STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SCOTLAND MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SCOTLAND MEMORIAL HOSPITAL INCORPORATED (EIN 56-0583151)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-08
IRS object ID
201332209349300113
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-08T08:55:57-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN560747981EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1
CityASHEVILLECity
StateNCState
ZIP Code28806ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN560583151EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSCOTNameControl
Phone9102917920Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATT PRACHTName
TitleCFOTitle
Phone9102917920Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
PTINP00445891PTIN
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATT PRACHTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode
FieldValueIRS element (for citing)
Gross Receipts129231553GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SCOTLANDHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1945YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO OFFER A FULL RANGE OF ACUTE CARE AND INPATIENT SERVICES TO THE RESIDENTS SCOTLAND COUNTY, NORTH CAROLINA AND THE SURROUNDING AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees1253TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI214287TotalGrossUBI
Net Unrelated Business Txbl Income61838NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year812732ContributionsGrantsPriorYear
Contributions Grants Current Year478245ContributionsGrantsCurrentYear
Program Service Revenue Prior Year116962461ProgramServiceRevenuePriorYear
Program Service Revenue CY125274313ProgramServiceRevenueCY
Investment Income Prior Year2585670InvestmentIncomePriorYear
Investment Income Current Year2306301InvestmentIncomeCurrentYear
Other Revenue Prior Year1015605OtherRevenuePriorYear
Other Revenue Current Year1172694OtherRevenueCurrentYear
Total Revenue Prior Year121376468TotalRevenuePriorYear
Total Revenue Current Year129231553TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100011GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY99048GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year49703405SalariesEtcPriorYear
Salaries Etc Current Year55960236SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year64420739OtherExpensePriorYear
Other Expenses Current Year68678210OtherExpensesCurrentYear
Total Expenses Prior Year114224155TotalExpensesPriorYear
Total Expenses Current Year124737494TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7152313RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4494059RevenuesLessExpensesCY
Total Assets BOY118243583TotalAssetsBOY
Total Assets EOY122630583TotalAssetsEOY
Total Liabilities BOY50367952TotalLiabilitiesBOY
Total Liabilities EOY52039462TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY67875631NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY70591121NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense112761635Expense
Grants99048Grants
Revenue125100898Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense112761635TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1253NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MATTHEW D PRACHT VP FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9102917920TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
NANCY WALKER
CHAIRMAN2.00XX000
MIKE VINSON
VICE CHAIR2.00XX000
JANE ROGERS
TREASURER2.00XX000
DONNA RICHARDSON MD
CHIEF OF STAFF THRU 11/30/122.00XX000
JONATHAN ROWSON MD
CHIEF OF STAFF THRU 11/30/112.00XX236843028698
RICHARD ALEXANDER MD
TRUSTEE1.00X2027600
KYLE CHAVIS
TRUSTEE1.00X000
RAY CHAVIS DDS
TRUSTEE1.00X000
CRAIG ELLIS
TRUSTEE1.00X000
MILTON FARMER
TRUSTEE1.00X000
BETTY HASTY
TRUSTEE1.00X000
DAVID HARLING
TRUSTEE1.00X000
CHARLES JENKINS
TRUSTEE1.00X000
JOSHUA MALCOLM
TRUSTEE1.00X000
KATHY MANIS
TRUSTEE1.00X000
DONNIE MCDONALD
TRUSTEE1.00X000
ALLEN MCLAURIN
TRUSTEE1.00X000
JEFF MERCER
TRUSTEE1.00X000
KEN NICHOLS
TRUSTEE1.00X000
MICHAEL O'DONNELL MD
TRUSTEE1.00X180000
KELVIN RAYBON MD
TRUSTEE1.00X804500
CHIP SHYTLE
TRUSTEE1.00X000
GREGORY WOOD
CEO/PRESIDENT40.00X312939054125
MATT PRACHT
CFO/VP FINANCE/ASST. TREAS.40.00X194126042785
ELIZABETH HARRINGTON
VP OF NURSING40.00164576014126X
LORI DOVE
VP OF QUALITY40.00153296011295X
JOHN NOBLES MD
PHYSICIAN40.00319664023611X
FRANK YANG MD
PHYSICIAN40.00223535024807X
JAMES STATEN MD
PHYSICIAN40.00205861038111X
DAVID HOWELL MD
PHYSICIAN40.00202920032653X
DENIS RICARD
PHYSICIAN ASSISTANT40.00173441013280X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2217322TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation283491TotalOtherCompensation
Number Individuals GT100 K41NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
LIBERTY ANESTHESIA PLLC
16101 CADDIE COURTWAGRAMNC28396ANESTHESIA SERVICES2169617
PINEHURST SURGICAL
5 VILLAGE DRIVEPINEHURSTNC28374PROFESSIONAL SERVICES290781
HOOKS LANDSCAPING
507 WEST 29TH STREETLUMBERTONNC28358LANDSCAPING SERVICES209473
PURCELL CLINIC
418 KING STREETLAURINBURGNC28352PROFESSIONAL SERVICES200000
BRIAN PARKES MD
1600 MEDICAL DRLAURINBURGNC28352PROFESSIONAL SERVICES142256
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Related Organizations478245RelatedOrganizations
Total Contributions478245TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE621500125044747124871332173415
OTHER OPERATING REVENU624100204649204649
HOSPICE IT CONTRACT6241002491724917
FieldValueIRS element (for citing)
Total Program Service Revenue125274313TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column414296TotalRevenueColumn
Exclusion$414,296ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real471418Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real471418Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column471418TotalRevenueColumn
Exclusion$471,418ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1892005Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1892005Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1892005TotalRevenueColumn
Exclusion$1,892,005ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CAFETERIA72221055178540872$510,913
INVESTMENT IN MOB90009978839$78,839
PURCHASE DISCOUNTS90009954201$54,201

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16451TotalRevenueColumn
Exclusion$16,451ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue701276TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column129231553TotalRevenueColumn
Related Or Exempt Function Income125100898RelatedOrExemptFunctionIncome
Unrelated Business Revenue214287UnrelatedBusinessRevenue
Exclusion$3,438,123ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total99048Total
Program Services99048ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total923600Total
Program Services343293ProgramServices
Management And General580307ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41360530Total
Program Services37179918ProgramServices
Management And General4180612ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3361267Total
Program Services2982810ProgramServices
Management And General378457ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7386095Total
Program Services6554469ProgramServices
Management And General831626ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2928744Total
Program Services2598986ProgramServices
Management And General329758ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total-12900Total
Management And General-12900ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total74930Total
Management And General74930ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total200879Total
Management And General200879ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total179806Total
Management And General179806ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15056242Total
Program Services11760018ProgramServices
Management And General3296224ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total600224Total
Program Services103814ProgramServices
Management And General496410ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6229439Total
Program Services5750105ProgramServices
Management And General479334ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2051889Total
Program Services1908753ProgramServices
Management And General143136ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total513383Total
Program Services392230ProgramServices
Management And General121153ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12044Total
Program Services2655ProgramServices
Management And General9389ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total82755Total
Program Services82755ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7325758Total
Program Services7325758ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total688238Total
Program Services1500ProgramServices
Management And General686738ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
BAD DEBT1928745819287458
MEDICAL SUPPLIES1214859612148596
PROVIDER TAX39576523957652
SPECIAL EVENTS267355267355

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14462Total
Program Services14462ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total124737494Total
Program Services112761635ProgramServices
Management And General11975859ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY276302BOY
EOY3274EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13914927BOY
EOY3262310EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15407456BOY
EOY17980978EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1883869BOY
EOY1926522EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY580039BOY
EOY1284653EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis152354268LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec89506321LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY56637357BOY
EOY62847947EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25709097BOY
EOY29028794EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1352945BOY
EOY1328238EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY105735EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2481591BOY
EOY4862132EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118243583BOY
EOY122630583EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11504938BOY
EOY13687223EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY9019992BOY
EOY7062049EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1365086BOY
EOY844469EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY28477936BOY
EOY30445721EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50367952BOY
EOY52039462EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY67308020BOY
EOY69896787EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY567611BOY
EOY694334EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67875631BOY
EOY70591121EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118243583BOY
EOY122630583EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4494059ReconcilationRevenueExpenses
Reconcilation Other Changes-1778569ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,080OtherActivitiesAmount
Total Lobbying Expenditures IIB10080TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationSCOTLAND 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1748568OtherCostOrOtherBasis
Book Value1748568BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis74785667OtherCostOrOtherBasis
Depreciation44897472Depreciation
Book Value29888195BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4398805OtherCostOrOtherBasis
Depreciation2643530Depreciation
Book Value1755275BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis69228762OtherCostOrOtherBasis
Depreciation41965319Depreciation
Book Value27263443BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2192466OtherCostOrOtherBasis
Book Value2192466BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62847947TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$888,928
ACCRUED INTEREST PAYABLE$199,788
ESTIMATED 3RD PARTY SETTLEMENTS$9,609,510
PENSION PLAN LIABILITY$19,747,495
FieldValueIRS element (for citing)
Total Of Amounts30445721TotalOfAmounts
Total Revenue129231553TotalRevenue
Total Expenses124737494TotalExpenses
Excess Or Deficit For Year4494059ExcessOrDeficitForYear
Net Unrealized GL On Investments3291628NetUnrealizedGLOnInvestments
Other-$5,070,197OtherAmount
Total Adjustments-1778569TotalAdjustments
Excess Or Deficit Per FS2715490ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt107985720TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3291628NetUnrealizedGainsInvestments
Other Revenues-134982OtherRevenues
Revenue Not Rptd F9903156646RevenueNotRptdF990
Revenue Subtotal104829074RevenueSubtotal
Other Revenues Not Included24402479OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt24402479RevenueNotRptdOnFinStmt
Total Revenue Per Form990129231553TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt105270230TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal105270230ExpensesSubtotal
Other Expenses Not Included19467264OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt19467264ExpensesNotRptdOnFinStmt
Total Expenses Per Form990124737494TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2012. THE CORPORATION BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION PLAN ADJUSTMENT 942,416. TRANSFER TO AFFILIATES -5,877,631. IMPAIRMENT OF ASSETS -134,982. TOTAL TO SCHEDULE D, PART XI, LINE 8: -5,070,197.
PART XII, LINE 2D - OTHER ADJUSTMENTS:IMPAIRMENT OF ASSETS -134,982.
PART XII, LINE 4B - OTHER ADJUSTMENTS:TRANSFER FROM AFFILIATES 5,877,631. BAD DEBT EXPENSE 19,287,458. INVESTMENT FEES 179,806. PENSION PLAN ADJUSTMENT -942,416.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 19,287,458. INVESTMENT FEES 179,806.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3014650TotalCommunityBenefitExpense
Net Community Benefit Expense3014650NetCommunityBenefitExpense
Percent Of Total Expense0.02860PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20472419TotalCommunityBenefitExpense
Direct Offsetting Revenue18149007DirectOffsettingRevenue
Net Community Benefit Expense2323412NetCommunityBenefitExpense
Percent Of Total Expense0.02200PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense23487069TotalCommunityBenefitExpense
Direct Offsetting Revenue18149007DirectOffsettingRevenue
Net Community Benefit Expense5338062NetCommunityBenefitExpense
Percent Of Total Expense0.05060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense645579TotalCommunityBenefitExpense
Net Community Benefit Expense645579NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense11400TotalCommunityBenefitExpense
Net Community Benefit Expense11400NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense656979TotalCommunityBenefitExpense
Net Community Benefit Expense656979NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense24144048TotalCommunityBenefitExpense
Direct Offsetting Revenue18149007DirectOffsettingRevenue
Net Community Benefit Expense5995041NetCommunityBenefitExpense
Percent Of Total Expense0.05680PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$19,287,457BadDebtExpenseAmount
Amount Attributable To11572474AmountAttributableTo
Amount Reimbursed By Medicare40892361AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare44448637CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3556276MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 SCOTLAND MOB INC
MEDICAL OFFICE BUILDING0.731700.26830
2 CARDIOVASCULAR CENTER OF SCOTLAND COUNTY LLC
HEALTHCARE0.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND MEMORIAL HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherDISPROPORTIONATE SHARE HOSPITALOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND MEMORIAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 $ 19287458.
PART II: 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. IN 2012, THE HOSPITAL TREATED 3,200 INPATIENTS AND OVER 44,000 OUTPATIENTS WITH MEDICARE AS THEIR PRIMARY INSURANCE COVERAGE.
PART III, LINE 9B: THE ORGANIZATION USES OUTSIDE COLLECTION AGENCIES AFTER EVALUATING CRITERIA WITHIN THE FINANCIAL ASSISTANCE POLICY TO IDENTIFY PATIENTS WHO QUALIFY FOR ASSISTANCE.
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 COMMUNITIES OF SCOTLAND AND ROBESON COUNTIES, AND MARLBORO COUNTY, SOUTH CAROLINA, THE PRIMARY FOCUS OF THE COMMUNITY-BASED SURVEY ENCOMPASSED SCOTLAND COUNTY. SINCE 2010, THE POPULATION OF THE COUNTY HAS DECREASED 0.8% TO 36,861, WITH MALES COMPRISING 48.4% AND FEMALES 51.6%. THE RACIAL MAKEUP IS 46% WHITE, 38.8% BLACK, 11% AMERICAN INDIAN, AND 2.4% HISPANIC. THE EDUCATIONAL ATTAINMENT OF THE COUNTY HAS REMAINED BELOW STATE AND NATIONAL LEVELS, WITH A HIGH SCHOOL GRADUATION RATE OF 77.3%. THE POVERTY RATE OF SCOTLAND COUNTY IS 29.5% AND MEDIAN HOUSEHOLD INCOME IS $30,465. SCOTLAND COUNTY HAS THE HIGHEST UNEMPLOYMENT RATE (17.2% AT THE END OF 2012) IN THE STATE OF NORTH CAROLINA. THIS TRANSLATES INTO 2,203 UNEMPLOYED INDIVIDUALS IN SEPTEMBER 2012.
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 2ND LARGEST EMPLOYER IN SCOTLAND COUNTY, SCOTLAND MEMORIAL HOSPITAL HAS TAKEN A LEADERSHIP ROLE IN ASSESSING THE NEEDS OF THE COMMUNITIES IT SERVES, AND TO COORDINATE THE PLANS TO IMPLEMENT STRATEGIES TO MEET IDENTIFIED NEEDS.
NC,SCREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantNURSING AND HUMAN RESOURCE SCHOLARSHIPSTypeOfGrant
Number Of Recipients63NumberOfRecipients
Amount Of Cash Grant89426AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ORGANIZATION SETS CLEAR CRITERIA FOR THE AWARDING OF VARIOUS SCHOLARSHIP PROGRAMS. RECIPIENTS MUST PROVE DURING THE APPLICATION PROCESS THAT THEY MEET THE CRITERIA FOR SUCH AWARDS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JONATHAN ROWSON MD
20394403289900018390268590265541000
GREGORY WOOD
2160530742580226280253210288040367064000
MATT PRACHT
154820037651016550215200212650236911000
ELIZABETH HARRINGTON
1373000272760006690134570178702000
LORI DOVE
1272320260640001484098110164591000
JOHN NOBLES MD
25722406244000031530204580343275000
FRANK YANG MD
19001903351600023790224280248342000
JAMES STATEN MD
17739802846300036500344610243972000
DAVID HOWELL MD
16894003398000032290294240235573000
DENIS RICARD
163464099770003469098110186721000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 6ReturnReference
ExplanationGREGORY WOOD (CEO) AND MATTHEW PRACHT (CFO) WERE ON A MANAGEMENT INCENTIVE PROGRAM THAT REQUIRED THE COMPLETION OF SPECIFIC ORGANIZATION PERFORMANCE MEASURES, WHICH INCLUDED FINANCIAL PERFORMANCE, QUALITY OUTCOMES, CUSTOMER SATISFACTION, AND EMPLOYEE RETENTION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE, KNOWN AS THE OPERATING COMMITTEE, IS COMPOSED OF 5 TO 6 INDIVIDUALS. THESE INDIVIDUALS INCLUDE THE CHAIRMAN, THE VICE-CHAIRMAN, THE CHAIR OF THE FINANCE COMMITTEE, THE PRESIDENT/CEO, AND THE CHIEF OF THE MEDICAL STAFF. THE OPERATING COMMITTEE SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 3EFFECTIVE 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 11PRIOR TO THE FILING DATE, THE FORM 990 WAS PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW. AFTER A DISCUSSION PERIOD AND QUESTION AND ANSWER PERIOD, THE BOARD OF TRUSTEES VOTED TO APPROVE THE FORM 990 AS PRESENTED.
FORM 990, PART VI, SECTION B, LINE 12CTHE HOSPITAL REQUIRES ALL OFFICERS, DIRECTORS, TRUSTEES TO REVIEW AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION FOR CEO AND CFO ENTAILS A REVIEW OF PERFORMANCE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. CONDUCTING A COMPENSATION BENCHMARK STUDY BY AN 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 18PHOTOCOPIES 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 19THE 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 XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 3,291,628. PENSION PLAN ADJUSTMENT 942,416. TRANSFER TO AFFILIATES -5,877,631. IMPAIRMENT OF ASSETS -134,982. TOTAL TO FORM 990, PART XI, LINE 5: -1,778,569.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART IIISCOTLAND 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. IT IS A SUBSIDIARY OF SCOTLAND HEALTH CARE SYSTEM, A NOT-FOR-PROFIT, 501(C)(3) CORPORATION, WHICH ALSO INCLUDES THE EDWIN MORGAN CENTER (A 50 BED SKILLED NURSING FACILITY), HOSPICE OF SCOTLAND COUNTY, AND THE SCOTLAND MEMORIAL FOUNDATION. THE MISSION OF SCOTLAND HEALTH CARE SYSTEM IS TO PROVIDE QUALITY, COMPASSIONATE HEALTH CARE. THE VISION OF SCOTLAND HEALTH CARE SYSTEM IS TO BE THE COMMUNITY'S HEALTHCARE PROVIDER OF CHOICE. THE VALUES STATEMENT PROCLAIMS, "WE STAND FOR EXCELLENCE, INTEGRITY, AND COMMUNITY ACCOUNTABILITY." 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, 2012, THE HOSPITAL RECORDED 21,861 ADULT AND PEDIATRIC PATIENT DAYS AND 1,181 INPATIENT REHABILITATION DAYS, WITH AN AVERAGE DAILY CENSUS OF 60. THE HOSPITAL PERFORMED OVER 4,600 INPATIENT AND OUTPATIENT SURGERIES AND NEARLY 1,400 ENDOSCOPY CASES. OVER 43,000 PATIENTS WERE TREATED IN THE EMERGENCY ROOM AND 681 BABIES WERE DELIVERED. WITH A STAFF OF OVER 900 EMPLOYEES, THE HOSPITAL RANKS AS THE AREA'S SECOND 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, PULMONARY MEDICINE, RADIOLOGY, UROLOGY, AND VASCULAR SURGERY. SOPHISTICATED TECHNOLOGIES INCLUDE NUCLEAR MEDICINE, 64-SLICE COMPUTERIZED TOMOGRAPHY (CT) SCANNING, LASER SURGERY, MAGNETIC RESONANCE IMAGING (MRI), LAPAROSCOPIC CHOLYCYSTECTOMY, POSITRON EMISSION TOMOGRAPHY/CT, AND INTENSITY-MODULATED RADIATION THERAPY. LITHOTRIPSY PROCEDURES ARE OFFERED IN A MOBILE UNIT, AND THE NEWLY CONSTRUCTED CARDIOVASCULAR CENTER ESPANDS THE CAPABILITY FOR PHYSICIANS TO PERFORM CARDIAC CATHETERIZATIONS AND VASCULAR PROCEDURES FIVE DAYS A WEEK. THE HOSPITAL OPERATES TWO RURAL HEALTH CLINICS, TWO 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 47,800 IN 2012. OUTPATIENT SPECIALTY CLINICS PROVIDE SERVICES FOR PAIN MANAGEMENT, PEDIATRIC CARDIOLOGY, VASCULAR SURGERY, AND WOUND HEALING. MOSBY NURSING SKILLS AND MOSBY NURSING CONSULTING ARE AVAILABLE TO HOSPITAL STAFF ON THE HOSPITAL'S INTRANET, PROVIDING CLINICAL REFERENCE MATERIALS AND PATIENT EDUCATION SERVICES IN BOTH ENGLISH AND SPANISH. PATIENT EDUCATION IS AVAILABLE 24 HOURS A DAY IN ALL INPATIENT ROOMS THROUGH GE TIP TV. THE HOSPITAL'S PRIMARY SERVICE AREA IS SCOTLAND COUNTY AND THE WESTERN PORTION OF ROBESON COUNTY. THE SECONDARY SERVICE AREA INLCUDES ROBESON COUNTY AND RICHMOND COUNTY, NORTH CAROLINA, AND MARLBORO COUNTY, SOUTH CAROLINA. SEE SCHEDULE H FOR DETAIL ON ORGANIZATIONS CHARITY CARE AND COMMUNITY BENEFITS POLICIES AND REPORTING.STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS:
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 SMART START. MANY EMPLOYEES PARTICIPATE IN THESE EVENTS. THE HOSPITAL SUPPORTS MIDDLE AND HIGH SCHOOL EDUCATION, ENCOURAGING 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, CHOLESTEROL, BODY FAT, DIABETES, AND BONE DENSITY. 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 TO MIDDLE/HIGH SCHOOL STUDENTS PARTICIPATING IN SPORTS EVENTS. *HEALTH & FITNESS DAY, WHERE PHYSICAL ACTIVITY IS THE FOCUS, AND THE COMMUNITY IS INVITED TO JOIN HOSPITAL EMPLOYEES IN WALKING AND OTHER HEALTHY ACTIVITIES. *"LOOK GOOD FEEL BETTER" TARGETS WOMEN UNDERGOING CANCER TREATMENT, AND TEACHES FEMALE CANCER PATIENTS BEAUTY TECHNIQUES TO RESTORE THEIR APPEARANCE AND SELF-IMAGE DURING CHEMOTHERAPY AND RADIATION TREATMENTS. VOLUNTEER BEAUTY PROFESSIONALS LEAD GROUPS OF 3 TO 4 WOMEN, THROUGH PRACTICAL, HANDS-ON EXPERIENCE IN MAKEUP TECHNIQUES, SKINCARE, NAIL CARE, AND OPTIONS RELATED TO HAIR LOSS SUCH AS USE OF WIGS, TURBANS, AND SCARVES. PARTICIPANTS RECEIVE A FREE KIT OF COSMETICS AND A VARIETY OF WIGS AND HATS FROM WHICH TO CHOOSE. *CANCER SURVIVORS DAY IS SPONSORED FOR PATIENTS AND GUESTS TO PARTICIPATE IN AN ANNUAL NATIONAL CELEBRATION OF LIFE. *HEALTH-RELATED MONTHLY MEETINGS ARE HELD IN HOSPITAL FACILITIES FOR: ALCOHOLICS ANONYMOUS ALZHEIMERS SUPPORT GROUP AMPUTEE SUPPORT GROUP DIABETES SUPPORT GROUP MULTIPLE SCLEROSIS SUPPORT GROUP NARCOTICS ANONYMOUS PARKINSONS SUPPORT GROUP WOMENS CANCER SUPPORT GROUP

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SCOTLAND HEALTH CARE SYSTEM INC
500 LAUCHWOOD DRIVELAURINBURGNC28352581847657OPERATE FOR THE BENEFIT OF, PERFORM FUNCTIONS, AND CARRY OUT PURPOSES OF SMHNC501(C)(3)LINE 11A, IN/A0
SCOTLAND MEMORIAL FOUNDATION INC
500 LAUCHWOOD DRIVELAURINBURGNC28352581828201CONDUCT FUNDRAISING ACTIVITIES FOR SCOTLAND HEALTH CARE SYSTEMNC501(C)(3)LINE 70SCOTLAND HEALTH CARE SYSTEM INC
EDWIN MORGAN CENTER INC
500 LAUCHWOOD DRIVELAURINBURGNC28352589178020SKILLED NURSING FACILITYNC501(C)(3)LINE 90SCOTLAND HEALTH CARE SYSTEM INC
HOSPICE OF SCOTLAND COUNTY INC
610 E LAUCHWOOD DRIVELAURINBURGNC28352561468269HEALTHCARE FOR TERMINALLY ILL PATIENTSNC501(C)(3)LINE 70SCOTLAND HEALTH CARE SYSTEM INC
SMH TITLE HOLDING COMPANY
500 LAUCHWOOD DRIVELAURINBURGNC28352581849143TITLE HOLDING COMPANYNC501(C)(2)0SCOTLAND HEALTH CARE SYSTEM INC
SCOTLAND REGIONAL HEALTH NETWORK
500 LAUCHWOOD DRIVELAURINBURGNC28352272187756OPERATES HOSPITALIST PROGRAMNC501(C)(3)LINE 70SCOTLAND HEALTH CARE SYSTEM INC

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND MOB LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode
FieldValueIRS element (for citing)
EIN205900149EIN
Primary ActivityRENTAL ESTATEPrimaryActivity
Legal Domicile StateNCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND HEALTH GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeINVESTMENTPredominantIncomeType
Share Of Total Income198816ShareOfTotalIncome
Share Of EOY Assets1173599ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND ENTERPRISES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 LAUCHWOOD DRIVEAddressLine1
CityLAURINBURGCity
StateNCState
ZIP Code28352ZIPCode
FieldValueIRS element (for citing)
EIN561651832EIN
Primary ActivityHEALTH CAREPrimaryActivity
Legal Domicile StateNCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SCOTLAND HEALTH GROUP INCBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
EDWIN MORGAN CENTER INC
N4053887
SCOTLAND MEMORIAL FOUNDATION INC
N733783