TY 2013 Form 990 Schedule O

efile Public Visual Render ObjectId: 201522269349303112 - Submission: 2015-08-14 TIN: 57-0370242

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

MCLEOD REGIONAL MEDICAL CENTER OF
THE PEE DEE INC

Employer identification number

57-0370242

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. HAS A SOLE MEMBER, WHICH IS MCLEOD HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION MAKING OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION MAKING OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.
FORM 990, PART VI, SECTION B, LINE 11	THE PROCESS THE ORGANIZATION USES TO REVIEW FORM 990 CONSISTS OF PROVIDING COPIES OF THE FORM 990 TO THE BOARD OF TRUSTEES OF MCLEOD HEALTH (SOLE MEMBER) AT THE JUNE 2015 BOARD MEETING, ALONG WITH A PRESENTATION COVERING FORM 990 BY THE PREPARING FIRM, KPMG LLP, TO ALLOW FOR A THOROUGH REVIEW BY THE BOARD BEFORE THE FILING DATE OF AUGUST 15, 2015.
FORM 990, PART VI, SECTION B, LINE 12C	MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. AND MCLEOD HEALTH (SOLE MEMBER) REGULARLY AND CONSISTENTLY MONITOR AND ENFORECE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
FORM 990, PART VI, SECTION B, LINE 15	IN DETERMINING COMPENSATION OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS AND DECISION. THE GOVERNENCE COMMITTEE REVIEWED AND APPROVED THE CEO'S COMPENSATION. IN THE REVIEW OF COMPENSATION, THE CEO, OTHER OFFICERS, AND OTHER KEY EMPLOYEES, WAS COMPARED TO SIMILARLY SIUTATED ORGANIZATION AND POSITIONS. INDIVIDUALS WERE NOT PRESENT WHEN THEIE COMPENSATION WAS DETERMINED.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER, THE ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS.
FORM 990, PART XII, LINE 2A	FORM 990, PART XII, LINE 2A: THE FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 6

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. HAS A SOLE MEMBER, WHICH IS MCLEOD HEALTH.

FORM 990, PART VI, SECTION A, LINE 7A

THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION MAKING OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.

FORM 990, PART VI, SECTION A, LINE 7B

THE BOARD OF MCLEOD HEALTH (SOLE MEMBER) HAS FINAL AUTHORITY AS NEEDED ON THE MAKEUP AND DECISION MAKING OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.

FORM 990, PART VI, SECTION B, LINE 11

THE PROCESS THE ORGANIZATION USES TO REVIEW FORM 990 CONSISTS OF PROVIDING COPIES OF THE FORM 990 TO THE BOARD OF TRUSTEES OF MCLEOD HEALTH (SOLE MEMBER) AT THE JUNE 2015 BOARD MEETING, ALONG WITH A PRESENTATION COVERING FORM 990 BY THE PREPARING FIRM, KPMG LLP, TO ALLOW FOR A THOROUGH REVIEW BY THE BOARD BEFORE THE FILING DATE OF AUGUST 15, 2015.

FORM 990, PART VI, SECTION B, LINE 12C

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC. AND MCLEOD HEALTH (SOLE MEMBER) REGULARLY AND CONSISTENTLY MONITOR AND ENFORECE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ITS TAX-EXEMPT PURPOSE.

FORM 990, PART VI, SECTION B, LINE 15

IN DETERMINING COMPENSATION OF MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC'S CEO AND OTHER OFFICERS AND KEY EMPLOYEES, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS AND DECISION. THE GOVERNENCE COMMITTEE REVIEWED AND APPROVED THE CEO'S COMPENSATION. IN THE REVIEW OF COMPENSATION, THE CEO, OTHER OFFICERS, AND OTHER KEY EMPLOYEES, WAS COMPARED TO SIMILARLY SIUTATED ORGANIZATION AND POSITIONS. INDIVIDUALS WERE NOT PRESENT WHEN THEIE COMPENSATION WAS DETERMINED.

FORM 990, PART VI, SECTION C, LINE 19

THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER, THE ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS.

FORM 990, PART XII, LINE 2A

FORM 990, PART XII, LINE 2A: THE FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

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