TY 2023 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/1099-NEC)
(1) JOHN WILL MCLEOD...................................................................... MRMC CEO/SR. VP	40.00 ................. 0.00	X		758,544	0	108,122
(2) TONY DERRICK...................................................................... TRUSTEE/CHIEF NURSING OFFICER	40.00 ................. 0.00	X		319,880	0	33,985
(3) MARWAN ELYA MD...................................................................... TRUSTEE/STAFF MD - PART YEAR	40.00 ................. 0.00	X		674,152	0	45,479
(4) C DALE LUSK MD...................................................................... SVP OF CORP/EXEC MED OFFICER-PART YR	1.00 ................. 39.00	X	X	0	1,099,090	120,069
(5) JASON O'DELL MD...................................................................... TRUSTEE/STAFF MD	1.00 ................. 39.00	X		0	883,081	31,805
(6) VIRGINIA L CLYBURN-IPOCK MD...................................................................... CHAIR	1.00 ................. 0.00	X	X	0	0	0
(7) SAMUEL G DOZIER MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(8) JERMAINE FORD MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(9) REV MERRITT GRAVES...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(10) CARL M HUMPHRIES...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(11) GEORGE D JEBAILY...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(12) CHRISTINA ANDREW...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(13) LUZ MENDEZ MD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(14) TIMOTHY F NORWOOD...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(15) JOHNNY RISHMAWI...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(16) ROBERT THOMAS...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0
(17) CAROLINE TONIOLO...................................................................... DIRECTOR	1.00 ................. 0.00	X		0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
QUALIVIS LLC 5930 CORNERSTONE CT W 300 SAN DIEGO,CA92121	CONTRACT LABOR	15,970,149
OPTIMUM HEALTHCARE IT LLC PO BOX 741383 ATLANTA,GA30374	CONTRACT LABOR	6,820,205
HEALTH CAROUSEL LLC PO BOX 714216 CINCINNATI,OH45271	CONTRACT LABOR	4,351,236
PEDIATRIX MEDICAL GROUP OF SOUTH CAROLIN PO BOX 281034 ATLANTA,GA30384	CONTRACT LABOR	2,339,905
BLAKE CONTRACTING LLC 1994 REMOUNT RD GASTONIA,NC28054	CONSTRUCTION CONTRACTOR	2,335,404
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 64

- TIN:

SCHEDULE A
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

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 12, 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).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2023

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2023

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 (explain in Part VI). 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 0.015 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 0.035	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) 2023

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC

Part I Contributors	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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC		Employer identification number 57-0370242

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE INC			Employer identification number 57-0370242
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) (2023)

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.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 FASB 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 FASB 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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	62,873,424		62,873,424
b	Buildings ....	767,187,852	483,966,629	283,221,223
c	Leasehold improvements	2,832,705	2,231,951	600,754
d	Equipment ....	377,190,826	265,767,638	111,423,188
e	Other .....	32,654,309		32,654,309
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				490,772,898

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other 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) LARGE CAP	238,780,404	F
(B) SMALL & MID CAP	125,335,791	F
(C) INTERNATIONAL	262,736,781	F
(D) GLOBAL EQUITY	206,697,899	F
(E) FIXED INCOME	457,355,326	F
(F) GLOBAL MACRO	213,070,556	F
(G) OTHER MANAGED FUNDS	134,992,063	F
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,638,968,820

Part VIII

Investments - Program 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)OTHER RECEIVABLES				8,625,972
(2)DUE FROM AFFILIATED ENTITIES				320,460,947
(3)GOODWILL				4,887,544
(4)OTHER ASSETS				5,401,168
(5)INVESTMENTS IN SUBSIDIARIES				16,839,903
(6)MALPRACTICE CLAIMS				15,618,783
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				371,834,317

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
CURRENT PORTION LONG TERM DEBT	4,844,994
DUE TO THIRD PARTY PAYORS	45,077,456







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	49,922,450
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) 2022

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
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
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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 (Form 990) 2022

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 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

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) . . .	89,359,836	102,150,681	0	0 %
b	Medicaid (from Worksheet 3, column a) . . . . .	106,293,558	84,009,300	22,284,258	2.310 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	195,653,394	186,159,981	22,284,258	2.310 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	730,133		730,133	0.080 %
f	Health professions education (from Worksheet 5) . . .	6,404,367	4,195,033	2,209,334	0.230 %
g	Subsidized health services (from Worksheet 6) . . . .	391,855	131,922	259,933	0.030 %
h	Research (from Worksheet 7) .	2,985,997	350,449	2,635,548	0.270 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	236,115		236,115	0.020 %
j	Total. Other Benefits . .	10,748,467	4,677,404	6,071,063	0.630 %
k	Total. Add lines 7d and 7j .	206,401,861	190,837,385	28,355,321	2.940 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development			44,504		44,504	0 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building			80,000		80,000	0.010 %
7	Community health improvement advocacy
8	Workforce development			225,000		225,000	0.020 %
9	Other
10	Total			349,504		349,504	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

112,185,880

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. ......

7,424,812

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).....

193,978,290

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

204,447,923

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

-10,469,633

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) 2023

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?2Name, 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 REGIONAL MEDICAL CENTER 555 EAST CHEVES STREET FLORENCE,SC29502 WWW.MCLEODHEALTH.ORG SC HTL-0384	X	X	X	X	X	X	A
2	MCLEOD BEHAVIORAL HEALTH 701 CASHUA FERRY ROAD DARLINGTON,SC29532 WWW.MCLEODHEALTH.ORG SC HTL-0631	X						A

Schedule H (Form 990) 2023

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)

	FACILITY REPORTING GROUP - 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

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): HTTPS://TINYURL.COM/2AHS7WJE

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 22

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

Yes

If "Yes" (list url): HTTPS://TINYURL.COM/2AHS7WJE

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

10b

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - 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 200.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

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)

Was widely publicized 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):

HTTPS://TINYURL.COM/MRXAPD3B

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

HTTPS://TINYURL.COM/MRXAPD3B

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://TINYURL.COM/MRXAPD3B

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2023

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: MCLEOD REGIONAL MEDICAL CENTER, - FACILITY 2: MCLEOD BEHAVIORAL HEALTH
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	FOR THE 2022 FLORENCE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, (OR "CHNA"), ONE-ON-ONE INTERVIEWS, QUESTIONNAIRES, AND FORUMS WERE CONDUCTED IN SPRING 2022 AS A MEANS TO GATHER INPUT. HIGHLIGHTS ARE LISTED BELOW (FULL CHNA IS FOUND AT MCLEODHEALTH.ORG).TOP HEALTH CONCERNS REPORTED AMONG COMMUNITY MEMBERS OBESITY HEART DISEASE/STROKE CANCER MENTAL HEALTH DIABETESSOURCE: MCLEOD HEALTH 2022 SURVEY TOP HEALTH CONCERNS REPORTED AMONG HEALTH PROFESSIONALS MOST FREQUENT HEALTH CONCERNS: ACCESS TO PRIMARY HEALTH CARE DIABETES MENTAL HEALTH OBESITY HEART DISEASE/STROKE SOURCE: MCLEOD HEALTH 2022 SURVEY PRIMARY DIAGNOSIS ADMITTED TO EMERGENCY DEPARTMENT MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENT OCTOBER 2020 SEPTEMBER 2021: PAIN IN THROAT AND CHEST COVID-19 ABDOMINAL AND PELVIC PAIN SEVERE BACK PAIN SOURCE: MCLEOD HEALTH CLINICAL OUTCOMESPRIMARY INPATIENT DIAGNOSIS MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD REGIONAL MEDICAL CENTER OCTOBER 2020 SEPTEMBER 2021: SINGLE LIVEBORN INFANT COVID-19 SEPSIS HYPERTENSION AND CHRONIC KIDNEY DISEASEOPPORTUNITIES & PLAN PRIORITIES MCLEOD REGIONAL MEDICAL CENTER HAS DEVELOPED AN ACTION PLAN THAT COLLABORATES WITH COMMUNITY PARTNERS TO PROVIDE COMMUNITY HEALTH INITIATIVES THAT ARE FOCUSED ON AREAS LISTED BELOW AND FURTHER DESCRIBED WITHIN THE IMPLEMENTATION PLAN THAT UTILIZES EVIDENCE-BASED PRACTICES FOR ADDRESSING: ACCESS TO HEALTH CARE SERVICES FOR VULNERABLE POPULATIONS HEART DISEASE AND STROKE DIABETES CANCER OVERVIEWTHIS COMMUNITY HEALTH NEEDS ASSESSMENT SERVES AS A TOOL TO EVALUATE THE OVERALL HEALTH STATUS, BEHAVIORS AND NEEDS OF FLORENCE COUNTY. THE MARCH 2010 PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA) INTRODUCED REPORTING REQUIREMENTS FOR PRIVATE, NOT-FOR-PROFIT HOSPITALS. TO MEET THESE NEW FEDERAL REQUIREMENTS, THE INFORMATION GATHERED IN THIS ASSESSMENT IS USED TO GUIDE THE STRATEGIC PLANNING PROCESS IN ADDRESSING HEALTH DISPARITIES. A COMMUNITY HEALTH NEEDS ASSESSMENT GIVES INFORMATION TO HEALTH CARE PROVIDERS TO MAKE DECISIONS AND COMMIT RESOURCES TO AREAS OF GREATEST NEED, MAKING THE GREATEST IMPACT ON COMMUNITY HEALTH STATUS. THIS ASSESSMENT INCORPORATES DATA FROM WITHIN THE COMMUNITY, SUCH AS INDIVIDUALS SERVED AND HEALTH ORGANIZATIONS, AS WELL AS VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA TO DEVELOP A TAILORED PLAN WHICH TARGETS THE NEEDS OF THE COUNTY.METHODS AN ASSESSMENT TEAM COMPRISED OF THE MCLEOD HEALTH COMMUNITY HEALTH AND COMMUNICATION AND PUBLIC INFORMATION STAFF REVIEWED LITERATURE, DATA AND PUBLICATIONS FROM PUBLIC SOURCES. MEMBERS OF THE ASSESSMENT TEAM REPRESENTED EACH OF THE HOSPITAL FACILITIES WITHIN MCLEOD HEALTH AND WERE ASSIGNED TO COLLECT DATA THAT REPRESENTED INDICATORS OF COMMUNITY HEALTH STATUS OR ITS SOCIOECONOMIC DETERMINANTS. THEREFORE, FOCUS WAS PLACED ON IDENTIFYING LOCALLY-APPROPRIATE INDICATORS, BENCHMARKS, AND PERTINENT HEALTH ISSUES. PRE-EXISTING DATABASES CONTAINING LOCAL, STATE AND NATIONAL HEALTH AND BEHAVIOR DATA WERE USED FOR COMPARISONS WHEN POSSIBLE. DATA COLLECTION WAS LIMITED TO THE MOST RECENT PUBLICLY AVAILABLE RESOURCES AND SOME PRIMARY DATA FROM QUALITATIVE AND QUANTITATIVE INVESTIGATION. AS A RESULT, THIS DOCUMENT PORTRAYS A PARTIAL PICTURE OF THE HEALTH STATUS OF THE COMMUNITY SERVED. DATA ANALYSIS INCLUDED DEMOGRAPHIC, SOCIOECONOMIC AND HEALTH DETERMINANT MEASURES. WHEN POSSIBLE, DATA ALSO WAS ANALYZED ACCORDING TO AGE, GENDER AND/OR RACE TO OFFER INSIGHT INTO HEALTH DISPARITIES THAT MAY AFFECT SPECIFIC SUBGROUPS IN THE COMMUNITY. A SUMMARY OF COUNTY DATA IS REFLECTED AS A COMPARISON TO STATE AND NATIONAL DATA WHEN AVAILABLE TO INDICATE COMMUNITY HEALTH CONCERNS.HEALTH DETERMINANTS AND DISPARITIES WHAT ARE THE DETERMINANTS OF HEALTH? HEALTH BEHAVIORS HAD THE MAJORITY OVERALL IMPACT ON FUTURE HEALTH OUTCOMES (I.E., SMOKING, DIET, DRUG & ALCOHOL USE, PHYSICAL ACTIVITY, OTHER LIFESTYLE BEHAVIORS) AND ACCOUNT FOR 40% OF CAUSES FOR PREMATURE DEATH. GENETIC PREDISPOSITION IS RESPONSIBLE FOR 30%, SOCIAL AND ENVIRONMENTAL CIRCUMSTANCES 20%, AND HEALTH CARE FOR ONLY 10% (I.E., ACCESS TO PHYSICIAN AND OTHER HEALTH SERVICES) OF HEALTH RISK FOR PREMATURE DEATH.INDIVIDUAL BEHAVIORAL DETERMINANTS (40%) EXAMPLES: DIET PHYSICAL ACTIVITY ALCOHOL, CIGARETTE, AND OTHER DRUG USE HAND WASHING GENETIC DETERMINANTS (30%) EXAMPLES: AGE SEX HIV STATUS INHERITED CONDITIONS, SUCH AS SICKLE-CELL ANEMIA, HEMOPHILIA, AND CYSTIC FIBROSIS CARRYING THE BRCA1 OR BRCA2 GENE, WHICH INCREASES RISK FOR BREAST AND OVARIAN CANCER FAMILY HISTORY OF HEART DISEASE, CANCER, ETC. SOCIAL AND ENVIRONMENTAL DETERMINANTS (20%) EXAMPLES OF SOCIAL DETERMINANTS: AVAILABILITY OF RESOURCES TO MEET DAILY NEEDS, SUCH AS EDUCATIONAL AND JOB OPPORTUNITIES, LIVING WAGES, OR HEALTHFUL FOODS SOCIAL NORMS AND ATTITUDES, SUCH AS DISCRIMINATION EXPOSURE TO CRIME, VIOLENCE, AND SOCIAL DISORDER, SUCH AS THE PRESENCE OF TRASH SOCIAL SUPPORT AND SOCIAL INTERACTIONS SOCIOECONOMIC CONDITIONS, SUCH AS CONCENTRATED POVERTY QUALITY SCHOOLS TRANSPORTATION OPTIONS PUBLIC SAFETYEXAMPLES OF ENVIRONMENTAL DETERMINANTS: QUALITY OF FOOD, WATER, AND AIR WORKSITES, SCHOOLS, AND RECREATIONAL SETTINGS HOUSING, HOMES, AND NEIGHBORHOODS EXPOSURE TO TOXIC SUBSTANCES AND OTHER PHYSICAL HAZARDS PHYSICAL BARRIERS, ESPECIALLY FOR PEOPLE WITH DISABILITIES HEALTH CARE DETERMINANTS (10%) EXAMPLES: QUALITY, AFFORDABILITY, AND AVAILABILITY OF SERVICES LACK OF INSURANCE COVERAGE LIMITED LANGUAGE ACCESS WHAT ARE HEALTH DISPARITIES? "HEALTH DISPARITY" REFERS TO A HIGHER BURDEN OF ILLNESS, INJURY, DISABILITY, OR MORTALITY EXPERIENCED BY ONE POPULATION GROUP RELATIVE TO ANOTHER GROUP. HEALTH DISPARITIES CAN INVOLVE THE MEDICAL CARE DIFFERENCES BETWEEN GROUPS IN HEALTH INSURANCE COVERAGE, ACCESS TO CARE, AND QUALITY OF CARE. WHILE DISPARITIES ARE COMMONLY VIEWED THROUGH THE LENS OF RACE AND ETHNICITY, THEY OCCUR ACROSS MANY DIMENSIONS, INCLUDING SOCIOECONOMIC STATUS, AGE, LOCATION, GENDER, AND DISABILITY STATUS. POOR HEALTH STATUS IS OFTEN LINKED WITH PEOPLE WITHOUT HEALTH INSURANCE, THOSE WHO HAVE POOR ACCESS OF CARE (I.E., LIMITED TRANSPORTATION), LOWER SOCIOECONOMIC STATUS, LOWER EDUCATION OBTAINMENT, AND THOSE AMONG RACIAL MINORITY GROUPS. BEYOND THE PROVISION OF HEALTH CARE SERVICES, ELIMINATING HEALTH DISPARITIES WILL NECESSITATE BEHAVIORAL, ENVIRONMENTAL, AND SOCIAL-LEVEL APPROACHES TO ADDRESS ISSUES SUCH AS INSUFFICIENT EDUCATION, INADEQUATE HOUSING, EXPOSURE TO VIOLENCE, AND LIMITED OPPORTUNITIES TO EARN A LIVABLE WAGE. HEALTH DISPARITIES HAVE PERSISTED ACROSS THE NATION AND HAVE BEEN DOCUMENTED FOR MANY DECADES AND, DESPITE OVERALL IMPROVEMENTS IN POPULATION HEALTH OVER TIME, MANY DISPARITIES HAVE PERSISTED AND, IN SOME CASES, WIDENED. MOREOVER, ECONOMIC DOWNTURNS CONTRIBUTED TO A FURTHER WIDENING OF DISPARITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT ATTEMPTS TO IDENTIFY AND QUANTIFY THE HEALTH DISPARITIES WITHIN A DEFINED COUNTY POPULATION THAT ARE AT DISPROPORTIONATELY HIGHER IN INCIDENCE OF DISEASE, DISABILITY, OR AT RISK OF EXPERIENCING WORSE HEALTH OUTCOMES. WITHIN THESE IDENTIFIED DISPARITIES AND AVAILABILITY OF HEALTH RESOURCES, GAPS CAN BE IDENTIFIED AND PRIORITIZED BASED ON NEED SO THAT HEALTH RESOURCES CAN BE TARGETED. PLANNING INITIATIVES TO ADDRESS COMMUNITY HEALTH NEEDS TAKE IN CONSIDERATION THE EXISTING INITIATIVES, THE AVAILABLE RESOURCES THAT WE ARE AWARE OF, AND WHERE FUTURE IMPROVEMENTS CAN BE ANTICIPATED TO MAKE MEANINGFUL IMPACT ON IMPROVING COMMUNITY HEALTH. WHAT ARE KEY INITIATIVES TO REDUCE DISPARITIES?IN 2010, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ESTABLISHED A VISION OF, "A NATION FREE OF DISPARITIES IN HEALTH AND HEALTH CARE, AND SET OUT A SERIES OF PRIORITIES, STRATEGIES, ACTIONS, AND GOALS TO ACHIEVE THIS VISION. STATES, LOCAL COMMUNITIES, PRIVATE ORGANIZATIONS, AND PROVIDERS ALSO ARE ENGAGED IN EFFORTS TO REDUCE HEALTH DISPARITIES. FEDERAL, STATE, AND LOCAL AGENCIES AND PROGRAMS WORK ALONG WITH LOCAL HOSPITALS, OFTEN IN COOPERATION, TO PROVIDE ACCESS TO NEEDED HEALTH CARE SERVICES. WITHIN CONSTRAINTS OF LIMITED RESOURCES, EACH OF THESE ENTITIES GENERALLY TARGET POPULATIONS WITH SPECIFIC SERVICES OFFERED WITHIN THE COUNTY. THIS STUDY ATTEMPTS TO INCORPORATE THEIR INPUT INTO DETERMINING THE PRIORITIES AMONG HEALTH DISPARITIES AND LOOK FOR OPPORTUNITIES FOR COLLABORATION.
PREVENTATIVE CARE	PREVENTATIVE CARE INCLUDES MEDICAL SERVICES SUCH AS SCREENINGS, IMMUNIZATIONS, COUNSELING, AND PREVENTATIVE MEDICATIONS INTENDED TO PREVENT ILLNESS OR DETECT DISEASES EARLY BEFORE SYMPTOMS DEVELOP. WITH EARLY DETECTION, DISEASES CAN BE TREATED MORE EFFECTIVELY, REDUCING POTENTIAL COMPLICATIONS OF DISEASE OR EVEN DEATH. REGULAR PREVENTATIVE CARE CAN IMPROVE INDIVIDUAL HEALTH AND THE OVERALL HEALTH OF A COMMUNITY. VARIOUS PREVENTATIVE CARE GUIDELINES AND RECOMMENDATIONS ARE PUBLISHED BY DIFFERENT PROFESSIONAL ORGANIZATIONS, BUT MOST HEALTH CARE PROFESSIONALS REFER TO THE RECOMMENDATIONS PUBLISHED BY THE UNITED STATES PREVENTATIVE SERVICES TASK FORCE (USPSTF) AS A RELIABLE, WIDELY ACCEPTED, AND EVIDENCE-BASED GUIDE. THE USPSTF IS AN INDEPENDENT, VOLUNTEER PANEL OF NATIONAL EXPERTS IN PREVENTION AND EVIDENCE-BASED MEDICINE. THEIR RECOMMENDATIONS ARE BASED ON A RIGOROUS REVIEW OF EXISTING PEER-REVIEWED DATA. THE USPSTF ASSIGNS A LETTER GRADE (A, B, C, D, OR I) TO EACH RECOMMENDATION BASED ON THE STRENGTH OF EVIDENCE AND THE BALANCE OF BENEFITS AND POTENTIAL HARMS OF THE PREVENTATIVE SERVICE. GRADE A AND GRADE B PREVENTATIVE SERVICES ARE RECOMMENDED BECAUSE THE USPSTF HAS DETERMINED A HIGH OR MODERATE CERTAINTY THAT THE NET BENEFIT IS MODERATE OR SUBSTANTIAL.1 USPSTF PREVENTATIVE CARE RECOMMENDATIONS APPLY TO PEOPLE WHO HAVE NO SIGNS OR SYMPTOMS OF A SPECIFIC DISEASE OR CONDITION. USPSTF RECOMMENDATIONS ARE EVIDENCE-BASED GUIDELINES THAT HELP PHYSICIANS IDENTIFY APPROPRIATE PREVENTATIVE SERVICES FOR CERTAIN PATIENT POPULATIONS, BUT PREVENTATIVE CARE SHOULD BE TAILORED FOR EACH PATIENT DEPENDING ON INDIVIDUAL CIRCUMSTANCES. DETERMINING APPROPRIATE PREVENTATIVE SERVICES FOR AN INDIVIDUAL PATIENT REQUIRES A ONE-ON-ONE DISCUSSION BETWEEN THE PHYSICIAN AND PATIENT. A COMPLETE LIST OF USPSTF PREVENTIVE CARE GUIDELINES, INCLUDING A AND B GRADE RECOMMENDATIONS, CAN BE FOUND AT WWW.USPREVENTIVESERVICESTASKFORCE.ORG. COMMUNITY DEFINED FOR THIS ASSESSMENTTHE COMMUNITY FOR THIS CHNA WAS DEFINED BASED ON THE GEOGRAPHIC ORIGINS OF MCLEOD REGIONAL MEDICAL CENTER INPATIENT AND OUTPATIENT HOSPITAL DATA, THE STUDY AREA FOR THIS ASSESSMENT IS DEFINED AS FLORENCE COUNTY WHICH REPRESENTS THE MAJORITY OF PATIENTS SERVED.DEMOGRAPHICS CURRENT POPULATION DEMOGRAPHICS AND CHANGES IN DEMOGRAPHIC COMPOSITION OVER TIME PLAY A DETERMINING ROLE IN THE TYPES OF HEALTH AND SOCIAL SERVICES NEEDED BY COMMUNITIES. TOTAL POPULATION A TOTAL OF 138,237 PEOPLE LIVE IN THE 800.51 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2016-2020 FIVE-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 173 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 92 PERSONS PER SQUARE MILE.TOTAL POPULATION CHANGE, 2010 - 2020 ACCORDING TO THE UNITED STATES CENSUS BUREAU DECENNIAL CENSUS, BETWEEN 2010 AND 2020 THE POPULATION IN THE REPORT AREA GREW BY 112 PERSONS, A CHANGE OF 0.08%. A SIGNIFICANT POSITIVE OR NEGATIVE SHIFT IN TOTAL POPULATION OVER TIME IMPACTS HEALTHCARE PROVIDERS AND THE UTILIZATION OF COMMUNITY RESOURCESPOPULATION WITH LIMITED ENGLISH PROFICIENCY THIS INDICATOR REPORTS THE PERCENTAGE OF THE POPULATION AGE 5 AND OLDER WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN "VERY WELL". THIS INDICATOR IS RELEVANT BECAUSE AN INABILITY TO SPEAK ENGLISH WELL CREATES BARRIERS TO HEALTHCARE ACCESS, PROVIDER COMMUNICATIONS, AND HEALTH LITERACY/EDUCATION. OF THE 129,874 TOTAL POPULATION AGE 5 AND OLDER IN THE REPORT AREA, 1,585 OR 1.22% HAVE LIMITED ENGLISH PROFICIENCY.INCOME AND ECONOMICS ECONOMIC AND SOCIAL INSECURITY OFTEN ARE ASSOCIATED WITH POOR HEALTH. POVERTY, UNEMPLOYMENT, AND LACK OF EDUCATIONAL ACHIEVEMENT AFFECT ACCESS TO CARE AND A COMMUNITY'S ABILITY TO ENGAGE IN HEALTHY BEHAVIORS. WITHOUT A NETWORK OF SUPPORT AND A SAFE COMMUNITY, FAMILIES CANNOT THRIVE. ENSURING ACCESS TO SOCIAL AND ECONOMIC RESOURCES PROVIDES A FOUNDATION FOR A HEALTHY COMMUNITY.INCOME - MEDIAN HOUSEHOLD INCOME THIS INDICATOR REPORTS MEDIAN HOUSEHOLD INCOME BASED ON THE LATEST 5-YEAR AMERICAN COMMUNITY SURVEY ESTIMATES. THIS INCLUDES THE INCOME OF THE HOUSEHOLDER AND ALL OTHER INDIVIDUALS 15 YEARS OLD AND OVER IN THE HOUSEHOLD, WHETHER THEY ARE RELATED TO THE HOUSEHOLDER OR NOT. BECAUSE MANY HOUSEHOLDS CONSIST OF ONLY ONE PERSON, AVERAGE HOUSEHOLD INCOME IS USUALLY LESS THAN AVERAGE FAMILY INCOME. THERE ARE 52,880 HOUSEHOLDS IN THE REPORT AREA, WITH AN AVERAGE INCOME OF $67,315 AND MEDIAN INCOME OF $49,645.POVERTY POPULATION BELOW 100% FPL POVERTY IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. WITHIN THE REPORT AREA 17.44% OR 23,516 INDIVIDUALS FOR WHOM POVERTY STATUS IS DETERMINED ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL (FPL). THIS INDICATOR IS RELEVANT BECAUSE POVERTY CREATES BARRIERS TO ACCESS INCLUDING HEALTH SERVICES, HEALTHY FOOD, AND OTHER NECESSITIES THAT CONTRIBUTE TO POOR HEALTH STATUSEDUCATION THIS CATEGORY CONTAINS INDICATORS THAT DESCRIBE THE EDUCATION SYSTEM AND THE EDUCATIONAL OUTCOMES OF REPORT AREA POPULATIONS. EDUCATION METRICS CAN BE USED TO DESCRIBE VARIATION IN POPULATION ACCESS, PROFICIENCY, AND ATTAINMENT THROUGHOUT THE EDUCATION SYSTEM, FROM ACCESS TO PRE-KINDERGARTEN THROUGH ADVANCED DEGREE ATTAINMENT. THESE INDICATORS ARE IMPORTANT BECAUSE EDUCATION IS CLOSELY TIED TO HEALTH OUTCOMES AND ECONOMIC OPPORTUNITY. ATTAINMENT - BACHELOR'S DEGREE OR HIGHER 24.17% OF THE POPULATION AGED 25 AND OLDER, OR 22,629 HAVE OBTAINED A BACHELOR'S LEVEL DEGREE OR HIGHER. THIS INDICATOR IS RELEVANT BECAUSE EDUCATIONAL ATTAINMENT HAS BEEN LINKED TO POSITIVE HEALTH OUTCOMES.ATTAINMENT - HIGH SCHOOL GRADUATION RATE THE ADJUSTED COHORT GRADUATION RATE (ACGR) IS A GRADUATION METRIC THAT FOLLOWS A "COHORT" OF FIRST-TIME 9TH GRADERS IN A PARTICULAR SCHOOL YEAR AND ADJUST THIS NUMBER BY ADDING ANY STUDENTS WHO TRANSFER INTO THE COHORT AFTER 9TH GRADE AND SUBTRACTING ANY STUDENTS WHO TRANSFER OUT, EMIGRATE TO ANOTHER COUNTRY, OR PASS AWAY. THE ACGR IS THE PERCENTAGE OF THE STUDENTS IN THIS COHORT WHO GRADUATE WITHIN FOUR YEARS. IN THE REPORT AREA, THE ADJUSTED COHORT GRADUATION RATE WAS 81.4% DURING THE MOST RECENTLY REPORTED SCHOOL YEAR. STUDENTS IN THE REPORT AREA PERFORMED WORSE THAN THE STATE, WHICH HAD AN ACGR OF 85.3%.OTHER SOCIAL & ECONOMIC FACTORS ECONOMIC AND SOCIAL INSECURITY OFTEN ARE ASSOCIATED WITH POOR HEALTH. POVERTY, UNEMPLOYMENT, AND LACK OF EDUCATIONAL ACHIEVEMENT AFFECT ACCESS TO CARE AND A COMMUNITY'S ABILITY TO ENGAGE IN HEALTHY BEHAVIORS. WITHOUT A NETWORK OF SUPPORT AND A SAFE COMMUNITY, FAMILIES CANNOT THRIVE. ENSURING ACCESS TO SOCIAL AND ECONOMIC RESOURCES PROVIDES A FOUNDATION FOR A HEALTHY COMMUNITY. PHYSICAL ENVIRONMENT A COMMUNITY'S HEALTH ALSO IS AFFECTED BY THE PHYSICAL ENVIRONMENT. A SAFE, CLEAN ENVIRONMENT THAT PROVIDES ACCESS TO HEALTHY FOOD AND RECREATIONAL OPPORTUNITIES IS IMPORTANT TO MAINTAINING AND IMPROVING COMMUNITY HEALTH. AIR & WATER QUALITY - PARTICULATE MATTER 2.5 THIS INDICATOR REPORTS THE PERCENTAGE OF DAYS WITH PARTICULATE MATTER 2.5 LEVELS ABOVE THE NATIONAL AMBIENT AIR QUALITY STANDARD (35 MICROGRAMS PER CUBIC METER) PER YEAR, CALCULATED USING DATA COLLECTED BY MONITORING STATIONS AND MODELED TO INCLUDE COUNTIES WHERE NO MONITORING STATIONS OCCUR. THIS INDICATOR IS RELEVANT BECAUSE POOR AIR QUALITY CONTRIBUTES TO RESPIRATORY ISSUES AND OVERALL POOR HEALTHFOOD ENVIRONMENT - FOOD DESERT CENSUS TRACTS THIS INDICATOR REPORTS THE NUMBER OF NEIGHBORHOODS IN THE REPORT AREA THAT ARE WITHIN FOOD DESERTS. THE USDA FOOD ACCESS RESEARCH ATLAS DEFINES A FOOD DESERT AS ANY NEIGHBORHOOD THAT LACKS HEALTHY FOOD SOURCES DUE TO INCOME LEVEL, DISTANCE TO SUPERMARKETS, OR VEHICLE ACCESS. THE REPORT AREA HAS A POPULATION OF 20,517 LIVING IN FOOD DESERTS AND A TOTAL OF 5 CENSUS TRACTS CLASSIFIED AS FOOD DESERTS BY THE USDA.FOOD ENVIRONMENT - GROCERY STORES HEALTHY DIETARY BEHAVIORS ARE SUPPORTED BY ACCESS TO HEALTHY FOODS, AND GROCERY STORES ARE A MAJOR PROVIDER OF THESE FOODS. THERE ARE 25 GROCERY ESTABLISHMENTS IN THE REPORT AREA, A RATE OF 18.26 PER 100,000 POPULATION. GROCERY STORES ARE DEFINED AS SUPERMARKETS AND SMALLER GROCERY STORES PRIMARILY ENGAGED IN RETAILING A GENERAL LINE OF FOOD, SUCH AS CANNED AND FROZEN FOODS; FRESH FRUITS AND VEGETABLES; AND FRESH AND PREPARED MEATS, FISH, AND POULTRY. DELICATESSEN-TYPE ESTABLISHMENTS ARE ALSO INCLUDED. CONVENIENCE STORES AND LARGE GENERAL MERCHANDISE STORES THAT ALSO RETAIL FOOD, SUCH AS SUPERCENTERS AND WAREHOUSE CLUB STORES, ARE EXCLUDED.
FOOD ENVIRONMENT - SNAP-AUTHORIZED FOOD STORES	THIS INDICATOR REPORTS THE NUMBER OF SNAP-AUTHORIZED FOOD STORES AS A RATE PER 10,000 POPULATION. SNAP-AUTHORIZED STORES INCLUDE GROCERY STORES AS WELL AS SUPERCENTERS, SPECIALTY FOOD STORES, AND CONVENIENCE STORES THAT ARE AUTHORIZED TO ACCEPT SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM) BENEFITS. THE REPORT AREA CONTAINS A TOTAL OF 171 SNAP- AUTHORIZED RETAILERS WITH A RATE OF 12.43.CLINICAL CARE AND PREVENTION A LACK OF ACCESS TO CARE PRESENTS BARRIERS TO GOOD HEALTH. SUPPLY OF FACILITIES AND PHYSICIANS, THE RATE OF UNINSURED, FINANCIAL HARDSHIP, TRANSPORTATION BARRIERS, CULTURAL COMPETENCY, AND COVERAGE LIMITATIONS AFFECT ACCESS. RATES OF MORBIDITY, MORTALITY, AND EMERGENCY HOSPITALIZATIONS CAN BE REDUCED IF COMMUNITY RESIDENTS ACCESS SERVICES SUCH AS HEALTH SCREENINGS, ROUTINE TESTS, AND VACCINATIONS. PREVENTION INDICATORS CAN CALL ATTENTION TO A LACK OF ACCESS OR KNOWLEDGE REGARDING ONE OR MORE HEALTH ISSUES AND CAN INFORM PROGRAM INTERVENTIONS. CANCER SCREENING - MAMMOGRAM (MEDICARE) THIS INDICATOR REPORTS THE PERCENTAGE OF FEMALE MEDICARE BENEFICIARIES AGE 35 AND OLDER WHO HAD A MAMMOGRAM IN THE MOST RECENT REPORTING YEAR. THE AMERICAN CANCER SOCIETY RECOMMENDS THAT WOMEN AGE 45 TO 54 SHOULD GET A MAMMOGRAM EVERY YEAR, AND WOMEN AGE 55 AND OLDER SHOULD GET A MAMMOGRAM EVERY OTHER YEAR. IN THE LATEST REPORTING PERIOD THERE WERE 28,409 MEDICARE BENEFICIARIES IN THE REPORT AREA, AND 34% OF FEMALE BENEFICIARIES AGE 35 OR OLDER HAD A MAMMOGRAM IN THE PAST YEAR. THE RATE IN THE REPORT AREA WAS LOWER THAN THE STATE RATE OF 38% DURING THE SAME TIME PERIOD.DIABETES MANAGEMENTHEMOGLOBIN A1C TEST THIS INDICATOR REPORTS THE PERCENTAGE OF DIABETIC MEDICARE PATIENTS WHO HAVE HAD A HEMOGLOBIN A1C (HA1C) TEST, A BLOOD TEST WHICH MEASURES BLOOD SUGAR LEVELS, ADMINISTERED BY A HEALTH CARE PROFESSIONAL IN THE PAST YEAR. DATA IS OBTAINED FROM THE DARTMOUTH ATLAS DATA - SELECTED PRIMARY CARE ACCESS AND QUALITY MEASURES (2008-2019). THIS INDICATOR IS RELEVANT BECAUSE ENGAGING IN PREVENTIVE BEHAVIORS ALLOWS FOR EARLY DETECTION AND TREATMENT OF HEALTH PROBLEMS. THIS INDICATOR CAN ALSO HIGHLIGHT A LACK OF ACCESS TO PREVENTIVE CARE, A LACK OF HEALTH KNOWLEDGE, INSUFFICIENT PROVIDER OUTREACH, AND/OR SOCIAL BARRIERS PREVENTING UTILIZATION OF SERVICES. AS OF YEAR 2019, 2,882 OR 88.03% MEDICARE ENROLLEES WITH DIABETES HAVE HAD AN ANNUAL EXAM OUT OF 3,274 MEDICARE ENROLLEES WITH DIABETES IN THE REPORT AREAHOSPITALIZATIONS - PREVENTABLE CONDITIONS THIS INDICATOR REPORTS THE PREVENTABLE HOSPITALIZATION RATE AMONG MEDICARE BENEFICIARIES FOR THE LATEST REPORTING PERIOD. PREVENTABLE HOSPITALIZATIONS INCLUDE HOSPITAL ADMISSIONS FOR ONE OR MORE OF THE FOLLOWING CONDITIONS: DIABETES WITH SHORT-TERM COMPLICATIONS, DIABETES WITH LONG-TERM COMPLICATIONS, UNCONTROLLED DIABETES WITHOUT COMPLICATIONS, DIABETES WITH LOWER-EXTREMITY AMPUTATION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ASTHMA, HYPERTENSION, HEART FAILURE, BACTERIAL PNEUMONIA, OR URINARY TRACT INFECTION. RATES ARE PRESENTED PER 100,000 BENEFICIARIES. IN THE LATEST REPORTING PERIOD THERE WERE 28,409 MEDICARE BENEFICIARIES IN THE REPORT AREA. THE PREVENTABLE HOSPITALIZATION RATE WAS 4,538. THE RATE IN THE REPORT AREA WAS HIGHER THAN THE STATE RATE OF 3,115 DURING THE SAME TIME PERIOD.HEALTH BEHAVIORS HEALTH BEHAVIORS SUCH AS POOR DIET, A LACK OF EXERCISE, AND SUBSTANCE ABUSE CONTRIBUTE TO POOR HEALTH STATUS. ALCOHOL - HEAVY ALCOHOL CONSUMPTION IN THE REPORT AREA, 20,947, OR 19.67% ADULTS SELF-REPORT EXCESSIVE DRINKING IN THE LAST 30 DAYS, WHICH IS LESS THAN THE STATE RATE OF 21.69%. DATA FOR THIS INDICATOR WERE BASED ON SURVEY RESPONSES TO THE 2019 BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) ANNUAL SURVEY AND ARE USED FOR THE 2022 COUNTY HEALTH RANKINGS. EXCESSIVE DRINKING IS DEFINED AS THE PERCENTAGE OF THE POPULATION WHO REPORT AT LEAST ONE BINGE DRINKING EPISODE INVOLVING FIVE OR MORE DRINKS FOR MEN AND FOUR OR MORE FOR WOMEN OVER THE PAST 30 DAYS, OR HEAVY DRINKING INVOLVING MORE THAN TWO DRINKS PER DAY FOR MEN AND MORE THAN ONE PER DAY FOR WOMEN, OVER THE SAME TIME PERIOD. ALCOHOL USE IS A BEHAVIORAL HEALTH ISSUE THAT IS ALSO A RISK FACTOR FOR A NUMBER OF NEGATIVE HEALTH OUTCOMES, INCLUDING: PHYSICAL INJURIES RELATED TO MOTOR VEHICLE ACCIDENTS, STROKE, CHRONIC DISEASES SUCH AS HEART DISEASE AND CANCER, AND MENTAL HEALTH CONDITIONS SUCH AS DEPRESSION AND SUICIDE. THERE ARE A NUMBER OF EVIDENCE-BASED INTERVENTIONS THAT MAY REDUCE EXCESSIVE/BINGE DRINKING; EXAMPLES INCLUDE RAISING TAXES ON ALCOHOLIC BEVERAGES, RESTRICTING ACCESS TO ALCOHOL BY LIMITING DAYS AND HOURS OF RETAIL SALES, AND SCREENING AND COUNSELING FOR ALCOHOL ABUSE (CENTERS FOR DISEASE CONTROL AND PREVENTION, PREVENTING EXCESSIVE ALCOHOL USE, 2020).PHYSICAL INACTIVITY WITHIN THE REPORT AREA, 32,948 OR 31.3% OF ADULTS AGE 20 AND OLDER WHO SELF-REPORT NO ACTIVE LEISURE TIME, BASED ON THE QUESTION: "DURING THE PAST MONTH, OTHER THAN YOUR REGULAR JOB, DID YOU PARTICIPATE IN ANY PHYSICAL ACTIVITIES OR EXERCISES SUCH AS RUNNING, CALISTHENICS, GOLF, GARDENING, OR WALKING FOR EXERCISE?" THIS INDICATOR IS RELEVANT BECAUSE CURRENT BEHAVIORS ARE DETERMINANTS OF FUTURE HEALTH AND THIS INDICATOR MAY ILLUSTRATE A CAUSE OF SIGNIFICANT HEALTH ISSUES, SUCH AS OBESITY AND POOR CARDIOVASCULAR HEALTH. NOTE: IN 2021, THE CDC UPDATED THE METHODOLOGY USED TO PRODUCE ESTIMATES FOR THIS INDICATOR.TOBACCO USAGE - CURRENT SMOKERS THIS INDICATOR REPORTS THE PERCENTAGE OF ADULTS AGE 18 AND OLDER WHO REPORT HAVING SMOKED AT LEAST 100 CIGARETTES IN THEIR LIFETIME AND CURRENTLY SMOKE EVERY DAY OR SOME DAYS. WITHIN THE REPORT AREA THERE ARE 19.80% OF ADULTS WHO HAVE SMOKED OR CURRENTLY SMOKE OUT OF THE TOTAL POPULATION.HEALTH OUTCOMES MEASURING MORBIDITY AND MORTALITY RATES ALLOWS LINKAGES TO BE ASSESSED BETWEEN SOCIAL DETERMINANTS OF HEALTH AND OUTCOMES. BY COMPARING, FOR EXAMPLE, THE PREVALENCE OF CERTAIN CHRONIC DISEASES TO INDICATORS IN OTHER CATEGORIES (E.G., POOR DIET AND EXERCISE) WITH OUTCOMES (E.G., HIGH RATES OF OBESITY AND DIABETES), VARIOUS CAUSAL RELATIONSHIPS MAY EMERGE, ALLOWING A BETTER UNDERSTANDING OF HOW CERTAIN COMMUNITY HEALTH NEEDS MAY BE ADDRESSED. CANCER INCIDENCE - ALL SITES THIS INDICATOR REPORTS THE AGE ADJUSTED INCIDENCE RATE (CASES PER 100,000 POPULATION PER YEAR) OF CANCER (ALL SITES) ADJUSTED TO 2000 U.S. STANDARD POPULATION AGE GROUPS (UNDER AGE 1, 1-4, 5- 9, ..., 80-84, 85 AND OLDER). WITHIN THE REPORT AREA, THERE WERE 780 NEW CASES OF CANCER REPORTED. THIS MEANS THERE IS A RATE OF 459.9 FOR EVERY 100,000 TOTAL POPULATION.CHRONIC CONDITIONS - ASTHMA (MEDICARE POPULATION) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH ASTHMA. DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 1,078 BENEFICIARIES WITH ASTHMA BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 5.0% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIES.CHRONIC CONDITIONS - DIABETES (ADULT) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF ADULTS AGE 20 AND OLDER WHO HAVE EVER BEEN TOLD BY A DOCTOR THAT THEY HAVE DIABETES. THIS INDICATOR IS RELEVANT BECAUSE DIABETES IS A PREVALENT PROBLEM IN THE U.S.; IT MAY INDICATE AN UNHEALTHY LIFESTYLE AND PUTS INDIVIDUALS AT RISK FOR FURTHER HEALTH ISSUES. WITHIN THE REPORT AREA, 14,489 OF ADULTS AGE 20 AND OLDER HAVE DIABETES. THIS REPRESENTS 12.2% OF THE TOTAL SURVEY POPULATION. NOTE: IN 2021, THE CDC UPDATED THE METHODOLOGY USED TO PRODUCE ESTIMATES FOR THIS INDICATOR. ESTIMATED VALUES FOR PRIOR YEARS (2004 - 2017) HAVE BEEN UPDATED IN THIS PLATFORM TO ALLOW COMPARISON ACROSS YEARS. USE CAUTION WHEN COMPARING WITH SAVED ASSESSMENTS GENERATED PRIOR TO NOVEMBER 10, 2021.CHRONIC CONDITIONS - DIABETES (MEDICARE POPULATION) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH DIABETES. DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 7,300 BENEFICIARIES WITH DIABETES BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 33.8% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIES.CHRONIC CONDITIONS - HEART DISEASE (MEDICARE POPULATION) THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH ISCHEMIC HEART DISEASE. DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 5,728 BENEFICIARIES WITH ISCHEMIC HEART DISEASE BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 26.5% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIES.
CHRONIC CONDITIONS - HIGH BLOOD PRESSURE (MEDICARE POPULATION)	THIS INDICATOR REPORTS THE NUMBER AND PERCENTAGE OF THE MEDICARE FEE-FOR-SERVICE POPULATION WITH HYPERTENSION (HIGH BLOOD PRESSURE). DATA IS BASED UPON MEDICARE ADMINISTRATIVE ENROLLMENT AND CLAIMS DATA FOR MEDICARE BENEFICIARIES ENROLLED IN THE FEE-FOR-SERVICE PROGRAM. WITHIN THE REPORT AREA, THERE WERE 15,105 BENEFICIARIES WITH HYPERTENSION (HIGH BLOOD PRESSURE) BASED ON ADMINISTRATIVE CLAIMS DATA IN THE LATEST REPORT YEAR. THIS REPRESENTS 70.0% OF THE TOTAL MEDICARE FEE-FOR-SERVICE BENEFICIARIESLOW BIRTH WEIGHT (CDC) THIS INDICATOR REPORTS THE PERCENTAGE OF LIVE BIRTHS WHERE THE INFANT WEIGHED LESS THAN 2,500 GRAMS (APPROXIMATELY 5 LBS., 8 OZ.). THIS DATA IS REPORTED FOR A 7-YEAR AGGREGATED TIME PERIOD. DATA WAS FROM THE NATIONAL CENTER FOR HEALTH STATISTICS - NATALITY FILES (2014-2020) AND ARE USED FOR THE 2022 COUNTY HEALTH RANKINGS. WITHIN THE REPORT AREA, THERE WERE 1,493 INFANTS BORN WITH LOW BIRTH WEIGHT. THIS REPRESENTS 12.8% OF THE TOTAL LIVE BIRTHS. NOTE: DATA IS SUPPRESSED FOR COUNTIES WITH FEWER THAN 10 LOW BIRTHWEIGHT BIRTHS IN THE REPORTING PERIOD.MORTALITY - CANCER THIS INDICATOR REPORTS THE 2016-2020 FIVE-YEAR AVERAGE RATE OF DEATH DUE TO MALIGNANT NEOPLASM (CANCER) PER 100,000 POPULATION. FIGURES ARE REPORTED AS CRUDE RATES, AND AS RATES AGE-ADJUSTED TO YEAR 2000 STANDARD. RATES ARE RESUMMARIZED FOR REPORT AREAS FROM COUNTY LEVEL DATA, ONLY WHERE DATA IS AVAILABLE. THIS INDICATOR IS RELEVANT BECAUSE CANCER IS A LEADING CAUSE OF DEATH IN THE UNITED STATES. WITHIN THE REPORT AREA, THERE IS A TOTAL OF 1,397 DEATHS DUE TO CANCER. THIS REPRESENTS AN AGE-ADJUSTED DEATH RATE OF 161.1 PER EVERY 100,000 TOTAL POPULATION. NOTE: DATA IS SUPPRESSED FOR COUNTIES WITH FEWER THAN 20 DEATHS IN THE TIME FRAME.SPECIAL TOPICS - COVID-19- CONFIRMED CASES THIS INDICATOR REPORTS INCIDENCE RATE OF CONFIRMED COVID-19 CASES PER 100,000 POPULATION. DATA FOR THIS INDICATOR IS UPDATED DAILY AND DERIVED FROM THE JOHNS HOPKINS UNIVERSITY DATA FEED. IN THE REPORT AREA, THERE HAVE BEEN 45,065 TOTAL CONFIRMED CASES OF COVID-19. THE RATE OF CONFIRMED CASES IS 32,618.22 PER 100,000 POPULATION, WHICH IS GREATER THAN THE STATE AVERAGE OF 31,572.09. DATA IS CURRENT AS OF 07/29/2022.COVID-19 - MORTALITY IN THE REPORT AREA, THERE HAVE BEEN 646 TOTAL DEATHS AMONG PATIENTS WITH CONFIRMED CASES OF THE CORONAVIRUS DISEASE COVID-19. THE MORTALITY RATE IN THE REPORT AREA IS 467.58 PER 100,000 POPULATION, WHICH IS GREATER THAN THE STATE AVERAGE OF 357.82. DATA IS CURRENT AS OF 07/29/2022PRIORITY ISSUES AND IMPLEMENTATION PLAN MCLEOD HEALTH UTILIZES RESOURCES SUCH AS U.S. DEPARTMENT OF HEALTH AND SOUTH CAROLINA STATE HEALTH IMPROVEMENT PLAN WHICH SERVES TO GUIDE HEALTH PROMOTION AND DISEASE PREVENTION EFFORTS. THE SOUTH CAROLINA STATE HEALTH IMPROVEMENT PLAN (SHIP) LAYS OUT THE FOUNDATION FOR GIVING EVERYONE A CHANCE TO LIVE A HEALTHY LIFE. IT IS A CALL TO ACTION FOR SOUTH CAROLINIANS TO TAKE DATA-DRIVEN, EVIDENCE-BASED STEPS TO ADVANCE THE HEALTH AND WELL-BEING OF ALL SOUTH CAROLINIANS. THE PLAN HIGHLIGHTS GOALS AND STRATEGIES ON WHICH COMMUNITIES CAN FOCUS SO THE STATE CAN MAKE MEASURABLE HEALTH IMPROVEMENT BY 2023. ATTENTION IS FOCUSED ON DETERMINANTS THAT AFFECT THE PUBLIC'S HEALTH THAT CONTRIBUTE TO HEALTH DISPARITIES BY ADDRESSING IDENTIFIED NEEDS THROUGH EDUCATION, PREVENTION, TARGETED INITIATIVES VALIDATED THROUGH RESEARCH, AND THE DELIVERY OF HEALTH SERVICES. CROSS-SECTOR COLLABORATION IS NOW WIDELY CONSIDERED AS ESSENTIAL FOR HAVING MEANINGFUL IMPACTS ON BUILDING HEALTHIER COMMUNITIES. THROUGH COLLABORATION WITH PUBLIC HEALTH AGENCIES, HEALTH CARE ORGANIZATIONS AND PROVIDERS, COMMUNITY LEADERS, AND INPUT FROM ACROSS BUSINESS SECTORS AND OTHERS IN THE COMMUNITY, MCLEOD HEALTH CAN BETTER SERVE ITS MISSION. IN PRIORITIZATION OF NEEDS, CONSIDERATION WAS GIVEN TO THE FOLLOWING: BASED ON IMPORTANCE TO COMMUNITY CAPACITY TO ADDRESS CHANGE ALIGNMENT TO MCLEOD HEALTH MISSION, VISION AND VALUES COLLABORATION WITH EXISTING ORGANIZATIONS MAGNITUDE/SEVERITY OF PROBLEM NEED AMONG VULNERABLE POPULATIONS WILLINGNESS TO ACT ON ISSUE ABILITY TO HAVE MEANINGFUL IMPACT AVAILABILITY OF HOSPITAL RESOURCES PLAN PRIORITIES MCLEOD REGIONAL MEDICAL CENTER HAS SELECTED THE FOLLOWING AREAS WHICH TO COLLABORATE WITH COMMUNITY PARTNERS FOR IMPROVING COMMUNITY HEALTH IN FLORENCE COUNTY. ACCESS TO HEALTH CARE HEART DISEASE AND STROKE DIABETES CANCER IMPLEMENTATION PLAN PRIORITY ISSUES WERE DETERMINED FROM THE COMMUNITY INPUT GATHERED FOR THE CHNA. THROUGH SUCCESSFUL PARTNERSHIPS AND COLLABORATIONS WITH PUBLIC HEALTH AGENCIES, HEALTH CARE ORGANIZATIONS AND PROVIDERS, COMMUNITY LEADERS, AND INPUT FROM ACROSS BUSINESS SECTORS AND OTHER IN OUR COMMUNITY, MCLEOD HEALTH CAN MORE EFFECTIVELY SATISFY ITS LONG-STANDING MISSION DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING IN OUR REGION THROUGH EXCELLENCE IN HEALTH CARE.
FACILITY REPORTING GROUP - A	PART V, SECTION B, LINE 11: NEEDS IDENTIFIED AS SHOWN IN THE LINE 5 EXPLANATION ARE BEING ADDRESSED BUT THE TWO TOP WAYS IDENTIFIED TO IMPROVE HEALTH IN THE COMMUNITY, HEALTHY LIFESTYLE AND EXERCISE, ARE NOT SHORT-TERM ISSUES TO SOLVE. MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE IS WORKING WITH THE COMMUNITY PARTNERS SHOWN IN THE IMPLEMENTATION PLAN TO IMPROVE THE SURROUNDING AREAS. THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS.

Schedule H (Form 990) 2023

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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) 2023

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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
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT FOR MCLEOD HEALTH (SOLE MEMBER OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC., OR "MRMC") IS FILED ANNUALLY WITH SOUTH CAROLINA HOSPITAL ASSOCIATION. HIGHLIGHTS ARE PUBLISHED IN MCLEOD MAGAZINE WHICH IS A PUBLICATION THAT IS DISTRIBUTED FREE TO THE PUBLIC. THE REPORT IS AVAILABLE TO ANYONE UPON REQUEST.
PART I, LINE 7:	THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE AMOUNTS ON LINES 7A-7D. THIS WAS CALCULATED BY USING WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS. THE HOSPITAL'S FINANCIAL COST REPORTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS ON LINES 7E-7I. THE COMPANY RECORDED AN INCREASED AMOUNT OF REVENUE DURING FISCAL YEAR 2024 RELATED TO THE HEALTH ACCESS, WORKFORCE, AND QUALITY (HAWQ) PROGRAM, WHICH WAS A NEW PROGRAM ESTABLISHED BY THE STATE OF SOUTH CAROLINA IN 2023. THE PROGRAM PROVIDES ADDITIONAL FUNDING TO HEALTH SYSTEMS IN THE STATE FOR PARTICIPATING MEDICAID MANAGED CARE PATIENTS. THE INCREASED HAWQ FUNDING FROM FISCAL YEAR 2023 TO FISCAL YEAR 2024 WAS $76.1 MILLION AND WAS THE MAIN FACTOR THAT RESULTED IN A 3.77% DECREASE TO NET COMMUNITY BENEFITS FOR FISCAL YEAR 2024 COMPARED TO FISCAL YEAR 2023.
PART I, LINE 7G:	THESE SUBSIDIZED SERVICES COME FROM THE OPERATION OF A CANCER CLINIC.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 112,185,880.
PART II, COMMUNITY BUILDING ACTIVITIES:	COMMUNITY BUILDING ACTIVITIES CONSIST OF FINANCIAL CONTRIBUTION TO NURSING DEPARTMENTS OF LOCAL INSTITUTIONS OF HIGHER LEARNING TO HELP ENHANCE HEALTHCARE IN THE COMMUNITY, AND ALSO MCLEOD EXECUTIVES SERVE ON VARIOUS BOARDS OF COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY RELATIONSHIPS TO HELP FURTHER LEARN WHAT HEALTHCARE NEEDS THERE ARE IN THE COMMUNITY.
PART III, LINE 2:	THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON PART III LINE 2 IS THE BAD DEBT EXPENSE REPORTED ON FORM 990 PART IX.
PART III, LINE 3:	THE BAD DEBT COST WAS REVIEWED BY THE HOSPITAL'S REVENUE CYCLE TEAM AND THE AMOUNT OF BAD DEBT ESTIMATED TO BE ATTRIBUTABLE TO PATIENTS WHO WOULD HAVE QUALIFIED UNDER OUR FINANCIAL ASSISTANCE PROGRAM IS 6.6% OF TOTAL BAD DEBTS.
PART III, LINE 4:	ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO QUALIFYING INDIVIDUALS AS PART OF MCLEOD HEALTH'S FINANCIAL ASSISTANCE POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED PRIMARILY TO SELF-PAY PATIENTS. ESTIMATES FOR EXPLICIT PRICE CONCESSIONS ARE BASED ON PROVIDER CONTRACTS, PAYMENT TERMS FOR RELEVANT PROSPECTIVE PAYMENT SYSTEMS, AND HISTORICAL EXPERIENCE ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING MCLEOD HEALTH'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, MCLEOD HEALTH RECORDS SIGNIFICANT IMPLICIT PRICE CONCESSIONS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.AN ALLOWANCE FOR CREDIT LOSSES IS ESTABLISHED FOR AMOUNTS EXPECTED TO BE UNCOLLECTIBLE OVER THE CONTRACTUAL LIFE OF THE RECEIVABLES. THE ORGANIZATION COLLECTIVELY EVALUATES PATIENT RECEIVABLES TO DETERMINE THE ALLOWANCE FOR CREDIT LOSSES BASED ON THE EXPECTED PAYMENT TO BE RECEIVED BASED ON EACH INDIVIDUAL PAYOR. THE ORGANIZATION CALCULATES THE ALLOWANCE USING THE EXPECTED LOSS MODEL THAT CONSIDERS THE ORGANIZATION'S ACTUAL HISTORICAL LOSS RATES ADJUSTED FOR CURRENT ECONOMIC CONDITIONS AND REASONABLE AND SUPPORTABLE FORECASTS. THE ORGANIZATION CONSIDERS HISTORICAL BANKRUPTCY ADJUSTMENTS AND CREDIT RATINGS OF SIGNIFICANT THIRD-PARTY PAYORS WHEN MAKING ADJUSTMENTS FOR REASONABLE AND SUPPORTABLE FORECASTS. THE ORGANIZATION HAS DETERMINED THE ESTABLISHMENT OF A CREDIT LOSS ALLOWANCE TO BE INSIGNIFICANT TO THE OVERALL CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ORGANIZATION FEELS THE TOTAL SHORTFALL OF MEDICARE REIMBURSEMENT COMPARED TO COMPUTED MEDICARE ALLOWABLE COSTS SHOULD BE TREATED AS COMMUNITY BENEFIT. THE HOSPITAL IMPROVES ACCESS TO PATIENT CARE BY PROVIDING SERVICES REGARDLESS OF A PATIENT'S ABILITY TO PAY OR THEHOSPITAL'S ABILITY TO RECEIVE FULL COST REIMBURSEMENT FOR SERVICES. THE HOSPITAL ALSO RELIEVES THE GOVERNMENT OF A FINANCIAL BURDEN WHEN IT PROVIDES CARE TO PUBLICLY-INSURED PATIENTS WHERE REIMBURSEMENT IS LESS THAN COST OF PROVIDING THE SERVICE.
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 REQUIREDINFORMATION IS NOT FURNISHED, THE PATIENT IS NOTIFIED THAT THEIR CHARITY APPLICATION WAS NOT APPROVED DUE TO FAILURE TO PROVIDE THE NECESSARY INFORMATION. FOLLOWING THAT NOTIFICATION, THE ACCOUNT GENERALLY TRANSFERS TO BAD DEBT FOR FURTHER COLLECTION ACTION.
PART VI, LINE 2:	IN ADDITION TO THE CHNA DESCRIBED ABOVE FOR MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (OR MRMC) MRMC 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 MRMC IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITY. ADDITIONALLY, MRMC IS ACTIVELY INVOLVED IN AGENCIES LIKE UNITED WAY, AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, CHILDREN'S MIRACLE NETWORK TO FURTHER STAY ON THE PULSE OF THE HEALTH NEEDS OF THE COMMUNITY.
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.
PART VI, LINE 4:	MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (MRMC), TOGETHER WITH ITS RELATED ORGANIZATIONS MCLEOD MEDICAL CENTER-DILLON, MCLEOD LORIS SEACOAST HOSPITAL, MCLEOD HEALTH CHERAW, MCLEOD HEALTH CLARENDON, AND MCLEOD PHYSICIAN ASSOCIATES II CONSIDERS ITS PRIMARY SERVICE AREA (PSA) AS THE SOUTH CAROLINA COUNTIES OF FLORENCE, DARLINGTON, CHESTERFIELD, DILLON, HORRY, CLARENDON, MARION, AND MARLBORO, AND ITS SECONDARY SERVICE AREA (SSA) AS THE SOUTH CAROLINA COUNTIES OF GEORGETOWN, LEE, SUMTER, AND WILLIAMSBURG. THESE TWELVE COUNTIES MAKE UP THE NORTHEASTERN PORTION OF SOUTH CAROLINA. MRMC HAS THE GREAT MAJORITY OF ITS DISCHARGES FROM THE COUNTIES OF FLORENCE AND DARLINGTON.
PART VI, LINE 5	MCLEOD REGIONAL MEDICAL CENTERTHE FLAGSHIP HOSPITAL OF THE MCLEOD HEALTH ORGANIZATION IS MCLEOD REGIONAL MEDICAL CENTER IN FLORENCE, SOUTH CAROLINA WHICH HAS BEEN SERVING THE PATIENTS OF THE REGION FOR 117 YEARS SINCE 1906. THIS 517-BED 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, A STEREOTACTIC RADIOSURGERY PROGRAM, THREE DEDICATED OPEN HEART SURGERY SUITES AND TWO VASCULAR HYBRID ORS WITHIN THE HEART & VASCULAR INSTITUTE AS WELL AS A DEDICATED NEURO-INTERVENTIONAL BIPLANE X-RAY SUITE FOR THROMBECTOMY PROCEDURES AND ENDOVASCULAR COILING. THE MCLEOD CENTERS OF EXCELLENCE INCLUDE HEART AND VASCULAR, CANCER, SURGERY, ORTHOPEDICS, NEUROSCIENCES, AND WOMEN'S AND CHILDREN'S IN ADDITION TO EMERGENCY AND TRAUMA SERVICES, REHABILITATION AND SPORTS MEDICINE SERVICES, AND HOSPICE AND HOME HEALTH SERVICES, 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 10-BED PEDIATRIC INTENSIVE CARE UNIT. IN ADDITION, THE MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT FACILITY, IS LOCATED ON THE CAMPUS. A NEW MCLEOD REGIONAL EMERGENCY DEPARTMENT AND CHEST PAIN CENTER OPENED IN JUNE 2021.A TEACHING FACILITY SINCE 1980, MCLEOD SUPPORTS A THREE-YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND A FAMILY MEDICINE RURAL RESIDENCY, A ONE-YEAR PHARMACY PRACTICE RESIDENCY PROGRAM, A ONE-YEAR NURSE RESIDENCY PROGRAM AND THE MCLEOD SCHOOL OF MEDICAL TECHNOLOGY. THE MCLEOD HEALTH AND FITNESS CENTER IN FLORENCE IS THE REGION'S LARGEST AND ONLY MEDICALLY-BASED HEALTH AND WELLNESS CENTER. IN ADDITION, THE TEAM OF MCLEOD SPORTS MEDICINE THERAPISTS, TRAINERS AND PHYSICIANS MEET THE NEEDS OF A VERY ACTIVE REGION. MCLEOD OUTPATIENT REHABILITATION AND SPORTS MEDICINE SERVICES IS ALSO LOCATED ON THE MCLEOD WELLNESS CAMPUS ADJACENT TO THE MCLEOD HEALTH AND FITNESS CENTER. THIS FACILITY HOUSES THE ADULT OUTPATIENT THERAPY SERVICES OF PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, WORK RECOVERY, SPORTS MEDICINE AND THE OCCUPATIONAL THERAPY HAND CENTER. MCLEOD HEALTH CELEBRATED ITS CENTENNIAL IN 2006 BY OPENING A SEVEN-STORY ADDITION TO THE 12-STORY MCLEOD PAVILION TOWER. LOCATED IN THE ADDITIONAL SEVEN FLOORS, MCLEOD HEALTH PROVIDES THE REGION'S FIRST FULLY INTEGRATED SURGICAL SUITES PROVIDING THE MOST ADVANCED OPERATING ROOMS (OR) OF THE FUTURE. THE MCLEOD CENTER FOR ADVANCED SURGERY INCLUDES 30 OR SUITES FOR: MINIMALLY INVASIVE, ROBOTIC-ASSISTED, INVASIVE, AND OUTPATIENT SURGERIES. THE CENTER REFLECTS MCLEOD'S MOVEMENT TOWARDS SUPERLATIVE TECHNOLOGY AND MORE ENHANCED PROCEDURES FOR FASTER RECOVERY. AS MCLEOD CONTINUES TO SERVE THE REGION AS THE CHOICE FOR MEDICAL EXCELLENCE, PRESERVING THOSE HIGH STANDARDS MEANS CONTINUALLY EXPANDING BOTH SERVICES AND FACILITIES TO MEET THE HEALTHCARE NEEDS OF ITS PATIENTS. FOR CRITICALLY ILL PATIENTS, THE CENTER FOR INTENSIVE CARE ON THE CAMPUS OF MCLEOD REGIONAL MEDICAL CENTER OPENED IN 2013 FOR THE CONVENIENCE OF PATIENTS AND STAFF. THE CENTER INCLUDES 100 CRITICAL CARE BEDS AND 20 STEP-DOWN BEDS.IMPROVEMENTS TO ITS FACILITIES ON THE CAMPUS OF MCLEOD REGIONAL MEDICAL CENTER INCLUDE CONSOLIDATION OF SPECIALIZED SERVICES AND EXPANSIONS TO BETTER SERVE PATIENTS AND GUESTS. IN THE AREA OF ONCOLOGY, THE MCLEOD CENTER FOR CANCER TREATMENT AND RESEARCH OPENED AT THE END OF 2013. DEDICATED TO THE PHYSICAL AND EMOTIONAL NEEDS OF CANCER PATIENTS AND THEIR FAMILIES, THE CANCER CENTER IS A BEACON OF HOPE AND HEALING FOR THE COMMUNITIES MCLEOD SERVES. THE CANCER CENTER OFFERS NATURAL LIGHT, A CASCADING WATER WALL, GARDEN VIEWS, AND RELAXING FURNISHINGS TO INSPIRE, SOOTHE AND COMFORT PATIENTS AND FAMILY MEMBERS. AS ONE OF THE MOST PATIENT-CENTERED ENVIRONMENTS, THE CANCER CENTER HAS BEEN DESIGNED TO OFFER THE HIGHEST QUALITY, INDIVIDUALIZED CARE WITH CONVENIENT ACCESS TO ALL CANCER SERVICES AND CARE. FOR THE PATIENT'S CONVENIENCE, ALL ASPECTS OF CARE INCLUDING INFUSION, RADIATION TREATMENTS, OR PHYSICIAN APPOINTMENTS ARE ALL IN ONE LOCATION. ADDITIONALLY, PATIENTS CAN PARTICIPATE IN CANCER RESEARCH AND MEET WITH AN ONCOLOGY NAVIGATOR OR SOCIAL WORKER WITHOUT EVER LEAVING THE CANCER CENTER.IN 2018, THE CANCER CENTER INSTALLED A THIRD TRUEBEAM LINEAR ACCELERATOR, CAPABLE OF PERFORMING AN ADVANCED FORM OF RADIATION THERAPY TO TREAT LUNG AND LIVER CANCER. ADVANTAGES FOR PATIENTS INCLUDE THE ABILITY TO DELIVER A LARGE, TARGETED RADIATION DOSE TO A TUMOR IN THE BODY, REDUCING THE AMOUNT OF TIME DURING TREATMENT AND RESULTING IN FEWER TREATMENTS. IN ADDITION TO THESE UNITS, MCLEOD OFFERS THE ONLY ACTIVE LINEAR ACCELERATOR (LINAC) BASED STEREOTACTIC RADIOSURGERY (SRS) PROGRAM FROM THE MIDLANDS TO THE COAST FOR THE TREATMENT OF BRAIN CANCER AND NERVE CONDITIONS SUCH AS TRIGEMINAL NEURALGIA. IN 2019, THE MCLEOD CENTER FOR CANCER TREATMENT AND RESEARCH WAS NAMED A NOVALIS CERTIFIED CANCER CENTER FOLLOWING A RIGOROUS AND VOLUNTARY AUDIT CONDUCTED BY AN INDEPENDENT, THIRD-PARTY PANEL OF EXPERTS IN RADIATION ONCOLOGY, PATIENT SAFETY AND TREATMENT QUALITY. ONE OF ONLY EIGHT NOVALIS CERTIFIED CENTERS IN THE UNITED STATES, MCLEOD IS THE ONLY SUCH CANCER CENTER IN SOUTH CAROLINA. THE HOSPITAL ALSO REPRESENTS ONE OF ONLY 46 CERTIFIED CENTERS WORLDWIDE.LOCATED WITHIN THE MCLEOD HEART AND VASCULAR INSTITUTE ARE THREE DEDICATED OPEN HEART SURGERY SUITES, TWO HYBRID SURGICAL SUITES, A CARDIOVASCULAR INTENSIVE CARE UNIT, THE CARDIOVASCULAR DAY HOSPITAL, AND AN AREA FOR GENERAL ULTRASOUND SERVICES, ECHOCARDIOGRAPHY, AND EKG. THE VASCULAR HYBRID SURGICAL SUITES OFFER MCLEOD VASCULAR SURGEONS THE FLEXIBILITY OF PERFORMING BOTH DIAGNOSTIC AND SURGICAL PROCEDURES IN ONE LOCATION. THE HYBRID SUITE ELIMINATES THE NECESSITY OF MOVING THE PATIENT BY COMBINING THE TWO CAPABILITIES, X-RAY IMAGING AND SURGERY, INTO ONE AREA. THE SUITE IS EQUIPPED WITH X-RAY IMAGING SYSTEMS MOUNTED TO THE CEILING. IF THE PATIENT SHOULD REQUIRE SURGERY, THE EQUIPMENT IS EASILY MOVED OUT OF THE WAY AND THE TABLE CONVERTED TO A SURGICAL TABLE. IN 2020, THE MEDICAL EXPERTS AT MCLEOD LOWERED A PATIENT'S RISK OF STROKE WHEN THEY PERFORMED THE AREA'S FIRST ADVANCED PROCEDURE FOR AN UNRUPTURED BRAIN ANEURYSM USING ONLY A TINY METAL SPRING. ENDOVASCULAR COILING IS A PROCEDURE TO TREAT ANEURYSMS FROM INSIDE THE BLOOD VESSEL. SMALL COILS ARE INSERTED INTO THE ANEURYSM THROUGH THE ARTERIES THAT RUN FROM THE GROIN TO THE BRAIN. THE COILS ARE MADE OF SOFT PLATINUM METAL AND SHAPED LIKE A SPRING. THEY ARE VERY SMALL AND THIN WITH THE LARGEST ABOUT TWICE THE WIDTH OF A HUMAN HAIR. THESE COILS STOP THE BLOOD FROM FLOWING INTO THE ANEURYSM. DEPENDING ON THE SIZE OF THE ANEURYSM, MORE THAN ONE COIL MAY BE NEEDED TO COMPLETELY SEAL OFF THE ANEURYSM. IT IS THE TECHNOLOGY OF THE NEUROINTERVENTIONAL BI-PLANE SUITE THAT ALLOWS THE PHYSICIAN TO PERFORM THE COILING PROCEDURE AND PREVENTS THEM FROM HAVING TO PERFORM OPEN BRAIN SURGERY.IN 2021, MCLEOD PHYSICIANS PERFORMED THE AREA'S FIRST THROMBECTOMY. THE MEDICAL EXPERTS AT MCLEOD SAVED A PATIENT FROM THE DEVASTATING EFFECTS OF STROKE BY REMOVING A BLOOD CLOT FROM HIS BRAIN. THE FIRST THROMBECTOMY PROCEDURE AT MCLEOD WAS PERFORMED IN A DEDICATED NEUROINTERVENTIONAL BI-PLANE X-RAY SUITE THAT OPENED AT MCLEOD REGIONAL MEDICAL CENTER IN LATE 2020. THE BI-PLANE IMAGING SYSTEM PRODUCES HIGHLY DETAILED THREE-DIMENSIONAL VIEWS OF BLOOD VESSELS HEADING TO THE BRAIN AND DEEP WITHIN THE BRAIN. THIS TECHNOLOGY ALLOWS DOCTORS TO FOLLOW THE BLOOD FLOW PATH TO THE EXACT LOCATION OF THE ISSUE. DESIGNED FOR THE EMERGENCY TREATMENT OF STROKE PATIENTS, THE SUITE IS EQUIPPED WITH THE MOST ADVANCED MEDICAL IMAGING TECHNOLOGIES AVAILABLE.IN 2023, MCLEOD OPENED A NEW DEDICATED ELECTROPHYSIOLOGY DEVICE LAB AT MCLEOD REGIONAL MEDICAL CENTER. WITH THE OPENING OF THE NEW LAB, MCLEOD HEALTH NOW HAS FOUR DEDICATED ELECTROPHYSIOLOGY LABS: ONE AT MCLEOD HEALTH SEACOAST AND THREE AT THE FLORENCE CAMPUS. PACEMAKERS, DEFIBRILLATORS, AND INTERNAL LOOP RECORDERS ARE SOME OF THE SERVICES THAT ARE OFFERED IN THIS NEW SPACE. THE OPENING OF THE NEW ELECTROPHYSIOLOGY LAB HAS ALSO PAVED THE WAY FOR INCREASED AVAILABILITY FOR CASES PERFORMED BY THE MCLEOD STRUCTURAL HEART TEAM. MANY OF THESE PROCEDURES NEED THE ADVANCED TECHNOLOGICAL EQUIPMENT AVAILABLE IN A SPECIALIZED LAB.
MCLEOD BEHAVIORAL HEALTH	MCLEOD BEHAVIORAL HEALTH HOSPITAL, LOCATED IN DARLINGTON, SOUTH CAROLINA, IS COMMITTED TO PROVIDING EXCELLENT CARE TO INDIVIDUALS EXPERIENCING A PRIMARY PSYCHIATRIC ILLNESS WITH OR WITHOUT A CO-OCCURRING SUBSTANCE ABUSE DISORDER. THE 23,500-SQUARE FOOT HOSPITAL OPENED IN 2005 AND FEATURES A CLEARLY DEFINED ENTRANCE AND 23 PATIENT ROOMS. THE GOAL OF MCLEOD BEHAVIORAL HEALTH IS TO PROVIDE INDIVIDUALIZED CARE IN A SUPPORTIVE ATMOSPHERE. THE HOSPITAL VIEWS EACH PATIENT AS A UNIQUE INDIVIDUAL AND ITS INTERDISCIPLINARY TEAM STRIVES TO HELP ALL PATIENTS MEET THEIR GOALS FOR IMPROVED MENTAL HEALTH. THE PATIENT IS AT THE CENTER OF THIS TEAM AND IS SUPPORTED BY THE ATTENDING PHYSICIAN, ADVANCED PRACTICE PROVIDERS, NURSING STAFF, CARE MANAGERS AND ACTIVITY THERAPISTS WHO ARE RESPONSIBLE FOR ASSESSING, PLANNING, DELIVERING AND EVALUATING CARE.ABOUT MCLEOD HEALTHAS MENTIONED ABOVE, MCLEOD REGIONAL MEDICAL CENTER IS THE FLAGSHIP HOSPITAL OF THE LARGER HEALTHCARE ORGANIZATION OF MCLEOD HEALTH.FOUNDED IN 1906, MCLEOD HEALTH IS A LOCALLY OWNED AND MANAGED NOT FOR PROFIT ORGANIZATION WITH SEVEN HOSPITALS, MCLEOD HEALTH OPERATES THREE HEALTH AND FITNESS CENTERS, A SPORTS MEDICINE AND OUTPATIENT REHABILITATION CENTER, HOSPICE AND HOME HEALTH SERVICES. THE HOSPITALS WITHIN MCLEOD HEALTH INCLUDE: MCLEOD REGIONAL MEDICAL CENTER, MCLEOD HEALTH DILLON, MCLEOD HEALTH LORIS, MCLEOD HEALTH SEACOAST, MCLEOD HEALTH CHERAW, MCLEOD HEALTH CLARENDON AND MCLEOD BEHAVIORAL HEALTH.THE TOTAL LICENSED BEDS FOR THE MCLEOD HEALTH SYSTEM INCLUDES 1,036 BEDS WITH 989 OF THOSE BEING LICENSED AS ACUTE BY SC DHEC. IN ADDITION TO MCLEOD REGIONAL MEDICAL CENTER WITH 517 LICENSED BEDS AND 48 ADDITIONAL NEONATAL INTENSIVE CARE UNIT BEDS, THE OTHER ACUTE-CARE FACILITIES MENTIONED ABOVE GIVE MCLEOD GREATER FLEXIBILITY IN PROVIDING CARE TO THOSE OUTSIDE OF FLORENCE COUNTY: MCLEOD HEALTH DILLON WITH 79 LICENSED BEDS, MCLEOD HEALTH LORIS WITH 50 LICENSED BEDS, MCLEOD HEALTH SEACOAST WITH 155 LICENSED BEDS, MCLEOD HEALTH CHERAW WITH 59 LICENSED BEDS, MCLEOD HEALTH CLARENDON WITH 81 LICENSED BEDS, AND MCLEOD BEHAVIORAL HEALTH PROVIDES 23 INPATIENT PSYCHIATRIC BEDS. IN ADDITION, MCLEOD HOSPICE SERVES THE COMMUNITY WITH INPATIENT HOSPICE BEDS FOR RESPITE AND END OF LIFE CARE. THE ONLY INPATIENT HOSPICE FACILITY IN THE PEE DEE REGION, THE MCLEOD HOSPICE HOUSE INCLUDES 24 LICENSED BEDS.RECOGNIZED NATIONALLY FOR ITS QUALITY AND SAFETY INITIATIVES, MCLEOD HEALTH HAS A LEADING REGIONAL PRESENCE IN NORTHEASTERN SOUTH CAROLINA AND SOUTHEASTERN NORTH CAROLINA AND A DEDICATION TO THE HEALTH OF THE MORE THAN ONE MILLION RESIDENTS OF THOSE COMMUNITIES IT SERVES FROM THE MIDLANDS TO THE COAST. MCLEOD HEALTH IS CONSTANTLY SEEKING TO IMPROVE ITS PATIENT CARE WITH EFFORTS THAT ARE PHYSICIAN LED, DATA-DRIVEN AND EVIDENCE-BASED. SERVICE AREATHE PRIMARY SERVICE AREA INCLUDES THE FOLLOWING EIGHT COUNTIES:CHESTERFIELD, CLARENDON, DARLINGTON, DILLON, FLORENCE, HORRY, MARION, AND MARLBORO THE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING TEN COUNTIES: GEORGETOWN, LEE, SUMTER AND WILLIAMSBURG IN SOUTH CAROLINA AND ANSON, BRUNSWICK, COLUMBUS, RICHMOND, ROBESON AND SCOTLAND IN NORTH CAROLINA MISSION STATEMENTTHE MISSION OF MCLEOD HEALTH IS TO IMPROVE THE OVERALL HEALTH AND WELL BEGIN OF PEOPLE LIVING WITHIN SOUTH CAROLINA AND EASTERN NORTH CAROLINA BY PROVING EXCELLENCE IN HEALTHCARE. VISIONTO BE THE CHOICE FOR MEDICAL EXCELLENCE.VALUESTHE CORE VALUES OF MCLEOD HEALTH: THE VALUE OF CARING, THE VALUE OF QUALITY, THE VALUE OF INTEGRITY, THE VALUE OF THE PERSON ARE REFLECTED IN THE MCLEOD HEALTH DAY-TO-DAY OPERATIONS. GOVERNANCETHE MCLEOD HEALTH BOARD OF TRUSTEES IS A SELF-PERPETUATING, GOVERNING BOARD THAT INCLUDES PROFESSIONAL MEMBERS AND PHYSICIANS. THE BOARD IS COMPOSED OF REPRESENTATION FROM THOSE COUNTIES WITHIN OUR PRIMARY SERVICE AREA. BOARD MEMBERS SERVE FIVE-YEAR TERMS AND ARE ELIGIBLE TO SERVE THREE CONSECUTIVE FIVE-YEAR TERMS. THE MCLEOD REGIONAL MEDICAL CENTER COMMUNITY BOARD IS AN ADVISORY BOARD SELECTED BY THE MCLEOD HEALTH BOARD. MORE THAN 50% OF THE BOARD MEMBERS ARE PHYSICIANS. BOARD MEMBERS SERVE THREE-YEAR TERMS.IN ADDITION TO THE FLAGSHIP HOSPITAL OF MRMC, MCLEOD HEALTH ALSO CONSISTS OF THESE OTHER HOSPITALS ACROSS THE NORTHEAST REGION OF SOUTH CAROLINA.
MCLEOD HEALTH DILLON	WITH A STRONG HISTORY IN THE DILLON COMMUNITY SINCE 1943, MCLEOD DILLON, FORMERLY SAINT EUGENE HOSPITAL, HAS CONTINUED TO GROW AND EXPAND TO SERVE RESIDENTS OF DILLON (SC) AND ROBESON (NC) COUNTIES WITH EXCELLENCE IN PATIENT CARE. MCLEOD DILLON, ESTABLISHED IN 1998, HAS 79 LICENSED BEDS AND OFFERS GENERAL AND ORTHOPEDIC SURGERY, WOMEN'S SERVICES, EMERGENCY SERVICES, INTENSIVE CARE, REHABILITATIVE SERVICES AND CARDIAC REHABILITATION. INVESTMENTS IN STATE-OF-THE-ART TECHNOLOGY TO IMPROVE PATIENT CARE HAVE INCLUDED MRI, 3D MAMMOGRAPHY, 4D ULTRASOUNDS, CT SCANS, AND NUCLEAR AND VASCULAR STUDIES.MCLEOD HEALTH SEACOASTTHE SECOND LARGEST HOSPITAL IN THE MCLEOD HEALTH SYSTEM, MCLEOD HEALTH SEACOAST HAS POSITIONED ITSELF AS A MAJOR ANCHOR HOSPITAL FOR THE ORGANIZATION. RECENT EXPANSIONS ON THE CAMPUS HAVE INCLUDED A FOUR-STORY BED TOWER, A NEW EMERGENCY DEPARTMENT AND FIVE-ROOM FAST TRACK AREA, STATE-OF-THE-ART OPERATING ROOMS AS WELL AS AN EXPANDED SAME-DAY SERVICES SUITE. ADDITIONALLY, THE 155-BED FACILITY PROVIDES ADVANCED DIAGNOSTIC IMAGING INCLUDING MRI, 3D MAMMOGRAPHY, AND NUCLEAR MEDICINE. THE HOSPITAL HAS MORE THAN 200 PHYSICIANS ON ACTIVE AND AFFILIATE MEDICAL STAFF REPRESENTING MORE THAN 38 SPECIALTIES. THIS DEDICATED TEAM OF PHYSICIANS AND HEALTHCARE PROFESSIONALS SPECIALIZE IN GENERAL SURGERY, JOINT REPLACEMENT SURGERY, VASCULAR SURGERY, CANCER CARE, EMERGENCY CARE, CRITICAL CARE, CARDIOLOGY, CARDIAC/PULMONARY REHABILITATION, AND PHYSICAL/OCCUPATIONAL/SPEECH THERAPIES AS WELL AS PEDIATRIC REHABILITATION. MCLEOD HEALTH LORISONE OF THE TWO MCLEOD HOSPITALS LOCATED IN HORRY COUNTY, MCLEOD HEALTH LORIS SERVES THOSE INDIVIDUALS LIVING IN NORTHERN HORRY COUNTY IN SOUTH CAROLINA AND SOUTHERN COLUMBUS COUNTY IN NORTH CAROLINA. A VITAL PART OF LORIS AND THE SURROUNDING AREAS FOR MORE THAN 70 YEARS, MCLEOD HEALTH LORIS HAS GROWN TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY BY OFFERING NEW SERVICES AND TECHNOLOGY FOR ITS PATIENTS. THE 50-BED HOSPITAL ALSO OFFERS A DEDICATED DIALYSIS ACCESS CENTER AND THE RECENT ADDITION OF 3D MAMMOGRAPHY. THE MEDICAL TEAMS CARING FOR PATIENTS AT MCLEOD HEALTH LORIS SPECIALIZE IN GENERAL SURGERY, WOMEN'S SERVICES, UROLOGICAL SURGERY AND EMERGENCY CARE. MCLEOD HEALTH CAROLINA FORESTIN 2016, MCLEOD HEALTH BEGAN ITS OUTREACH INTO CAROLINA FOREST, ONE OF THE FASTEST GROWING AREAS IN HORRY COUNTY. A 43-ACRE CAMPUS, MCLEOD HEALTH CAROLINA FOREST LOCATED IN MYRTLE BEACH HAS BEEN DESIGNED AS A SEVEN-BUILDING COMPLEX OFFERING A VARIETY OF SERVICES. THE FIRST THREE MEDICAL OFFICE BUILDINGS HAVE OPENED FEATURING MULTIPLE PHYSICIAN PRACTICES AND OUTPATIENT TESTING AS AN EXTENSION OF MCLEOD LORIS SEACOAST HOSPITAL. AT THE ENTRANCE OF THE CAMPUS IS BUILDING 1 WHICH INCLUDES MCLEOD FAMILY MEDICINE CAROLINA FOREST AND ATLANTIC UROLOGY CLINICS. BUILDING 2 ENCOMPASSES MCLEOD CARDIOLOGY ASSOCIATES, MCLEOD VASCULAR ASSOCIATES, MCLEOD LORIS SEACOAST SURGERY, MCLEOD OB/GYN SEACOAST AND MCLEOD NEUROLOGY CAROLINA FOREST. IN ADDITION, A NEW OUTPATIENT REHABILITATION DEPARTMENT PROVIDES PHYSICAL, SPEECH, PEDIATRIC AND OCCUPATIONAL THERAPY SERVICES.IN OCTOBER OF 2019, MCLEOD HEALTH OPENED THE NEW MCLEOD HEALTH CAROLINA FOREST EMERGENCY DEPARTMENT. THE 13,000 SQUARE-FOOT EMERGENCY DEPARTMENT, WHICH IS OPEN 24/7, OFFERS STREAMLINED SERVICES, INCLUDING 15 SPACIOUS EXAM ROOMS AND STATE-OF-THE-ART TRAUMA FACILITIES WITH ADVANCED DIAGNOSTIC EQUIPMENT. THE ONLY FREE-STANDING EMERGENCY DEPARTMENT IN CAROLINA FOREST, THE FACILITY INCLUDES A TRAUMA ROOM, TRIAGE ROOM, AND OTHER SPECIALIZED AREAS. IN ADDITION, RADIOLOGY/CT AND LAB SERVICES ARE HOUSED WITHIN THE EMERGENCY DEPARTMENT TO EXPEDITE A DIAGNOSIS. BUILDING 3 OPENED IN 2023 AND IS HOME TO SURGICAL SERVICES AND SPECIALTY PHYSICIAN CARE. MCLEOD ALSO PLANS TO BUILD A FULL SERVICE 48-BED HOSPITAL ON THE CAMPUS, PENDING APPROVAL FROM DHEC.
MCLEOD HEALTH CHERAW	WITH A STRONG HISTORY IN THE CHESTERFIELD COMMUNITY SINCE 1958, MCLEOD HEALTH CHERAW, FORMERLY CHESTERFIELD GENERAL HOSPITAL, SERVES RESIDENTS OF CHESTERFIELD AND MARLBORO COUNTIES WITH EXCELLENCE IN PATIENT CARE. AS PART OF MCLEOD HEALTH, PATIENTS RECEIVE ACCESS TO SPECIALIZED SERVICES, IMPROVED TECHNOLOGY, AN OUTSTANDING PHYSICIAN NETWORK AND ENHANCED FACILITIES. SERVICES AVAILABLE AT MCLEOD HEALTH CHERAW INCLUDE: CARDIAC CARE, DIAGNOSTIC IMAGING, LABORATORY, SURGERY, ORTHOPEDICS, REHABILITATION, HOSPICE AND HOME HEALTH. THE 59-BED HOSPITAL ALSO PROVIDES AN EMERGENCY DEPARTMENT, AN INTENSIVE CARE UNIT AND A MEDICAL SURGICAL UNIT.MCLEOD HEALTH CLARENDONSINCE 1951, MCLEOD HEALTH CLARENDON (FORMERLY KNOWN AS CLARENDON HEALTH SYSTEM), CONTINUES TO BE CLARENDON COUNTY'S CHOICE FOR HEALTH AND WELLNESS NEEDS. OUR HIGHLY-SKILLED PHYSICIANS AND MEDICAL STAFF PROVIDE A WIDE RANGE OF MEDICAL SERVICES DESIGNED TO MEET THE UNIQUE HEALTH CARE NEEDS OF OUR PATIENTS. SERVICES INCLUDE AN EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT, LABOR AND DELIVERY, MEDICAL SURGICAL UNIT, SURGERY, INFUSION, SLEEP LAB, RADIOLOGY, LABORATORY, WOUND CARE AND A SWING BED UNIT. CARDIAC, SPEECH, PHYSICAL AND OCCUPATIONAL REHABILITATION SERVICES ARE LOCATED IN OUR MCLEOD HEALTH AND FITNESS CENTER CLARENDON. CARDIOLOGY, GENERAL SURGERY, ORTHOPEDICS AND UROLOGY SPECIALTY SERVICES ARE ALSO AVAILABLE. OUR CONTINUUM OF CARE FOR PATIENTS OUTSIDE THE HOSPITAL SETTING IS PROVIDED BY OUR HOME HEALTH, HOSPICE, NURSE-FAMILY PARTNERSHIP, SPORTS MEDICINE AND OCCUPATIONAL HEALTH TEAMS. INVESTMENTS IN STATE-OF-THE-ART TECHNOLOGY TO IMPROVE PATIENT CARE HAVE INCLUDED MRI, 3D MAMMOGRAPHY, 4D ULTRASOUNDS, CT SCANS, AND NUCLEAR/VASCULAR STUDIES.THE MCLEOD HEALTHCARE NETWORK IS AN ACCOUNTABLE CARE ORGANIZATION AND CLINICALLY INTEGRATED NETWORK COMPRISED OF MCLEOD EMPLOYED PROVIDERS AS WELL AS INDEPENDENT COMMUNITY DOCTORS AND OTHER HEALTH CARE PROVIDERS WHO VOLUNTARILY WORK AS ONE TO GIVE COORDINATED HIGH-QUALITY CARE TO THE MEDICARE PATIENTS THEY SERVE. COORDINATED CARE HELPS ENSURE THAT PATIENTS, ESPECIALLY THE CHRONICALLY ILL, GET THE RIGHT CARE AT THE RIGHT TIME, WITH THE GOAL OF AVOIDING UNNECESSARY DUPLICATION OF SERVICES AND PREVENTING MEDICAL ERRORS.MCLEOD ONSITE HEALTH PROFESSIONALS WORK CLOSELY WITH EMPLOYER PARTNERS TO IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THEIR MEMBERS THROUGH ONSITE CLINICS, NEAR SITE CLINICS, OR HEALTH AND WELLNESS EVENTS. THE TEAM WORKS IN COLLABORATION WITH EMPLOYER PARTNERS TO IMPLEMENT A COMPREHENSIVE PROGRAM THAT COMPLEMENTS THE GOALS OF THEIR PARTNERS AND FACILITATES THE DEVELOPMENT OF STRONG PATIENT RELATIONSHIPS. MCLEOD OCCUPATIONAL HEALTH SERVICES WORKS WITH AREA BUSINESSES AND INDUSTRIES TO ENSURE INJURED EMPLOYEES CAN REMAIN AT WORK AND SAFELY PERFORM PRODUCTIVE JOBS. THE MCLEOD TEAM OF PROFESSIONALS WORKS AS PARTNERS TO DESIGN A COMPREHENSIVE OCCUPATIONAL HEALTH PROGRAM THAT ADDRESSES THE SPECIFIC NEEDS OF AN EMPLOYER. IN 2017, THE HEALTH SYSTEM BEGAN OFFERING MCLEOD TELEHEALTH, A SERVICE THAT ENABLES PATIENTS TO CONNECT THROUGH LIVE VIDEO WITH A DOCTOR ANYTIME FROM ANYWHERE IN THE CAROLINAS USING A COMPUTER, SMART PHONE OR TABLET. THIS SERVICE ENABLES PATIENTS TO DIRECTLY COMMUNICATE WITH DOCTORS ONLINE, MAKING HEALTH CARE ACCESS FASTER, EASIER, AND MORE AFFORDABLE. PATIENTS CAN ACCESS A BOARD-CERTIFIED PHYSICIAN FOR MINOR ILLNESSES OR RECURRING CONDITIONS LIKE COUGH, COLD, EAR INFECTIONS, BRONCHITIS, RASHES, OR THE FLU. DOCTORS ARE AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK AND NO APPOINTMENT IS NECESSARY. SIGN-UP IS FREE AT MCLEODTELEHEALTH.ORG. A FREE MOBILE APP IS ALSO AVAILABLE FOR DOWNLOAD.IN AUGUST OF 2019, MCLEOD HEALTH ANNOUNCED A PARTNERSHIP WITH FLORENCE 1 SCHOOLS AND THE KING'S ACADEMY (TKA) TO OFFER THE SCHOOL-BASED TELEHEALTH PROGRAM. THE HOSPITAL SYSTEM RECENTLY EXPANDED THE PROGRAM TO FLORENCE COUNTY SCHOOL DISTRICT TWO HANNAH-PAMPLICO ELEMENTARY/MIDDLE SCHOOL AND HANNAH-PAMPLICO HIGH SCHOOL. SBTP OFFERS AN OPTION FOR NON-EMERGENCY MEDICAL CARE THROUGH MCLEOD TELEHEALTH VISITS WITH A MCLEOD PROVIDER. MCLEOD PROVIDED EACH OF THE PARTICIPATING SCHOOLS WITH TELEHEALTH EQUIPMENT INCLUDING A COMPUTER, MONITOR, CAMERA AND OTHER DEVICES SUCH AS A REMOTE STETHOSCOPE AND OTOSCOPE.
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. (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS WHICH OPERATE AS DIVISIONS OF MRMC:-MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 517-BED TERTIARY CARE FACILITY AND A 48-BED NEONATAL INTENSIVE CARE UNIT;-MCLEOD BEHAVIORAL HEALTH, A 23-BED PSYCHIATRIC FACILITY LOCATED IN DARLINGTON, SOUTH CAROLINA.-MCLEOD HOME CARE, WHICH CONSISTS OF MCLEOD HOME HEALTH, A FIVE-COUNTY HOME HEALTHCARE ORGANIZATION WITH OFFICES IN FLORENCE, SOUTH CAROLINA, AND MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT HOSPICE FACILITY LOCATED IN FLORENCE, SOUTH CAROLINA;-MCLEOD HEALTH & FITNESS CENTER, A COMPREHENSIVE HEALTH AND FITNESS CENTER LOCATED IN FLORENCE, SOUTH CAROLINA;ADDITIONALLY, MRMC IS THE MAJORITY OWNER IN A JOINT VENTURE, MCLEOD MEDICAL PARTNERS, LLC, WHICH OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE CAMPUS.MCLEOD MEDICAL CENTER-DILLON IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(1) OF THE CODE. MCLEOD MEDICAL CENTER-DILLON OWNS AND OPERATES A 79-BED COMMUNITY HOSPITAL LOCATED IN THE CITY OF DILLON IN DILLON COUNTY, SOUTH CAROLINA. DILLON COUNTY BORDERS FLORENCE COUNTY TO THE NORTHEAST.MCLEOD LORIS SEACOAST HOSPITAL JOINED MCLEOD HEALTH IN JANUARY 2012, AND CONSISTS OF THE FOLLOWING DIVISIONS:-MCLEOD LORIS, A 50-BED COMMUNITY HOSPITAL LOCATED IN LORIS, SOUTH CAROLINA.-MCLEOD SEACOAST, A 155-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA.MCLEOD HEALTH CHERAW IS A 59-BED COMMUNITY HOSPITAL THAT JOINED MCLEOD HEALTH IN JUNE 2015.MCLEOD HEALTH CLARENDON JOINED MCLEOD HEALTH IN JULY 2016 AND IS AN 81 - BED COMMUNITY HOSPITAL LOCATED IN MANNING, SC.MCLEOD PHYSICIAN ASSOCIATES II (MPA II) IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(2) OF THE CODE THAT OPERATES A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE OF OVER 190 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 85 OFFICES IN NORTHEASTERN SOUTH CAROLINA. MPA II SUPPORTS THE MISSION OF MCLEOD HEALTH, PROVIDING COMPREHENSIVE MEDICAL AND SURGICAL SERVICES, INCLUDING A WIDE RANGE OF PHYSICIAN SPECIALTIES, TO MCLEOD'S PATIENTS FROM A 12-COUNTY SERVICE AREA.MCLEOD HEALTH FOUNDATION WAS ORGANIZED IN 1986 AS A SOUTH CAROLINA NONPROFIT CORPORATION AND IS AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(3) OF THE CODE. THE FOUNDATION IS PRINCIPALLY ENGAGED IN FUNDRAISING ACTIVITIES FOR THE SYSTEM. ACCORDING TO ITS BYLAWS, THE FOUNDATION'S GOVERNING BODY CONSISTS OF NOT LESS THAN 15 AND NOT MORE THAN 30 MEMBERS, EACH OF WHICH IS APPOINTED BY THE BOARD OF TRUSTEES OF MCLEOD HEALTH (THE "MCLEOD HEALTH BOARD OR THE "BOARD").CURRENTLY, THERE ARE 29 MEMBERS OF THE FOUNDATION'S GOVERNING BODY. AT LEAST ONE MEMBER OF THE FOUNDATION'S GOVERNING BODY MUST BE A MEMBER OF THE MCLEOD HEALTH BOARD.MCLEOD MEDICAL PARTNERS, LLC IS A FOR-PROFIT ENTITY THAT OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE MCLEOD REGIONAL MEDICAL CENTER CAMPUS. MRMC OWNS A 63% SHARE IN THE EQUITY OF THIS COMPANY.MCLEOD PHYSICIAN ASSOCIATES, INC IS A SOUTH CAROLINA FOR-PROFIT CORPORATION THAT FORMERLY OPERATED A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE, BUT IS NOW INACTIVE. EFFECTIVE OCTOBER 1, 2006, SUBSTANTIALLY ALL ASSETS AND OPERATIONS OF MCLEOD PHYSICIAN ASSOCIATES, INC. WERE TRANSFERRED TO MPA II.
PART VI, LINE 7	LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC

Schedule H (Form 990) 2023

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number
57-0370242

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) FLORENCE DARLINGTON TECHNICAL COLLEGE 2715 W LUCAS STREET FLORENCE,SC295020548	57-0772080	501(C)(3)	75,000	N/A	N/A	NURSING PROGRAM
(2) FRANCIS MARION UNIVERSITY 4822 E PALMETTO ST FLORENCE,SC29506	57-0772080	501(C)(3)	75,000	N/A	N/A	NURSING PROGRAM
(3) COKER UNIVERSITY 300 E COLLEGE ST HARTSVILLE,SC29550	57-0324916	501(C)(3)	75,000	N/A	N/A	NURSING PROGRAM
(4) SC NURSES FOUNDATION 1821 GADSDEN ST COLUMBIA,SC29201	57-0772080	501 (C)(3)	7,500	N/A	N/A	NURSES FOUNDATION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	MONITORING USE OF GRANTS THE GRANTS ARE MADE TO GOVERNMENTAL OR CHARITABLE ORGANIZATIONS FOR USE IN THEIR CHARITABLE ACTIVITIES. ACCORDINGLY, MRMC OF THE PEE DEE EXPECTS THE ORGANIZATION TO USE THE FUNDS FOR PROPER PURPOSES, AND AS SUCH, DOES NOT MONITOR THESE GRANTS.

Schedule I (Form 990) 2023

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
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

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 on 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 on 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 nonfixed
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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1DONNA C ISGETT PRESIDENT/CEO	(i) (ii)	0 ------------- 1,294,560	0 ------------- 647,857	0 ------------- 68,677	0 ------------- 187,279	0 ------------- 37,645	0 ------------- 2,236,018	0 ------------- 60,469
2C DALE LUSK MD SVP OF CORP/EXEC MED OFFICER-PART YR	(i) (ii)	0 ------------- 618,958	0 ------------- 152,225	0 ------------- 327,907	0 ------------- 84,133	0 ------------- 35,936	0 ------------- 1,219,159	0 ------------- 276,877
3S FULTON ERVIN III CORPORATE SR. VP/CFO	(i) (ii)	0 ------------- 650,408	0 ------------- 178,819	0 ------------- 84,073	0 ------------- 87,469	0 ------------- 42,364	0 ------------- 1,043,133	0 ------------- 74,144
4RAJESH BAJAJ MD STAFF PHYSICIAN	(i) (ii)	951,169 ------------- 0	0 ------------- 0	5,542 ------------- 0	0 ------------- 0	42,844 ------------- 0	999,555 ------------- 0	0 ------------- 0
5MATTHEW JOHNSON MD COO/CHIEF CLINICAL OFFICER	(i) (ii)	0 ------------- 704,351	0 ------------- 172,350	0 ------------- 3,997	0 ------------- 89,733	0 ------------- 10,222	0 ------------- 980,653	0 ------------- 0
6JASON O'DELL MD TRUSTEE/STAFF MD	(i) (ii)	0 ------------- 881,536	0 ------------- 0	0 ------------- 1,545	0 ------------- 0	0 ------------- 31,805	0 ------------- 914,886	0 ------------- 0
7JOHN WILL MCLEOD MRMC CEO/SR. VP	(i) (ii)	563,538 ------------- 0	159,103 ------------- 0	35,903 ------------- 0	76,859 ------------- 0	31,263 ------------- 0	866,666 ------------- 0	33,713 ------------- 0
8SREENIVAS RAO MD STAFF PHYSICIAN	(i) (ii)	713,501 ------------- 0	0 ------------- 0	7,216 ------------- 0	0 ------------- 0	24,391 ------------- 0	745,108 ------------- 0	0 ------------- 0
9RAVNEET BAJWA MC STAFF PHYSICIAN	(i) (ii)	733,024 ------------- 0	0 ------------- 0	859 ------------- 0	0 ------------- 0	8,022 ------------- 0	741,905 ------------- 0	0 ------------- 0
10VIJEYALUXMY MOTILAL NEHRU MD STAFF PHYSICIAN	(i) (ii)	720,550 ------------- 0	0 ------------- 0	1,531 ------------- 0	0 ------------- 0	14,599 ------------- 0	736,680 ------------- 0	0 ------------- 0
11MARWAN ELYA MD TRUSTEE/STAFF MD - PART YEAR	(i) (ii)	555,095 ------------- 0	0 ------------- 0	119,057 ------------- 0	0 ------------- 0	45,479 ------------- 0	719,631 ------------- 0	116,707 ------------- 0
12ERIK DEHLINGER MD STAFF PHYSICIAN	(i) (ii)	633,423 ------------- 0	30,000 ------------- 0	21,158 ------------- 0	0 ------------- 0	20,617 ------------- 0	705,198 ------------- 0	15,959 ------------- 0
13TONY DERRICK TRUSTEE/CHIEF NURSING OFFICER	(i) (ii)	236,543 ------------- 0	51,638 ------------- 0	31,699 ------------- 0	10,150 ------------- 0	23,835 ------------- 0	353,865 ------------- 0	26,701 ------------- 0

Schedule J (Form 990) 2023

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
PART I, LINE 3	THIS ENTITY RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR OFFICERS AND DIRECTORS: 1. COMPENSATION COMMITTEE 2. COMPENSATION STUDY 3. APPROVAL OF THE BOARD ANNUALLY APPROVING COMPENSATION AMOUNTS 4. INDEPENDENT COMPENSATION CONSULTANT 5. OTHER COMPARABLE ORGANIZATIONS
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. SERP DISTRIBUTIONS DURING THE YEAR ARE AS FOLLOWS: S. FULTON ERVIN III: $74,144 DONNA ISGETT: $60,469 CLIFFORD LUSK: $276,877 JOHN (WILL) MCLEOD: $33,713 MARWAN ELYA: $116,707 ERIK DEHLINGER: $15,959 TONY DERRICK: $26,701 PARTICIPANT ACCOUNT BALANCES VEST BASED ON YEARS OF SERVICE AND PARTICIPANT AGE. UNVESTED BALANCES ARE SUBJECT TO FORFEITURE.
PART I, LINE 7	THE ORGANIZATION AWARDS BONUSES ON THE BASIS OF QUALITY AND OTHER PERFORMANCE FACTORS.

Schedule J (Form 990) 2023

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number
57-0370242

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	FLORENCE COUNTY SOUTH CAROLINA	57-6000351	340122JN1	08-05-2010	170,200,565	SEE PART VI		X		X		X
B	SOUTH CAROLINA JOBS-ECONOMIC DEVELOPMENT AUTHORITY	57-0960018	83703FKU5	06-28-2018	91,030,737	SEE PART VI		X		X		X
C	FLORENCE COUNTY SOUTH CAROLINA	57-6000351	FOREIGNUS	08-06-2020	86,970,000	SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	118,000,000		8,629,035		5,625,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	170,300,986		94,347,213		86,970,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	3,239,045		12,674,079
6 Proceeds in refunding escrows ...............	2,092,445
7 Issuance costs from proceeds ...............			1,030,737		27,604
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	100,009,563		79,422,563
11 Other spent proceeds .............	64,859,512				86,942,396
12 Other unspent proceeds .............			5,524,953
13 Year of substantial completion .............	2013		2021		2020
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X			X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X			X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X	X			X
b Name of provider ..........			TORONTO-DOMINION
c Term of GIC .........			250.0000000000 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........			X
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, LINE A	BOND A DESCRIPTION OF PURPOSE: TO CONSTRUCT AND EQUIP PORTIONS OF THE HOSPITAL, AND TO REFUND 2004 BONDS ISSUED ON APRIL 12, 2004
SCHEDULE K, PART 1, LINE B	BOND B DESCRIPTION OF PURPOSE: TO CONSTRUCT NEW EMERGENCY DEPARTMENT IN FLORENCE, SC HOSPITAL
SCHEDULE K, PART I, LINE C	BOND C DESCRIPTION OF PURPOSE: TO REFUND $86,970,000 OF 2010A BOND. DATE OF ISSUANCE: 08/06/2020
SCHEDULE K, PART IV, LINE 2C	BOND A DATE THE LAST REBATE COMPUTATION WAS PERFORMED - 3/12/24

Schedule K (Form 990) 2023

Additional Data

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SCHEDULE O
(Form 990)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. HAS A SOLE MEMBER, WHICH IS MCLEOD HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION MAKING OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION MAKING OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 DATA IS PREPARED INTERNALLY AND SUBMITTED TO OUR AUDITING FIRM FOR RETURN PREPARATION. ONCE THE RETURNS HAVE BEEN COMPLETED, THE FORMS ARE REVIEWED BY THE CFO AND THE FINANCE LEADERSHIP OF MCLEOD HEALTH. COPIES OF DRAFT RETURNS ARE MADE AVAILABLE TO THE MCLEOD HEALTH BOARD MEMBERS, WHO SERVE AS THE OVERALL GOVERNING BOARD. RETURNS ARE AVAILABLE FOR ALL CORPORATIONS OF WHICH MCLEOD HEALTH IS THE SOLE MEMBER AS WELL AS OTHER RELATED ENTITIES OF THOSE CORPORATIONS FOR REVIEW RATHER THAN HAVING THE LOCAL BOARDS REVIEW THE RETURNS. THE BOARD OF MCLEOD HEALTH IS THE ULTIMATE ACCOUNTABLE ORGANIZATION FOR THE SYSTEM; AS SUCH IT IS THE OVERALL GOVERNING BOARD OF THE SYSTEM, WHOSE RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO: APPROVING ALL SUBSIDIARY BOARD MEMBERS, FINANCIAL BUDGETS, AND ISSUANCE OF DEBT.
FORM 990, PART VI, SECTION B, LINE 12C	MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. 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 WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
FORM 990, PART VI, SECTION B, LINE 15	IN DETERMINING COMPENSATION OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS 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 SIMILARLY SITUATED ORGANIZATION AND POSITIONS. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DETERMINED.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. 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:	DISTRIBUTION FROM MCLEOD MEDICAL PARTNERS 849,122.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

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Software Version:

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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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

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	FUNDRAISING	SC	501(C)(3)	LINE 7	MCLEOD HEALTH	Yes
(2)MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE,SC29506 51-0473500	HEALTHCARE	SC	501(C)(3)	LINE 12B, II	N/A		No
(3)MCLEOD MEDICAL CENTER - DILLON 555 EAST CHEVES STREET FLORENCE,SC29506 51-0473471	HOSPITAL	SC	501(C)(3)	LINE 3	MCLEOD HEALTH	Yes
(4)MCLEOD PHYSICIAN ASSOCIATES II 555 EAST CHEVES STREET FLORENCE,SC29506 20-2935692	PHYSICIAN SERVICES	SC	501(C)(3)	LINE 10	MCLEOD HEALTH	Yes
(5)MCLEOD LORIS SEACOAST HOSPITAL 555 EAST CHEVES STREET FLORENCE,SC29506 45-3576100	HOSPITAL	SC	501(C)(3)	LINE 3	MCLEOD HEALTH	Yes
(6)MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE,SC29506 47-3712858	HOSPITAL	SC	501(C)(3)	LINE 3	MCLEOD HEALTH	Yes
(7)MCLEOD HEALTH CLARENDON 555 EAST CHEVES STREET FLORENCE,SC29506 81-2772554	HOSPITAL	SC	501(C)(3)	LINE 3	MCLEOD HEALTH	Yes
(8)ADVANCED OUTPATIENT SERVICES 555 EAST CHEVES STREET FLORENCE,SC29506 81-5006949	HOSPITAL	SC	501(C)(3)	LINE 3	MCLEOD HEALTH	Yes
(9)MCLEOD HEALTH INNOVATION 555 EAST CHEVES STREET FLORENCE,SC29506 86-2076430	RESEARCH	SC	501(C)(3)	LINE 4	MCLEOD HEALTH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) MCLEOD MEDICAL PARTNERS LLC 500 N HURTSBOUNE PKWY LOUISVILLE,KY40222 57-0812002	RENTAL	SC	MRMC	EXCLUDED	1,290,306	10,327,919		No			No	68.070 %

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) MCLEOD PHYSICIAN ASSOCIATES INC 555 EAST CHEVES STREET FLORENCE,SC29506 58-2279897	PHYSICIAN SERVICES	SC	N/A	C					No

Schedule R (Form 990) 2023

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 .....................

Yes

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) .......................

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) .....................

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) ............................

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	M	115,407,546	ACTUAL COST
(2) MCLEOD HEALTH FOUNDATION	C	10,484,177	CASH
(3) MCLEOD PHYSICIAN ASSOCIATES II	M	23,979,175	ACTUAL COST
(4) MCLEOD PHYSICIAN ASSOCIATES II	A	10,414,719	FAIR MARKET

Schedule R (Form 990) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2023

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) 2023

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	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	5,204
6	Total number of volunteers (estimate if necessary) .............	6	231
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-359,196
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,952,889	10,785,636
9	Program service revenue (Part VIII, line 2g) .........	988,532,968	1,157,775,607
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	77,408,876	30,246,451
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	42,388,782	55,058,254
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,114,283,515	1,253,865,948
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	226,000	232,500
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)	318,074,133	353,991,422
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)....	661,616,747	723,500,425
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	979,916,880	1,077,724,347
19	Revenue less expenses. Subtract line 18 from line 12.......	134,366,635	176,141,601
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,344,706,218	2,714,855,408
21	Total liabilities (Part X, line 26).............	428,666,282	404,367,007
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,916,039,936	2,310,488,401

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 898,076,505 including grants of $ 232,500 ) (Revenue $ 1,157,775,607 )
	SEE COMMUNITY BENEFIT REPORT ON 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 expenses898,076,505

(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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) DONNA C ISGETT........................................................................ PRESIDENT/CEO	5.00 .......................35.00	X		0	2,011,094	224,924
(19) S FULTON ERVIN III........................................................................ CORPORATE SR. VP/CFO	1.00 .......................39.00	X		0	913,300	129,833
(20) MATTHEW JOHNSON MD........................................................................ COO/CHIEF CLINICAL OFFICER	1.00 .......................39.00	X		0	880,698	99,955
(21) RAJESH BAJAJ MD........................................................................ STAFF PHYSICIAN	40.00 .......................0.00		X	956,711	0	42,844
(22) VIJEYALUXMY MOTILAL NEHRU MD........................................................................ STAFF PHYSICIAN	40.00 .......................0.00		X	722,081	0	14,599
(23) RAVNEET BAJWA MC........................................................................ STAFF PHYSICIAN	40.00 .......................0.00		X	733,883	0	8,022
(24) SREENIVAS RAO MD........................................................................ STAFF PHYSICIAN	40.00 .......................0.00		X	720,717	0	24,391
(25) ERIK DEHLINGER MD........................................................................ STAFF PHYSICIAN	40.00 .......................0.00		X	684,581	0	20,617

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	5,570,549	5,787,263	904,645

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	10,484,177
e	Government grants (contributions)		1e	299,959

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,500

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		10,785,636

		Business Code
2a	PATIENT SERVICES	624100	1,147,286,492	1,147,286,492
b	HEALTH AND FITNESS	900099	3,712,749	3,712,749
c	SUPPLEMENTAL TEACHING PAYMENTS	900099	2,714,755	2,714,755
d	CHILD DEVELOPMENT CENTER FEES	900099	1,100,943	1,100,943
e
f	All other program service revenue.		2,960,668	2,960,668
g	Total. Add lines 2a–2f .....		1,157,775,607

3 Investment income (including dividends, interest, and othersimilar amounts) ......			17,427,205		-359,196	17,786,401
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	10,544,767
b	Less: rental expenses	6b	19,696,156
c	Rental income or (loss)	6c	-9,151,389
d	Net rental income or (loss).......			-9,151,389			-9,151,389
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	486,125,000	27,255
b	Less: cost or other basis and sales expenses	7b	473,331,374	1,635
c	Gain or (loss)	7c	12,793,626	25,620
d	Net gain or (loss).........			12,819,246			12,819,246
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	PHARMACY REVENUE		456110	55,473,975			55,473,975
b	NUTRITIONAL SERVICES		722320	2,284,570			2,284,570
c	GIFT SHOP		455000	732,745			732,745
d	All other revenue ....			5,718,353			5,718,353
e	Total. Add lines 11a–11d ......			64,209,643
12	Total revenue. See instructions.....			1,253,865,948	1,157,775,607	-359,196	85,663,901

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	232,500	232,500
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,847,109	1,772,352	74,757
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	287,075,033	275,456,449	11,618,584
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........	65,069,280	63,141,856	1,927,424
11	Fees for services (non-employees):
a	Management ......	115,407,547	114,653,192	754,355
b	Legal .........	476,229	65,790	410,439
c	Accounting ...........	59,168	59,168
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	39,218,619	30,748,499	8,470,120
12	Advertising and promotion ....	672,444	671,321	1,123
13	Office expenses .......	260,938,437	258,976,359	1,962,078
14	Information technology ......	531,031	344,950	186,081
15	Royalties ..
16	Occupancy ...........	11,527,247	11,527,247
17	Travel ............	756,524	729,544	26,980
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	680,721	652,653	28,068
20	Interest ...........	8,221,086	8,185,800	35,286
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	62,031,049	62,031,049
23	Insurance ...	3,405,616	3,403,093	2,523
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	BAD DEBT EXPENSE	112,185,880		112,185,880
b	LICENSES AND TAXES	41,161,344	525,085	40,636,259
c	DUES AND SUBSCRIPTIONS	772,847	505,059	267,788
d	SPONSORSHIPS	301,043	291,043	10,000
e	All other expenses	65,153,593	64,103,496	1,050,097
25	Total functional expenses. Add lines 1 through 24e	1,077,724,347	898,076,505	179,647,842	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 ........				1
2	Savings and temporary cash investments .........			25,136,859	2	77,020,929
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			75,804,760	4	95,177,138
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			16,088,577	8	21,484,319
9	Prepaid expenses and deferred charges ......			10,639,232	9	19,596,987
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,242,739,116
b	Less: accumulated depreciation	10b	751,966,218	599,441,443	10c	490,772,898
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			1,252,964,304	12	1,638,968,820
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			364,631,043	15	371,834,317
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,344,706,218	16	2,714,855,408

17	Accounts payable and accrued expenses .....	129,215,815	17	151,694,426
18	Grants payable ...		18
19	Deferred revenue .........	145,788	19	133,792
20	Tax-exempt bond liabilities .........	264,361,868	20	202,616,339
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	34,942,811	25	49,922,450
26	Total liabilities. Add lines 17 through 25..	428,666,282	26	404,367,007

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,915,947,172	27	2,310,396,247
28	Net assets with donor restrictions ...........	92,764	28	92,154
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,916,039,936	32	2,310,488,401
33	Total liabilities and net assets/fund balances ........	2,344,706,218	33	2,714,855,408