Community Benefit Insight - Tax-exempt hospital

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Scotland Memorial Hospital Inc

Scotland Memorial Hospital

500 Lauchwood Drive
Laurinburg, NC 28352

Bed count	104	Medicare provider number	340008	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 560583151

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

1.53%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 3,304,135 1.46 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 157,555 0.07 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 11,202,008 4.97 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 1,368,960 12.22 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 210809947 including grants of $ 126696) (Revenue $ 232191078)
"SCOTLAND MEMORIAL HOSPITAL, INC., LOCATED IN THE CITY OF LAURINBURG, SCOTLAND COUNTY, NORTH CAROLINA IS A NOTFORPROFIT, 501(C)(3), COMMUNITY OWNED HOSPITAL GOVERNED BY A LOCAL BOARD OF TRUSTEES. THE HOSPITAL IS A SUBSIDIARY OF SCOTLAND HEALTH CARE SYSTEM, A NOTFORPROFIT, 501(C)(3) CORPORATION, WHICH ALSO INCLUDES SCOTLAND MEMORIAL FOUNDATION, AND HOSPICE OF SCOTLAND COUNTY WHICH IS A SUBSIDARY CORPORATION UNDER SCOTLAND MEMORIAL HOSPITAL, INC. THE MISSION OF SCOTLAND HEALTH CARE SYSTEM ""IS TO WORK WITH OUR HEALTH CARE PARTNERS TO CREATE AND OPERATE A PATIENT CENTERED, INTEGRATED SYSTEM TO PROVIDE SAFE, HIGH QUALITY, COMPASSIONATE, AND SUSTAINABLE HEALTH CARE TO THE PEOPLE WE SERVE."" THE VISION IS THAT ""SCOTLAND HEALTH CARE SYSTEM WILL BE RECOGNIZED AND CHOSEN BY PATIENTS AND THEIR FAMILIES THROUGHOUT OUR REGION FOR THE QUALITY AND VALUE OF THE SERVICES WE PROVIDE. THIS VALUE WILL BE DEMONSTRATED THROUGH THE HIGHEST LEVEL OF QUALITY AND SERVICE, ALONG WITH THE SAFEST ENVIRONMENT. WE WILL LEAD EFFORTS TO IMPROVE THE HEALTH AND WELLBEING OF THE CITIZENS IN OUR REGION."" THE HOSPITAL OFFERS A FULL RANGE OF INPATIENT, SERVICES, INCLUDING INTENSIVE CARE AND INPATIENT REHABILITATION, AND OUTPATIENT ACUTE CARE SERVICES. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2021, THE HOSPITAL RECORDED 25,465 ADULT AND PEDIATRIC PATIENT DAYS, WITH AN AVERAGE DAILY CENSUS OF 88.8. THE HOSPITAL PERFORMED OVER 4,700 INPATIENT AND OUTPATIENT SURGERIES. OVER 47,500EMERGENCY ROOM VISITS WERE LOGGED AND 757 BABIES WERE DELIVERED. WITH A STAFF OF APPROXIMATELY 1,300 EMPLOYEES, THE HOSPITAL RANKS AS THE AREA'S LARGEST EMPLOYER. APPROXIMATELY 150 PHYSICIANS PROVIDE A COMPREHENSIVE RANGE OF SPECIALTIES INCLUDING: ANESTHESIOLOGY, CARDIOLOGY, DERMATALOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, GYNECOLOGY AND OBSTETRICS, HOSPITALIST SERVICES, INTERNAL MEDICINE, MEDICAL AND RADIATION ONCOLOGY, NEPHROLOGY, NEUROLOGY, OCCUPATIONAL MEDICINE,OPHTHALMOLOGY, ORTHOPEDICS, OTOLARYNGOLOGY, PAIN MANAGEMENT, PATHOLOGY, PEDIATRICS, PEDICATRIC CARDIOLOGY, PULMONARY MEDICINE, RADIOLOGY, UROLOGY, VASCULAR SURGERY, AND WOUND CARE, WHICH INCLUDES HYPERBARIC OXYGEN THERAPY. AVAILABLE TECHNOLOGIES INCLUDE NUCLEAR MEDICINE, 64-SLICE COMPUTERIZED TOMOGRAPHY (CT) SCANNING, POSITRON EMISSION TOMOGRAPHY (PET), LASER TECHNOLOGY, MAGNETIC RESONANCE IMAGING (MRI), LAPAROSCOPIC CHOLYCYSTECTOMY, ROBOTIC PARTIAL KNEE, TOTAL KNEE AND TOTAL HIP SURGERY, INTENSITY-MODULATED RADIATION THERAPY, AND LITHOTRIPSY. THE HOSPITAL OPERATES SEVEN RURAL HEALTH CLINICS, TEN FREESTANDING PHYSICIAN PRACTICES, AN URGENT CARE CENTER, AND AN OCCUPATIONAL HEALTH CLINIC, ALL LOCATED WITHIN A 30-MILE RADIUS OF THE HOSPITAL. TOTAL VISITS AT THESE PRACTICES WERE APPROXIMATELY 115,000 IN 2021 . THE HOSPITAL'S PRIMARY SERVICE AREA IS SCOTLAND COUNTY AND WESTERN ROBESON COUNTY, WHILE THE SECONDARY SERVICE AREA INLCUDES ROBESON COUNTY AND RICHMOND COUNTY, NORTH CAROLINA, AND MARLBORO COUNTY, SOUTH CAROLINA. SEE SCHEDULE H FOR DETAIL OF ORGANIZATIONS CHARITY CARE AND COMMUNITY BENEFITS POLICIES AND REPORTING.COMMUNITY SPONSORED EVENTS AND ACTIVITIES: THE HOSPITAL IS HEAVILY INVOLVED IN COMMUNITY EVENTS AND SPONSORS NUMEROUS CHARITABLE EVENTS, SUCH AS FUND DRIVES FOR UNITED WAY, AMERICAN CANCER SOCIETY RELAY FOR LIFE, MARCH OF DIMES WALK AMERICA (AWARENESS FOR HEALTHIER BABIES), AND NORTH CAROLINA SMART START (PROVIDING RESOURCES FOR CHILDREN TO ACHIEVE SUCCESS), WITH MANY HOSPITAL EMPLOYEES PARTICIPATING IN THE INITIATIVE. MIDDLE AND HIGH SCHOOL STUDENTS CAN ACCESS FREE ANNUAL PHYSICIALS, AND, FOR THOSE INTERESTED IN A MEDICAL CAREER, JOB-SHADOWING PURSUITS WITH HOSPITAL EMPLOYEES. SPEAKING AT LOCAL JOB FAIRS AND HIGH SCHOOL CAREER DAY EVENTS IS YET ANOTHER AVENUE FOR HOSPITAL STAFF TO SPREAD KNOWLEDGE ON TOPICS OF HEALTH. DURING THE PANDEMIC OUR HEALTH CARE SYSTEM TOOK AN ACTIVE ROLE IN EDUCATING OUR SERVICE AREA ABOUT THE PANDEMIC AND CONDUCTED EXTENSIVE TESTING TO RESIDENTS.A VARIETY OF PREVENTIVE HEALTH EDUCATION PROGRAMS ARE AVAILABLE TO THE COMMUNITY AND TO LOCAL INDUSTRY, MANY OF WHICH ARE OFFERED AT NO CHARGE. AMONG THESE ARE SCREENINGS FOR BLOOD PRESSURE, BODY FAT, CHOLESTEROL, DIABETES, BONE DENSITY, AND PROSTATE CANCER. HEALTH EVENTS FOR WOMEN AND MEN ARE OFFERED EACH YEAR WITH LOCAL PHYSICIANS AS KEYNOTE SPEAKERS AND EDUCATORS. ""SCOTTY AND ""MISSY"", 2 MOBILE HEALTHCARE UNITS, VISIT LOCAL SCHOOLS, BUSINESSES, AND INDUSTRY PROVIDING FREE BLOOD PRESSURE AND CHOLESTEROL SCREENINGS AND PHYSICALS. EXAMPLES OF HEALTH EVENTS OFFERED IN THE COMMUNITY ARE: - PHYSICAL EXAMINATIONS PROVIDED TO SPECIAL OLYMPICS ATHLETES, AND SPORTS PHYSICALS TO MIDDLE/HIGH SCHOOL STUDENTS. - HEALTH & FITNESS DAY, PROVIDING FOCUS ON PHYSICAL ACTIVITY, WHERE THE COMMUNITY AND HOSPITAL EMPLOYEES PARTICIPATE IN HEALTHY ACTIVITIES. - ""LOOK GOOD FEEL BETTER"" PROGRAM IS DESIGNED FOR WOMEN UNDERGOING CANCER TREATMENT, TEACHES FEMALE CANCER PATIENTS BEAUTY TECHNIQUES THAT HELP RESTORE SELFIMAGE WHILE UNDERGOING CHEMOTHERAPY AND RADIATION TREATMENTS. VOLUNTEER BEAUTY PROFESSIONALS LEAD SMALL GROUPS OF WOMEN THROUGH PRACTICAL, HANDSON EXERCIZES USING COSMETICS, CARING FOR SKIN AND NAILS, AND USING WIGS, HATS, TURBANS, AND SCARVES TO DEAL WITH HAIR LOSS. PARTICIPANTS RECEIVE FREE COSMETICS AND CAN CHOOSE FROM A VARIETY OF WIGS AND HATS FROM WHICH TO CHOOSE. - CANCER SURVIVORS DAY IS SPONSORED FOR PATIENTS AND GUESTS, INVITING PARTICIPATATION IN AN ANNUAL NATIONAL CELEBRATION OF LIFE. - HEALTH-RELATED MONTHLY MEETINGS ARE HELD IN HOSPITAL FACILITIES FOR THESE SUPPORT GROUPS: ALZHEIMER'S DISEASE BREASTFEEDING DIABETES MULTIPLE SCLEROSIS PARKINSON'S STROKE WOMENS CANCER"

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

SCOTLAND MEMORIAL HOSPITAL INC
PART V, SECTION B, LINE 5: IDENTIFIED PUBLIC HEALTH OFFICIALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AND COMMUNITY MEMBERS WITH KNOWLEDGE AND INTEREST IN ASSESSING AND IMPROVING THE HEALTH OF SCOTLAND COUNTY RESIDENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM WAS COMPRISED OF SCOTLAND HEALTH CARE SYSTEM COMMUNITY HEALTH PROFESSIONALS, SCOTLAND COUNTY HEALTH DEPARTMENT LEADERS, REPRESENTATIVES OF SCOTLAND COUNTY FAITH-BASED ORGANIZATIONS, AND COMMUNITY MEMBERS WITH KNOWLEDGE OF COUNTY HEALTH NEEDS AND A DEEP INTEREST IN IMPROVING THE STATE OF HEALTH WITHIN THE LOCAL COMMUNITIES.

SCOTLAND MEMORIAL HOSPITAL INC
PART V, SECTION B, LINE 6B: SCOTLAND COUNTY HEALTH DEPARTMENT, SCOTLAND COUNTY SCHOOL SYSTEM, UNC PEMBROKE

SCOTLAND MEMORIAL HOSPITAL INC
PART V, SECTION B, LINE 11: THE TOP PRIORITIES ADDRESSED IN THIS CHNA WERE IDENTIFIED AS: 1) OBESITY RELATED HYPERTENSION, HEART DISEASE, AND DIABETES. 2) MENTAL HEALTH ISSUES, INCLUDING SUBSTANCE MISUSE. 3) LACK OF POSITIVE YOUTH ENGAGEMENT ACTIVITIES AND HEALTHY BEHAVIORS. TO ADDRESS THESE NEEDS, PLANNED ACTIONS INCLUDE FOCUS ON RISK FACTORS OF OBESITY, SMOKING, HYPERLIIDEMIA, ELEVATED GLUCOSE LEVELS, INCREASING POSITIVE AWARENESS OF MENTAL HEALTH PROGRAMS, AND PROMOTING POSITIVE HEALTH BEHAVIORS.

Supplemental Information

Schedule H (Form 990) Part VI

PART II, COMMUNITY BUILDING ACTIVITIES:
SCOTLAND MEMORIAL HOSPITAL PLAYS A VERY ACTIVE ROLE IN RECRUITING PHYSICIANS AND MID-LEVEL PROVIDERS TO SERVE THE PATIENTS IN OUR SERVICE AREA. SCOTLAND AND ROBERSON COUNTY, NC AND MARLBORO COUNTY, SC ROUTINELY HAVE SHORTAGES IN HEALTHCARE PROVIDERS. BY IT'S EFFORTS, THE HOSPITAL ENSURES A NETWORK OF PROVIDERS IS AVAILABLE FOR THE CARE OF THOSE IN NEED IN OUR RURAL SETTING.

PART III, LINE 2:
BAD DEBT EXPENSE REPORTED WAS CALCULATED BY APPLYING THE COST-TO-CHARGE RATIO TO GROSS CHARGES INCURRED THAT WERE DETERMINED TO BE UNCOLLECTIBLE, BUT FOR WHICH PATIENTS HAD NOT APPLIED FOR FINANCIAL ASSISTANCE.

PART III, LINE 3:
THE HOSPITAL TRACKS BAD DEBT CHARGES ASSOCIATED WITH PATIENTS THAT ARE UNDERINSURED OR UNINSURED. THE BAD DEBT AMOUNT ATTRIBUTABLE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE INCLUDE THE COSTS ASSOCATED WITH THOSE BAD DEBT CHARGES BEING TRACKED.

PART III, LINE 8:
"PARTICIPATING IN THE MEDICARE PROGRAM QUALIFIES THE HOSPITAL FOR REIMBURSEMENT AT PREDETERMINED RATES FOR INPATIENT AND OUTPATIENT SERVICES. AS A CONDITION OF PARTICIPATION, THE HOSPITAL ACCEPTS PAYMENT FROM CMS (CENTERS FOR MEDICARE AND MEDICAID SERVICES), AND WRITES OFF THE DIFFERENCE BETWEEN THE AMOUNT PATIENT BILLED CHARGES AND MEDICARE PAYMENT. MEDICARE ALSO PAYS FOR CERTAIN ""PASS-THROUGH"" ITEMS, SUCH AS BAD DEBTS. TOTAL MEDICARE PAYMENTS DO NOT FULLY COVER THE COST OF PROVIDING SERVICES TO BENEFICIARIES."

PART III, LINE 9B:
THE ORGANIZATION HAS A BILLING AND COLLECTION POLICY WITH PROVISIONS FOR COLLECTING AMOUNTS DUE FROM THOSE PATIENTS WHO HAVE OUTSTANDING BALANCES. A DETERMINATION HAS ALREADY BEEN MADE REGARDING FINANCIAL ASSISTANCE PRIOR TO THE COLLECTION PROCESS. ONLY PATIENTS THAT ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE ARE PURSUED.

PART VI, LINE 2:
SCOTLAND MEMORIAL IS A MEMBER OF CAROLINAS COASTAL HEALTH ALLIANCE, WHICH HAS PREPARED COMMUNITY ASSESMENTS FOR ITS MEMBER HOSPITALS AND THE COMMUNITIES SERVED. HEALTH CARE NEEDS ARE ASSESSED ALSO BE INTERACTION WITH THE 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 THE TIME OF REGISTRATION, AT DISCHARGE, AT TIME OF BILLING, AND/OR IN DISCUSSION WITH THE HOSPITAL BILLING STAFF. SCOTLAND MEMORIAL HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE FOR ACCESS BY PATIENTS AND THE PUBLIC ON THE WEBSITE AT WWW.SCOTLANDHEALTH.ORG.

PART VI, LINE 4:
ALTHOUGH SCOTLAND MEMORIAL HOSPITAL SERVES THE NORTH CAROLINA COUNTIES OF SCOTLAND AND ROBESON, AND THE SOUTH CAROLINA COUNTY OF MARLBORO, THE PRIMARY FOCUS OF THE COMMUNITY-BASED SURVEY WAS ON SCOTLAND COUNTY, NORTH CAROLINA. RECENT DATA REPORTS THAT SCOTLAND COUNTY IS ONE OF THE POOREST COUNTIES IN NORTH CAROLINA, USUALLY THE POOREST OR THE SECOND POOREST. THE MEDIAN HOUSEHOLD INCOME IS $39,866, WHICH IS SUBSTANTIALLY LOWER THAN THE STATE AND NATIONAL MEDIAN HOUSEHOLD INCOMES AND THERE ARE 24.4% OF RESIDENTS LIVING IN POVERTY. THE COUNTY'S JOB MARKET YIELDS AN UNEMPLOYMENT RATE 2022 OF 6.4% CONSIDERABLY HIGHER THAN THE STATE-WIDE AVERAGE OF 3.4%. WHILE OVER 33.7% OF AMERICANS HAD AT LEAST A BACHELOR'S DEGREE, ONLY 15.3% OF SCOTLAND COUNTY RESIDENTS HAD SUCH A DEGREE. ETHNICALLY, THE COUNTY IS COMPRISED OF 41.2% WHITE, 39% BLACK, 13.8% AMERICAN INDIAN AND 3.7% HISPANIC.

PART VI, LINE 5:
SCOTLAND MEMORIAL HOSPITAL FULFILLS ITS TAX EXEMPT PURPOSE BY THE PROVISION OF HEALTH CARE SERVICES WITHIN ITS SERVICE AREA TO PATIENTS WITH LITTLE OR NO RESOURCES TO PAY FOR CARE, AND BY THE ACCEPTANCE OF PAYMENTS FROM MEDICARE AND MEDICAID AT SUBSTANTIALLY REDUCED RATES. THE HOSPITAL'S BOARD IS COMPRISED OF UNRELATED LOCAL MEMBERS OF THE COMMUNITY AND LOCAL PHYSICIANS THAT HAVE PRIVILEDGES IN A MAJORITY OF THE HOSPITAL'S DEPARTMENTS. ALL EXCESS FUNDS ARE APPLIED TO PATIENT CARE THROUGH THE ANNUAL BUDGET PROCESS, WHEREBY ALL AVAILABLE FUNDS ARE ALLOCATED BASED ON NEEDS HIERARCHY.

PART VI, LINE 6:
AS THE LARGEST EMPLOYER IN SCOTLAND COUNTY, SCOTLAND MEMORIAL HOSPITAL TAKES A LEADERSHIP ROLE IN ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, AND IN THE COORDINATION OF STRATEGIES TO MEET THE IDENTIFIED NEEDS.

PART VI, LINE 7, REPORTS FILED WITH STATES
NC,SC

Operating expenses	$ 225,575,704
Total amount spent on community benefits as % of operating expenses	$ 3,461,690 1.53 %