4A (Expenses $ 736795725 including grants of $ 151000) (Revenue $ 790966463)
SEE COMMUNITY BENEFIT REPORT ON SCHEDULE H.

PART V, SECTION B, LINE 3:
"MCLEOD REGIONAL MEDICAL CENTER:FOR THE 2019 FLORENCE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, (OR ""CHNA""), ONE-ON-ONE INTERVIEWS, QUESTIONNAIRES, AND FORUMS WERE CONDUCTED IN SPRING 2019 AS A MEANS TO GATHER INPUT. HIGHLIGHTS ARE LISTED BELOW (FULL CHNA IS FOUND AT MCLEODHEALTH.ORG).TOP HEALTH CONCERNS REPORTED AMONG COMMUNITY MEMBERS- ACCESS TO PRIMARY CARE PROVIDERS AND SERVICES- HEART DISEASE/STROKE- DIABETES- DRUG ABUSESOURCE: MCLEOD HEALTH 2019 SURVEYTOP HEALTH CONCERNS REPORTED AMONG HEALTH PROFESSIONALS MOST FREQUENT HEALTH CONCERNS:- CANCER- DIABETES- HEART DISEASE/STROKE- ADDRESSING MENTAL HEALTH SERVICES- ACCESS TO PRIMARY CARE PROVIDERS- OBESITYSOURCE: MCLEOD HEALTH 2019 SURVEYPRIMARY DIAGNOSIS ADMITTED TO EMERGENCY DEPARTMENT MOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD REGIONAL MEDICAL CENTER EMERGENCY DEPARTMENT OCTOBER 2017 - SEPTEMBER 2018:- ABDOMINAL PAIN- CHEST PAIN- ACUTE UPPER RESPIRATORY INFECTION- URINARY TRACT INFECTION- HEADACHE- INJURY OF HEAD- INFLUENZA- HYPERTENSION- ACUTE BRONCHITISSOURCE: MCLEOD HEALTH CLINICAL OUTCOMESPRIMARY INPATIENT DIAGNOSISMOST FREQUENT HEALTH NEEDS PRESENTING TO MCLEOD REGIONAL MEDICAL CENTER OCTOBER 2017 - SEPTEMBER 2018:- OBSTETRICAL CARE, LABOR AND DELIVERY, VAGINAL AND CESAREAN SECTION- SEPSIS- ACUTE KIDNEY FAILURE- NON-ST-ELEVATION MYOCARDIAL INFARCTION- HYPERTENSION WITH HEART FAILURE- PNEUMONIA- HYPERTENSION WITH HEART DISEASE AND HEART FAILURE- PAROXYSMAL ATRIAL FIBRILLATION SOURCE: MCLEOD HEALTH CLINICAL OUTCOMESOPPORTUNITIES & PLAN PRIORITIESMCLEOD 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- ORAL HEALTHOVERVIEWTHIS 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.METHODSAN ASSESSMENT TEAM COMPRISED OF MCLEOD HEALTH'S 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 SEVEN ACUTE CARE 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.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 DISPARITIESWHAT 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 ISRESPONSIBLE FOR 30%, SOCIAL CIRCUMSTANCES 15%, AND HEALTH CARE FOR ONLY 10% (I.E., ACCESS TO PHYSICIAN AND OTHER HEALTH SERVICES) OF HEALTH RISK FOR PREMATURE DEATH.BEHAVIORAL DETERMINANTS (40%)EXAMPLES:- DIET- PHYSICAL ACTIVITY- ALCOHOL, CIGARETTE, AND OTHER DRUG USE- HAND WASHINGGENETIC 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 DETERMINANTS (15%)EXAMPLES:- 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 AS CONCENTRATED POVERTY- QUALITY SCHOOLS- TRANSPORTATION OPTIONS- PUBLIC SAFETYHEALTH CARE DETERMINANTS (10%)EXAMPLES:- QUALITY, AFFORDABILITY, AND AVAILABILITY OF SERVICES- LACK OF INSURANCE COVERAGE- LIMITED LANGUAGE ACCESSENVIRONMENTAL DETERMINANTS (5%)EXAMPLES:- 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 DISABILITIESWHAT ARE HEALTH DISPARITIES?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 ARE DEVELOPED. WITH EARLY DETECTION, DISEASES CAN BE TREATED MORE EFFECTIVELY, REDUCING POTENTIAL COMPLICATIONS OF DISEASE OR EVEN DEATH. REGULAR PREVENTATIVE CARE CAN IMPROVE INDIVIDUAL HEALTH AND THE OVERALL HEALTH OF A COMMUNITY.VARIOUS PREVENTATIVE CARE GUIDELINES AND RECOMMENDATIONS ARE PUBLISHED BY DIFFERENT PROFESSIONAL ORGANIZATIONS, BUT MOST HEALTH CARE PROFESSIONALS REFER TO THE RECOMMENDATIONS PUBLISHED BY THE UNITED STATES PREVENTATIVE SERVICES TASK FORCE (USPSTF) AS A RELIABLE, WIDELY ACCEPTED, AND EVIDENCE-BASED GUIDE. THE USPSTF IS AN INDEPENDENT, VOLUNTEER PANEL OF NATIONAL EXPERTS IN PREVENTION AND EVIDENCE-BASED MEDICINE. THEIR RECOMMENDATIONS ARE BASED ON A RIGOROUS REVIEW OF EXISTING PEER-REVIEWED DATA. THE USPSTF ASSIGNS A LETTER GRADE (A, B, C, D, OR I) TO EACH RECOMMENDATION BASED ON THE STRENGTH OF EVIDENCE AND THE BALANCE OF BENEFITS AND POTENTIAL HARMS OF THE PREVENTATIVE SERVICE. GRADE A AND GRADE B PREVENTATIVE SERVICES ARE RECOMMENDED BECAUSE THE USPSTF HAS DETERMINED A HIGH OR MODERATE CERTAINTY THAT THE NET BENEFIT IS MODERATE OR SUBSTANTIAL.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.THE 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.DEMOGRAPHICSCURRENT 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 POPULATIONA TOTAL OF 138,537 PEOPLE LIVE IN THE 799.96 SQUARE MILE REPORT AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO THE U.S. CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2013-17 5-YEAR ESTIMATES. THE POPULATION DENSITY FOR THIS AREA, ESTIMATED AT 173.18 PERSONS PER SQUARE MILE, IS GREATER THAN THE NATIONAL AVERAGE POPULATION DENSITY OF 90.88 PERSONS PER SQUARE MILE.POPULATION IN LIMITED ENGLISH HOUSEHOLDSTHIS INDICATOR REPORTS THE PERCENTAGE OF THE POPULATION AGED 5 AND OLDER LIVING IN LIMITED ENGLISH SPEAKING HOUSEHOLDS. A LIMITED ENGLISH SPEAKING HOUSEHOLD"" IS ONE IN WHICH NO MEMBER 14 YEARS OLD AND OVER (1) SPEAKS ONLY ENGLISH AT HOME OR (2) SPEAKS A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAKS ENGLISH ""VERY WELL."" THIS INDICATOR IS SIGNIFICANT AS IT IDENTIFIES HOUSEHOLDS AND POPULATIONS THAT MAY NEED ENGLISH-LANGUAGE ASSISTANCE.SOCIAL & ECONOMIC FACTORSECONOMIC 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.EDUCATION - BACHELOR'S DEGREE OR HIGHER22.53% OF THE POPULATION AGED 25 AND OLDER, OR 20,867 HAVE OBTAINED A BACHELOR'S LEVEL DEGREE OR HIGHER. THIS INDICATOR IS RELEVANT BECAUSE EDUCATIONAL ATTAINMENT HAS BEEN LINKED TO POSITIVE HEALTH OUTCOMES.EDUCATION - HIGH SCHOOL GRADUATION RATEWITHIN THE REPORT AREA 85.5% OF STUDENTS ARE RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS. DATA REPRESENTS THE 2016-17 SCHOOL YEAR. THIS INDICATOR IS RELEVANT BECAUSE RESEARCH SUGGESTS EDUCATION IS ONE THE STRONGEST PREDICTORS OF HEALTH.POVERTY - POPULATION BELOW 100% FPLPOVERTY IS CONSIDERED A KEY DRIVER OF HEALTH STATUS. WITHIN THE REPORT AREA 19.6% OR 26,444 INDIVIDUALS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW THE FEDERAL POVERTY LEVEL (FPL). THIS INDICATOR IS RELEVANT BECAUSE POVERTY CREATES BARRIERS TO ACCESS INCLUDING HEALTH SERVICES, HEALTHY FOOD, AND OTHER NECESSITIES THAT CONTRIBUTE TO POOR HEALTH STATUS.PRIORITY ISSUES AND IMPLEMENTATION PLANMCLEOD 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 DATADRIVEN, 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 RESOURCESPLAN PRIORITIESMCLEOD 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- ORAL HEALTHIMPLEMENTATION PLANPRIORITY 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."

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: MCLEOD REGIONAL MEDICAL CENTER, - FACILITY 2: MCLEOD MEDICAL CENTER DARLINGTON, - FACILITY 3: MCLEOD BEHAVIORAL HEALTH

PART V, SECTION B, LINE 4:
MCLEOD BEHAVIORAL HEALTH HOSPITAL IS IN DARLINGTON, SC SO WAS BOTH COVERED BY THAT DARLINGTON CHNA.

PART V, SECTION B, LINE 11:
THERE HAS NOT BEEN ADEQUATE TIME OR RESOURCES TO ADDRESS ALL THE NEEDS AT THIS TIME.MCLEOD REGIONAL MEDICAL CENTER:NEEDS IDENTIFIED AS SHOWN IN THE LINE 3 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 MEDICAL CENTER DARLINGTON:NEEDS IDENTIFIED AS SHOWN IN THE LINE 3 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 BEHAVIORAL HEALTH:NEEDS IDENTIFIED AS SHOWN IN THE LINE 3 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.

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 THE SC HOSPITAL ASSOCIATION. THE REPORT IS AVAILABLE TO ANYONE UPON REQUEST."

PART I, LINE 7G:
THESE SUBSIDIZED SERVICES COME FROM THE OPERATION OF A CANCER CLINIC.

PART III, LINE 4:
NET PATIENT REVENUES ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNT RECEIVED, OR TO BE RECEIVED, FROM PATIENTS, THIRD PARTY PAYORS, AND OTHERS FOR THE SPECIFIC SERVICES AND SUPPLIES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENT WITH THIRD PARTY PAYOR.FOR THE AMOUNTS REPORTED IN LINES 2 AND 3, MRMC USED THE IRS METHOD TO CALCULATE THE RATIO OF PATIENT COST TO CHARGES, AS SHOWN ON PAGE 13 OF THE INSTRUCTIONS FOR SCHEDULE H (WORKSHEET 2). THE CALCULATED RATIO WAS THEN APPLIED TO THE GROSS CHARGES WRITTEN OFF TO BAD DEBT (NET OF RECOVERIES).

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
"MRMC IS THE FLAGSHIP HOSPITAL OF MCLEOD HEALTH. 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. CONSTANTLY SEEKING TO IMPROVE ITS PATIENT CARE WITH EFFORTS THAT ARE PHYSICIAN-LED, DATA-DRIVEN AND EVIDENCE-BASED, MCLEOD REGIONAL MEDICAL CENTER WAS MOST RECENTLY HONORED AS 5-STAR RATED FOR CRANIAL NEUROSURGERY AND STROKE TREATMENT OUTCOMES FOR 2021, ACCORDING TO NEW RESEARCH RELEASED BY HEALTHGRADES, THE LEADING RESOURCE THAT CONNECTS CONSUMERS, PHYSICIANS AND HEALTH SYSTEMS. MCLEOD IS ALSO THE RECIPIENT OF 5-STAR IN TREATMENT OF STROKE FOR NINE CONSECUTIVE YEARS (2013 - 2021).SERVICE AREATHE PRIMARY SERVICE AREA HAS BEEN DEFINED AS THESE EIGHT SOUTH CAROLINA COUNTIES: CHESTERFIELD, CLARENDON, DARLINGTON, DILLON, FLORENCE, HORRY, MARION, AND MARLBOROTHE SECONDARY SERVICE AREA INCLUDES THE FOLLOWING COUNTIES:GEORGETOWN, LEE, SUMTER AND WILLIAMSBURG IN SOUTH CAROLINA AND ANSON, BRUNSWICK, COLUMBUS, RICHMOND, ROBESON AND SCOTLAND IN NORTH CAROLINAABOUT MCLEOD HEALTHFOUNDED IN 1906, MCLEOD HEALTH IS A LOCALLY OWNED AND MANAGED, NOT FOR PROFIT ORGANIZATION SUPPORTED BY THE STRENGTH OF APPROXIMATELY 750 MEMBERS ON ITS MEDICAL STAFF AND MORE THAN 2,700 LICENSED NURSES (REGISTERED NURSES; ADVANCED PRACTICE NURSES - INCLUDING CERTIFIED NURSE ANESTHETISTS, NURSE PRACTITIONERS AND CERTIFIED NURSE MIDWIVES; AS WELL AS LICENSED PRACTICAL NURSES). MCLEOD HEALTH IS ALSO COMPOSED OF APPROXIMATELY 8,900 EMPLOYEES AND MORE THAN 75 PHYSICIAN PRACTICES THROUGHOUT ITS 18 COUNTY SERVICE AREA. WITH SIX 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, AND MCLEOD HEALTH CLARENDON.MISSION STATEMENTTHE MISSION OF MCLEOD HEALTH IS TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF PEOPLE LIVING WITHIN SOUTH CAROLINA AND EASTERN NORTH CAROLINA BY PROVIDING EXCELLENCE IN HEALTHCARE.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 MCLEOD'S 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 HEALTH 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.ORGANIZATIONAL CHARACTERISTICSTEACHING HOSPITAL AND RESIDENCY PROGRAM: YESHEART AND VASCULAR INSTITUTE: YESSTROKE UNIT (ONLY ONE IN REGION): YESCOMPREHENSIVE CANCER SERVICES: YESCHILDREN'S HOSPITAL: YESPEDIATRIC INTENSIVE CARE: YESNEONATAL INTENSIVE CARE: YESEMERGENCY AND TRAUMA SERVICES: YESTRAUMA SURGICAL INTENSIVE CARE: YESORTHOPEDICS PROGRAM: YESHOSPICE AND HOME HEALTH CARE: YESMEDICAID DISPROPORTIONATE SHARE HOSPITAL: YESMEDICARE DISPROPORTIONATE SHARE HOSPITAL: YESPERINATAL DESIGNATION: REGIONAL PERINATAL CENTERTRAUMA DESIGNATION: LEVEL IIQUALITY IMPROVEMENTMCLEOD HEALTH HAS BEEN RECOGNIZED NUMEROUS TIMES FOR ITS OUTSTANDING WORK IN QUALITY CARE, BEST PRACTICES AND CLINICAL OUTCOMES AS WELL AS ITS PHYSICIANS' DEDICATION TO QUALITY IMPROVEMENT. THE EFFORTS TO IMPROVE QUALITY AND PATIENT SAFETY ARE PHYSICIAN LED, DATA-DRIVEN AND EVIDENCE-BASED. BECAUSE OF THIS COMMITMENT BY STRONG, ACTIVE PHYSICIAN AND STAFF PARTICIPATION, MCLEOD HAS RECEIVED NATIONAL RECOGNITION FOR QUALITY INCLUDING THE 2010 AMERICAN HOSPITAL ASSOCIATION-MCKESSON QUEST FOR QUALITY PRIZE. AWARDED ANNUALLY TO ONE HOSPITAL IN THE COUNTRY, MCLEOD WAS THE FIRST HOSPITAL IN SOUTH CAROLINA TO RECEIVE THIS PRESTIGIOUS HONOR SINCE THE INCEPTION OF THE NATIONAL QUEST FOR QUALITY PRIZE IN 2002.MOST RECENTLY, MCLEOD REGIONAL MEDICAL CENTER WAS HONORED AS 5-STAR RATED FOR CRANIAL NEUROSURGERY AND STROKE TREATMENT OUTCOMES FOR 2021, ACCORDING TO NEW RESEARCH RELEASED BY HEALTHGRADES, THE LEADING RESOURCE THAT CONNECTS CONSUMERS, PHYSICIANS AND HEALTH SYSTEMS.MCLEOD IS ALSO THE RECIPIENT OF 5-STAR IN TREATMENT OF STROKE FOR NINE CONSECUTIVE YEARS (2013 - 2021).IN THE FALL OF 2020, MCLEOD HEALTH WAS HONORED WITH 38 SOUTH CAROLINA ""CERTIFIED ZERO HARM AWARDS"" FROM THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA) IN RECOGNITION OF THE HOSPITAL SYSTEM'S EXCELLENT WORK IN PREVENTING HOSPITAL-ACQUIRED INFECTIONS. THE FOLLOWING MCLEOD HEALTH HOSPITALS WERE RECOGNIZED WITH ZERO HARM AWARDS: MCLEOD HEALTH CHERAW, MCLEOD HEALTH CLARENDON, MCLEOD HEALTH DARLINGTON, MCLEOD HEALTH DILLON, MCLEOD HEALTH LORIS, MCLEOD HEALTH SEACOAST AND MCLEOD REGIONAL MEDICAL CENTER. TO EARN A CERTIFIED ZERO HARM AWARD, HOSPITALS MUST EXPERIENCE NO PREVENTABLE HOSPITAL-ACQUIRED INFECTIONS OF A SPECIFIC NATURE OVER AN EXTENDED PERIOD OF TIME.MCLEOD REGIONAL MEDICAL CENTERSPECIALTY SERVICESTHE DIVERSE ARRAY OF SERVICES OFFERED ALLOWS MCLEOD TO MEET THE UNIQUE HEALTHCARE NEEDS OF THE REGION FROM AN ACCREDITED CANCER CENTER AND STEREOTACTIC RADIOSURGERY PROGRAM TO 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.. ALL OF THESE ARE ADDED TO THE HOSPITAL'S CENTERS OF EXCELLENCE IN SURGERY, NEUROSURGERY, TRAUMA, ORTHOPEDICS AND WOMEN'S SERVICES IN ADDITION TO THE DIABETES CENTER, REHABILITATION AND SPORTS MEDICINE SERVICES, AND THE CENTER FOR ADVANCED SURGERY, WHICH ALL DELIVER AN UNMATCHED LEVEL OF CARE AND EXPERIENCE TO PEOPLE IN THE REGION. ONE OF ONLY FIVE STATE-DESIGNATED REGIONAL PERINATAL CENTERS, MCLEOD REGIONAL MEDICAL CENTER ALSO OFFERS THE REGION'S ONLY CHILDREN'S HOSPITAL WHICH INCLUDES A 48-BED NEONATAL INTENSIVE CARE UNIT AND SIX-BED PEDIATRIC INTENSIVE CARE UNIT. A TEACHING FACILITY SINCE 1980, MCLEOD SUPPORTS A THREE-YEAR FAMILY MEDICINE RESIDENCY PROGRAM AND FAMILY MEDICINE RURAL RESIDENCY PROGRAM, A ONE-YEAR PHARMACY PRACTICE RESIDENCY PROGRAM, A ONE-YEAR NURSE RESIDENCY PROGRAM AND THE MCLEOD SCHOOL OF MEDICAL TECHNOLOGY. IN ADDITION, THE MCLEOD HOSPICE HOUSE, A 24-BED INPATIENT FACILITY, IS LOCATED ON THE CAMPUS.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.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 ONTHE 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 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. AS ONE OF THE MOST PATIENT-CENTERED ENVIRONMENTS, THE CENTER HAS BEEN DESIGNED TO OFFER THE HIGHEST QUALITY, INDIVIDUALIZED CARE WITH CONVENIENT ACCESS TO ALL CANCER SERVICES AND CARE."

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LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: SC

THE MCLEOD CENTER FOR CANCER TREATMENT & RESEARCH
OFFERS NATURAL LIGHT, A CASCADING WATER WALL, GARDEN VIEWS, AND RELAXING FURNISHINGS TO INSPIRE, SOOTHE AND COMFORT PATIENTS AND FAMILY MEMBERS. PATIENTS CAN ALSO EASILY MANAGE THEIR PHYSICIAN APPOINTMENTS AND INFUSION OR RADIATION TREATMENTS ALL IN ONE LOCATION. IN ADDITION, THEY 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 ITS THIRD TRUEBEAM LINEAR ACCELERATOR CAPABLE OF PERFORMING AN ADVANCED FORM OF RADIATION THERAPY TO TREAT LUNG AND LIVER CANCER. ADVANTAGES TO PATIENTS INCLUDE THE ABILITY TO DELIVER A LARGE 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 SUITE OFFERS 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 A REGION THAT HAS THE HIGHEST INCIDENCE OF HEART AND VASCULAR DISEASE, MCLEOD ADDED A SECOND STATE-OF-THE-ART HYBRID OPERATING SUITE IN 2017. THIS OPERATING SUITE COMBINES THE MEDICAL EXPERTISE OF INTERVENTIONAL CARDIOLOGISTS AND THE SURGICAL EXPERTISE OF THE CARDIOTHORACIC SURGEONS WITH THE MOST ADVANCED HEART TECHNOLOGY AVAILABLE TO PERFORM TAVR, TRANSCATHETER AORTIC VALVE REPLACEMENT. TAVR TARGETS PATIENTS WITH AORTIC VALVE STENOSIS, A CONDITION THAT RESULTS IN THE NARROWING OF THE MAIN VALVE THAT ALLOWS THE BLOOD TO EXIT THE HEART CAUSING BLOOD TO BACK UP IN THE LUNGS. PERFORMED THROUGH VERY SMALL INCISIONS, AND IN SOME CASES NEEDLE PUNCTURES, THIS PROCEDURE INSERTS A NEW VALVE WITHOUT REMOVING THE OLD, DEGENERATED VALVE.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 THROMBECTOMY PROCEDURE WAS EXECUTED IN AN OPERATING SUITE AT MCLEOD REGIONAL MEDICAL CENTER DEDICATED FOR THIS WORK. DR. BASIL SHAH, A HIGHLY SKILLED DIAGNOSTIC INTERVENTIONAL NEURORADIOLOGIST WITH MORE THAN 38 YEARS OF NEURORADIOLOGY EXPERIENCE, PERFORMED THE FIRST THROMBECTOMY PROCEDURE FOR MCLEOD IN A DEDICATED NEUROINTERVENTIONAL BI-PLANE X-RAY SUITE THAT OPENED AT MCLEOD REGIONAL MEDICAL CENTER IN 2020. THE BI-PLANE IMAGINGSYSTEM 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.ALSO 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 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. MCLEOD TELEHEALTH IS THE ONLY HOSPITAL-AFFILIATED TELEHEALTH SERVICE IN THE REGION THAT 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. MCLEOD PROVIDERS WORKING WITH THE SCHOOL-BASED TELEHEALTH PROGRAM INCLUDE DR. FOCELL JACKSON-DOZIER; LISA WALLACE, NP; ALLISON SLICE, FNP; AND BRANDI POWELL RUSS, NP.

PART VI, LINE 6
"MCLEOD HEALTH IS THE SOLE MEMBER OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. AND OTHER RELATED ORGANIZATIONS WHICH COMPRISE THE REGIONAL MCLEOD HEALTH SYSTEM. DESCRIPTIONS OF EACH ENTITY FOLLOWS:MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. (MRMC) IS THE LARGEST ENTITY IN THE MCLEOD HEALTH SYSTEM AND OWNS AND OPERATES THE FOLLOWING ORGANIZATIONS, WHICH OPERATE AS DIVISIONS OF MRMC: - MCLEOD REGIONAL MEDICAL CENTER, THE SYSTEM'S MAIN HOSPITAL CAMPUS LOCATED IN FLORENCE, SOUTH CAROLINA, WHICH INCLUDES A 517-BED TERTIARY CARE FACILITY AND A 48-BED NEONATAL INTENSIVE CARE UNIT;- MCLEOD MEDICAL CENTER-DARLINGTON, A 49-BED COMMUNITY HOSPITAL LOCATED IN DARLINGTON, SOUTH CAROLINA. THIS FACILITY PERMANENTLY CLOSED IN JANUARY 2021 AND SERVICES OFFERED AT THIS LOCATION WERE TRANSFERRED TO OTHER FACILITIES.- 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;- MCLEOD OUTPATIENT SURGERY CENTER, A FREE-STANDING OUTPATIENT SERVICE CENTER LOCATED ON THE CAMPUS OF MCLEOD REGIONAL MEDICAL CENTER.ADDITIONALLY, MRMC IS THE MAJORITY OWNER IN A JOINT VENTURE, MCLEOD MEDICAL PARTNERS, LLC, WHICH OWNS AND OPERATES THREE MEDICAL OFFICE BUILDINGS ON THE CAMPUS.MCLEOD MEDICAL CENTER-DILLONMCLEOD 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 66-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 HOSPITALMCLEOD 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 105-BED COMMUNITY HOSPITAL LOCATED IN LITTLE RIVER, SOUTH CAROLINA;MCLEOD HEALTH CHERAWMCLEOD HEALTH CHERAW JOINED MCLEOD HEALTH IN JUNE 2015 AND IS A 59 - BED COMMUNITY HOSPITAL LOCATED IN CHERAW, SC.MCLEOD HEALTH CLARENDONMCLEOD HEALTH CLARENDON JOINED MCLEOD HEALTH IN JULY 2016 AND IS AN 81 - BED COMMUNITY HOSPITAL LOCATED IN MANNING, SC.MCLEOD PHYSICIAN ASSOCIATES II (MPA II)MPA II IS A SOUTH CAROLINA NONPROFIT CORPORATION AND AN ORGANIZATION DESCRIBED UNDER SECTIONS 501(C)(3) AND 509(A)(2) OF THE CODE THAT OPERATES A MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE OF OVER 190 EMPLOYED PHYSICIANS PROVIDING PRIMARY AND SPECIALTY CARE SERVICES THROUGH OVER 85 OFFICES IN SOUTH AND NORTH CAROLINA. MPA II SUPPORTS THE MISSION OF MCLEOD HEALTH, PROVIDING COMPREHENSIVE MEDICAL AND SURGICAL SERVICES, INCLUDING A WIDE RANGE OF PHYSICIAN SPECIALTIES, TO MCLEOD'S PATIENTS FROM A 15-COUNTY SERVICE AREA.MCLEOD HEALTH FOUNDATIONTHE 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, THEFOUNDATION'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 25 MEMBERS OF THE FOUNDATION'S GOVERNING BODY. AT LEAST ONEMEMBER OF THE FOUNDATION'S GOVERNING BODY MUST BE A MEMBER OF THE MCLEOD HEALTH BOARD.MCLEOD MEDICAL PARTNERS, LLCMCLEOD 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.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."