2014-08-15T18:47:56-05:00 2013-09-30 861065772 Deloitte Tax LLP 191 Peachtree Street Suite 2000 Atlanta GA 30303 990 2012-10-01 510473471 McLeod Medical Center - Dillon MCLE 8437772256 555 E Cheves Street Florence SC 295020551 S Fulton Ervin III 8437772911 2014-08-15 1 John W Sadoff Jr P00540589 4042201500 2012 2015-11-30 17:44:51Z Robert L Colones 555 E Cheves Street Florence SC 295020551 42106490 0 X www.mcleodhealth.org X 2003 SC Acute Care Hospital 4 0 455 89 0 0 142082 65603 55394347 38842323 3509 33220 753107 3134023 56293045 42075169 0 0 0 0 18898771 19047390 0 0 0 36818587 18679599 55717358 37726989 575687 4348180 29225781 29761431 11116851 7304321 18108930 22457110 Organization 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. 0 0 29077203 38842323 McLeod 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. 29077203 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 57 0 0 455 1 0 0 0 0 0 0 0 0 0 0 1 1 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X Mark W Cameron 8437775304 555 East Cheves Street Florence SC 295010551 Ronald L Boring 4.00 36.00 X X 0 480775 147843 S Fulton Ervin III 4.00 36.00 X X 0 425843 121656 Deborah D Locklair 36.00 4.00 X X 0 215583 67678 Michael J Sutton MD 0.00 40.00 X 0 563508 72520 Nancy Barnes 40.00 0.00 X 154280 0 33743 Timothy Idiaghe MD 40.00 0.00 X 265566 0 81373 James Kubley 40.00 0.00 X 238551 0 65658 Lionel J Rajotte 40.00 0.00 X 205377 0 51777 Emery J Villeneuve 40.00 0.00 X 228253 0 71298 1092027 1685709 713546 13 0 1 0 Emcare Inc 7032 Collection Drive Chicago IL 60693 Physicians 983756 Carolina Sleep Diagnostics 200 W Harrison Street B Dillon SC 29536 Sleep Lab 213825 Design Strategies LLC 1305 Main Street Greenville SC 29601 Architect 168765 Coastal Healthcare Resources PO Box 6467 Florence SC 29501 Physicians 100830 4 65603 65603 Net Patient Revenue 624100 38842323 38842323 38842323 1478 1478 400079 31321 368758 368758 368758 31742 0 31742 31742 31742 Contract Pharmacy 900099 564548 564548 Cafeteria/Vending 722210 252750 252750 Gift Shop 453220 44068 44068 1903899 1903899 2765265 42075169 38842323 0 3167243 X 15056792 13043410 2013382 3990598 3990598 66093 66093 5664513 1824587 3839926 114646 445 114201 4874230 4481594 392636 79446 79446 692353 692353 29619 25373 4246 20389 14672 5717 2319147 2319147 303654 37018 266636 Physician Fees 3155177 3155177 Mgt. & Consulting Fees 299579 56694 242885 1060753 49042 1011711 37726989 29077203 8649786 0 875 5213671 5767610 507748 515223 388652 386655 48127943 26796136 21723459 21331807 1391376 1760136 29225781 29761431 537336 670342 44779 0 10534736 6633979 11116851 7304321 X 18108930 22457110 18108930 22457110 29225781 29761431 4348180 0 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2309327 2309327 29392858 13201274 16191584 16414075 12968150 3445925 11683 626712 -615029 21331807 Intercompany 1760136 1760136 Intercompany 2474633 Third Party Payors Reserve 2171029 Wages and Benefits Payable 1275634 Deferred Inc-Incentive Pmts 712683 6633979 1 1 X 1 X 1 X 1 1 0 1 1 4970153 2001348 2968805 0.07860 15017995 8421278 6596717 0.17490 19988148 10422626 9565522 0.25350 149024 149024 0.00400 21640 21640 0.00060 134506 134506 0.00350 305170 305170 0.00810 20293318 10422626 9870692 0.26160 800 800 0.00000 2625 2625 0.00010 32000 32000 0.00080 3324 3324 0.00010 7200 7200 0.00020 68280 68280 0.00180 70401 70401 0.00190 184630 184630 0.00490 0 6455964 455150 9845528 7703414 2142114 X 1 1 1 1 McLeod Medical Center - Dillon

301 East Jackson Street Dillon SC 29536

www.mcleodhealth.org X X X McLeod Medical Center - Dillon 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X X 0 0 1 1 200.000000000000 1 300.000000000000 1 X 0 1 X 1 0 1 X 0 0 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. McLeod Medical Center - Dillon 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 Cunningham McLeod 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. 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. Reports Filed With States Part VI, Line 7 SC Community Benefit Report: Part VI, Line 5: 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 Flore X X X X X 0 0 0 0 0 0 0 0 0 Ronald L Boring 0 367493 0 100980 0 12302 0 39500 0 108343 0 628618 0 0 S Fulton Ervin III 0 350033 0 65625 0 10185 0 22500 0 99156 0 547499 0 0 Deborah D Locklair 0 169160 0 42555 0 3868 0 22500 0 45178 0 283261 0 0 Michael J Sutton MD 0 553848 0 0 0 9660 0 31700 0 40820 0 636028 0 0 Nancy Barnes 152223 0 0 0 2057 0 5042 0 28701 0 188023 0 0 0 Timothy Idiaghe MD 262997 0 0 0 2569 0 33553 0 47820 0 346939 0 0 0 James Kubley 229935 0 0 0 8616 0 17565 0 48093 0 304209 0 0 0 Lionel J Rajotte 202122 0 0 0 3255 0 22500 0 29277 0 257154 0 0 0 Emery J Villeneuve 216932 0 0 0 11321 0 22255 0 49043 0 299551 0 0 0 Form 990, Part VI, Section A, line 6 McLeod Medical Center-Dillon has a sole member which is McLeod Health. Form 990, Part VI, Section A, line 7a The 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 7b The 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 11 The 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 12c McLeod 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 15 In 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 19 Governing documents, conflict of interest policy, and financial statements are available to the public upon request. Other Fees Form 990, Part IX, line 11g Contract 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. Form 990, part XII, line 2a & 2b The 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. Medical Regional Medical Center of the Pee Dee Inc 555 E Cheves Street Florence SC 29502 570370242 To operate a hospital SC section 501(c)(3) Line 3 N/A 0 McLeod Health Foundation 555 E Cheves Street Florence SC 29502 570818672 To raise money for McLeod entities SC section 501(c)(3) Line 11a N/A 0 McLeod Physician Associates II 555 E Cheves Street Florence SC 29502 202935692 Physician Services SC section 501(c)(3) Line 3 N/A 0 McLeod Health 555 E Cheves Street Florence SC 29502 510473500 To operate a healthcare system SC section 501(c)(3) Line 3 N/A 0 McLeod Loris Seacoast Hospital 555 E Cheves Street Florence SC 29502 453576100 To operate a community hospital SC section 501(c)(3) Line 3 N/A 0 LorisSeacoast Healthcare Foundation 555 E Cheves Street Florence SC 29502 421704953 To raise money for McLeod entities SC section 501(c)(3) Line 11a N/A 0 McLeod Medical Partners LLC 555 E Cheves Street Florence SC 29502 570812002 Rental SC N/A McLeod Physician Associates Inc 555 E Cheves Street Florence SC 29502 582279897 Physician Services SC N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0