2023-08-04T13:47:41-05:00 2022-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2021-10-01 560583151 SCOTLAND MEMORIAL HOSPITAL INC SCOT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 LUCIEN ST ONGE CFO 9102917920 2023-07-31 1 LUCIEN ST ONGE 999009999 JOHN NORMAN P01506766 7049985200 2023-07-31 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z LUCIEN ST ONGE 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 245855476 0 X WWW.SCOTLANDHEALTH.ORG X 1945 NC TO OFFER A FULL RANGE OF ACUTE CARE AND INPATIENT SERVICES TO THE RESIDENTS OF SCOTLAND COUNTY, NORTH CAROLINA AND THE SURROUNDING AREA. 17 14 1517 0 223672 49451 15558290 8838852 222475082 232414750 6175886 4482197 31250 0 244240508 245735799 174176 126696 0 0 84014299 88044714 0 0 0 131551466 137404294 215739941 225575704 28500567 20160095 313115918 289460978 119310172 88923196 193805746 200537782 X TO PROVIDE SAFE, HIGH QUALITY, COMPASSIONATE, AND SUSTAINABLE HEALTH CARE TO THE PEOPLE WE SERVE. 0 1 210809947 126696 232191078 SCOTLAND MEMORIAL HOSPITAL, INC., LOCATED IN THE CITY OF LAURINBURG, SCOTLAND COUNTY, NORTH CAROLINA IS A NOTFORPROFIT, 501(C)(3), COMMUNITY OWNED HOSPITAL GOVERNED BY A LOCAL BOARD OF TRUSTEES. THE HOSPITAL IS A SUBSIDIARY OF SCOTLAND HEALTH CARE SYSTEM, A NOTFORPROFIT, 501(C)(3) CORPORATION, WHICH ALSO INCLUDES SCOTLAND MEMORIAL FOUNDATION, AND HOSPICE OF SCOTLAND COUNTY WHICH IS A SUBSIDARY CORPORATION UNDER SCOTLAND MEMORIAL HOSPITAL, INC. THE MISSION OF SCOTLAND HEALTH CARE SYSTEM "IS TO WORK WITH OUR HEALTH CARE PARTNERS TO CREATE AND OPERATE A PATIENT CENTERED, INTEGRATED SYSTEM TO PROVIDE SAFE, HIGH QUALITY, COMPASSIONATE, AND SUSTAINABLE HEALTH CARE TO THE PEOPLE WE SERVE." THE VISION IS THAT "SCOTLAND HEALTH CARE SYSTEM WILL BE RECOGNIZED AND CHOSEN BY PATIENTS AND THEIR FAMILIES THROUGHOUT OUR REGION FOR THE QUALITY AND VALUE OF THE SERVICES WE PROVIDE. THIS VALUE WILL BE DEMONSTRATED THROUGH THE HIGHEST LEVEL OF QUALITY AND SERVICE, ALONG WITH THE SAFEST ENVIRONMENT. WE WILL LEAD EFFORTS TO IMPROVE THE HEALTH AND WELLBEING OF THE CITIZENS IN OUR REGION." THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, SERVICES, INCLUDING INTENSIVE CARE AND INPATIENT REHABILITATION, AND OUTPATIENT ACUTE CARE SERVICES. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2021, THE HOSPITAL RECORDED 25,465 ADULT AND PEDIATRIC PATIENT DAYS, WITH AN AVERAGE DAILY CENSUS OF 88.8. THE HOSPITAL PERFORMED OVER 4,700 INPATIENT AND OUTPATIENT SURGERIES. OVER 47,500EMERGENCY ROOM VISITS WERE LOGGED AND 757 BABIES WERE DELIVERED. WITH A STAFF OF APPROXIMATELY 1,300 EMPLOYEES, THE HOSPITAL RANKS AS THE AREA'S LARGEST EMPLOYER. APPROXIMATELY 150 PHYSICIANS PROVIDE A COMPREHENSIVE RANGE OF SPECIALTIES INCLUDING: ANESTHESIOLOGY, CARDIOLOGY, DERMATALOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, GYNECOLOGY AND OBSTETRICS, HOSPITALIST SERVICES, INTERNAL MEDICINE, MEDICAL AND RADIATION ONCOLOGY, NEPHROLOGY, NEUROLOGY, OCCUPATIONAL MEDICINE,OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PAIN MANAGEMENT, PATHOLOGY, PEDIATRICS, PEDICATRIC CARDIOLOGY, PULMONARY MEDICINE, RADIOLOGY, UROLOGY, VASCULAR SURGERY, AND WOUND CARE, WHICH INCLUDES HYPERBARIC OXYGEN THERAPY. AVAILABLE TECHNOLOGIES INCLUDE NUCLEAR MEDICINE, 64-SLICE COMPUTERIZED TOMOGRAPHY (CT) SCANNING, POSITRON EMISSION TOMOGRAPHY (PET), LASER TECHNOLOGY, MAGNETIC RESONANCE IMAGING (MRI), LAPAROSCOPIC CHOLYCYSTECTOMY, ROBOTIC PARTIAL KNEE, TOTAL KNEE AND TOTAL HIP SURGERY, INTENSITY-MODULATED RADIATION THERAPY, AND LITHOTRIPSY. THE HOSPITAL OPERATES SEVEN RURAL HEALTH CLINICS, TEN FREESTANDING PHYSICIAN PRACTICES, AN URGENT CARE CENTER, AND AN OCCUPATIONAL HEALTH CLINIC, ALL LOCATED WITHIN A 30-MILE RADIUS OF THE HOSPITAL. TOTAL VISITS AT THESE PRACTICES WERE APPROXIMATELY 115,000 IN 2021 . THE HOSPITAL'S PRIMARY SERVICE AREA IS SCOTLAND COUNTY AND WESTERN ROBESON COUNTY, WHILE THE SECONDARY SERVICE AREA INLCUDES ROBESON COUNTY AND RICHMOND COUNTY, NORTH CAROLINA, AND MARLBORO COUNTY, SOUTH CAROLINA. SEE SCHEDULE H FOR DETAIL OF ORGANIZATIONS CHARITY CARE AND COMMUNITY BENEFITS POLICIES AND REPORTING.COMMUNITY SPONSORED EVENTS AND ACTIVITIES: THE HOSPITAL IS HEAVILY INVOLVED IN COMMUNITY EVENTS AND SPONSORS NUMEROUS CHARITABLE EVENTS, SUCH AS FUND DRIVES FOR UNITED WAY, AMERICAN CANCER SOCIETY RELAY FOR LIFE, MARCH OF DIMES WALK AMERICA (AWARENESS FOR HEALTHIER BABIES), AND NORTH CAROLINA SMART START (PROVIDING RESOURCES FOR CHILDREN TO ACHIEVE SUCCESS), WITH MANY HOSPITAL EMPLOYEES PARTICIPATING IN THE INITIATIVE. MIDDLE AND HIGH SCHOOL STUDENTS CAN ACCESS FREE ANNUAL PHYSICIALS, AND, FOR THOSE INTERESTED IN A MEDICAL CAREER, JOB-SHADOWING PURSUITS WITH HOSPITAL EMPLOYEES. SPEAKING AT LOCAL JOB FAIRS AND HIGH SCHOOL CAREER DAY EVENTS IS YET ANOTHER AVENUE FOR HOSPITAL STAFF TO SPREAD KNOWLEDGE ON TOPICS OF HEALTH. DURING THE PANDEMIC OUR HEALTH CARE SYSTEM TOOK AN ACTIVE ROLE IN EDUCATING OUR SERVICE AREA ABOUT THE PANDEMIC AND CONDUCTED EXTENSIVE TESTING TO RESIDENTS.A VARIETY OF PREVENTIVE HEALTH EDUCATION PROGRAMS ARE AVAILABLE TO THE COMMUNITY AND TO LOCAL INDUSTRY, MANY OF WHICH ARE OFFERED AT NO CHARGE. AMONG THESE ARE SCREENINGS FOR BLOOD PRESSURE, BODY FAT, CHOLESTEROL, DIABETES, BONE DENSITY, AND PROSTATE CANCER. HEALTH EVENTS FOR WOMEN AND MEN ARE OFFERED EACH YEAR WITH LOCAL PHYSICIANS AS KEYNOTE SPEAKERS AND EDUCATORS. "SCOTTY AND "MISSY", 2 MOBILE HEALTHCARE UNITS, VISIT LOCAL SCHOOLS, BUSINESSES, AND INDUSTRY PROVIDING FREE BLOOD PRESSURE AND CHOLESTEROL SCREENINGS AND PHYSICALS. EXAMPLES OF HEALTH EVENTS OFFERED IN THE COMMUNITY ARE: - PHYSICAL EXAMINATIONS PROVIDED TO SPECIAL OLYMPICS ATHLETES, AND SPORTS PHYSICALS TO MIDDLE/HIGH SCHOOL STUDENTS. - HEALTH & FITNESS DAY, PROVIDING FOCUS ON PHYSICAL ACTIVITY, WHERE THE COMMUNITY AND HOSPITAL EMPLOYEES PARTICIPATE IN HEALTHY ACTIVITIES. - "LOOK GOOD FEEL BETTER" PROGRAM IS DESIGNED FOR WOMEN UNDERGOING CANCER TREATMENT, TEACHES FEMALE CANCER PATIENTS BEAUTY TECHNIQUES THAT HELP RESTORE SELFIMAGE WHILE UNDERGOING CHEMOTHERAPY AND RADIATION TREATMENTS. VOLUNTEER BEAUTY PROFESSIONALS LEAD SMALL GROUPS OF WOMEN THROUGH PRACTICAL, HANDSON EXERCIZES USING COSMETICS, CARING FOR SKIN AND NAILS, AND USING WIGS, HATS, TURBANS, AND SCARVES TO DEAL WITH HAIR LOSS. PARTICIPANTS RECEIVE FREE COSMETICS AND CAN CHOOSE FROM A VARIETY OF WIGS AND HATS FROM WHICH TO CHOOSE. - CANCER SURVIVORS DAY IS SPONSORED FOR PATIENTS AND GUESTS, INVITING PARTICIPATATION IN AN ANNUAL NATIONAL CELEBRATION OF LIFE. - HEALTH-RELATED MONTHLY MEETINGS ARE HELD IN HOSPITAL FACILITIES FOR THESE SUPPORT GROUPS: ALZHEIMER'S DISEASE BREASTFEEDING DIABETES MULTIPLE SCLEROSIS PARKINSON'S STROKE WOMENS CANCER 210809947 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 115 1 1 1517 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 1 1 0 NC X ACCOUNTING DEPARTMENT 9102917933 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 X X GREGORY C WOOD PRESIDENT/CEO 37.00 3.00 X X 0 0 0 KURT JUTE DO CHIEF OF STAFF 40.00 X X 0 0 0 RALPH CARTER MD CQSC CHAIR 40.00 X 0 0 0 DAVID HARLING PAST CHAIR, BOT 1.00 X 0 0 0 GLENN HARRIS MD CHAIR, PHYS NETWORK LEAD. 40.00 X 0 0 0 CHIP SHYTLE CHAIR, BOT 2.00 X X 0 0 0 SYBIL BULLARD VICE-CHAIR, BOT 2.00 X X 0 0 0 HAMPTON HUBBARD BOARD MEMBER 1.00 X 0 0 0 MARK WARD TREASURER 2.00 X X 0 0 0 BRADLEY WILLIAMS BOARD MEMBER 1.00 X 0 0 0 BOBBY HINSON BOARD MEMBER 1.00 X 0 0 0 BECCA HUGHES BOARD MEMBER 1.00 X 0 0 0 JESSICA SCOTT BOARD MEMBER 1.00 X 0 0 0 RAVONDA JOHN BOARD MEMBER 1.00 X 0 0 0 SCOTT ANDREWS BOARD MEMBER 1.00 X 0 0 0 JOHN FERGUSON BOARD MEMBER 1.00 X 0 0 0 KEN NICHOLS BOARD MEMBER 1.00 X 0 0 0 GUY MCCOOK BOARD MEMBER 1.00 X 0 0 0 LUCIEN ST ONGE CFO/VP FINANCE ASST. TREAS 35.00 5.00 X 0 0 0 KATHERINE EVANS CORPORATE SECRETARY 2.00 X 0 0 0 SHELLY LOWERY MD VP AMB. PRACT., PHYS. NET 40.00 X 336812 0 27075 BEATRICE HOLT VP/PATIENT CARE SERVICES, 40.00 X 252001 0 19151 DAVID POPE SR. VP/OPERATIONS, COO 40.00 X 273502 0 35110 KELVIN OXENDINE VP/ HUMAN RESOURCES 40.00 X 190155 0 19695 LINDA MITCHELL-FRYE MD PHYSICIAN 40.00 X 669062 0 37412 MARK K LAVIGNE MD PHYSICIAN 40.00 X 475633 0 15573 SAMUEL CUMMINGS MD PHYSICIAN 40.00 X 619876 0 16264 ANTONIOS Z KARAMALEGOS MD PHYSICIAN 40.00 X 442588 0 29249 LISA MANSUR MD PHYSICIAN 40.00 X 443549 0 36396 3703178 0 235925 175 0 1 0 QUALIVIS 2000 CENTER POINT ROAD SUITE 2360 COLUMBIA SC 28203 CONTRACT LABOR 16122404 CAROLINA HEALTHCARE SYSTEM 1000 BLYTHE BLVD CHARLOTTE NC 28203 EXECUTIVE MANAGEMENT & HEALTHCARE SYSTEM 8299890 LIBERTY ANESTHESIA PLLC 16101 CADDIE COURT WAGRAM NC 28396 ANESTHESIA SERVICES 2154240 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 27216 LABS 1945085 PRIVATE DIAGNOSTICS CLINIC CREEKSTONCE DRIVE STE 160 DURHAM NC 277038051 CANCER CENTER SERVICES 1643960 28 828548 7999282 11022 8838852 NET PATIENT SERVICE RE 621500 220807003 220610717 196286 OTHER OPERATING REVENU 624100 11607747 11580361 27386 232414750 2456151 2456151 2145723 0 119677 2145723 -119677 2026046 2026046 245735799 232191078 223672 4482197 X 116330 116330 10366 10366 69510689 65340048 4170641 5265907 4949953 315954 8406414 7902029 504385 4861704 4570002 291702 167067 167067 146727 146727 32677 32677 169320 169320 52621983 47395497 5226486 516621 516621 2109600 2109600 661133 588408 72725 1403451 1080657 322794 562880 433418 129462 1065162 1065162 15293107 15293107 1138796 1138796 MEDICAL SUPPLIES 31741321 31741321 BAD DEBT EXPENSE 24964808 24964808 MISCELLANEOUS EXPENSE 4809641 3703424 1106217 225575704 210809947 14765757 0 559110 383872 9661866 16319667 22796128 23660755 1733271 1758018 1065984 1205153 227292732 148450969 75166309 78841763 191239663 159977195 1319286 1485512 1205311 278590 8368990 5550453 313115918 289460978 41725761 28723846 43592059 43141443 33992352 17057907 119310172 88923196 X 192506973 199041516 1298773 1496266 193805746 200537782 313115918 289460978 X 20160095 -20610287 7182228 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16561 16561 0 PART II-B, LINE 1: SCOTLAND MEMORIAL HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND NORTH CAROLINA HOSPITAL ASSOCIATION. A PORTION OF MEMBERSHIP DUES PAID TO THESE ASSOCIATIONS IS ALLOCATED TO LOBBYING EXPENSES. 8029100 8029100 124244068 84118612 40125456 95019564 64332357 30687207 78841763 SERP LIABILITY 3026183 ACCRUED INTEREST PAYABLE 755094 ESTIMATED 3RD PARTY SETTLEMENTS 8024421 PENSION PLAN LIABILITY 2663576 CARES ACT LIABILITY 2588633 17057907 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, 2022. 1 1 X 1 X 1 X 0 1 0 1 1 3304135 3304135 0.01460 41976631 45458694 0 0.00000 45280766 45458694 3304135 0.01460 157555 157555 0.00070 157555 157555 0.00070 45438321 45458694 3461690 0.01530 1 11202008 1368960 72570100 80858125 -8288025 X 1 1 1 1 SCOTLAND MEMORIAL HOSPITAL INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 X X X DISPROPORTIONATE SHARE HOSPITAL SCOTLAND MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE PART V X 1 18 1 HTTPS://WWW.SCOTLANDHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X 1 X 0 X X X 1 X 0 0 SCOTLAND MEMORIAL HOSPITAL INC PART V, SECTION B, LINE 5: IDENTIFIED PUBLIC HEALTH OFFICIALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AND COMMUNITY MEMBERS WITH KNOWLEDGE AND INTEREST IN ASSESSING AND IMPROVING THE HEALTH OF SCOTLAND COUNTY RESIDENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM WAS COMPRISED OF SCOTLAND HEALTH CARE SYSTEM COMMUNITY HEALTH PROFESSIONALS, SCOTLAND COUNTY HEALTH DEPARTMENT LEADERS, REPRESENTATIVES OF SCOTLAND COUNTY FAITH-BASED ORGANIZATIONS, AND COMMUNITY MEMBERS WITH KNOWLEDGE OF COUNTY HEALTH NEEDS AND A DEEP INTEREST IN IMPROVING THE STATE OF HEALTH WITHIN THE LOCAL COMMUNITIES. SCOTLAND MEMORIAL HOSPITAL INC PART V, SECTION B, LINE 6B: SCOTLAND COUNTY HEALTH DEPARTMENT, SCOTLAND COUNTY SCHOOL SYSTEM, UNC PEMBROKE SCOTLAND MEMORIAL HOSPITAL INC PART V, SECTION B, LINE 11: THE TOP PRIORITIES ADDRESSED IN THIS CHNA WERE IDENTIFIED AS: 1) OBESITY RELATED HYPERTENSION, HEART DISEASE, AND DIABETES. 2) MENTAL HEALTH ISSUES, INCLUDING SUBSTANCE MISUSE. 3) LACK OF POSITIVE YOUTH ENGAGEMENT ACTIVITIES AND HEALTHY BEHAVIORS. TO ADDRESS THESE NEEDS, PLANNED ACTIONS INCLUDE FOCUS ON RISK FACTORS OF OBESITY, SMOKING, HYPERLIIDEMIA, ELEVATED GLUCOSE LEVELS, INCREASING POSITIVE AWARENESS OF MENTAL HEALTH PROGRAMS, AND PROMOTING POSITIVE HEALTH BEHAVIORS. 14 1 - MARLBORO FAMILY PRACTICE AND URGENT CARE 957 CHERAW STREET BENNETTSVILLE SC 29512 PHYSICIAN PRACTICE - FAMILY PRACTICE 2 - MAXTON FAMILY PRACTICE CENTER 1001 W DR MARTIN LUTHER KING JR DRIVE MAXTON NC 28364 PHYSICIAN PRACTICE - FAMILY PRACTICE 3 - PEMBROKE FAMILY PRACTICE CENTER 410-D SOUTH JONES STREET PEMBROKE NC 28372 PHYSICIAN PRACTICE - FAMILY PRACTICE 4 - WOLONICK FAMILY PRACTICE CENTER 106 MCALPINE LANE LAURINBURG NC 28352 PHYSICIAN PRACTICE - FAMILY PRACTICE 5 - WAGRAM FAMILY PRACTICE CENTER 24420 MARLBORO STREET WAGRAM NC 28396 PHYSICIAN PRACTICE - FAMILY PRACTICE 6 - MARLBORO OBGYN 1007 CHERAW HIGHWAY BENNETTSVILLE SC 29512 PHYSICIAN PRACTICE - OB/GYN 7 - WOMENS CENTER OF THE CAROLINAS 105 MCALPINE LANE LAURINBURG NC 28352 PHYSICIAN PRACTICE - OB/GYN 8 - HARRIS FAMILY PRACTICE 700-A PROGRESS PLACE LAURINBURG NC 28352 PHYSICIAN PRACTICE - FAMILY PRACTICE 9 - WOMENS HEALTH OF THE CAROLINAS PEMBROKE 171 LIVERMORE DRIVE PEMBROKE NC 28372 PHYSICIAN PRACTICE - OB/GYN 10 - SCOTLAND URGENT CARE CENTER 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 PHYSICIAN PRACTICE - URGENT CARE 11 - LAURINBURG ENT 1705 BERWICK DRIVE 8 LAURINBURG NC 28353 PHYSICIAN PRACTICE - ENT 12 - LAURINBURG UROLOGY 521 LAUCHWOOD DRIVE LAURINBURG NC 28354 PHYSICIAN PRACTICE - UROLOGY 13 - SCOTLAND PULMONOLOGY AND SLEEP CLINIC 601 LAUCHWOOD DRIVE LAURINBURG NC 28355 PHYSICIAN PRACTICE - PULMONOLOGY/SLEEP 14 - SCOTLAND NEPHROLOGY 601 LAUCHWOOD DRIVE LAURINBURG NC 28356 PHYSICIAN PRACTICE - NEPHROLOGY PART II, COMMUNITY BUILDING ACTIVITIES: SCOTLAND MEMORIAL HOSPITAL PLAYS A VERY ACTIVE ROLE IN RECRUITING PHYSICIANS AND MID-LEVEL PROVIDERS TO SERVE THE PATIENTS IN OUR SERVICE AREA. SCOTLAND AND ROBERSON COUNTY, NC AND MARLBORO COUNTY, SC ROUTINELY HAVE SHORTAGES IN HEALTHCARE PROVIDERS. BY IT'S EFFORTS, THE HOSPITAL ENSURES A NETWORK OF PROVIDERS IS AVAILABLE FOR THE CARE OF THOSE IN NEED IN OUR RURAL SETTING. PART III, LINE 2: BAD DEBT EXPENSE REPORTED WAS CALCULATED BY APPLYING THE COST-TO-CHARGE RATIO TO GROSS CHARGES INCURRED THAT WERE DETERMINED TO BE UNCOLLECTIBLE, BUT FOR WHICH PATIENTS HAD NOT APPLIED FOR FINANCIAL ASSISTANCE. PART III, LINE 3: THE HOSPITAL TRACKS BAD DEBT CHARGES ASSOCIATED WITH PATIENTS THAT ARE UNDERINSURED OR UNINSURED. THE BAD DEBT AMOUNT ATTRIBUTABLE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE INCLUDE THE COSTS ASSOCATED WITH THOSE BAD DEBT CHARGES BEING TRACKED. PART III, LINE 8: PARTICIPATING IN THE MEDICARE PROGRAM QUALIFIES THE HOSPITAL FOR REIMBURSEMENT AT PREDETERMINED RATES FOR INPATIENT AND OUTPATIENT SERVICES. AS A CONDITION OF PARTICIPATION, THE HOSPITAL ACCEPTS PAYMENT FROM CMS (CENTERS FOR MEDICARE AND MEDICAID SERVICES), AND WRITES OFF THE DIFFERENCE BETWEEN THE AMOUNT PATIENT BILLED CHARGES AND MEDICARE PAYMENT. MEDICARE ALSO PAYS FOR CERTAIN "PASS-THROUGH" ITEMS, SUCH AS BAD DEBTS. TOTAL MEDICARE PAYMENTS DO NOT FULLY COVER THE COST OF PROVIDING SERVICES TO BENEFICIARIES. PART III, LINE 9B: THE ORGANIZATION HAS A BILLING AND COLLECTION POLICY WITH PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO HAVE OUTSTANDING BALANCES. A DETERMINATION HAS ALREADY BEEN MADE REGARDING FINANCIAL ASSISTANCE PRIOR TO THE COLLECTION PROCESS. ONLY PATIENTS THAT ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE ARE PURSUED. PART VI, LINE 2: SCOTLAND MEMORIAL IS A MEMBER OF CAROLINAS COASTAL HEALTH ALLIANCE, WHICH HAS PREPARED COMMUNITY ASSESMENTS FOR ITS MEMBER HOSPITALS AND THE COMMUNITIES SERVED. HEALTH CARE NEEDS ARE ASSESSED ALSO BE INTERACTION WITH THE PATIENTS, PHYSICIANS, OTHER HEALTH CARE PROVIDERS, AND RESIDENTS ON AN ON-GOING BASIS. ADDITIONALLY, COMMUNITY NEEDS ARE DETERMINED BASED ON TYPES OF PATIENTS SERVED AND FINANCIAL LEVEL OF FINANCIAL ASSISTANCE PROVIDED IN PRIOR YEARS. PART VI, LINE 3: PATIENTS AND THOSE BILLED FOR CARE MAY BE INFORMED ABOUT ASSISTANCE ELIGIBILITY AT THE TIME OF REGISTRATION, AT DISCHARGE, AT TIME OF BILLING, AND/OR IN DISCUSSION WITH THE HOSPITAL BILLING STAFF. SCOTLAND MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE FOR ACCESS BY PATIENTS AND THE PUBLIC ON THE WEBSITE AT WWW.SCOTLANDHEALTH.ORG. PART VI, LINE 4: ALTHOUGH SCOTLAND MEMORIAL HOSPITAL SERVES THE NORTH CAROLINA COUNTIES OF SCOTLAND AND ROBESON, AND THE SOUTH CAROLINA COUNTY OF MARLBORO, THE PRIMARY FOCUS OF THE COMMUNITY-BASED SURVEY WAS ON SCOTLAND COUNTY, NORTH CAROLINA. RECENT DATA REPORTS THAT SCOTLAND COUNTY IS ONE OF THE POOREST COUNTIES IN NORTH CAROLINA, USUALLY THE POOREST OR THE SECOND POOREST. THE MEDIAN HOUSEHOLD INCOME IS $39,866, WHICH IS SUBSTANTIALLY LOWER THAN THE STATE AND NATIONAL MEDIAN HOUSEHOLD INCOMES AND THERE ARE 24.4% OF RESIDENTS LIVING IN POVERTY. THE COUNTY'S JOB MARKET YIELDS AN UNEMPLOYMENT RATE 2022 OF 6.4% CONSIDERABLY HIGHER THAN THE STATE-WIDE AVERAGE OF 3.4%. WHILE OVER 33.7% OF AMERICANS HAD AT LEAST A BACHELOR'S DEGREE, ONLY 15.3% OF SCOTLAND COUNTY RESIDENTS HAD SUCH A DEGREE. ETHNICALLY, THE COUNTY IS COMPRISED OF 41.2% WHITE, 39% BLACK, 13.8% AMERICAN INDIAN AND 3.7% HISPANIC. PART VI, LINE 5: SCOTLAND MEMORIAL HOSPITAL FULFILLS ITS TAX EXEMPT PURPOSE BY THE PROVISION OF HEALTH CARE SERVICES WITHIN ITS SERVICE AREA TO PATIENTS WITH LITTLE OR NO RESOURCES TO PAY FOR CARE, AND BY THE ACCEPTANCE OF PAYMENTS FROM MEDICARE AND MEDICAID AT SUBSTANTIALLY REDUCED RATES. THE HOSPITAL'S BOARD IS COMPRISED OF UNRELATED LOCAL MEMBERS OF THE COMMUNITY AND LOCAL PHYSICIANS THAT HAVE PRIVILEDGES IN A MAJORITY OF THE HOSPITAL'S DEPARTMENTS. ALL EXCESS FUNDS ARE APPLIED TO PATIENT CARE THROUGH THE ANNUAL BUDGET PROCESS, WHEREBY ALL AVAILABLE FUNDS ARE ALLOCATED BASED ON NEEDS HIERARCHY. PART VI, LINE 6: AS THE LARGEST EMPLOYER IN SCOTLAND COUNTY, SCOTLAND MEMORIAL HOSPITAL TAKES A LEADERSHIP ROLE IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, AND IN THE COORDINATION OF STRATEGIES TO MEET THE IDENTIFIED NEEDS. PART VI, LINE 7, REPORTS FILED WITH STATES NC,SC 1 UNC PEMBROKE ATHLETICS PO BOX 1510 PEMBROKE NC 28372 566000805 115 114360 0 GENERAL SUPPORT 1 SCHOLARSHIPS 4 10366 PART I, LINE 2: SMH DID NOT ISSUE A GRANT BUT DID MAKE A DONATION. 1 X X X X 0 1 0 0 0 0 0 0 0 LINDA MITCHELL-FRYE MD PHYSICIAN 464939 0 204123 0 0 0 15968 0 21444 0 706474 0 0 0 SAMUEL CUMMINGS MD PHYSICIAN 429673 0 190203 0 0 0 16264 0 0 0 636140 0 0 0 MARK K LAVIGNE MD PHYSICIAN 425799 0 49834 0 0 0 15573 0 0 0 491206 0 0 0 LISA MANSUR MD PHYSICIAN 415382 0 28167 0 0 0 15041 0 21355 0 479945 0 0 0 ANTONIOS Z KARAMALEGOS MD PHYSICIAN 429038 0 13550 0 0 0 15573 0 13676 0 471837 0 0 0 SHELLY LOWERY MD VP AMB. PRACT., PHYS. NET 251482 0 85330 0 0 0 15194 0 11881 0 363887 0 0 0 DAVID POPE SR. VP/OPERATIONS, COO 208598 0 64904 0 0 0 13666 0 21444 0 308612 0 0 0 BEATRICE HOLT VP/PATIENT CARE SERVICES, 192954 0 59047 0 0 0 12524 0 6627 0 271152 0 0 0 KELVIN OXENDINE VP/ HUMAN RESOURCES 154156 0 35999 0 0 0 8350 0 11345 0 209850 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 A PUBLIC FINANCE AUTHORITY 273866124 74444KCT9 2021-06-30 43812137 FINANCING FOR THE COST OF ADDITIONAL HEALTH CARE FACILITIES 0 0 0 A 44307246 744600 43562646 0 0 0 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART III, LINE 3 OUR INPATIENT REHABILITATION WING IN THE HOSPITAL WAS USED FOR A COVID-19 WING DURING THE PANDEMIC. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS AND THE FINANCE COMMITTEE REVIEW THE TAX RETURNS BEFORE THEY ARE FILED. THE FINANCE COMMITTEE WILL REVIEW THE RETURNS AT THE END OF JULY. THE BOARD OF DIRECTORS REVIEW OF THE RETURNS IN AUGUST, 2022. OUR CFO REVIEWS KEY ELEMENTS OF THE RETURN WITH EACH GROUP. 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, CONDUCTING COMPENSATION BENCHMARK STUDY BY INDEPENDENT RECOGNIZED THIRD PARTY, AND REVIEW OF COMPENSATION BY ATRIUM HEALTH COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FINAL APPROVAL IS THEN MADE AND DOCUMENTED BY THE SCOTLAND HEALTH CARE SYSTEM BOARD OF TRUSTEES. COMPENSATION FOR OTHER HOSPITAL VICE PRESIDENTS IS DETERMINED BY PERFORMANCE EVALUATION BY CEO, COMPENSATION BENCHMARK STUDY BY INDEPENDENT RECOGNIZED THIRD PARTY, AND FINAL APPROVAL AND DOCUMENTATION BY THE SCOTLAND HEALTH CARE SYSTEM BOARD OF DIRECTORS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022 FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES ITS 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 THE FILING ORGANIZATION. THE COMPENSATION HAS BEEN REPORTED IN THE FILING ORGANIZATION'S COMPENSATION COLUMNS OF THESE SECTIONS. FORM 990, PART IX, LINE 11G CONSULTANT FEES: PROGRAM SERVICE EXPENSES 316,001. MANAGEMENT AND GENERAL EXPENSES 39,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 355,057. CONTRACT FEES: PROGRAM SERVICE EXPENSES 33,244,840. MANAGEMENT AND GENERAL EXPENSES 4,108,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,353,753. EQUIPMENT MAINTENANCE CONTRACT FEES: PROGRAM SERVICE EXPENSES 3,064,986. MANAGEMENT AND GENERAL EXPENSES 378,819. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,443,805. MEDICAL SPEC FEES: PROGRAM SERVICE EXPENSES 5,108,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,108,477. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,661,193. MANAGEMENT AND GENERAL EXPENSES 699,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,360,891. FORM 990, PART XI, LINE 9: PENSION PLAN ADJUSTMENT 13,621,213. TRANSFER TO AFFILIATES -5,423,485. HARRIS FAMILY PRACTICE ADJUSTMENTS OTHER CHANGE IN NET ASSETS WITHOUT DONOR RESTRICTIONS -1,015,500. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 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 HOSPICE OF SCOTLAND COUNTY INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 561468269 HEALTHCARE FOR TERMINALLY ILL PATIENTS NC 501(C)(3) LINE 7 SCOTLAND MEMORIAL HOSPITAL INC 0 SCOTLAND REGIONAL HEALTH NETWORK 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 272187756 OPERATES PHYSICIAN PRACTICES NC 501(C)(3) LINE 7 SCOTLAND HEALTH CARE SYSTEM INC 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0