2026-08-14T14:42:13+00:00 2025-09-30 331498605 PLANTE & MORAN PLLC 634 FRONT AVE NW SUITE 400 GRAND RAPIDS MI 49504 990 2024-10-01 473712858 MCLEOD HEALTH CHERAW MCLE 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 DONNA ISGETT CORPORATE PRES/CEO 2026-08-14 true true DAVID LOWENTHAL CPA P00378651 6167748221 2026-08-14 2024 2025-03-06 01:10:19Z DONNA ISGETT 555 EAST CHEVES STREET FLORENCE SC 29506 86139568 false X WWW.MCLEODHEALTH.ORG X 2015 SC ACUTE CARE HOSPITAL 14 10 512 18 0 18533 183866 78639537 85088233 -4758 -758305 124625 24856 78777937 84538650 30250 36250 0 0 30016631 33300008 0 0 0 43123523 41274953 73170404 74611211 5607533 9927439 29684126 40825997 21979886 23194318 7704240 17631679 MCLEOD HEALTH CHERAW 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. false false 72615028 36250 85088233 MCLEOD HEALTH CHERAW IS A 59 BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SOUTH CAROLINA. MCLEOD HEALTH CHERAW OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. ON A DAILY BASIS, THE MCLEOD HEALTH SYSTEM COORDINATES THE DELIVERY OF AN ALL-ENCOMPASSING ARRAY OF QUALITY ACUTE CARE SERVICES TO THE RESIDENTS OF THE EASTERN REGION OF SOUTH CAROLINA AND THE EXTREME SOUTHEASTERN REGION OF NORTH CAROLINA, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. SEE ALSO THE COMMUNITY BENEFIT REPORT ON SCHEDULE H. 72615028 true true false false false false false false false false true false false true true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false false false true true true false false true 26 0 true 512 true false false false false false false false false false false false false X 14 10 false false false false true true true true true false false false false true true true true true true true false false X COURTNEY CRIBB 8437775124 2210 ENTERPRISE DR FLORENCE SC 29501 BREN T LOWE CEO -MCLEOD CHERAW HOSPITAL 40.0 0 X X 308772 0 73029 MATTHEW JOHNSON MD CORPORATE COO 1.0 39.0 X X 0 1031223 125750 CHRISTY TRUESDALE TRUSTEE 1.0 0.0 X 0 0 0 CORA H DAVID TRUSTEE 1.0 0.0 X 0 0 0 DANIEL G SIMPSON MD TRUSTEE/STAFF PHYSICIAN 40.0 0 X 445841 0 44707 DAVIS YARBOROUGH TRUSTEE 1.0 0.0 X 0 0 0 HAROLD WATSON TRUSTEE 1.0 0.0 X 0 0 0 MAJIK LOWERY TRUSTEE 1.0 0.0 X 0 0 0 MARY ANDERSON TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL HARLESS MD TRUSTEE/STAFF PHYSICIAN 40.0 0 X 97083 0 24388 REV JOHNNIE MCLENDON TRUSTEE 1.0 0.0 X 0 0 0 ROBERT SCHULTZ TRUSTEE 1.0 0.0 X 0 0 0 SAMUEL RICHARDSON MD TRUSTEE 1.0 0.0 X 0 0 0 TRAVIS NOVINGER MD TRUSTEE 1.0 0.0 X 0 0 0 CHRISTIAN L SOURA CORPORATE SR. VP/CFO 1.0 39.0 X 0 401940 15357 DONNA C ISGETT CORPORATE PRES/CEO 1.0 39.0 X 0 2187646 242410 S FULTON ERVIN III CORPORATE SR. VP/CFO - PART YEAR 1.0 39.0 X 0 1057761 150831 DOUGLASS LILLY MD STAFF PHYSICIAN 40.0 0 X 412817 0 50319 FOY CONNELL MD STAFF PHYSICIAN 40.0 0 X 523279 0 43537 JEFFREY SCHARSTEIN MD STAFF PHYSICIAN 40.0 0 X 518654 0 26473 SUSAN ROBINS MD STAFF PHYSICIAN 40.0 0 X 331042 0 22228 VINAY JAGADEESHA MD STAFF PHYSICIAN 40.0 0 X 580793 0 27772 3218281 4678570 846801 56 false true false LIFEPOINT REHABILITATION 4801 OLYMPIA PARK PLAZA LOUISVILLE KY 40241 REHAB SERVICES 1140943 SINGH MEDICAL ASSOCIATES 9020 HEYDON HALL CIRCLE CHARLOTTE NC 28210 LOCUM COVERAGE 286900 SHARED MEDICAL EQUIPMENT GROUP 209 LIMESTONE PASS COTTAGE GROVE WI 53527 RENT 278640 VIRTUAL NEUROLOGY LLC 9110 COLLEGE POINTE CT FORT MYERS FL 33919 MEDICAL SERVICES 189921 HEALTH CAROUSEL LLC 1700 MADISON RD SUITE 100 CINCINNATI OH 45206 CONTRACT LABOR 164984 7 183866 183866 NET PATIENT REVENUE 624100 84558667 84558667 RURAL HEALTH CLINICS MANAGED CARE 624100 420681 420681 ALL OTHER PROGRAM SERVICES 624100 108885 108885 0 0 0 0 85088233 1435 1435 173063 341178 -168115 0 -168115 -168115 500000 1259740 0 -759740 -759740 -759740 NUTRITION SERVICES 722514 192854 192854 HEALTH INFORMATION MANAGEMENT 900099 117 117 0 0 0 0 192971 84538650 85088233 0 -733449 36250 36250 0 0 1282228 1228438 53790 25956218 24867338 1088880 6061562 6045065 16497 8625518 8625518 15152 15152 36180 36180 7246842 6768509 478333 0 119197 35000 84197 1010909 915605 95304 134913 129404 5509 1103130 1103130 28877 22704 6173 5901 5901 7761 7761 3024074 3024074 200014 200014 BAD DEBT EXPENSE 11989456 11989456 LICENSES & TAXES 2797801 2671043 126758 DUES AND SUBSCRIPTIONS 60014 40581 19433 DRUGS & MEDICAL SUPPLIES 4745440 4745440 123774 117617 6157 0 74611211 72615028 1996183 0 915982 39240 6104534 8231214 0 0 466409 475195 839988 828715 45701444 26148405 21216150 19553039 0 0 141063 11698594 29684126 40825997 2048936 2033803 0 19930950 21160515 21979886 23194318 X 7704240 17631679 7704240 17631679 29684126 40825997 9927439 0 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 591979 591979 21891903 10840339 11051564 21336352 15179346 6157006 1881210 128720 1752490 19553039 INTERCOMPANY RECEIVABLE 11516942 OTHER ASSETS 181652 11698594 FEDERAL INCOME TAXES ACCRUED REAL ESTATE TAXES 814 DEFERRED INCOME - HAWQ MKAID MCO 1780472 INTERCOMPANY PAYABLE LEASE LIABILITIES 178637 DUE TO THIRD PARTY PAYOR 3302496 COST REPORT RESERVE 898096 SCDHHS PAYABLE 15000000 21160515 true true X true X true X true true false true true 6195341 11145163 0 0.0 7923896 6558389 1365507 0.02181 0 0.0 0 0 14119237 17703552 1365507 0.02181 14700 14700 0.00023 0 0.0 0 0.0 0 0.0 28000 28000 0.00045 0 0 42700 0 42700 0.00068 0 0 14161937 17703552 1408207 0.02249 0 0.0 1075 1075 0.00002 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 1075 0 1075 0.00002 true 11989456 800630 14094912 10234836 3860076 X true true 1 1 MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 WWW.MCLEODHEALTH.ORG SC HTL-0681 X X X MCLEOD HEALTH CHERAW 1 false false true X X X X X X X X X 25 true false false true X HTTPS://TINYURL.COM/2AHS7WJE X true 25 true HTTPS://TINYURL.COM/2AHS7WJE false true X 200.0 300.0 true true X X X true X HTTPS://TINYURL.COM/MRXAPD3B X HTTPS://TINYURL.COM/MRXAPD3B X HTTPS://TINYURL.COM/MRXAPD3B X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - MCLEOD HEALTH CHERAW. FOR THE 2025 CHESTERFIELD COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, INPUT WAS SOLICITED AND TAKEN INTO ACCOUNT FROM THE FOLLOWING SOURCES IN IDENTIFYING AND PRIORITIZING SIGNIFICANT HEALTH NEEDS AND IN IDENTIFYING RESOURCES POTENTIALLY AVAILABLE TO ADDRESS THOSE HEALTH NEEDS: - AT LEAST ONE STATE, LOCAL, OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT (OR EQUIVALENT DEPARTMENT OR AGENCY), OR STATE OFFICE OF RURAL HEALTH WITH KNOWLEDGE, INFORMATION, OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY - MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF THESE POPULATIONS - SOLICITATION OF COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY TOP HEALTH CONCERNS REPORTED AMONG COMMUNITY MEMBERS AND PROFESSIONALS - ACCESS TO SPECIALTY CARE - CARE FOR THE ELDERLY - OVERWEIGHT/OBESITY - HEART DISEASE/STROKE - WOMEN'S HEALTH SOURCE: MCLEOD HEALTH SURVEY PRIMARY DIAGNOSIS ADMITTED TO EMERGENCY DEPARTMENT MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH CHERAW EMERGENCY DEPARTMENT OCTOBER 2023 - SEPTEMBER 2024: - CHEST PAIN - FALL - NAUSEA/VOMITING - UPPER RESPIRATORY TRACT INFECTION - COVID-19 SOURCE: MCLEOD HEALTH CLINICAL OUTCOMES PRIMARY INPATIENT DIAGNOSIS MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD HEALTH CHERAW OCTOBER 2023 - SEPTEMBER 2024: - ACUTE KIDNEY FAILURE - SEPSIS - HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE WITH HEART FAILURE - HYPERTENSIVE HEART DISEASE WITH HEART FAILURE - COVID-19 SOURCE: MCLEOD HEALTH CLINICAL OUTCOMES OPPORTUNITIES & PLAN PRIORITIES MCLEOD HEALTH CHERAW HAS DEVELOPED AN ACTION PLAN THAT COLLABORATES WITH COMMUNITY PARTNERS TO PROVIDE COMMUNITY HEALTH INITIATIVES THAT ARE FOCUSED ON AREAS LISTED BELOW AND FURTHER DESCRIBED WITHIN THE IMPLEMENTATION PLAN THAT UTILIZES EVIDENCE-BASED PRACTICES FOR ADDRESSING: - ACCESS TO PRIMARY CARE - DIABETES - HEART DISEASE AND STROKE - LUNG DISEASE OVERVIEW THIS COMMUNITY HEALTH NEEDS ASSESSMENT SERVES AS A TOOL TO EVALUATE THE OVERALL HEALTH STATUS, BEHAVIORS AND NEEDS OF CHESTERFIELD COUNTY. THE MARCH 2010 PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) INTRODUCED REPORTING REQUIREMENTS FOR PRIVATE, NOT-FOR-PROFIT HOSPITALS. TO MEET THESE FEDERAL REQUIREMENTS, THE INFORMATION GATHERED IN THIS ASSESSMENT IS USED TO GUIDE THE STRATEGIC PLANNING PROCESS IN ADDRESSING HEALTH DISPARITIES. A COMMUNITY HEALTH NEEDS ASSESSMENT GIVES INFORMATION TO HEALTH CARE PROVIDERS TO MAKE DECISIONS AND COMMIT RESOURCES TO AREAS OF GREATEST NEED, MAKING THE LARGEST IMPACT ON COMMUNITY HEALTH STATUS. THIS ASSESSMENT INCORPORATES DATA FROM WITHIN THE COMMUNITY, SUCH AS INDIVIDUALS SERVED AND HEALTH ORGANIZATIONS, AS WELL AS VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA TO DEVELOP A TAILORED PLAN WHICH TARGETS THE NEEDS OF THE COUNTY. METHODS AN ASSESSMENT TEAM COMPRISED OF THE MCLEOD HEALTH COMMUNITY HEALTH AND COMMUNICATIONS AND PUBLIC INFORMATION STAFF REVIEWED LITERATURE, DATA AND PUBLICATIONS FROM PUBLIC SOURCES. MEMBERS OF THE ASSESSMENT TEAM REPRESENTED EACH OF THE HOSPITAL FACILITIES WITHIN MCLEOD HEALTH AND WERE ASSIGNED TO COLLECT DATA THAT REPRESENTED INDICATORS OF COMMUNITY HEALTH STATUS OR ITS SOCIOECONOMIC DETERMINANTS. THEREFORE, FOCUS WAS PLACED ON IDENTIFYING LOCALLY-APPROPRIATE INDICATORS, BENCHMARKS, AND PERTINENT HEALTH ISSUES. PRE-EXISTING DATABASES CONTAINING LOCAL, STATE AND NATIONAL HEALTH AND BEHAVIOR DATA WERE USED FOR COMPARISONS WHEN POSSIBLE. DATA COLLECTION WAS LIMITED TO THE MOST RECENT PUBLICLY AVAILABLE RESOURCES AND SOME PRIMARY DATA FROM QUALITATIVE AND QUANTITATIVE INVESTIGATION. AS A RESULT, THIS DOCUMENT PORTRAYS A PARTIAL PICTURE OF THE HEALTH STATUS OF THE COMMUNITY SERVED. DATA ANALYSIS INCLUDED DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH DETERMINANT MEASURES. WHEN POSSIBLE, DATA ALSO WAS ANALYZED ACCORDING TO AGE, GENDER AND/OR RACE TO OFFER INSIGHT INTO HEALTH DISPARITIES THAT MAY AFFECT SPECIFIC SUBGROUPS IN THE COMMUNITY. A SUMMARY OF COUNTY DATA IS REFLECTED AS A COMPARISON TO STATE AND NATIONAL DATA WHEN AVAILABLE TO INDICATE COMMUNITY HEALTH CONCERNS. HEALTH DETERMINANTS AND DISPARITIES WHAT ARE THE DETERMINANTS OF HEALTH? HEALTH BEHAVIORS HAD THE MAJORITY OVERALL IMPACT ON FUTURE HEALTH OUTCOMES (I.E., SMOKING, DIET, DRUG & ALCOHOL USE, PHYSICAL ACTIVITY, OTHER LIFESTYLE BEHAVIORS) AND ACCOUNT FOR 40% OF CAUSES FOR PREMATURE DEATH. GENETIC PREDISPOSITION IS RESPONSIBLE FOR 30%, SOCIAL AND ENVIRONMENTAL CIRCUMSTANCES 20%, AND HEALTH CARE FOR ONLY 10% (I.E., ACCESS TO PHYSICIAN AND OTHER HEALTH SERVICES) OF HEALTH RISK FOR PREMATURE DEATH. INDIVIDUAL BEHAVIORAL DETERMINANTS (40%) EXAMPLES: - DIET - PHYSICAL ACTIVITY - ALCOHOL, CIGARETTE, AND OTHER DRUG USE - HAND WASHING GENETIC DETERMINANTS (30%) EXAMPLES: - AGE - SEX - HIV STATUS - INHERITED CONDITIONS, SUCH AS SICKLE-CELL ANEMIA, HEMOPHILIA, AND CYSTIC FIBROSIS - CARRYING THE BRCA1 OR BRCA2 GENE, WHICH INCREASES RISK FOR BREAST AND OVARIAN CANCER - FAMILY HISTORY OF HEART DISEASE, CANCER, ETC. SOCIAL AND ENVIRONMENTAL DETERMINANTS (20%) EXAMPLES OF SOCIAL DETERMINANTS: - AVAILABILITY OF RESOURCES TO MEET DAILY NEEDS, SUCH AS EDUCATIONAL AND JOB OPPORTUNITIES, LIVING WAGES, OR HEALTHFUL FOODS - SOCIAL NORMS AND ATTITUDES, SUCH AS DISCRIMINATION - EXPOSURE TO CRIME, VIOLENCE, AND SOCIAL DISORDER, SUCH AS THE PRESENCE OF TRASH - SOCIAL SUPPORT AND SOCIAL INTERACTIONS - SOCIOECONOMIC CONDITIONS, SUCH AS CONCENTRATED POVERTY - QUALITY SCHOOLS - TRANSPORTATION OPTIONS - PUBLIC SAFETY EXAMPLES OF ENVIRONMENTAL DETERMINANTS: - QUALITY OF FOOD, WATER, AND AIR - WORKSITES, SCHOOLS, AND RECREATIONAL SETTINGS - HOUSING, HOMES, AND NEIGHBORHOODS - EXPOSURE TO TOXIC SUBSTANCES AND OTHER PHYSICAL HAZARDS - PHYSICAL BARRIERS, ESPECIALLY FOR PEOPLE WITH DISABILITIES HEALTH CARE DETERMINANTS (10%) EXAMPLES: - QUALITY, AFFORDABILITY, AND AVAILABILITY OF SERVICES - LACK OF INSURANCE COVERAGE - LIMITED LANGUAGE ACCESS WHAT ARE HEALTH DISPARITIES? "HEALTH DISPARITY" REFERS TO A HIGHER BURDEN OF ILLNESS, INJURY, DISABILITY, OR MORTALITY EXPERIENCED BY ONE POPULATION GROUP RELATIVE TO ANOTHER GROUP. HEALTH DISPARITIES CAN INVOLVE THE MEDICAL CARE DIFFERENCES BETWEEN GROUPS IN HEALTH INSURANCE COVERAGE, ACCESS TO CARE, AND QUALITY OF CARE. WHILE DISPARITIES ARE COMMONLY VIEWED THROUGH THE LENS OF RACE AND ETHNICITY, THEY OCCUR ACROSS MANY DIMENSIONS, INCLUDING SOCIOECONOMIC STATUS, AGE, LOCATION, GENDER, AND DISABILITY STATUS. POOR HEALTH STATUS IS OFTEN LINKED WITH PEOPLE WITHOUT HEALTH INSURANCE, THOSE WHO HAVE POOR ACCESS OF CARE (I.E., LIMITED TRANSPORTATION), LOWER SOCIOECONOMIC STATUS, LOWER EDUCATION OBTAINMENT, AND THOSE AMONG RACIAL MINORITY GROUPS. BEYOND THE PROVISION OF HEALTH CARE SERVICES, ELIMINATING HEALTH DISPARITIES WILL NECESSITATE BEHAVIORAL, ENVIRONMENTAL, AND SOCIAL-LEVEL APPROACHES TO ADDRESS ISSUES SUCH AS INSUFFICIENT EDUCATION, INADEQUATE HOUSING, EXPOSURE TO VIOLENCE, AND LIMITED OPPORTUNITIES TO EARN A LIVABLE WAGE. HEALTH DISPARITIES HAVE PERSISTED ACROSS THE NATION AND HAVE BEEN DOCUMENTED FOR MANY DECADES AND, DESPITE OVERALL IMPROVEMENTS IN POPULATION HEALTH OVER TIME, MANY DISPARITIES HAVE PERSISTED AND, IN SOME CASES, WIDENED. MOREOVER, ECONOMIC DOWNTURNS CONTRIBUTED TO A FURTHER WIDENING OF DISPARITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT ATTEMPTS TO IDENTIFY AND QUANTIFY THE HEALTH DISPARITIES WITHIN A DEFINED COUNTY POPULATION THAT ARE AT DISPROPORTIONATELY HIGHER IN INCIDENCE OF DISEASE, DISABILITY, OR AT RISK OF EXPERIENCING WORSE HEALTH OUTCOMES. WITHIN THESE IDENTIFIED DISPARITIES AND AVAILABILITY OF HEALTH RESOURCES, GAPS CAN BE IDENTIFIED AND PRIORITIZED BASED ON NEED SO THAT HEALTH RESOURCES CAN BE TARGETED. PLANNING INITIATIVES TO ADDRESS COMMUNITY HEALTH NEEDS TAKE IN CONSIDERATION THE EXISTING INITIATIVES, THE AVAILABLE RESOURCES THAT WE ARE AWARE OF, AND WHERE FUTURE IMPROVEMENTS CAN BE ANTICIPATED TO MAKE MEANINGFUL IMPACT ON IMPROVING COMMUNITY HEALTH. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 2 FACILITY , 2 - MCLEOD HEALTH CHERAW (CONT.). WHAT ARE KEY INITIATIVES TO REDUCE DISPARITIES? IN 2010, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ESTABLISHED A VISION OF, "A NATION FREE OF DISPARITIES IN HEALTH AND HEALTH CARE, SET OUT A SERIES OF PRIORITIES, STRATEGIES, ACTIONS, AND GOALS TO ACHIEVE THIS VISION. STATES, LOCAL COMMUNITIES, PRIVATE ORGANIZATIONS, AND PROVIDERS ALSO ARE ENGAGED IN EFFORTS TO REDUCE HEALTH DISPARITIES. FEDERAL, STATE, AND LOCAL AGENCIES AND PROGRAMS WORK ALONG WITH LOCAL HOSPITALS, OFTEN IN COOPERATION, TO PROVIDE ACCESS TO NEEDED HEALTH CARE SERVICES. WITHIN CONSTRAINTS OF LIMITED RESOURCES, EACH OF THESE ENTITIES GENERALLY TARGET POPULATIONS WITH SPECIFIC SERVICES OFFERED WITHIN THE COUNTY. THIS STUDY ATTEMPTS TO INCORPORATE THEIR INPUT INTO DETERMINING THE PRIORITIES AMONG HEALTH DISPARITIES AND LOOK FOR OPPORTUNITIES FOR COLLABORATION. PREVENTATIVE CARE PREVENTATIVE CARE INCLUDES MEDICAL SERVICES SUCH AS SCREENINGS, IMMUNIZATIONS, COUNSELING, AND PREVENTATIVE MEDICATIONS INTENDED TO PREVENT ILLNESS OR DETECT DISEASES EARLY BEFORE SYMPTOMS ARE DEVELOPED. WITH EARLY DETECTION, DISEASES CAN BE TREATED MORE EFFECTIVELY, REDUCING POTENTIAL COMPLICATIONS OF DISEASE OR EVEN DEATH. REGULAR PREVENTATIVE CARE CAN IMPROVE INDIVIDUAL HEALTH AND THE OVERALL HEALTH OF A COMMUNITY. VARIOUS PREVENTATIVE CARE GUIDELINES AND RECOMMENDATIONS ARE PUBLISHED BY DIFFERENT PROFESSIONAL ORGANIZATIONS, BUT MOST HEALTH CARE PROFESSIONALS REFER TO THE RECOMMENDATIONS PUBLISHED BY THE UNITED STATES PREVENTATIVE SERVICES TASK FORCE (USPSTF) AS A RELIABLE, WIDELY ACCEPTED, AND EVIDENCE-BASED GUIDE. THE USPSTF IS AN INDEPENDENT, VOLUNTEER PANEL OF NATIONAL EXPERTS IN PREVENTION AND EVIDENCE-BASED MEDICINE. THEIR RECOMMENDATIONS ARE BASED ON A RIGOROUS REVIEW OF EXISTING PEER-REVIEWED DATA. THE USPSTF ASSIGNS A LETTER GRADE (A, B, C, D, OR I) TO EACH RECOMMENDATION BASED ON THE STRENGTH OF EVIDENCE AND THE BALANCE OF BENEFITS AND POTENTIAL HARMS OF THE PREVENTATIVE SERVICE. GRADE A AND GRADE B PREVENTATIVE SERVICES ARE RECOMMENDED BECAUSE THE USPSTF HAS DETERMINED A HIGH OR MODERATE CERTAINTY THAT THE NET BENEFIT IS MODERATE OR SUBSTANTIAL. USPSTF PREVENTATIVE CARE RECOMMENDATIONS APPLY TO PEOPLE WHO HAVE NO SIGNS OR SYMPTOMS OF A SPECIFIC DISEASE OR CONDITION. USPSTF RECOMMENDATIONS ARE EVIDENCE-BASED GUIDELINES THAT HELP PHYSICIANS IDENTIFY APPROPRIATE PREVENTATIVE SERVICES FOR CERTAIN PATIENT POPULATIONS, BUT PREVENTATIVE CARE SHOULD BE TAILORED FOR EACH PATIENT DEPENDING ON INDIVIDUAL CIRCUMSTANCES. DETERMINING APPROPRIATE PREVENTATIVE SERVICES FOR AN INDIVIDUAL PATIENT REQUIRES A ONE-ON-ONE DISCUSSION BETWEEN THE PHYSICIAN AND PATIENT. A COMPLETE LIST OF USPSTF PREVENTIVE CARE GUIDELINES, INCLUDING A AND B GRADE RECOMMENDATIONS, CAN BE FOUND AT WWW.USPREVENTIVESERVICESTASKFORCE.ORG. COMMUNITY DEFINED FOR THIS ASSESSMENT THE COMMUNITY FOR THIS CHNA WAS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF MCLEOD CHERAW INPATIENT AND OUTPATIENT HOSPITAL DATA. THE STUDY AREA FOR THIS ASSESSMENT IS DEFINED AS CHESTERFIELD COUNTY WHICH REPRESENTS THE MAJORITY OF PATIENTS SERVED. DEMOGRAPHICS CURRENT POPULATION DEMOGRAPHICS AND CHANGES IN DEMOGRAPHIC COMPOSITION OVER TIME PLAY A DETERMINING ROLE IN THE TYPES OF HEALTH AND SOCIAL SERVICES NEEDED BY COMMUNITIES. TOTAL POPULATION A TOTAL OF 45,575 PEOPLE LIVE IN THE 798.99 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2019-23 5-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 55 PERSONS PER SQUARE MILE, IS LESS THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 94 PERSONS PER SQUARE MILE. POPULATION WITH LIMITED ENGLISH PROFICIENCY THIS INDICATOR REPORTS THE PERCENTAGE OF THE POPULATION AGE 5 AND OLDER WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN "VERY WELL". THIS INDICATOR IS RELEVANT BECAUSE AN INABILITY TO SPEAK ENGLISH WELL CREATES BARRIERS TO HEALTHCARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. OF THE 41,162 TOTAL POPULATION AGE 5 AND OLDER IN THE REPORT AREA, 869 OR 2.11% HAVE LIMITED ENGLISH PROFICIENCY. INCOME AND ECONOMIC FACTORS ECONOMIC AND SOCIAL INSECURITY OFTEN ARE ASSOCIATED WITH POOR HEALTH. POVERTY, UNEMPLOYMENT, AND LACK OF EDUCATIONAL ACHIEVEMENT AFFECT ACCESS TO CARE AND A COMMUNITY'S ABILITY TO ENGAGE IN HEALTHY BEHAVIORS. WITHOUT A NETWORK OF SUPPORT AND A SAFE COMMUNITY, FAMILIES CANNOT THRIVE. ENSURING ACCESS TO SOCIAL AND ECONOMIC RESOURCES PROVIDES A FOUNDATION FOR A HEALTHY COMMUNITY. INCOME - MEDIAN HOUSEHOLD INCOME THIS INDICATOR REPORTS MEDIAN HOUSEHOLD INCOME BASED ON THE LATEST 5-YEAR AMERICAN COMMUNITY SURVEY ESTIMATES. THIS INCLUDES THE INCOME OF THE HOUSEHOLDER AND ALL OTHER INDIVIDUALS 15 YEARS OLD AND OVER IN THE HOUSEHOLD, WHETHER THEY ARE RELATED TO THE HOUSEHOLDER OR NOT. BECAUSE MANY HOUSEHOLDS CONSIST OF ONLY ONE PERSON, AVERAGE HOUSEHOLD INCOME IS USUALLY LESS THAN AVERAGE FAMILY INCOME. THERE ARE 17.381 HOUSEHOLDS IN THE REPORT AREA, WITH AN AVERAGE INCOME OF $68,311.56 AND MEDIAN INCOME OF $47,620. POVERTY - POPULATION BELOW 100% FPL POVERTY IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. WITHIN THE REPORT AREA 20.16% OR 8,685 INDIVIDUALS FOR WHOM POVERTY STATUS IS DETERMINED ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL (FPL). THIS INDICATOR IS RELEVANT BECAUSE POVERTY CREATES BARRIERS TO ACCESS INCLUDING HEALTH SERVICES, HEALTHY FOOD, AND OTHER NECESSITIES THAT CONTRIBUTE TO POOR HEALTH STATUS. EDUCATION THIS CATEGORY CONTAINS INDICATORS THAT DESCRIBE THE EDUCATION SYSTEM AND THE EDUCATIONAL OUTCOMES OF REPORT AREA POPULATIONS. EDUCATION METRICS CAN BE USED TO DESCRIBE VARIATION IN POPULATION ACCESS, PROFICIENCY, AND ATTAINMENT THROUGHOUT THE EDUCATION SYSTEM, FROM ACCESS TO PRE-KINDERGARTEN THROUGH ADVANCED DEGREE ATTAINMENT. THESE INDICATORS ARE IMPORTANT BECAUSE EDUCATION IS CLOSELY TIED TO HEALTH OUTCOMES AND ECONOMIC OPPORTUNITY. ATTAINMENT - BACHELOR'S DEGREE OR HIGHER 13.20% OF THE POPULATION AGED 25 AND OLDER, OR 4,033 HAVE OBTAINED A BACHELOR'S LEVEL DEGREE OR HIGHER. THIS INDICATOR IS RELEVANT BECAUSE EDUCATIONAL ATTAINMENT HAS BEEN LINKED TO POSITIVE HEALTH OUTCOMES. ATTAINMENT - HIGH SCHOOL GRADUATION RATE THE ADJUSTED COHORT GRADUATION RATE (ACGR) IS A GRADUATION METRIC THAT FOLLOWS A "COHORT" OF FIRST-TIME 9TH GRADERS IN A PARTICULAR SCHOOL YEAR AND ADJUST THIS NUMBER BY ADDING ANY STUDENTS WHO TRANSFER INTO THE COHORT AFTER 9TH GRADE AND SUBTRACTING ANY STUDENTS WHO TRANSFER OUT, EMIGRATE TO ANOTHER COUNTRY, OR PASS AWAY. THE ACGR IS THE PERCENTAGE OF THE STUDENTS IN THIS COHORT WHO GRADUATE WITHIN FOUR YEARS. IN THE REPORT AREA, THE ADJUSTED COHORT GRADUATION RATE WAS 83.0% DURING THE MOST RECENTLY REPORTED SCHOOL YEAR. STUDENTS IN THE REPORT AREA PERFORMED WORSE THAN THE STATE, WHICH HAD AN ACGR OF 85.0%. OTHER SOCIAL & ECONOMIC FACTORS ECONOMIC AND SOCIAL INSECURITY OFTEN ARE ASSOCIATED WITH POOR HEALTH. POVERTY, UNEMPLOYMENT, AND LACK OF EDUCATIONAL ACHIEVEMENT AFFECT ACCESS TO CARE AND A COMMUNITY'S ABILITY TO ENGAGE IN HEALTHY BEHAVIORS. WITHOUT A NETWORK OF SUPPORT AND A SAFE COMMUNITY, FAMILIES CANNOT THRIVE. ENSURING ACCESS TO SOCIAL AND ECONOMIC RESOURCES PROVIDES A FOUNDATION FOR A HEALTHY COMMUNITY. INSURANCE - UNINSURED POPULATION (ACS) THE LACK OF HEALTH INSURANCE IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. IN THE REPORT AREA 12.07% OF THE TOTAL CIVILIAN NON-INSTITUTIONALIZED POPULATION ARE WITHOUT HEALTH INSURANCE COVERAGE. THE RATE OF UNINSURED PERSONS IN THE REPORT AREA IS GREATER THAN THE STATE AVERAGE OF 9.99%. THIS INDICATOR IS RELEVANT BECAUSE LACK OF INSURANCE IS A PRIMARY BARRIER TO HEALTHCARE ACCESS INCLUDING REGULAR PRIMARY CARE, SPECIALTY CARE, AND OTHER HEALTH SERVICES THAT CONTRIBUTES TO POOR HEALTH STATUS. PHYSICAL ENVIRONMENT A COMMUNITY'S HEALTH ALSO IS AFFECTED BY THE PHYSICAL ENVIRONMENT. A SAFE, CLEAN ENVIRONMENT THAT PROVIDES ACCESS TO HEALTHY FOOD AND RECREATIONAL OPPORTUNITIES IS IMPORTANT TO MAINTAINING AND IMPROVING COMMUNITY HEALTH. AIR AND WATER QUALITY PARTICULATE MATTER 2.5 THIS INDICATOR REPORTS THE PERCENTAGE OF DAYS WITH PARTICULATE MATTER 2.5 LEVELS ABOVE THE NATIONAL AMBIENT AIR QUALITY STANDARD (35 MICROGRAMS PER CUBIC METER) PER YEAR, CALCULATED USING DATA COLLECTED BY MONITORING STATIONS AND MODELED TO INCLUDE COUNTIES WHERE NO MONITORING STATIONS OCCUR. THIS INDICATOR IS RELEVANT BECAUSE POOR AIR QUALITY CONTRIBUTES TO RESPIRATORY ISSUES AND OVERALL POOR HEALTH. SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 3 FACILITY , 3 - MCLEOD HEALTH CHERAW (CONT.). FOOD ENVRIONMENT - GROCERY STORES HEALTHY DIETARY BEHAVIORS ARE SUPPORTED BY ACCESS TO HEALTHY FOODS, AND GROCERY STORES ARE A MAJOR PROVIDER OF THESE FOODS. THERE ARE 5 GROCERY ESTABLISHMENTS IN THE REPORT AREA, A RATE OF 11.55 PER 100,000 POPULATION. GROCERY STORES ARE DEFINED AS SUPERMARKETS AND SMALLER GROCERY STORES PRIMARILY ENGAGED IN RETAILING A GENERAL LINE OF FOOD, SUCH AS CANNED AND FROZEN FOODS; FRESH FRUITS AND VEGETABELS; AND FRESH AND PREPARED MEATS, FISH, AND POULTRY. DELICATESSEN-TYPE ESTALISHMENTS ARE ALSO INCLUDED. CONVENIENCE STORES AND LARGE GENERAL MERCHANDISE STORES THAT ALSO RETAIL FOOD, SUCH AS SUPERCENTERS AND WAREHOUSE CLUB STORES, ARE EXCLUDED. FOOD ENVIRONMENT - SNAP-AUTHORIZED FOOD STORES THIS INDICATOR REPORTS THE NUMBER OF SNAP-AUTHORIZED FOOD STORES AS A RATE PER 10,000 POPULATION. SNAP-AUTHORIZED STORES INCLUDE GROCERY STORES AS WELL AS SUPERCENTERS, SPECIALTY FOOD STORES, AND CONVENIENCE STORES THAT ARE AUTHORIZED TO ACCEPT SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM) BENEFITS. THE REPORT AREA CONTAINS A TOTAL OF 64 SNAP-AUTHORIZED RETAILERS WITH A RATE OF 14.69. CLINICAL CARE AND PREVENTION A LACK OF ACCESS TO CARE PRESENTS BARRIERS TO GOOD HEALTH. SUPPLY, ACCESSIBILITY OF FACILITIES AND PHYSICIANS, THE RATE OF UNINSURED, FINANCIAL HARDSHIP, TRANSPORTATION BARRIERS, CULTURAL COMPETENCY, AND COVERAGE LIMITATIONS AFFECT ACCESS. RATES OF MORBIDITY, MORTALITY, AND EMERGENCY HOSPITALIZATIONS CAN BE REDUCED IF COMMUNITY RESIDENTS ACCESS SERVICES SUCH AS HEALTH SCREENINGS, ROUTINE TESTS, AND VACCINATIONS. PREVENTION INDICATORS CAN CALL ATTENTION TO A LACK OF ACCESS OR KNOWLEDGE REGARDING ONE OR MORE HEALTH ISSUES AND CAN INFORM PROGRAM INTERVENTIONS. CANCER SCREENING - MAMMOGRAM (MEDICARE) THIS INDICATOR REPORTS THE UNSMOOTHED, AGE-ADJUSTED RATE SCREENING MAMMOGRAPHY FOR FEMALE AMONG THE MEDICARE FEE-FOR-SERVICE (FFS) POPULATION FOR THE YEAR 2023. DATA WERE SOURCED FROM THE CMS MAPPING MEDICARE DISPARITIES (MMD) TOOL. HEALTH BEHAVIORS HEALTH BEHAVIORS SUCH AS POOR DIET, A LACK OF EXERCISE, AND SUBSTANCE ABUSE CONTRIBUTE TO POOR HEALTH STATUS. ALCOHOL - HEAVY ALCOHOL CONSUMPTION IN THE REPORT AREA, 5,646 OR 16.78% OF ADULTS SELF-REPORT EXCESSIVE DRINKING IN THE LAST 30 DAYS, WHICH IS LESS THAN THE STATE RATE OF 19.92%. DATA FOR THIS INDICATOR WERE BASED ON SURVEY RESPONSES TO THE 2022 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) ANNUAL SURVEY AND ARE USED FOR THE 2025 COUNTY HEALTH RANKINGS. EXCESSIVE DRINKING IS DEFINED AS THE PERCENTAGE OF THE POPULATION WHO REPORT AT LEAST ONE BINGE DRINKING EPISODE INVOLVING FIVE OR MORE DRINKS FOR MEN AND FOUR OR MORE FOR WOMEN OVER THE PAST 30 DAYS, OR HEAVY DRINKING INVOLVING MORE THAN TWO DRINKS PER DAY FOR MEN AND MORE THAN ONE PER DAY FOR WOMEN, OVER THE SAME TIME PERIOD. ALCOHOL USE IS A BEHAVIORAL HEALTH ISSUE THAT IS ALSO A RISK FACTOR FOR A NUMBER OF NEGATIVE HEALTH OUTCOMES, INCLUDING: PHYSICAL INJURIES RELATED TO MOTOR VEHICLE ACCIDENTS, STROKE, CHRONIC DISEASES SUCH AS HEART DISEASE AND CANCER, AND MENTAL HEALTH CONDITIONS SUCH AS DEPRESSION AND SUICIDE. THERE ARE A NUMBER OF EVIDENCE-BASED INTERVENTIONS THAT MAY REDUCE EXCESSIVE/BINGE DRINKING; EXAMPLES INCLUDE RAISING TAXES ON ALCOHOLIC BEVERAGES, RESTRICTING ACCESS TO ALCOHOL BY LIMITING DAYS AND HOURS OF RETAIL SALES, AND SCREENING AND COUNSELING FOR ALCOHOL ABUSE (CENTERS FOR DISEASE CONTROL AND PREVENTION, PREVENTING EXCESSIVE ALCOHOL USE, 2020). PHYSICAL INACTIVITY WITHIN THE REPORT AREA, 9,403 OR 27.1% OF ADULTS AGE 20 AND OLDER SELF-REPORT NO ACTIVE LEISURE TIME, BASED ON THE QUESTION: "DURING THE PAST MONTH, OTHER THAN YOUR REGULAR JOB, DID YOU PARTICIPATE IN ANY PHYSICAL ACTIVITIES OR EXERCISES SUCH AS RUNNING, CALISTHENICS, GOLF, GARDENING, OR WALKING FOR EXERCISE?" THIS INDICATOR IS RELEVANT BECAUSE CURRENT BEHAVIORS ARE DETERMINANTS OF FUTURE HEALTH AND THIS INDICATOR MAY ILLUSTRATE A CAUSE OF SIGNIFICANT HEALTH ISSUES, SUCH AS OBESITY AND POOR CARDIOVASCULAR HEALTH. NOTE: IN 2021, THE CDC UPDATED THE METHODOLOGY USED TO PRODUCE ESTIMATES FOR THIS INDICATOR. ESTIMATED VALUES FOR PRIOR YEARS (2004 - 2017) HAVE BEEN UPDATED IN THIS PLATFORM TO ALLOW COMPARISON ACROSS YEARS. USE CAUTION WHEN COMPARING WITH SAVED ASSESSMENTS GENERATED PRIOR TO NOVEMBER 10, 2021. TOBACCO USAGE - CURRENT SMOKERS THIS INDICATOR REPORTS THE PERCENTAGE OF ADULTS AGE 18 AND OLDER WHO REPORT HAVING SMOKED AT LEAST 100 CIGARETTES IN THEIR LIFETIME AND CURRENTLY SMOKE EVERY DAY OR SOME DAYS. WITHIN THE REPORT AREA THERE ARE 18.4% ADULTS AGE 18+ WHO HAVE SMOKED AND CURRENTLY SMOKE OF THE TOTAL POPULATION AGE 18+. HEALTH OUTCOMES MEASURING MORBIDITY AND MORTALITY RATES ALLOWS LINKAGES TO BE ASSESSED BETWEEN SOCIAL DETERMINANTS OF HEALTH AND OUTCOMES. BY COMPARING, FOR EXAMPLE, THE PREVALENCE OF CERTAIN CHRONIC DISEASES TO INDICATORS IN OTHER CATEGORIES (E.G., POOR DIET AND EXERCISE) WITH OUTCOMES (E.G., HIGH RATES OF OBESITY AND DIABETES), VARIOUS CAUSAL RELATIONSHIPS MAY EMERGE, ALLOWING A BETTER UNDERSTANDING OF HOW CERTAIN COMMUNITY HEALTH NEEDS MAY BE ADDRESSED. CANCER INCIDENCE - ALL SITES THIS INDICATOR REPORTS THE AGE ADJUSTED INCIDENCE RATE (CASES PER 100,000 POPULATION PER YEAR) OF CANCER (ALL SITES) ADJUSTED TO 2000 U.S. STANDARD POPULATION AGE GROUPS (UNDER AGE 1, 1-4, 5- 9, ..., 80-84, 85 AND OLDER). WITHIN THE REPORT AREA, THERE WERE 254 NEW CASES OF CANCER REPORTED. THIS MEANS THERE IS A RATE OF 431.3 FOR EVERY 100,000 TOTAL POPULATION. CHRONIC CONDITIONS - DIABETES PREVALENCE (ADULT - TRENDS) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF ADULTS AGE 20 AND OLDER WHO HAVE EVER BEEN TOLD BY A DOCTOR THAT THEY HAVE DIABETES. THIS INDICATOR IS RELEVANT BECAUSE DIABETES IS A PREVALENT PROBLEM IN THE U.S.; IT MAY INDICATE AN UNHEALTHY LIFESTYLE AND PUTS INDIVIDUALS AT RISK FOR FURTHER HEALTH ISSUES. WITHIN THE REPORT AREA, 4,193 OF ADULTS AGE 20 AND OLDER HAVE DIABETES. THIS REPRESENTS 10.5% OF ALL THE ADULTS AGE 20+. NOTE: IN 2021, THE CDC UPDATED THE METHODOLOGY USED TO PRODUCE ESTIMATES FOR THIS INDICATOR. ESTIMATED VALUES FOR PRIOR YEARS (2004 - 2017) HAVE BEEN UPDATED IN THIS PLATFORM TO ALLOW COMPARISON ACROSS YEARS. USE CAUTION WHEN COMPARING WITH SAVED ASSESSMENTS GENERATED PRIOR TO NOVEMBER 10, 2021. MORTALITY - CANCER THIS INDICATOR REPORTS THE 2019-2023 FIVE-YEAR AVERAGE RATE OF DEATH DUE TO MALIGNANT NEOPLASM (CANCER) PER 100,000 POPULATION. FIGURES ARE REPORTED AS CRUDE RATES. RATES ARE RESUMMARIZED FOR REPORT AREAS FROM COUNTY LEVEL DATA, ONLY WHERE DATA IS AVAILABLE. THIS INDICATOR IS RELEVANT BECAUSE CANCER IS A LEADING CAUSE OF DEATH IN THE UNITED STATES. WITHIN THE REPORT AREA, THERE ARE A TOTAL OF 531 DEATHS DUE TO CANCER. THIS REPRESENTS A CRUDE DEATH RATE OF 238.9 PER EVERY 100,000 TOTAL POPULATION. NOTE: DATA ARE SUPPRESSED FOR COUNTIES WITH FEWER THAN 20 DEATHS IN THE TIME FRAME. PRIORITY ISSUES AND IMPLEMENTATION PLAN MCLEOD HEALTH UTILIZES RESOURCES SUCH AS U.S. DEPARTMENT OF HEALTH TO GUIDE HEALTH PROMOTION AND DISEASE PREVENTION EFFORTS. ATTENTION IS FOCUSED ON DETERMINANTS THAT AFFECT THE PUBLIC'S HEALTH THAT CONTRIBUTE TO HEALTH DISPARITIES BY ADDRESSING IDENTIFIED NEEDS THROUGH EDUCATION, PREVENTION, TARGETED INITIATIVES VALIDATED THROUGH RESEARCH, AND THE DELIVERY OF HEALTH SERVICES. CROSS-SECTOR COLLABORATION IS NOW WIDELY CONSIDERED AS ESSENTIAL FOR HAVING MEANINGFUL IMPACTS ON BUILDING HEALTHIER COMMUNITIES. THROUGH COLLABORATION WITH PUBLIC HEALTH AGENCIES, HEALTH CARE ORGANIZATIONS AND PROVIDERS, COMMUNITY LEADERS, AND INPUT FROM ACROSS BUSINESS SECTORS AND OTHERS IN THE COMMUNITY, MCLEOD HEALTH CAN BETTER SERVE ITS MISSION. IN PRIORITIZATION OF NEEDS, CONSIDERATION WAS GIVEN TO THE FOLLOWING: - BASED ON IMPORTANCE TO COMMUNITY - CAPACITY TO ADDRESS CHANGE - ALIGNMENT TO MCLEOD HEALTH MISSION, VISION AND VALUES - COLLABORATION WITH EXISTING ORGANIZATIONS - MAGNITUDE/SEVERITY OF PROBLEM - NEED AMONG VULNERABLE POPULATIONS - WILLINGNESS TO ACT ON ISSUE - ABILITY TO HAVE MEANINGFUL IMPACT - AVAILABILITY OF HOSPITAL RESOURCES PLAN PRIORITIES MCLEOD HEALTH CHERAW HAS SELECTED THE FOLLOWING AREAS TO COLLABORATE WITH COMMUNITY PARTNERS FOR IMPROVING COMMUNITY HEALTH IN CHESTERFIELD COUNTY. - ACCESS TO PRIMARY CARE - DIABETES - HEART DISEASE AND STROKE - LUNG DISEASE SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 4 FACILITY , 4 - MCLEOD HEALTH CHERAW (CONT.). IMPLEMENTATION PLAN PRIORITY ISSUES WERE DETERMINED FROM THE COMMUNITY INPUT GATHERED FOR THE CHNA. THE PRIORITY ISSUES, OR "GOAL," ARE LISTED AS STRATEGIES, METRICS ON HOW TO MEASURE THOSE STRATEGIES, COMMUNITY PARTNERS, AND TIMEFRAME. THROUGH SUCCESSFUL PARTNERSHIPS AND COLLABORATIONS WITH PUBLIC HEALTH AGENCIES, HEALTH CARE ORGANIZATIONS AND PROVIDERS, COMMUNITY LEADERS, AND INPUT FROM ACROSS BUSINESS SECTORS AND OTHERS IN OUR COMMUNITY, MCLEOD HEALTH CAN MORE EFFECTIVELY SATISFY ITS LONG STANDING MISSION DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING IN OUR REGION THROUGH EXCELLENCE IN HEALTH CARE. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - MCLEOD HEALTH CHERAW:. MCLEOD HEALTH CHERAW IS WORKING WITH THE COMMUNITY PARTNERS SHOWN IN THE IMPLEMENTATION PLAN TO IMPROVE THE SURROUNDING AREAS. THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS. 0 SCHEDULE H, PART I, LINE 7 COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $11,989,456. SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORT PREPARED BY RELATED ORGANIZATION THE COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD HEALTH CHERAW) IS FILED ANNUALLY WITH SOUTH CAROLINA HOSPITAL ASSOCIATION. HIGHLIGHTS ARE PUBLISHED IN MCLEOD MAGAZINE WHICH IS A PUBLICATION THAT IS DISTRIBUTED FREE TO THE PUBLIC. THE ENTIRE REPORT IS AVAILABLE TO ANYONE UPON REQUEST. SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 11989456 SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE AMOUNTS ON LINES 7A-7D. THIS WAS CALCULATED BY USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE HOSPITAL'S FINANCIAL COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES COMMUNITY BUILDING ACTIVITIES CONSIST OF CHAMBER OF COMMERCE DUES TO VARIOUS CHAMBERS IN THE AREA TO BUILD COMMUNITY RELATIONSHIPS TO HELP FURTHER LEARN WHAT HEALTHCARE NEEDS THERE ARE IN THE COMMUNITY. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 6.7% OF TOTAL BAD DEBTS. SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE ACCOUNTS RECEIVABLE FOR PATIENTS, ARE STATED AT NET REALIZABLE AMOUNTS DUE FROM PATIENTS, THIRD-PARTY PAYORS, OTHER INSURERS FOR WHICH THE ORGANIZATION EXPECTS TO BE ENTITLED IN EXCHANGE FOR PATIENT CARE, AND DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF MCLEOD HEALTH'S FINANCIAL ASSISTANCE POLICY. IN ACCORDANCE WITH ASC TOPIC 606, THE PATIENT RECEIVABLE BALANCES ARE RECORDED NET OF IMPLICIT AND EXPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO ACCOUNTS RECEIVABLE FROM PATIENTS. SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS THE ORGANIZATION FEELS ANY SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS COMMUNITY BENEFIT. THE HOSPITAL IMPROVES ACCESS TO PATIENT CARE BY PROVIDING SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY OR THE HOSPITAL'S ABILITY TO RECEIVE FULL COST REIMBURSEMENT FOR SERVICES. THE HOSPITAL ALSO RELIEVES THE GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES CARE TO PUBLICLY-INSURED PATIENTS WHERE REIMBURSEMENT IS LESS THAN COST OF PROVIDING THE SERVICE. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE 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. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - MCLEOD HEALTH CHERAW: LINE 16A URL: HTTPS://TINYURL.COM/MRXAPD3B; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - MCLEOD HEALTH CHERAW: LINE 16B URL: HTTPS://TINYURL.COM/MRXAPD3B; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - MCLEOD HEALTH CHERAW: LINE 16C URL: HTTPS://TINYURL.COM/MRXAPD3B; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR PART V, SECTION B, MCLEOD HEALTH CHERAW HAS A COMMUNITY BOARD THAT CONSISTS OF LOCAL PHYSICIANS AND OTHER INFLUENTIAL COMMUNITY LEADERS. THE LEADERS PROVIDE INPUT FROM VARIOUS PARTS OF THE COMMUNITY TO ASSIST MCLEOD HEALTH CHERAW IN ASSESSING THE HEALTHCARE NEEDS OF THE COMMUNITY. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR HEALTHCARE SERVICES. IF THE PATIENT HAS NO ABILITY TO PAY AND IS DEEMED INELIGIBLE FOR GOVERNMENTAL PROGRAMS (MEDICARE, MEDICAID, ETC.) THEN THEY ARE INFORMED OF THE HOSPITAL CHARITY PROGRAM. THEY ARE PROVIDED WITH AN APPLICATION AND A LISTING OF THE APPROPRIATE DOCUMENTS NECESSARY TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL CHARITY PROGRAM. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION MCLEOD HEALTH CHERAW (CHERAW), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD MEDICAL CENTER-DILLON, MCLEOD LORIS SEACOAST HOSPITAL, MCLEOD HEALTH CLARENDON, AND MCLEOD PHYSICIAN ASSOCIATES II, CONSIDERS ITS PRIMARY SERVICE AREA (PSA) AS THE SOUTH CAROLINA COUNTIES OF FLORENCE, DARLINGTON, CHESTERFIELD, DILLON, CLARENDON, HORRY, MARION, AND MARLBORO, AND ITS SECONDARY SERVICE AREA (SSA) AS THE SOUTH CAROLINA COUNTIES OF GEORGETOWN, LEE, SUMTER, AND WILLIAMSBURG. THESE TWELVE COUNTIES MAKE UP THE NORTHEASTERN PORTION OF SOUTH CAROLINA. CHERAW HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTY OF CHESTERFIELD. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH WITH A STRONG HISTORY IN THE CHESTERFIELD COMMUNITY SINCE 1958, MCLEOD HEALTH CHERAW, FORMERLY CHESTERFIELD GENERAL HOSPITAL, SERVES RESIDENTS OF CHESTERFIELD AND MARLBORO COUNTIES WITH EXCELLENCE IN PATIENT CARE. AS PART OF MCLEOD HEALTH, PATIENTS RECEIVE ACCESS TO SPECIALIZED SERVICES, IMPROVED TECHNOLOGY, AN OUTSTANDING PHYSICIAN NETWORK AND ENHANCED FACILITIES. SERVICES AVAILABLE AT MCLEOD HEALTH CHERAW INCLUDE: CARDIAC & VASCULAR CARE, DIAGNOSTIC IMAGING (MAMMOGRAPHY, LOW-DOSE LUNG CANCER CT SCREENINGS, MRI, ETC.), INPATIENT DIALYSIS, LABORATORY, CARDIOPULMONARY & VASCULAR REHABILITATION, GENERAL SURGERY, ORTHOPEDIC, PHYSICAL THERAPY, NUTRITIONAL SERVICES & MANAGEMENT, RESPIRATORY THERAPY, STRESS TEST, HOSPICE AND PALLIATIVE CARE. THE 59-BED HOSPITAL ALSO PROVIDES AN EXPANDED EMERGENCY DEPARTMENT, AN INTENSIVE CARE UNIT AND A MEDICAL SURGICAL UNIT. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM 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. (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS, WHICH OPERATE AS DIVISIONS OF MRMC: -MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 517-BED TERTIARY CARE FACILITY AND A 48-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE-COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT HOSPICE FACILITY LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD HEALTH & FITNESS CENTER, A COMPREHENSIVE HEALTH AND FITNESS CENTER LOCATED IN FLORENCE, SOUTH CAROLINA; 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 IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE CODE. MCLEOD MEDICAL ENTER-DILLON OWNS AND OPERATES A 79-BED COMMUNITY HOSPITAL LOCATED IN THE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS FLORENCE COUNTY TO THE NORTHEAST. MCLEOD LORIS SEACOAST HOSPITAL JOINED MCLEOD HEALTH IN JANUARY 2012 AND CONSISTS OF THE FOLLOWING DIVISIONS: -MCLEOD LORIS, A 50-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA. -MCLEOD SEACOAST, A 155-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA. MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015. MCLEOD HEALTH CLARENDON JOINED MCLEOD HEALTH IN JULY 2016 AND IS AN 81-BED COMMUNITY HOSPITAL LOCATED IN MANNING, SC. MCLEOD PHYSICIAN ASSOCIATES II (MPA II) 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 140 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 55 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 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 THE "BOARD"). CURRENTLY, THERE ARE 29 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 IS A FOR-PROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 63% SHARE IN THE EQUITY OF THIS COMPANY. 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. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT SC true NORTHEASTERN TECHNICAL COLLEGE FOUNDATION 1201 CHESTERFIELD HWY CHERAW SC 29520 570690280 501(C)(3) 22500 0 N/A N/A TO SUPPORT THE NURSING PROGRAM 1 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS THE GRANTS ARE MADE TO GOVERNMENTAL OR CHARITABLE ORGANIZATIONS FOR USE IN THEIR CHARITABLE ACTIVITIES. ACCORDINGLY, MCLEOD HEALTH EXPECTS THE ORGANIZATION TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT MONITOR THESE GRANTS. X X X X X false true false false false false false true false MATTHEW JOHNSON MD CORPORATE COO 0 754118 0 250052 0 27053 0 110022 0 15728 0 1156973 0 0 BREN T LOWE CEO -MCLEOD CHERAW HOSPITAL 226279 0 79291 0 3202 0 39792 0 33237 0 381801 0 0 0 DANIEL G SIMPSON MD TRUSTEE/STAFF PHYSICIAN 419796 0 0 0 26045 0 0 0 44707 0 490548 0 23000 0 S FULTON ERVIN III CORPORATE SR. VP/CFO - PART YEAR 0 710029 0 238413 0 109319 0 101961 0 48870 0 1208592 0 98996 CHRISTIAN L SOURA CORPORATE SR. VP/CFO 0 344847 0 56183 0 910 0 4382 0 10975 0 417297 0 0 DONNA C ISGETT CORPORATE PRES/CEO 0 1463219 0 652018 0 72409 0 211062 0 31348 0 2430056 0 64092 VINAY JAGADEESHA MD STAFF PHYSICIAN 578443 0 0 0 2350 0 0 0 27772 0 608565 0 0 0 FOY CONNELL MD STAFF PHYSICIAN 515115 0 0 0 8164 0 0 0 43537 0 566816 0 0 0 JEFFREY SCHARSTEIN MD STAFF PHYSICIAN 507938 0 0 0 10716 0 0 0 26473 0 545127 0 0 0 DOUGLASS LILLY MD STAFF PHYSICIAN 407275 0 0 0 5542 0 0 0 50319 0 463136 0 0 0 SUSAN ROBINS MD STAFF PHYSICIAN 328501 0 0 0 2541 0 8909 0 13319 0 353270 0 0 0 SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. COMPENSATION STUDY 3. APPROVAL OF THE BOARD ANNUALLY APPROVING COMPENSATION AMOUNTS 4. INDEPENDENT COMPENSATION CONSULTANT 5. OTHER COMPARABLE ORGANIZATIONS SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN MCLEOD HEALTH HAS A 457(F) EXECUTIVE RETIREMENT PLAN (THE "PLAN"). PARTICIPATION IN THE PLAN IS LIMITED TO A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES DESIGNATED BY THE BOARD OF MCLEOD HEALTH AT ITS SOLE DISCRETION. MCLEOD HEALTH MAY MAKE DISCRETIONARY CONTRIBUTIONS TO THE PLAN ON BEHALF OF PARTICIPANTS, WHICH NEED NOT BE UNIFORM AMONG PARTICIPANTS. NO PARTICIPANT CONTRIBUTIONS ARE PERMITTED UNDER THE PLAN SO THE PLAN IS ENTIRELY FUNDED BY MCLEOD HEALTH. CONTRIBUTIONS TO THE PLAN ARE MADE IN A MANNER THAT IS CONSISTENT WITH MCLEOD HEALTH'S POLICIES, PROCESS, AND PROCEDURES FOR DETERMINING COMPENSATION. SERP DISTRIBUTIONS DURING THE YEAR ARE AS FOLLOWS: S. FULTON ERVIN III: $98,996 DONNA ISGETT: $64,092 DANIEL SIMPSON: $23,000 PARTICIPANT ACCOUNT BALANCES VEST BASED ON YEARS OF SERVICE AND PARTICIPANT AGE. UNVESTED BALANCES ARE SUBJECT TO FORFEITURE. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS MCLEOD HEALTH IS THE SOLE MEMBER OF MCLEOD HEALTH CHERAW 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 (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS, WHICH OPERATE AS DIVISIONS OF MRMC: -MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 517-BED TERTIARY CARE FACILITY AND A 48-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE-COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT HOSPICE FACILITY LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD HEALTH & FITNESS CENTER, A COMPREHENSIVE HEALTH AND FITNESS CENTER LOCATED IN FLORENCE, SOUTH CAROLINA; -MCLEOD 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 IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE CODE. MCLEOD MEDICAL CENTER-DILLON OWNS AND OPERATES A 79-BED COMMUNITY HOSPITAL LOCATED IN THE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS FLORENCE COUNTY TO THE NORTHEAST. MCLEOD LORIS SEACOAST HOSPITAL JOINED MCLEOD HEALTH IN JANUARY 2012 AND CONSISTS OF THE FOLLOWING DIVISIONS: -MCLEOD LORIS, A 50-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA. -MCLEOD SEACOAST, A 155-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA. MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SOUTH CAROLINA. MCLEOD HEALTH CLARENDON IS AN 81-BED COMMUNUNITY HOSPITAL LOCATED IN MANNING, SOUTH CAROLINA. MCLEOD PHYSICIAN ASSOCIATES II (MPA II) IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(2) OF THE CODE THAT OPERATES A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE OF OVER 190 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 90 OFFICES IN SOUTH AND NORTH 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 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 29 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 IS A FOR-PROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 63% SHARE IN THE EQUITY OF THIS COMPANY. MCLEOD PHYSICIAN ASSOCIATES, INC. IS A SOUTH CAROLINA FOR-PROFIT CORPORATION THAT FORMERLY OPERATED A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH CHERAW'S BOARD. FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY THE CFO AND THE FINANCE LEADERSHIP OF MCLEOD HEALTH. COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MCLEOD HEALTH BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MCLEOD HEALTH IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MCLEOD HEALTH IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY MCLEOD HEALTH CHERAW REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT EACH YEAR. FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL IN DETERMINING COMPENSATION OF MCLEOD HEALTH CHERAW'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 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. THE TOP MANAGEMENT OFFICIAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES IN DETERMINING COMPENSATION OF MCLEOD HEALTH CHERAW'S OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF COMPENSATION, EACH POSITION 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. THE INDIVIDUAL BEING DISCUSSED WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER, THE ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS. 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