2019-06-25T07:45:20-05:00 2018-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2017-10-01 272187756 SCOTLAND REGIONAL HEALTH NETWORK SCOT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 MATTHEW PRACHT VICE PRESIDENT OF FINANCE 9102917920 2019-06-25 1 AMY BIBBY P00445891 8282542254 2019-06-25 24.241.144.70 2019-06-25 07:39:52 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01 2017 2019-02-21 02:37:17Z MATTHEW PRACHT 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 8051599 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 51 0 0 0 136238 83333 7656065 7925802 0 0 51755 42464 7844058 8051599 0 0 0 0 8832601 9429352 0 0 0 2855805 3080683 11688406 12510035 -3844348 -4458436 1267906 1061835 44995 606613 1222911 455222 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 ANDRECEIVE 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 11300778 0 7925802 THE MISSION AND PURPOSE OF SCOTLAND REGIONAL HEALTH NETWORK 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, OVER 45,000 VISITS WERE RECORDED IN THESE PRACTICES. 11300778 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 51 1 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 MELINDA BRISSON 9102917393 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 X GREGORY C WOOD CEO/PRESIDENT 2.00 40.00 X X 0 450193 69909 MATTHEW D PRACHT CFO/ASST. TREASURER 2.00 40.00 X X 0 244352 64005 DAVID HARLING VICE CHAIR-SHCS BOT 2.00 2.00 X 0 0 0 LYNN THOMPSON SECRETARY 2.00 40.00 X 0 46249 5706 SHANNON JONES NETWORK EXECUTIVE 40.00 X 120120 0 9877 120120 740794 149497 1 0 1 0 0 83333 83333 NET PATIENT REVENUE 624100 7891770 7891770 MEANINGFUL USE REVENUE 900099 34032 34032 7925802 MISCELLANEOUS REVENUE 900099 42464 42464 42464 8051599 7925802 0 42464 8889587 7749552 1140035 10801 9416 1385 493104 429866 63238 35860 31261 4599 758658 758658 1836 1836 121785 121785 273612 273612 15640 15640 238600 238600 BAD DEBT 1492192 1492192 MEDICAL SUPPLIES 172938 172938 MISCELLANEOUS EXPENSE 5422 5422 12510035 11300778 1209257 0 81754 251525 407476 810310 778676 0 1267906 1061835 44995 42245 0 564368 44995 606613 X 1222911 455222 1222911 455222 1267906 1061835 X -4458436 3690747 X X 0 1 X 1 0 X 0 DUE TO AFFILIATES 564368 564368 X 10216488 3690747 3690747 6525741 1525858 1525858 8051599 10984177 0 10984177 1525858 1525858 12510035 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, 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER FROM AFFILIATE 3,690,747. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE 1,492,192. EXPENSES IN REVENUES 33,666. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE 1,492,192. EXPENSES IN REVENUES 33,666. 0 1 0 0 0 0 0 0 0 GREGORY C WOOD CEO/PRESIDENT 0 296929 0 124253 0 29011 0 36323 0 33586 0 520102 0 0 MATTHEW D PRACHT CFO/ASST. TREASURER 0 190387 0 50129 0 3836 0 36379 0 27626 0 308357 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: WOOD $44,556 PRACHT 26,172 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 TEN-YEAR MANAGEMENT AGREEMENT WAS EFFECTIVE AS OF APRIL 1, 2009. 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 ANNUALLY. 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 THE HOSPITAL MAKES IT GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST AT THE SCOTLAND MEMORIAL HOSPITAL EXECUTIVE ASSISTANT TO THE PRESIDENT'S OFFICE. THE HOSPITAL 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 AFFILIATE 3,690,747. 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 0 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 0 EDWIN MORGAN CENTER INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 589178020 SKILLED NURSING FACILITY NC 501(C)(3) LINE 11 SCOTLAND HEALTH CARE SYSTEM INC 0 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 0 SCOTLAND MOB LLC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 205900149 RENTAL ESTATE NC N/A SCOTLAND ENTERPRISES INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 561651832 HEALTH CARE NC N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1