2024-08-13T15:00:11-05:00 2023-09-30 381357951 PLANTE & MORAN PLLC 634 FRONT AVE NW STE 300 GRAND RAPIDS MI 49504 990 2022-10-01 570818672 MCLEOD HEALTH FOUNDATION MCLE 8437772256 PO BOX 100551 FLORENCE SC 29506 S FULTON ERVIN III CFO OF SYSTEM 8437772256 2024-08-07 1 1 DAVID LOWENTHAL P00378651 6167748221 2024-08-06 2022 2024-08-08 14:25:15Z DONNA ISGETT PO BOX 100551 FLORENCE SC 29506 52428025 0 X WWW.MCLEODHEALTH.ORG/FOUNDATION/ X 1986 SC MISSION IS TO GENERATE SUPPORT TO PERPETUATE MEDICAL EXCELLENCE AT MCLEOD HEALTH. 28 28 16 150 0 0 13657490 13307415 0 0 469008 307331 -63564 12484 14062934 13627230 9353817 7990587 0 0 1378458 1402304 0 0 1606177 1301155 1518277 12033430 10911168 2029504 2716062 21679285 27847011 4617148 7335425 17062137 20511586 X THE MISSION OF MCLEOD HEALTH FOUNDATION IS TO GENERATE PHILANTHROPIC AND COMMUNITY SUPPORT TO PERPETUATE MEDICAL EXCELLENCE AT MCLEOD HEALTH. 0 0 8995716 7990587 THE MISSION OF THE MCLEOD HEALTH FOUNDATION IS TO GENERATE PHILANTHROPIC AND COMMUNITY SUPPORT TO PERPETUATE MEDICAL EXCELLENCE AT MCLEOD HEALTH. THANKS TO THE GENEROSITY OF THIS REGION'S CITIZENS, THE FOUNDATION HAS PROVIDED SUPPORT FOR MANY PROGRAMS AT MCLEOD HEALTH. THESE PROGRAMS INCLUDE SUPPORT FOR MCLEOD CHILDREN'S HOSPITAL, THE GUEST HOUSE AT MCLEOD, MCLEOD HOSPICE, MCLEOD CANCER CENTER FOR TREATMENT AND RESEARCH, AND MCLEOD DIABETES SERVICES JUST TO NAME A FEW. SIMPLY PUT, THE FOUNDATION FUNDS BETTER HEALTH FOR THOUSANDS OF FAMILIES THROUGHOUT NORTHEASTERN SOUTH CAROLINA AND SOUTHEASTERN NORTH CAROLINA. MCLEOD HEALTH FOUNDATION WAS PROUD TO BE A PART OF THE FOLLOWING INITIATIVES:THE MCLEOD CENTER FOR CANCER TREATMENT AND RESEARCH RECEIVED GRANT FUNDING FOR THE HELPING ONCOLOGY PATIENTS EVERYDAY (HOPE) FUND. THE HOPE FUND PROVIDES ASSISTANCE TO ONCOLOGY PATIENTS THROUGH VARIOUS MEANS INCLUDING: TRANSPORTATION EITHER THROUGH GAS CARDS OR VAN TRANSPORT TO THE CANCER CENTER FOR TREATMENT; MEDICATION ASSISTANCE FOR PATIENTS WHO CANNOT AFFORD EMERGENTLY NEEDED MEDICATIONS ASSOCIATED WITH THEIR CANCER DIAGNOSIS; EDUCATIONAL MATERIALS FOR THE CANCER CENTER LIBRARY AND FOR PATIENTS TO TAKE HOME; AND ITEMS FOR THE HOPE CART, A CART OF MATERIALS INCLUDING MAGAZINES, BOOKS, HEADPHONES AND SNACKS THAT HELP THE PATIENTS PASS THE TIME DURING THEIR TREATMENTS IN THE CANCER CENTER. THE HOPE FUND ALSO SUPPORTS OTHER IMMEDIATE NEEDS INCLUDING HOME MEDICAL EQUIPMENT, SHOES, GLASSES, AND DENTURES. THE LUNG CANCER SCREENING PROGRAM RECEIVED GRANT FUNDING TO PROVIDE LOW-DOSE CT SCANS FOR PATIENTS FACING FINANCIAL HARDSHIP. LUNG CANCER RANKS AS THE LEADING CAUSE OF CANCER-RELATED DEATHS IN THE U.S., TAKING MORE LIVES THAN BREAST, PROSTATE, AND COLORECTAL CANCERS COMBINED. ACCORDING TO THE NATIONAL LUNG CANCER SCREENING TRIAL, HEAVY SMOKERS CAN SIGNIFICANTLY REDUCE THEIR CHANCES OF DYING FROM LUNG CANCER WITH AN ANNUAL LOW-DOSE CT SCAN. MCLEOD HOSPICE RECEIVED A GRANT TO SUPPORT THE HOSPICE PROGRAM. THE MCLEOD HOSPICE MISSION, IN PART, IS TO PROVIDE CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THROUGH THE SUPPORT OF THE MCLEOD FOUNDATION, THESE HOSPICE PATIENTS WILL CONTINUE TO RECEIVE INPATIENT CARE AT THE MCLEOD HOSPICE HOUSE, NEEDED MEDICATIONS AND SUPPLIES, AND HOME VISITS BY MCLEOD HOSPICE STAFF. THE GRANT ALSO PROVIDES FUNDING FOR BEREAVEMENT SERVICES, A CHILDREN'S GRIEF CAMP, AND MUSIC THERAPY. FUNDING WAS ALSO GRANTED FOR THE BUTTERFLY FUND FOR HOSPICE AND PALLIATIVE CARE PATIENTS WITH LIMITED FINANCIAL RESOURCES TO ASSIST WITH DIRECT NEEDS THAT COULD BE A BARRIER TO THEIR CARE. THE MCLEOD HEART AND VASCULAR INSTITUTE WAS AWARDED FUNDING TO BENEFIT CONGESTIVE HEART FAILURE AND CARDIAC REHABILITATION PATIENTS. THE GRANT HELPS PROVIDE THE NECESSARY SUPPLIES AND EQUIPMENT FOR CONGESTIVE HEART FAILURE PATIENTS TO SELF-MANAGE THEIR DISEASE AND IMPROVE THEIR QUALITY OF LIFE. MCLEOD CARDIAC REHABILITATION IS AVAILABLE TO PATIENTS WHO ARE RECOVERING FROM A HEART ATTACK, OPEN-HEART SURGERY, HAVE STABLE ANGINA, OR HAVE A HIGH RISK FOR HEART DISEASE. THIS GRANT ALLOWS CARDIAC REHABILITATION TO INCREASE THE QUANTITY AND IMPROVE THE QUALITY OF EXERCISE EQUIPMENT OFFERED TO PATIENTS. THIS EXPANSION ALSO ALLOWS THE PROGRAM TO PROVIDE SERVICES TO ADDITIONAL CARDIAC AND PULMONARY PATIENTS. THE CARDIAC REHABILITATION PROGRAM AT MCLEOD DILLON AND MCLEOD CHERAW ALSO WERE GRANTED FUNDING FOR PATIENT SCHOLARSHIPS AND EQUIPMENT. THROUGH THE SCHOLARSHIPS, FINANCIALLY CHALLENGED PATIENTS ARE ABLE TO ATTEND AND RECEIVE VALUABLE CARDIAC MONITORING AND DAILY BLOOD PRESSURE AND PULSE MONITORING WHILE COMPLETING A SPECIALIZED EXERCISE ROUTINE. A GRANT AWARDED TO THE MCLEOD DIABETES PROGRAM FOR ADULTS AND CHILDREN PROVIDES SCHOLARSHIPS FOR PATIENTS TO RECEIVE DIABETES-TESTING SUPPLIES AND FOLLOW-UP EDUCATION SERVICES TO HELP THEM MANAGE THEIR DISEASES. THE GRANT ALSO ALLOWS THE PROGRAM TO CONTINUE DELIVERING THE HIGHEST QUALITY OF PROGRAMS AND SERVICES TO PATIENTS BOTH IN THE INPATIENT AND OUTPATIENT SETTINGS, AND AT COMMUNITY SCREENINGS AND HEALTH FAIRS AS WELL AS PROVIDING SUPPORT FOR CHILDREN TO ATTEND A DIABETES CAMP TO LEARN ABOUT MANAGING THEIR ILLNESSES. MCLEOD HOME HEALTH WAS GRANTED FUNDING FOR THE MCLEOD HOME HEALTH CARE PROGRAM TO ASSIST HOME HEALTH PATIENTS WHO ARE NOT ABLE TO PURCHASE NEEDED MEDICATIONS, TRANSPORTATION FOR MEDICAL TREATMENT, MEDICAL SUPPLIES, NUTRITIONAL NEEDS, EDUCATIONAL MATERIALS, AND EQUIPMENT. IT ALSO ASSISTS IN PAYING VARIOUS COST OF LIVING EXPENSES. MCLEOD CHILDREN'S HOSPITAL, PEDIATRIC INTENSIVE CARE UNIT (PICU) AND NEONATAL INTENSIVE CAR (NICU) RECEIVED FUNDING TO HELP BRING TECHNOLOGY UP TO DATE TO MEET THE STANDARD OF CARE INCLUDING HIGH FREQUENCY VENTILATION AS WELL AS OTHER SPECIALIZED TECHNOLOGY THAT ENHANCES THE CARE FOR THIS PEDIATRIC POPULATION. ADDITIONALLY, FUNDS ARE HELPING TO CONTINUE PROGRAMS SUCH AS CHILD LIFE ACTIVITIES, PEDIATRIC REHABILITATION PROGRAMS AND EQUIPMENT, AS WELL AS SPECIALIZED EQUIPMENT FOR CHRONICALLY ILL PEDIATRIC PATIENTS. A GRANT WAS ALSO AWARDED TO THE MCLEOD CHILDREN'S HOSPITAL NEONATAL INTENSIVE CARE UNIT (NICU) TO SUPPORT DONOR BREAST MILK FOR NICU BABIES THAT CANNOT BE FED THEIR OWN MOTHER'S BREAST MILK, AS WELL AS FUNDING TO PROVIDE A COMPREHENSIVE AND COORDINATED REGIONAL PERINATAL CARE SYSTEM EMPHASIZING PROFESSIONAL EXPERTISE, COMMUNICATION, COORDINATION, AND EDUCATION. THIS INCLUDES REGIONAL SYSTEM DEVELOPMENT, OBSTETRIC OUTREACH EDUCATION, NEONATAL OUTREACH EDUCATION, MATERNAL AND NEONATAL TRANSPORT COORDINATION, BACK TRANSPORTS, CONSULTATION AND FOLLOW-UP WITH REFERRING PHYSICIANS AND HOSPITALS, AND DATA COLLECTION AND EVALUATION. ADDITIONAL FUNDING WAS PROVIDED TO SUPPORT SPECIALIZED EQUIPMENT NEEDED IN THE TREATMENT OF THESE BABIES, MANY WEIGHING LESS THAN TWO POUNDS. FUNDING WAS ALSO PROVIDED TO SUPPORT EQUIPMENT NEEDED FOR PRIVATE ROOMS IN THE NICU. A GRANT WAS AWARDED TO PERINATAL OUTREACH REGIONALIZATION TO OPTIMIZE PERINATAL CARE AND ENHANCE THE MANAGEMENT OF HIGH-RISK MATERNAL AND NEONATAL CARE IN OUR REGION OF SOUTH CAROLINA. MCLEOD SAFE KIDS PEE DEE/COASTAL WAS AWARDED GRANT FUNDING FOR THE OPERATION OF INJURY PREVENTION PROGRAMS AND INITIATIVES. THESE INITIATIVES EXPAND THE WORK OF SAFE KIDS THROUGHOUT THE PEE DEE AND COASTAL AREAS AND INCLUDE RELATIONSHIPS WITH THE CHILDREN'S TRUST OF SOUTH CAROLINA, SOUTH CAROLINA HIGHWAY PATROL, FLORENCE POLICE AND FIRE DEPARTMENTS, HORRY COUNTY FIRE AND RESCUE, FLORENCE COUNTY SHERIFF'S OFFICE, MYRTLE BEACH POLICE, MARION COUNTY FIRE, AND LOCAL SCHOOLS. FORENSIC NURSE EXAMINER (FNE) PROGRAM WAS AWARDED GRANT FUNDING TO ADDRESS THE NEED FOR AN FNE (FORENSIC NURSE EXAMINER), ALSO KNOWN AS A SANE (SEXUAL ASSAULT NURSE EXAMINER) PROGRAM AT MCLEOD REGIONAL MEDICAL CENTER. THE PROGRAM SERVES VICTIMS OF SEXUAL ASSAULT BY PROVIDING EXPERT TRAUMA INFORMED CARE, COLLECTION OF FORENSIC EVIDENCE, APPROPRIATE REFERRALS TO POST ASSAULT AFTER-CARE, AS WELL AS COURT TESTIMONY DURING TRIALS OF CASES PROSECUTED.NURSE FAMILY PARTNERSHIP (NFP) WAS AWARDED GRANT FUNDING FOR A HOME VISITING PROGRAM FOR NURSES WHICH PAIRS FIRST-TIME MOTHERS WITH A NURSE WHO CAN HELP THEM HAVE A HEALTHY PREGNANCY. THE NURSE PROVIDES EXPERT ADVICE AND COACHING ON CHILD DEVELOPMENT FOR WOMEN THROUGHOUT PREGNANCY UNTIL THE BABY IS TWO YEARS OLD. THESE SERVICES ARE PROVIDED AT NO COST TO THE FAMILY AND HAVE SHOWN POSITIVE OUTCOMES IN THE FOLLOWING: PRENATAL HEALTH PRETERM FIRST BIRTHS OPIOID DEPENDENT MOTHERS NEONATAL ABSTINENCE SYNDROME (BABIES EXPOSED TO DRUGS IN THE WOMB) CHILDHOOD INJURIES CHILD DEVELOPMENT MATERNAL EMPLOYMENTMCLEOD BEHAVIORAL HEALTH RECEIVED GRANT FUNDING WHICH ADDRESSES THE NEEDS OF OUR BEHAVIORAL HEALTH PATIENTS SUCH AS INDIGENT PATIENT TRANSPORTATION, MEDICATION PROCUREMENT AND COMPLIANCE, AND PATIENT AND FAMILY EDUCATION.RELATED TO OUR COASTAL MCLEOD HEALTH HOSPITALS, MCLEOD HEALTH LORIS, MCLEOD HEALTH SEACOAST, AND MCLEOD HEALTH CAROLINA FOREST RECEIVED FUNDING TO SUPPORT ESSENTIAL PROGRAMS RUNNING THE SPECTRUM FROM THE BIRTH OF A NEW BABY TO CANCER PATIENTS LOOKING FOR HOPE, CARDIAC PATIENTS IN NEED OF ASSISTANCE, AND TO HOSPICE PATIENTS IN NEED OF COMPASSIONATE CARE. THIS INCLUDES PROVIDING ASSISTANCE FOR SPECIALIZED SERVICES AND THE LATEST EQUIPMENT AND TECHNOLOGY. FUNDING WAS ALSO PROVIDED FOR THE GUEST HOUSE AT MCLEOD REGIONAL MEDICAL CENTER AS WELL AS VARIOUS INITIATIVES AT MCLEOD DILLON, MCLEOD CHERAW, AND MCLEOD CLARENDON. OTHER AREAS OF SUPPORT INCLUDED EDUCATIONAL TRAINING FOR STAFF, TRANSPORTATION AND MEDICATION FOR PATIENTS IN NEED, THE HEALTHY OUTCOMES AND ACCESS HEALTH PROGRAMS, TELEHEALTH, DENTAL HEALTH SERVICES PROVIDED THROUGH MCLEOD FAMILY MEDICINE, AND IMPROVING ACCESS AND THE QUALITY OF PRENATAL CARE AT MCLEOD HEALTH'S RURAL HOSPITALS. 8995716 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 16 0 1 16 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 28 28 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 SC X MARK CAMERON 8437775304 555 EAST CHEVES STREET FLORENCE SC 29506 KAREN R HILL MD TRUSTEE/CHAIR/MD RELTD ORG 1.00 0.00 X X 0 0 0 JONATHAN M REICHENBACH TRUSTEE/VICE CHAIR 1.00 0.00 X X 0 0 0 LAURA M MARECHAL TRUSTEE/SECRETARY 1.00 0.00 X X 0 0 0 ROBERT H SASSER III TRUSTEE/TREASURER 1.00 0.00 X X 0 0 0 GRADY F MOORE TRUSTEE 1.00 0.00 X 0 0 0 JOAN S BILLHEIMER TRUSTEE 1.00 0.00 X 0 0 0 J MARVIN OWEN TRUSTEE 1.00 0.00 X 0 0 0 JUDITH H KAMMER TRUSTEE 1.00 0.00 X 0 0 0 REV CHARLES J RANDALL TRUSTEE 1.00 0.00 X 0 0 0 ELISABETH K MCNIEL TRUSTEE 1.00 0.00 X 0 0 0 CARRINGTON S WINGARD TRUSTEE 1.00 0.00 X 0 0 0 SHIRLEY H MEIERE TRUSTEE 1.00 0.00 X 0 0 0 EDWARD W PRINCE III TRUSTEE 1.00 0.00 X 0 0 0 HEATHER M GREENBERG TRUSTEE 1.00 0.00 X 0 0 0 C PIERCE CAMPBELL TRUSTEE 1.00 0.00 X 0 0 0 BEVERLY S HAZELWOOD TRUSTEE 1.00 0.00 X 0 0 0 E DANIEL GUYTON MD TRUSTEE 1.00 0.00 X 0 0 0 BRIAN L FAST TRUSTEE 1.00 0.00 X 0 0 0 JULIUS E ELDRIDGE III TRUSTEE 1.00 0.00 X 0 0 0 ROBIN H AIKEN TRUSTEE 1.00 0.00 X 0 0 0 VIRGINIA L CLYBURN-IPOCK MD TRUSTEE 1.00 0.00 X 0 0 0 VIRGINIA N SULLIVAN TRUSTEE 1.00 0.00 X 0 0 0 C DAWN ARNETTE TRUSTEE 1.00 0.00 X 0 0 0 JARROD B TIPPINS PHARM D TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER H YACOUBIAN TRUSTEE 1.00 0.00 X 0 0 0 VICKI CHUNG DMD PC TRUSTEE 1.00 0.00 X 0 0 0 TIMOTHY E CUNNINGHAM TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL A OUZTS TRUSTEE 1.00 0.00 X 0 0 0 JILL BRAMBLETT EXECUTIVE DIRECTOR - PART YEAR 40.00 0.00 X 296583 0 36222 ELIZABETH JONES EXECUTIVE DIRECTOR 40.00 0.00 X 87971 0 3626 384554 0 39848 1 0 1 0 0 575541 12731874 264496 13307415 509003 509003 38287304 38488976 -201672 -201672 -201672 324303 575541 311819 12484 12484 13627230 0 0 319815 7967087 7967087 23500 23500 413188 70242 24791 318155 734241 124821 44055 565365 254875 33134 30585 191156 365969 365969 142882 142882 282008 205945 76063 263252 131626 131626 409641 51284 62490 295867 10798 1404 1296 8098 10814 1406 1298 8110 8917 1159 1070 6688 16093 16093 1171 1171 DUES AND SUBSCRIPTIONS 6732 875 808 5049 10911168 8995716 309275 1606177 262333 4550083 1918162 2285637 59851 263 77308 40418 52983 36890 9799328 9551857 9537207 11372860 49421 49421 21679285 27847011 94882 71243 687891 687891 3834375 6576291 4617148 7335425 X 12269934 8713484 4792203 11798102 17062137 20511586 21679285 27847011 2716062 733387 0 X 0 1 X 1 1 1 X 9827087 9761370 10250859 13657490 13307415 56804221 9827087 9761370 10250859 13657490 13307415 56804221 17134815 39669406 194735 171945 191028 293089 509003 1359800 149819 546081 231695 243096 324303 1494994 59659015 0.66490 0.66560 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5425286 0 885274 0 131624 6178936 6018963 521225 -899366 185050 30486 5425286 5366498 179302 648844 144781 30900 6018963 4702331 385345 430874 5366 146686 5366498 4410787 297910 146168 132611 19923 4702331 0.60000 0.36000 0.04000 0 0 77308 40418 36890 36890 MONEY MARKET 2395982 F CDS 3250000 F MUTUAL FUNDS 5645982 F LIFE INSURANCE 39892 F ALTERNATIVE INVESTMENTS 41004 F 11372860 INTERCOMPANY PAYABLES 6576291 6576291 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO HELP SUPPORT THE PROGRAMS AND SERVICES AT MCLEOD HEALTH SUPPORTED BY THE MCLEOD FOUNDATION. CANCER EVENING OF HOPE 176175 150750 25425 0 0 6159 4912 5100 9249 MCLEOD CHILDREN'S HOSPITAL GOLF 173114 116325 56789 0 44394 19471 18688 500 0 11 550555 308466 242089 1400 33368 33466 10850 124262 899844 575541 324303 45794 58998 57066 16450 133511 311819 12484 1 MCLEOD REGIONAL MEDICAL CENTER 555 EAST CHEVES STREET FLORENCE SC 29506 570370242 501(C)(3) 5320187 0 N/A N/A HEALTH SERVICES MCLEOD LORISSEACOAST HOSPITAL 556 EAST CHEVES STREET FLORENCE SC 29506 453576100 501(C)(3) 232533 0 N/A N/A HEALTH SERVICES MCLEOD MEDICAL CENTER DILLON 557 EAST CHEVES STREET FLORENCE SC 29506 510473471 501(C)(3) 518818 0 N/A N/A HEALTH SERVICES MCLEOD HEALTH CHERAW 558 EAST CHEVES STREET FLORENCE SC 29506 473712858 501(C)(3) 120594 0 N/A N/A HEALTH SERVICES MCLEOD PHYSICIAN ASSOCIATES II 555 EAST CHEVES ST FLORENCE SC 29506 202935692 501(C)(3) 58459 0 N/A N/A PHYSICIAN SERVICES MCLEOD HEALTH 555 EAST CHEVES ST FLORENCE SC 29506 510473500 501(C)(3) 1479734 0 N/A N/A HEALTH SERVICES MCLEOD HEALTH CLARENDON 559 EAST CHEVES ST FLORENCE SC 29506 812772554 501(C)(3) 236762 0 N/A N/A HEALTH SERVICES 7 0 BOYD SCHOLARSHIP 2 1000 N/A N/A DABNEY SCHOLARSHIP 1 1000 N/A N/A BARRAGAN SCHOLARSHIP 2 2000 N/A N/A SMITH SCHOLARSHIP 1 500 N/A N/A DARBY SCHOLARSHIP 1 1000 N/A N/A HESS SCHOLARSHIP 2 1000 N/A N/A JENKINSON SCHOLARSHIP 1 1000 N/A N/A HUNTER SCHOLARSHIP 1 1000 N/A N/A HUMINSKI SCHOLARSHIP 1 1000 N/A N/A SYLVIA KITCHEN SCHOLARSHIP 4 2000 N/A N/A SPORTS MEDICINE KEIR SCHOLARSHIP 3 6000 N/A N/A LS MED STAFF NURSING SCHOLARSHIP 5 5000 N/A N/A MARCIA ELAINE BROWN MEDICAL TECHNOLOGY SCHOLARSHIP 1 1000 N/A N/A PART I, LINE 2: MCLEOD HEALTH FOUNDATION RECEIVES INVOICES FROM THE DIFFERENT DEPARTMENTS OF MCLEOD REGIONAL MEDICAL CENTER CONFIRMING THE PURCHASE OF THE ITEM OR ITEMS FOR WHICH THE GRANT IS APPROVED. PART III: THE FOUNDATION USES OBJECTIVE CRITERIA TO AWARD SCHOLARSHIP FUNDS AND MONITORS THE RECIPIENTS TO ENSURE THEY ARE PROGRESSING IN THEIR EDUCATION IN A MANNER CONSISTENT WITH THE FOUNDATION'S SCHOLARSHIP. X X X X X 0 1 0 0 0 0 0 1 0 JILL BRAMBLETT EXECUTIVE DIRECTOR - PART YEAR 244316 0 47657 0 4610 0 8830 0 27392 0 332805 0 0 0 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. 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. X 1 213000 FMV X 39 6631 FMV X HOUSEHOLD ITEMS 36 16648 FMV X OTHER 24 15244 FMV X ENTERTAINMENT 20 9107 FMV X HEALTH & BEAUTY 17 3866 FMV 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 MCLEOD HEALTH FOUNDATION HAS A SOLE MEMBER WHICH IS MCLEOD HEALTH. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS THE FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH FOUNDATION'S BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS THE FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION-MAKING OF MCLEOD HEALTH FOUNDATION'S BOARD. 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 HEALTH FOUNDATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. YES, EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST STATEMENT EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION OF MCLEOD HEALTH FOUNDATION'S EXECUTIVE DIRECTOR, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. IN THE REVIEW OF COMPENSATION, THE EXECUTIVE DIRECTOR WAS COMPARED TO OTHER SIMILARLY SITUATED ORGANIZATIONS AND POSITIONS. INDIVIDUAL WAS NOT PRESENT WHEN COMPENSATION WAS DETERMINED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER, THE ORGANIZATION'S FORM 990 PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST AND GOVERNANCE POLICY. MCLEOD REG MED CENTER OF THE PEE DEE INC 555 EAST CHEVES STREET FLORENCE SC 29506 570370242 HOSPITAL SC 501(C)(3) LINE 3 MCLEOD HEALTH 1 MCLEOD REGIONAL MEDICAL CENTER - DILLON 555 EAST CHEVES STREET FLORENCE SC 29506 570473471 HOSPITAL SC 501(C)(3) LINE 3 MCLEOD HEALTH 1 MCLEOD PHYSICIAN ASOCIATES II 555 EAST CHEVES STREET FLORENCE SC 29506 202935692 PHYSICIAN SERVICES SC 501(C)(3) LINE 10 MCLEOD HEALTH 1 MCLEOD HEALTH 555 EAST CHEVES STREET FLORENCE SC 29506 510473500 HEALTHCARE SC 501(C)(3) LINE 12C, III-FI N/A 0 MCLEOD LORIS SEACOAST HOSPITAL 555 EAST CHEVES STREET FLORENCE SC 29506 453576100 HOSPITAL SC 501(C)(3) LINE 3 MCLEOD HEALTH 1 MCLEOD HEALTH CHERAW 555 EAST CHEVES STREET FLORENCE SC 29506 473712858 HOSPITAL SC 501(C)(3) LINE 3 MCLEOD HEALTH 1 MCLEOD HEALTH CLARENDON 555 EAST CHEVES STREET FLORENCE SC 29506 812772554 HOSPITAL SC 501(C)(3) LINE 3 MCLEOD HEALTH 1 ADVANCED OUTPATIENT SERVICES 555 EAST CHEVES STREET FLORENCE SC 29506 815006949 HOSPITAL SC 501(C)(3) LINE 3 MCLEOD HEALTH 1 MCLEOD HEALTH INNOVATION 555 EAST CHEVES STREET FLORENCE SC 29506 862076430 RESEARCH SC 501(C)(3) LINE 4 MCLEOD HEALTH 1 MCLEOD MEDICAL PARTNERS LLC 500 N HURSTBOURNE PKWY LOUISVILLE KY 40222 570812002 RENTAL SC N/A 0 0 MCLEOD PHYSICIAN ASSOCIATES INC 555 EAST CHEVES STREET FLORENCE SC 29506 582279897 PHYSICIAN SVC SC N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 MCLEOD REGIONAL MED CENTER OF THE PEE DEE INC B 5320187 CASH MCLEOD HEALTH CHERAW B 120594 CASH MCLEOD LORIS SEACOAST HOSPITAL B 232533 CASH MCLEOD HEALTH B 1479734 CASH MCLEOD HEALTH M 364684 CASH MCLEOD HEALTH CLARENDON B 236762 CASH MCLEOD PHYSICIAN ASSOCIATES II B 58459 CASH MCLEOD REGIONAL MEDICAL CENTER - DILLON B 518818 CASH