TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) S FULTON ERVIN III...................................................................... CFO OF RELATED ORG	1.0 ................. 39.0	X		0	596,111	91,208
(2) RONALD L BORING...................................................................... COO OF RELATED ORG	1.0 ................. 39.0	X		0	602,672	97,520
(3) DANE P FICCO...................................................................... VP OF RELATED ORG	0.0 ................. 40.0	X		0	509,329	85,235
(4) T CHUCK MILLS MD...................................................................... TRUSTEE	1.0 ................. 39.0	X		0	332,857	20,883
(5) AMANDA MILLS...................................................................... AVP NURSING/CNO	40.0 ................. 0.0	X		148,710	0	14,906
(6) EDWARD D TINSLEY...................................................................... SR. VP/ADMIN	40.0 ................. 0.0	X		413,457	0	68,278
(7) TRACY RAY OD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(8) RONALD M FOWLER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(9) ALEXANDER C LOGAN III MD...................................................................... CHAIRMAN	1.0 ................. 0.0	X		0	0	0
(10) FRANK BOULINEAU...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(11) DORIS P HICKMAN...................................................................... VICE CHAIRMAN	1.0 ................. 0.0	X	X	0	0	0
(12) EDWARD W PRINCE III...................................................................... TRUSTEE SECRETARY	1.0 ................. 0.0	X		0	0	0
(13) DONALD N LUDLOW MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(14) GAVIN LEASK MD...................................................................... CHIEF OF STAFF/MD REL CO	1.0 ................. 39.0	X		0	759,624	23,492
(15) CHARLES RANDALL...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(16) BRIAN WALKER...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(17) DENNIS JONES...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
BALFOUR BEATTY CONSTRUCTION LLC, 1930 CAMDEN ROAD CHARLOTTE,NC28203	CONSTRUCTION SVCS.	14,850,269
EMCARE INC, 7032 COLLECTION CENTER DRIVE CHICAGO,IL60693	MEDICAL SERVICES	1,907,444
DESIGN STRATEGIES LLC, 130 S MAIN ST GREENVILLE,SC29601	ARCHITECTURAL SVCS.	1,589,459
LORIS REHAB NURSING CENTER, 3620 STEVENS STREET LORIS,SC29569	MEDICAL SERVICES	1,347,718
MEDICAL ANESTHESIA CONSULTANTS LLC, PO BOX 13759 FLORENCE,SC29504	MEDICAL SERVICES	905,330
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 16

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MCLEOD LORIS SEACOAST HOSPITAL

Employer identification number

45-3576100

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

MCLEOD LORIS SEACOAST HOSPITAL

Employer identification number

45-3576100

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization MCLEOD LORIS SEACOAST HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization MCLEOD LORIS SEACOAST HOSPITAL		Employer identification number 45-3576100

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization MCLEOD LORIS SEACOAST HOSPITAL			Employer identification number 45-3576100
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MCLEOD LORIS SEACOAST HOSPITAL

Employer identification number

45-3576100

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	4,564,642		4,564,642
b	Buildings	128,321,967	40,409,017	87,912,950
c	Leasehold improvements	60,603	24,871	35,732
d	Equipment ...	49,893,684	36,120,320	13,773,364
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				106,286,688

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
THIRD PARTY PAYOR RESERVE	8,018,277
WAGES PAYABLE	3,948,187
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	11,966,464
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	120,147,584
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e
3	Subtract line 2e from line 1..................			3	120,147,584
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	-419,368
c	Add lines 4a and 4b....................			4c	-419,368
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	119,728,216

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	119,352,435
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e
3	Subtract line 2e from line 1...................			3	119,352,435
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	-419,368
c	Add lines 4a and 4b.....................			4c	-419,368
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	118,933,067

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART X, LINE 2	FIN 48 DISCLOSURE MCLEOD HEALTH AND ITS NOT-FOR-PROFIT SUBSIDIARIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM TAX UNDER THE PROVISIONS OF INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ENTITIES DESCRIBED UNDER IRC SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAXES ON RELATED INCOME HAS BEEN RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
SCHEDULE D, PART XI AND XII	LOSS ON SALE OF PROPERTY OF ($226,346) RECLASSED FROM EXPENSES TO REVENUE.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MCLEOD LORIS SEACOAST HOSPITAL

Employer identification number

45-3576100

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,562,645	9,624,463	0	0 %
b	Medicaid (from Worksheet 3, column a) . . . . .	25,797,991	19,068,892	6,729,099	5.650 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	30,360,636	28,693,355	6,729,099	5.650 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	72,800	0	72,800	0.060 %
f	Health professions education (from Worksheet 5) . . .	5,000	0	5,000
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	132,660	0	132,660	0.110 %
j	Total. Other Benefits . .	210,460	0	210,460	0.170 %
k	Total. Add lines 7d and 7j .	30,571,096	28,693,355	6,939,559	5.820 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support	4,500	4,500
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	5,500	5,500
8	Workforce development
9	Other
10	Total	10,000	10,000

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

14,346,628

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,014,448

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

36,007,895

Enter Medicare allowable costs of care relating to payments on line 5.....

44,688,521

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-8,680,626

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	MCLEOD LORIS 3655 MITCHELL STREET LORIS,SC29569 www.mcleodhealth.org SC HTL-0033	X	X	X	A
2	MCLEOD SEACOAST 4000 HIGHWAY 9 EAST LITTLE RIVER,SC29566 www.mcleodhealth.org SC HTL-0910	X	X	X	A

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.mcleodhealth.org

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 300.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.MCLEODHEALTH.ORG

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Form Sch H Part V, Section B, Line 3	MCLEOD SEACOAST: PART V, SECTION B, LINE 3: PRIORITIZED COMMUNITY HEALTH NEEDS WE ASSESSED THE COMMUNITYS HEALTH NEEDS BASED ON QUALITATIVE AND QUANTITATIVE DATA AND PARTICULARLY FROM COMMUNITY FORUM FEEDBACK. THERE ARE THREE PRIORITIZED NEED AREAS AS WELL AS KEY FACTORS AND CONSIDERATIONS OF EACH NEED. THESE THREE AREAS ARE: OBESITY/CHRONIC CONDITIONS, ACCESS TO HEALTH CARE, AND MENTAL HEALTH/SUBSTANCE ABUSE. A BROAD RANGE OF SOCIAL, ECONOMIC, AND OTHER ENVIRONMENTAL FACTORS AFFECT THE HEALTH OF INDIVIDUALS AND COMMUNITIES. THE SOCIAL AND ECONOMIC CONDITIONS WHERE PEOPLE LIVE, WORK, LEARN, AND PLAY ARE CALLED SOCIAL DETERMINANTS OF HEALTH. SOCIAL DETERMINANTS CAN HAVE A PROFOUND INFLUENCE ON THE CHOICES THAT PEOPLE HAVE IN THEIR DAILY LIVES THAT PROMOTE OR INHIBIT HEALTH. WITHIN EACH OF THE COMMUNITY HEALTH NEED AREAS, MULTIPLE FACTORS MUST BE CONSIDERED. EDUCATION, AND SOCIOECONOMIC/ENVIRONMENTAL CONDITIONS GREATLY AFFECT AN INDIVIDUALS HEALTH STATUS AND ABILITY TO OVERCOME HEALTH ISSUES IN THE REGION. THE MCLEOD LORIS AND MCLEOD SEACOAST CHNAS NOTED A PLETHORA OF COMMUNITY HEALTH ISSUES AS WELL AS HEALTH DISPARITIES ACROSS THE STUDY AREA. IT IS CRITICAL FOR HEALTH PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS TO UNDERSTAND NOT ONLY THE REGIONAL HEALTH ISSUES, BUT TO BE AWARE OF WHERE DISPARITIES OCCUR TO PINPOINT WHAT SERVICES AND IMPROVEMENTS ARE MOST NEEDED. ADDRESSING THE COMMUNITY HEALTH PRIORITIES THE GOALS AND STRATEGIC ACTIONS DELINEATED IN THIS CHNA IMPLEMENTATION PLAN NARRATIVE ARE DEVELOPED TO ADDRESS EACH OF THE IDENTIFIED PRIORITY AREAS AND TO ENSURE A PATIENT-CENTERED AND COMMUNITY ENGAGEMENT APPROACH. PRIORITY 1: OBESITY AND CHRONIC CONDITIONS (NUTRITION, PHYSICAL ACTIVITY, AND HEALTH EDUCATION) OBESITY OBESITY IS AN EPIDEMIC IN THE U.S. AND CONTRIBUTES TO SEVERAL LEADING CAUSES OF DEATH, INCLUDING HEART DISEASE, DIABETES, STROKE, AND SOME CANCERS. IF PRESENT TRENDS CONTINUE, BY 2030, 86 PERCENT OF ADULTS WILL BE OVERWEIGHT; 51 PERCENT WILL BE OBESE; AND NEARLY A THIRD OF ALL CHILDREN WILL BE OVERWEIGHT ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION (2012). TOTAL HEALTH CARE COSTS ATTRIBUTABLE TO OBESITY/OVERWEIGHT ARE PREDICTED TO DOUBLE EACH DECADE. ENVIRONMENTAL, ECONOMIC, AND CULTURAL CONDITIONS GREATLY INFLUENCE HEALTH BEHAVIORS SUCH AS DIET AND PHYSICAL ACTIVITY AND CONTRIBUTE TO THE RISE IN OBESITY RATES. OBESITY RATES ARE HIGHER AMONG LOW-INCOME ADULTS AND CHILDREN AND AMONG AMERICAN INDIANS/ALASKA NATIVE, BLACK, AND HISPANIC INDIVIDUALS. CHILDREN LIVING IN DISADVANTAGED COMMUNITIES AND NEIGHBORHOODS ARE MORE LIKELY TO BE OBESE. MOST ADULTS IN THE U.S. DO NOT MEET THE PHYSICAL ACTIVITY GUIDELINES FOR AMERICANS. OBESITY IS PARTICULARLY PREVALENT ACROSS STATES IN THE SOUTHERN PART OF THE U.S. THE STATE OF SOUTH CAROLINA IS PLAGUED BY HIGH RATES OF OBESITY, AS THE STATE HAD THE 10TH HIGHEST OBESITY RATE IN THE NATION IN 2014. NORTH CAROLINA HAD THE 24TH HIGHEST OBESITY RATE IN 2014. BOTH COMMUNITY LEADERS AND STAKEHOLDERS CITED OBESITY AS A TOP HEALTH CONCERN DURING THE PREVIOUS 2013 CHNA PROCESS. THE OBESITY RATES IN THE MCLEOD LORIS AND MCLEOD SEACOAST STUDY AREAS CLOSELY MIMIC THOSE IN THE STATES AND U.S., AS BOTH STUDY AREAS HAVE OBESITY RATES (OR BMI ABOVE 30.0) THAT ARE CLOSE TO 30 PERCENT OF THE POPULATION. AMONG THE COUNTIES, ADULT OBESITY IS HIGHEST IN COLUMBUS COUNTY WITH 30.8 PERCENT OF THE POPULATION BEING OBESE. CHRONIC CONDITIONS OBESITY IS A KEY FACTOR IN PREVENTING CHRONIC DISEASES SUCH AS HYPERTENSION, HEART DISEASE, DIABETES AND STROKE. ADULTS WHO ARE OVERWEIGHT ARE MORE LIKELY TO HAVE HYPERTENSION AND HIGH CHOLESTEROL, BOTH OF WHICH CAN LEAD TO MAJOR HEALTH ISSUES LIKE HEART DISEASE AND STROKE. OBESITY AND CHRONIC DISEASES HAVE A NEGATIVE EFFECT ON A PERSONS GENERAL HEALTH AND OVERALL WELL-BEING. IT IS NOTED THAT THE COUNTIES THAT EXPERIENCE THE HIGHEST RATES OF OBESITY AND CHRONIC CONDITIONS ALSO REPORT HIGHER PERCENTAGES OF RESIDENTS WITH POOR OR FAIR HEALTH. COLUMBUS COUNTY HAS THE HIGHEST PERCENT OF ADULTS WHO ARE OBESE AT 30.8 PERCENT AND ALSO HAS THE HIGHEST PERCENTAGE OF ADULTS WHO REPORT HAVING POOR OR FAIR GENERAL HEALTH AT 28.6 PERCENT OF THE POPULATION. THIS PERCENTAGE IS SIGNIFICANTLY HIGHER THAN THE OTHER COUNTIES, STATES, AND U.S. HEART DISEASE AND HYPERTENSION CHRONIC CONDITIONS THAT STEM FROM OBESITY ARE PROMINENT IN SOUTH CAROLINA, NORTH CAROLINA, AND THE STUDY AREA. SOUTH CAROLINA HAS THE EIGHTH HIGHEST HYPERTENSION RATE IN THE U.S. WHILE NORTH CAROLINA HAS THE 11TH HIGHEST HYPERTENSION RATE IN THE NATION. WHILE BOTH SOUTH CAROLINA AND NORTH CAROLINA HAVE HIGH RATES OF CHRONIC DISEASES, A NUMBER OF CHRONIC DISEASES ARE EVEN MORE PREVALENT IN THE STUDY AREA. -46.1 PERCENT OF THE POPULATION IN THE MCLEOD SEACOAST STUDY AREA HAS HIGH CHOLESTEROL; A GREATER PERCENTAGE OF THE POPULATION IN THE STUDY AREA HAS HIGH CHOLESTEROL COMPARED TO NORTH CAROLINA (38.5 PERCENT), SOUTH CAROLINA (41.5 PERCENT), AND U.S. (38.5 PERCENT). -6.4 PERCENT OF RESIDENTS IN THE STUDY AREA HAVE HEART DISEASE. THIS PERCENTAGE IS HIGHER THAN THE STATES (4.6 PERCENT IN NORTH CAROLINA AND 4.6 PERCENT IN SOUTH CAROLINA) AND NATION (4.4 PERCENT). COMMUNITY LEADERS FREQUENTLY MENTIONED HEART DISEASE AS A CHRONIC DISEASE CONCERN. HEART DISEASE ALSO WAS A TOP CONCERN IN THE 2013 MCLEOD LORIS AND SEACOAST CHNA. -THE STUDY AREA HAS A HIGHER RATE OF MORTALITY DUE TO HEART DISEASE COMPARED TO NORTH CAROLINA, SOUTH CAROLINA, AND THE U.S. THE MORTALITY RATE DUE TO HEART DISEASE IN THE STUDY AREA IS 198.5 PER 100,000 POPULATION. DIABETES NATIONWIDE, IT IS ESTIMATED THAT NEARLY 26 MILLION PEOPLE HAVE DIABETES, INCLUDING OVER A QUARTER WITH THE CONDITION UNDIAGNOSED, AND THAT 79 MILLION PEOPLE ARE PRE-DIABETIC, WITH BLOOD GLUCOSE LEVELS THAT INCREASE THE RISK OF DEVELOPING DIABETES. THE PREVALENCE OF DIABETES INCREASES WITH AGE, AND NEARLY 27 PERCENT OF THOSE OVER AGE 65 HAVE DIABETES. AMONG RACIAL AND ETHNIC GROUPS, DIABETES PREVALENCE IS HIGHEST AMONG AFRICAN AMERICANS. THE RISE OF DIABETES PREVALENCE CORRESPONDS WITH THE RISE IN OBESITY RATES, AND CHILDREN ARE INCREASINGLY AFFECTED BY BOTH OBESITY AND DIABETES. IT IS DOCUMENTED AMONG DIABETES EDUCATORS THAT MANY PATIENTS ARE GENERALLY UNAWARE OF THE SERIOUSNESS OF DIABETES. THEY ALSO NOTE THAT PEOPLE WHO ARE NEWLY DIAGNOSED ARE OFTEN OVERWHELMED, CONFRONTED WITH MISINFORMATION, OR FEEL THEY ARE POWERLESS TO MAKE POSITIVE CHANGES TO CONTROL THE DISEASE. SOUTH CAROLINA HAS THE SEVENTH HIGHEST DIABETES RATE IN THE U.S. 15.0 PERCENT OF THE POPULATION IN THE MCLEOD SEACOAST HAS DIABETES, WHILE 11.2 PERCENT OF THE POPULATION IN SOUTH CAROLINA, 10.2 PERCENT IN NORTH CAROLINA, AND 9.1 PERCENT IN THE U.S. HAS DIABETES. RESIDENTS WHO ARE LIVING IN POVERTY AND ARE UNINSURED OFTENTIMES FACE CHALLENGES ACCESSING CARE FOR HEALTH CONDITIONS ASSOCIATED WITH DIABETES DUE TO THE COST OF CARE, WHICH CAN RESULT IN HIGHER RATES OF HOSPITALIZATIONS DUE TO DIABETES COMPLICATIONS. A MAJORITY OF COMMUNITY LEADERS WHO WERE INTERVIEWED AND PARTICIPATED IN THE FORUM, AS PART OF THE CHNA, IDENTIFIED ACCESS TO HEALTH CARE AS THE TOP HEALTH NEED FOR THE POPULATIONS THEY SERVED. MANY DEATHS THAT ARE ATTRIBUTED TO CHRONIC DISEASE ARE CONSIDERED TO BE PREMATURE, BEFORE AGE 75, BECAUSE OF BEHAVIORS LIKE SMOKING, POOR DIET, LACK OF PHYSICAL ACTIVITY, AND SUBSTANCE ABUSE, AS WELL AS SOCIAL AND ENVIRONMENTAL FACTORS. IN THE U.S., PEOPLE WITH LOWER INCOMES ARE MORE LIKELY TO DIE PREMATURELY THAN THOSE WITH HIGHER INCOMES. LIFE EXPECTANCY AT BIRTH IS THE NUMBER OF YEARS A NEWBORN CAN EXPECT TO LIVE IF THE CURRENT AGE-SPECIFIC DEATH RATES STAY THE SAME FOR HIS OR HER LIFE. IN SOUTH CAROLINA, LIFE EXPECTANCY IS 76.5 YEARS. LIFE EXPECTANCY IN NORTH CAROLINA IS 77.8 YEARS. NUTRITION MANY ADULTS AND CHILDREN DO NOT EAT THE RECOMMENDED SERVINGS OF FRUITS AND VEGETABLES AS THE FOODS THAT ARE ASSOCIATED WITH HEALTHY DIETS OFTEN COST MORE THAN UNHEALTHY FOODS AND ARE UNAFFORDABLE FOR MANY LOW INCOME AND UNINSURED FAMILIES. IN 2015, 45.2 PERCENT OF SURVEYED ADULTS REPORTED CONSUMING FRUIT LESS THAN ONE TIME DAILY, WHILE 26.8 PERCENT OF ADULTS REPORTED CONSUMING VEGETABLES LESS THAN ONE TIME DAILY. BOTH BRUNSWICK AND HORRY COUNTIES HAVE HIGH PERCENTAGES OF RESIDENTS WHO DO NOT EAT THE RECOMMENDED AMOUNT OF FRUIT AND VEGETABLES PER DAY (FIVE OR MORE SERVINGS) WITH 87.1 PERCENT AND 86.0 PERCENT, RESPECTIVELY, OF RESIDENTS WHO DO NOT CONSUME THE RECOMMENDED SERVING. THESE PERCENTAGES ARE HIGHER THAN THOSE IN NORTH CAROLINA (78.4 PERCENT), SOUTH CAROLINA (80.9 PERCENT), AND U.S. (75.7 PERCENT). PHYSICAL ACTIVITY IN ADDITION TO A HEALTHY DIET, PHYSICAL ACTIVITY ALSO IS IMPORTANT TO LEADING A HEALTHY LIFESTYLE AND OBESITY AND CHRONIC DISEASE PREVENTION. PHYSICAL INACTIVITY IS RESPONSIBLE FOR ONE IN 10 DEATHS AMONG U.S. ADULTS. AMONG THE STATES IN THE U.S., SOUTH CAROLINA IS THE 13TH MOST PHYSICALLY INACTIVE STATE, WHILE NORTH CAROLINA FALLS IN THE MIDDLE AS THE 25TH MOST PHYSICALLY INACTIVE STATE. HEALTH EDUCA
SCH, H PART V, SECTION B, LINE 3 CONTINUED	MENTAL HEALTH THE MAJORITY OF ADULTS WITH MENTAL ILLNESS RECEIVED NO MENTAL HEALTH TREATMENT IN THE LAST YEAR, INDICATING A NATIONWIDE ISSUE WITH INDIVIDUALS BEING ABLE TO RECEIVE PROPER MENTAL HEALTH SERVICES AND TREATMENT. THERE IS A LACK OF MENTAL HEALTH PROVIDERS AVAILABLE TO UNITED STATES CITIZENS. CLOSE TO 91 MILLION ADULTS LIVE IN AREAS WHERE THERE IS A SHORTAGE OF MENTAL HEALTH PROFESSIONALS. THE PRIMARY DATA RECEIVED FROM RESIDENTS, HEALTH PROFESSIONALS, AND COMMUNITY LEADERS ACROSS THE CHNA STUDY AREAS SHOWED THE NEED FOR ATTENTION TO MENTAL HEALTH SERVICES. SUBSTANCE ABUSE IN MANY INSTANCES, MENTAL ILLNESS AND SUBSTANCE ABUSE GO HAND-IN-HAND; AMONG THE 20.2 MILLION ADULTS IN THE U.S. WITH A SUBSTANCE ABUSE ISSUE, APPROXIMATELY 10.2 MILLION ALSO HAVE A CO-OCCURRING MENTAL HEALTH ISSUE. IN PARTICULAR, PRESCRIPTION DRUG ABUSE HAS BECOME A GROWING CONCERN IN THE MCLEOD LORIS AND MCLEOD SEACOAST COMMUNITIES. SOUTH CAROLINA HAS THE 11TH HIGHEST RATE IN THE COUNTRY FOR PRESCRIBING PAINKILLERS, WITH 102 PRESCRIPTIONS WRITTEN FOR EVERY 100 PATIENTS. ACCESS TO BEHAVIORAL CARE MANAGING BEHAVIORAL HEALTH ISSUES IS ESSENTIAL, AS MENTAL HEALTH AND SUBSTANCE ABUSE CAN HAVE DETRIMENTAL EFFECTS ON THE HEALTH OF INDIVIDUALS AND COMMUNITIES. UNTREATED MENTAL ILLNESS AND SUBSTANCE ABUSE ADDICTIONS PREVENT INDIVIDUALS FROM LEADING EVERY DAY LIVES, WHICH INCLUDES OBTAINING AN EDUCATION AND HAVING A STABLE JOB, BOTH OF WHICH ARE IMPORTANT TO AN INDIVIDUALS WELL-BEING AS WELL AS THE OVERALL HEALTH OF A COMMUNITY. THE RATE OF BEHAVIORAL HEALTH PROVIDERS, COST OF CARE, AND UNINSURED LEVELS PLAY A ROLE IN A PERSONS ABILITY TO RECEIVE BEHAVIORAL HEALTH CARE. COMMUNITY LEADERS DURING THE CHNA PROCESS CITED THE NEED FOR MORE BEHAVIORAL HEALTH CARE PROVIDERS AS MENTAL ILLNESS AND SUBSTANCE ABUSE BECOME INCREASINGLY PREVALENT IN THE REGION. THE COUNTIES THAT COMPRISE THE MCLEOD LORIS AND MCLEOD SEACOAST STUDY AREAS HAVE A LOWER RATE OF MENTAL HEALTH PROVIDERS IN COMPARISON TO SOUTH CAROLINA, NORTH CAROLINA, AND U.S. THE PRIMARY FOCUS OF THE FOLLOWING GOALS AND STRATEGIES ADDRESS IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES IN THE COMMUNITY. GOAL 1: IMPROVE ACCESS TO BEHAVIORAL HEALTH SERVICES. STRATEGY 1: PARTNER WITH WACCAMAW MENTAL HEALTH TO FIND PLACEMENT FOR MENTAL HEALTH PATIENTS. STRATEGY 2: CONTRACT WITH AN INDEPENDENT PSYCHIATRIST TO SERVE IN THE EMERGENCY DEPARTMENT WHEN NEEDED. STRATEGY 3: CREATE NEW PSYCHIATRIC ROOM AT MCLEOD LORIS AND MCLEOD SEACOAST. STRATEGY 4: OFFER TELE-PSYCH SERVICES THROUGH THE SC DEPARTMENT OF MENTAL HEALTH. STRATEGY 5: IMPROVE ACCESS TO HEALTH CARE SERVICES AND MEDICATIONS FOR UNINSURED ADULTS THROUGHOUT HORRY COUNTY. ACTION -PROVIDE REPRESENTATIVES ONSITE AT MCLEOD LORIS AND MCLEOD SEACOAST TO ASSIST PATIENTS WITH SIGNING UP FOR THE PROGRAM. STRATEGY 6: ENCOURAGE EMPLOYEES TO USE THE EMPLOYEE ASSISTANCE PROGRAM (EAP) FOR MENTAL HEALTH AND SUBSTANCE ABUSE ASSISTANCE. THE NEED FOR MORE BEHAVIORAL HEALTH CARE PROVIDERS WAS STRONGLY EMPHASIZED BY COMMUNITY LEADERS DURING THE MCLEOD LORIS AND MCLEOD SEACOAST CHNA STUDIES AS MENTAL ILLNESS AND SUBSTANCE ABUSE HAS BECOME INCREASINGLY PREVALENT IN THE REGION. TREATMENT OF MENTAL HEALTH IS OFTEN REACTIVE IN THE FORM OF CRISIS INTERVENTION THROUGH HOSPITAL EMERGENCY ROOMS RATHER THAN PROACTIVE PRACTICES. ADDITIONAL BARRIERS TO MENTAL HEALTH SERVICES INCLUDE OUT-OF-POCKET COSTS/INSURANCE COVERAGE, NEGATIVE SOCIAL STIGMAS, AND LACK OF HEALTH EDUCATION. MANY RESIDENTS WHO HAVE MENTAL HEALTH ISSUES ALSO TEND TO HAVE MULTIPLE BEHAVIORAL DIAGNOSES, MAKING IT EVEN MORE ESSENTIAL FOR THOSE IN NEED TO HAVE ACCESS TO AND RECEIVE CONTINUOUS TREATMENT. MCLEOD LORIS AND SEACOAST WILL TAKE A PROACTIVE APPROACH TO COMBATTING THE BEHAVIORAL HEALTH ISSUES IN THE COMMUNITY BY PARTNERING WITH WACCAMAW MENTAL HEALTH TO FIND PROPER PLACEMENT FOR MENTAL HEALTH PATIENTS, WHERE PATIENTS CAN RECEIVE CARE AND TREATMENT TAILORED TO THEIR MENTAL HEALTH NEEDS. HAVING AN INDEPENDENT PSYCHIATRIST IN THE EMERGENCY DEPARTMENTS OF LORIS AND SEACOAST, AS WELL AS CREATING A PSYCHIATRIC ROOM AT BOTH HOSPITALS WILL PROVIDE THE HOSPITALS WITH TOOLS TO PROVIDE ADDITIONAL BEHAVIORAL HEALTH CARE SERVICES WITHIN THEIR OWN FACILITIES. THE USE OF TELE-PSYCHIATRY SERVICES HAS GREATLY ENHANCED ACCESS TO SPECIALTY PROVIDERS FOR RURAL AND UNDERSERVED RESIDENTS. IN THE ABSENCE OF A READILY AVAILABLE SPECIALIST AND PROVIDERS, TELEPSYCHIATRY CAN BE AN EFFECTIVE TOOL FOR PATIENT EVALUATION AND FACILITATING ACCESS TO CARE WITHIN A RURAL SETTING. THE SC DEPARTMENT OF MENTAL HEALTH AND PALMETTO CARE CONNECTIONS WILL SERVE AS AN IMPORTANT COMMUNITY RESOURCE FOR THIS INITIATIVE. MCLEOD LORIS AND MCLEOD SEACOAST ALSO WILL ENCOURAGE AND SUPPORT PROGRAMS THAT PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSE ASSISTANCE TO RESIDENTS AND EMPLOYEES. LORIS AND SEACOAST WILL CONTINUE TO PARTNER WITH ACCESSHEALTH HORRY, WHICH HELPS UNINSURED RESIDENTS IN HORRY COUNTY FIND REDUCED-FEE MEDICAL CARE AND PRESCRIPTION DRUG ASSISTANCE. LORIS AND SEACOAST WILL WORK WITH ACCESSHEALTH TO ENROLL RESIDENTS IN HOP; THIS PROGRAM WILL HELP RESIDENTS DEALING WITH FREQUENT MENTAL HEALTH AND SUBSTANCE ABUSE FIND A HEALTH CARE PROVIDER AND HEALTH SERVICES TO TREAT THEIR BEHAVIORAL HEALTH ISSUES. THE EMPLOYEE ASSISTANCE PROGRAM (EAP) AT LORIS AND SEACOAST HELPS TO PROVIDE SIMILAR MENTAL HEALTH AND SUBSTANCE ABUSE ASSISTANCE THROUGH MATCHING EMPLOYEES WITH THE PROPER HEALTH CARE TREATMENT SERVICES, AS EVIDENCE SHOWS WORK SITE BASED INTERVENTIONS ARE HIGHLY EFFECTIVE. IMPLEMENTATION NEXT STEPS THE MCLEOD LORIS AND MCLEOD SEACOAST CHNA IMPLEMENTATION PLAN DEFINES OUR COMMITMENT TO THE COMMUNITY, DOCUMENTS HOW THE IDENTIFIED COMMUNITY NEEDS WILL BE MET, AND ENSURES THAT RESULTS AND IMPACT ON THE HEALTH OF THE COMMUNITY WILL BE REPORTED AND COMMUNICATED. EFFORTS TO MEASURABLY IMPACT THE HEALTH OF THE COMMUNITY ARE ON-GOING AS 2016-2019 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES ARE ALIGNED WITH THE SYSTEMS STRATEGIC FOCUS AND ORGANIZATIONAL GOALS. COMMUNICATION AND CONTINUOUS PLANNING EFFORTS ARE VITAL THROUGHOUT THE NEXT FEW YEARS. INFORMATION REGARDING THE CHNA FINDINGS AND IMPLEMENTATION PLAN DEPLOYMENT WILL BE IMPORTANT TO RESIDENTS, COMMUNITY GROUPS, LEADERS AND OTHER ORGANIZATIONS THAT SEEK TO BETTER UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITIES IN THE MCLEOD LORIS AND MCLEOD SEACOAST STUDY AREAS AND HOW TO BEST SERVE THOSE NEEDS. EVALUATION AND PROGRESS ON THE IMPLEMENTATION OF COMMUNITY INITIATIVES WILL BE REPORTED AT LEAST ANNUALLY AND WILL BE INCLUDED IN COMMUNITY BENEFIT REPORTING.
SCH H, PART V, SECTION B, LINE 4	MCLEOD LORIS AND MCLEOD SEACOAST HOSPITAL WERE BOTH COVERED BY MCLEOD HEALTH'S HORRY COUNTY CHNA.
SCH H PART V, SECTION B, LINE 11	THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
SCH H. PART III, LINE 4	NET PATIENT REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNT RECEIVED, OR TO BE RECEIVED, FROM PATIENTS, THIRD PARTY PAYOR, AND OTHERS FOR THE SPECIFIC SERVICES AND SUPPLIES RENDERED, INCLUDING ESTIMATE RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENT WITH THIRD PARTY PAYOR. FOR THE AMOUNTS REPORTED IN LINES 2 AND 3, WE USED THE IRS METHOD TO CALCULATE THE RATIO OF PATIENT COST TO CHARGES, AS SHOWN ON PAGE 13 OF THE INSTRUCTIONS FOR SCHEDULE H (WORKSHEET 2). THE CALCULATED RATIO WAS THEN APPLIED TO THE GROSS CHARGES WRITTEN OFF TO BAD DEBT (NET OF RECOVERIES).
SCH H, PART III, LINE 8	THE ORGANIZATION FEELS THAT THE TOTAL SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS A 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 THE COST OF PROVIDING THE SERVICE.
SCH H, PART III, LINE 9B	MCLEOD'S CHARITY POLICY OUTLINES THE CRITERIA USED TO DETERMINE PATIENTS WHO QUALIFY FOR CHARITY. WHEN PATIENTS HAVE FURNISHED THE REQUIRED INFORMATION, IT IS REVIEWED AND A DETERMINATION IS MADE. IF APPROVED FOR CHARITY CARE, THEIR ACCOUNT BALANCES ARE ADJUSTED BASED ON THE PERCENTAGE THEY QUALIFY FOR USING A CHARITY ADJUSTMENT CODE. IF ALL REQUIRED INFORMATION IS NOT FURNISHED, THE PATIENT IS NOTIFIED THAT THEIR CHARITY APPLICATION WAS NOT APPROVED DUE TO FAILURE TO PROVIDE THE NECESSARY INFORMATION. FOLLOWING THAT NOTIFICATION, THE ACCOUNT GENERALLY TRANSFERS TO BAD DEBT FOR FURTHER COLLECTION ACTION.
SCH H, PART VI, LINE 2	IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR MCLEOD LORIS SEACOAST HOSPITAL (LORIS). LORIS HAS A COMMUNITY BOARD THAT CONSISTS OF LOCAL PHYSICIANS AND OTHER INFLUENTIAL COMMUNITY LEADERS. THIS BOARD MEETS SEMI-MONTHLY AND THE LEADERS PROVIDE INPUT FROM VARIOUS PARTS OF THE COMMUNITY TO ASSIST LORIS IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY.
SCH H, PART VI, LINE 3	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.
SCH H, PART VI, LINE 4	MCLEOD LORIS SEACOAST HOSPITAL (MLSH), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., MCLEOD MEDICAL CENTER-DILLON, AND MCLEOD PHYSICIAN ASSOCIATES II CONSIDERS ITS PRIMARY SERVICE AREA (PSA) AS THE SOUTH CAROLINA COUNTIES OF FLORENCE, DARLINGTON, CHESTERFIELD, DILLON, HORRY, MARION, AND MARLBORO, AND ITS SECONDARY SERVICE AREA (SSA) AS THE SOUTH CAROLINA COUNTIES OF CLARENDON, GEORGETOWN, LEE, SUMTER, AND WILLIAMSBURG. THESE TWELVE COUNTIES MAKE UP THE NORTHEASTERN PORTION OF SOUTH CAROLINA. MLSH HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTY OF HORRY.
SCH H, PART VI, LINE 5	COMMUNITY BENEFIT REPORT: MCLEOD LORIS SEACOAST PRIMARILY SERVES HORRY COUNTY WHICH HAS A POPULATION OF APPROXIMATELY 309,000. HORRY COUNTY IS IN THE NORTHEASTERN CORNER OF SOUTH CAROLINA AND IS A COUNTY ASSIGNED TO THE PEE DEE REGION OF THE STATE. THE COUNTY'S PER CAPITA INCOME HAS LAGGED BOTH THE U.S. AND SOUTH CAROLINA AVERAGES, AND THE PERCENTAGE OF ITS POPULATION LIVING BELOW THE POVERTY LEVEL IS MUCH HIGHER THAN THE NATIONAL AVERAGE. IN HORRY COUNTY, THE NUMBER OF UNINSURED HAS REACHED 26%. SHORT SUMMARIES OF THE TWO FLAGSHIP HOSPITALS FOLLOW: MCLEOD LORIS: FOUNDED IN 1950, MCLEOD LORIS IS A FULLY-ACCREDITED ACUTE CARE FACILITY WITH 105 LICENSED BEDS. IT OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES, AND A MEDICAL STAFF MADE UP OF MORE THAN 120 ACTIVE AND AFFILIATE PHYSICIANS. MCLEOD LORIS HAS BEEN A VITAL PART OF LORIS FOR MORE THAN 60 YEARS. AS HEALTHCARE NEEDS HAVE CHANGED, MCLEOD LORIS HAS CHANGED TO OFFER NEW SERVICES AND TECHNOLOGY FOR ITS PATIENTS. OUR TEAM CONSISTS OF COMPASSIONATE PROFESSIONALS DEDICATED TO PROVIDING QUALITY CARE AND SERVICES. MCLEOD LORIS OFFERS A WIDE RANGE OF HIGH-QUALITY SERVICES, INCLUDING ADVANCED DIGITAL RADIOLOGY AND DIAGNOSTIC IMAGING, GENERAL, VASCULAR SURGERY, CARDIOPULMONARY REHABILITATION, AND 24/7 EMERGENCY DEPARTMENT WITH DEDICATED ROOMS FOR GYNECOLOGY, CARDIAC AND TRAUMAS. THE EXPERIENCE, KNOWLEDGE AND ACCESS TO TECHNOLOGY FOUND AT MCLEOD LORIS ARE UNSURPASSED LOCALLY. OUR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS ARE AMONG THE BEST IN THE NATION, AND THEIR DEDICATION TO QUALITY IS A NEVER-ENDING PROCESS. MCLEOD SEACOAST: MCLEOD SEACOAST, LOCATED IN LITTLE RIVER, SC IN THE NORTH MYRTLE BEACH AREA, OFFERS A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES. ITS MEDICAL STAFF INCLUDES MORE THAN 120 ACTIVE AND AFFILIATE PHYSICIANS. MCLEOD SEACOAST OPENED AS AN OUTPATIENT FACILITY IN OCTOBER OF 2000. FOR MORE THAN 10 YEARS, IT HAS BEEN PROVIDING COMPREHENSIVE IMAGING AND DIAGNOSTIC SERVICES, OUTPATIENT SURGERY SERVICES, REHABILITATION PROGRAMS, CARDIAC REHAB, AND EMERGENCY CARE. IN 2004, A CERTIFICATE OF NEED WAS FILED AND THAT SAME SPIRIT OF COMMUNITY PARTNERSHIP WAS EVIDENT WHEN WORK BEGAN TO BRING INPATIENT BEDS TO MCLEOD SEACOAST. IT WOULD TAKE SEVERAL MORE YEARS OF PETITIONING AND LEGAL BATTLES BEFORE CONSTRUCTION COULD BEGIN IN 2009. ON JULY 11, 2011, MCLEOD SEACOAST OPENED ITS DOORS AS A 50-BED HOSPITAL. DESIGNED WITH THE IDEAL HEALTHCARE EXPERIENCE IN MIND, THE NEW INPATIENT ADDITION CONSISTED OF 32 MEDICAL/SURGICAL BEDS, A 10-BED PROGRESSIVE CARE UNIT AND AN 8-BED INTENSIVE CARE UNIT. MCLEOD SEACOAST OFFERS A WIDE RANGE OF HIGH-QUALITY SERVICES, INCLUDING ADVANCED DIGITAL RADIOLOGY AND DIAGNOSTIC IMAGING, GENERAL, VASCULAR AND ORTHOPEDIC SURGERY, CARDIOPULMONARY REHABILITATION AND 24/7 EMERGENCY DEPARTMENT WITH DEDICATED ROOMS FOR GYNECOLOGY, CARDIAC, ORTHOPEDICS AND TRAUMAS. THE EXPERTISE, KNOWLEDGE AND ACCESS TO TECHNOLOGY FOUND AT MCLEOD SEACOAST ARE UNMATCHED LOCALLY. OUR PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS ARE AMONG THE BEST IN THE NATION, AND THEIR DEDICATION TO QUALITY IS A NEVER-ENDING PROCESS. MCLEOD SEACOAST OFFERS SOME OF THE NEWEST AND MOST ADVANCED IMAGING SERVICES AVAILABLE FOR DIAGNOSES AND TREATMENT. IN AN EFFORT TO CONTINUALLY GROW AND ENHANCE MEDICAL SERVICES TO THE PEOPLE IN HORRY COUNTY AND BEYOND, MCLEOD SEACOAST OFFERS A NEW ADDITION TO THE RADIOLOGY DEPARTMENT: THE OPTIMA MR.450W. MCLEOD SEACOAST IS THE ONLY FACILITY IN THE COASTAL CAROLINAS TO INSTALL THIS REVOLUTIONARY NEW MRI MACHINE. IN JULY 2016, MCLEOD SEACOAST OPENED ITS NEW, EXPANDED EMERGENCY DEPARTMENT. THE EMERGENCY DEPARTMENT OFFERS 28 PATIENT ROOMS INCLUDING 3 TRAUMA BAYS AND TRIAGE. THIS NEW SPACE HAS A STATE-OF-THE-ART DESIGN OFFERING STAFF-EASE OF WORK FLOW. FAST TRACK TREATMENT IS PROJECTED TO OPEN IN APRIL 2017, ADDING 5 ADDITIONAL EMERGENCY DEPARTMENT BEDS. MCLEOD LORIS SEACOAST HOSPITAL IS ONE OF THE SUBSIDIARY COMPANIES FOR MCLEOD HEALTH. RECOGNIZED NATIONALLY FOR ITS QUALITY INITIATIVES AND METHODOLOGY, MCLEOD HEALTH HAS A LEADING REGIONAL PRESENCE IN NORTHEASTERN SOUTH CAROLINA AND SOUTHEASTERN NORTH CAROLINA AND A REPUTATION FOR DEDICATION TO ITS PATIENTS AND THEIR FAMILIES. MCLEOD IS CONSTANTLY SEEKING TO IMPROVE ITS PATIENT CARE WITH EFFORTS THAT ARE PHYSICIAN LED, DATA-DRIVEN AND EVIDENCE-BASED. THE 15-COUNTY AREA MCLEOD SERVES, FROM THE MIDLANDS TO THE COAST, HAS A POPULATION OF MORE THAN ONE MILLION INCLUDING THOSE WHO LIVE IN SOUTHEASTERN NORTH CAROLINA. FOUNDED IN 1906, MCLEOD HEALTH IS A LOCALLY OWNED AND MANAGED, NOT FOR PROFIT ORGANIZATION SUPPORTED BY THE STRENGTH OF MORE THAN 750 MEMBERS ON THE MEDICAL STAFF AND MORE THAN 2,000 REGISTERED NURSES. IN ADDITION TO ITS MODERN FACILITIES, PREMIER TECHNOLOGY AND EQUIPMENT, MCLEOD IS DEDICATED TO IMPROVING THE HEALTH OF THE RESIDENTS OF THOSE COMMUNITIES SERVED. MCLEOD HEALTH IS COMPOSED OF MORE THAN 8,200 EMPLOYEES AND APPROXIMATELY 90 PHYSICIAN PRACTICES IN THE 15 COUNTY REGION MCLEOD HEALTH SERVES. WITH SEVEN HOSPITALS, MCLEOD HEALTH ALSO OPERATES THREE HEALTH AND FITNESS CENTERS, A SPORTS MEDICINE AND OUTPATIENT REHABILITATION CENTER, A BEHAVIORAL HEALTH CENTER, HOSPICE, AND HOME HEALTH SERVICES. THE HOSPITALS WITHIN MCLEOD HEALTH INCLUDE: MCLEOD REGIONAL MEDICAL CENTER, MCLEOD DARLINGTON, MCLEOD DILLON, MCLEOD LORIS, MCLEOD SEACOAST, MCLEOD HEALTH CHERAW, AND MCLEOD HEALTH CLARENDON. THE FLAGSHIP HOSPITAL OF THE MCLEOD HEALTH ORGANIZATION IS MCLEOD REGIONAL MEDICAL CENTER IN FLORENCE, SOUTH CAROLINA. THIS REGIONAL REFERRAL TERTIARY CARE CENTER SERVES PATIENTS AND FAMILIES LIVING IN THE NORTHEASTERN REGION OF SOUTH CAROLINA. THE MEDICAL CENTER INCLUDES AN ACCREDITED CANCER CENTER, THREE DEDICATED OPEN HEART SURGERY SUITES AND TWO VASCULAR HYBRID ORS WITHIN THE HEART & VASCULAR INSTITUTE AS WELL AS CENTERS OF EXCELLENCE IN HEART, CANCER, SURGERY, NEUROSURGERY, TRAUMA, CHILDRENS AND WOMENS SERVICES IN ADDITION TO A DIABETES CENTER, REHABILITATION AND SPORTS MEDICINE SERVICES, AND THE CENTER FOR ADVANCED SURGERY, WHICH ALL DELIVER AN UNMATCHED LEVEL OF CARE AND EXPERIENCE TO PEOPLE IN THE REGION. ONE OF ONLY FIVE STATE-DESIGNATED REGIONAL PERINATAL CENTERS, MCLEOD REGIONAL MEDICAL CENTER ALSO OFFERS THE REGION'S ONLY CHILDREN'S HOSPITAL WHICH INCLUDES A 48-BED NEONATAL INTENSIVE CARE UNIT AND SIX-BED PEDIATRIC INTENSIVE CARE UNIT. AS THE ONLY HOSPITAL-BASED TEACHING FACILITY IN THE REGION, MCLEOD ALSO SUPPORTS A FAMILY MEDICINE RESIDENCY PROGRAM. TO PROVIDE ACCESS TO A GROWING PATIENT POPULATION, AN AMBULATORY SURGERY CENTER IS UNDER CONSTRUCTION ON THE CAMPUS OF MCLEOD REGIONAL MEDICAL CENTER AND THE EMERGENCY DEPARTMENT AT MCLEOD SEACOAST HAS BEEN ENHANCED AND EXPANDED. ADDITIONALLY, CONSTRUCTION OF A MEDICAL COMPLEX IS UNDERWAY IN CAROLINA FOREST AS AN EXPANSION OF MCLEOD SEACOAST. MCLEOD HEALTH HAS BEEN RECOGNIZED NUMEROUS TIMES FOR ITS OUTSTANDING WORK IN QUALITY CARE, BEST PRACTICES AND CLINICAL OUTCOMES AS WELL AS ITS PHYSICIANS' DEDICATION TO QUALITY IMPROVEMENT. THE EFFORTS TO IMPROVE QUALITY AND PATIENT SAFETY ARE PHYSICIAN LED, DATA-DRIVEN AND EVIDENCE-BASED. BECAUSE OF THIS COMMITMENT BY STRONG, ACTIVE PHYSICIAN AND STAFF PARTICIPATION, MCLEOD HAS RECEIVED NATIONAL RECOGNITION FOR QUALITY INCLUDING THE 2010 AMERICAN HOSPITAL ASSOCIATION-MCKESSON QUEST FOR QUALITY PRIZE. AWARDED ANNUALLY TO ONE HOSPITAL IN THE COUNTRY, MCLEOD IS THE FIRST HOSPITAL IN SOUTH CAROLINA TO RECEIVE THIS PRESTIGIOUS HONOR SINCE THE INCEPTION OF THE NATIONAL QUEST FOR QUALITY PRIZE IN 2002. IN 2016, MCLEOD HEALTH RECEIVED 24 TOP HONORS FOR 2016 FROM HEALTHGRADES INCLUDING: MCLEOD WAS RECOGNIZED AS ONE OF HEALTHGRADES 2016: AMERICAS 100 BEST HOSPITALS FOR CARDIAC CARE AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION AMERICAS 50 BEST HOSPITALS FOR VASCULAR SURGERY AMERICA'S 100 BEST HOSPITALS FOR GENERAL SURGERY AS ONE OF THE REGION'S LARGEST SERVICE ORGANIZATIONS, INCLUDING PHYSICIANS, NURSES, AND PHARMACISTS AS WELL AS COMPUTER TECHNICIANS, ENVIRONMENTAL SERVICES WORKERS, THERAPISTS AND OTHER MEDICAL PROFESSIONALS, MCLEOD EMPLOYEES' DIRECT WAGE IMPACT TO THE REGION LAST YEAR WAS OVER $432 MILLION. THIS MONEY FLOWS INTO NUMEROUS LOCAL ORGANIZATIONS TO HELP STIMULATE THE REGION'S ECONOMY EACH YEAR. MCLEOD HAS PRUDENTLY BUILT AND DEVELOPED RESERVES IN ORDER TO CONTINUE TO GROW AS A MISSION MINDED HOSPITAL COMMITTED TO IMPROVING THE HEALTH OF PEOPLE IN THE REGION. IN TERMS OF SURPLUSES, LIKE ANY BUSINESS OR FAMILY, A HOSPITAL MUST EARN MORE THAN IT SPENDS TO BE VIABLE AND FULFILL ITS MISSION. MCLEOD HAS SET ASIDE FUNDS FOR THE FUTURE GROWTH NEEDED IN HEALTHCARE SERVICES. THESE FUNDS ARE PROFESSIONALLY MANAGED AND ARE IN ACCORDANCE WITH GUIDELINES ESTABLISHED BY 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
SCH H, PART VI, LINE 5 CONTINUED	MCLEOD IS AFFILIATED WITH ACADEMIC INSTITUTIONS TO ADDRESS THE COMMUNITYS HEALTHCARE NEEDS. MCLEOD FACILITATES A FAMILY MEDICINE RESIDENCY PROGRAM AND SUPPORTS FRANCIS MARION UNIVERSITY'S BACHELOR OF SCIENCE NURSING DEGREE PROGRAM AS WELL AS FLORENCE-DARLINGTON TECHNICAL COLLEGES AND HORRY-GEORGETOWN TECHNICAL COLLEGE'S ASSOCIATE DEGREE NURSING PROGRAM. ROTATIONS AT MCLEOD REGIONAL MEDICAL CENTER IN CLINICAL AND ADMINISTRATIVE AREAS ARE ALSO OFFERED TO STUDENTS FROM EDUCATIONAL PROGRAMS THROUGHOUT THE STATE. FOR MORE THAN 30 YEARS, MCLEOD HAS PARTICIPATED IN STATE-OF-THE-ART CANCER RESEARCH AND MADE CLINICAL TRIALS AVAILABLE TO PEOPLE LIVING IN NORTHEASTERN SOUTH CAROLINA AND SOUTHEASTERN NORTH CAROLINA. MCLEOD'S INVOLVEMENT IN CANCER RESEARCH IS SUPPORTED BY MULTIPLE RESEARCH PARTNERS, INCLUDING THE NATIONAL CANCER INSTITUTE (NCI) AND THE SOUTHEAST CLINICAL ONCOLOGY RESEARCH CONSORTIUM, (SCOR). MCLEOD IS DEDICATED TO PROVIDING AREA RESIDENTS THE OPPORTUNITY TO PARTICIPATE IN A CLINICAL TRIAL THAT BEST SUITS THE UNIQUE NEEDS OF THE INDIVIDUAL. IN ADDITION TO THIS YEARS GIFTS TO FRANCIS MARION UNIVERSITY, FLORENCE-DARLINGTON TECHNICAL COLLEGE, AND HORRY-GEORGETOWN TECHNICAL COLLEGE'S NURSING PROGRAMS, MCLEOD ALSO OFFERS SCHOLARSHIPS TO ELIGIBLE STUDENTS TO ASSIST THOSE WHO NEED FINANCIAL AID WITH NURSING SCHOOL. MCLEOD SCHOLARSHIPS ARE AVAILABLE TO COLLEGE STUDENTS WHO HAVE BEEN ACCEPTED IN AN ACCREDITED ALLIED HEALTHCARE PROGRAM SUCH AS NURSING. IN FISCAL YEAR 2016, MCLEOD HEALTH PROVIDED THE REGION WITH OVER $96 MILLION 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, MCLEOD PAID APPROXIMATELY $814,000 IN PROPERTY TAXES AND ALMOST $16 MILLION IN HOSPITAL PROVIDER TAXES TO BENEFIT THE COMMUNITIES WHERE ITS EMPLOYEES AND PATIENTS LIVE AND WORK. MCLEOD HEALTH HAS NUMEROUS INITIATIVES IN PLACE TO PROVIDE COMMUNITY BENEFITS THAT PROMOTE PREVENTION, HEALING, AND TREATMENT. SOME OF THESE INITIATIVES INCLUDE HEALTH EDUCATION THROUGH SEMINARS AND WRITTEN SOURCES, SUPPORT GROUPS, HEALTH FAIRS, HEALTH SCREENINGS AND IMMUNIZATIONS, FREE AND DISCOUNTED MEDICAL SUPPLIES, RESEARCH, AND FINANCIAL AND IN-KIND CONTRIBUTIONS. THE HEALTH SCREENINGS THAT ARE OFFERED TO THE COMMUNITY CHECK FOR PROBLEMS WITH BLOOD PRESSURE, CHOLESTEROL, DIABETES, SKIN CANCER, OSTEOPOROSIS, PERIPHERAL VASCULAR DISEASE, AND STROKE. CHILDBIRTH PREPARATION CLASSES, INFANT/CHILD CPR, COMMUNITY CAR SEAT SAFETY CHECKS BY CERTIFIED CHILD PASSENGER SAFETY TECHNICIANS, AND SAFESITTERS SESSIONS ARE ALSO OFFERED TO THE COMMUNITY. THE MCLEOD FOUNDATION HELPS FINANCIALLY SUPPORT SPECIFIC PROGRAMS, GROWTH, AND PROJECTS THROUGH PHILANTHROPY AND GRANTS. THE COMMUNITY OUTREACH BUDGET ALLOCATES APPROXIMATELY $250,000 ACROSS THE HEALTHCARE SYSTEM FOR SPONSORSHIPS AND DONATIONS TO SERVE IN CIVIC, ACADEMIC AND CORPORATE PARTNERSHIPS. IN ORDER TO PROMOTE HEALTH WITHIN, MCLEOD HAS DEVELOPED A HEALTH INCENTIVE PROGRAM FOR EMPLOYEES CALLED HEALTHIER YOU. HEALTHIER YOU IS A FREE CARE MANAGEMENT PROGRAM FOR EMPLOYEES AND THEIR FAMILIES ON THE MCLEOD HEALTH INSURANCE PLAN. THE MCLEOD MOBILE MAMMOGRAPHY UNIT BEGAN MAKING VISITS TO BUSINESSES AND INDUSTRIES IN JANUARY OF 2008 TO REACH WORKING WOMEN WHERE SCHEDULING THE TIME FOR A MAMMOGRAM IS AN ISSUE. FOR CALENDAR YEAR 2016, THERE WERE 2,791 SCREENING MAMMOGRAMS COMPLETED ON THE MOBILE MAMMOGRAPHY UNIT. OF THESE, 5 CASES OF BREAST CANCER WERE DIAGNOSED. SAFE KIDS PEE DEE/COASTAL, LED BY MCLEOD HEALTH, WORKS TO REDUCE THE NUMBER OF UNINTENTIONAL CHILDHOOD INJURIES THROUGH A MULTI-FACETED APPROACH COMBINING COMMUNITY ACTION, SAFETY EVENTS, PUBLIC AWARENESS, EDUCATION, AND PUBLIC POLICY INITIATIVES. EVENTS AND AWARENESS PROGRAMS ARE HELD REGULARLY THROUGHOUT THE COMMUNITY, INCLUDING CAR SEAT CHECKS, BICYCLE RODEOS, SAFE SLEEP CLASSES, INJURY PREVENTION TALKS, FIRE SAFETY EDUCATION THROUGH SCHOOL DISTRICTS, AND HEALTH FAIRS. MCLEOD HEALTH ALSO WORKS TO SUPPORT THE SERVICES OF THE AMERICAN RED CROSS WITH FINANCIAL SUPPORT AS WELL AS THROUGH RESOURCES AND BLOOD DONATIONS MADE BY EMPLOYEES DURING REGULAR MCLEOD BLOOD DRIVES. ACCORDING TO THE RED CROSS, THERE IS A CRITICAL NEED AT NATIONAL AND STATE LEVELS FOR BLOOD, WHICH IS USED IN EMERGENCY SITUATIONS AS WELL AS FOR PATIENTS WITH CANCER, BLOOD DISORDERS AND OTHER ILLNESSES. UNYIELDING SERVICE AND A COMMITMENT TO SERVE OTHERS IS EVIDENT IN THE ORGANIZATION'S OUTREACH EFFORTS TO THE COMMUNITY, DAY-TO-DAY OPERATIONS, AND LONG-RANGE PLANNING. THE MCLEOD HEALTH TEAM OF PHYSICIANS, NURSES, STAFF MEMBERS, BOARD MEMBERS AND VOLUNTEERS ARE DEDICATED TO PROVIDING THE COMMUNITY WITH MUCH MORE THAN MEDICAL CARE. THEIR COMMITMENT EXTENDS BEYOND THE MEDICAL CENTER'S WALLS AND INTO THE REGION IN AN EFFORT TO BUILD A STRONGER AND HEALTHIER PLACE FOR PATIENTS, CO-WORKERS, CHILDREN AND NEIGHBORS TO LIVE AND WORK.
SCH H, PART VI, LINE 6	MCLEOD HEALTH IS THE SOLE MEMBER OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. AND OTHER RELATED ORGANIZATIONS WHICH COMPRISE THE REGIONAL MCLEOD HEALTH SYSTEM. DESCRIPTIONS OF EACH ENTITY FOLLOWS: MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.: MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS, WHICH OPERATE AS DIVISIONS OF MRMC: -MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 453-BED TERTIARY CARE FACILITY AND A 40-BED NEONATAL INTENSIVE CARE UNIT; -MCLEOD MEDICAL CENTER-DARLINGTON, A 49-BED COMMUNITY HOSPITAL LOCATED IN DARLINGTON, SOUTH CAROLINA; -MCLEOD BEHAVIORAL HEALTH, A 23-BED PSYCHIATRIC FACILITY LOCATED ON THE CAMPUS OF MCLEOD MEDICAL CENTER-DARLINGTON; -MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE-COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 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: 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 105-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA. -MCLEOD SEACOAST, A 50-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA. MCLEOD HEALTH CHERAW: MCLEOD HEALTH CHERAW IS A 59 BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015. McLeod Health Clarendon 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): 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: THE FOUNDATION WAS ORGANIZED IN 1986 AS A SOUTH CAROLINA NONPROFIT CORPORATION AND IS AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. THE FOUNDATION IS PRINCIPALLY ENGAGED IN FUNDRAISING ACTIVITIES FOR THE SYSTEM. ACCORDING TO ITS BYLAWS, THE FOUNDATION'S GOVERNING BODY CONSISTS OF NOT LESS THAN 15 AND NOT MORE THAN 30 MEMBERS, EACH OF WHICH IS APPOINTED BY THE BOARD OF TRUSTEES OF MCLEOD HEALTH (THE "MCLEOD HEALTH BOARDTHE "BOARD"). CURRENTLY, THERE ARE 26 MEMBERS OF THE FOUNDATION'S GOVERNING BODY. AT LEAST ONE MEMBER OF THE FOUNDATION'S GOVERNING BODY MUST BE A MEMBER OF THE MCLEOD HEALTH BOARD. MCLEOD MEDICAL PARTNERS, LLC: MCLEOD MEDICAL PARTNERS, LLC IS A FOR-PROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 62% SHARE IN THE EQUITY OF THIS COMPANY. MCLEOD PHYSICIAN ASSOCIATES, INC.: MCLEOD PHYSICIAN ASSOCIATES, INC. IS A SOUTH CAROLINA FOR-PROFIT CORPORATION THAT FORMERLY OPERATED A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II.
Form Sch H Part I Line 3C	N/A SINCE THE HOSPITAL USES THE FEDERAL POVERTY GUIDELINES.
FORM SCH H PART I LINE 6A	COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD LORIS SEACOAST HOSPITAL) 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. ENTIRE REPORT IS AVAILABLE TO ANYONE UPON REQUEST.
SCH H, PART VI, LINE 7	LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC

Schedule H (Form 990) 2015

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MCLEOD LORIS SEACOAST HOSPITAL

Employer identification number

45-3576100

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1S FULTON ERVIN IIICFO OF RELATED ORG	(i) (ii)	0 ------------- 493,216	0 ------------- 93,038	0 ------------- 9,857	0 ------------- 67,629	0 ------------- 23,579	0 ------------- 687,319	0 ------------- 0
2RONALD L BORINGCOO OF RELATED ORG	(i) (ii)	0 ------------- 476,987	0 ------------- 94,640	0 ------------- 31,045	0 ------------- 69,054	0 ------------- 28,466	0 ------------- 700,192	0 ------------- 0
3DANE P FICCOVP OF RELATED ORG	(i) (ii)	0 ------------- 404,052	0 ------------- 98,578	0 ------------- 6,699	0 ------------- 60,502	0 ------------- 24,733	0 ------------- 594,564	0 ------------- 0
4T CHUCK MILLS MDTRUSTEE	(i) (ii)	0 ------------- 330,515	0 ------------- 0	0 ------------- 2,342	0 ------------- 0	0 ------------- 20,883	0 ------------- 353,740	0 ------------- 0
5AMANDA MILLSAVP NURSING/CNO	(i) (ii)	137,335 ------------- 0	9,562 ------------- 0	1,813 ------------- 0	5,241 ------------- 0	9,665 ------------- 0	163,616 ------------- 0	0 ------------- 0
6CHRISTOPHER POSTAFF PHYSICIAN	(i) (ii)	640,822 ------------- 0	0 ------------- 0	20,391 ------------- 0	12,723 ------------- 0	18,905 ------------- 0	692,841 ------------- 0	0 ------------- 0
7EDWARD BOTSE-BAIDOOSTAFF PHYSICIAN	(i) (ii)	342,570 ------------- 0	0 ------------- 0	19,624 ------------- 0	7,364 ------------- 0	30,276 ------------- 0	399,834 ------------- 0	0 ------------- 0
8BELAL KHOKHARSTAFF PHYSICIAN	(i) (ii)	269,151 ------------- 0	0 ------------- 0	18,585 ------------- 0	7,677 ------------- 0	7,745 ------------- 0	303,158 ------------- 0	0 ------------- 0
9JOHN A CHARLESVP MED AFFAIRS	(i) (ii)	344,658 ------------- 0	31,089 ------------- 0	6,338 ------------- 0	28,512 ------------- 0	34,213 ------------- 0	444,810 ------------- 0	0 ------------- 0
10EDWARD D TINSLEYSR. VP/ADMIN	(i) (ii)	324,284 ------------- 0	62,685 ------------- 0	26,488 ------------- 0	49,397 ------------- 0	18,881 ------------- 0	481,735 ------------- 0	0 ------------- 0
11GAVIN LEASK MDCHIEF OF STAFF/MD REL CO	(i) (ii)	0 ------------- 739,638	0 ------------- 0	0 ------------- 19,986	0 ------------- 0	0 ------------- 23,492	0 ------------- 783,116	0 ------------- 0
12Kyaw HeinStaff Physician	(i) (ii)	253,234 ------------- 0	0 ------------- 0	1,612 ------------- 0	4,830 ------------- 0	30,261 ------------- 0	289,937 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 3	McLeod Health uses all of the methods described in Schedule J, Part I, Line 3 to establish the compensation of its executives serving the hospitals and affiliated organizations in the McLeod Health system. Edward D. Tinsley, administrator of McLeod Loris Seacoast Hospital, is compensated by the system's parent company, McLeod Health.
Schedule J, Part I, Line 4b	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.
Schedule J, Part I, Line 7	THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MCLEOD LORIS SEACOAST HOSPITAL

Employer identification number

45-3576100

Return Reference	Explanation
Form 990 Part VI Line 6	MCLEOD LORIS SEACOAST HOSPITAL HAS A SOLE MEMBER WHICH IS MCLEOD HEALTH.
Form 990 Part VI Line 7a	THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD LORIS SEACOAST HOSPITAL'S BOARD.
Form 990 Part VI Line 7b	THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD LORIS SEACOAST HOSPITAL'S BOARD.
Form 990 Part VI Line 11b	THE PROCESS THE ORGANIZATION USES TO REVIEW THE FORM 990 CONSISTS OF PROVIDING COPIES OF THE FORM 990 TO THE FINANCE COMMITTEE OF MCLEOD HEALTH (SOLE MEMBER) AT THE APRIL 2017 FINANCE COMMITTEE MEETING, ALONG WITH A PRESENTATION COVERING THE FORM 990 BY THE PREPARING FIRM, KPMG LLP, TO ALLOW FOR A THOROUGH REVIEW BY THE FINANCE COMMITTEE BEFORE THE FILING DATE OF AUGUST 15, 2017.
Form 990 Part VI Line 12c	MCLEOD LORIS SEACOAST HOSPITAL AND MCLEOD HEALTH (SOLE MEMBER) REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR; PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
Form 990 Part VI Line 15b	IN DETERMINING COMPENSATION OF MCLEOD HEALTH'S (SOLE MEMBER'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 GOVERNANCE COMMITTEE REVIEWED AND APPROVED THE CEO'S COMPENSATION. IN THE REVIEW OF COMPENSATION, THE CEO, OTHER OFFICERS, AND OTHER KEY EMPLOYEES, WAS COMPARED TO OTHER SIMILARLY SITUATED ORGANIZATIONS AND POSITIONS. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED.
Form 990 Part VI Line 19	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.
FORM 990 PART XI LINE 9	ESCROW RECLASS IN THE AMOUNT OF $1,000,000
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CONSULTING FEES TOTAL FEES:17158657

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MCLEOD LORIS SEACOAST HOSPITAL

Employer identification number

45-3576100

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MCLEOD HEALTH FOUNDATION 555 EAST CHEVES STREET FLORENCE,SC29506 57-0818672	RAISE MONEY	SC	501(C)(3)	LINE 11A	NA		No
(2)MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE,SC29506 51-0473500	HEALTHCARE	SC	501(C)(3)	LINE 11C	NA		No
(3)MCLEOD MEDICAL CENTER - DILLON 555 EAST CHEVES STREET FLORENCE,SC29506 51-0473471	HOSPITAL	SC	501(C)(3)	LINE 3	NA		No
(4)MCLEOD PHYSICIAN ASSOCIATES II 555 EAST CHEVES STREET FLORENCE,SC29506 20-2935692	PHYSICIAN SVC	SC	501(C)(3)	LINE 9	NA		No
(5)MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE,SC29506 47-3712858	HOSPITAL	SC	501(C)(3)	LINE 3	NA		No
(6)MCLEOD REG MED CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE,SC29506 57-0370242	HEALTHCARE	SC	501(C)(3)	LINE 3	NA		No
(7)MCLEOD HEALTH CLARENDON 555 EAST CHEVES STREET FLORENCE,SC29506 81-2772554	HOSPITAL	SC	501(C)(3)	LINE 3	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MCLEOD MED PARTNERS 555 EAST CHEVES STREET FLORENCE,SC29506 57-0812002	RENTAL	SC	NA

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) MCLEOD PHYSICIAN ASSOCIATES INC 555 East Cheves Street Florence,SC29506 58-2279897	PHYS SERVICES	SC		C CORP				No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) MCLEOD HEALTH	S		CASH
(2) MCLEOD HEALTH	M	11,071,249	ACTUAL COST
(3) MCLEOD HEALTH FOUNDATION	C	700,054	CASH
(4) MCLEOD PHYSICIAN ASSOCIATES II	L	7,070,714	COST OF SVCS
(5) MCLEOD PHYSICIAN ASSOCIATES II	J	81,312	ACTUAL COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ACUTE CARE HOSPITAL
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	951
6	Total number of volunteers (estimate if necessary) .............	6	59
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	270,629	700,054
9	Program service revenue (Part VIII, line 2g) .........	109,232,589	115,128,930
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	24,230	-218,480
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,462,298	4,117,712
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	110,989,746	119,728,216
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	44,977,715	49,672,112
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	55,936,168	69,260,955
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	100,913,883	118,933,067
19	Revenue less expenses. Subtract line 18 from line 12.......	10,075,863	795,149
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	103,633,761	137,689,549
21	Total liabilities (Part X, line 26).............	76,879,084	109,139,723
22	Net assets or fund balances. Subtract line 21 from line 20.....	26,754,677	28,549,826

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 107,075,656 including grants of $ ) (Revenue $ 115,128,930 )
	MCLEOD LORIS SEACOAST HOSPITAL IS A 155-BED COMMUNITY HOSPITAL SYSTEM LOCATED IN LORIS AND LITTLE RIVER, SOUTH CAROLINA. MCLEOD LORIS SEACOAST HOSPITAL OPERATES AS PART OF THE OVERALL MCLEOD HEALTH SYSTEM. SEE ALSO THE COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH AT SCHEDULE H.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses107,075,656

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) CHRISTOPHER PO........................................................................ STAFF PHYSICIAN	40.0 .......................0.0	X	661,213	0	31,628
(19) EDWARD BOTSE-BAIDOO........................................................................ STAFF PHYSICIAN	40.0 .......................0.0	X	362,194	0	37,640
(20) BELAL KHOKHAR........................................................................ STAFF PHYSICIAN	40.0 .......................0.0	X	287,736	0	15,422
(21) JOHN A CHARLES........................................................................ VP MED AFFAIRS	40.0 .......................0.0	X	382,085	0	62,725
(22) Kyaw Hein........................................................................ Staff Physician	40.0 .......................0.0	X	254,846	0	35,091

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,510,241	2,800,593	584,028

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	700,054
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		700,054

			Business Code
2a	NET PATIENT REVENUE	624100	115,128,930	115,128,930
b
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			115,128,930

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			7,866			7,866
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents	103,318
b	Less: rental expenses	193,022
c	Rental income or (loss)	-89,704	0
d	Net rental income or (loss)......			-89,704			-89,704
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	0
b	Less: cost or other basis and sales expenses	226,346
c	Gain or (loss)	-226,346
d	Net gain or (loss).....			-226,346			-226,346
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	NUTRITIONAL SERVICES		722320	509,333			509,333
b	OUTPATIENT PHARMACY		900099	935,498			935,498
c	GIFT SHOP		453220	119,953			119,953
d	All other revenue ....			2,642,632			2,642,632
e	Total. Add lines 11a–11d ......			4,207,416
12	Total revenue. See Instructions......			119,728,216	115,128,930		3,899,232

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	2,151,706	1,984,602	167,104
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	37,920,054	34,975,138	2,944,916
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	9,600,352	8,689,177	911,175
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	107,307	107,307
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	17,158,657	15,944,687	1,213,970	0
12	Advertising and promotion ....	372,818	2,775	370,043
13	Office expenses .......	20,185,820	19,828,548	357,272
14	Information technology ......	196,520	132,703	63,817
15	Royalties ..	0
16	Occupancy ...........	1,912,514	68,080	1,844,434
17	Travel ............	62,764	40,840	21,924
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	69,583	16,111	53,472
20	Interest ...........	4,854,906	4,854,906
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	5,481,907	5,481,907
23	Insurance ...	1,396,487	1,395,533	954
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MPA SUPPORT	7,070,714	7,070,714	0	0
b	PHYSICIAN FEES	5,647,116	5,647,116	0	0
c	MEDICAL	259,305	259,305	0	0
d	OTHER EXPENSES	4,484,537	576,207	3,908,330	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	118,933,067	107,075,656	11,857,411	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			6,677,504	1	6,671,118
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			12,784,301	4	13,523,943
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			2,448,801	8	2,573,845
9	Prepaid expenses and deferred charges ......			1,672,862	9	1,890,831
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	182,840,896
b	Less: accumulated depreciation	10b	76,554,208	74,191,861	10c	106,286,688
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			5,858,432	15	6,743,124
16	Total assets. Add lines 1 through 15 (must equal line 34)...			103,633,761	16	137,689,549

17	Accounts payable and accrued expenses .....	3,002,523	17	30,941,341
18	Grants payable ...	0	18	0
19	Deferred revenue .........	69,976	19	40,661
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	67,602,671	23	66,191,257
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	6,203,914	25	11,966,464
26	Total liabilities. Add lines 17 through 25..	76,879,084	26	109,139,723

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	26,754,677	27	28,549,826
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	26,754,677	33	28,549,826
34	Total liabilities and net assets/fund balances ........	103,633,761	34	137,689,549