2022-08-04T11:17:57-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-10-01 272187756 SCOTLAND REGIONAL HEALTH NETWORK SCOT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 LUCIEN ST ONGE CFO 9102917920 2022-08-04 1 LUCIEN ST ONGE 999009999 JOHN NORMAN P01506766 7049985200 2022-08-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LUCIEN ST ONGE 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 8728608 0 X N/A X 2010 NC TO OPERATE FOR THE BENEFIT OF, PERFORM THE FUNCTIONS OF, AND CARRY OUT THE PURPOSES OF SMH (SCOTLAND MEMORIAL HOSPITAL, INC) 3 1 0 0 0 0 0 0 5268482 8580166 0 0 120136 148442 5388618 8728608 0 0 0 0 8057200 11090945 0 0 0 1286801 2422914 9344001 13513859 -3955383 -4785251 811947 378865 137092 362105 674855 16760 X TO PROMOTE AND FURTHER THE HEALTH AND WELFARE OF COMMUNITIES WITHIN THIS STATE THROUGH SUPPORT OF AND INVOLVEMENT IN HEATH CARE AND HEALTH CARE RELATED ORGANIZATIONS, AND TO SUPPORT AND TO OPERATE FOR THE BENEFIT OF AND RECEIVE AND PROVIDE FUNDS, PROPERTY, OR OTHER BENEFITS TO (I) HOSPITALS, (II) OUTPATIENT CLINICS, (III) REHABILITATION INSTITUTIONS, (IV) ALCOHOL OR DRUG TREATMENT CENTERS, (V) ANY ORGANIZATION PROVIDING HOSPITAL OR MEDICAL CARE, OR (VI) ANY OTHER HEALTH CARE ORGANIZATION OR ORGANIZATION ENGAGED IN HEALTH CARE RELATED ACTIVITIES, PROVIDED ALL SUCH SUPPORTED ORGANIZATIONS MUST QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE CODE OR THE CORRESPONDING PROVISIONS OF ANY FUTURE UNITED STATES FEDERAL INCOME TAX LAWS 0 0 12495654 8580166 THE MISSION AND PURPOSE OF SCOTLAND REGIONAL HEALTH NETWORK ("SRHN") IS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITIES SERVED DURING THE YEAR, THE NETWORK OPERATED FAMILY MEDICINE, SURGICAL, GASTROENTEROLOGY, AND HOSPITALIST CARE, WHICH PROVIDES PHYSICIAN SERVICES TO IN-PATIENTS OF SCOTLAND MEMORIAL HOSPITAL. UTILIZING THE SERVICES OF APPROXIMATELY 20 PHYSICIANS AND MID-LEVEL PROVIDERS, SRHN RECORDED OVER 45,000 VISITS. 12495654 1 0 0 0 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 0 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 X 3 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MATTHEW PRACHT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 X GREG WOOD PRESIDENT & CEO 2.00 40.00 X X 0 0 0 MATTHEW PRACHT CFO 2.00 40.00 X X 0 0 0 DAVID HARLING CHAIR 2.00 2.00 X X 0 0 0 LYNN THOMPSON CORPORATE SECRETARY & EXEC 2.00 40.00 X 56104 0 16240 56104 0 16240 0 0 0 0 0 NET PATIENT REVENUE 624100 8580166 8580166 8580166 MISCELLANEOUS REVENUE 900099 148442 148442 148442 8728608 8580166 0 148442 10533014 9585043 947971 42274 38469 3805 453641 412813 40828 62016 56435 5581 20020 20020 556479 556479 198 198 26820 26820 267129 267129 15571 15571 242721 242721 BAD DEBT 1085874 1085874 MEDICAL SUPPLIES 195488 195488 MISCELLANEOUS EXPENSE 12614 12614 13513859 12495654 1018205 0 62102 66207 637606 312658 112239 0 811947 378865 137092 362105 137092 362105 X 674855 16760 674855 16760 811947 378865 X -4785251 4127156 X X 0 0 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, 2020. 0 1 0 0 0 0 0 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 $84,365 MATTHEW PRACHT $45,427 FORM 990, PART VI, SECTION A, LINE 3 SCOTLAND HEALTH CARE SYSTEM IS ENGAGED IN A TEN-YEAR MANAGEMENT AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM TO MANAGE THE SYSTEM ON A DAY-TO-DAY BASIS. THE AGREEMENT WAS SUBSEQUENTLY EXTENDED TO MARCH 31, 2025 AND WILL RENEW AUTOMATICALLY FOR TWO SUCCESSIVE FIVE-YEAR TERMS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING DATE, THE FORM 990 WAS PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW. AN OPPORTUNITY WAS PROVIDED FOR QUESTIONS AND ANSWERS. 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. CONDUCTING A COMPENSATION BENCHMARK STUDY 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 MAKES IT GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AT THE SCOTLAND MEMORIAL HOSPITAL ASSISTANT'S OFFICE. THE FOUNDATION 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 FROM RELATED PARTY 5,156,670. HARRIS FAMILY PRACTICE ADJUSTMENTS -1,029,514. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR SCOTLAND HEALTHCARE SYSTEM INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 581847657 OPERATE FOR THE BENEFIT OF, PERFORM FUNCTIONS, AND CARY OUT PURPOSES OF SMH NC 501(C)(3) N/A 0 SCOTLAND MEMEORIAL 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) SCOTLAND HEALTHCARE SYSTEM INC 0 HOSPICE OF SCOTLAND COUNTY 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 561468269 HEALTHCARE FOR TERMINALLY ILL PATIENTS NC 501(C)(3) SCOTLAND MEMORIAL HOSPITAL INC 0 SCOTLAND MEMORIAL FOUNDATION 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 581828201 CONDUCT FUNDRAISING ACTIVITIES FOR SCOTLAND HEALTH CARE SYSTEM NC 501(C)(3) SCOTLAND HEALTHCARE SYSTEM INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1