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      <OtherAssetsOrgGrp>
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        <BookValueAmt>56056770</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Pension Plan Asset</Desc>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CAPITALIZED INTEREST</Desc>
        <BookValueAmt>432320</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>56489090</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>serp liability</Desc>
        <Amt>3267294</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>accrued interest payable</Desc>
        <Amt>739961</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>estimated 3rd party settlements</Desc>
        <Amt>14160190</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>cares act liability</Desc>
        <Amt>1088633</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>intercompany payables</Desc>
        <Amt>531897</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>19787975</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>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 joint venture is treated as a partnership and as such, the income flows through to the owners. The Corporation has determined that it does not have any material unrecognized tax benefits or obligations as of September 30, 2024 and 2023.</ExplanationTxt>
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    </IRS990ScheduleD>
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      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>false</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <TotalExpensePct>0.0088</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
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      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
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        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SCOTLAND MEMORIAL HOSPITAL, INC.. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
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      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - SCOTLAND MEMORIAL HOSPITAL, INC.. 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, hyperlipidemia, elevated glucose levels, increasing positive awareness of mental health programs, and promoting positive health behaviors.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>14</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
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          </BusinessName>
          <USAddress>
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            <CityNm>BENNETTSVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29512</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MAXTON FAMILY PRACTICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1001 W DR MARTIN LUTHER KING JR</AddressLine1Txt>
            <CityNm>MAXTON</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28364</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PEMBROKE FAMILY PRACTICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>410-D SOUTH JONES STREET</AddressLine1Txt>
            <CityNm>PEMBROKE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28372</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WAGRAM FAMILY PRACTICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>24420 MARLBORO STREET</AddressLine1Txt>
            <CityNm>WAGRAM</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28396</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOLONICK FAMILY PRACTICE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>106 MCALPINE LANE</AddressLine1Txt>
            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28352</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>MARLBORO OBGYN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1007 CHERAW HIGHWAY</AddressLine1Txt>
            <CityNm>BENNETTSVILLE</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29512</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
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          </BusinessName>
          <USAddress>
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            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
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          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HARRIS FAMILY PRACTICE</BusinessNameLine1Txt>
          </BusinessName>
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            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28352</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-FAMILY PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WOMENS HEALTH OF THE CAROLINAS PEMBROKE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>171 LIVERMORE DRIVE</AddressLine1Txt>
            <CityNm>PEMBROKE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28372</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SCOTLAND URGENT CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>500 LAUCHWOOD DRIVE</AddressLine1Txt>
            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28352</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LAURINBURG ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1705 BERWICK DRIVE 8</AddressLine1Txt>
            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28353</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-ENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>LAURINBURG UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>521 LAUCHWOOD DRIVE</AddressLine1Txt>
            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28354</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SCOTLAND PULMONOLOGY AND SLEEP CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>601 LAUCHWOOD DRIVE</AddressLine1Txt>
            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28355</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-PULMONOLOGY/SLEEP</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SCOTLAND NEPHROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>601 LAUCHWOOD DRIVE</AddressLine1Txt>
            <CityNm>LAURINBURG</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28356</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN PRACTICE-NEPHROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>26014830</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SCOTLAND MEMORIAL HOSPITAL, INC.: Line 16a URL: https://www.scotlandhealth.org/patients-visitors/financial-assistance-and-standard-charges;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SCOTLAND MEMORIAL HOSPITAL, INC.: Line 16b URL: https://www.scotlandhealth.org/patients-visitors/financial-assistance-and-standard-charges;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- SCOTLAND MEMORIAL HOSPITAL, INC.: Line 16c URL: https://www.scotlandhealth.org/patients-visitors/financial-assistance-and-standard-charges;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>SCOTLAND MEMORIAL IS A MEMBER OF CAROLINAS COASTAL HEALTH ALLIANCE, WHICH HAS PREPARED COMMUNITY HEALTH ASSESSMENTS FOR ITS MEMBER HOSPITALS AND THE COMMUNITIES SERVED. HEALTH CARE NEEDS ARE ASSESSED ALSO BY INTERACTION WITH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS AND THOSE BILLED FOR CARE MAY BE INFORMED ABOUT ASSISTANCE ELIGIBILITY AT TIME OF REGISTRATION, AT DISCHARGE, AT TIME OF BILLING, AND/OR IN DISCUSSION WITH 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/aboutus/community-health-needs-assessment.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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 $43,500, WHICH IS SUBSTANTIALLY LOWER THAN THE STATE AND NATIONAL MEDIAN HOUSEHOLD INCOMES AND THERE ARE 28.6% OF RESIDENTS LIVING IN POVERTY. THE COUNTY'S JOB MARKET YIELDS AN UNEMPLOYMENT RATE October 2024 OF 5.9% CONSIDERABLY HIGHER THAN THE STATE-WIDE AVERAGE OF 3.6%. WHILE OVER 35.0% OF AMERICANS HAD AT LEAST A BACHELOR'S DEGREE, ONLY 14.8% OF SCOTLAND COUNTY RESIDENTS HAD SUCH A DEGREE. ETHNICALLY, THE COUNTY IS COMPRISED OF 40.5% WHITE, 39.5% BLACK, 13.2% AMERICAN INDIAN AND 4.3% HISPANIC.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>553903</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lisa Mansur</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>352171</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>56643</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32626</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>457190</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>Kelvin Oxendine, former VP of HR received a severance payment of $57,966.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a SERP Plan in Place for Officers of the Organization. No deferrals were made during the fiscal year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Compensation from unrelated Organization</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's CEO &amp; CFO are compensated by Atrium Health an unrelated organization for services provided to Scotland Health Care System and its related organizations. This compensation has been reported in the compensation paid by filing Organization column for Part VII and row for Schedule J.</ExplanationTxt>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>PUBLIC FINANCE AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>273866124</BondIssuerEIN>
        <CUSIPNum>74444KCT9</CUSIPNum>
        <BondIssuedDt>2021-06-30</BondIssuedDt>
        <IssuePriceAmt>43812137</IssuePriceAmt>
        <PurposeDesc>FINANCING FOR THE COST OF ADDITIONAL HEALTH CARE FACILITIES</PurposeDesc>
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        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1412174</RetiredAmt>
        <TotalProceedsAmt>46571079</TotalProceedsAmt>
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        <CapitalExpendituresAmt>43562646</CapitalExpendituresAmt>
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        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
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        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Total proceeds includes earnings of $2,263,833.</ExplanationTxt>
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    </IRS990ScheduleK>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Flora McCook</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Family of Board Member Guy McCook</RelationshipDescriptionTxt>
        <TransactionAmt>69006</TransactionAmt>
        <TransactionDesc>Compensation - Business Development Rep, Marketing</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>SCOTLAND MEMORIAL HOSPITAL, INC., LOCATED IN THE CITY OF LAURINBURG, SCOTLAND COUNTY, NORTH CAROLINA IS A NOT-FOR-PROFIT, 501(c)(3), COMMUNITY OWNED HOSPITAL GOVERNED BY A LOCAL BOARD OF TRUSTEES. THE HOSPITAL IS A SUBSIDIARY OF SCOTLAND HEALTH CARE SYSTEM, A NOT-FOR-PROFIT, 501(c)(3) CORPORATION, WHICH ALSO INCLUDES SCOTLAND MEMORIAL FOUNDATION, HOSPICE OF SCOTLAND COUNTY, AND SCOTLAND FAMILY COUNSELING CENTER. 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 WELL-BEING OF THE CITIZENS IN OUR REGION." THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT SERVICES, INCLUDING INTENSIVE CARE AND INPATIENT REHABILITATION. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2024, THE HOSPITAL RECORDED 22,893 ADULT AND PEDIATRIC PATIENT DAYS WITH AN AVERAGE DAILY CENSUS OF 62.5. THE HOSPITAL PERFORMED OVER 4,900 INPATIENT AND OUTPATIENT SURGERIES. OVER 47,600 EMERGENCY ROOM VISITS WERE LOGGED AND 832 BABIES WERE DELIVERED. WITH A STAFF OF APPROXIMATELY 1,400 EMPLOYEES, THE HOSPITAL RANKS AS THE AREA'S LARGEST EMPLOYER. APPROXIMATELY 170 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 HIP AND KNEE SURGERY, INTENSITY-MODULATED RADIATION THERAPY, AND LITHOTRIPSY. THE HOSPITAL OPERATES FOURTEEN FREESTANDING PHYSICIAN PRACTICES, SEVEN OF WHICH ARE RURAL HEALTH CLINICS, AND AN OCCUPATIONAL HEALTH CLINIC, ALL LOCATED WITHIN A 30-MILE RADIUS OF THE HOSPITAL. TOTAL VISITS AT THESE PRACTICES WERE APPROXIMATELY 167,000 IN FY24. 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 partners with various local organizations and agencies to meet the needs of our community. Additionally, we sponsor numerous charitable events, such as fund drives for the United Way and the Scotland Memorial Hospital INC 56-0583151 American Cancer Society Relay for Life, with many hospital employees participating in the initiative. Middle and High School students can access free annual sports physicals, and, for those interested in a medical career, job shadowing opportunities with hospital employees. Hospital staff also assist in spreading health-related knowledge through speaking at local job fairs, career days, and health fairs. A variety of preventive health education programs are available to the community and local industry, many of which are offered at no charge. Annually we sponsor men's and women's health events, a diabetic health fair, a teen mental health fair and other health-related events that include local physicians and educators as keynote speakers. We also provide numerous opportunities for hands-only CPR training and screenings for blood pressure, cholesterol, diabetes, and prostate cancer. As a part of our effort to reach underserved populations we utilize two mobile health units to visit local schools, businesses, agencies, and other areas and recently we have added a mobile mammography bus to reach underserved women. Some additional examples of health events and programs offered to the community not mentioned above are: * Physical exams for those participating in the Special Olympics * Maternal Health Program * Diabetes support group * Congestive Heart Failure support group * Alzheimer's support group *CANCER SURVIVORS DAY IS SPONSORED FOR PATIENTS AND GUESTS, INVITING PARTICIPATATION IN AN ANNUAL NATIONAL CELEBRATION OF LIFE. * Scotland Cancer Treatment Center hosts a monthly oncology nutrition class for all oncology patients. A registered dietician teaches this class and teaches on topics related to nutrition before, during, and after cancer treatment. 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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, a market review, and a COMPENSATION BENCHMARK STUDY BY an INDEPENDENT RECOGNIZED THIRD PARTY. The CEO, in consultation with the CFO and CHRO, makes the final decision and gives approval for the Vice President salaries. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN DECEMBER 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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 WILL REVIEW THE RETURNS IN AUGUST, 2025. OUR CFO REVIEWS KEY ELEMENTS OF THE RETURN WITH EACH GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES TO REVIEW AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18 How forms are made available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>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 TO THE CFO/COO OR BY CONTACTING THE GENERAL ACCOUNTING DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A FORM 990, PART VII &amp; SCHEDULE J</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING FEES - Total Expense: 761125, Program Service Expense: 677402, Management and General Expenses: 83723, Fundraising Expenses: ; CONTRACT FEES - Total Expense: 32587755, Program Service Expense: 29003102, Management and General Expenses: 3584653, Fundraising Expenses: ; MEDICAL SPEC FEES - Total Expense: 6027832, Program Service Expense: 6027832, Management and General Expenses: , Fundraising Expenses: ; EQUIPMENT MAINTENANCE FEES - Total Expense: 2931568, Program Service Expense: 2609095, Management and General Expenses: 322473, Fundraising Expenses: ; OTHER PROFESSIONAL FEES - Total Expense: 8955640, Program Service Expense: 7970520, Management and General Expenses: 985120, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension Plan Adjustment - 446046; Equity Transfer to Affiliate - -7686297;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
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    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SCOTLAND HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>500 LAUCHWOOD DRIVE</AddressLine1Txt>
          <CityNm>LAURINBURG</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28352</ZIPCd>
        </USAddress>
        <EIN>581847657</EIN>
        <PrimaryActivitiesTxt>OPERATE FOR THE BENEFIT OF, PERFORM FUNCTIONS, AND CARRY OUT PURPOSES OF SMH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SCOTLAND MEMORIAL FOUNDATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 LAUCHWOOD DRIVE</AddressLine1Txt>
          <CityNm>LAURINBURG</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28352</ZIPCd>
        </USAddress>
        <EIN>581828201</EIN>
        <PrimaryActivitiesTxt>CONDUCT FUNDRAISING ACTIVITIES FOR SCOTLAND HEALTH CARE SYSTEM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SCOTLAND HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>HOSPICE OF SCOTLAND COUNTY INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>610 E LAUCHWOOD DRIVE</AddressLine1Txt>
          <CityNm>LAURINBURG</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28352</ZIPCd>
        </USAddress>
        <EIN>561468269</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE FOR TERMINALLY ILL PATIENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>SCOTLAND HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SCOTLAND REGIONAL HEALTH NETWORK</BusinessNameLine1Txt>
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          <AddressLine1Txt>500 LAUCHWOOD DRIVE</AddressLine1Txt>
          <CityNm>lAURINBURG</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28352</ZIPCd>
        </USAddress>
        <EIN>272187756</EIN>
        <PrimaryActivitiesTxt>OPERATES PHYSICIAN PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SCOTLAND HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Scotland Family Counseling Center Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>601-B Lauchwood Drive</AddressLine1Txt>
          <CityNm>LauRINBURG</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28352</ZIPCd>
        </USAddress>
        <EIN>272848608</EIN>
        <PrimaryActivitiesTxt>Family Counseling</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>sCOTLAND HEALTH CARE SYSTEM INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Cardiovascular Center of Scotland County LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>PO Box 3000</AddressLine1Txt>
          <CityNm>Pinehurst</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28734</ZIPCd>
        </USAddress>
        <EIN>262335801</EIN>
        <PrimaryActivitiesTxt>Cardiovascular Service - Patient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <ShareOfEOYAssetsAmt>853967</ShareOfEOYAssetsAmt>
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      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>