2018-08-10T15:30:07-05:00 2017-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-10-01 560583151 SCOTLAND MEMORIAL HOSPITAL INC SCOT 9102917920 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 MATT PRACHT CFO 9102917920 2018-08-10 1 Amy Bibby P00445891 8282542254 2018-08-07 2016 2022-09-23 18:48:47Z MATT PRACHT 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 171842697 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. 24 18 1161 120 0 0 795923 907460 156738444 168117662 763053 1616056 1000640 983966 159298060 171625144 18613 46908 0 0 65766270 70688981 0 0 0 81134630 79969431 146919513 150705320 12378547 20919824 166993972 187772277 65319865 60921968 101674107 126850309 TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE. 0 0 131028131 46908 168117662 SEE SCHEDULE O 131028131 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 162 0 1 1161 1 1 1 0 0 0 0 0 0 0 0 0 X 24 18 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X MELINDA BRISSON 9102917393 500 LAUCHWOOD DR LAURINBURG NC 28352 X Gregory C Wood CEO/PRESIDENT 37.00 3.00 X X 388731 0 67759 Matthew D Pracht CFO/VP FINANCE/ASST. TREAS 35.00 5.00 X X 234342 0 56706 Jane Rogers CHAIR 2.00 3.00 X 0 0 0 David Harling VICE CHAIR 2.00 X 0 0 0 Chip Shytle TREASURER 2.00 2.00 X 0 0 0 Stephen Lanuti MD TRUSTEE 1.00 2.00 X 83924 0 0 Doug Nederostek MD TRUSTEE/Physician 1.00 2.00 X 37880 0 0 Richard Alexander MD TRUSTEE/Physician 1.00 2.00 X 150292 0 0 Tim Brooks TRUSTEE 1.00 2.00 X 0 0 0 Kyle Chavis TRUSTEE 1.00 3.00 X 0 0 0 Ray Chavis DDS TRUSTEE 1.00 2.00 X 0 0 0 Milton Farmer TRUSTEE 1.00 2.00 X 0 0 0 Brad Faulkenberry MD TRUSTEE 1.00 2.00 X 0 0 0 Betty Hasty TRUSTEE 1.00 3.00 X 0 0 0 Bobby Hinson TRUSTEE 1.00 2.00 X 0 0 0 Becca Hughes TRUSTEE 1.00 3.00 X 0 0 0 Charles Jenkins TRUSTEE 1.00 2.00 X 0 0 0 Joshua Malcolm TRUSTEE 1.00 2.00 X 0 0 0 Allen McLaurin TRUSTEE 1.00 2.00 X 0 0 0 Jeff Mercer TRUSTEE 1.00 8.00 X 0 0 0 Ken Nichols TRUSTEE 1.00 8.00 X 0 0 0 John Nobles MD TRUSTEE/Physician 1.00 2.00 X 355753 0 57925 Michael O'Donnell MD TRUSTEE 1.00 3.00 X 1150 0 0 Donna Richardson MD TRUSTEE 1.00 X 0 0 0 Cam Stone TRUSTEE 1.00 X 0 0 0 Mike Vinson TRUSTEE 1.00 1.00 X 0 0 0 Nancy Walker TRUSTEE 1.00 42.00 X 0 0 0 Lynn Thompson SECRETARY 1.00 2.00 X 15840 0 5861 Pat Phillips SVP OPERATIONS 40.00 X 214835 0 45177 Gray Mills VP STRATEGIC DEVELOPMENT 40.00 X 173454 0 43783 Cheryl Davis MD VP MEDIAL AFFAIRS 40.00 X 251364 0 41477 Linda Mitchell-Frye MD PHYSICIAN 40.00 X 456813 0 71166 Chi-Dai Chen MD PHYSICIAN 40.00 X 371671 0 49937 Patricia Middleton MD PHYSICIAN 40.00 X 236637 0 51044 Jonathan Rowson MD PHYSICIAN 40.00 X 232451 0 56635 Ann Locklear VP HUMAN RESOURSES 40.00 X 162246 0 48282 3367383 0 595752 41 0 1 0 Liberty Anesthesia PLLC 16101 Caddie Court Wagram NC 28396 Medical services 2256996 The Purcell Clinic PA 418 King Street Laurinburg NC 28352 Medical services 300000 Armstrong & Weinstein LLC One Dunwoody Park Atlanta GA 30338 Billing/Collection services 288233 J & M Lawncare & Pressure Washing Inc 8680 Ashton Drive Laurinburg NC 28352 Lawn care services 260798 Ralph E Carter III MD 201 Sterling Lane Laurinburg NC 28352 Medical services 174300 13 907460 907460 Net Patient Service Revenue 621500 165292138 165292138 Other Operating Revenue 624100 2742404 2742404 MOB 900099 65000 65000 MEANINGFUL USE REVENUE 900099 14968 14968 Hospice IT Contract 624100 3152 3152 168117662 1690542 1690542 398309 0 398309 398309 398309 143067 0 217553 143067 -217553 -74486 -74486 Cafeteria 722210 585030 585030 Purchase Discounts 900099 627 627 585657 171625144 168117662 0 2600022 X 22600 22600 24308 24308 1966802 484948 1481854 52164905 47085928 5078977 4221785 3689651 532134 9062045 7919822 1142223 3273444 2860844 412600 1461732 1461732 477081 477081 161058 161058 84860 84860 18675551 15493481 3182070 594893 44828 550065 5287818 4642191 645627 323167 319225 3942 2224005 2027553 196452 400091 301024 99067 51362 4942 46420 419128 419128 7514138 7514138 904829 904829 BAD DEBT 20301914 20301914 Medical Supplies 17081919 17081919 Provider Tax 3216198 3216198 MISCELLANEOUS EXPENSE 569206 569206 220481 220481 150705320 131028131 19677189 0 46521 46572 50012127 60552845 10555988 10042681 1370456 1676885 1379165 1617987 160698613 106247768 53133921 54450845 46005787 56406997 713380 575018 535262 600262 16695 3224670 1802185 166993972 187772277 16173379 17072248 6040275 5573939 20045 43086166 38275781 65319865 60921968 X 100626697 125732833 1047410 1117476 101674107 126850309 166993972 187772277 X 20919824 4022986 233392 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 8565 8565 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. 1825397 1825397 87782843 61336340 26446503 4615360 3224882 1390478 59660611 41686546 17974065 6814402 6814402 54450845 Capital Lease Obligations 2469083 Accrued Interest Payable 161975 Estimated 3rd Party Settlements 13208805 Pension Plan Liability 22435918 38275781 X 155603729 4022986 4022986 151580743 84860 19959541 20044401 171625144 130427527 0 130427527 84860 20192933 20277793 150705320 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, 2017. Part XI, Line 4b - Other Adjustments: BAD DEBT EXPENSE 20,301,914. TRANSFER OF EQUITY 4,932,590. PENSION PLAN ADJUSTMENT -5,165,982. LOSS ON SALE OF ASSETS -217,553. GRANTS INCLUDED IN REVENUE 22,600. EXPENSE INCLUDED IN REVENUE 85,972. Part XII, Line 4b - Other Adjustments: BAD DEBT EXPENSE 20,301,914. LOSS ON SALE OF ASSETS -217,553. GRANTS INCLUDED IN REVENUE 22,600. EXPENSE INCLUDED IN REVEUNE 85,972. 1 1 1 X 1 X 1 1 1 0 1 1 2945051 2945051 0.02260 25691665 25965547 0 0.00000 28636716 25965547 2945051 0.02260 144435 560069 0 0.00000 144435 560069 0 0.00000 28781151 26525616 2945051 0.02260 1 4925866 3842176 53442160 45171580 8270580 X 1 1 1 SCOTLAND MOB INC MEDICAL OFFICE BUILDING 0.73170 0.26830 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 16 1 0 0 1 X SEE DISCLOSURE X 1 15 1 SEE DISCLOSURE 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X 1 X SEE PART V X SEE PART V X http://www.scotlandhealth.org/financial-assistance-148 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. These included: Scotland Health Care System Board of Trustees, Scotland County Health Department Health Educator, Environmental Health Coordinator, Breastfeeding Programs Manager, Quality Assurance Coordinator, Director of Nursing, and Health Director. Scotland Health Care System Coordinator of Mobile Services, Industrial Business RN, Director of Scotland Physicians Network, Asst. Director of Associate Health, Scotland Memorial Foundation Grant Writer, Scotland Memorial Foundation Director, Marketing Coordinator; Scotland County School System Social Work/Facilitator, RN Lead Nurse; Scotland Commnity Health Clinic Director; Scotland County Parks and Recreation Director; 2 Community members. SCOTLAND MEMORIAL HOSPITAL, INC. Part V, Section B, Line 11: The top priority addressed in this CHNA was identified as hypertension. The objectives to addressing this need include: increasing public education, implementing blood pressure screening and care protocols into current community benefit-related programs, and participating with current community efforts that are taking a policy, systems, and environmental approach. The other risk factors that were identified include: diabetes and heart disease. These other risk factors are being addressed by other agencies in the area. Also, addressing this top priority of hypertension will also help with the other factors identified. PART V, SECTION B, LINE 16B: http://www.scotlandhealth.org/documents/SMH%20Financial%20Assistance%20Hardship%20Settlement%20Application2.pdf PART V, SECTION B, LINE 16A: http://www.scotlandhealth.org/documents/Financial%20Assistance/Financial%20Assistance%20Policy_2016.docx PART V, SECTION B, LINE 16C: http://www.scotlandhealth.org/documents/Financial%20Assistance/Plain%20Language%20Summary2016.docx PART V, SECTION B, LINE 7A: http://www.scotlandhealth.org/documents/Community%20Health%20Needs%20Assessment%202016.pdf 8 1 - Marlboro Family Practice and Urgent Care 957 Cheraw Street BENNETTSVILLE SC 29512 PHYSICIAN PRACTICE-FAMILY PRACTICE 2 - MAXTON FAMILY PRACTICE 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 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 OF THE CAROLINAS 105 MCALPINE LANE LAURINBURG NC 28352 PHYSICIAN PRACTICE-OB/GYN Part I, Line 7g: CARDIAC REHABILITATION AND PULMONARY REHABILITATION SERVICES ARE PROVIDED BY THE HOSPITAL TO ALLOW PATIENTS TO ACCESS MAINTENANCE SESSIONS WITHOUT TRAVELING LONG DISTANCES. PATIENTS ARE CHARGED NOMINAL AMOUNTS AS INSURANCES DO NOT ROUTINELY COVER THE CARE. THEREFORE, THE COSTS THAT EXCEED PATIENT PAYMENTS ARE PROVIDED BY THE HOSPITAL AS A COMMUNITY BENEFIT. 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 $ 20,301,914. 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 ROBESON COUNTY, NC AND MARLBORO COUNTY, SC ROUTINELY HAVE SHORTAGES IN HEALTHCARE PROVIDERS. BY ITS EFFORTS, THE HOSPITAL ENSURES A NETWORK OF PROVIDERS IS AVAILABLE FOR THE CARE OF THOSE IN NEED OUR RURAL SETTING. Part III, Line 4: THE ANDI METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN NCHA COMMUNITY BENEFITS GUIDELINES WAS USED.Scotland County has the highest unemployment rate (6.9% at the end of 2017) in the State of North Carolina.Payor mix is 21% Medicaid and 45% Medicare for FY 2017.It is fairly safe to assume that the 7% unemployed plus another 9% for Medicare/Medicaid would qualify for charity, if these patients were to complete the application process. 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 ASSITANCE 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 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. Part VI, Line 3: 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. 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. 2015 census data reports that Scotland County is the poorest county in North Carolina, with a median household income of $30,958 and with 29% of people living in poverty, substantially lower than the state and national median household incomes. The county's job market is particularly weak, with an unemployment rate of 9.8% in 2015, nearly double the national rate. While over 33% of Americans had at least a bachelor's degree in 2015, only 15.8% of Scotland County residents had such a degree. Ethnically, the county is comprised of 45.7% White, 39.1% Black, 11.8% American Indian, and 2.9% 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 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 SHOLARSHIPS 16 24308 X X X X 0 1 0 0 0 0 0 0 0 Gregory C Wood CEO/PRESIDENT 273137 0 87635 0 27959 0 34781 0 32978 0 456490 0 0 0 Matthew D Pracht CFO/VP FINANCE/ASST. TREAS 187985 0 43092 0 3265 0 33479 0 23227 0 291048 0 0 0 Richard Alexander MD TRUSTEE/Physician 44149 0 0 0 106143 0 0 0 0 0 150292 0 0 0 John Nobles MD TRUSTEE/Physician 340036 0 15717 0 0 0 15784 0 42141 0 413678 0 0 0 Pat Phillips SVP OPERATIONS 173587 0 41248 0 0 0 3616 0 41561 0 260012 0 0 0 Gray Mills VP STRATEGIC DEVELOPMENT 142274 0 31180 0 0 0 9736 0 34047 0 217237 0 0 0 Cheryl Davis MD VP MEDIAL AFFAIRS 212852 0 37937 0 575 0 18375 0 23102 0 292841 0 0 0 Linda Mitchell-Frye MD PHYSICIAN 441228 0 15585 0 0 0 2425 0 68741 0 527979 0 0 0 Chi-Dai Chen MD PHYSICIAN 299320 0 0 0 72351 0 2089 0 47848 0 421608 0 0 0 Patricia Middleton MD PHYSICIAN 236637 0 0 0 0 0 13681 0 37363 0 287681 0 0 0 Jonathan Rowson MD PHYSICIAN 219403 0 13048 0 0 0 14909 0 41726 0 289086 0 0 0 Ann Locklear VP HUMAN RESOURSES 132516 0 29730 0 0 0 9736 0 38546 0 210528 0 0 0 Part I, Line 4b THE ORGANIZATION HAD OFFICERS WHO PARTICIPATED IN A SUPPLEMENTAL EXECUVTIVE RETIREMENT PLAN (SERP). THE AMOUNT OF DEFERRED COMPENSATION ACCRUED DURING THE FISCAL YEAR FOR THE PLAN WAS: WOOD $21,281 PRACHT 19,173 Form 990, Part VI, Section A, line 3 EFFECTIVE APRIL 1, 2009, SCOTLAND HEALTH CARE SYSTEM IS ENGAGED IN A TEN-YEAR MANAGEMENT AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY D/B/A CAROLINAS HEALTHCARE SYSTEM TO MANAGE THE SYSTEM ON A DAY-TO-DAY BASIS. 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 CAROLINAS HEALTHCARE SYSTEM COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. FINAL APPROVAL IS THEN MADE AND DOCUMENTED BY THE SCOTLAND HEALTH CARE SYSTEM BOARD OF TRUSTEES. 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 EQUIP MAINT CONTRACT FEES: Program service expenses 2,318,490. Management and general expenses 2,044,345. Fundraising expenses 0. Total expenses 4,362,835. CONSULTANT FEES: Program service expenses 140,629. Management and general expenses 302,590. Fundraising expenses 0. Total expenses 443,219. CONTRACT FEES: Program service expenses 7,250,410. Management and general expenses 742,116. Fundraising expenses 0. Total expenses 7,992,526. MEDICAL SPEC FEES: Program service expenses 5,408,797. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,408,797. OTHER PROFESSIONAL FEES: Program service expenses 375,155. Management and general expenses 93,019. Fundraising expenses 0. Total expenses 468,174. Form 990, Part XI, line 9: PENSION PLAN ADJUSTMENT 5,165,982. TRANSFER TO AFFILIATES -4,932,590. Form 990, Part XII, Line 2c: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART III 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, AND HOSPICE OF SCOTLAND COUNTY. 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, AND OUTPATIENT ACUTE CARE SERVICES. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2017, THE HOSPITAL RECORDED 18,763 ADULT AND PEDIATRIC PATIENT DAYS AND 1,288 INPATIENT REHABILITATION DAYS, WITH AN AVERAGE DAILY CENSUS OF 51 . THE HOSPITAL PERFORMED OVER 4800 INPATIENT AND OUTPATIENT SURGERIES. ALMOST 56,000 PATIENTS WERE TREATED IN THE EMERGENCY ROOM AND 726 BABIES WERE DELIVERED. WITH A STAFF OF APPROXIMATELY 900 EMPLOYEES, THE HOSPITAL RANKS AS THE AREA'S LARGEST EMPLOYER 62 PHYSICIANS OFFER 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, INCLUDING HYPERBARIC OXYGEN THERAPY. SOPHISTICATED TECHNOLOGIES INCLUDE NUCLEAR MEDICINE, 64-SLICE COMPUTERIZED TOMOGRAPHY (CT) SCANNING, LASER SURGERY, MAGNETIC RESONANCE IMAGING (MRI), LAPAROSCOPIC CHOLYCYSTECTOMY, POSITRON EMISSION TOMOGRAPHY, ROBOTIC PARTIAL KNEE SURGERY AND INTENSITY-MODULATED RADIATION THERAPY. LITHOTRIPSY PROCEDURES ARE PROVIDED IN A MOBILE UNIT. THE HOSPITAL OPERATES THREE RURAL HEALTH CLINICS, FIVE FREE-STANDING PHYSICIAN PRACTICES, AND AN URGENT CARE CENTER/OCCUPATIONAL HEALTH CLINIC, ALL LOCATED WITHIN A 30-MILE RADIUS OF THE HOSPITAL. TOTAL VISITS AT THESE PRACTICES WERE APPROXIMATELY 75,000 IN 2017 . 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. FORM 990, PART III COMMUNITY SPONSORED EVENTS AND ACTIVITIES: THE HOSPITAL IS HEAVILY INVOLVED IN COMMUNITY EVENTS AND SPONSORS NUMEROUS CHARITABLE ACTIVITIES, SUCH AS UNITED WAY FUND DRIVES, AMERICAN CANCER SOCIETY RELAY FOR LIFE, AMERICAN RED CROSS BLOOD DRIVES, WALK AMERICA (MARCH OF DIMES FOR HEALTHIER BABIES), AND NORTH CAROLINA SMART START (RESOURCES FOR CHILDREN TO ACHIEVE SUCCESS). MANY HOSPITAL EMPLOYEES PARTICIPATE IN THESE EVENTS. ACTIVITIES SUPPORTING MIDDLE AND HIGH SCHOOL EDUCATION ARE SUPPORTED, WHICH ENCOURAGE TEENS INTERESTED IN A MEDICAL CAREER TO JOB SHADOW WITH HOSPITAL EMPLOYEES. FREE ANNUAL PHYSICALS ARE PROVIDED TO MIDDLE AND HIGH SCHOOL STUDENTS. HOSPITAL EMPLOYEES ARE ENCOURAGED TO SPEAK AT LOCAL JOB FAIRS AND AT HIGH SCHOOL CAREER DAY FESTIVITIES. TOURS OF THE HOSPITAL ARE AVAILABLE TO LOCAL SCHOOLS. A VARIETY OF PREVENTIVE HEALTH EDUCATION PROGRAMS ARE OFFERED TO THE COMMUNITY AND TO LOCAL INDUSTRY, MANY OF WHICH ARE FREE TO THE PUBLIC. 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 HEALTHY ACTIVITIES. - "LOOK GOOD FEEL BETTER" PROGRAM TARGETS WOMEN UNDERGOING CANCER TREATMENT, AND TEACHES FEMALE CANCER PATIENTS BEAUTY TECHNIQUES TO RESTORE APPEARANCE AND SELF-IMAGE WHILE UNDERGOING CHEMOTHERAPY AND RADIATION TREATMENTS. VOLUNTEER BEAUTY PROFESSIONALS LEAD SMALL GROUPS OF WOMEN THROUGH PRACTICAL, HANDS-ON EXERCIZES IN USING COSMETICS, CARING FOR SKIN AND NAILS, DEALING WITH HAIR LOSS BY USING WIGS, HATS, TURBANS, AND SCARVES. PARTICIPANTS RECEIVE A FREE KIT OF COSMETICS AND A VARIETY OF WIGS AND HATS FROM WHICH TO CHOOSE. - CANCER SURVIVORS DAY SPONSORED FOR PATIENTS AND GUESTS TO PARTICIPATE IN AN ANNUAL NATIONAL CELEBRATION OF LIFE. - HEALTH-RELATED MONTHLY MEETINGS ARE HELD IN HOSPITAL FACILITIES FOR: ALZHEIMER'S SUPPORT GROUP BREASTFEEDING SUPPORT GROUP DIABETES SUPPORT GROUP MULTIPLE SCLEROSIS SUPPORT GROUP PARKINSON'S SUPPORT GROUP STROKE SUPPORT GROUP WOMENS CANCER SUPPORT GROUP 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 12a, I N/A 0 SCOTLAND MEMORIAL FOUNDATION INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 581828201 CONDUCT FUNDRAISING ACTIVITIES FOR SCOTLAND HEALTH CARE SYSTEM NC 501(c)(3) Line 7 SCOTLAND HEALTH CARE SYSTEM INC 0 EDWIN MORGAN CENTER INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 589178020 SKILLED NURSING FACILITY NC 501(c)(3) Line 10 SCOTLAND HEALTH CARE SYSTEM INC 0 HOSPICE OF SCOTLAND COUNTY INC 610 E LAUCHWOOD DRIVE LAURINBURG NC 28352 561468269 HEALTHCARE FOR TERMINALLY ILL PATIENTS NC 501(c)(3) Line 7 SCOTLAND HEALTH CARE SYSTEM INC 0 SCOTLAND 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 SCOTLAND ENTERPRISES INC 500 LAUCHWOOD DRIVE LAURINBURG NC 28352 561651832 HEALTH CARE NC N/A C 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 SCOTLAND REGIONAL HEALTH NETWORK R 4932590 FMV