2021-08-11T14:54:03-05:00 2020-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-10-01 560583151 SCOTLAND MEMORIAL HOSPITAL INC SCOT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 MATTHEW PRACHT SENIOR VP OF FINANCE 9102917920 2021-08-09 1 JOHN NORMAN P01506766 7049985200 2021-08-09 2019 2022-09-23 18:48:47Z MATTHEW PRACHT 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 211751088 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 1394 94 127906 0 552616 4769358 185406682 203038852 4852651 2883255 1386475 1016153 192198424 211707618 77541 25528 0 0 86366346 79057950 0 0 0 95415583 109670308 181859470 188753786 10338954 22953832 201520904 260782357 64430285 106299048 137090619 154483309 X TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE. 0 0 172740687 25528 203604494 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, 2020, THE HOSPITALRECORDED 20,554 ADULT AND PEDIATRIC PATIENT DAYS AND 1,081 INPATIENT REHABILITATION DAYS, WITH AN AVERAGE DAILY CENSUS OF 63.16. THE HOSPITAL PERFORMED OVER 4,500 INPATIENT AND OUTPATIENT SURGERIES. OVER 46,000EMERGENCY ROOM VISITS WERE LOGGED AND 820 BABIES WERE DELIVERED. WITH A STAFF OF APPROXIMATELY 1,300 EMPLOYEES, THE HOSPITAL RANKS AS THE AREA'S LARGEST EMPLOYER. 143 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 SIX 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 90,000 IN 2020 . 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 172740687 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 128 0 1394 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X MATT PRACHT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 X GREGORY C WOOD PRESIDENT/CEO NON-VOTING 40.00 X X 538164 0 49001 LINDA MITCHELL-FRYE MD PHYSICIAN/TOP 5 HIGHEST COMP 40.00 X 477457 0 37242 MARK K LAVIGNE MD PHYSICIAN/TOP 5 HIGHEST COMP 40.00 X 449443 0 6471 ANTONIOS Z KARAMALEGOS MD PHYSICIAN/TOP 5 HIGHEST COMP 40.00 X 438933 0 25785 CHI-DAI CHEN MD PHYSICIAN/TOP 5 HIGHEST COMP 40.00 X 322145 0 22751 YAA D OPPONG MD PHYSICIAN/TOP 5 HIGHEST COMP 40.00 X 331535 0 32116 GLENN HARRIS MD CHAIR, PHYSICIAN NETWORK LEADERSHIP COUNCIL 40.00 X 318940 0 60270 JOHN NOBLES MD BOARD MEMBER 1.00 X 309517 0 10826 SHELLY LOWERY MD VP AMBULATORY PRACTICES, PHYSICIANS NETWORK, CMO 40.00 X 282378 0 26545 MATTHEW D PRACHT CFO/VP FINANCE ASST. TREAS NON-BOT 35.00 X 279062 0 49507 CHERYL DAVIS MD VP/CMO 40.00 X 273251 0 45960 BEATRICE HOLT VP/PATIENT CARE SERVICES, CNO 40.00 X 208219 0 16294 ANN LOCKLEAR VP/ HUMAN RESOURCES 40.00 X 188102 0 21183 DAVID POPE SR. VP/OPERATIONS, COO 40.00 X 184198 0 27104 MARK HANSMAN MD CHIEF, MEDICAL STAFF 40.00 X X 80775 0 0 LYNN THOMPSON SECRETARY OF BOT NON BOT 2.00 X 54437 0 11478 DAVID HARLING CHAIR, BOT 2.00 X X 0 0 0 CHIP SHYTLE VICE-CHAIR, BOT 2.00 X X 0 0 0 MARK WARD TREASURER 2.00 X X 0 0 0 SCOTT ANDREWS BOARD MEMBER 1.00 X 0 0 0 SYBIL BULLARD BOARD MEMBER 1.00 X 0 0 0 BETTY HASTY 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 RAVONDA JOHN BOARD MEMBER 1.00 X 0 0 0 DOUGLAS NEDEROSTEK MD PAST CHIEF, MEDICAL STAFF 40.00 X 0 0 0 KEN NICHOLS BOARD MEMBER 1.00 X 0 0 0 JANE ROGERS PAST CHAIR, BOT 2.00 X 0 0 0 JESSICA SCOTT BOARD MEMBER 1.00 X 0 0 0 BRADLEY WILLIAMS BOARD MEMBER 1.00 X 0 0 0 4736556 0 442533 114 0 1 0 CAROLINAS HEALTHCARE SYSTEM 1000 BLYTHE BLVD CHARLOTTE NC 28203 MANAGEMENT SERVICES 3800286 LIBERTY ANESTHESIA PLLC 16101 CADDIE COURT WAGRAM NC 28396 PROFESSIONAL SERVICES 2395142 PRIVATE DIAGNOSTICS CLINIC PLLC 4825 CREEKSTONCE DRIVE STE 160 DURHAM NC 27703 DIAGNOSTIC SERVICES 1898132 FUSION MEDICAL STAFFING LLC PO BOX 82674 LINCOLN NE 68501 MEDICAL STAFFING SERVICES 845813 CROTHALL LAUNDRY SERVICES INC 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 LAUNDRY SERVICES 432473 19 3525418 1243940 4769358 NET PATIENT SERVICE RE 621500 191761356 191750430 10926 OTHER OPERATING REVENU 624100 11276346 11177345 99001 HOSPICE IT CONTRACT 624100 1150 1150 203038852 2525595 2525595 322605 0 322605 322605 322605 401130 0 43470 401130 -43470 357660 357660 CAFETERIA 722210 632437 614458 17979 MISCELLANEOUS REVENUE 900099 61111 61111 693548 211707618 203604494 127906 3205860 X 9528 9528 16000 16000 973123 973123 59119870 55300858 3819012 4637132 4260113 377019 10380746 9536746 844000 3947079 3626164 320915 2523338 2523338 144324 144324 185832 185832 116380 116380 31378779 29507580 1871199 588091 51582 536509 3201069 2725884 475185 490854 489704 1150 2310543 2038508 272035 375393 345876 29517 297407 297407 12758043 12758043 1072720 1072720 MEDICAL SUPPLIES 25604341 25604341 BAD DEBT EXPENSE 23737067 23737067 PROVIDER TAX 3328744 3328744 MISCELLANEOUS EXPENSE 1102950 930420 172530 454433 432146 22287 188753786 172740687 16013099 0 525126 295138 30492258 20833621 10906868 15062261 1789422 1788582 1255335 1192720 211551913 134087233 82529926 77464680 66438996 140826798 983475 1186452 3054593 2132105 3544905 0 201520904 260782357 21457341 30257419 33540974 4967204 4633904 38005740 37866751 64430285 106299048 X 136223026 153254467 867593 1228842 137090619 154483309 201520904 260782357 X 22953832 3142376 -8703518 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14826 14826 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. 2087017 2087017 107881264 71022665 36858599 5454629 3065105 2389524 93164628 59999463 33165165 2964375 2964375 77464680 CAPITAL LEASE OBLIGATIONS 5272 ACCRUED INTEREST PAYABLE 134325 ESTIMATED 3RD PARTY SETTLEMENTS 9479593 PENSION PLAN LIABILITY 26543670 RELATED PARTY PAYABLES 1703891 37866751 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. 1 1 X 1 X 1 X 0 1 0 0 1 1 2916677 2916677 0.01760 20275637 18156891 2118746 0.01280 23192314 18156891 5035423 0.03040 23192314 18156891 5035423 0.03040 1 5630723 28224173 31235478 -3011305 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 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. PART V, SECTION B, LINE 16A HTTPS://WWW.SCOTLANDHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-AND-STANDARD-CHARGES PART V, SECTION B, LINE 16B HTTPS://WWW.SCOTLANDHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-AND-STANDARD-CHARGES PART V, SECTION B, LINE 16C HTTPS://WWW.SCOTLANDHEALTH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE-AND-STANDARD-CHARGES PART V, SECTION B, LINE 7A HTTPS://WWW.SCOTLANDHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 10 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 - WAGRAM FAMILY PRACTICE CENTER 24420 MARLBORO STREET WAGRAM NC 28396 PHYSICIAN PRACTICE - FAMILY PRACTICE 5 - WOLONICK FAMILY PRACTICE CENTER 106 MCALPINE LANE LAURINBURG NC 28352 PHYSICIAN PRACTICE - FAMILY PRACTICE 6 - MARLBORO SURGICAL ASSOCIATES 957 CHERAW STREET BENNETTSVILLE SC 29512 PHYSICIAN PRACTICE - GENERAL SURGERY 7 - MARLBORO OBGYN 1007 CHERAW HIGHWAY BENNETTSVILLE SC 29512 PHYSICIAN PRACTICE - OB/GYN 8 - WOMENS HEALTH CENTER OF THE CAROLINAS 105 MCALPINE LANE LAURINBURG NC 28352 PHYSICIAN PRACTICE - OB/GYN 9 - HARRIS FAMILY PRACTICE 700-A PROGRESS PLACE LAURINBURG NC 28352 PHYSICIAN PRACTICE - FAMILY PRACTICE 10 - WOMENS HEALTH OF THE CAROLINAS PEMBROKE 171 LIVERMORE DRIVE PEMBROKE NC 28372 PHYSICIAN PRACTICE - OB/GYN PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 23,461,345. 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 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 $37,238, WHICH IS SUBSTANTIALLY LOWER THAN THE STATE AND NATINAL MEDIAN HOUSEHOLD INCOMES AND THERE ARE 28.5% OF RESIDENTS LIVING IN POVERTY. THE COUNTY'S JOB MARKET YIELDS AN UNEMPLOYMENT RATE FOR APRIL 2021 OF 8.9% CONSIDERABLY HIGHER THAN THE STATE-WIDE AVERAGE OF 5.0%. WHILE OVER 35% OF AMERICANS HAD AT LEAST A BACHELOR'S DEGREE, ONLY 15.5% OF SCOTLAND COUNTY RESIDENTS HAD SUCH A DEGREE. ETHNICALLY, THE COUNTY IS COMPRISED OF 44.6% WHITE, 38.9% BLACK, 12.8% AMERICAN INDIAN AND 3.3% 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 0 SOUTHEASTERN PARTNERSHIP INC PO BOX 2556 ELIZABETHTOWN NC 28337 561911431 501(C)(6) 5000 GENERAL SUPPORT 0 1 SCHOLARSHIPS 8 16000 1 X X X X 0 1 0 0 0 0 0 0 0 GREGORY C WOOD PRESIDENT/CEO NON-VOTING 357456 0 149006 0 31702 0 21040 0 27961 0 587165 0 0 0 LINDA MITCHELL-FRYE MD PHYSICIAN/TOP 5 HIGHEST COMP 424800 0 52657 0 0 0 10726 0 26516 0 514699 0 0 0 MARK K LAVIGNE MD PHYSICIAN/TOP 5 HIGHEST COMP 377300 0 72143 0 0 0 6471 0 0 0 455914 0 0 0 ANTONIOS Z KARAMALEGOS MD PHYSICIAN/TOP 5 HIGHEST COMP 407733 0 31200 0 0 0 7931 0 17854 0 464718 0 0 0 CHI-DAI CHEN MD PHYSICIAN/TOP 5 HIGHEST COMP 292624 0 29521 0 0 0 10889 0 11862 0 344896 0 0 0 YAA D OPPONG MD PHYSICIAN/TOP 5 HIGHEST COMP 310535 0 21000 0 0 0 5600 0 26516 0 363651 0 0 0 GLENN HARRIS MD CHAIR, PHYSICIAN NETWORK LEADERSHIP 220290 0 98650 0 0 0 37000 0 23270 0 379210 0 0 0 JOHN NOBLES MD BOARD MEMBER 309517 0 0 0 0 0 10826 0 0 0 320343 0 0 0 SHELLY LOWERY MD VP AMBULATORY PRACTICES, PHYSICIANS 176529 0 105849 0 0 0 10777 0 15768 0 308923 0 0 0 MATTHEW D PRACHT CFO/VP FINANCE ASST. TREAS NON-BOT 204332 0 65019 0 9711 0 22400 0 27107 0 328569 0 0 0 CHERYL DAVIS MD VP/CMO 225099 0 46792 0 1360 0 18787 0 27173 0 319211 0 757 0 BEATRICE HOLT VP/PATIENT CARE SERVICES, CNO 206290 0 1929 0 0 0 6594 0 9700 0 224513 0 0 0 ANN LOCKLEAR VP/ HUMAN RESOURCES 186292 0 1810 0 0 0 3136 0 18047 0 209285 0 0 0 DAVID POPE SR. VP/OPERATIONS, COO 183009 0 1189 0 0 0 0 0 27104 0 211302 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 $63,375 MATTHEW PRACHT $34,125 FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE APRIL 1, 2009, SCOTLAND HEALTH CARE SYSTEM IS ENGAGED IN A TEN-YEAR MANAGEMENT SERVICE AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM, SUBSEQUENTLY RENAMED ATRIUM HEALTH, TO MANAGE THE CORPORATION ON A DAY-TO-DAY BASIS. THE MSA HAS BEEN SUBSEQUENTLY AMENDED TO EXTEND THE INITIAL TERM UNTIL MARCH 31, 2026. 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, 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. 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 EQUIPMENT MAINTENANCE CONTRACT FEES: PROGRAM SERVICE EXPENSES 4,145,687. MANAGEMENT AND GENERAL EXPENSES 11,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,156,743. CONSULTANT FEES: PROGRAM SERVICE EXPENSES 256,227. MANAGEMENT AND GENERAL EXPENSES 259,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,727. CONTRACT FEES: PROGRAM SERVICE EXPENSES 12,887,020. MANAGEMENT AND GENERAL EXPENSES 50,130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,937,150. MEDICAL SPEC FEES: PROGRAM SERVICE EXPENSES 5,745,329. MANAGEMENT AND GENERAL EXPENSES 37,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,783,299. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,473,317. MANAGEMENT AND GENERAL EXPENSES 1,512,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,985,860. FORM 990, PART XI, LINE 9: PENSION PLAN ADJUSTMENT -3,195,472. TRANSFER TO AFFILIATES -5,649,529. MISCELLANEOUS ADJUSTMENT TO NET ASSETS 141,483. 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 SCOTLAND REGIONAL HEALTH NETWORK R 5649529 FMV