Part III, Line 4a:Healthy lifestyle promotion is also a primary focus of McLeod. Health screenings are offered to the community to check for problems with blood pressure, cholesterol, diabetes, breast cancer, skin cancer, osteoporosis, peripheral vascular disease, and stroke. In addition, nearly 100 support groups, classes, health fairs, seminars, screenings and programs are provided free or at a reduced cost to attendees seeking to learn about and deal with many medical issues. McLeod Health also works to support 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 patients with cancer, blood disorders and other illnesses. The McLeod Mobile Mammography Unit makes visits across the region to businesses and industries to reach working women where scheduling the time for a mammogram is an issue. For calendar year 2013, there were 2,461 screening mammograms completed on the Mobile Mammography Unit. Of these, 11 cases of breast cancer were diagnosed. Safe Kids Pee Dee/Coastal, led by McLeod Health, works to reduce the number of unintentional childhood injuries through a multi-faceted approach combining community action, safety events, public awareness, education, and public policy initiatives. Events and awareness programs are held regularly throughout the community, including car seat checks, bicycle rodeos, Safe Sleep classes, Injury Prevention talks, Fire Safety education through school districts, and health fairs. Childbirth preparation classes, Infant/Child CPR, Community Car Seat Safety Checks by Certified Child Passenger Safety Technicians, and SafeSitters sessions are also offered to the community. In addition, a computer located in the McLeod Resource Center is available to the public for Internet access to the most current health information. A spirit of willing and compassionate service to others is evident in the hospital's outreach efforts to the community, day-to-day operations, and long-range planning. The McLeod 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 beyond 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.Community Benefit Report (Continued):

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
McLeod Regional Medical Center of Pee Dee Inc
555 East Cheves StreetFlorenceSC295020551570370242To operate a healthcare systemSCsection 501(c)(3)Line 3: 170(b)(1)(a)N/A0
McLeod Health Foundation
555 East Cheves StreetFlorenceSC295020551570818672To raise money for McLeod EntitiesSCsection 501(c)(3)PF (Private FoundatiN/A0
McLeod Medical Center - Dillon
555 East Cheves StreetFlorenceSC295020551510473471To operate a healthcare systemSCsection 501(c)(3)Line 3: 170(b)(1)(a)N/A0
LorisSeacoast Healthcare Foundation
555 East Cheves StreetFlorenceSC295020551421704953To raise money for McLeod EntitiesSCsection 501(c)(3)PF (Private FoundatiN/A0
McLeod Health
555 East Cheves StreetFlorenceSC295020551510473500To operate a healthcare systemSCsection 501(c)(3)Line 3: 170(b)(1)(a)N/A0
McLeod Loris Seacoast Hospital
555 East Cheves StreetFlorenceSC295020551453576100To operate a community hospitalSCsection 501(c)(3)Line 3: 170(b)(1)(a)N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Partners LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14401 Barclay Down Dr STE 300AddressLine1
CityCharlotteCity
StateNCState
ZIP Code282094670ZIPCode
FieldValueIRS element (for citing)
EIN570812002EIN
Primary ActivityRentalPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
McLeod Physician Associates Inc
555 East Cheves StreetFlorenceSC29501582279897Physician ServicesSCN/AC0
LorisSeacoast Healthcare Foundation
555 East Cheves StreetFlorenceSC295020551421704953To raise money for McLeod EntitiesSCN/AC0
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
Dividends Related Organization0DividendsRelatedOrganization
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 Orgs1PerformOfServicesByOtherOrgs
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

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