2024-08-08T19:46:10-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 272187756 SCOTLAND REGIONAL HEALTH NETWORK SCOT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 LUCIEN ST ONGE CFO 9102917920 2024-08-08 1 1 AMY BIBBY P00445891 8282542254 2024-08-08 2022 2024-08-08 14:25:15Z LUCIEN ST ONGE 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 9547828 0 X N/A X 2010 NC TO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF SCOTLAND MEMORIAL HOSPITAL, INC. 3 1 0 0 0 0 0 0 8157772 9439057 0 0 115060 108771 8272832 9547828 0 0 0 0 11118316 11838500 0 0 0 2196516 2863283 13314832 14701783 -5042000 -5153955 773214 2456849 374969 348608 398245 2108241 THE MISSION AND PURPOSE OF SCOTLAND REGIONAL HEALTH NETWORK (SRHN) IS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED DURING THE YEAR. 0 0 13636318 9439057 THE NETWORK OPERATED FAMILY MEDICINE, SURGICAL, GASTROENTEROLOGY, AND HOSPITALIST CARE, WHICH PROVIDES PHYSICIAN SERVICES TO IN-PATIENTS OF SCOTLAND MEMORIAL HOSPITAL. THE NETWORK UTILIZED THE SERVICES OF APPROXIMATELY 20 PHYSICIANS AND MID-LEVEL PROVIDERS, RECORDING OVER 62,000 VISITS. 13636318 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 X DAVE SALZLEIN 9102917922 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 X GREGORY C WOOD PRESIDENT & CEO 2.00 40.00 X X 0 618437 54716 LUCIEN S ONGE CFO 2.00 40.00 X X 0 201729 39641 SYBIL BULLARD CHAIR 2.00 2.00 X X 0 0 0 KATHERINE EVANS CORPORATE SECRETARY & EXECUTIVE ASSISTANT 2.00 40.00 X 0 31794 7605 0 851960 101962 0 0 1 0 0 NET PATIENT REVENUE 624100 9439057 9439057 9439057 MISCELLANEOUS REVENUE 900099 108771 108771 108771 9547828 9439057 0 108771 11084552 10086942 997610 33882 30833 3049 674329 613639 60690 45737 41621 4116 574073 574073 63363 63363 266826 266826 22565 22565 238977 238977 BAD DEBT 1249221 1249221 MEDICAL SUPPLIES 421246 421246 MISCELLANEOUS EXPENSE 15160 15160 FREIGHT 11852 11852 14701783 13636318 1065465 0 30188 14858 743026 2441991 773214 2456849 374969 348608 374969 348608 X 398245 2108241 398245 2108241 773214 2456849 X -5153955 6863951 X X 0 1 X 1 0 X 0 X PART X, LINE 2: THE CORPORATION AND ITS NONPROFIT AFFILIATES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE LLC IS TREATED AS A PARTNERSHIP AND AS SUCH, THE INCOME FLOWS THROUGH TO THE OWNERS OF THE LLC. THE CORPORATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023. 0 1 0 0 0 0 0 0 0 GREGORY C WOOD PRESIDENT & CEO 0 394890 0 187508 0 36039 0 24400 0 30316 0 673153 0 0 LUCIEN S ONGE CFO 0 201174 0 0 0 555 0 12600 0 27041 0 241370 0 0 PART I, LINE 4B THE ORGANIZATION HAD OFFICERS WHO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE APPROXIMATE AMOUNT OF DEFERRED COMPENSATION ACCRUED DURING THE FISCAL YEAR FOR THE PLAN WAS: GREGORY WOOD $77,324 COMPENSATION FROM UNRELATED ORGANIZATION THE ORGANIZATION'S CEO & CFO ARE COMPENSATED BY ATRIUM HEALTH AN UNRELATED ORGNAIZATION FOR SERVICES PROVIDED TO SCOTLAND HEALTH CARE SYSTEM AND ITS RELATED ORGANIZATIONS. THIS COMPENSATION HAS BEEN REPORTED IN THE COMPENSATION PAID BY RELATED ORGANIZATION COLUMN FOR PART VII AND ROW FOR SCHEDULE J. FORM 990, PART VI, SECTION A, LINE 8A MINUTES ARE TAKEN AND ACTIONS RECORDED FROM BOARD MEETINGS. FORM 990, PART VI, SECTION A, LINE 8B MINUTES ARE TAKEN AND ACTIONS RECORDED FROM COMMITTEE MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, FINANCIAL MANAGEMENT THOROUGHLY REVIEWED THE FORM 990 TO ENSURE ITS ACCURACY. THE CHIEF FINANCIAL OFFICER WILL REVIEW THE FORM 990 WITH THE FINANCE COMMITTEE IN AUGUST, 2024 AND THE BOARD AT ITS REGULARLY SCHEDULED MEETING IN SEPTEMBER, 2024. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPITAL REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES TO REVIEW AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR CEO AND CFO ENTAILS A REVIEW OF PERFORMANCE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. A COMPENSATION BENCHMARK STUDY IS CONDUCTED BY AN INDEPENDENT RECOGNIZED THIRD PARTY, AND REVIEW OF COMPENSATION BY CAROLINAS HEALTHCARE SYSTEM COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FINAL APPROVAL IS THEN MADE AND DOCUMENTED BY THE SCOTLAND HEALTH CARE SYSTEM BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 SCOTLAND REGIONAL HEALTH NETWORK (SRHN) MAKES IT GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AT THE SCOTLAND MEMORIAL HOSPITAL EXECUTIVE ASSISTANT'S OFFICE. SRHN MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE VP, FINANCE OFFICE OR GENERAL ACCOUNTING DEPARTMENT. FORM 990, PART VII & SCHEDULE J THE ORGANIZATION IS UTILIZING PART VII AND SCHEDULE J OF THE FORM 990 TO REPORT THE COMPENSATION PAID TO THE CEO AND CFO BY A MANAGEMENT COMPANY FOR SERVICES PROVIDED TO A RELATED ORGANIZATION. THE COMPENSATION HAS BEEN REPORTED IN THE RELATED ORGANIZATION'S COMPENSATION COLUMNS OF THESE SECTIONS. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO (FROM) AFFILIATE 6,863,951. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SCOTLAND MEMORIAL HOSPITAL INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 560583151 OFFER HEALTH CARE TO RESIDENTS OF SCOTLAND COUNTY, NC AND SURROUNDING AREAS NC 501(C)(3) LINE 12B, II SCOTLAND HEALTH CARE SYSTEM INC 1 SCOTLAND HEALTH CARE SYSTEM INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 581847657 OPERATE FOR THE BENEFIT OF, PERFORM FUNCTIONS, AND CARRY OUT PURPOSES OF SMH NC 501(C)(3) LINE 12B, II N/A 0 SCOTLAND MEMORIAL FOUNDATION INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 581828201 CONDUCT FUNDRAISING ACTIVITIES FOR SCOTLAND HEALTH CARE SYSTEM NC 501(C)(3) LINE 7 SCOTLAND HEALTH CARE SYSTEM INC 1 HOSPICE OF SCOTLAND COUNTY INC 610 E LAUCHWOOD DRIVE LAURINBURG NC 28352 561468269 HEALTHCARE FOR TERMINALLY ILL PATIENTS NC 501(C)(3) LINE 7 SCOTLAND HEALTH CARE SYSTEM INC 1 SCOTLAND FAMILY COUNSELING CENTER INC 601-B LAUCHWOOD DRIVE LAURINBURG NC 28352 272848608 FAMILY COUNSELING NC 501(C)(3) LINE 7 SCOTLAND HEALTH CARE SYSTEM INC 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1