2024-08-12T14:47:43-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 560538020 COLUMBUS REGIONAL HEALTHCARE SYSTEM COLU 9106421703 500 JEFFERSON STREET WHITEVILLE NC 28472 JEFF ARMSTRONG CFO 9106421703 2024-08-12 1 1 AMY BIBBY P00445891 8282542254 2024-08-12 2022 2024-08-08 14:25:15Z W JASON BECK 500 JEFFERSON STREET WHITEVILLE NC 28472 138317720 0 X WWW.CRHEALTHCARE.ORG X 1937 NC SERVING THE CITIZENS BY PROVIDING COMMUNITY SERVICES, HEALTH EDUCATION, AND CHARITY CARE. 8 7 811 15 0 0 4116517 95090 123715262 135031990 528049 2881572 999002 103702 129358830 138112354 9939 10250 0 0 40172114 41139041 0 0 11732 76994492 88743908 117176545 129893199 12182285 8219155 198324168 208090810 44708684 45979161 153615484 162111649 X TO PROVIDE COMPASSIONATE CARE, ADVANCE HEALING AND INSPIRE HOPE FOR OUR PATIENTS AND THEIR LOVED ONES. WE WILL BE THE PRIMARY HEALTHCARE HOME FOR THE CITIZENS OF COLUMBUS COUNTY AND SURROUNDING COMMUNITIES. CRHS WILL ESTABLISH ITSELF AS THE HEALTH SYSTEM OF CHOICE IN COLUMBUS COUNTY BY DEVELOPING LONG-TERM RELATIONSHIPS WITH PATIENTS AND PROVIDERS AND LEVERAGING PARTNERSHIPS AND TECHNOLOGY TO ENSURE EASY, TIMELY ACCESS TO A FULL BREADTH OF CLINICAL SERVICES. CRHS WILL FACILITATE THE COORDINATION OF CARE THAT RESULTS IN EXCELLENT OUTCOMES, HIGH LEVELS OF SATISFACTION AND VALUE FOR THE PATIENT, AND MEASURABLE IMPROVEMENTS IN OUR POPULATION'S HEALTH. OUR VALUES START WITH THE RECOGNITION OF OUR PRIMARY ROLE AS A CARE GIVING HEALTH SYSTEM: THE NEEDS OF OUR PATIENTS COME FIRST. 0 0 116232840 10250 135031990 WE WILL BE THE PRIMARY HEALTHCARE HOME FOR THE CITIZENS OF COLUMBUS COUNTY AND SURROUNDING COMMUNITIES. CRHS WILL ESTABLISH ITSELF AS THE HEALTH SYSTEM OF CHOICE IN COLUMBUS COUNTY BY DEVELOPING LONG-TERM RELATIONSHIPS WITH PATIENTS AND PROVIDERS AND LEVERAGING PARTNERSHIPS AND TECHNOLOGY TO ENSURE EASY, TIMELY ACCESS TO A FULL BREADTH OF CLINICAL SERVICES. CRHS WILL FACILITATE THE COORDINATION OF CARE THAT RESULTS IN EXCELLENT OUTCOMES, HIGH LEVELS OF SATISFACTION AND VALUE FOR THE PATIENT, AND MEASURABLE IMPROVEMENTS IN OUR POPULATION'S HEALTH. OUR VALUES START WITH THE RECOGNITION OF OUR PRIMARY ROLE AS A CARE GIVING HEALTH SYSTEM: THE NEEDS OF OUR PATIENTS COME FIRST. 116232840 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 139 0 1 811 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NC X X M JEFFERY ARMSTRONG 9106421703 500 JEFFERSON STREET WHITEVILLE NC 28472 TERRAY SUGGS CHAIRMAN 1.00 3.00 X X 0 0 0 ANDY MARTIN TRUSTEE 1.00 3.00 X 0 0 0 DR SAM WHEATLEY CMO 12.00 3.00 X X 54750 0 0 BRENT WATTS TRUSTEE 1.00 3.00 X 0 0 0 DR JOHN SCHULTZ TRUSTEE 1.00 3.00 X 0 0 0 CARL MEARES JR TRUSTEE 1.00 3.00 X 0 0 0 FREDA GORE TRUSTEE 1.00 3.00 X 0 0 0 CHRIS SMITH TRUSTEE 1.00 3.00 X 0 0 0 DR DAVID GRECO TRUSTEE 1.00 3.00 X 0 0 0 JEROME MCMILLIAN TRUSTEE 1.00 3.00 X 0 0 0 W JASON BECK CEO 60.00 X 304308 0 34668 M JEFFERY ARMSTRONG CFO 60.00 X 254764 0 31613 VENEZIANO TERESA CNO 40.00 X 217615 0 13364 RACHEL DUNBAR COO 40.00 X 190923 0 23130 JEFFREY SAVAGE CRNA 40.00 X 356368 0 15922 ROBIN HODGE CRNA 40.00 X 285044 0 23364 GLORIA MILLER CRNA 40.00 X 259244 0 13826 HEATHER HINSON CRNA 40.00 X 241947 0 270 HEATHER CAUSEY CRNA 40.00 X 205649 0 9621 2370612 0 165778 48 0 1 0 ATRIUM HEALTH PO BOX 32861 CHARLOTTE NC 28232 MANAGEMENT FIRM 3291715 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 MANAGEMENT FIRM 1889921 SIMPLI FI MANAGED SERVICES 5020 NORTHSHORE DRIVE SUITE 2 NORTH LITTLE ROCK AR 72118 AGENCY LABOR FIRM 1663458 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 MANAGEMENT FIRM 1410740 TOTAL HEALTH & REHAB SERV 109 E WYCHE STREET WHITEVILLE NC 28472 PHYSICAL THERAPY 1385121 29 95090 95090 PATIENT SERVICE REVENUE 621990 132423123 132423123 ANCILLARY REVENUE 621990 2608867 2608867 135031990 1713416 1713416 287656 197509 90147 90147 90147 1176013 0 7857 1176013 -7857 1168156 1168156 13555 0 13555 13555 138112354 135031990 0 2985274 X 10250 10250 1125135 1125135 32664905 31705638 959267 492150 461791 30359 4447726 4173360 274366 2409125 2260514 148611 122162 122162 123706 123706 29790608 24739547 5051061 37348 37348 5155371 1730307 3413576 11488 61885 61885 1497071 1497071 133333 84216 48873 244 1020081 1020081 8843799 8772682 71117 1022317 1022317 MEDICAL SUPPLIES 20289768 20289768 BAD DEBT 19912968 19912968 FOOD 570410 532843 37567 MISCELLANEOUS 163081 163081 129893199 116232840 13648627 11732 1618466 447185 2433311 1026037 14949507 21186089 2498148 2588628 9365834 2834022 149976328 102093147 50432408 47883181 40907771 32286586 72447138 85848917 2062398 1991281 1609187 11998884 198324168 208090810 12683214 11952115 1055370 20428065 19123705 10542035 14903341 44708684 45979161 X 150500396 159414314 3115088 2697335 153615484 162111649 198324168 208090810 X 8219155 215167 61843 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6930 6930 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID TO THAT ORGANIZATION IS ALLOCATED TO LOBBYING EXPENDITURES ON BEHALF OF ITS MEMBERSHIP BODY. THE AMOUNT OF DUES ALLOCATED TO LOBBYING EXPENDITURES WAS APPROXIMATELY $1,885. THE ORGANIZATION IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID TO THAT ORGANIZATION IS ALLOCATED TO LOBBYING EXPENDITURES ON BEHALF OF ITS MEMBERSHIP BODY. THE AMOUNT OF DUES ALLOCATED TO LOBBYING EXPENDITURES WAS $5,045. 1496922 1496922 50863910 31519609 19344301 95748449 70573538 25174911 1867047 1867047 47883181 INVESTMENT IN CHRN 78605235 F INVESTMENT IN CRHO 740388 F INVESTMENT IN CR DIAGNOSTICS 4095178 F INVESTMENT IN CR PROPERTIES II 2408116 F 85848917 OTHER RECEIVABLES 2185668 RIGHT OF USE ASSET 9650837 DUE FROM CCHF 162379 11998884 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 5363240 DEFERRED PENSION COST -2935835 LEASE LIABILITIES 9968876 CAPITAL FINANCING 98944 DUE TO CRPII 2408116 14903341 X PART X, LINE 2: INCOME TAXES- THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023 OR 2022. 1 1 X 1 X 1 X 1 1 0 1 1 3361856 3361856 0.03060 27568369 30845681 0 0.00000 30930225 30845681 3361856 0.03060 11488 11488 0.00010 11488 11488 0.00010 30941713 30845681 3373344 0.03070 8250 8250 0.00010 2000 2000 0.00000 10250 10250 0.00010 0 19912968 6296480 41369842 49821981 -8452139 X 1 0 1 1 COLUMBUS REGIONAL HEALTHCARE SYSTEM 500 JEFFERSON STREET WHITEVILLE NC 28472 X X X COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 0 0 1 X X X X X X X X X 22 1 0 1 1 X SEE PART V 1 22 1 SEE PART V 0 1 X 150.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 0 X X X 1 X 0 0 COLUMBUS REGIONAL HEALTHCARE SYSTEM PART V, SECTION B, LINE 5: IN THE SPRING OF 2022, COLUMBUS REGIONAL HEALTHCARE SYSTEM STAFF IN COLLABORATION WITH STAKEHOLDERS IN COLUMBUS COUNTY CONVENED A WELLNESS INITIATIVE TO REVIEW OBSTACLES TO HEALTH AND PHYSICAL NEEDS OF RESIDENTS IN OUR COUNTY. THIS EFFORT FOCUSED ON ASSESSING COMMUNITY HEALTH NEEDS, LOCAL HEALTH RESOURCES, BARRIERS TO CARE, GAPS IN SERVICES, AND TRENDS REGARDING HEALTH AND HEALTHY LIFESTYLES AND TO SEEK FUNDS TO ADDRESS STRATEGIES DEVELOPED DURING THIS PROCESS. THE CHNA WILL BE UTILIZED TO DOCUMENT COMMUNITY NEED AND LINK THOSE NEEDS TO BENEFIT COMMUNITY EFFORTS THROUGH PARTNERSHIPS WITH LOCAL HEALTH RESOURCES. THE NEEDS ASSESSMENT WILL BE UTILIZED TO ASSIST THE HOSPITAL IN PLANNING AND PRIORITIZING ITS COMMUNITY BENEFIT INVESTMENTS. THE ASSEMBLED TASK FORCE MET TO DISCUSS QUESTIONS TO BE INCLUDED ON THE SURVEY AND HOW THE SURVEY SHOULD BE DISSEMINATED ACROSS THE COUNTY. DURING THE FIRST MEETING OF THIS GROUP IT WAS DETERMINED THAT WE NEEDED A THIRD PARTY FACILITATOR TO ENSURE THE PROCESS WAS COMPREHENSIVE AND WAS OPEN TO ALL RESIDENTS. MDC-RURAL FORWARD AGREED TO TAKE ON THIS TASK AND HAS BEEN INVOLVED IN DEVELOPING AGENDAS, MEETING TIMES AND STAKEHOLDERS. OUR COUNTY HAS COMPLETED TWO NEEDS ASSESSMENTS IN THE PAST NINE MONTHS. A STUDY OF THE RECREATION NEEDS OF THE COUNTY WAS COMMISSIONED BY TE COUNTY AND HAS BEEN COMPLETED. THE SECOND NEEDS ASSESSMENT WAS FUNDED THROUGH KATE B. REYNOLD AND ADDRESSES THE SUBSTANCE ABUSE/MISUSE ISSUES IN OUR COUNTY AS IS TARGETING SOME OF THE SAME AREAS WE ARE ADDRESSING IN OUR HEALTH ASSESSMENT. THE NEEDS ASSESSMENT IS WORKING WITH THE HOSPITAL AND LOCAL AGENCIES TO DETERMINE HOW TO BEST ALLOCATE FUNDS FROM THE PHARMA SETTLEMENT WHICH WILL AVERAGE 7 MILLION DOLLARS OVER AND 18 YEAR PERIOD. THERE IS CURRENTLY A COLUMBUS COUNTY OPIOID SUBSTANCE ABUSE/MISUSE COALITION MADE UP OF MEMBERS FROM ACROSS THE COUNTY THAT IS ADDRESSING THESE ISSUES. THE CHNA WAS INCORPORATED INTO A SURVEY MONKEY AND PEN AND PAPER SURVEYS WERE PREPARED N BOTH ENGLISH AND SPANISH. A LISTING OF POSSIBLE AGENCIES THAT SHOULD BE INCLUDED IN THE DISSEMINATION OF SURVEYS WAS DEVELOPED. THESE SITES INCLUDED, BUT WERE NOT LIMITED TO:-COLUMBUS REGIONAL HEALTHCARE STAFF-COLUMBUS COUNTY AND WHITEVILLE CITY SCHOOLS-SOUTHEASTERN COMMUNITY COLLEGE FACULTY, STAFF AND STUDENTS-LOCAL PUBLIC LIBRARIES-PHYSICIAN OFFICES-BEHAVIORAL HEALTH CENTERS-DEPARTMENT OF AGING SITES-CIVIC GROUPS SUCH AS ROTARY AND COLUMBUS CHILDREN, YOUTH AND FAMILIES-HISPANIC OUTREACH PROGRAMS-WACCAMAW SIOUAN DEVELOPMENT OFFICE-ALL LAW ENFORCEMENT AGENCIES-COLUMBUS COUNTY GOVERNMENT-LOCAL TOWN AND CITY GOVERNMENTS-FAITH BASED ORGANIZATIONS-COLUMBUS COUNTY CHAMBER AND TOURISM-INTERNATIONAL PAPER-COLUMBUS COUNTY JOBS FOUNDATION-PRIVATE MEDICAL PRACTICES AND CLINICS-LOCAL CHAMBERS OF COMMERCE (CHADBOURN, TABOR CITY AND FAIR BLUFF)-MINORITY OWNED BARBER SHOPS AND SALONSOUR INTENT WAS TO DISTRIBUTE SURVEYS THROUGHOUT THE COUNTY AND UTILIZE THOSE LISTED ABOVE TO OBTAIN RESPONSES THAT REFLECT THE ENTIRE COMMUNITY. WHITEVILLE, BEING THE LARGEST TOWNSHIP IN THE COUNTY, WAS EXPECTED TO HAVE THE GREATEST RETURN AND THAT WAS REFLECTED IN RESPONSE RATE. AN EFFORT WAS MADE TO REACH UNDERSERVED AREAS OF THE COUNTY AND MEMBERS OF THE COMMITTEE WERE ASKED TO REACH OUT TO IDENTIFY INDIVIDUALS IN THESE AREAS. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY DEVELOPED FOR THIS ASSESSMENT CYCLE WAS UTILIZED IN ADDITION TO A SURVEY COMPLETED IN THE SUMMER OF 2022 TO ASSESS OPIOID, SUBSTANCE ABUSE AND MISUSE IN COLUMBUS COUNTY. THE OPIOID/SUBSTANCE ABUSE SURVEY WAS IMPLEMENTED THROUGH A JOINT EFFORT BY THE COLUMBUS COUNTY REGIONAL HOSPITAL AND COLUMBUS COUNTY GOVERNMENT. A TASK FORCE APPOINTED BY ADDICTION CONSULTANT TRAINING, LLC FROM CHAPEL HILL AND APPROVED BY THE COLUMBUS COUNTY BOARD OF COMMISSIONERS WILL OVERSEE THE SETTLEMENT FUNDING DESIGNATED FOR OUR COUNTY THROUGH THE BIG PHARMA SETTLEMENT. THIS SURVEY INCLUDED AS A LINK IN THIS DOCUMENT, AND QUESTIONS/COMMENTS GATHERED DURING THIS PROCESS TEND TO VALIDATE ISSUES IDENTIFIED WITH THE CHNA. ALSO INCLUDED AS A LINK IN THIS DOCUMENT IS THE COMMUNITY RECREATION NEEDS ASSESSMENT, A STUDY CONDUCTED BY THE COLUMBUS COUNTY PARKS AND RECREATION TO RESEARCH STATUS OF ACCESS TO HEALTH AND RECREATION FACILITIES FOR RESIDENTS IN OUR COUNTY. THESE DOCUMENTS VALIDATE MANY OF THE FINDINGS IDENTIFIED THROUGHOUT OUR SURVEY. COLUMBUS REGIONAL HEALTHCARE SYSTEM PART V, SECTION B, LINE 6B: COLUMBUS REGIONAL, COLUMBUS COUNTY HEALTH DEPARTMENT, COLUMBUS COUNTY PARTNERSHIP FOR CHILDREN, COL CO COOPERATIVE EXTENSION, WACCAMAW-SIOUAN TRIBE, LOWER CAPE FEAR COLUMBUS REGIONAL HEALTHCARE SYSTEM PART V, SECTION B, LINE 11: COLUMBUS REGIONAL HEALTHCARE SYSTEM IS ADDRESSING THE FOLLOWING SIGNIFICANT NEEDS THAT WERE IDENTIFIED IN THE MOST RECENT CHNA:-HEART DISEASE AND STROKE: COMMUNITY EDUCATION, CODE STROKE INITIATIVE, EXPANDED RELATIONSHIP WITH CAPE FEAR HEART ASSOCIATES, CARE TRANSITIONS PROGRAM, AND PARTNERSHIP WITH THE COLUMBUS COUNTY FARMERS MARKET-CANCER: INCREASING EDUCATION TO THE COMMUNITY AND IMPLEMENTING CANCER SCREENING PROGRAMS INTO CURRENT COMMUNITY BENEFIT RELATED ACTIVITIES THROUGH THE DONAYRE CARE CENTER AND PARTNERSHIP WITH LEVINE CANCER INSTITUTE-DIABETES: INCREASING EDUCATION AND PARTICIPATING IN AND OFFERING COMMUNITY EVENTS TO PROVIDE FREE SCREENINGS FOR PATIENTS AT RISK FOR THIS CHRONIC DISEASE WHILE OFFERING RESOURCES FOR MANAGEMENT AND TREATMENT OPTIONS. SCHEDULE H, PART V, SECTION B, LINES 7A AND 10A: WEBSITE ADDRESS FOR COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY:HTTP://WWW.CRHEALTHCARE.ORG/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, 16C FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION:HTTP://WWW.CRHEALTHCARE.ORG/PATIENTS-VISITORS/CRHS-FINANCIAL-ASSISTANCE/ 12 1 - ADVANCED PRIMARY CARE - WHITEVILLE 619 JEFFERSON STREET WHITEVILLE NC 28472 OTHER OUTPATIENT CLINIC 2 - ADVANCED IMAGING - WHITEVILLE 619 JEFFERSON STREET WHITEVILLE NC 28472 DIAGNOSTIC CENTER 3 - BALDWIN WOODS DIAGNOSTICS 619 JEFFERSON STREET WHITEVILLE NC 28472 DIAGNOSTIC CENTER 7 - ADVANCED UROLOGY - WHITEVILLE 320 JEFFERSON STREET WHITEVILLE NC 28472 OTHER OUTPATIENT CLINIC 8 - ADVANCED ORTHOPEDICS 701 JEFFERSON STREET WHITEVILLE NC 28472 OTHER OUTPATIENT CLINIC 9 - ADVANCED PEDIATRICS 36 MCNEILL PLAZA WHITEVILLE NC 28472 OTHER OUTPATIENT CLINIC 10 - ADVANCED UROLOGY - LELAND 144 POOLE RD SUITE 102 LELAND NC 28451 OTHER OUTPATIENT CLINIC 11 - ADVANCED PRIMARY CARE - LELAND 509 OLDE WATERFORD WAY SUITE 305 LELAND NC 28451 OTHER OUTPATIENT CLINIC 12 - ADVANCED ORTHOPEDICS - LELAND 509 OLDE WATERFORD WAY SUITE 305 LELAND NC 28451 OTHER OUTPATIENT CLINIC 13 - BALDWIN WOODS OBGYN ADVANCED WOMEN'S CA 221 JEFFERSON STREET WHITEVILLE NC 28472 OTHER OUTPATIENT CLINIC 14 - BALDWIN WOODS OBGYN ADVANCED WOMEN'S CA 14508 JAMES B WHITE HWY S TABOR CITY NC 28463 OTHER OUTPATIENT CLINIC 15 - ADVANCED IMAGING - LELAND 509 OLDE WATERFORD WAY SUITE 305 LELAND NC 28451 OTHER OUTPATIENT CLINIC PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. PART I, LN 7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $19,912,968 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F). PART III, LINE 3: THE ORGANIZATION MULTIPLIED BAD DEBT EXPENSE BY THE COST TO CHARGE RATIO. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. PART VI, LINE 2: CRHS COMPLETES A NEEDS ASSESSMENT EVERY THREE YEARS. PART VI, LINE 3: A PATIENT PRESENTED AS SELF PAY IS ASKED TO SPEAK WITH A FINANCIAL COUNSELOR OR THE CONTRACTED MEDICAID ELIGIBILITY SPECIALIST WHO WILL EVALUATE FOR MEDICAID ELIGIBILITY. IF NOT ELIGIBLE FOR MEDICAID, CHARITY CARE GUIDELINES ARE REVIEWED WITH PATIENT AND PROCESSED AS NEEDED. PART VI, LINE 4: THE PERIODIC COMMUNITY NEEDS ASSESSMENT PERFORMED TAKES INTO ACCOUNT GEOGRAPHIC AND DEMOGRAPHIC DATA FOCUSED ON CONSTITUENCY IN COLUMBUS COUNTY AND THE SURROUNDING APPLLICABLE COUNTIES IN THE REGION. DATA PARTS INCLUDE AGE, GENDER, MIGRATION TRENDS, THE ECONOMIC ENVIRONMENT, ETC. PART VI, LINE 5: THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MOST OF ITS DEPARTMENTS. THE SURPLUS OF FUNDS, IF ANY, ARE USED TO PURCHSE MEDICAL EQUIPMENT AND IMPROVING PATIENT CARE. THE ORGANIZATION'S BOARD IS COMPRISED OF MOSTLY UNREALTED, LOCAL RESIDENTS TO ENSURE THAT THE VOICE OF COMMUNITY IS HEARD. PART VI, LINE 7, REPORTS FILED WITH STATES NC 1 X 0 0 X 0 0 0 0 0 1 0 1 0 JEFFREY SAVAGE CRNA 349809 0 600 0 5959 0 0 0 15922 0 372290 0 0 0 W JASON BECK CEO 282649 0 0 0 21659 0 20636 0 14032 0 338976 0 0 0 ROBIN HODGE CRNA 272666 0 1725 0 10653 0 0 0 23364 0 308408 0 0 0 M JEFFERY ARMSTRONG CFO 169652 0 54934 0 30178 0 17957 0 13656 0 286377 0 0 0 GLORIA MILLER CRNA 222772 0 600 0 35872 0 0 0 13826 0 273070 0 0 0 HEATHER HINSON CRNA 208279 0 600 0 33068 0 0 0 270 0 242217 0 0 0 VENEZIANO TERESA CNO 165738 0 33388 0 18489 0 0 0 13364 0 230979 0 0 0 HEATHER CAUSEY CRNA 191751 0 600 0 13298 0 0 0 9621 0 215270 0 0 0 RACHEL DUNBAR COO 151745 0 29369 0 9809 0 0 0 23130 0 214053 0 0 0 PART I, LINE 1A TRAVEL EXPENSES RELATED TO ANNUAL BOARD RETREAT. PART I, LINE 6 THE BONUS IS BASED ON PERFORMANCE IN QUALITY, PATIENT SERVICE, TEAMMATE ENGAGEMENT, AND STRATEGIC GROWTH INITIATIVES. PART I, LINE 7 BONUSES ARE DISCRETIONARY AND BASED ON KEY PERFORMANCE INDICATORS AND QUALITY MEASURES. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DQR5 2013-02-07 26188219 SEE PART VI 0 0 0 A 6930000 26188379 1789132 521980 16486469 7390817 2014 0 0 0 1 A 0 0 0 0 0 0 0 A 1 0 0 0 0 1 A 0 SCHEDULE K, PART I, COLUMN F THE PURPOSE OF THE SERIES 2013A BONDS ARE TO: 1. PAY OR REIMBURSE THE SYSTEM FOR PAYING, A PORTION OF THE COST OF THE PROJECT, 2. REFINANCE CERTAIN INDEBTEDNESS INCURRED ON BEHALF OF THE SYSTEM, 3. FUND A DEBT SERVICE RESERVE FUND, AND 4. PAY CERTAIN EXPENSES OF ISSUING THE 2013A BONDS. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE NOVEMBER 26, 2007, CRHS ENTERED INTO A NINE-YEAR MANAGEMENT SERVICES AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WHICH DOES BUSINESS AS ATRIUM HEALTH TO MANAGE THE SYSTEM ON A DAY-TO-DAY BASIS. A RENEWAL TO THE MSA WAS APPROVED BY THE SYSTEM IN FISCAL YEAR 2021 FOR A PERIOD OF FIVE YEARS. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION'S AFFAIRS SHALL BE MANAGED BY A BOARD OF DIRECTORS ("BOARD") COMPOSED OF NOT LESS THAN THREE (3) DIRECTORS. THE BOARD SHALL HAVE, AND MAY EXERCISE, ANY AND ALL POWERS PROVIDED BY LAW AND IN THE ARTICLES OF INCORPORATION THAT ARE NECESSARY OR CONVENIENT TO CARRY OUT THE PURPOSES OF THE CORPORATION, AND WHICH SUPPORT AND FURTHER THE PURPOSES OF THE CORPORATION AS ESTABLISHED IN THESE BYLAWS. EXCEPT FOR RESIGNATIONS, REMOVALS, OR DEATH, EACH DIRECTOR DULY NOMINATED AND ELECTED SHALL HOLD OFFICE UNTIL HIS SUCCESSOR IS NOMINATED, ELECTED, AND QUALIFIED BY ATTENDING A MEETING AND BEING DULY RECOGNIZED AND PLACED ON THE OFFICIAL RECORDS OF THE CORPORATION BY THE SECRETARY. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED BY THE AFFIRMATIVE VOTE OF THE BOARD OF DIRECTORS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM. THE DIRECTORS OF THE CORPORATION EACH SHALL SERVE A THREE (3) YEAR TERM OF OFFICE FROM THE TIME OF ELECTION, WHICH TERM SHALL COMMENCE ON THE DAY OF THEIR ELECTION. DIRECTORS OF THE BOARD SHALL BE ELIGIBLE TO SERVE FOUR (4) SUCCESSIVE TERMS OF THREE (3) YEARS EACH, SUBJECT TO THE PROVISIONS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN POWERS SHALL BE RESERVED EXCLUSIVELY UNTO THE SOLE MEMBER OF THE CORPORATION, COLUMBUS REGIONAL HEALTHCARE SYSTEM, WHICH SHALL EXERCISE SUCH POWERS IN ACCORDANCE WITH LAW AND THE AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS OF ITS BOARD OF DIRECTORS, AS THEN CONSTITUTED; SUCH POWERS TO BE: (1) TO MERGE OR CONSOLIDATE THE CORPORATION WITH ANY OTHER NONPROFIT CORPORATION; (2) TO ACQUIRE OR CREATE ANOTHER CORPORATION; (3) TO MAKE A CAPITAL EXPENDITURE OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (4) TO SELL CAPITAL ASSETS VALUED OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (5) TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; (6) PERMISSION TO DISSOLVE THE CORPORATION; AND (7) TO APPOINT THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AS PROVIDED IN ARTICLE III, SECTION 2 AND 4 HEREOF. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S 990 WAS REVIEWED BY MANAGEMENT AND PROVIDED TO THE MEMBERS OF THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. ALL EMPLOYEES AT ORIENTATION AND ANNUALLY, DURING HEALTH AND SAFETY EDUCATION ARE SURVEYED REGARDING ANY SITUATIONS THAT MAY CONSTITUTE AS A CONFLICT OF INTEREST. ANY EMPLOYEE FORMS WITH AN AFFIRMATIVE RESPONSE ARE FORWARDED TO THE COMPLIANCE OFFICER FOR REVIEW. THE BOARD OF TRUSTEES FORMS ARE SUBMITTED TO THE COMPLIANCE OFFICER FOR REVIEW AS WELL. ANY QUESTIONS OR CONCERNS ARE DISCUSSED WITH CEO. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO AND CFO ARE DETERMINED BY ATRIUM HEALTH BY EXTERNAL INFORMATION EACH YEAR. THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION. THE BOARD OF TRUSTEES CONSIDERS RECOMMENDATIONS BASED ON AVAILABLE MARKET DATA AS THEY REVIEW AND APPROVE COMPENSATION FOR OTHER MEMBERS OF CRHS EXECUTIVE STAFF ON AN ANNUAL BASIS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 CRHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE CONFLICT OF INTEREST STATEMENT IS AVAILABILE IN PATIENT LITERATURE. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 371,303. MANAGEMENT AND GENERAL EXPENSES 693,701. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,065,004. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,789,964. MANAGEMENT AND GENERAL EXPENSES 3,500,246. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,290,210. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 10,578,280. MANAGEMENT AND GENERAL EXPENSES 857,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,435,394. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS 61,843. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, LINE 3 THE ORGANIZATION IS UTILIZING PART VII AND SCHEDULE J OF THE FORM 990 TO REPORT THE COMPENSATION PAID TO THE CEO AND CFO BY THE MANAGEMENT COMPANY FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. THE COMPENSATION HAS BEEN REPORTED IN THE FILING ORGANIZATION'S COMPENSATION COLUMNS. A RENEWAL TO THE MSA WAS APPROVED BY THE SYSTEM IN FISCAL YEAR 2021 FOR A PERIOD OF FIVE YEARS. 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