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SCOTLAND MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SCOTLAND MEMORIAL HOSPITAL INCORPORATED (EIN 56-0583151)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201202279349300305
Schema version
2010v3.4
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)
Timestamp2012-08-14T06:34:27-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY BIBBYName
Phone8282542254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts121376468GrossReceipts
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 Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees1217TotalNbrEmployees
Total Nbr Volunteers190TotalNbrVolunteers
Total Gross UBI214381TotalGrossUBI
Net Unrelated Business Txbl Income43909NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year297069ContributionsGrantsPriorYear
Contributions Grants Current Year812732ContributionsGrantsCurrentYear
Program Service Revenue Prior Year118148322ProgramServiceRevenuePriorYear
Program Service Revenue CY116962461ProgramServiceRevenueCY
Investment Income Prior Year1868339InvestmentIncomePriorYear
Investment Income Current Year2585670InvestmentIncomeCurrentYear
Other Revenue Prior Year937563OtherRevenuePriorYear
Other Revenue Current Year1015605OtherRevenueCurrentYear
Total Revenue Prior Year121251293TotalRevenuePriorYear
Total Revenue Current Year121376468TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year123031GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY100011GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48569839SalariesEtcPriorYear
Salaries Etc Current Year49703405SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year64760395OtherExpensePriorYear
Other Expenses Current Year64420739OtherExpensesCurrentYear
Total Expenses Prior Year113453265TotalExpensesPriorYear
Total Expenses Current Year114224155TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7798028RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7152313RevenuesLessExpensesCY
Total Assets BOY118226948TotalAssetsBOY
Total Assets EOY118243583TotalAssetsEOY
Total Liabilities BOY47931214TotalLiabilitiesBOY
Total Liabilities EOY50367952TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY70295734NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY67875631NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY, COMPASSIONATE HEALTH CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense87200271Expense
Grants100011Grants
Revenue116820361Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense87200271TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 With109690NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1217NumberOfEmployees
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 Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
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 Venture0InvestmentInJointVenture
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 DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KYLE CHAVIS
TRUSTEE1.00X000
RAY CHAVIS DDS
TRUSTEE1.00X000
CRAIG ELLIS
CHAIRMAN1.00X000X
MILTON FARMER
TRUSTEE1.00X000
BRADFORD FAULKENBERRY MD
TRUSTEE1.00X416200
DAVID HARLING
TRUSTEE1.00X000
CHARLES L HICKS JR
TRUSTEE1.00X000
WAYNE HOBBS
TRUSTEE1.00X000
CHARLES JENKINS
TRUSTEE1.00X000
KURT JUTE DO
TRUSTEE1.00X000
JOSHUA MALCOLM
TRUSTEE1.00X000
KATHY MANIS
TRUSTEE1.00X000
JIM MASON
TRUSTEE1.00X000
DONNIE MCDONALD
TRUSTEE1.00X000
JAMES MCDOUGALD
TRUSTEE1.00X000
JEFF MERCER
TRUSTEE1.00X000
KEN NICHOLS
TRUSTEE1.00X000
MICHAEL O'DONNELL MD
TRUSTEE1.00X160000
JANE ROGERS
TRUSTEE1.00X000
JONATHAN ROWSON MD
CHIEF OF STAFF THRU 11/30/112.00X248229047013X
PAUL RUSH MD
CHIEF OF STAFF THRU 11/30/102.00X3583300X
MIKE VINSON
TREASURER1.00X000
NANCY WALKER
VICE CHAIR1.00X000X
HARRY YEATMAN
TRUSTEE1.00X000
MATTHEW D PRACHT
CFO/VP FINANCE/ASST. TREAS.40.00183574046887X
GREGORY C WOOD
CEO/PRESIDENT40.00318252066355X
FRANK Y YANG
PHYSICIAN40.00341400059228X
JOHN R NOBLES
PHYSICIAN40.00336629054968X
JONATHAN ROWSON MD
PHYSICIAN40.00248229047037X
JAMES R STATEN
PHYSICIAN40.00217270044658X
DAVID A HOWELL
PHYSICIAN40.00225783044268X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2160961TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation410414TotalOtherCompensation
Number Individuals GT100 K44NumberIndividualsGT100K
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 SERVICES2079660
ALL AMERICAN OBGYN
413 OWEN DRIVE SUITE 101FAYETTEVILLENC28304PROFESSIONAL SERVICES277536
PINEHURST SURGICAL
5 VILLAGE DRIVEPINEHURSTNC28374PROFESSIONAL SERVICES225377
PURCELL CLINIC
418 KING STREETLAURINBURGNC28352PROFESSIONAL SERVICES183333
HOOKS LANDSCAPING
507 WEST 29TH STREETLUMBERTONNC28358LANDSCAPING SERVICES168924
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations291912RelatedOrganizations
All Other Contributions520820AllOtherContributions
Total Contributions812732TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES621500116925796116783696142100
HOSPICE IT CONTRACT6241002600026000
CANCER TREATMENT6241001066510665
FieldValueIRS element (for citing)
Total Program Service Revenue116962461TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column756023TotalRevenueColumn
Exclusion$756,023ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real147713Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real147713Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column147713TotalRevenueColumn
Exclusion$147,713ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1829647Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1829647Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1829647TotalRevenueColumn
Exclusion$1,829,647ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CAFETERIA REVENUE722210481876072281$409,595
INVESTMENT IN MOB90009965404$65,404
PURCHASE DISCOUNTS90009936476$36,476

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column284136TotalRevenueColumn
Exclusion$284,136ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue867892TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column121376468TotalRevenueColumn
Related Or Exempt Function Income116820361RelatedOrExemptFunctionIncome
Unrelated Business Revenue214381UnrelatedBusinessRevenue
Exclusion$3,528,994ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10909Total
Program Services10909ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total89102Total
Program Services89102ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total951885Total
Management And General951885ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37579855Total
Program Services28220786ProgramServices
Management And General9359069ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2960101Total
Program Services2177154ProgramServices
Management And General782947ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5361864Total
Program Services4061519ProgramServices
Management And General1300345ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2849700Total
Program Services2095954ProgramServices
Management And General753746ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total210874Total
Management And General210874ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total255318Total
Management And General255318ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total267542Total
Management And General267542ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19681446Total
Program Services12092142ProgramServices
Management And General7589304ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total538582Total
Program Services75419ProgramServices
Management And General463163ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15144989Total
Program Services13699418ProgramServices
Management And General1445571ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2451157Total
Program Services405418ProgramServices
Management And General2045739ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total354414Total
Program Services218126ProgramServices
Management And General136288ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total329753Total
Program Services329753ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7189560Total
Program Services7189560ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1363991Total
Program Services13120ProgramServices
Management And General1350871ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT1634009116340091
MISCELLANEOUS181383181383
PUBLIC RELATIONS & COMM111639417111222

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total114224155Total
Program Services87200271ProgramServices
Management And General27023884ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY31676BOY
EOY276302EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12667029BOY
EOY13914927EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13390722BOY
EOY15407456EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1832434BOY
EOY1883869EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY643400BOY
EOY580039EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis100000000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec43362643LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY47182118BOY
EOY56637357EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY39289923BOY
EOY25709097EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY625351BOY
EOY1352945EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2564295BOY
EOY2481591EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY118226948BOY
EOY118243583EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10997391BOY
EOY11504938EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY10852944BOY
EOY9019992EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2598416BOY
EOY1365086EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23482463BOY
EOY28477936EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47931214BOY
EOY50367952EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY69941365BOY
EOY67308020EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY354369BOY
EOY567611EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY70295734BOY
EOY67875631EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY118226948BOY
EOY118243583EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7152313ReconcilationRevenueExpenses
Reconcilation Other Changes-9572416ReconcilationOtherChanges
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$12,352OtherActivitiesAmount
Total Lobbying Expenditures IIB12352TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationPORTION OF MEMBERSHIP DUES PAID TO NCHA ALLOCATED TO LOBBYING EXPENSESExplanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70698248OtherCostOrOtherBasis
Depreciation30656629Depreciation
Book Value40041619BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6099113OtherCostOrOtherBasis
Depreciation2644737Depreciation
Book Value3454376BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23202639OtherCostOrOtherBasis
Depreciation10061277Depreciation
Book Value13141362BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings56637357TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATIONS$1,418,147
ACCRUED INTEREST PAYABLE$252,878
ESTIMATED 3RD PARTY SETTLEMENTS$7,603,947
PENSION PLAN LIABILITY$19,202,964
FieldValueIRS element (for citing)
Total Of Amounts28477936TotalOfAmounts
Total Revenue121376468TotalRevenue
Total Expenses114224155TotalExpenses
Excess Or Deficit For Year7152313ExcessOrDeficitForYear
Net Unrealized GL On Investments-2305840NetUnrealizedGLOnInvestments
Other-$7,266,576OtherAmount
Total Adjustments-9572416TotalAdjustments
Excess Or Deficit Per FS-2420103ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt112515223TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2305840NetUnrealizedGainsInvestments
Other Revenues2305839OtherRevenues
Revenue Not Rptd F990-1RevenueNotRptdF990
Revenue Subtotal112515224RevenueSubtotal
Other Revenues Not Included8861244OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt8861244RevenueNotRptdOnFinStmt
Total Revenue Per Form990121376468TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt113907023TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal113907023ExpensesSubtotal
Other Expenses Not Included317132OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt317132ExpensesNotRptdOnFinStmt
Total Expenses Per Form990114224155TotalExpensesPerForm990

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, 2011. THE CORPORATION BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2008.
PART XI, LINE 8 - OTHER ADJUSTMENTS:PENSION PLAN ADJUSTMENT -4,044,660. TRANSFER TO AFFILIATES -5,527,755. IMPAIRMENT OF ASSETS 2,305,839.
PART XII, LINE 2D - OTHER ADJUSTMENTS:IMPAIRMENT OF ASSETS 2,305,839.
PART XII, LINE 4B - OTHER ADJUSTMENTS:TRANSFER FROM AFFILIATES 4,499,452. BAD DEBT EXPENSE 69,180. INVESTMENT FEES 247,952. PENSION PLAN ADJUSTMENT 4,044,660.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 69,180. INVESTMENT FEES 247,952.

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 Expense2879815TotalCommunityBenefitExpense
Net Community Benefit Expense2879815NetCommunityBenefitExpense
Percent Of Total Expense0.02940PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20898854TotalCommunityBenefitExpense
Direct Offsetting Revenue16010849DirectOffsettingRevenue
Net Community Benefit Expense4888005NetCommunityBenefitExpense
Percent Of Total Expense0.04990PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense23778669TotalCommunityBenefitExpense
Direct Offsetting Revenue16010849DirectOffsettingRevenue
Net Community Benefit Expense7767820NetCommunityBenefitExpense
Percent Of Total Expense0.07930PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4366316TotalCommunityBenefitExpense
Direct Offsetting Revenue4103176DirectOffsettingRevenue
Net Community Benefit Expense263140NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense12150TotalCommunityBenefitExpense
Net Community Benefit Expense12150NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4378466TotalCommunityBenefitExpense
Direct Offsetting Revenue4103176DirectOffsettingRevenue
Net Community Benefit Expense275290NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense28157135TotalCommunityBenefitExpense
Direct Offsetting Revenue20114025DirectOffsettingRevenue
Net Community Benefit Expense8043110NetCommunityBenefitExpense
Percent Of Total Expense0.08210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,161,835BadDebtExpenseAmount
Amount Attributable To1300000AmountAttributableTo
Amount Reimbursed By Medicare42111206AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare45105394CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2994188MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
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 Explained0EligibilityCriteriaExplained
Uses FPG Free0UsesFPGFree
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method0ExplainsApplicationMethod
Includes Publicity Measures0IncludesPublicityMeasures
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy0NondiscrimEmergencyCarePolicy
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDE COSTS FOR A SKILLED NURSING FACILITY, AND THE HOSPITAL'S CARDIAC REHAB AND PULMONARY REHAB PROGRAMS. THE NET PATIENT SERVICE REVENUE INCLUDES PAYMENTS FOR EMC, CARDIAC REHAB AND PULMONARY REHAB SERVICES.
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 $ 16340091.
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 IRS WORKSHEETS WERE USED TO CALCULATE THE COST TO CHARGE RATIO. HOSPITAL COSTS ARE DIVIDED BY TOTAL CHARGES TO DETERMINE A COST TO CHARGE RATIO, WHICH IS THEN MULTIPLIED BY BAD DEBT CHARGES TO CALCULATE THE BAD DEBT COSTS. BAD DEBT CHARGES INCLUDES CHARGES THAT WERE WRITTEN OFF TO BAD DEBT AND CHARGES THAT WERE WRITTEN OFF ACCORDING TO SCOTLAND MEMORIAL HOSPITAL'S UNINSURED DISCOUNT POLICY. UNINSURED DISCOUNTS AND BAD DEBTS INCLUDES THE COST OF SERVICES PROVIDED TO UNINSURED OR UNDERINSURED PATIENTS AND TO PATIENTS WHO OTHERWISE DO NOT PAY FOR THEIR HEALTHCARE SERVICES.SCOTLAND COUNTY HAS THE HIGHEST NUMBER OF UNEMPLOYED PERSONS IN NC, RUNNING CONSISTENTLY BETWEEN 16 AND 17%. 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: THE ENTIRE AMOUNT OF THIS LOSS IS A COMMUNITY BENEFIT. MEDICARE IS THE LARGEST PAYOR CLASS AT SCOTLAND MEMORIAL HOSPITAL, COMPRISING 49% OF THE SERVICES PROVIDED.A COST TO CHARGE RATIO USING ALLOWABLE MEDICARE INPATIENT COSTS WAS USED TO CALCULATE THE INFORMATION PROVIDED.
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 NEED ARE DETERMINED BASED ON TYPES OF PATIENTS SERVED AND FINANCIAL LEVEL OF FINANCIAL ASSISTANCE PROVIDED IN PRIOR YEARS.
PART VI, LINE 3: UPON REGISTRATION PATIENTS ARE INFORMED AS TO THE POLICY OF SCOTLAND MEMORIAL HOSPITAL RELATING TO ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART VI, LINE 4: SCOTLAND MEMORIAL HOSPITAL SERVES A GEOGRAPHIC AREA OF SCOTLAND & ROBESON COUNTIES IN NORTH CAROLINA, AND MARLBORO COUNTY IN SOUTH CAROLINA WITH TOTAL POPULATION OF APPROXIMATELY 96,000. APPROXIMATELY 28% OF THIS POPULATION LIVES BELOW POVERTY LEVEL. THE AVERAGE MEDIAN HOUSEHOLD INCOME IS APPROXIMATELY $29,000 COMPARED WITH STATEWIDE AVERAGES OF $45,000.
PART VI, LINE 6: 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 7: AS THE PRIMARY PROVIDER IN SCOTLAND HEALTH CARE SYSTEM, SCOTLAND MEMORIAL HOSPITAL PROVIDES THE MAJORITY OF HEALTH CARE SERVICES AND LEADS THE EFFORT TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY.
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 (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
NURSING SCHOLARSHIPS1719497
HUMAN RESOURCE SCHOLARSHIPS4969605

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)
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 (8 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
20237904585000032830437300295242000
MATTHEW D PRACHT
14634503699602330186220282650230461000
GREGORY C WOOD
2122740822010237770302920360630384607000
FRANK Y YANG
29293504846500047420544860400628000
JOHN R NOBLES
26511406751504000042320507360391597000
JONATHAN ROWSON MD
190512045850011867032830437540295266000
JAMES R STATEN
17347004240001400029990416590261928000
DAVID A HOWELL
154003058505013275029520413160270051000

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 (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
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 12C
THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION OF THE CEO BY THE FOLLOWING PROCEDURE: THE OPERATING COMMITTEE, WHICH IS THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, ESTABLISHED A FORMAL COMPENSATION PHILOSOPHY WITH RESPONSIBILITIES IN 1996 USING AN OUTSIDE FIRM SPECIALIZING IN EXECUTIVE COMPENSATION. THIS PHILOSOPHY INCLUDES AN ANNUAL PROCESS WHICH BENCHMARKS INCUMBENT CEO AND CFO COMPENSATION AGAINST COMPARATIVE PEERS, OBTAINED FROM EXTERNAL INFORMATION. ANNUAL INCENTIVE PLANS ARE ESTABLISHED USING OBJECTIVE CRITERIA FOR BOTH THESE INDIVIDUALS AND OTHER MEMBERS OF THE EXECUTIVE TEAM. THE ENTIRE BOARD ALSO COMPLETES AN EVALUATION OF THE CEO WHICH IS ADDED TO THE ANNUAL INCENTIVE PLAN OBJECTIVES ESTABLISHED TO DETERMINE THE CEO'S ANNUAL COMPENSATION AND INCENTIVE PLAN PERFORMANCE. THE OPERATING COMMITTEE ALSO APPROVES THE CFO'S ANNUAL COMPENSATION INCLUDING HIS/HER INCENTIVE PLAN. THE OPERATING COMMITTEE CONTRACTS WITH THE CAROLINAS HEALTHCARE SYSTEM FOR THE CEO. THE OPERATING COMMITTEE ALSO REVIEWS AND APPROVES COMPENSATION FOR OTHER MEMBERS OF SHCS EXECUTIVE STAFF ON AN ANNUAL BASIS. FOR THE OTHER THREE VICE PRESIDENT'S, THEIR COMPENSATION IS APPROVED BY THE OPERATING COMMITTEE.FORM 990, PART VI, SECTION B, LINE 15
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 18
THE HOSPITAL MAKES IT 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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -2,305,840. TRANSFER FROM AFFILIATE -5,527,755. PENSION PLAN ADJUSTMENT -4,044,660. IMPAIRMENT OF ASSETS 2,305,839. TOTAL TO FORM 990, PART XI, LINE 5: -9,572,416.FORM 990, PART XI, LINE 5:
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS: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. 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 COMMUNITYS HEALTHCARE PROVIDER OF CHOICE. THE VALUES STATEMENT PROCLAIMS, "WE STAND FOR EXCELLENCE, INTEGRITY, AND COMMUNITY ACCOUNTABILITY." THE HOSPITAL OFFERS A FULL RANGE OF ACUTE CARE AND INPATIENT SERVICES, INCLUDING INTENSIVE CARE AND INPATIENT REHABILITAITON. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011, THE HOSPITAL RECORDED 21,573 ADULT AND PEDIATRIC PATIENT DAYS AND 1,354 INPATIENT REHABILITATION DAYS. THE AVERAGE DAILY CENSUS, INCLUDING INPATIENT REHABILITATION AND NURSERY INTENSIVE CARE UNITS, WAS 61 DAYS. THE HOSPITAL PERFORMED OVER 4,500 INPATIENT AND OUTPATIENT SURGERIES AND OVER 1,500 ENDOSCOPY CASES DURING THE YEAR. APPROXIMATELY 39,400 PATIENTS WERE TREATED IN THE EMERGENCY ROOM AND OVER 680 BABIES WERE DELIVERED. WITH A STAFF OF OVER 900 EMPLOYEES, THE HOSPITAL IS THE AREAS SECOND LARGEST EMPLOYER. 71 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, AND UROLOGY. 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. IN ADDITION, A MOBILE UNIT ALLOWS PHYSICIANS TO PERFORM LITHOTRIPSY AND CARDIAC CATHETERIZATION PROCEDURES LOCALLY. A CARDIOVASCULAR CENTER OFFERS CARDIAC CATHETERIZATIONS AND VASCULAR PROCEDURES FIVE DAYS A WEEK. THE HOSPITAL OPERATES TWO RURAL HEALTH CLINICS, THREE 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 SIX OUTLYING CLINICS WERE APPROXIMATELY 47,900 IN 2011. OUTPATIENT SPECIALTY CLINICS INCLUDE SERVICES IN 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.FORM 990, PART III
COMMUNITY SPONSORED EVENTS AND ACTIVITIES: THE HOSPITAL IS HEAVILY INVOLVED IN COMMUNITY EVENTS AND SPONSORS MANY CHARITABLE ACTIVITIES, SUCH AS UNITED WAY, AMERICAN CANCER SOCIETY RELAY FOR LIFE, WALK AMERICA (MARCH OF DIMES FOR HEALTHIER BABIES), SMART START, AND OTHER LOCAL FUNDRAISING EVENTS. MANY EMPLOYEES PARTICIPATE IN SOME OR ALL OF THESE EVENTS. THE HOSPITAL SUPPORTS LOCAL EDUCATION, SCOTLAND COUNTY HIGH SCHOOL, AND ENCOURAGES HIGH SCHOOL TEENS INTERESTED IN THE MEDICAL FIELD TO JOB SHADOW WITH HOSPITAL EMPLOYES. FREE ANNUAL PHYSICALS ARE PROVIDED TO HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS. HOSPITAL EMPLOYEES ARE ENCOURAGED TO SPEAK AT LOCAL JOB FAIRS AND AT THE HIGH SCHOOL CAREER DAY FESTIVITIES. HOSPITAL TOURS ARE OFFERED TO LOCAL SCHOOLS. HEALTH PREVENTION AND EDUCATION PROGRAMS ARE OFFERED IN THE COMMUNITY AND LOCAL INDUSTRY. ANNUAL HEALTH FAIRS ARE OFFERED WITH FOCUS ON WOMEN AND MENS HEALTH RELATED TOPICS, OFTEN WITH LOCAL PHYSICIANS AS KEYNOTE SPEAKERS. MANY OF THESE MEETINGS ARE FREE TO THE PUBLIC. SCOTTY, A MOBILE HEALTHCARE UNIT, AND "MISSY," A SMALLER MOBILE UNIT, ARE CONTINUALLY VISITING LOCAL SCHOOLS, BUSINESSES, AND INDUSTRY OFFERING FREE BLOOD SCREENS, CHOLESTEROL CHECKUPS, AND PHYSICALS. THE FOLLOWING PROGRAMS REPRESENT THOSE OFFERED BY THE HOSPITAL TO THE COMMUNITY IN THE PAST YEAR PURSUANT TO THE MISSION STATEMENT - "TO PROVIDE QUALITY, COMPASSIONATE HEALTH CARE": *FREE SCREENINGS - CHOLESTERAL & BLOOD PRESSURE: 1/27/11 SCOTLAND PLACE, 28 ATTENDEES 1/29/11 PROSPECT CHURCH, 27 ATTENDEES 2/02/11 MCCOLL CHURCH OF GOD, 21 ATTENDEES *FREE SCREENINGS BLOOD PRESSURE & BONE DENSITY: 5/03/11 PROSPECT CHURCH, 15 ATTENDEES 5/05/11 FREEDOM TEMPLE, 14 ATTENDEES 5/10/11 & 6/03/11 WAGRAM FAMILY PRACTICE, 16 ATTENDEES 05/12/11 SCOTLAND PLACE, 23 ATTENDEES *FREE SCREENING DIABETES: 9/20/11 DIABETES HEALTH FAIR, SCOTLAND MEMORIAL HOSPITAL & BENNETTSVILLE FAMILY PRACTICE *FREE SCREENINGS FOR LOCAL TEACHERS - CHOLESTEROL, BLOOD PRESSURE, PROSTATE CANCER, BODY FAT, AND BONE DENSITY: 2/16/11 SCOTLAND SCHOOLS CENTRAL OFFICE, 5 ATTENDEES 2/17/11 SOUTH SCOTLAND SCHOOL HEALTH FAIR, 22 ATTENDEES *WOMENS & MENS HEALTH EVENT WITH SPEAKERS AND EDUCATION SESSIONS: 2/05/11 *250 ATTENDEES - WOMEN 6/30/11 *85 ATTENDEES - MEN *PHYSICAL EXAMINATIONS FOR SPECIAL OLYMPICS PARTICIPANTS: 3/24/11 *20 EXAMINATIONS PERFORMED BY VOLUNTEER LOCAL MEDICAL PROVIDERS *FREE PHYSICALS FOR MIDDLE/HIGH SCHOOL STUDENTS PARTICIPATING IN SCOTLAND HIGH SCHOOL SPORTS 04/15/11 *343 PHYSICALS PERFORMED *NATIONAL EMPLOYEE HEALTH & FITNESS DAY 5/09/11 FREE ANNUAL EVENT, COMMUNITY INVITED TO JOIN HOSPITAL EMPLOYEES IN WALKING ONE-MILE COURSE. *"LOOK GOOD FEEL BETTER" PROGRAM FOR WOMEN UNDERGOING TREATMENT FOR CANCER. PROGRAM TEACHES FEMALE CANCER PATIENTS BEAUTY TECHNIQUES TO HELP RESTORE THEIR APPEARANCE AND SELF-IMAGE DURING CHEMOTHERAPY AND RADIATION TREATMENTS. VOLUNTEER BEAUTY PROFESSIONALS LEAD SMALL GROUPS, USUALLY CONSISTING OF 3 TO 4 WOMEN, THROUGH PRACTICAL, HANDS-ON EXPERIENCE. WOMEN LEARN ABOUT MAKEUP TECHNIQUES, SKINCARE, NAIL CARE, AND OTHER OPTIONS RELATED TO HAIR LOSS SUCH AS WIGS, TURBANS, AND SCARVES. EACH PARTICIPANT RECEIVES A FREE KIT OF COSMETICS FOR USE DURING AND AFTER THE PROGRAM, AND A VARIETY OF WIGS AND HATS FROM WHICH TO CHOOSE. DURING THE YEAR 6 SESSIONS WERE HELD AND INCLUDED 16 PARTICIPANTS. *CANCER SURVIVORS DAY ON JUNE 3, 2011 INCLUDED 140 CANCER SURVIVORS AND 142 GUESTS PARTICIPATING IN AN ANNUAL NATIONAL PROGRAM TO CELEBRATE LIFE. *OTHER HEALTH RELATED MONTHLY MEETINGS HELD IN HOSPITAL FACILITIES INCLUDE: - ALCOHOLICS ANONYMOUS - ALZHEIMERS SUPPORT GROUP - AMPUTEE SUPPORT GROUP - DIABETES SUPPORT GROUP - MULTIPLE SCLEROSIS SUPPORT GROUP - NARCOTICS ANONYMOUS - PARKINSON'S 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 HEALTHCARE SYSTEMS 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 GROUP INC
EDWIN MORGAN CENTER INC
500 LAUCHWOOD DRIVELAURINBURGNC28352589178020SKILLED NURSING FACILITYNC501(C)(3)LINE 90SCOTLAND HEALTH GROUP INC
HOSPICE OF SCOTLAND COUNTY INC
610 E LAUCHWOOD DRIVELAURINBURGNC28352561468269HEALTHCARE FOR TERMINALLY ILL PATIENTSNC501(C)(3)LINE 70SCOTLAND HEALTH GROUP INC
SMH TITLE HOLDING COMPANY
500 LAUCHWOOD DRIVELAURINBURGNC28352581849143TITLE HOLDING COMPANYNC501(C)(2)0SCOTLAND HEALTH GROUP INC
SCOTLAND REGIONAL HEALTH NETWORK
500 LAUCHWOOD DRIVELAURINBURGNC28352272187756OPERATES HOSPITALIST PROGRAMNC501(C)(3)LINE 70SCOTLAND HEALTH GROUP 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 Income141239ShareOfTotalIncome
Share Of EOY Assets928985ShareOfEOYAssets
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 (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SCOTLAND MEMORIAL FOUNDATION INC
N651073
EDWIN MORGAN CENTER INC
N3832926
SCOTLAND MOB LLC
A104034