CALDWELL MEMORIAL HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CALDWELL MEMORIAL HOSPITAL INC (EIN 56-0554202)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-04-25
- IRS object ID
- 202511159349300226
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-04-25T11:03:01-05:00 | 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 | 560554202 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Caldwell Memorial Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % KAREN SHADOWENS | InCareOfNm |
| Business Name Control | CALD | BusinessNameControlTxt |
| Phone | 8287575100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 Mulberry Street SW | AddressLine1Txt |
| City | Lenoir | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28645 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Karen Shadowens | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8287575100 | PhoneNum |
| Signature | 2025-04-25 | 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 CALDWELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | David A Lowry MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 Mulberry Street SW | AddressLine1Txt |
| City | Lenoir | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28645 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $207,478,072 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.caldwellmemorial.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SAFE, EFFECTIVE, COMPASSIONATE CARE AND TO PROMOTE HEALTHY LIFESTYLES TO OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1088 | TotalEmployeeCnt |
| Total Volunteers | 68 | TotalVolunteersCnt |
| Total Gross UBI | $897,273 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $362,350 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,020,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $188,442,733 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $205,486,914 | CYProgramServiceRevenueAmt |
| PY Investment Income | $427,965 | PYInvestmentIncomeAmt |
| CY Investment Income | $371,993 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,758,728 | PYOtherRevenueAmt |
| CY Other Revenue | $598,915 | CYOtherRevenueAmt |
| PY Total Revenue | $191,991,776 | PYTotalRevenueAmt |
| CY Total Revenue | $207,478,072 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $87,875,842 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $98,534,851 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $100,987,017 | PYOtherExpensesAmt |
| CY Other Expenses | $106,638,781 | CYOtherExpensesAmt |
| PY Total Expenses | $188,862,859 | PYTotalExpensesAmt |
| CY Total Expenses | $205,173,632 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,128,917 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,304,440 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $123,292,390 | TotalAssetsBOYAmt |
| Total Assets EOY | $139,752,021 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $45,683,392 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $59,838,583 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $77,608,998 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $79,913,438 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE SAFE, EFFECTIVE, COMPASSIONATE CARE AND TO PROMOTE HEALTHY LIFESTYLES TO OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $179,986,961 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $204,632,473 | RevenueAmt |
| Desc | Caldwell Memorial Health, Inc. d/b/a UNC Health Caldwell is a component unit of the University of North Carolina Health Care System (UNCHCS). UNC Health Caldwell is a 501(c)(3) corporation whose sole corporate member is UNCHCS. Caldwell's mission is to provide safe, effective, and compassionate care and to promote healthy lifestyles to our community. More broadly UNC Health's mission is To improve the health and well-being of North Carolinians and others we serve. Our system values are One Great Team, Carolina Care, Leading the Way and It Starts with Me. Since opening in 1951, Caldwell Memorial Hospital, Inc. has continued to grow and change to better meet the needs of our community. Anchored by a 137 bed, acute care facility, Caldwell has a 74-year history of providing excellent health services to the residents and visitors of Caldwell and surrounding counties. Caldwell provides comprehensive care and services throughout Caldwell County and the surrounding region. Locations include: 1. The main campus which includes a 110-bed acute care hospital, 27 inpatient bed psychiatric unit and outpatient clinic, outpatient diagnostic services, 24/7 fully staffed emergency room, heart catheterization lab and inpatient and outpatient surgical services. 2. The Hancock Center incorporating outpatient procedures, dialysis access and pain management. 3. The Quest4Life Wellness Center (adjacent to the Hancock Center), a state-of-the-art fitness center open to the public on a membership basis. In addition, outpatient physical and occupational therapy, a cardiac & pulmonary rehab program, metabolic clinic and aesthetic services are housed within the Quest4Life Wellness Center. 4. Hospital primary care and specialty clinics throughout the region (including Caldwell, Catawba and Watauga counties) consisting of more than 70 providers (physicians and mid-level providers) Services include general and family practice, internal medicine, pediatrics, medical oncology, gynecology, cardiovascular, orthopedics, spine surgery, podiatry, pulmonology, gastroenterology, urology, general surgery, urgent care and diagnostic services. Current Year Accomplishments During the year ended June 30, 2024, Caldwell began work on the Capstone II project. This $33 million project will modernize four areas in the Hospital and create additional space to accommodate future growth. Departments included are the Cath Lab, clinical laboratory, food services including the cafeteria and new inpatient pharmacy space. The Cath Lab is currently unable to accommodate new equipment needed to replace the near end of life current system. The new addition will provide a much larger space and a new system as well as additional recovery spaces. Inclusion of the clinical laboratory allows for upgrades in the infrastructure to power new equipment with higher capacity to handle the current volume in addition to capacity for growth. The current food services department has not been fully renovated since original construction and will greatly benefit from enhanced space. It will allow for increased efficiency, lower energy usage and improvement in food options. The new cafeteria will provide additional seating for employees and visitors, replacing a space that has little space for sitting and relaxing. The inpatient pharmacy is not optimally sized for current volume and the expansion will not only provide additional space but will enhance efficiency. Several new clinics were opened in neighboring Catawba county (Hickory) including a primary care office, urgent care and GI clinic. These clinics are geographically proximate to the Rivercrest medical park in southern Caldwell County and expand services to patients in that area. The Heart and Vascular service line continues to grow and expand. A cardiac rehab program was successfully launched to complement the other service within Heart and Vascular. The 27 inpatient bed psychiatric unit named Jonas Hill Hospital opened for patients in July 2020. This facility is adjacent to the Mulberry Medical Office Building and on the main campus of the Hospital. This facility serves people in the community living with mental health conditions and their families providing hope and healing. The facility offers a holistic program of evidence-based psychiatric treatment, team based medical care and education provided by engaging and dedicated professionals in a safe and healing environment. Caldwell has developed a transformative, clinically integrated, sustained system of high-quality patient and family centered care to serve the mental health needs of patients, families and the community. Working collaboratively with local mental health partners, Caldwell is working to achieve the goal of making mental healthcare as routine, accessible and understandable as physical healthcare. In the current year planning work was undertaken around a virtual Inpatient Psychiatric provider model. This work stabilized the Inpatient providers as well as becoming a new model for rural health care in the behavioral health services sector as the demand for psychiatrists outweighs the supply. This shortage is especially prevalent in rural areas and this model allows providers in high demand to provide services in areas where they traditionally would not exist. In FY 2024, the Inpatient Unit admitted patients for 768 separate stays totaling 8,182 days of care for patients. Patients are happy with the care provided including one patient who commented "I've never had hope before." To complement the inpatient unit the psychiatric outpatient clinic was opened in September 2021 in the same building as the Jonas Hill Hospital. The clinic continues to experience high demand and experiences very high schedule utilization which has expanded outpatient services. We continue to look at models to grow capacity for existing demand locally. In partnership with a local agency, the Caldwell emergency department added the availability of Naloxone to counteract the effects of drug overdoses that arrive at the Hospital. Caldwell continues to utilize lean transformation techniques and strategies throughout the organization. Lean projects have multiple benefits including elimination of waste, improvements in processes, patient satisfaction, quality metrics and financial improvements. The COVID 19 crisis provided a real focus on the sacrifices and challenges that employees in healthcare face every day. As a result of that, Caldwell developed a Human Development Steering team to develop initiatives to recognize the most valuable assets, our employees. Over the year there were many opportunities to recognize employees for their everyday sacrifices and contributions. One of the initiatives introduced included professional recognition weeks with a small gift for every employee which was very well received by employees. Retention has also been a key focus and that work has resulted in an over twenty basis point improvement in first year retention. As a community hospital, Caldwell recognizes the importance of not only caring for our community but giving back. Caldwell provides active support to the Helping Hands Clinic which provides primary care and medication support to a broad population of patients including those who are homeless, uninsured and / or indigent. Many employees volunteer at local agencies including the Wig Bank, the Health Department, the Senior Center and the local Food Pantry among them. The hospital also sponsors various events around breast cancer and attends the AHA Heart Ball annually. Employees also volunteer at the Lenoir Blackberry Festival and Wood Fire Smoke Festival sponsoring a tent where water and a cooling station are provided to attendees. There are numerous ways in which we collaborate with the local CCC&TI (community college) in order to support local students in pursuing various careers within the health system. Some of these efforts are serving as board members, allowing students to do local clinical rotations and providing preceptors. | Desc |
| Total Program Service Expenses | $179,986,961 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 129 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1088 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN SHADOWENS | PersonNm |
| Phone | 8287575100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MULBERRY STREET SW | AddressLine1Txt |
| City | Lenoir | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28645 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JAMES HATHORN | ||||||||||
| MEDICAL PRACTICE PHYSICIAN | 60.0 | 0.0 | Yes (X) | $1,304,786 | $0 | $6,725 | ||||
| TAMMY SCARBOROUGH | ||||||||||
| DIRECTOR | 2.0 | 58.0 | $0 | $1,006,975 | $188,934 | Yes (X) | ||||
| RANDAL BAST | ||||||||||
| MEDICAL PRACTICE PHYSICIAN | 60.0 | 0.0 | Yes (X) | $637,131 | $0 | $40,346 | ||||
| JEESHAN FARIDI | ||||||||||
| MEDICAL PRACTICE PHYSICIAN | 60.0 | 0.0 | Yes (X) | $537,570 | $0 | $17,975 | ||||
| LAURA J EASTON | ||||||||||
| PRESIDENT & CEO (THRU 12/2023) | 60.0 | 0.0 | $441,487 | $0 | $38,697 | Yes (X) | Yes (X) | |||
| DAVID A LOWRY MD | ||||||||||
| PRESIDENT & CEO (AS OF 1/2024) | 60.0 | 0.0 | $425,623 | $0 | $43,857 | Yes (X) | Yes (X) | |||
| MICHAEL BUNCH | ||||||||||
| FORMER CFO | 0.0 | 60.0 | $0 | $322,008 | $118,349 | Yes (X) | ||||
| MARK BRADY | ||||||||||
| MEDICAL PRACTICE PHYSICIAN | 60.0 | 0.0 | Yes (X) | $386,610 | $0 | $4,084 | ||||
| JOHN POWELL MD | ||||||||||
| DIRECTOR | 60.0 | 0.0 | $0 | $334,348 | $36,670 | Yes (X) | ||||
| KEITH SHARPTON | ||||||||||
| MEDICAL PRACTICE PHYSICIAN | 60.0 | 0.0 | Yes (X) | $345,269 | $0 | $21,706 | ||||
| SARAH W YOUNG MD | ||||||||||
| CMO (AS OF 4/2024) | 60.0 | 0.0 | $309,108 | $0 | $23,792 | Yes (X) | ||||
| ALAN STILES | ||||||||||
| DIRECTOR | 2.0 | 58.0 | $0 | $308,678 | $12,303 | Yes (X) | ||||
| KAREN SHADOWENS | ||||||||||
| CFO | 30.0 | 30.0 | $0 | $291,079 | $25,729 | Yes (X) | ||||
| ALLISON L CHARLES | ||||||||||
| VP PHYSICIAN SERVICES | 60.0 | 0.0 | $210,494 | $0 | $35,705 | Yes (X) | ||||
| DONITA M DAMRON | ||||||||||
| VP PHYSICIAN SVCS(THRU 5/2024) | 60.0 | 0.0 | $210,939 | $0 | $28,081 | Yes (X) | ||||
| JERRELL E SUDDRETH | ||||||||||
| CNO | 60.0 | 0.0 | $197,831 | $0 | $33,402 | Yes (X) | ||||
| HEATHER P FOSS | ||||||||||
| COO | 60.0 | 0.0 | $186,485 | $0 | $30,824 | Yes (X) | ||||
| REBECCA T SMITH | ||||||||||
| COO | 60.0 | 0.0 | $60,350 | $0 | $16,902 | Yes (X) | ||||
| DAVID SMITH | ||||||||||
| DIRECTOR/CHAIRMAN | 4.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| TERRY HUNT | ||||||||||
| DIRECTOR/VICE CHAIRMAN | 4.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| JERRY CHURCH | ||||||||||
| DIRECTOR/SECRETARY & TREASURER | 4.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| JANET AIKEN | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| BOB FLOYD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| MURIEL GAITHER | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| JOSEPH GIBBONS | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| DOUGLAS JOHNSON | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| JEFFREY KEVERLINE MD | ||||||||||
| DIRECTOR (THRU 12/2023) | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| ZACHARY KIMBALL MD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| DIANA MCCLINTON MD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| KEVIN MCDOUGALL | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| MARK POARCH MD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,253,683 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,263,088 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $724,081 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 90 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MOUNTAIN EMERGENCY PHYSICIANS | |||||
| 319 SPRINGWOOD DRIVE NE | VALDESE | NC | 28690 | PHYSICIAN SERVICES | $3,076,229 |
| ENDURACARE ACUTE CARE SERVICES | |||||
| 381 RIVERSIDE DRIVE SUITE 440 | FRANKLIN | TN | 37064 | THERAPY PROGRAM MGMT | $1,965,813 |
| KEACH CONSTRUCTION INC | |||||
| 10200 INDUSTRIAL DRIVE | PINEVILLE | NC | 28134 | CONSTRUCTION | $1,822,223 |
| DAVID E LOOPER COMPANY INC | |||||
| 320 15TH STREET SE | HICKORY | NC | 28602 | CONSTRUCTION | $1,564,882 |
| CPL ARCHITECTS ENGINEERS LANDSCAPE | |||||
| 6302 FAIRVIEW ROAD SUITE 102 | CHARLOTTE | NC | 28210 | ARCHITECTURAL | $1,336,270 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,020,000 | RelatedOrganizationsAmt |
| All Other Contributions | $250 | AllOtherContributionsAmt |
| Total Contributions | $1,020,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICES | 621500 | $201,376,763 | $201,376,763 | ||
| QUEST4LIFE WELLNESS CENTER REVENUE | 713990 | $897,273 | $897,273 | ||
| OTHER PROGRAM SERVICES REVENUE | 900099 | $3,212,878 | $3,208,264 | $4,614 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $205,486,914 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $371,993 | TotalRevenueColumnAmt |
| Exclusion | $371,993 | 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 | $551,469 | 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 | $551,469 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $551,469 | TotalRevenueColumnAmt |
| Exclusion | $551,469 | 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 | $47,446 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,446 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $47,446 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $207,478,072 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,632,473 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $897,273 | UnrelatedBusinessRevenueAmt |
| Exclusion | $928,076 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $2,278,760 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,278,760 | 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 | $78,098,014 | TotalAmt |
| Program Services | $67,062,751 | ProgramServicesAmt |
| Management And General | $11,035,263 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,622,282 | TotalAmt |
| Program Services | $1,351,489 | ProgramServicesAmt |
| Management And General | $270,793 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,116,349 | TotalAmt |
| Program Services | $10,142,694 | ProgramServicesAmt |
| Management And General | $973,655 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,419,446 | TotalAmt |
| Program Services | $4,944,772 | ProgramServicesAmt |
| Management And General | $474,674 | 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 | $41,234 | TotalAmt |
| Management And General | $41,234 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,382 | TotalAmt |
| Management And General | $119,382 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,746 | TotalAmt |
| Management And General | $12,746 | 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 | $20,733,747 | TotalAmt |
| Program Services | $13,476,936 | ProgramServicesAmt |
| Management And General | $7,256,811 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,129 | TotalAmt |
| Management And General | $342,129 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,558,572 | TotalAmt |
| Program Services | $1,558,572 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,331 | TotalAmt |
| Program Services | $33,301 | ProgramServicesAmt |
| Management And General | $1,030 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,205,375 | TotalAmt |
| Program Services | $2,205,375 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $416,172 | TotalAmt |
| Program Services | $249,702 | ProgramServicesAmt |
| Management And General | $166,470 | 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 | $6,264 | TotalAmt |
| Management And General | $6,264 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,717 | TotalAmt |
| Program Services | $386,717 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,562,896 | TotalAmt |
| Management And General | $1,562,896 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,120,992 | TotalAmt |
| Program Services | $10,120,992 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,114,457 | TotalAmt |
| Program Services | $1,114,457 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE SUPPLIES & SERV | $27,943,971 | $27,943,971 | |
| BAD DEBT EXPENSE | $18,720,704 | $18,720,704 | |
| HOME OFFICE ALLOCATION | $18,302,724 | $17,753,639 | $549,085 |
| MINOR EQUIPMENT AND R&M | $783,760 | $760,247 | $23,513 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,232,608 | TotalAmt |
| Program Services | $2,160,642 | ProgramServicesAmt |
| Management And General | $71,966 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,173,632 | TotalAmt |
| Program Services | $179,986,961 | ProgramServicesAmt |
| Management And General | $25,186,671 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,938,839 | BOYAmt |
| EOY | $16,293,628 | 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 | $25,230,638 | BOYAmt |
| EOY | $32,144,841 | 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 | $4,142,482 | BOYAmt |
| EOY | $4,681,210 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,483,383 | BOYAmt |
| EOY | $2,975,044 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $169,244,146 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $90,767,356 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,171,648 | BOYAmt |
| EOY | $78,476,790 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,159,424 | BOYAmt |
| EOY | $827,003 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,909,219 | BOYAmt |
| EOY | $4,083,924 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,757 | BOYAmt |
| EOY | $269,581 | 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 | $123,292,390 | BOYAmt |
| EOY | $139,752,021 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,492,530 | BOYAmt |
| EOY | $48,039,170 | 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 | $1,877,662 | BOYAmt |
| EOY | $1,058,017 | 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 | $13,581,708 | BOYAmt |
| EOY | $10,741,396 | 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 | $731,492 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,683,392 | BOYAmt |
| EOY | $59,838,583 | 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 | $77,608,998 | BOYAmt |
| EOY | $79,913,438 | 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 | $77,608,998 | BOYAmt |
| EOY | $79,913,438 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,292,390 | BOYAmt |
| EOY | $139,752,021 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,304,440 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $12,746 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,746 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART IV, 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 | $2,754,303 | OtherCostOrOtherBasisAmt |
| Book Value | $2,754,303 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $97,486,877 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,491,467 | DepreciationAmt |
| Book Value | $47,995,410 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,546 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,079 | DepreciationAmt |
| Book Value | $30,467 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,588,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,253,756 | DepreciationAmt |
| Book Value | $12,335,068 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,372,596 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,011,054 | DepreciationAmt |
| Book Value | $15,361,542 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $78,476,790 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL AND FOUNDATION ARE NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT, PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. | ExplanationTxt |
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 | false | ExpensesExceedBudgetInd |
| 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 | $5,776,185 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,776,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03090 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,368,901 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,769,001 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,145,086 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,769,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,776,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03090 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $700,003 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $700,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $475,230 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $475,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,175,233 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,175,233 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,320,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,769,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,951,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03720 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,720,704 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $73,535,317 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $89,799,605 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,264,288 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIME SURGICAL SUITE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | AMBULATORY SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.71 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.29 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | CALDWELL MEMORIAL HOSPITAL inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 MULBERRY STREET SW | AddressLine1Txt |
| City | Lenoir | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28645 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.caldwellmemorial.org | WebsiteAddressTxt |
| State License | H0061 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DISPROPORTIONATE SHARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALDWELL MEMORIAL 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 |
| CHNA Conducted | 22 | 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 | 22 | 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 | BOTH PRIMARY DATA (COLLECTED DIRECTLY, INCLUDING SURVEYS AND FOCUS GROUP DATA) AND SECONDARY DATA (COLLECTED FROM OTHER SOURCES) WERE UTILIZED. UNC HEALTH CALDWELL, AS A MEMBER OF THE CALDWELL COUNTY COMMUNITY HEALTH ASSESSMENT ADVISORY COMMITTEE, PARTICIPATED IN DEVELOPING AN OPINION SURVEY THAT WAS WIDELY DISTRIBUTED. THE OPINION SURVEY WAS DISTRIBUTED TO INDIVIDUALS SELECTED FOR JURY DUTY AND AVAILABLE ONLINE. OVER 600 INDIVIDUALS COMPLETED THE OPINION SURVEY. FOUR FOCUS GROUPS WERE HELD WITH PARTICIPANTS FROM A VARIETY OF SOCIOECONOMIC AND DEMOGRAPHIC GROUPS IN CALDWELL COUNTY. THE PARTICIPANTS OF THE FOCUS GROUPS WERE SOLICITED BY EMAIL, FLIERS AND OTHER ESTABLISHED GROUPS. |
| PART V, SECTION B, LINE 6B | THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE CALDWELL COUNTY HEALTH DEPARTMENT. |
| PART V, SECTION B, LINE 7A | HTTPS://WWW.CALDWELLMEMORIAL.ORG/ABOUT-US/-COMMUNITY-HEALTH-NEEDS- ASSESSMENT/ |
| PART V, SECTION B, LINE 10A | HTTPS://WWW.CALDWELLMEMORIAL.ORG/ABOUT-US/-COMMUNITY-HEALTH-NEEDS- ASSESSMENT/ |
| PART V, SECTION B, LINE 11 | THE COMMUNITY HEALTH ASSESSMENT ADVISORY COMMITTEE REVIEWED ALL DATA COLLECTED FROM NUMEROUS OUTSIDE SOURCES AND THE COMMUNITY HEALTH ASSESSMENT OPINION SURVEY TO DETERMINE CALDWELL COUNTY'S TOP THREE HEALTH PRIORITIES. THE TOP THREE PRIORITIES ARE: SUBSTANCE ABUSE/USE WHILE UNC HEALTH CALDWELL DOES NOT HAVE RESOURCES CURRENTLY TO PROVIDE DIRECT CARE FOR THOSE NEEDING DETOX OR REHAB FOR SUBSTANCE ABUSE, THEY MAINTAIN RELATIONSHIPS WITH THE FOLLOWING ORGANIZATIONS IN THE SERVICE AREA: -CALDWELL COUNTY R.E.S.T.A.R.T. -RHA BEHAVIORAL HEALTH SERVICES -SYNERGY RECOVERY IN WILKES -BETHEL COLONY OF MERCY -MCLEOD CENTER ANY PATIENT NEEDING OR SHOWING INTEREST IN THESE SERVICES WILL BE PROVIDED INFORMATION ON THESE ORGANIZATIONS AND HOW TO GET STARTED. CALDWELL'S IN-HOSPITAL CASE MANAGEMENT TEAM HAS ACCESS TO THESE RESOURCES AND INFORMATION TO PROVIDE TO PATIENTS THAT MAY NEED THEM. THEY WORK CLOSELY WITH PATIENTS AND FAMILIES TO ENSURE THE BEST POSSIBLE TREATMENT OPTIONS FOR THE SITUATION. UNC HEALTH CALDWELL ALSO COLLABORATES WITH "HOPE FOR CALDWELL", A COLLABORATIVE GROUP CONSISTING OF OTHER ORGANIZATIONS INCLUDING CALDWELL COUNTY SCHOOLS, CHURCH COMMUNITIES, LAW ENFORCEMENT, AND MORE. THIS GROUP MEETS MONTHLY AND DISCUSSES ISSUES SURROUNDING SUBSTANCE ABUSE/MISUSE. IT IS ALSO IMPORTANT TO NOTE THAT THROUGH THE BEHAVIORAL HEALTH SERVICE LINE, JONAS HILL HOSPITAL AND CLINIC PLANS TO EXPLORE THE POSSIBILITY OF TRAINING PROVIDERS FOR MEDICATION ASSISTED THERAPY (MAT). THIS WOULD ALLOW PROVIDERS TO TREAT MORE COMPREHENSIVELY THOSE SUFFERING WITH SUBSTANCE ABUSE/MISUSE. MENTAL HEALTH UNC HEALTH CALDWELL CURRENTLY OFFERS INPATIENT BEHAVIORAL HEALTH SERVICES AT OUR JONAS HILL HOSPITAL AND CLINIC (JHH). JHH ALSO OFFERS OUTPATIENT BEHAVIORAL HEALTH TREATMENT FOR THOSE WHO SEEK IT. JHH OUTPATIENT SERVICES CAN SEE UP TO 10 PATIENTS AT ONE TIME, ONE OF THE HIGHEST IF NOT THE HIGHEST NUMBER IN THE REGION. THERE ARE MANY INITIATIVES SET FOR THE GROWTH AND EXPANSION OF THE UNC HEALTH CALDWELL AND JHH BEHAVIORAL HEALTH SERVICES. THESE INITIATIVES AND GOALS WILL BE OUTLINED IN THE FOLLOWING: 1. JHH RECENTLY PARTNERED WITH UNC SCHOOL OF MEDICINE (UNCSOM) PSYCHIATRY SERVICES TO INCREASE OUR ABILITY TO SERVE THE COMMUNITY. A NEW MEDICAL DIRECTOR FOR JONAS HILL INPATIENT (JHIP), A NEW FULL-TIME IN-PERSON PSYCHIATRIST, AND MULTIPLE VIRTUAL PSYCHIATRISTS FOR PART TIME WORK ARE BEING ONBOARDED AND ORIENTED TO PROVIDE MENTAL HEALTH SERVICES TO OUR COMMUNITY. 2. THESE ADDITIONS TO THE TEAM INCREASE THE ABILITY FOR JHH TO SEE MORE PATIENTS, BOTH INPATIENT AND OUTPATIENT. 3. JONAS HILL OFFERS THE ONLY PSYCHIATRY RESIDENCY, PARTNERED THROUGH (UNCSOM), IN A RURAL AREA SUCH AS CALDWELL COUNTY. 4. JHH HAS INCREASED THE NUMBER OF THERAPISTS WORKING. 5. THERE ARE PLANS TO EXPLORE SPACE EXPANSION BASED ON THE NEW PROVIDERS JHH IS ADDING. 6. THE BEHAVIORAL HEALTH SERVICE LINE IS ALSO EXPLORING SERVICES GROWTH THROUGH MEDICATION ASSISTED THERAPY (MAT). AN INITIATIVE THAT WOULD SEE PROVIDERS TRAINED IN MAT SERVICES TO PROVIDE TO INDIVIDUALS STRUGGLING WITH SUBSTANCE ABUSE/MISUSE. 7. CONTINUED COLLABORATION WITH CALDWELL COUNTY RESTART, RHA, AND CALDWELL CRISIS RESPONSE TEAM. 8. UNC HEALTH CALDWELL HAS ALSO BEEN IN COLLABORATIVE SESSIONS WITH CALDWELL COUNTY SCHOOLS TO ENSURE ANY SCHOOL-AGE ADOLESCENTS THAT ARE RECEIVING EXTENDED BEHAVIORAL HEALTH TREATMENT IN OUR FACILITY RECEIVE THE EDUCATIONAL RESOURCES AND CURRICULUM THEY NEED TO KEEP UP WITH THEIR EDUCATION. TRANSPORTATION UNC HEALTH CALDWELL CURRENTLY UTILIZES SEVERAL DIFFERENT TRANSPORTATION SERVICES TO HELP OUR PATIENTS UPON THEIR DISCHARGE HOME OR TRANSFER TO ANOTHER FACILITY. THE RELATIONSHIPS WITH THESE ORGANIZATIONS ARE CRUCIAL TO ENSURING APPROPRIATE CARE FOLLOWING DISCHARGE OR TRANSFER. SERVICE PROVIDED RANGE ALL THE WAY FROM CAB SERVICES FOR THE MORE MOBILE, INDEPENDENT PATIENTS, TO ADVANCED CARDIAC LIFE SUPPORT (ACLS) TRANSPORTS. UNC HEALTH CALDWELL IS EXPLORING OTHER TRANSPORTATION OPTIONS TO PROVIDE TO PATIENTS NEEDING TRANSPORT FROM OUR HOSPITAL TO OTHER FACILITIES OR HOME. AS A METHOD OF CONTINUOUS IMPROVEMENT, WE ARE ALWAYS ASSESSING FOR THE MOST EFFICIENT, SAFE, AND RELIABLE ANCILLARY SERVICES TO PROVIDE TO OUR PATIENTS AND COMMUNITY. THE OTHER TOP HEALTH ISSUES THAT UNC HEALTH CALDWELL WILL NOT BE ADDRESSING ARE CHRONIC DISEASES AND PREVENTATIVE CARE. WHILE UNC HEALTH CALDWELL RECOGNIZES THESE HEALTH NEEDS, THEIR RESOURCES ARE BETTER USED IN ADDRESSING THE TOP THREE HEALTH PRIORITIES LISTED ABOVE. |
| PART V, SECTION B, LINE 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.CALDWELLMEMORIAL.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL- ASSISTANCE/ |
| 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 | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Community Pharmacy | ||||
| 321 Mulberry Street SW | LENOIR | NC | 28645 | retail/employee pharmacy |
| Quest 4 life wellness center | ||||
| 1031 morganton Blvd | LENOIR | NC | 28645 | wellness center |
| caldwell memorial sleep CENTER | ||||
| 270 pine mountain road | hudson | NC | 28638 | sleep center |
| the center for wound management | ||||
| 401 MULBERRY STREET | LENOIR | NC | 28645 | wound care center |
| george m hancock surgery center | ||||
| 1031 MORGANTON BLVD | LENOIR | NC | 28645 | OP surgery center |
| CENTER FOR DIABETES HEALTH | ||||
| 1031 morganton blvd | LENOIR | NC | 28645 | diabetes education and support |
| pain management center | ||||
| 1031 morganton blvd | LENOIR | NC | 28645 | pain management |
| laurel park breast center | ||||
| college avenue | lenoir | NC | 28645 | breast health |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 COL(F) | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THE COLUMN IS $18,720,704. |
| PART II | UNC HEALTH CALDWELL PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. UNC HEALTH CALDWELL COLLECTS SCHOOL SUPPLIES THAT ARE DONATED TO LOCAL COUNTY SCHOOLS TO BE SHARED WITH STUDENTS IN NEED. ALSO, UNC HEALTH CALDWELL COLLECTS FOOD FOR A FOOD DRIVE TO BE DONATED TO THE LOCAL FOOD BANK AND GIVEN TO FAMILIES THAT STRUGGLE WITH FOOD INSECURITY. IN COMPLIANCE WITH THE AFFORDABLE CARE ACT, UNC HEALTH CALDWELL PARTICIPATES WITH OTHER CALDWELL COUNTY ORGANIZATIONS TO PREPARE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE MOST CURRENT CHNA WAS CONDUCTED IN TAX YEAR 2022 AND THE THREE TOP PRIORITIES FOR UNC HEALTH CALDWELL ARE SUBSTANCE ABUSE/MISUSE, MENTAL HEALTH AND TRANSPORTATION. BY FOCUSING ON THESE PRIORITY ITEMS, UNC HEALTH CALDWELL 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 9B | THE HOSPITAL DOES NOT SUBJECT ANY PATIENTS WHO QUALIFIED FOR FINANCIAL ASSISTANCE GUIDELINES TO A COLLECTION AGENCY. |
| PART VI, LINE 2 | FEDERAL REGULATIONS SURROUNDING CHNA REQUIRE LOCAL INPUT FROM REPRESENTATIVES OF PARTICULAR DEMOGRAPHIC SECTORS. UNC HEALTH CALDWELL PARTICIPATED IN A STANDARD PROCESS OF GATHERING COMMUNITY INPUT. A WIDELY AVAILABLE PUBLIC SURVEY WAS LAUNCHED IN ORDER TO HAVE BROAD RESPONSES FROM COMMUNITY MEMBERS. A SELECT FOCUS GROUP WAS USED IN ORDER TO HAVE FEEDBACK ABOUT THE RESULTS FROM THE PUBLIC SURVEY AND COMMENTARY ABOUT THE PREVIOUS CHNA. IN ADDITION, UNC HEALTH CALDWELL ADDRESSES THE COMMUNITY'S EMERGENCY HEALTH NEEDS BY PROVIDING AROUND-THE-CLOCK EMERGENCY SERVICES. |
| PART VI, LINE 3 | CALDWELL MEMORIAL HOSPITAL, INC. (CMH) PROVIDES NEEDED HEALTHCARE SERVICES TO ANYONE REGARDLESS OF THAT PERSON'S ABILITY TO PAY. CMH'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ASSIST PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR HEALTHCARE SERVICES. A LINK TO THE POLICY CAN BE FOUND ON THE CMH PUBLIC WEBSITE. CMH DISPLAYS INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ITS EMERGENCY ROOM, REGISTRATION AREAS IN THE HOSPITAL AND CLINICS, AND FINANCIAL COUNSELOR OFFICES. A LINK IS ALSO PROVIDED ON THE HOSPITAL'S WEBSITE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND ITS FINANCIAL ASSISTANCE POLICY, ALONG WITH AN ON-LINE APPLICATION. INPATIENT CASE MANAGERS ALSO PROVIDE INFORMATION TO THE PATIENTS REGARDING AVAILABLE PROGRAMS AND THE ORGANIZATION'S FINANCIAL POLICY. CONSULTATION WITH FINANCIAL COUNSELORS IS ALSO AVAILABLE TO ALL PATIENTS AS NEEDED. |
| PART VI, LINE 4 | THE PRIMARY SERVICE AREA FOR CALDWELL MEMORIAL HOSPITAL, INC. IS CALDWELL COUNTY WITH A LIMITED NUMBER OF PATIENTS FROM THE SURROUNDING COUNTIES OF BURKE, WATAUGA AND CATAWBA. OF THE MULTIPLE INCORPORATED MUNICIPALITIES IN CALDWELL COUNTY, CMH RECEIVED 90.03% OF ITS PATIENTS FROM COLLETTSVILLE, GRANITE FALLS, HUDSON AND LENOIR. CALDWELL COUNTY IS IN THE NW SECTION OF NC IN THE FOOTHILLS OF THE BLUE RIDGE MOUNTAINS AND IS BOUND ON THE NW BY WATAUGA COUNTY, ON THE NE BY WILKES COUNTY, ON THE EAST BY ALEXANDER COUNTY, ON THE SOUTH BY CATAWBA AND BURKE COUNTIES AND ON THE WEST BY BURKE AND AVERY COUNTIES. THE POPULATION IS JUST OVER 80,000 WITH 51% FEMALE AND 49% MALE. THE POPULATION MAKEUP IS 87.1% WHITE, 5.4% HISPANIC, 4.9% BLACK OR AFRICAN AMERICAN AND 2.6% OTHER. THE LARGEST INCOME GROUP IS $25-50K AND LARGEST AGE GROUP IS 35-54 YEARS OLD. |
| PART VI, LINE 5 | CALDWELL MEMORIAL HOSPITAL, INC. PROVIDES FINANCIAL SUPPORT TO 2 COMMUNITY AGENCIES: THE HELPING HANDS CLINIC (PROVIDING CARE TO THE UNINSURED) AND THE SATIE AND JE BROYHILL CALDWELL SENIOR CENTER (FOCUS ON THE LIVES AND ADVOCACY OF SENIORS). OTHER COMMUNITY INVOLVEMENT INCLUDES BUT NOT LIMITED TO: ANNUAL PROSTATE SCREENING, HEALTH FAIRS, SUPPORT AND INVOLVEMENT IN THE CALDWELL COMMUNITY GARDEN WHICH HELPS FOSTER COMMUNITY GARDENING, REPRESENTATION BY ORGANIZATION REPRESENTATIVES ON LOCAL HEALTH CARE RELATED BOARDS (BOARD OF HEALTH, HOSPICE, AND CHILD PROTECTION TEAM.) CALDWELL MEMORIAL HEALTHWORKS WHICH IS OCCUPATIONAL, INDUSTRIAL AND WORKER'S COMP MEDICINE DESIGNED TO ASSIST EMPLOYERS TOWARD IMPROVING QUALITY OF HEALTHCARE. |
| PART VI, LINE 6 | CALDWELL MEMORIAL HOSPITAL, INC. IS PART OF THE UNC HEALTH CARE SYSTEM. UNC HEALTH CARE IS A NOT-FOR-PROFIT INTEGRATED HEALTH CARE SYSTEM OWNED BY THE STATE OF NORTH CAROLINA AND BASED IN CHAPEL HILL. ORIGINALLY ESTABLISHED NOV. 1, 1998, UNC HEALTH CARE CURRENTLY COMPRISES UNC HOSPITALS AND ITS PROVIDER NETWORK, THE CLINICAL PROGRAMS OF THE UNC SCHOOL OF MEDICINE, AND TEN AFFILIATE HOSPITALS AND HOSPITAL SYSTEMS ACROSS THE STATE. COLLECTIVELY, THIS GROUP OF HEALTH CARE PROVIDERS WORKS TOGETHER TO MAKE SURE THAT ALL OF THE COMMUNITIES SERVED RECEIVED THE HIGHEST QUALITY OF CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | Yes (true) | 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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES HATHORN | ||||||||||||||
| MEDICAL PRACTICE PHYSICIAN | $394,164 | $0 | $0 | $0 | $910,622 | $0 | $0 | $0 | $6,725 | $0 | $1,311,511 | $0 | $0 | $0 |
| TAMMY SCARBOROUGH | ||||||||||||||
| DIRECTOR | $0 | $679,849 | $0 | $310,531 | $0 | $16,595 | $0 | $175,868 | $0 | $13,066 | $0 | $1,195,909 | $0 | $0 |
| RANDAL BAST | ||||||||||||||
| MEDICAL PRACTICE PHYSICIAN | $343,837 | $0 | $20,000 | $0 | $273,294 | $0 | $12,425 | $0 | $27,921 | $0 | $677,477 | $0 | $0 | $0 |
| JEESHAN FARIDI | ||||||||||||||
| MEDICAL PRACTICE PHYSICIAN | $436,221 | $0 | $100,000 | $0 | $1,349 | $0 | $11,250 | $0 | $6,725 | $0 | $555,545 | $0 | $0 | $0 |
| LAURA J EASTON | ||||||||||||||
| PRESIDENT & CEO (THRU 12/2023) | $371,743 | $0 | $69,744 | $0 | $0 | $0 | $10,230 | $0 | $28,467 | $0 | $480,184 | $0 | $0 | $0 |
| DAVID A LOWRY MD | ||||||||||||||
| PRESIDENT & CEO (AS OF 1/2024) | $355,564 | $0 | $66,395 | $0 | $3,664 | $0 | $15,000 | $0 | $28,857 | $0 | $469,480 | $0 | $0 | $0 |
| MICHAEL BUNCH | ||||||||||||||
| FORMER CFO | $0 | $267,030 | $0 | $46,460 | $0 | $8,518 | $0 | $105,283 | $0 | $13,066 | $0 | $440,357 | $0 | $0 |
| MARK BRADY | ||||||||||||||
| MEDICAL PRACTICE PHYSICIAN | $373,642 | $0 | $0 | $0 | $12,968 | $0 | $4,084 | $0 | $0 | $0 | $390,694 | $0 | $0 | $0 |
| JOHN POWELL MD | ||||||||||||||
| DIRECTOR | $0 | $213,401 | $0 | $20,000 | $0 | $100,947 | $0 | $8,749 | $0 | $27,921 | $0 | $371,018 | $0 | $0 |
| KEITH SHARPTON | ||||||||||||||
| MEDICAL PRACTICE PHYSICIAN | $342,217 | $0 | $0 | $0 | $3,052 | $0 | $6,404 | $0 | $15,302 | $0 | $366,975 | $0 | $0 | $0 |
| SARAH W YOUNG MD | ||||||||||||||
| CMO (AS OF 4/2024) | $288,769 | $0 | $0 | $0 | $20,339 | $0 | $10,190 | $0 | $13,602 | $0 | $332,900 | $0 | $0 | $0 |
| ALAN STILES | ||||||||||||||
| DIRECTOR | $0 | $235,349 | $0 | $0 | $0 | $73,329 | $0 | $11,250 | $0 | $1,053 | $0 | $320,981 | $0 | $0 |
| KAREN SHADOWENS | ||||||||||||||
| CFO | $0 | $256,142 | $0 | $34,937 | $0 | $0 | $0 | $7,423 | $0 | $18,306 | $0 | $316,808 | $0 | $0 |
| ALLISON L CHARLES | ||||||||||||||
| VP PHYSICIAN SERVICES | $171,471 | $0 | $32,394 | $0 | $6,629 | $0 | $9,040 | $0 | $26,665 | $0 | $246,199 | $0 | $0 | $0 |
| DONITA M DAMRON | ||||||||||||||
| VP PHYSICIAN SVCS(THRU 5/2024) | $177,390 | $0 | $33,549 | $0 | $0 | $0 | $9,074 | $0 | $19,007 | $0 | $239,020 | $0 | $0 | $0 |
| JERRELL E SUDDRETH | ||||||||||||||
| CNO | $173,337 | $0 | $24,494 | $0 | $0 | $0 | $5,481 | $0 | $27,921 | $0 | $231,233 | $0 | $0 | $0 |
| HEATHER P FOSS | ||||||||||||||
| COO | $156,828 | $0 | $29,657 | $0 | $0 | $0 | $4,159 | $0 | $26,665 | $0 | $217,309 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 4B: | LAURA EASTON (CEO) HAS A SECURED BENEFIT PLAN WHICH IS INCLUDED IN THE STUDY COMPLETED BY THE INDEPENDENT COMPENSATION CONSULTANT; THE LOAN UNDER THIS ARRANGEMENT IS RECORDED ON THE FINANCIAL STATEMENTS AND FULLY SECURED BY LIFE INSURANCE ON THE LIFE OF THE CEO. |
| SCHEDULE J, PART I, LINE 6: | 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. EMPLOYED PHYSICIANS ARE PAID ON A PRODUCTIVITY BASIS BASED ON RVU'S GENERATED IN THEIR PRACTICE OPERATIONS AND THESE ARE TIED TO MGMA BENCHMARKS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1: | THE EXECUTIVE/FINANCE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 6: | THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM IS A MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A: | THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM IS A MEMBER AND THEY HAVE THE POWER TO APPOINT BOARD MEMBERS AND APPROVE GOVERNANCE DECISIONS. |
| FORM 990, PART VI, SECTION A, LINE 7B: | THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM AS A MEMBER HAS APPROVAL RIGHTS TO ALL GOVERNANCE DECISIONS. |
| 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 FULL BOARD RECEIVED A COPY OF THE FORM 990 FOR THEIR REVIEW AND ANY QUESTIONS. |
| 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 EXECUTIVE LEADERSHIP TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS AND EXECUTIVE LEADERSHIP 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 COMPLETES THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS DESCRIBED IN TREASURY REGULATION 4958(6)(C) FOR EACH OFFICER AND KEY EMPLOYEE. THIS PROCESS IS PERFORMED BY AN OUTSIDE INDEPENDENT COMPENSATION SPECIALIST. THE CONSULTANT'S FINDINGS ARE PRESENTED TO THE HR COMMITTEE OF THE BOARD AND ARE ULTIMATELY APPROVED BY THE FULL BOARD. |
| FORM 990, PART VI, SECTION C, LINE 18: | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ON GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19: | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. PLEASE USE THE ORGANIZATION'S "CONTACT US" LINK ON ITS WEBSITE FOR REQUESTS. |
| 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: | NO CHANGE FROM PRIOR YEAR. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED PROFESS SERVIC TOTAL FEES:11845695 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:8652028 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:236024 |
Schedule R IRS990ScheduleR
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 FNDN INC | ||||||||||
| PO BOX 1890 | LENOIR | NC | 28645 | 581935514 | SUPPORT OF CA | NC | 501(C)(3) | CALDWELL MEM | false | LINE 7 |
| CHATHAM HOSPITAL INC | ||||||||||
| PO BOX 649 | SILER CITY | NC | 27344 | 560611546 | HEALTHCARE | NC | 501(C)(3) | UNC HEALTH C | false | LINE 3 |
| 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 Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | prime surgical suites LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 river bend drive | AddressLine1Txt |
| City | granite falls | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28630 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463556921 | EIN |
| Primary Activities | surgical | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $12,370 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,361,205 | ShareOfEOYAssetsAmt |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.69298 | OwnershipPct |
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 SUP | 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 | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | 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 |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Caldwell Memorial Hospital Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $1,020,000 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |