SCOTLAND REGIONAL HEALTH NETWORK: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SCOTLAND REGIONAL HEALTH NETWORK (EIN 27-2187756)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201242279349300204
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T06:34:27-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN272187756EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND REGIONAL HEALTH NETWORKBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSCOTNameControl
Phone9102917920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW PRACHTName
TitleCFO/TREASURERTitle
Phone9102917920Phone
Date Signed2012-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATTHEW PRACHTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4475286GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2010YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF SCOTLAND MEMORIAL HOSPITAL, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees47TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year667344ProgramServiceRevenuePriorYear
Program Service Revenue CY4468219ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year7067OtherRevenueCurrentYear
Total Revenue Prior Year667344TotalRevenuePriorYear
Total Revenue Current Year4475286TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1086028SalariesEtcPriorYear
Salaries Etc Current Year4532712SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year469723OtherExpensePriorYear
Other Expenses Current Year2224448OtherExpensesCurrentYear
Total Expenses Prior Year1555751TotalExpensesPriorYear
Total Expenses Current Year6757160TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-888407RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2281874RevenuesLessExpensesCY
Total Assets BOY524442TotalAssetsBOY
Total Assets EOY662747TotalAssetsEOY
Total Liabilities BOY99705TotalLiabilitiesBOY
Total Liabilities EOY326270TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY424737NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY336477NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6230204Expense
Revenue4468219Revenue
DescriptionIN MAY OF 2010, SCOTLAND REGIONAL HEALTH NETWORK ASSUMED THE OPERATIONS OF THE HOSPITALIST PROGRAM. HOSPITALIST ARE PHYSICIANS WHO MANAGE THE MEDICAL CARE OF HOSPITAL INPATIENTS FROM SCOTLAND MEMORIAL HOSPITAL. FOR FISCAL YEAR 2011, HOSPITALISTS LOGGED OVER 12,300 PATIENT ENCOUNTERS. IN JUNE OF 2010, SCOTLAND REGIONAL HEALTH NETWORK PURCHASED THE MEDICAL PRACTICE OF GLEEN HARRIS, MD FOR THE PURPOSE OF ENSURING AND EXPANDING PRIMARY CARE MEDICAL SERVICES TO THE RESIDENTS OF THE COMMUNITY. THIS PRACTICE UTILIZES THE SERVICES OF 2 PHYSICIANS AND 2 MID-LEVEL PROVIDERS AND RECORDED OVER 11,300 PATIENT VISITS THROUGH SEPTEMBER 2011.DURING THE YEAR, THE NETWORK OPERATED A SURGICAL PRACTICE UTILIZING 2 PHYSICIANS AND 1 MID-LEVEL PROVIDER AND PROVIDED OVER 4,100 PATIENT ENCOUNTERS. IN ADDITION, A FAMILY PRACTICE PHYSICIAN OPERATED A PRACTICE IN WAGRAM, PROVIDING OVER 2,700 VISITS DURING THE YEAR.Description
Total Program Service Expense6230204TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees47NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLARRY BROOKSNamePerson
Telephone Number9102917000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
NANCY L WALKER
CHAIRMAN2.00XX000
GREGORY C WOOD
CEO/PRESIDENT2.00XX031825266355
MATTHEW D PRACHT
CFO/TREASURER2.00XX018357446887
PAMELA J ASHLEY
SECRETARY1.00X03729312671
PAUL G BROOKS
EXECUTIVE DIRECTOR1.00X50039026597
FieldValueIRS element (for citing)
Total Reportable Comp From Org50039TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs539119TotalReportableCompFrmRltdOrgs
Total Other Compensation152510TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT REVENUEDescription
Business Code624100BusinessCode
Total Revenue Column4468219TotalRevenueColumn
Related Or Exempt Function Income4468219RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4468219TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code624100BusinessCode
Total Revenue Column7067TotalRevenueColumn
Exclusion$7,067ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7067TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4475286TotalRevenueColumn
Related Or Exempt Function Income4468219RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,067ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4313397Total
Program Services3816870ProgramServices
Management And General496527ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total192383Total
Program Services169297ProgramServices
Management And General23086ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total26932Total
Program Services23700ProgramServices
Management And General3232ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4111Total
Management And General4111ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total673709Total
Program Services673709ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42407Total
Program Services42407ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total96607Total
Program Services96607ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total18944Total
Program Services18944ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total163236Total
Program Services163236ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT10422081042208
MEDICAL SUPPLIES128370128370
MISCELLANEOUS5485654856

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6757160Total
Program Services6230204ProgramServices
Management And General526956ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY107627BOY
EOY10617EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY306294BOY
EOY482071EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY38566BOY
EOY168574EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1782LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec297LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY71955BOY
EOY1485EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY524442BOY
EOY662747EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY99705BOY
EOY284505EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY41765EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY99705BOY
EOY326270EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY424737BOY
EOY336477EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY424737BOY
EOY336477EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY524442BOY
EOY662747EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2281874ReconcilationRevenueExpenses
Reconcilation Other Changes2193614ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN560583151EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Organized In US1OrganizedInUS
Amount$6,230,204Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts6230204SumOfAmounts

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1782OtherCostOrOtherBasis
Depreciation297Depreciation
Book Value1485BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1485TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$41,765Amount
FieldValueIRS element (for citing)
Total Of Amounts41765TotalOfAmounts
Total Revenue4475286TotalRevenue
Total Expenses6757160TotalExpenses
Excess Or Deficit For Year-2281874ExcessOrDeficitForYear
Other$2,193,614OtherAmount
Total Adjustments2193614TotalAdjustments
Excess Or Deficit Per FS-88260ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4475286TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal4475286RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904475286TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8950774TotExpensesEtcAuditedFinclStmt
Other Expenses Included2193614OtherExpensesIncluded
Expenses Not Rptd F9902193614ExpensesNotRptdF990
Expenses Subtotal6757160ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906757160TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2011. THE CORPORATION BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2008.
PART XI, LINE 8 - OTHER ADJUSTMENTS:EQUITY TRANSFER TO AFFILIATE 2,193,614.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EQUITY TRANSFER TO AFFILIATE 2,193,614.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GREGORY C WOOD
0212274082201023777030292036063038460700
MATTHEW D PRACHT
01463450369960233018622028265023046100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationGREGORY WOOD (CEO) AND MATTHEW PRACHT (CFO) WERE ON A MANAGEMENT INCENTIVE PROGRAM THAT REQUIRED THE COMPLETION OF SPECIFIC ORGANIZATION PERFORMANCE MEASURES, WHICH INCLUDED FINANCIAL PERFORMANCE, QUALITY OUTCOMES, CUSTOMER SATISFACTION, AND EMPLOYEE RETENTION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3SCOTLAND 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.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO THE FILING DATE, THE FORM 990 WAS PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW. AFTER A DISCUSSION PERIOD AND QUESTION & ANSWER PERIOD, THE BOARD OF TRUSTEES VOTED TO APPROVE THE FORM 990 AS PRESENTED.
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 12C
THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION OF THE CEO BY THE FOLLOWING PROCEDURE: THE OPERATING COMMITTEE, WHICH IS THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, ESTABLISHED A FORMAL COMPENSATION PHILOSOPHY WITH RESPONSIBILITIES IN 1996 USING AN OUTSIDE FIRM SPECIALIZING IN EXECUTIVE COMPENSATION. THIS PHILOSOPHY INCLUDES AN ANNUAL PROCESS WHICH BENCHMARKS INCUMBENT CEO AND CFO COMPENSATION AGAINST COMPARATIVE PEERS, OBTAINED FROM EXTERNAL INFORMATION. ANNUAL INCENTIVE PLANS ARE ESTABLISHED USING OBJECTIVE CRITERIA FOR BOTH THESE INDIVIDUALS AND OTHER MEMBERS OF THE EXECUTIVE TEAM. THE ENTIRE BOARD ALSO COMPLETES AN EVALUATION OF THE CEO WHICH IS ADDED TO THE ANNUAL INCENTIVE PLAN OBJECTIVES ESTABLISHED TO DETERMINE THE CEO'S ANNUAL COMPENSATION AND INCENTIVE PLAN PERFORMANCE. THE OPERATING COMMITTEE ALSO APPROVES THE CFO'S ANNUAL COMPENSATION INCLUDING HIS/HER INCENTIVE PLAN. THE OPERATING COMMITTEE CONTRACTS WITH THE CAROLINAS HEALTHCARE SYSTEM FOR THE CEO. THE OPERATING COMMITTEE ALSO REVIEWS AND APPROVES COMPENSATION FOR OTHER MEMBERS OF SHCS EXECUTIVE STAFF ON AN ANNUAL BASIS. FOR THE OTHER THREE VICE PRESIDENT'S, THEIR COMPENSATION IS APPROVED BY THE OPERATING COMMITTEE.FORM 990, PART VI, SECTION B, LINE 15
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 18
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:EQUITY TRANSFER TO AFFILIATE 2,193,614. TOTAL TO FORM 990, PART XI, LINE 5: 2,193,614.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SCOTLAND MEMORIAL HOSPITAL INC
500 LAUCHWOOD DRIVELAURINBURGNC28352560583151OFFER HEALTH CARE TO RESIDENTS OF SCOTLAND COUNTY, NC AND SURROUNDING AREASNC501(C)(3)LINE 11A, IN/A0
SCOTLAND HEALTHCARE SYSTEMS INC
500 LAUCHWOOD DRIVELAURINBURGNC28352581847657OPERATE FOR THE BENEFIT OF, PERFORM FUNCTIONS, AND CARRY OUT PURPOSES OF SMHNC501(C)(3)LINE 11A, IN/A0
SCOTLAND MEMORIAL FOUNDATION INC
500 LAUCHWOOD DRIVELAURINBURGNC28352581828201CONDUCT FUNDRAISING ACTIVITIES FOR SCOTLAND HEALTH CARE SYSTEMNC501(C)(3)LINE 70SCOTLAND HEALTH GROUP INC
EDWIN MORGAN CENTER INC
500 LAUCHWOOD DRIVELAURINBURGNC28352589178020SKILLED NURSING FACILITYNC501(C)(3)LINE 90SCOTLAND HEALTH GROUP INC
HOSPICE OF SCOTLAND COUNTY INC
610 E LAUCHWOOD DRIVELAURINBURGNC28352561468269HEALTHCARE FOR TERMINALLY ILL PATIENTSNC501(C)(3)LINE 70SCOTLAND HEALTH GROUP INC
SMH TITLE HOLDING COMPANY
500 LAUCHWOOD DRIVELAURINBURGNC28352581849143TITLE HOLDING COMPANYNC501(C)(2)0SCOTLAND HEALTH GROUP INC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND MOB LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode
FieldValueIRS element (for citing)
EIN205900149EIN
Primary ActivityRENTAL ESTATEPrimaryActivity
Legal Domicile StateNCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND ENTERPRISES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode
FieldValueIRS element (for citing)
EIN561651832EIN
Primary ActivityHEALTH CAREPrimaryActivity
Legal Domicile StateNCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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