MCLEOD MEDICAL CENTER DILLON: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MCLEOD MEDICAL CENTER DILLON (EIN 51-0473471)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201442279349305119
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)
EIN510473471EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Center - DillonBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMCLENameControl
Phone8437772256Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 E Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameS Fulton Ervin IIIName
TitleSr VP/CFOTitle
Phone8437772911Phone
Date 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

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 E Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42106490GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mcleodhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionAcute Care HospitalActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees455TotalNbrEmployees
Total Nbr Volunteers89TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year142082ContributionsGrantsPriorYear
Contributions Grants Current Year65603ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55394347ProgramServiceRevenuePriorYear
Program Service Revenue CY38842323ProgramServiceRevenueCY
Investment Income Prior Year3509InvestmentIncomePriorYear
Investment Income Current Year33220InvestmentIncomeCurrentYear
Other Revenue Prior Year753107OtherRevenuePriorYear
Other Revenue Current Year3134023OtherRevenueCurrentYear
Total Revenue Prior Year56293045TotalRevenuePriorYear
Total Revenue Current Year42075169TotalRevenueCurrentYear
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 Year18898771SalariesEtcPriorYear
Salaries Etc Current Year19047390SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year36818587OtherExpensePriorYear
Other Expenses Current Year18679599OtherExpensesCurrentYear
Total Expenses Prior Year55717358TotalExpensesPriorYear
Total Expenses Current Year37726989TotalExpensesCurrentYear
Revenues Less Expenses Prior Year575687RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4348180RevenuesLessExpensesCY
Total Assets BOY29225781TotalAssetsBOY
Total Assets EOY29761431TotalAssetsEOY
Total Liabilities BOY11116851TotalLiabilitiesBOY
Total Liabilities EOY7304321TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18108930NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22457110NetAssetsOrFundBalancesEOY
Mission DescriptionOrganization is part of the McLeod Health system. The mission of McLeod Health is to improve the overall health and well being of people living within SC and Eastern NC by providing excellence in healthcare.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29077203Expense
Revenue38842323Revenue
DescriptionMcLeod Medical Center-Dillon is a 79-bed Community Hospital located in Dillon, South Carolina. McLeod Medical Center-Dillon operates as part of the overall McLeod Health System. See also the community benefit report for McLeod Health at Schedule H.Description
Total Program Service Expense29077203TotalProgramServiceExpense
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 Assets1ReportOtherAssets
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
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
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 With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees455NumberOfEmployees
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 Procedure0WrittenPolicyOrProcedure
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 Code295010551ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Ronald L Boring
COO of Related Org4.0036.00XX0480775147843
S Fulton Ervin III
CFO of Related Org4.0036.00XX0425843121656
Deborah D Locklair
VP of Related Org36.004.00XX021558367678
Michael J Sutton MD
Chf of Staff/MD Rel Org0.0040.00X056350872520
Nancy Barnes
AVP Patient Services40.000.00154280033743X
Timothy Idiaghe MD
Staff Physician40.000.00265566081373X
James Kubley
Staff Physician40.000.00238551065658X
Lionel J Rajotte
Anesthetist40.000.00205377051777X
Emery J Villeneuve
Anesthetist40.000.00228253071298X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1092027TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1685709TotalReportableCompFrmRltdOrgs
Total Other Compensation713546TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Emcare Inc
7032 Collection DriveChicagoIL60693Physicians983756
Carolina Sleep Diagnostics
200 W Harrison Street BDillonSC29536Sleep Lab213825
Design Strategies LLC
1305 Main StreetGreenvilleSC29601Architect168765
Coastal Healthcare Resources
PO Box 6467FlorenceSC29501Physicians100830
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations65603RelatedOrganizations
Total Contributions65603TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient RevenueDescription
Business Code624100BusinessCode
Total Revenue Column38842323TotalRevenueColumn
Related Or Exempt Function Income38842323RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue38842323TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1478TotalRevenueColumn
Exclusion$1,478ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real400079Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real31321Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real368758Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column368758TotalRevenueColumn
Exclusion$368,758ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other31742Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other31742Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column31742TotalRevenueColumn
Exclusion$31,742ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Contract Pharmacy900099564548$564,548
Cafeteria/Vending722210252750$252,750
Gift Shop45322044068$44,068

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1903899TotalRevenueColumn
Exclusion$1,903,899ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2765265TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42075169TotalRevenueColumn
Related Or Exempt Function Income38842323RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,167,243ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15056792Total
Program Services13043410ProgramServices
Management And General2013382ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3990598Total
Program Services3990598ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66093Total
Management And General66093ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5664513Total
Program Services1824587ProgramServices
Management And General3839926ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total114646Total
Program Services445ProgramServices
Management And General114201ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4874230Total
Program Services4481594ProgramServices
Management And General392636ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total79446Total
Program Services79446ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total692353Total
Management And General692353ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total29619Total
Program Services25373ProgramServices
Management And General4246ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20389Total
Program Services14672ProgramServices
Management And General5717ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2319147Total
Program Services2319147ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total303654Total
Program Services37018ProgramServices
Management And General266636ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Physician Fees31551773155177
Mgt. & Consulting Fees29957956694242885

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1060753Total
Program Services49042ProgramServices
Management And General1011711ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37726989Total
Program Services29077203ProgramServices
Management And General8649786ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY875BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5213671BOY
EOY5767610EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY507748BOY
EOY515223EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY388652BOY
EOY386655EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48127943LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec26796136LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21723459BOY
EOY21331807EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1391376BOY
EOY1760136EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29225781BOY
EOY29761431EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY537336BOY
EOY670342EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY44779BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10534736BOY
EOY6633979EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11116851BOY
EOY7304321EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18108930BOY
EOY22457110EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18108930BOY
EOY22457110EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29225781BOY
EOY29761431EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4348180ReconcilationRevenueExpenses
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 Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2309327OtherCostOrOtherBasis
Book Value2309327BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis29392858OtherCostOrOtherBasis
Depreciation13201274Depreciation
Book Value16191584BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16414075OtherCostOrOtherBasis
Depreciation12968150Depreciation
Book Value3445925BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11683OtherCostOrOtherBasis
Depreciation626712Depreciation
Book Value-615029BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings21331807TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionIntercompanyDescription
Book Value1760136BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1760136TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Intercompany$2,474,633
Third Party Payors Reserve$2,171,029
Wages and Benefits Payable$1,275,634
Deferred Inc-Incentive Pmts$712,683
FieldValueIRS element (for citing)
Total Of Amounts6633979TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4970153TotalCommunityBenefitExpense
Direct Offsetting Revenue2001348DirectOffsettingRevenue
Net Community Benefit Expense2968805NetCommunityBenefitExpense
Percent Of Total Expense0.07860PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense15017995TotalCommunityBenefitExpense
Direct Offsetting Revenue8421278DirectOffsettingRevenue
Net Community Benefit Expense6596717NetCommunityBenefitExpense
Percent Of Total Expense0.17490PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense19988148TotalCommunityBenefitExpense
Direct Offsetting Revenue10422626DirectOffsettingRevenue
Net Community Benefit Expense9565522NetCommunityBenefitExpense
Percent Of Total Expense0.25350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense149024TotalCommunityBenefitExpense
Net Community Benefit Expense149024NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense21640TotalCommunityBenefitExpense
Net Community Benefit Expense21640NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense134506TotalCommunityBenefitExpense
Net Community Benefit Expense134506NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense305170TotalCommunityBenefitExpense
Net Community Benefit Expense305170NetCommunityBenefitExpense
Percent Of Total Expense0.00810PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20293318TotalCommunityBenefitExpense
Direct Offsetting Revenue10422626DirectOffsettingRevenue
Net Community Benefit Expense9870692NetCommunityBenefitExpense
Percent Of Total Expense0.26160PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense800TotalCommunityBuildingExpense
Net Community Building Expense800NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense2625TotalCommunityBuildingExpense
Net Community Building Expense2625NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense32000TotalCommunityBuildingExpense
Net Community Building Expense32000NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense3324TotalCommunityBuildingExpense
Net Community Building Expense3324NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense7200TotalCommunityBuildingExpense
Net Community Building Expense7200NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense68280TotalCommunityBuildingExpense
Net Community Building Expense68280NetCommunityBuildingExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense70401TotalCommunityBuildingExpense
Net Community Building Expense70401NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense184630TotalCommunityBuildingExpense
Net Community Building Expense184630NetCommunityBuildingExpense
Percent Of Total Expense0.00490PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,455,964BadDebtExpenseAmount
Amount Attributable To455150AmountAttributableTo
Amount Reimbursed By Medicare9845528AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7703414CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2142114MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Center - DillonBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1301 East Jackson StreetAddressLine1
CityDillonCity
StateSCState
ZIP Code29536ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.mcleodhealth.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1McLeod Medical Center - DillonBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part II: The main example of a Community-Building activity performed by McLeod Medical Center-Dillon in Fiscal Year 2013 was that there was a Disaster Coordinator that helped Dillon County for a few hours per week with Emergency Planning. He worked with the school systems and all public safety within the county to aid in emergency preparedness work. Also, the McLeod Health organization financially participates each year in the nursing program at two local higher education schools, Francis Marion University and Florence-Darlington Technical College, to help maintain and expand their nursing programs. These two programs are the cornerstone for recruiting, retention, and cultivation of exceptional nurses by the McLeod Health facilities including McLeod Medical Center-Dillon as well as other health care providers in the region.Part III, line 4: Net Patient Revenues are reported at the estimated net realizable amount received, or to be received, from patients, third party payors, 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).
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.
Part V, Section B, Line 3: Significant Health Challenges and Key Health Needs:A written survey was distributed to community members in Dillon County. As shown in the below graph, responders reported heart disease, diabetes and obesity as the top health issues in the county.A majority of responders cite that more specialists and better transportation are services needed in the county. Likewise, the most common theme among responders when asked about ways to improve the health of the county was adequate transportation. Healthy diet and exercise were the next most common responses, followed by regular visits to a physician. Significant Health Challenges Identified:-Heart Disease and Diabetes-Sedentary Lifestyle-Transportation-Specialist Care Top Priorities and Key Health Needs:Community leaders and service organizations that serve Dillon County with special knowledge and expertise of public health were interviewed to obtain various perspectives of the county's health needs. Information was solicited from 16 local agencies and service providers. Residents learn about the services provided by these agencies by word of mouth, news/local media, advertising, community leaders, and public education and a majority serve a wide variety of ages and races.The top priority cited by responders was the need for a healthier lifestyle of residents, including healthy eating and physical activity. In addition to a lack of community wellness, responders recognized (1) transportation / lack of access to health care and services and (2) lack of knowledge of services available as challenges in the county. A majority of responders believe community needs are being addressed to the extent in which funding and resources are available. "Another silent barrier is the sense of fatalism in much of the population. Many have resigned themselves to poor health outcomes and premature mortality as just the way it is," commented one key health care provider.Key Health Needs Identified:-Coordinated, community-wide effort focused on healthy lifestyles-Education on public services available -Preventative interventions-Access to health services, including transportation and insurance coveragePhysicians that provide care in Dillon County and have special knowledge and health care expertise were also interviewed about the county's health needs. Information was solicited from primary care physicians through a focus group and one emergency department physician in a one on one interview. These health care providers identified the most frequent health problems treated as: obesity (including diabetes, hypertension as a result of obesity), substance abuse, diabetes and heart disease (including Coronary Artery Disease, Heart Failure, and Hypertension).The greatest and chronic health needs in Dillon were identified by the physicians as: the need for healthy lifestyle and education, health promoting activities, diet, diabetes, and heart disease.When asked about the greatest contributors to those identified health issues, the physicians reported:-Lack of healthy places (example: there are a lot of fast food restaurants in Dillon)-Lack of safe and healthy activities-Poor Dietary choices-Socio-economic status-Access to Care-Lack of education (health and general education)-Health disparities among socio-economic groups - particularly among the African American communityThe providers suggested that greater health education and training to targeted high risk groups would make an impact.Community Leaders & Representatives:1) CareSouth CarolinaTodd Shifflet - Director of Community Development Through his role at CareSouth, a federally-supported Community Health Center, Todd Shifflet has special knowledge of the public health needs of low-income and underserved patients. 2) Dillon County DHECSuzette McClellan, MPH, MCHES - Community Systems DirectorSuzette McClellan has expertise with the public health needs of Dillon residents, including low-income and underserved patients.3) Dillon County Chamber of CommerceJohnnie Luehrs - CEO/PresidentAn executive representing Dillon County, Johnnie Luehrs has knowledge of the population she represents.4) Dillon County United Way Johnnie Luehrs - Co-Director The United Way of Dillon County works to improve the lives of residents, including low-income and underserved patients. As co-director, Johnnie Luehrsunderstands the biggest human services problems in Dillon County.5) Dillon County Free Medical ClinicErnie Barrantine - Board ChairmanThrough his role, Ernie Barrantine has special knowledge of the public health needs of low-income and underserved patients.6) Trinity Behavioral Care Donny Brock - Executive DirectorServing in the field of addiction treatment, Donny Brock has special knowledge of the needs of the underserved and at risk population.7) March of DimesColeen Sweatt - Community Director and Breana N. Lipscomb, MPH - Director of Program Services & Government AffairsColeen Sweatt and Breana Lipscomb serves as a representative of community members with pre-term, one of the indicators of opportunity in the county.8) Healthy Learners of Dillon CountyDee Newell, RN CoordinatorHealthy Learners helps remove barriers to learning for children in the county. Vision, hearing, counseling, medications and episodic needs for students in Dillon School Districts 3 and 4 are coordinated and transportation is provided through this program. Costs are covered that the family cannot pay or is service that is not covered by insurance or Medicaid. Dee Newell has special knowledge of the health needs of children in the county, including those low-income and underserved patients. 9) City of Dillon Fire DepartmentKeith Bailey - Fire ChiefServing Dillon County, Keith Bailey serves as a representative of the families served in the county.Community Physicians Involved:Serving patients in Dillon County gives each medical expert special knowledge of the medical and public health needs of residents in Dillon. Emergency Department physicians also have special health knowledge of the public health needs of low-income and underserved patients.1) Dillon Family MedicineDr. Michael Brown Dr. Timothy FitzgibbonDr. Paul Freel Dr. Dennis Jensen Dr. Robin Shealy 2) McLeod Dillon Emergency DepartmentDr. Kievers CunninghamMcLeod Medical Center - Dillon
Part V, Section B, Line 7: There has not been adequate time or resources to address all the needs at this time, however, many projects are still ongoing due to the CHNA only being finalized near end of Fiscal Year 2013.McLeod Medical Center - Dillon
Part VI, Line 4: McLeod Medical Center - Dillon (MMC-D), together with its related organizations McLeod Regional Medical Center of the Pee Dee, Inc., McLeod Loris Seacoast Hospital, and McLeod Physician Associates II considers its primary service area (PSA) as the South Carolina counties of Florence, Darlington, Chesterfield, Dillon, Horry, Marion, and Marlboro, and its secondary service area (SSA) as the South Carolina counties of Clarendon, Georgetown, Lee, Sumter, and Williamsburg. These twelve counties make up the northeastern portion of South Carolina. MMC-D has the great majority of its discharges from the County of Dillon.
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 453-bed tertiary care facility and a 40-bed neonatal intensive care unit; -McLeod Medical Center-Darlington, a 49-bed community hospital located in Darlington, South Carolina;-McLeod Behavioral Health, a 23-bed psychiatric facility located on the campus of McLeod Medical Center-Darlington;-McLeod Home Care, which consists of McLeod Home Health, a five-county home healthcare organization with offices in Florence, South Carolina, and McLeod Hospice House, a 12-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 Ambulatory 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 (MLSH) is the newest entity in McLeod Health, joining in January 2012, and consists of the following divisions: -McLeod Loris, a 105-bed community hospital located in Loris, South Carolina. -McLeod Seacoast, a 50-bed community hospital located in Little River, South Carolina. -Loris Extended Care Center, a long-term care facility located in Loris, South Carolina.Loris Seacoast Healthcare Foundation: Loris Seacoast Healthcare Foundation solicits funds for facilities, research, and general support of MLSH. 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 100 employed physicians providing primary and specialty care services through over 50 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 Board" or the "Board"). Currently, there are 26 members of the Foundation's governing body. At least one member of the Foundation's governing body must be a member of the McLeod Health Board.McLeod Medical Partners, LLC: McLeod Medical Partners, LLC is a for-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.
SCReports Filed With StatesPart VI, Line 7
2. McLeod Medical Center- Dillon has a Community Advisory Board consisting of physicians and influential leaders in the community. It meets quarterly to assess the health care needs of the community. Additionally, McLeod Medical Center-Dillon along with the rest of the McLeod Health system is actively involved in agencies like United Way, American Heart Association, American Cancer Society, Children's Miracle Network to further stay on the pulse of the health needs of the community.3. Uninsured patients are screened at the time of registration for their ability to pay for their health care 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.With a strong history in the Dillon community since 1943, McLeod Dillon has continued to grow and expand to serve residents of Dillon (SC) and Robeson (NC) counties with excellence in patient care. The Joint Commission accredited medical center employs 350 and has the strength of 100 physicians on its medical staff. McLeod Dillon offers general and orthopedic surgery, women's services, emergency services, intensive care, rehabilitative services and cardiac rehabilitation. Investments in state of the art technology to improve patient care have included Open MRI, digital mammography, 4D ultrasounds, vascular studies, CT Scans and Nuclear Studies.McLeod Dillon is a 79-bed community hospital in Dillon, SC, and serves as the primary healthcare provider in one of the more economically-challenged counties in South Carolina. McLeod Dillon primarily serves Dillon County which has a population of approximately 32,000. Dillon 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 of $15,800 has lagged both the U.S. and South Carolina averages, and it has 25% of its population living below the poverty level, much higher than the national average of 9.9%. Both the unemployment rate and the percentage of the population that has not received a high school diploma is significantly higher than the state average. In Dillon County, the number of uninsured under 65 years of age has reached as high as 22%.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 FloreCommunity Benefit Report:Part VI, Line 5:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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
COO of Related Org036749301009800123020395000108343062861800
S Fulton Ervin III
CFO of Related Org0350033065625010185022500099156054749900
Deborah D Locklair
VP of Related Org016916004255503868022500045178028326100
Michael J Sutton MD
Chf of Staff/MD Rel Org05538480009660031700040820063602800
Nancy Barnes
AVP Patient Services1522230002057050420287010188023000
Timothy Idiaghe MD
Staff Physician26299700025690335530478200346939000
James Kubley
Staff Physician22993500086160175650480930304209000
Lionel J Rajotte
Anesthetist20212200032550225000292770257154000
Emery J Villeneuve
Anesthetist216932000113210222550490430299551000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6McLeod Medical Center-Dillon 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 Medical Center-Dillon'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 Medical Center-Dillon'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 Medical Center- Dillon) at the May 2014 Board meeting, along with a presentation covering the Form 990 by the preparing firm, Deloitte Tax, 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 Medical Center - Dillon 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 posers 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. Yes, each Board Member signs a Conflict of Interest statement each year.
Form 990, Part VI, Section B, line 15In determining compensation of McLeod Medical Center - Dillon's top management official, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The compensation committee reviewed and approved in the compensation. In the review of compensation, the top management official was compared to other similarly situated organizations and positions. During the review and approval of the compensation, documentation of the decision was recorded in the Board minutes. Individuals were not present when their compensation was determined.
Form 990, Part VI, Section C, line 19Governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part IX, line 11gContract Labor/Contractual outside/Maint Contract: Program service expenses 1,297,653. Management and general expenses 579,576. Fundraising expenses 0. Total expenses 1,877,229. Management Fees: Program service expenses 0. Management and general expenses 2,839,428. Fundraising expenses 0. Total expenses 2,839,428. Other Fees for Service: Program service expenses 526,934. Management and general expenses 420,922. Fundraising expenses 0. Total expenses 947,856.Other Fees
Form 990, part XII, line 2a & 2bThe financial statements of McLeod Health (sole member of McLeod Medical Center- Dillon) were audited on a consolidated basis for the fiscal year ended September 30, 2013.

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
Medical Regional Medical Center of the Pee Dee Inc
555 E Cheves StreetFlorenceSC29502570370242To operate a hospitalSCsection 501(c)(3)Line 3N/A0
McLeod Health Foundation
555 E Cheves StreetFlorenceSC29502570818672To raise money for McLeod entitiesSCsection 501(c)(3)Line 11aN/A0
McLeod Physician Associates II
555 E Cheves StreetFlorenceSC29502202935692Physician ServicesSCsection 501(c)(3)Line 3N/A0
McLeod Health
555 E Cheves StreetFlorenceSC29502510473500To operate a healthcare systemSCsection 501(c)(3)Line 3N/A0
McLeod Loris Seacoast Hospital
555 E Cheves StreetFlorenceSC29502453576100To operate a community hospitalSCsection 501(c)(3)Line 3N/A0
LorisSeacoast Healthcare Foundation
555 E Cheves StreetFlorenceSC29502421704953To raise money for McLeod entitiesSCsection 501(c)(3)Line 11aN/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 Line1555 E Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code29502ZIPCode
FieldValueIRS element (for citing)
EIN570812002EIN
Primary ActivityRentalPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 E Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code29502ZIPCode
FieldValueIRS element (for citing)
EIN582279897EIN
Primary ActivityPhysician ServicesPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
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 Org1GiftGrantOrCapContrFrOtherOrg
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 Orgs0PerformOfServicesForOtherOrgs
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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