CHATHAM HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CHATHAM HOSPITAL INC (EIN 56-0611546)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-04-25
- IRS object ID
- 202501159349300225
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-04-25T11:03:47-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BDO USA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 Fayetteville Street Suite 300 | AddressLine1Txt |
| City | Raleigh | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560611546 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chatham Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHAEL BUNCH | InCareOfNm |
| Business Name Control | CHAT | BusinessNameControlTxt |
| Phone | 9197994000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 649 | AddressLine1Txt |
| City | Siler City | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27344 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL BUNCH | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9197994000 | PhoneNum |
| Signature | 2025-04-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sandra L Feinsmith | PreparerPersonNm |
| PTIN | P01064157 | PTIN |
| Phone | 9192781936 | PhoneNum |
| Preparation | 2025-04-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNC HEALTH CHATHAM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY STRICKLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 649 | AddressLine1Txt |
| City | Siler City | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27344 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $60,403,732 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.chathamhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1939 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 292 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $239,190 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $317,317 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,137,640 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,844,757 | CYProgramServiceRevenueAmt |
| PY Investment Income | $97,432 | PYInvestmentIncomeAmt |
| CY Investment Income | $143,119 | CYInvestmentIncomeAmt |
| PY Other Revenue | $481,483 | PYOtherRevenueAmt |
| CY Other Revenue | $415,856 | CYOtherRevenueAmt |
| PY Total Revenue | $52,033,872 | PYTotalRevenueAmt |
| CY Total Revenue | $60,403,732 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,250 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,769 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,272,966 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,217,687 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,966,858 | PYOtherExpensesAmt |
| CY Other Expenses | $46,840,301 | CYOtherExpensesAmt |
| PY Total Expenses | $58,243,074 | PYTotalExpensesAmt |
| CY Total Expenses | $64,063,757 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$6,209,202 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,660,025 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,090,209 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,597,678 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,846,467 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $53,003,316 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$8,756,258 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$12,405,638 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF NORTH CAROLINIANS AND OTHERS WHOM WE SERVE. WE ACCOMPLISH THIS BY PROVIDING LEADERSHIP AND EXCELLENCE IN THE INTERRELATED AREAS OF PATIENT CARE, EDUCATION AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $59,173,498 | ExpenseAmt |
| Grant | $5,769 | GrantAmt |
| Revenue | $59,362,570 | RevenueAmt |
| Desc | CHATHAM HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN SILER CITY, NC THAT IS PART OF THE UNC HEALTH SYSTEM. WITH A LONG HISTORY OF PROVIDING HIGH QUALITY HEALTH CARE TO THE RESIDENTS OF CHATHAM AND SURROUNDING COUNTIES, CHATHAM HOSPITAL HAS RECEIVED MULTIPLE FIVE-STAR RATINGS FOR PATIENT EXPERIENCE FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE HOSPITAL, ACCREDITED BY THE JOINT COMMISSION, PROVIDES SURGICAL, MEDICAL, PEDIATRIC, MATERNITY AND EMERGENCY SERVICES. COMMUNITY BASED OUTPATIENT SERVICES IN THE AREA OF DIABETES EDUCATION, LABORATORY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, IMAGING, CARDIAC REHABILITATION AND PULMONARY REHABILITATION ARE ALSO OFFERED. AS A CRITICAL ACCESS HOSPITAL, CHATHAM HOSPITAL IS ABLE TO UTILIZE BEDS, TO NOT ONLY MEET THE NEEDS OF ACUTE PATIENT CARE, BUT TO ALSO PROVIDE POST-ACUTE CARE TO PATIENTS WHO NO LONGER REQUIRE ACUTE MEDICAL CARE, BUT NEED ADDITIONAL TIME AND CARE FOR STRENGTHENING AND RECOVERY BEFORE RETURNING HOME. THE 11-BED EMERGENCY DEPARTMENT PROVIDES FULL-SERVICE AROUND THE CLOCK CARE TO MORE THAN 1,200 ADULTS AND CHILDREN EACH MONTH. UNC HEALTH BASES A HELICOPTER FOR TRANSPORT ON THE GROUNDS OF CHATHAM HOSPITAL. IN SEPTEMBER 2020, CHATHAM HOSPITAL OPENED A $2.6 MILLION MATERNITY CARE CENTER. THE CHATHAM HOSPITAL MATERNITY CARE CENTER IS CLOSE TO HOME AND PROVIDES COMPASSIONATE AND EXPERT CARE FOR MOTHERS AND THEIR NEWBORNS. THE OPENING IS THE FIRST TIME SINCE 1992 THAT CHATHAM HOSPITAL HAS OFFERED MATERNITY SERVICES. DESPITE MANY RURAL HEALTHCARE FACILITIES CLOSING MATERNITY CARE WARDS ACROSS THE NATION, CHATHAM HOSPITAL'S VENTURE IS PART OF UNC HEALTH'S RURAL CARE INITIATIVE. THIS SYSTEM INITIATIVE IS DESIGNED TO BRING MUCH NEEDED SERVICES TO WHERE PATIENTS LIVE. | Desc |
| Total Program Service Expenses | $59,173,498 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 292 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL BUNCH | PersonNm |
| Phone | 9197994000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 649 | AddressLine1Txt |
| City | SILER CITY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27344 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| AMIR AGHAJANIAN MD | |||||||||
| DIRECTOR | 60.0 | 0.0 | Yes (X) | $0 | $593,351 | $41,899 | |||
| MICHAEL BUNCH | |||||||||
| DIRECTOR/CFO | 15.0 | 45.0 | Yes (X) | $0 | $322,008 | $118,349 | Yes (X) | ||
| JEFF STRICKLER | |||||||||
| DIRECTOR/PRESIDENT & CEO | 30.0 | 30.0 | Yes (X) | $0 | $313,808 | $116,130 | Yes (X) | ||
| UDOBI CAMPBELL | |||||||||
| DIRECTOR | 2.0 | 58.0 | Yes (X) | $0 | $303,805 | $108,705 | |||
| MEGHANN MCCANN | |||||||||
| DIRECTOR | 2.0 | 58.0 | Yes (X) | $0 | $316,181 | $67,959 | |||
| JEFF LEGAY | |||||||||
| FORMER CFO | 0.0 | 60.0 | $0 | $284,155 | $29,748 | Yes (X) | |||
| WOODWARD BURGERT III MD | |||||||||
| DIRECTOR | 2.0 | 58.0 | Yes (X) | $0 | $286,331 | $25,149 | |||
| ERIC WOLAK | |||||||||
| DIRECTOR/COO & CNO | 60.0 | 0.0 | Yes (X) | $226,875 | $0 | $17,921 | Yes (X) | ||
| DONNA SESSOMS | |||||||||
| DIRECTOR OF SURGICAL SERVICES | 40.0 | 0.0 | $156,380 | $0 | $47,953 | Yes (X) | |||
| LEISA POWELL | |||||||||
| DIRECTOR | 2.0 | 58.0 | Yes (X) | $0 | $141,962 | $43,993 | |||
| CHAD HALL | |||||||||
| PHARMACY MANAGER | 40.0 | 0.0 | $150,821 | $0 | $19,117 | Yes (X) | |||
| BEVERLY CARPENTER | |||||||||
| PATIENT SERVICES MANAGER | 40.0 | 0.0 | $150,001 | $0 | $16,878 | Yes (X) | |||
| ALLISON BOLIN | |||||||||
| DIRECTOR OF BUSINESS OPERATION | 60.0 | 0.0 | $128,820 | $0 | $30,902 | Yes (X) | |||
| RACHEL BREWER | |||||||||
| ADMIN COORDINATOR/NURSING | 40.0 | 0.0 | $140,151 | $0 | $16,849 | Yes (X) | |||
| JAN SHERLOCK RICAFORT | |||||||||
| CLINICAL NURSE | 40.0 | 0.0 | $153,615 | $0 | $0 | Yes (X) | |||
| MARK HALL | |||||||||
| DIRECTOR/CHAIRMAN | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| FRANKLIN GOMEZ-FLORES | |||||||||
| DIRECTOR/VICE CHAIRMAN | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ANDREW HANNAPEL MD | |||||||||
| DIRECTOR/CMO | 60.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MISTY DRAKE | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ETTA FOUSHEE | |||||||||
| DIRECTOR (THRU 12/2023) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ASHLYN MARTIN | |||||||||
| DIRECTOR (AS OF 02/2024) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ANGELYNN MCCLARY | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER PLATT | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DAVID POE | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ANNE SCHWANKL | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS STREETS | |||||||||
| DIRECTOR (THRU 12/2023) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL ZELEK | |||||||||
| DIRECTOR (AS OF 02/2024) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,106,663 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,561,601 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $701,552 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| 360 ANESTHESIA PLLC | |||||
| 5550 FRANKLIN PIKE SUITE 201 | NASHVILLE | TN | 37220 | ANESTHESIA SERVICES | $1,112,771 |
| SODEXO MANAGEMENT INC | |||||
| 9801 WASHINGTONIAN BOULEVARD | GAITHERSBURG | MD | 20878 | FOOD & FAC MGMT SVCS | $454,561 |
| SIGHTPATH MEDICAL LLC | |||||
| 5775 WEST OLD SHAKOPEE ROAD 90 | BLOOMINGTON | MN | 55437 | OPHTHALMIC SERVICES | $314,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT REVENUE | 524113 | $59,154,463 | $58,915,273 | $239,190 | |
| OTHER REVENUE | 621110 | $690,294 | $443,016 | $247,278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,844,757 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,119 | TotalRevenueColumnAmt |
| Exclusion | $143,119 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $411,575 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $411,575 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,575 | TotalRevenueColumnAmt |
| Exclusion | $411,575 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,281 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,281 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,281 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,403,732 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,362,570 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $239,190 | UnrelatedBusinessRevenueAmt |
| Exclusion | $801,972 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,769 | TotalAmt |
| Program Services | $5,769 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,871 | TotalAmt |
| Management And General | $439,871 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,856,635 | TotalAmt |
| Program Services | $12,609,537 | ProgramServicesAmt |
| Management And General | $1,247,098 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,366 | TotalAmt |
| Program Services | $430,763 | ProgramServicesAmt |
| Management And General | $42,603 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,399,237 | TotalAmt |
| Program Services | $1,273,305 | ProgramServicesAmt |
| Management And General | $125,932 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,048,578 | TotalAmt |
| Program Services | $954,206 | ProgramServicesAmt |
| Management And General | $94,372 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,995 | TotalAmt |
| Management And General | $2,995 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,650,347 | TotalAmt |
| Program Services | $16,355,277 | ProgramServicesAmt |
| Management And General | $1,295,070 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,056 | TotalAmt |
| Program Services | $961 | ProgramServicesAmt |
| Management And General | $95 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,145 | TotalAmt |
| Program Services | $375,962 | ProgramServicesAmt |
| Management And General | $37,183 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,347 | TotalAmt |
| Program Services | $13,966 | ProgramServicesAmt |
| Management And General | $1,381 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,691 | TotalAmt |
| Program Services | $673,119 | ProgramServicesAmt |
| Management And General | $66,572 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,554 | TotalAmt |
| Program Services | $8,694 | ProgramServicesAmt |
| Management And General | $860 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,181 | TotalAmt |
| Program Services | $340,505 | ProgramServicesAmt |
| Management And General | $33,676 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,475,377 | TotalAmt |
| Program Services | $5,475,377 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,279,203 | TotalAmt |
| Program Services | $2,074,074 | ProgramServicesAmt |
| Management And General | $205,129 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,112 | TotalAmt |
| Program Services | $286,752 | ProgramServicesAmt |
| Management And General | $28,360 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $8,805,583 | $8,805,583 | |
| MINOR EQUIPMENT AND R&M | $6,154,644 | $5,600,726 | $553,918 |
| PATIENT CARE SUPPLIES & SERV | $3,277,083 | $3,277,083 | |
| HOME OFFICE ALLOCATION | $654,633 | $654,633 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $672,350 | TotalAmt |
| Program Services | $611,839 | ProgramServicesAmt |
| Management And General | $60,511 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,063,757 | TotalAmt |
| Program Services | $59,173,498 | ProgramServicesAmt |
| Management And General | $4,890,259 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,456,773 | BOYAmt |
| EOY | $10,136,611 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,651,002 | BOYAmt |
| EOY | $8,214,188 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,635 | BOYAmt |
| EOY | $735,926 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,565,670 | BOYAmt |
| EOY | $1,484,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $46,778,887 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,254,591 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,262,118 | BOYAmt |
| EOY | $19,524,296 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $491,011 | BOYAmt |
| EOY | $501,889 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,090,209 | BOYAmt |
| EOY | $40,597,678 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,232,604 | BOYAmt |
| EOY | $38,989,992 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,045,557 | BOYAmt |
| EOY | $113,668 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,162,886 | BOYAmt |
| EOY | $1,017,507 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,405,420 | BOYAmt |
| EOY | $12,882,149 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,846,467 | BOYAmt |
| EOY | $53,003,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,756,258 | BOYAmt |
| EOY | -$12,405,638 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,756,258 | BOYAmt |
| EOY | -$12,405,638 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,090,209 | BOYAmt |
| EOY | $40,597,678 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,660,025 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $10,645 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,995 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,995 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1, LOBBYING ACTIVITIES: | FormAndLineReferenceDesc |
| Explanation | ANNUAL DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PERCENTAGE, DETERMINED BY THE AHA AND NCHA, WAS ESTIMATED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $402,081 | OtherCostOrOtherBasisAmt |
| Book Value | $402,081 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,638,253 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,749,950 | DepreciationAmt |
| Book Value | $9,888,303 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,711,718 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,881,879 | DepreciationAmt |
| Book Value | $829,839 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,998,128 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,336,929 | DepreciationAmt |
| Book Value | $4,661,199 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,028,707 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,285,833 | DepreciationAmt |
| Book Value | $3,742,874 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,524,296 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LOAN PAYABLE TO UNCHCS | $8,768,240 |
| LEASE LIABILITY | $4,113,909 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,882,149 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $51,234,613 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $10,645 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$9,179,764 | OtherRevenueAmt |
| Revenue Not Reported | -$9,169,119 | RevenueNotReportedAmt |
| Revenue Subtotal | $60,403,732 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $60,403,732 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $54,883,993 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $54,883,993 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $9,179,764 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $9,179,764 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $64,063,757 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, Part X, Line 2: | THE HOSPITAL IS INCORPORATED AS A NONPROFIT ORGANIZATION UNDER THE LAWS OF THE STATE OF NORTH CAROLINA AND IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| SCHEDULE D, Part XI, Line 2D: - Other Adjustments | BAD DEBT EXPENSE -8,805,583 INTEREST EXPENSE - 374,181 ------------ TOTAL -9,179,764 ------------ PART XII, LINE 4B - OTHER ADJUSTMENTS BAD DEBT EXPENSE 8,805,583 INTEREST EXPENSE 374,181 ------------ TOTAL 9,179,764 ------------ |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,174,668 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,174,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05750 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,135,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,951,726 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,309,901 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,951,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,174,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05750 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,335 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $86,335 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,769 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,104 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $92,104 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,402,005 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,951,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,266,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05920 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,805,583 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $17,410,910 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,380,159 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,969,249 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATHAM HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 PROGRESS BLVD | AddressLine1Txt |
| City | SILER CITY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27344 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.chathamhospital.org | WebsiteAddressTxt |
| State License | H0007 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATHAM HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0. | FPGFamilyIncmLmtDscntCarePct |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | FOR THIS ASSESSMENT, THE CHATHAM COUNTY COMMUNITY SURVEY (CCCS) WAS IMPLEMENTED TO TAKE INTO ACCOUNT INPUT FROM A BROAD REPRESENTATION. THE CCCS WAS CONDUCTED USING THE COMMUNITY ASSESSMENT (CA) COHORT, WHICH WAS INITIATED IN 2018 THROUGH A STRUCTURED PROTOCOL APPROVED BY CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT (CCPHD) AND THE SCIENTIFIC ADVISORY COMMITTEE (SAC). THE CCCS WAS AN OPPORTUNITY TO REVISIT THE ORIGINAL SAMPLING SCHEME AND MODIFY THE SAMPLING SCHEME TO REFLECT RECENT CHANGES IN THE CHATHAM COUNTY POPULATION USING THE MOST CURRENT DATA AVAILABLE FROM THE U.S. CENSUS BUREAU. ADDITIONALLY, CCPHD WANTED TO EXPAND THE COHORT TO REPLACE THOSE LOST TO FOLLOW-UP AND TO RECRUIT MORE PARTICIPANTS FOR BETTER REPRESENTATION FROM BLACK/AFRICAN AMERICAN AND HISPANIC/LATINX COMMUNITY MEMBERS. THE SAMPLING METHODOLOGY WAS MODIFIED FIRST TO ACCOUNT FOR CHANGES IN THE MEDIAN HOUSEHOLD INCOME ACROSS CENSUS BLOCK GROUPS. USING THIS DATA, THE CENSUS BLOCKS WERE GROUPED INTO THREE CATEGORIES, LOW, MEDIUM AND HIGH INCOMES, REPRESENTING THE PERCENTILES OF THE MEDIAN HOUSEHOLD INCOME DISTRIBUTION ACROSS CENSUS BLOCKS. TO ENSURE AN EVEN NUMBER OF CENSUS BLOCKS IN EACH STRATUM AND TO EXPAND THE CA COHORT, ADDITIONAL CENSUS BLOCKS WERE SELECTED FOR A TOTAL OF 76 CENSUS BLOCKS INCLUDED IN THE CA COHORT SAMPLING. THE ADDITIONAL BLOCKS WERE SELECTED WITH PROBABILITY PROPORTIONATE TO THE BLACK AND HISPANIC OR LATINO POPULATION. FOR EACH NEWLY SAMPLED CENSUS BLOCK 7 HOUSEHOLDS RANDOMLY SAMPLED FROM RESIDENTIAL ADDRESS DATA, AND FOR THE ORIGINALLY SAMPLED BLOCKS WITH EXISTING COHORT MEMBERS, REPLACEMENT HOUSEHOLDS WERE RANDOMLY SAMPLED AND ADDED AS NECESSARY WITHIN EACH BLOCK TO OBTAIN A TOTAL OF 7 HOUSEHOLDS IN EACH BLOCK. IN FALL 2021, GIVEN A SURGE IN COVID-19 AND ELEVATED COMMUNITY TRANSMISSION, THE DECISION WAS MADE TO FOREGO IN-PERSON DATA COLLECTION AND REACH OUT TO COHORT MEMBERS THROUGH MAIL, PHONE, AND EMAIL. TO ACCOUNT FOR THE ANTICIPATED LOW RESPONSE RATE WITH THE ABSENCE OF IN-PERSON SURVEYING, EACH OF THE CLUSTERS WERE OVERSAMPLED BY FOUR TIME THE ORIGINAL SELECTION, WITH AN OVERSAMPLING FROM 7 TO 28 HOUSEHOLDS. FOR SELECTED CLUSTERS WITH LESS THAN 28 HOUSEHOLDS, ALL WERE SELECTED AS PART OF THE OVERSAMPLE. WITH THE OVERSAMPLING, THE TOTAL OF 1,860 HOUSEHOLDS WERE SAMPLED. IN ADDITION TO THE COHORT SURVEY, A SHORT SUPPLEMENTAL SURVEY WAS OFFERED TO ALL MEMBERS OF THE CHATHAM COUNTY COMMUNITY AS AN OPPORTUNITY FOR THOSE NOT SELECTED AS PART OF THE SAMPLE TO PARTICIPATE AND SHARE THOUGHTS ABOUT THEIR EXPERIENCES WITH HEALTH AND WELL-BEING IN CHATHAM COUNTY. OVERALL, 207 RESPONSES WERE COLLECTED FROM OCTOBER TO DECEMBER 2021. |
| PART V, SECTION B, LINE 6B | THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT AND CHATHAM HEALTH ALLIANCE. |
| PART V, SECTION B, LINE 7A | HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT |
| PART V, SECTION B, LINE 10A | HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT |
| PART V, SECTION B, LINE 11 | THE HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE HEALTH PRIORITIES: MENTAL HEALTH SEVERAL KEY MENTAL HEALTH INDICATORS WORSENED IN RESULTS FROM THE 2018 CHATHAM COUNTY COMMUNITY SURVEY TO THE 2021 CHATHAM COUNTY COMMUNITY SURVEY, INCLUDING THE PERCENTAGE OF RESIDENTS REPORTING "HIGH" DAY-TO-DAY STRESS LEVELS (9.1% TO 10.7%), "FAIR"POOR" SELF-REPORTED MENTAL HEALTH (7.4% TO 11.3%), AND EVER HAVING ANXIETY OR DEPRESSION (20.1% TO 33.3%). YOUTH RISK BEHAVIOR SURVEY RESULTS FROM 2019 ALSO INDICATED THAT YOUTH IN CHATHAM COUNTY ARE EXPERIENCING HIGH LEVELS OF DEPRESSION AND OTHER MENTAL HEALTH STRESSES. WOMEN AND RESIDENTS OF COLOR WERE DISPROPORTIONATELY AFFECTED. SUBSTANCE USE AND ACCESS TO SERVICES WERE ALSO CONCERNS, PARTICULARLY THE SHARP INCREASE IN UNINTENTIONAL OVERDOSE DEATH RATES IN RECENT YEARS. TRANSPORTATION ISSUES WITH TRANSPORTATION CAN LIMIT ACCESS TO MANY SERVICES, ACTIVITIES, AND OPPORTUNITIES, SUCH AS WORK, PHYSICAL ACTIVITY, HEALTHY FOOD STORES, AND HEALTH CARE. IN MANY PARTS OF THE COUNTY, ACCESS TO A VEHICLE IS CRUCIAL; ADDITIONALLY, CHATHAM COUNTY HAS JUST ONE PUBLIC TRANSPORTATION SERVICE, WHICH MANY RESIDENTS REPORTED NOT KNOWING ABOUT OR FELT WAS NOT CONVENIENT FOR THEIR NEEDS. SIDEWALKS WERE A COMMON TOPIC OF CONCERN IN THE 2021 CHATHAM COUNTY COMMUNITY SURVEY, WITH 16% OF ADULTS SAYING THERE WERE NO SIDEWALKS WHERE THEY NEEDED TO WALK, INCLUDING 26% OF HISPANIC/LATINX ADULTS. EMPLOYMENT EMPLOYMENT IS A CROSS-CUTTING ISSUE THAT IS INTERTWINED WITH MANY OTHER HEALTH PRIORITIES. WHILE CHATHAM COUNTY HAS A RELATIVELY LOW UNEMPLOYMENT RATE (3.6% AS OF MARCH 2022), MORE THAN HALF OF CHATHAM COUNTY WORKERS WORK OUTSIDE OF THE COUNTY (55.6%), ACCORDING TO THE U.S. CENSUS. AVERAGE WEEKLY WAGE IN THE COUNTY IS $839, COMPARED TO THE STATE AVERAGE OF $1,111, AS OF Q3 2021. THERE ARE ALSO STARK DISPARITIES IN MEDIAN HOUSEHOLD INCOME WITHIN THE COUNTY, WITH WHITE, NON-HISPANIC/LATINX RESIDENTS MAKING 1.6 TO 2.7 MORE PER YEAR THAN OTHER DEMOGRAPHIC GROUPS, ACCORDING TO THE U.S. CENSUS. LOSS OF EMPLOYMENT OR SWITCHING JOBS WAS ALSO A FACTOR FOR MANY WHO REPORTED NOT HAVING HEALTH INSURANCE IN THE 2021 CHATHAM COUNTY COMMUNITY SURVEY. UNC HEALTH CHATHAM'S STRATEGIC PLAN TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES: 1. UNC HEALTH CHATHAM CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE STEERING COMMITTEE. 2. UNC HEALTH CHATHAM CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE. 3. UNC HEALTH CHATHAM WILL HAVE REPRESENTATION ON EACH HEALTH ALLIANCE SUBCOMMITTEES AND ACTIVELY WORK TO ADDRESS THE THREE MAIN HEALTH PRIORITIES OF MENTAL HEALTH, TRANSPORTATION, AND EMPLOYMENT. 4. UNC HEALTH CHATHAM WILL WORK CLOSELY WITH UNC PHYSICIAN'S NETWORK TO INCREASE OUTPATIENT BEHAVIORAL HEALTH ACCESS. 5. UNC HEALTH CHATHAM WILL CONTINUE PROVIDING TELE PSYCHIATRY PROGRAM IN THE EMERGENCY DEPARTMENT THROUGH UNCMC EMERGENCY DEPARTMENT PSYCHIATRIC PROVIDERS. 6. UNC HEALTH CHATHAM WILL CONTINUE TO PROVIDE THE CHARITY CARE PROGRAM. 7. UNC HEALTH CHATHAM WILL CONTINUE GROWING AND DEVELOPING OUTPATIENT PROGRAMS INCLUDING, BUT NOT LIMITED TO, IMAGING, CARDIOPULMONARY, MATERNAL CARE, AND SURGICAL SERVICES ACCESS. 8. UNC HEALTH CHATHAM WILL CONTINUE TO COLLABORATE WITH CHATHAM COUNTY HEALTH DEPARTMENT ON COMMUNITY HEALTH NEEDS INCLUDING, BUT NOT LIMITED TO, DIABETES AND ON-GOING COVID PANDEMIC RESPONSE. 9. UNC HEALTH CHATHAM WILL CONTINUE TO COLLABORATE WITH UNC PHYSICIANS NETWORK ON PRIMARY AND SPECIALTY CARE SERVICES FOR CHATHAM COUNTY. THIS THREE-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STRATEGIC IMPLEMENTATION PLAN (SIP) WAS PRESENTED AND ADOPTED BY THE CHATHAM HOSPITAL BOARD OF DIRECTORS ON NOVEMBER 7, 2022 WITH THE VISION THAT UNC HEALTH CHATHAM WILL USE THE PLAN AS A ROAD MAP TO TRACK AND ASSESS PROGRESS TOWARDS MEETING THE COMMUNITY HEALTH GOALS. CHATHAM CHNA TASK FORCE WILL MAKE ADJUSTMENTS ALONG THE WAY ENABLING COLLABORATION WITH COMMUNITY PARTNERS WHILE RESPONDING TO LOCAL CONDITIONS AND CHANGES IN COMMUNITY PRIORITIES AND LEADERSHIP. UNC HEALTH CHATHAM WILL EVALUATE PROGRESS AT THE END OF EACH CALENDAR YEAR AND MODIFY THE PLAN ACCORDINGLY. THE REMAINING TOP HEALTH ISSUES THAT CHATHAM HOSPITAL WILL NOT BE ADDRESSING INCLUDE THE FOLLOWING: ACTIVITIES FOR YOUTH, CHILDCARE, BUILT ENVIRONMENT, HEALTHCARE ACCESS, HEALTHY AGING, HEALTHY FOOD SYSTEMS, AND SUBSTANCE USE SUPPORT/TREATMENT. WHILE CHATHAM HOSPITAL RECOGNIZES THESE HEALTH NEEDS, THEIR RESOURCES ARE BETTER USED IN ADDRESSING THE TOP THREE HEALTH PRIORITIES LISTED ABOVE. |
| PART V, SECTION B, LINES 15e | FINANCIAL ASSISTANCE APPLICATIONS CAN BE RETURNED SEVERAL WAYS INCLUDING US POSTAL MAIL IN PROVIDED PRE-PAID ENVELOPE, IN PERSON AT THE FINANCIAL ASSISTANCE DEPARTMENT OR WITH A FINANCIAL NAVIGATOR, VIA SECURE PATIENT PORTAL, OR BY SECURE FAX. |
| PART V, SECTION B, LINES 16A-C | HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/PATIENTS-VISITORS/BILLING |
| PART V, SECTION B, LINE 20D | TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT CIRCUMSTANCES PREVENT COMPLETION OF A FULL APPLICATION, A PRESUMPTIVE DETERMINATION MAY BE UTILIZED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CHATHAM MEDICAL PARK | ||||
| 163 MEDICAL PARK DRIVE | SILER CITY | NC | 27344 | CARDIAC REHABILITATION, DIABETES EDUCATION, PT/OT, AND specialty care |
| UNC CHATHAM PARK MEDICAL OFFICE | ||||
| 75 FREEDOM Parkway | PITTSBORO | NC | 27312 | IMAGING SERVICES, REHABILITATION SERVICES, AND SPECIALTY CARE |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | During March 2023, the Healthcare Access and Stabilization Program (HASP) was enacted by the State of North Carolina and is a federally funded program through CMS to enhance Medicaid reimbursement. HASP provides for increased reimbursements to hospitals and increases hospital assessments to fund the program. As part of the HASP process, we expect our community benefit to rise as we implement debt mitigation efforts. |
| PART I, LINE 7, COLUMN (F) | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THE COLUMN IS $8,805,583. |
| PART II | AS A MEMBER HOSPITAL OF UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (UNC HCS), UNC HEALTH CHATHAM PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. UNC HEALTH CHATHAM COLLECTS SCHOOL SUPPLIES THAT ARE DONATED TO LOCAL COUNTY SCHOOLS TO BE SHARED WITH STUDENTS IN NEED. ALSO, UNC HEALTH CHATHAM COLLECTS FOOD FOR A UNC HCS WIDE FOOD DRIVE TO BE DONATED TO THE LOCAL FOOD BANKS AND GIVEN TO FAMILIES THAT STRUGGLE WITH FOOD INSECURITY. IN COMPLIANCE WITH THE AFFORDABLE CARE ACT, UNC HEALTH CHATHAM PARTICIPATES WITH OTHER CHATHAM COUNTY ORGANIZATIONS TO PREPARE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE MOST CURRENT CHNA WAS CONDUCTED IN TAX YEAR 2021 AND THE THREE TOP PRIORITIES FOR UNC HEALTH CHATHAM ARE MENTAL HEALTH, TRANSPORTATION AND EMPLOYMENT. BY FOCUSING ON THESE PRIORITY ITEMS, UNC HEALTH CHATHAM CAN MAKE AN EFFECTIVE HEALTH IMPACT IN THE COMMUNITY. |
| PART III, LINE 2 | THE ORGANIZATION'S BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND FORM 990 PART IX. THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED TO THE GROSS BAD DEBT CHARGES FOR THE YEAR. |
| PART III, LINE 3 | THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4 | NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. |
| PART III, LINE 8 | AS A CRITICAL ACCESS HOSPITAL, THE DIFFERENCE BETWEEN REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COST IS THE AMOUNT DUE FROM THE PATIENTS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE AND DEDUCTIBLES. THE PATIENT AMOUNTS THAT ARE NOT COLLECTED END UP AS BAD DEBTS WHICH ARE PARTIALLY RECOVERABLE ON FUTURE COST REPORTS. |
| PART III, LINE 9B | POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. |
| PART VI, LINE 2 | LESS THAN 20% OF OUR COUNTY'S RESIDENTS LIVE IN INCORPORATED TOWNS. THE COUNTY HAS ABOUT 93.1 RESIDENTS PER SQUARE MILE, WHICH REFLECTS ITS GENERALLY RURAL NATURE. A CRITICAL ACCESS HOSPITAL IS ESSENTIAL FOR A RURAL COMMUNITY SUCH AS THIS. CHATHAM HOSPITAL ADDRESSES THE COMMUNITY'S EMERGENCY HEALTH NEEDS BY PROVIDING AROUND-THE-CLOCK EMERGENCY SERVICES TO MORE THAN 1,000 PATIENTS EACH MONTH. OUR 5,500-SQUARE FOOT EMERGENCY ROOM IS NEWLY RENOVATED AND EQUIPPED WITH THE ADVANCED DIAGNOSTIC AND MONITORING EQUIPMENT REQUIRED TO DELIVER EXCELLENT CARE. CHATHAM HOSPITAL STRIVES TO IMPROVE EMERGENCY CARE FOR KIDS BY INCREASING MEDICATION SAFETY. ALSO, THE HOSPITAL HAS A DIABETES SELF MANAGEMENT PROGRAM FOR INDIVIDUALS WITH DIABETES WITHIN THE COMMUNITY. |
| PART VI, LINE 3 | NOTICES OF PATIENT FINANCIAL PROGRAMS ARE POSTED IN SERVICE AREAS, AND BROCHURES ARE AVAILABLE DESCRIBING THE PROGRAMS AND PHONE NUMBERS FOR QUESTIONS OR TO REQUEST APPLICATIONS. FINANCIAL COUNSELORS ARE LOCATED IN SERVICE AREAS FOR DISCUSSIONS REGARDING FUNDING SOURCES, INCLUDING CHARITY CARE, AND SELF PAY PATIENT ACCOUNTS ARE AUTOMATICALLY ROUTED TO MEDICAID ASSISTANCE COUNSELORS FOR REVIEW OF ELIGIBILITY POTENTIAL FOR MEDICAID. REGISTRATION COVERS THE CHARITY PROGRAM WITH PATIENTS DURING REGISTRATION AND GIVES CHARITY APPLICATIONS TO THOSE WHO DON'T HAVE INSURANCE OR WHO MEET CERTAIN CRITERIA. REGISTRATION ALSO INFORMS PATIENTS THAT PATIENT FINANCIAL SERVICES IS AVAILABLE TO PATIENTS WHO WISH TO DISCUSS PAYMENT OPTIONS. |
| PART VI, LINE 4 | POPULATION INFORMATION: CHATHAM COUNTY'S POPULATION INCREASED TO OVER 76,000 AS OF APRIL 1, 2020, AN INCREASE OF MORE THAN 20% FROM THE 2010 CENSUS. CHATHAM COUNTY IS THE 36TH LARGEST COUNTY IN NORTH CAROLINA BY POPULATION BUT HAD THE 7TH HIGHEST RATE OF POPULATION GROWTH OF ALL COUNTIES BETWEEN 2010 AND 2020. CHATHAM IS A PREDOMINATELY RURAL COUNTY WITH A POPULATION DENSITY OF 93.1 PERSONS PER SQUARE MILE, LESS THAN HALF OF THE POPULATION DENSITY OF THE STATE AS A WHOLE. SIXTY-SIX PERCENT OF THE POPULATION LIVED IN RURAL AREAS, WHICH MADE UP 97.5% OF THE COUNTY'S TOTAL AREA. ETHNIC/RACIAL DIVERSITY: FIFTY-TWO PERCENT OF COUNTY RESIDENTS ARE FEMALE. THE POPULATION IS 82.2% WHITE, 12.4% BLACK/AFRICAN-AMERICAN, 12.1% HISPANIC/ LATINX, 2.2% ASIAN, 1.2% AMERICAN INDIAN OR ALASKA NATIVE. APPROXIMATELY 14% OF THE COUNTY'S RESIDENTS 5 YEARS OF AGE AND OLDER LIVE IN A HOME WHERE LANGUAGE OTHER THAN ENGLISH IS SPOKEN. AGE: CHATHAM COUNTY HAS A RELATIVELY HIGH PROPORTION OF RESIDENTS AGED SIXTY-FIVE AND OLDER; APPROXIMATELY 25% OF RESIDENTS ARE SIXTY-FIVE AND OLDER, COMPARED TO AROUND 16% OF THE STATE AND COUNTY POPULATIONS, RESPECTIVELY. AROUND 20% OF RESIDENTS ARE UNDER EIGHTEEN, INCLUDING 4.9% UNDER THE AGE OF FIVE. INCOME AND POVERTY: THE COUNTY'S MEDIAN HOUSEHOLD INCOME, ADJUSTED FOR INFLATION, WAS $69,799 IN 2020, SLIGHTLY HIGHER THAN THE NORTH CAROLINA MEDIAN INCOME OF $56,642. THE MEDIAN HOUSEHOLD INCOME FOR WHITE, NON-HISPANIC INDIVIDUALS, $81,165, WAS NEARLY TWICE FOR BLACK/AFRICAN AMERICAN INDIVIDUALS, $41,498, AND MORE THAT 60% HIGHER THAN THAT OF HISPANIC/LATINX INDIVIDUALS, $50,461. |
| PART VI, LINE 5 | CHATHAM HOSPITAL STRIVES TO FURTHER ITS EXEMPT PURPOSES BY PARTNERING IN THE COMMUNITY TO ASSESS HEALTH NEEDS AND TO HELP DEVELOP STRATEGIES TO FULFILL THOSE NEEDS. CHATHAM HOSPITAL IS WELL ENGAGED IN THE COMMUNITY THROUGH JOINT EFFORTS WITH OTHER ORGANIZATIONS, COMMUNITY OUTREACH THROUGH EDUCATION AND HEALTH FAIRS, DIRECTLY CONTRIBUTING TO FUNDRAISING EFFORTS, WORKING TO QUALIFY PATIENTS FOR EITHER INSURANCE OR CHARITY CARE AND IF NOT, PROVIDING DISCOUNTS TO HEALTH SERVICES. |
| PART VI, LINE 6 | CHATHAM HOSPITAL AND UNC HEALTH CARE ARE PARTNERING TO BRING NATIONALLY-RECOGNIZED HEALTH CARE TO CHATHAM COUNTY. OUR PARTNERSHIP MEANS YOU'LL CONTINUE TO HAVE ACCESS TO ADVANCED HEALTH CARE CLOSE TO HOME, WITH THE PERSONAL TOUCH YOU'VE COME TO EXPECT FROM US. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMIR AGHAJANIAN MD | ||||||||||||||
| DIRECTOR | $0 | $443,172 | $0 | $150,179 | $0 | $0 | $0 | $16,170 | $0 | $25,729 | $0 | $635,250 | $0 | $0 |
| MICHAEL BUNCH | ||||||||||||||
| DIRECTOR/CFO | $0 | $267,030 | $0 | $46,460 | $0 | $8,518 | $0 | $105,283 | $0 | $13,066 | $0 | $440,357 | $0 | $0 |
| JEFF STRICKLER | ||||||||||||||
| DIRECTOR/PRESIDENT & CEO | $0 | $259,515 | $0 | $45,175 | $0 | $9,118 | $0 | $103,064 | $0 | $13,066 | $0 | $429,938 | $0 | $0 |
| UDOBI CAMPBELL | ||||||||||||||
| DIRECTOR | $0 | $241,823 | $0 | $39,256 | $0 | $22,726 | $0 | $95,639 | $0 | $13,066 | $0 | $412,510 | $0 | $0 |
| MEGHANN MCCANN | ||||||||||||||
| DIRECTOR | $0 | $254,044 | $0 | $61,537 | $0 | $600 | $0 | $40,657 | $0 | $27,302 | $0 | $384,140 | $0 | $0 |
| JEFF LEGAY | ||||||||||||||
| FORMER CFO | $0 | $235,627 | $0 | $39,795 | $0 | $8,733 | $0 | $12,052 | $0 | $17,696 | $0 | $313,903 | $0 | $0 |
| WOODWARD BURGERT III MD | ||||||||||||||
| DIRECTOR | $0 | $222,290 | $0 | $64,041 | $0 | $0 | $0 | $4,937 | $0 | $20,212 | $0 | $311,480 | $0 | $0 |
| ERIC WOLAK | ||||||||||||||
| DIRECTOR/COO & CNO | $180,795 | $0 | $45,385 | $0 | $695 | $0 | $1,807 | $0 | $16,114 | $0 | $244,796 | $0 | $0 | $0 |
| DONNA SESSOMS | ||||||||||||||
| DIRECTOR OF SURGICAL SERVICES | $116,449 | $0 | $22,703 | $0 | $17,228 | $0 | $40,844 | $0 | $7,109 | $0 | $204,333 | $0 | $0 | $0 |
| LEISA POWELL | ||||||||||||||
| DIRECTOR | $0 | $117,444 | $0 | $13,273 | $0 | $11,245 | $0 | $36,884 | $0 | $7,109 | $0 | $185,955 | $0 | $0 |
| CHAD HALL | ||||||||||||||
| PHARMACY MANAGER | $136,191 | $0 | $14,563 | $0 | $67 | $0 | $4,579 | $0 | $14,538 | $0 | $169,938 | $0 | $0 | $0 |
| BEVERLY CARPENTER | ||||||||||||||
| PATIENT SERVICES MANAGER | $149,977 | $0 | $24 | $0 | $0 | $0 | $113 | $0 | $16,765 | $0 | $166,879 | $0 | $0 | $0 |
| ALLISON BOLIN | ||||||||||||||
| DIRECTOR OF BUSINESS OPERATION | $115,969 | $0 | $12,851 | $0 | $0 | $0 | $2,045 | $0 | $28,857 | $0 | $159,722 | $0 | $0 | $0 |
| RACHEL BREWER | ||||||||||||||
| ADMIN COORDINATOR/NURSING | $130,066 | $0 | $4,221 | $0 | $5,864 | $0 | $3,963 | $0 | $12,886 | $0 | $157,000 | $0 | $0 | $0 |
| JAN SHERLOCK RICAFORT | ||||||||||||||
| CLINICAL NURSE | $153,247 | $0 | $368 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $153,615 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 6: | FormAndLineReferenceDesc |
| Explanation | EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN APPROVED ANNUALLY BY THE UNC HCS BOARD OF DIRECTORS. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE NET EARNINGS OF THE ORGANIZATION AND THE UNC HCS. OTHER PERFORMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PATIENT SATISFACTION, PATIENT CARE QUALITY OUTCOMES AND INNOVATIVE INITIATIVES TO IMPROVE OPERATIONS AND CARE DELIVERY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1: | TO IMPROVE THE HEALTH AND WELL-BEING OF NORTH CAROLINIANS AND OTHERS WHOM WE SERVE. WE ACCOMPLISH THIS BY PROVIDING LEADERSHIP AND EXCELLENCE IN THE INTERRELATED AREAS OF PATIENT CARE, EDUCATION AND RESEARCH. |
| FORM 990, PART VI, SECTION A, LINE 6: | THE ORGANIZATION'S SOLE MEMBER IS THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 7A: | THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM APPOINTS THE CHAIR AND VICE CHAIR OF THE BOARD AND APPROVES ALL OTHER MEMBERS, NOT LESS THAN SEVEN (7) AND NO MORE THAN FIFTEEN (15). |
| FORM 990, PART VI, SECTION A, LINE 7B: | IN ADDITION TO SUCH POWERS AND RIGHTS AS ARE VESTED IN IT BY LAW, THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF THE CORPORATION OR THE AMENDED AND RESTATED BYLAWS, THE MEMBER ("UNCHCS") SHALL HAVE THE FOLLOWING POWERS: (A) THE POWER TO APPOINT THE CHAIRMAN OF THE BOARD, VICE CHAIRMAN, PRESIDENT, EXECUTIVE VICE PRESIDENTS, SECRETARY/TREASURER AND OTHER CORPORATE OFFICERS OF THE CORPORATION; (B) THE POWER TO APPOINT INDIVIDUAL MEMBERS OF THE CORPORATION'S BOARD OF TRUSTEES; (C) THE POWER TO ESTABLISH AND MAINTAIN QUALITY, SERVICE DELIVERY, AND FINANCIAL STANDARDS TO BE OBSERVED BY ALL MEMBERS OF UNCHCS, INCLUDING THE CORPORATION; (D) THE POWER TO ESTABLISH A SCHEDULE OF COST-BASED ASSESSMENTS PAYABLE BY PROVIDER COMPONENTS OF UNCHCS FOR THE SUPPORT OF THAT PORTION OF ITS OPERATING BUDGET ATTRIBUTABLE TO UNCHCS-WIDE ADMINISTRATION AND INITIATIVES AND REFLECTING OPERATING ENTITY PERFORMANCE; (E) THE POWER TO NEGOTIATE, DEVELOP, AND APPROVE ALL MANAGED CARE PRODUCTS AND CONTRACTS FOR THE CORPORATION; (F) THE POWER TO APPROVE (I) THE CORPORATION'S NAME, (II) CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AND (III) NON-BUDGETED MATERIAL EXPENDITURES OF THE CORPORATION (AS "MATERIAL" IS ESTABLISHED BY THE MEMBER FROM TIME TO TIME), PROVIDED THAT ONLY THE BOARD OF TRUSTEES SHALL HAVE THE AUTHORITY TO INITIATE A CHANGE IN THE NAME OF THE CORPORATION OF THE HOSPITAL, WHICH SHALL BE SUBJECT TO FINAL APPROVAL BY UNCHCS; AND (G) OTHER POWERS MUTUALLY AGREED TO BY UNCHCS AND THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B: | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE ORGANIZATION'S PRESIDENT AND CFO REVIEWED THE FORM 990 AND THE FULL BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C: | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL BOARD MEMBERS AND OFFICERS TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS AND OFFICERS ARE REQUIRED TO REPORT AND DOCUMENT ANY NEW AREAS OF CONFLICT OF INTEREST AS THEY ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15: | THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO MEASURE FAIR VALUE OF COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER TOP MANAGEMENT. THE ORGANIZATION'S BOARD REVIEWS AND APPROVES THE COMPENSATION FOR ALL OFFICERS. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES. |
| FORM 990, PART VII, LINE 1B AVERAGE HOURS PER WEEK: | BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII LINE 1B. |
| FORM 990, PART XII, LINE 2C: | PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED PROFESS SERVICES TOTAL FEES:12950698 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:4544731 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:154918 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATHAM IMAGING SVCS OF PITTSBORO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 US-1 | AddressLine1Txt |
| City | PITTSBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811651110 | EIN |
| Primary Activities | IMAGING SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Total Income | $256,642 | TotalIncomeAmt |
| End Of Year Assets | $691,173 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHATHAM HOSP | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| UNC HEALTH CARE SYSTEM | ||||||||||
| 101 MANNING DRIVE | CHAPEL HILL | NC | 27514 | 562206970 | HEALTHCARE | NC | SECTION 115 | UNC HEALTH C | false | |
| UNC HOSPITALS | ||||||||||
| 101 MANNING DRIVE | CHAPEL HILL | NC | 27514 | 561118388 | HEALTHCARE | NC | SECTION 115 | UNC HEALTH C | false | |
| CALDWELL MEMORIAL HOSPITAL | ||||||||||
| 321 MULBERRY STREET SW | LENOIR | NC | 28645 | 560554204 | HEALTHCARE | NC | 501(C)(3) | UNC HEALTH C | false | LINE 3 |
| CALDWELL MEMORIAL HOSPITAL FNDN INC | ||||||||||
| PO BOX 1890 | LENOIR | NC | 28645 | 581935514 | SUPPORT OF CA | NC | 501(C)(3) | CALDWELL MEM | false | LINE 7 |
| PIEDMONT TRIAD HEALTH SERVICES | ||||||||||
| 101 MANNING DRIVE | CHAPEL HILL | NC | 27514 | 561497163 | SUPPORT OF UN | NC | 501(C)(3) | UNC HEALTH C | false | LINE 12B II |
| REX HEALTHCARE INC | ||||||||||
| 4420 LAKE BOONE TRAIL | RALEIGH | NC | 27607 | 561509129 | HEALTHCARE | NC | 501(C)(3) | UNC HEALTH C | false | LINE 12A I |
| REX HOSPITAL INC | ||||||||||
| 4420 LAKE BOONE TRAIL | RALEIGH | NC | 27607 | 561509260 | HEALTHCARE | NC | 501(C)(3) | UNC HEALTH C | false | LINE 3 |
| UNCPN | ||||||||||
| 5221 PARAMOUNT PKWY SUITE 220 | MORRISVILLE | NC | 27560 | 271081647 | HEALTHCARE | NC | 501(C)(3) | UNC HEALTH C | false | LINE 10 |
| UNC ROCKINGHAM HEALTH CARE INC | ||||||||||
| 117 EAST KINGS HIGHWAY | EDEN | NC | 27288 | 823745228 | HEALTHCARE | NC | 501(C)(3) | UNC HEALTH C | false | LINE 3 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNC PHYSICIANS NETWORK GRP PRACTICES LLC | |||||||||||
| 5221 PARAMOUNT PKWY SUITE 220 | MORRISVILLE | NC | 27560 | 461416986 | HEALTHCARE | NC | UNC HEALTHCARE | C Corp | $0 | $0 | false |
| UNC PHYSICIANS GRP PRACTICES II LLC | |||||||||||
| 4420 LAKE BOONE TRAIL | Raleigh | NC | 27607 | 852823886 | Healthcare | NC | REX HEALTHCARE | C Corp | $0 | $0 | false |
| UNC HEALTH INNOVATIONS INC | |||||||||||
| 4420 LAKE BOONE TRAIL | RALEIGH | NC | 27607 | 871233049 | OPERATION SUPPORT | NC | REX HEALTHCARE | C CORP | $0 | $0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |