MCLEOD PHYSICIAN ASSOCIATES II: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MCLEOD PHYSICIAN ASSOCIATES II (EIN 20-2935692)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201322259349300842
Schema version
2011v1.5
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)
Timestamp2013-08-13T13:57:25-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202935692EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1McLeod Physician Associates IIBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMCLENameControl
Phone8437772256Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameS FULTON ERVIN IIIName
TitleSr VP/CFOTitle
Phone8437772911Phone
Date Signed2013-08-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn W Sadoff JrName
PTINP00540589PTIN
Phone4042201500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1555 E Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code295020551ZIPCode
FieldValueIRS element (for citing)
Gross Receipts81364903GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mcleodhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionPhysician ServicesActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees646TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year58330ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year64582300ProgramServiceRevenuePriorYear
Program Service Revenue CY80813396ProgramServiceRevenueCY
Investment Income Prior Year-21374InvestmentIncomePriorYear
Investment Income Current Year10630InvestmentIncomeCurrentYear
Other Revenue Prior Year-72906OtherRevenuePriorYear
Other Revenue Current Year540746OtherRevenueCurrentYear
Total Revenue Prior Year64546350TotalRevenuePriorYear
Total Revenue Current Year81364772TotalRevenueCurrentYear
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 Year53564058SalariesEtcPriorYear
Salaries Etc Current Year69033520SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19659433OtherExpensePriorYear
Other Expenses Current Year25042292OtherExpensesCurrentYear
Total Expenses Prior Year73223491TotalExpensesPriorYear
Total Expenses Current Year94075812TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8677141RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-12711040RevenuesLessExpensesCY
Total Assets BOY12065445TotalAssetsBOY
Total Assets EOY15513948TotalAssetsEOY
Total Liabilities BOY36044376TotalLiabilitiesBOY
Total Liabilities EOY56383624TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-23978931NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-40869676NetAssetsOrFundBalancesEOY
Mission DescriptionMcLeod Physician Associates II operates as part of the McLeod Health system. The Mission of McLeod Health is to improve the overall health and well being of people living within South Carolina and eastern North Carolina by providing excellence in health care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense90221137Expense
Revenue80813396Revenue
DescriptionMcLeod Physician Associates II's primary goal is to provide physician services to the residents of the Eastern Region of South Carolina and the extreme Southeastern Region of North Carolina.Description
Total Program Service Expense90221137TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees646NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed1Form8899Filed
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mark W CameronBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8437775304TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1555 East Cheves StreetAddressLine1
CityFlorenceCity
StateSCState
ZIP Code29505ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Robert L Colones
CEO of Related Org40.00XX064151696351
S Fulton Ervin III
CFO of Related Org40.00XX0394573116174
Michael E Payne
VP of Related Org40.00XX019045869431
Dane P Ficco
VP of Related Org40.00XX032570791676
Ronald L Boring
Chairman/VP of Related Org40.00XX0361601125001
J Dale Cannon Jr MD
Staff Physician40.00831211082472X
Charles R Tatum MD
Staff Physician40.00761897082556X
Fred W Holland MD
Staff Physician40.00760412046096X
Christopher G Cunningham MD
Staff Physician40.00701077086565X
Kyle E Watford MD
Staff Physician40.00705398050962X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3759995TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1913855TotalReportableCompFrmRltdOrgs
Total Other Compensation847284TotalOtherCompensation
Number Individuals GT100 K102NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
University Medical Associates
PO Box 250619CharlestonSC29435Medical Services641667
Carolina Health Care PA of Florence
PO Box 1905FlorenceSC29503Medical Services226497
Dr Nandkishore Raghuram
4501 Chesapeake PlaceAmarilloTX791196471Medical Services185590
Moore & Van Allen PLLC
PO Box 22828CharlestonSC294132828Legal Services173575
Tuomey Healthcare System
PO Box 7963ColumbiaSC292027963Building Rent106867
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Physician Services6211106344968863449688
Subsidy Fees6211101736370817363708
FieldValueIRS element (for citing)
Total Program Service Revenue80813396TotalProgramServiceRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other10761Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other131Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other10630Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10630TotalRevenueColumn
Exclusion$10,630ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther RevenueDescription
Business Code900099BusinessCode
Total Revenue Column540746TotalRevenueColumn
Exclusion$540,746ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue540746TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column81364772TotalRevenueColumn
Related Or Exempt Function Income80813396RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$551,376ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total60529964Total
Program Services59694651ProgramServices
Management And General835313ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total333317Total
Program Services315351ProgramServices
Management And General17966ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6025266Total
Program Services5902953ProgramServices
Management And General122313ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2144973Total
Program Services2085343ProgramServices
Management And General59630ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2038535Total
Management And General2038535ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total239381Total
Program Services12089ProgramServices
Management And General227292ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total778048Total
Program Services756729ProgramServices
Management And General21319ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total313641Total
Program Services142895ProgramServices
Management And General170746ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7871979Total
Program Services7758394ProgramServices
Management And General113585ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total378504Total
Program Services376195ProgramServices
Management And General2309ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4649272Total
Program Services4467485ProgramServices
Management And General181787ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total216417Total
Program Services190772ProgramServices
Management And General25645ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24453Total
Program Services23604ProgramServices
Management And General849ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1651685Total
Program Services1620303ProgramServices
Management And General31382ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1625105Total
Program Services1621367ProgramServices
Management And General3738ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt52140695214069
Licenses and Taxes21440191742266
Contract Labor1357713577

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6186Total
Program Services6186ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total94075812Total
Program Services90221137ProgramServices
Management And General3854675ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-357976BOY
EOY-384222EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5743973BOY
EOY5411679EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY409885BOY
EOY343866EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY902630BOY
EOY1302061EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17328694LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9491182LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4329537BOY
EOY7837512EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1037396BOY
EOY1003052EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12065445BOY
EOY15513948EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5439093BOY
EOY6866326EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30605283BOY
EOY49517298EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36044376BOY
EOY56383624EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-23978931BOY
EOY-40869676EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-23978931BOY
EOY-40869676EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12065445BOY
EOY15513948EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-12711040ReconcilationRevenueExpenses
Reconcilation Other Changes-4179705ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis638892OtherCostOrOtherBasis
Depreciation132555Depreciation
Book Value506337BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16689802OtherCostOrOtherBasis
Depreciation9358627Depreciation
Book Value7331175BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7837512TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Other Receivables305086
CSV-Life Insurance697966
FieldValueIRS element (for citing)
Total Book Value Other Assets1003052TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Retirement Liabilities/Split Dollar Plan$2,120,116
Intercompany$47,397,182
FieldValueIRS element (for citing)
Total Of Amounts49517298TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base 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
Robert L Colones
058315505000008361031200065151073786700
S Fulton Ervin III
032161306582007140022000094174051074700
Michael E Payne
017406901264903740016831052600025988900
Dane P Ficco
026838405140705916014700076976041738300
Ronald L Boring
030510004884007661038500086501048660200
J Dale Cannon Jr MD
82883500023760346120478600913683000
Charles R Tatum MD
75514700067500385000440560844453000
Fred W Holland MD
7571720003240000460960806508000
Christopher G Cunningham MD
69387100072060385000480650787642000
Kyle E Watford MD
7020010003397049000460620756360000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6McLeod Physician Associates II has a sole member which is McLeod Health.
Form 990, Part VI, Section A, line 7aThe Board of McLeod Health (sole member) has final authority as needed on the makeup and decision-making of McLeod Physician Associate II's Board.
Form 990, Part VI, Section A, line 7bThe Board of McLeod Health (sole member) has final authority as needed on the makeup and decision-making of McLeod Physician Associates II's Board.
Form 990, Part VI, Section B, line 11The process the organization uses to review the Form 990 consists of providing copies of the Form 990 to the Board of Trustees of McLeod Health (Sole Member of McLeod Physician Associates II) at the June 2013 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, 2013.
Form 990, Part VI, Section B, line 12cMcLeod Physician Associates II regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining compensation of McLeod Health's (sole member's) CEO and the other officers and key employees, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The governance committee reviewed and approved the CEO's compensation. In the review of compensation, the CEO, other officers, and other key employees were compared to other similarly situated organizations and positions. Individuals were not present when their compensation was determined.
Form 990, Part VI, Section C, line 19Governing documents, conflict of interest policy, and financial statements are available to the public upon request.
Form 990, Part VII:Robert L. Colones' compensation is paid by McLeod Health, a related organization of McLeod Physician Associates II. The compensation he receives is for his role as CEO of McLeod Health and not for his role as a Board Member, an uncompensated role, of McLeod Physician Associates II. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. S. Fulton Ervin, III's compensation is paid by McLeod Health, a related organization of McLeod Physician Associates II. The compensation he receives is for his role as CFO at McLeod Health and not for his role as a Board Member, an uncompensated role, of McLeod Physician Associates II. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Michael Payne's compensation is paid by McLeod Health, a related organization of McLeod Physician Associates II. The compensation he receives is for his role as a Vice President at McLeod Health and not for his role as a Board Member, an uncompensated role, of McLeod Physician Associates II. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Dane P. Ficco's compensation is paid by McLeod Health, a related organization of McLeod Physician Associates II. The compensation he receives is for his role as a Vice President at McLeod Health and not for his role as a Board Member, an uncompensated role, of McLeod Physician Associates II. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week. Ronald L. Boring's compensation is paid by McLeod Health, a related organization of McLeod Physician Associates II. The compensation he receives is for his role as COO of McLeod Health, and not for his role as a Board Member, an uncompensated role, of McLeod Physician Associates II. Hours worked are not tracked on an entity by entity basis. Therefore, all hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week.Avg hours devoted to related org(s) when related comp is reported:
Form 990, Part XI, line 5:Net unrealized losses on investments: -4179705.Changes in Net Assets or Fund Balances:
Form 990, Part III, Line 4a:Nationally recognized for quality, McLeod Health is a not-for-profit regional medical center that is built on the foundation of premier technology, modern facilities, and an unsurpassed dedication to improving the health of the community it serves. The service area covers a 15 county area encompassing nearly 11,500 square miles and a population of more than one million. Since 1906, McLeod Health has been the choice for medical excellence for the communities it has impacted. The hospitals within McLeod include McLeod Regional Medical Center in Florence, McLeod Darlington, McLeod Behavioral Health Center, McLeod Dillon, and, as of January 2012, 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, and the Center for Advanced Surgery. Additionally, McLeod provides Home Health Services, Hospice, Diabetes Services, state of the art radiology, Health and Fitness, Physical and Cardiac Rehab programs and more. Most recently, McLeod has invested in the community by building a Center for Intensive Care and a new Cancer Center building. The McLeod Foundation also helps financially support specific programs, growth and projects, through philanthropy and grants. McLeod Health strives to recruit and retain employees that have proven their dedication and loyalty to serving others. Recruitment and retention of dedicated employees demonstrates a loyalty to the healthcare environment. Sustaining critical services and adding an additional personal touch to each patient is accomplished every day by 750 physicians and 6,300 employees. Currently, McLeod Regional Medical center in Florence has nearly 500 beds, and in total, McLeod Health includes 883 licensed beds for patient care. These, coupled with the diverse number of services provided, allow McLeod to meet the unique and vast array of health care needs in our 12 county service area. As one of the region's largest service organizations, including physicians, nurses, and pharmacists, as well as computer technicians, environmental workers, therapists, and other medical professionals, McLeod employees' direct wage impact to the region last year was $299 Million. This money flows to groceries stores, car dealers, restaurants, churches, local vendors and suppliers and other organizations to help stimulate the region's economy each year. The challenge in today's medical climate is to improve the quality of care and the ability of healthcare providers to reduce cost while maintaining quality. This is due to the fact of the shrinking reimbursements and healthcare reform. McLeod has continued to provide and grow essential services to care for patients in the region with the core values of Caring, Person, Quality and Integrity as a guide to quality and operational efficiency. McLeod has been recognized numerous times for its outstanding work in quality care, best practices, and clinically proven outcomes. Guests from across the globe seek out McLeod teams 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 numerous initiatives in place to provide community benefits that promote prevention, healing, and treatment. Some of these initiatives include health education, support groups, city sponsored and industry health fairs, health screenings and immunizations, free and discounted medical supplies, research, and financial and in-kind contributions. The community outreach budget allocates approximately $250,000 across the healthcare system to sponsorships and donations to serve in civic, academic and corporate partnerships. McLeod is proactively affiliating with academic institutions to address our community's healthcare needs. McLeod facilitates a Family Medicine Residency Program and sponsors the Medical University of South Carolina bachelor's degree nursing 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 offered to students from educational programs throughout the state, and the South East Cancer Control Consortium collaborates with McLeod in the field of cancer treatment. Through these structured programs, the complex world of healthcare unfolds for participants for further study. Dedicated to stewardship and service for more than 107 years, McLeod has prudently built and developed reserves in order to continue to grow as a mission minded hospital committed to improving the health of our 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 Moody's Investors Service 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 our 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, these hospitals serve 150,000 patients in their emergency rooms, regardless of a person's ability to pay. McLeod Health hospitals 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, 365 days a year. In Fiscal Year 2012, McLeod Health provided the region with significant amounts worth of Charity Care to benefit community families. McLeod Health not only provides community benefit through the services offered but also by stimulating the local economy. Last year, more than $13 Million was contributed in sales tax, approximately $479,000 in Property Taxes, and more than $14.1 Million in hospital provider taxes to benefit the communities where its employees and patients live and work. Healthy lifestyle promotion is a fundamental principle of McLeod. Health screenings are offered to the community to check for problems in blood pressure, cholesterol, diabetes, breast, skin and prostate cancer, osteoporosis, peripheral vascular disease, and stroke. Nearly 100 support groups, classes, health fairs, seminars, screenings and programs free or at a reduced cost are provided to attendees seeking to learn about and deal with many medical issues. Childbirth preparation classes, Infant/Child CPR, Child Safety Passenger Checks from McLeod SafeKids, and SafeSitters sessions are offered. In addition, a computer located in the McLeod Resource Center is available to the public for Internet access to the most current health information. These benefits to the community demonstrate the heart of serving and compassionate care that is the core, and the legacy, of McLeod Health.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
McLeod Regional Medical Center of Pee Dee Inc
555 East Cheves StreetFlorenceSC295020551570370242To operate a healthcare systemSC501(c)(3)Line 3N/A0
McLeod Health Foundation
555 East Cheves StreetFlorenceSC295020551570818672To raise money for McLeod EntitiesSC501(c)(3)Line 11aN/A0
McLeod Medical Center - Dillon
555 East Cheves StreetFlorenceSC295020551510473471To operate a healthcare systemSC501(c)(3)Line 3N/A0
McLeod Health
555 East Cheves StreetFlorenceSC295020551510473500To operate a healthcare systemSC501(c)(3)Line 3N/A0
LorisSeacoast Healthcare Foundation - 2812-93012
555 East Cheves StreetFlorenceSC295020551421704953To Raise money for McLeod EntitiesSC501(c)(3)Line 11aN/A0
McLeod Loris Seacoast Hospital
555 East Cheves StreetFlorenceSC295020551453576100To operate a community hospitalSC501(c)(3)Line 3N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
McLeod Physician Associates Inc
555 East Cheves StreetFlorenceSC29501582279897Physician ServicesSCN/AC
LorisSeacoast Healthcare Foundation - 100111-2712
555 East Cheves StreetFlorenceSC295020551421704953To Raise money for McLeod EntitiesSCN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
McLeod Health
L2038535Actual Cost of Services Provided
McLeod Regional Medical Center of the Pee Dee Inc
K10711342Actual Cost of Services Provided
McLeod Medical Center - Dillon
K1154338Actual Cost of Services Provided
McLoed Loris Seacoast Hospital
K4126055Actual Cost of Services Provided

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