2016-07-29T07:59:43-05:00 2015-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2014-10-01 272187756 SCOTLAND REGIONAL HEALTH NETWORK SCOT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 MATTHEW PRACHT VICE PRESIDENT OF FINANCE 9102917920 2016-07-22 1 AMY BIBBY P00445891 8282542254 2014 2016-12-15 16:53:06Z MATTHEW PRACHT 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 7527250 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 33 0 0 0 0 0 7596137 7384478 0 0 245637 142772 7841774 7527250 4424 0 0 0 7338864 7301666 0 0 0 3162256 2984471 10505544 10286137 -2663770 -2758887 663448 431300 24938 165309 638510 265991 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 9471069 0 7384478 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, OBSTETRICS & GYNECOLOGY PRACTICES, 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 44,000 VISITS WERE RECORDED IN THESE PRACTICES. 9471069 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 33 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 LARRY BROOKS 9102917000 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 X JANE ROGERS CHAIRMAN 2.00 4.00 X X 0 0 0 GREGORY C WOOD CEO/PRESIDENT 2.00 46.00 X X 0 356369 55652 MATTHEW D PRACHT VICE PRESIDENT OF FINANCE 2.00 46.00 X X 0 217584 56490 MIKE VINSON PRIOR YEAR CHAIR 2.00 4.00 X 0 0 0 PAMELA J ASHLEY SECRETARY 1.00 41.00 X 0 35921 13772 0 609874 125914 0 0 1 0 0 NET PATIENT REVENUE 624100 7312240 7312240 MEANINGFUL USE REVENUE 900099 72238 72238 7384478 MISCELLANEOUS REVENUE 900099 142772 142772 142772 7527250 7384478 0 142772 7178122 6378290 799832 10948 9728 1220 91924 81681 10243 20672 18369 2303 1470 1470 889211 889211 1275 1275 98251 98251 260777 260777 11368 11368 7244 7244 272290 272290 BAD DEBT 1297624 1297624 MEDICAL SUPPLIES 138858 138858 6103 6103 10286137 9471069 815068 0 97224 60845 418192 278113 64921 20531 59413 27140 39518 32273 43593 39538 663448 431300 24938 75177 0 90132 24938 165309 X 638510 265991 638510 265991 663448 431300 X -2758887 2386368 X X 0 1 X 1 0 X 59413 27140 32273 32273 OTHER ACCOUNTS RECEIVABLE 39538 39538 DUE FROM AFFILIATE 90132 90132 X 8615994 2386368 2386368 6229626 1297624 1297624 7527250 8988513 0 8988513 1297624 1297624 10286137 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, 2015. THE CORPORATION BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER TO AFFILIATE 2,386,368. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE 1,297,624. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NET WITH REVENUE 1,297,624. 0 1 0 0 0 0 0 0 0 GREGORY C WOOD CEO/PRESIDENT 0 264420 0 68899 0 23050 0 34474 0 21178 0 412021 0 0 MATTHEW D PRACHT VICE PRESIDENT OF FINANCE 0 179479 0 35840 0 2265 0 29779 0 26711 0 274074 0 0 PART I, LINE 4B THE ORGANIZATION HAD OFFICERS WHO PARTICIPATED IN A SUPPLEMENTAL EXECUVTIVE RETIREMENT PLAN (SERP). THE AMOUNT OF DEFERRED COMPENSATION ACCRUED DURING THE FISCAL YEAR FOR THE PLAN WAS: WOOD $18,873 PRACHT 16,372 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 AGRREEMENT WAS EFFECTIVE AS OF APRIL 1, 2009. FORM 990, PART VI, SECTION B, LINE 11 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 TO AFFILIATE 2,386,368. 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 11A, I 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 11A, I 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 9 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