SCOTLAND MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- SCOTLAND MEMORIAL HOSPITAL INCORPORATED (EIN 56-0583151)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-11
- IRS object ID
- 201742239349301809
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-11T13:50:05-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560583151 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTLAND MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SCOT | BusinessNameControlTxt |
| Phone | 9102917920 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 LAUCHWOOD DRIVE | AddressLine1Txt |
| City | LAURINBURG | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28352 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT PRACHT | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9102917920 | PhoneNum |
| Signature | 2017-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2017-08-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATT PRACHT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 LAUCHWOOD DRIVE | AddressLine1Txt |
| City | LAURINBURG | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $160,163,746 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SCOTLANDHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO OFFER A FULL RANGE OF ACUTE CARE AND INPATIENT SERVICES TO THE RESIDENTS SCOTLAND COUNTY, NORTH CAROLINA AND THE SURROUNDING AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 1181 | TotalEmployeeCnt |
| Total Volunteers | 120 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$38,463 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $704,547 | PYContributionsGrantsAmt |
| CY Contributions Grants | $795,923 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $151,441,769 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $156,738,444 | CYProgramServiceRevenueAmt |
| PY Investment Income | $908,461 | PYInvestmentIncomeAmt |
| CY Investment Income | $763,053 | CYInvestmentIncomeAmt |
| PY Other Revenue | $989,081 | PYOtherRevenueAmt |
| CY Other Revenue | $1,000,640 | CYOtherRevenueAmt |
| PY Total Revenue | $154,043,858 | PYTotalRevenueAmt |
| CY Total Revenue | $159,298,060 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $22,950 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $18,613 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $54,315,984 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $65,766,270 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $79,110,191 | PYOtherExpensesAmt |
| CY Other Expenses | $81,134,630 | CYOtherExpensesAmt |
| PY Total Expenses | $133,449,125 | PYTotalExpensesAmt |
| CY Total Expenses | $146,919,513 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,594,733 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,378,547 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $153,633,654 | TotalAssetsBOYAmt |
| Total Assets EOY | $166,993,972 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,963,462 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $65,319,865 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $97,670,192 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $101,674,107 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $128,539,931 | ExpenseAmt |
| Grant | $18,613 | GrantAmt |
| Revenue | $156,803,444 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $128,539,931 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 147 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1181 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MELINDA BRISSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9102917393 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 LAUCHWOOD DR | AddressLine1Txt |
| City | LAURINBURG | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MIKE VINSON | |||||||||
| CHAIR | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANE ROGERS | |||||||||
| VICE CHAIR | 2.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID HARLING | |||||||||
| TREASURER | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD ALEXANDER MD | |||||||||
| TRUSTEE, PHYSICIAN | 1.00 | 2.00 | Yes (X) | $46,550 | $0 | $0 | |||
| KYLE CHAVIS | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RAY CHAVIS DDS | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BRAD FAULKENBERRY MD | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MILTON FARMER | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BETTY HASTY | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES JENKINS | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSHUA MALCOLM | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CAM STONE | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ALLEN MCLAURIN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF MERCER | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KEN NICHOLS | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL O'DONNELL MD | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $1,400 | $0 | $0 | |||
| KELVIN RAYBON MD | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $600 | $0 | $0 | |||
| CHIP SHYTLE | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BOBBY HINSON | |||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BECCA HUGHES | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN NOBLES MD | |||||||||
| TRUSTEE, PHYSICIAN | 1.00 | 42.00 | Yes (X) | $333,154 | $0 | $28,926 | |||
| STEPHEN LANUTI MD | |||||||||
| CHIEF OF MEDICAL STAFF | 1.00 | 2.00 | Yes (X) | Yes (X) | $52,983 | $0 | $0 | ||
| GREGORY WOOD | |||||||||
| CEO/PRESIDENT | 40.00 | 8.00 | Yes (X) | $380,274 | $0 | $63,563 | |||
| MATT PRACHT | |||||||||
| CFO/VP FINANCE/ASST. TREAS | 40.00 | 8.00 | Yes (X) | $226,890 | $0 | $57,266 | |||
| PAM ASHLEY | |||||||||
| SECRETARY | 40.00 | 1.00 | Yes (X) | $43,094 | $0 | $9,024 | |||
| GRAY MILLS | |||||||||
| VICE PRESIDENT | 40.00 | $166,891 | $0 | $22,996 | Yes (X) | ||||
| PAT PHILLIPS | |||||||||
| SR. VICE PRESIDENT | 40.00 | $187,576 | $0 | $20,891 | Yes (X) | ||||
| JONATHAN ROWSON MD | |||||||||
| PHYSICIAN | 40.00 | $249,746 | $0 | $21,497 | Yes (X) | ||||
| PATRICIA MIDDLETON MD | |||||||||
| PHYSICIAN | 40.00 | $295,679 | $0 | $17,491 | Yes (X) | ||||
| JAMES STATEN MD | |||||||||
| PHYSICIAN | 40.00 | $202,296 | $0 | $28,559 | Yes (X) | ||||
| CHAMAINE BROOKS-LOCKLEAR MD | |||||||||
| PHYSICIAN | 40.00 | $210,749 | $0 | $28,202 | Yes (X) | ||||
| SHELLY LOWERY | |||||||||
| PHYSICIAN | 40.00 | $190,268 | $0 | $14,197 | Yes (X) | ||||
| CHI-DAI CHEN MD | |||||||||
| PHYSICIAN | 40.00 | $181,632 | $0 | $7,386 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,769,782 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $319,998 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LIBERTY ANESTHESIA PLLC | |||||
| 16101 CADDIE COURT | WAGRAM | NC | 28396 | ANESTHESIA SERVICES | $2,256,996 |
| TRINITY HEALTHCARE STAFFING GROUP | |||||
| PO BOX 531741 | ATLANTA | GA | 30353 | MEDICAL SERVICES | $1,271,156 |
| CARDIOVASCULAR CTR OF SCOTLAND COUNTY | |||||
| PO BOX 3000 | PINEHURST | NC | 28374 | MEDICAL SERVICES | $1,168,125 |
| PRIVATE DIAGNOSTIC CLINIC | |||||
| 4825 CREEKSTONE DR STE 160-PDC FIN | DURHAM | NC | 27703 | MEDICAL SERVICES | $831,280 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD MANAGEMENT SERVICES | $811,017 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 100 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $795,923 | RelatedOrganizationsAmt |
| Total Contributions | $795,923 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621500 | $155,188,349 | $155,188,349 |
| Other Operating Revenue | 624100 | $1,127,035 | $1,127,035 |
| MEANINGFUL USE REVENUE | 900099 | $420,994 | $420,994 |
| Hospice IT Contract | 624100 | $2,066 | $2,066 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $156,738,444 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,622,161 | TotalRevenueColumnAmt |
| Exclusion | $1,622,161 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $399,370 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $399,370 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $399,370 | TotalRevenueColumnAmt |
| Exclusion | $399,370 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,578 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $865,686 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,578 | SecuritiesAmt |
| Other | -$865,686 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$859,108 | TotalRevenueColumnAmt |
| Exclusion | -$859,108 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria | 722210 | $525,659 | $525,659 | |
| Investment in MOB | 900099 | $65,000 | $65,000 | |
| Miscellaneous Revenue | 900099 | $10,396 | $10,396 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $215 | TotalRevenueColumnAmt |
| Exclusion | $215 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $601,270 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,298,060 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $156,803,444 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,698,693 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,150 | TotalAmt |
| Program Services | $18,150 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463 | TotalAmt |
| Program Services | $463 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,356,752 | TotalAmt |
| Program Services | $2,649 | ProgramServicesAmt |
| Management And General | $1,354,103 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,528,521 | TotalAmt |
| Program Services | $44,047,629 | ProgramServicesAmt |
| Management And General | $4,480,892 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000,600 | TotalAmt |
| Program Services | $2,649,625 | ProgramServicesAmt |
| Management And General | $350,975 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,888,384 | TotalAmt |
| Program Services | $8,731,757 | ProgramServicesAmt |
| Management And General | $1,156,627 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,992,013 | TotalAmt |
| Program Services | $2,642,042 | ProgramServicesAmt |
| Management And General | $349,971 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,438,796 | TotalAmt |
| Management And General | $1,438,796 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,645 | TotalAmt |
| Management And General | $576,645 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,445 | TotalAmt |
| Management And General | $44,445 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,539 | TotalAmt |
| Management And General | $72,539 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,508,765 | TotalAmt |
| Program Services | $14,416,936 | ProgramServicesAmt |
| Management And General | $3,091,829 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,605 | TotalAmt |
| Program Services | $63,011 | ProgramServicesAmt |
| Management And General | $498,594 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,223,821 | TotalAmt |
| Program Services | $4,577,973 | ProgramServicesAmt |
| Management And General | $645,848 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,746 | TotalAmt |
| Program Services | $320,946 | ProgramServicesAmt |
| Management And General | $3,800 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,283,427 | TotalAmt |
| Program Services | $2,039,417 | ProgramServicesAmt |
| Management And General | $244,010 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,628 | TotalAmt |
| Program Services | $366,762 | ProgramServicesAmt |
| Management And General | $124,866 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,112 | TotalAmt |
| Program Services | $646 | ProgramServicesAmt |
| Management And General | $8,466 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,927 | TotalAmt |
| Program Services | $435,927 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,937,578 | TotalAmt |
| Program Services | $8,937,578 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,220 | TotalAmt |
| Management And General | $956,220 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $22,507,374 | $22,507,374 | |
| Medical Supplies | $16,090,767 | $16,090,767 | |
| Provider Tax | $2,980,956 | $2,980,956 | |
| MISCELLANEOUS EXPENSE | $491,853 | $491,853 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,426 | TotalAmt |
| Program Services | $198,426 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,919,513 | TotalAmt |
| Program Services | $128,539,931 | ProgramServicesAmt |
| Management And General | $18,379,582 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,593 | BOYAmt |
| EOY | $46,521 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,319,963 | BOYAmt |
| EOY | $50,012,127 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,433,087 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,015,394 | BOYAmt |
| EOY | $10,555,988 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,404,376 | BOYAmt |
| EOY | $1,370,456 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,187,067 | BOYAmt |
| EOY | $1,379,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $162,154,643 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $109,020,722 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,660,361 | BOYAmt |
| EOY | $53,133,921 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,992,624 | BOYAmt |
| EOY | $46,005,787 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $928,229 | BOYAmt |
| EOY | $713,380 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $578,555 | BOYAmt |
| EOY | $535,262 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,955 | BOYAmt |
| EOY | $16,695 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,008,450 | BOYAmt |
| EOY | $3,224,670 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,633,654 | BOYAmt |
| EOY | $166,993,972 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,308,853 | BOYAmt |
| EOY | $16,173,379 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,318,218 | BOYAmt |
| EOY | $6,040,275 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,267 | BOYAmt |
| EOY | $20,045 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,198,124 | BOYAmt |
| EOY | $43,086,166 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,963,462 | BOYAmt |
| EOY | $65,319,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,801,029 | BOYAmt |
| EOY | $100,626,697 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,163 | BOYAmt |
| EOY | $1,047,410 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,670,192 | BOYAmt |
| EOY | $101,674,107 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,633,654 | BOYAmt |
| EOY | $166,993,972 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,378,547 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,826,163 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,200,795 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $12,401 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,401 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,832,897 | OtherCostOrOtherBasisAmt |
| Book Value | $1,832,897 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,661,354 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,822,915 | DepreciationAmt |
| Book Value | $27,838,439 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,715,841 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,933,076 | DepreciationAmt |
| Book Value | $19,782,765 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,944,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,264,731 | DepreciationAmt |
| Book Value | $3,679,820 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,133,921 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Capital Lease Obligations | $3,580,741 |
| Accrued Interest Payable | $170,362 |
| Estimated 3rd Party Settlements | $12,642,031 |
| Pension Plan Liability | $26,693,032 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,086,166 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $128,319,037 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,826,163 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $2,826,163 | RevenueNotReportedAmt |
| Revenue Subtotal | $125,492,874 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $72,539 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $33,732,647 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $33,805,186 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $159,298,060 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $124,315,122 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $124,315,122 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $72,539 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $22,531,852 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $22,604,391 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $146,919,513 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2016. |
| Part XI, Line 4b - Other Adjustments: | BAD DEBT EXPENSE 22,507,374. TRANSFER OF EQUITY 2,831,766. PENSION PLAN ADJUSTMENT 8,369,029. GAIN ON SALE OF ASSETS 6,578. GRANTS INCLUDED IN REVENUE 17,900. |
| Part XII, Line 4b - Other Adjustments: | BAD DEBT EXPENSE 22,507,374. GAIN ON SALE OF ASSETS 6,578. GRANTS INCLUDED IN REVENUE 17,900. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,462,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,462,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,504,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,136,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,368,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,967,328 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,136,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,831,310 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $428,055 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$319,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $428,055 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$319,111 | NetCommunityBenefitExpnsAmt |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,076,272 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,564,073 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,512,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03080 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,286,831 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,123,728 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $47,912,078 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,383,390 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $6,528,688 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 SCOTLAND MOB INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | MEDICAL OFFICE BUILDING | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.73170 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.26830 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTLAND MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 LAUCHWOOD DRIVE | AddressLine1Txt |
| City | LAURINBURG | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DISPROPORTIONATE SHARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTLAND MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE DISCLOSURE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE DISCLOSURE | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.scotlandhealth.org/financial-assistance-148 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| SCOTLAND MEMORIAL HOSPITAL, INC. | Part V, Section B, Line 22d: THE AMOUNT WAS BASED BY USING THE LOOK-BACK METHOD. |
| 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 10A: | http://www.scotlandhealth.org/documents/Community%20Health%20Needs%20Assessment%202016.pdf |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $ 22,507,374. |
| 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 (17.2% AT THE END OF 2012) IN THE STATE OF NORTH CAROLINA. ON TOP OF THAT, WE HAVE 21% MEDICAID AND 47% MEDICARE POPULATION, WHICH IS A PORTION OF THE BAD DEBTS. IT IS FAIRLY SAFE TO ASSUME THAT THE 16% FOR UNEMPLOYED PLUS ANOTHER 9% FOR MEDICARE/MEDICAID COULD QUALIFY FOR CHARITY, IF THEY COMPLETED 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN NOBLES MD | ||||||||||||||
| TRUSTEE, PHYSICIAN | $272,711 | $0 | $60,443 | $0 | $0 | $0 | $11,826 | $0 | $17,100 | $0 | $362,080 | $0 | $0 | $0 |
| GREGORY WOOD | ||||||||||||||
| CEO/PRESIDENT | $262,951 | $0 | $89,878 | $0 | $27,445 | $0 | $33,325 | $0 | $30,238 | $0 | $443,837 | $0 | $0 | $0 |
| MATT PRACHT | ||||||||||||||
| CFO/VP FINANCE/ASST. TREAS | $183,219 | $0 | $41,149 | $0 | $2,522 | $0 | $31,220 | $0 | $26,046 | $0 | $284,156 | $0 | $0 | $0 |
| GRAY MILLS | ||||||||||||||
| VICE PRESIDENT | $137,736 | $0 | $29,155 | $0 | $0 | $0 | $6,626 | $0 | $16,370 | $0 | $189,887 | $0 | $0 | $0 |
| PAT PHILLIPS | ||||||||||||||
| SR. VICE PRESIDENT | $156,650 | $0 | $30,926 | $0 | $0 | $0 | $719 | $0 | $20,172 | $0 | $208,467 | $0 | $0 | $0 |
| JONATHAN ROWSON MD | ||||||||||||||
| PHYSICIAN | $181,798 | $0 | $67,948 | $0 | $0 | $0 | $9,095 | $0 | $12,402 | $0 | $271,243 | $0 | $0 | $0 |
| PATRICIA MIDDLETON MD | ||||||||||||||
| PHYSICIAN | $288,479 | $0 | $7,200 | $0 | $0 | $0 | $10,185 | $0 | $7,306 | $0 | $313,170 | $0 | $0 | $0 |
| JAMES STATEN MD | ||||||||||||||
| PHYSICIAN | $177,646 | $0 | $24,650 | $0 | $0 | $0 | $7,676 | $0 | $20,883 | $0 | $230,855 | $0 | $0 | $0 |
| CHAMAINE BROOKS-LOCKLEAR MD | ||||||||||||||
| PHYSICIAN | $151,462 | $0 | $59,287 | $0 | $0 | $0 | $7,319 | $0 | $20,883 | $0 | $238,951 | $0 | $0 | $0 |
| SHELLY LOWERY | ||||||||||||||
| PHYSICIAN | $148,225 | $0 | $42,043 | $0 | $0 | $0 | $6,891 | $0 | $7,306 | $0 | $204,465 | $0 | $0 | $0 |
| CHI-DAI CHEN MD | ||||||||||||||
| PHYSICIAN | $181,432 | $0 | $200 | $0 | $0 | $0 | $0 | $0 | $7,386 | $0 | $189,018 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | 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 $19,461 PRACHT 17,261 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 11 | 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 2,166,336. Management and general expenses 1,976,231. Fundraising expenses 0. Total expenses 4,142,567. CONSULTANT FEES: Program service expenses 781. Management and general expenses 95,664. Fundraising expenses 0. Total expenses 96,445. CONTRACT FEES: Program service expenses 7,010,040. Management and general expenses 820,309. Fundraising expenses 0. Total expenses 7,830,349. MEDICAL SPEC FEES: Program service expenses 4,906,350. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,906,350. OTHER PROFESSIONAL FEES: Program service expenses 333,429. Management and general expenses 199,625. Fundraising expenses 0. Total expenses 533,054. |
| Form 990, Part XI, line 9: | PENSION PLAN ADJUSTMENT -8,369,029. TRANSFER TO AFFILIATES -2,831,766. |
| 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 THE REGION FOR THE QUALITY AND VALUE OF THE SERVICES WE PROVIDE. THIS VALUE WILL BE DEMONSTRATED THROUGH THE HIGHEST 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, INCLUDING INTENSIVE CARE AND INPATIENT REHABILITATION, AND OUTPATIENT ACUTE CARE SERVICES. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2016, THE HOSPITAL RECORDED 17653 ADULT AND PEDIATRIC PATIENT DAYS AND 1168 INPATIENT REHABILITATION DAYS, WITH AN AVERAGE DAILY CENSUS OF 48 . THE HOSPITAL PERFORMED OVER 4800 INPATIENT AND OUTPATIENT SURGERIES. OVER 56,000 PATIENTS WERE TREATED IN THE EMERGENCY ROOM AND 676 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 TWO 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 FIVE OUTLYING CLINICS WERE APPROXIMATELY 60,000 IN 2016 . 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 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 11a, 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 | 0 | SCOTLAND HEALTH CARE SYSTEM INC | |
| EDWIN MORGAN CENTER INC | |||||||||||
| 500 LAUCHWOOD DRIVE | LAURINBURG | NC | 28352 | 589178020 | SKILLED NURSING FACILITY | NC | 501(c)(3) | Line 9 | 0 | SCOTLAND HEALTH CARE SYSTEM INC | |
| HOSPICE OF SCOTLAND COUNTY INC | |||||||||||
| 610 E LAUCHWOOD DRIVE | LAURINBURG | NC | 28352 | 561468269 | HEALTHCARE FOR TERMINALLY ILL PATIENTS | NC | 501(c)(3) | Line 7 | 0 | SCOTLAND HEALTH CARE SYSTEM INC | |
| SCOTLAND REGIONAL HEALTH NETWORK | |||||||||||
| 500 LAUCHWOOD DRIVE | lAURINBURG | NC | 28352 | 272187756 | OPERATES PHYSICIAN PRACTICES | NC | 501(c)(3) | Line 7 | 0 | SCOTLAND HEALTH CARE SYSTEM INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTLAND ENTERPRISES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 LAUCHWOOD DRIVE | AddressLine1Txt |
| City | LAURINBURG | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561651832 | EIN |
| Primary Activities | HEALTH CARE | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTLAND REGIONAL HEALTH NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $3,293,775 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |