4A (Expenses $ 791957445 including grants of $ 150000) (Revenue $ 924300944)
SEE COMMUNITY BENEFIT REPORT ON SCHEDULE H.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: MCLEOD REGIONAL MEDICAL CENTER, - FACILITY 3: 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.

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

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 $ 124,027,610.

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.

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 (MRMC) IN FLORENCE, SOUTH CAROLINA. 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, MRMC 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. MCLEOD HEALTH CELEBRATED ITS CENTENNIAL IN 2006 BY OPENING A SEVEN-STORY ADDITION TO CREATE THE 12-STORY MCLEOD PAVILION TOWER. HERE IN THE PAVILION TOWER, 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 MRMC OPENED IN 2013 FOR THE CONVENIENCE OF PATIENTS AND STAFF. THE CENTER INCLUDES 100 CRITICAL CARE BEDS AND 20 STEP-DOWN BEDS.OTHER IMPROVEMENTS TO THE FACILITIES ON THE CAMPUS OF MRMC 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.A NEW EMERGENCY DEPARTMENT AND CHEST PAIN CENTER OPENED UP ON THE MRMC CAMPUS IN JUNE 2021. ALSO 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 MRMC. 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. 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. ALSO FALLING UNDER THE MRMC UMBRELLA, 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 BEHAVIORAL HEALTH HOSPITAL IS ALSO PART OF MRMC AND IS
LOCATED IN DARLINGTON, SOUTH CAROLINA, AND 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, MRMC 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 SUPPORTED BY THE STRENGTH OF MORE THAN 900 MEMBERS ON ITS MEDICAL STAFF AND MORE THAN 2,900 LICENSED NURSES (REGISTERED NURSES AND ADVANCED PRACTICE NURSES INCLUDING CERTIFIED NURSE ANESTHETISTS, NURSE PRACTITIONERS AND CERTIFIED NURSE MIDWIVES). MCLEOD HEALTH IS ALSO COMPOSED OF APPROXIMATELY 15,000 TEAM MEMBERS AND MORE THAN 90 PHYSICIAN PRACTICES THROUGHOUT ITS 18-COUNTY SERVICE AREA. 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. 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.MCLEOD HEALTH DILLONWITH 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.

PART VI, LINE 7
LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC

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."