2025-04-25T11:03:01-05:00 2024-06-30 BDO USA 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2023-07-01 560554202 Caldwell Memorial Hospital Inc % KAREN SHADOWENS CALD 8287575100 321 Mulberry Street SW Lenoir NC 28645 Karen Shadowens CFO 8287575100 2025-04-25 true true SANDRA L FEINSMITH P01064157 9192781936 2025-04-23 2023 2025-03-06 01:10:19Z UNC HEALTH CALDWELL David A Lowry MD 321 Mulberry Street SW Lenoir NC 28645 207478072 false X www.caldwellmemorial.org X 1945 NC TO PROVIDE SAFE, EFFECTIVE, COMPASSIONATE CARE AND TO PROMOTE HEALTHY LIFESTYLES TO OUR COMMUNITY. 15 12 1088 68 897273 0 362350 1020250 188442733 205486914 427965 371993 2758728 598915 191991776 207478072 0 0 0 0 87875842 98534851 0 0 0 100987017 106638781 188862859 205173632 3128917 2304440 123292390 139752021 45683392 59838583 77608998 79913438 X TO PROVIDE SAFE, EFFECTIVE, COMPASSIONATE CARE AND TO PROMOTE HEALTHY LIFESTYLES TO OUR COMMUNITY. false false 179986961 0 204632473 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. 179986961 true true false true false false false false false false true false false false false true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 129 0 true 1088 true true true false false false false false false false false false false false X 15 12 false false false false true true true true true false false true true true true true true true true false X X KAREN SHADOWENS 8287575100 321 MULBERRY STREET SW Lenoir NC 28645 X JAMES HATHORN MEDICAL PRACTICE PHYSICIAN 60.0 0.0 X 1304786 0 6725 TAMMY SCARBOROUGH DIRECTOR 2.0 58.0 X 0 1006975 188934 RANDAL BAST MEDICAL PRACTICE PHYSICIAN 60.0 0.0 X 637131 0 40346 JEESHAN FARIDI MEDICAL PRACTICE PHYSICIAN 60.0 0.0 X 537570 0 17975 LAURA J EASTON PRESIDENT & CEO (THRU 12/2023) 60.0 0.0 X X 441487 0 38697 DAVID A LOWRY MD PRESIDENT & CEO (AS OF 1/2024) 60.0 0.0 X X 425623 0 43857 MICHAEL BUNCH FORMER CFO 0.0 60.0 X 0 322008 118349 MARK BRADY MEDICAL PRACTICE PHYSICIAN 60.0 0.0 X 386610 0 4084 JOHN POWELL MD DIRECTOR 60.0 0.0 X 0 334348 36670 KEITH SHARPTON MEDICAL PRACTICE PHYSICIAN 60.0 0.0 X 345269 0 21706 SARAH W YOUNG MD CMO (AS OF 4/2024) 60.0 0.0 X 309108 0 23792 ALAN STILES DIRECTOR 2.0 58.0 X 0 308678 12303 KAREN SHADOWENS CFO 30.0 30.0 X 0 291079 25729 ALLISON L CHARLES VP PHYSICIAN SERVICES 60.0 0.0 X 210494 0 35705 DONITA M DAMRON VP PHYSICIAN SVCS(THRU 5/2024) 60.0 0.0 X 210939 0 28081 JERRELL E SUDDRETH CNO 60.0 0.0 X 197831 0 33402 HEATHER P FOSS COO 60.0 0.0 X 186485 0 30824 REBECCA T SMITH COO 60.0 0.0 X 60350 0 16902 DAVID SMITH DIRECTOR/CHAIRMAN 4.0 0.0 X X 0 0 0 TERRY HUNT DIRECTOR/VICE CHAIRMAN 4.0 0.0 X X 0 0 0 JERRY CHURCH DIRECTOR/SECRETARY & TREASURER 4.0 0.0 X X 0 0 0 JANET AIKEN DIRECTOR 2.0 0.0 X 0 0 0 BOB FLOYD DIRECTOR 2.0 0.0 X 0 0 0 MURIEL GAITHER DIRECTOR 2.0 0.0 X 0 0 0 JOSEPH GIBBONS DIRECTOR 2.0 0.0 X 0 0 0 DOUGLAS JOHNSON DIRECTOR 2.0 0.0 X 0 0 0 JEFFREY KEVERLINE MD DIRECTOR (THRU 12/2023) 2.0 0.0 X 0 0 0 ZACHARY KIMBALL MD DIRECTOR 2.0 0.0 X 0 0 0 DIANA MCCLINTON MD DIRECTOR 2.0 0.0 X 0 0 0 KEVIN MCDOUGALL DIRECTOR 2.0 0.0 X 0 0 0 MARK POARCH MD DIRECTOR 2.0 0.0 X 0 0 0 5253683 2263088 724081 90 true true false MOUNTAIN EMERGENCY PHYSICIANS 319 SPRINGWOOD DRIVE NE VALDESE NC 28690 PHYSICIAN SERVICES 3076229 ENDURACARE ACUTE CARE SERVICES 381 RIVERSIDE DRIVE SUITE 440 FRANKLIN TN 37064 THERAPY PROGRAM MGMT 1965813 KEACH CONSTRUCTION INC 10200 INDUSTRIAL DRIVE PINEVILLE NC 28134 CONSTRUCTION 1822223 DAVID E LOOPER COMPANY INC 320 15TH STREET SE HICKORY NC 28602 CONSTRUCTION 1564882 CPL ARCHITECTS ENGINEERS LANDSCAPE 6302 FAIRVIEW ROAD SUITE 102 CHARLOTTE NC 28210 ARCHITECTURAL 1336270 25 1020000 250 1020250 PATIENT SERVICES 621500 201376763 201376763 QUEST4LIFE WELLNESS CENTER REVENUE 713990 897273 897273 OTHER PROGRAM SERVICES REVENUE 900099 3212878 3208264 4614 205486914 371993 371993 0 0 551469 0 551469 0 551469 551469 0 0 0 0 0 0 0 0 0 0 OTHER REVENUE 900099 47446 47446 47446 207478072 204632473 897273 928076 X 0 0 0 0 2278760 0 2278760 0 78098014 67062751 11035263 1622282 1351489 270793 11116349 10142694 973655 5419446 4944772 474674 0 41234 41234 119382 119382 12746 12746 0 0 20733747 13476936 7256811 0 342129 342129 1558572 1558572 34331 33301 1030 0 2205375 2205375 416172 249702 166470 0 6264 6264 386717 386717 1562896 1562896 10120992 10120992 1114457 1114457 PATIENT CARE SUPPLIES & SERV 27943971 27943971 BAD DEBT EXPENSE 18720704 18720704 HOME OFFICE ALLOCATION 18302724 17753639 549085 MINOR EQUIPMENT AND R&M 783760 760247 23513 2232608 2160642 71966 205173632 179986961 25186671 0 7938839 16293628 0 0 0 0 25230638 32144841 0 0 0 0 0 0 4142482 4681210 2483383 2975044 169244146 90767356 77171648 78476790 1159424 827003 4909219 4083924 256757 269581 0 0 0 0 123292390 139752021 29492530 48039170 0 0 1877662 1058017 0 0 0 0 0 0 13581708 10741396 0 0 731492 0 45683392 59838583 X 77608998 79913438 0 0 77608998 79913438 123292390 139752021 2304440 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12746 12746 false SCHEDULE C, PART IV, LINE 1, LOBBYING ACTIVITIES: 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. 2754303 2754303 97486877 49491467 47995410 41546 11079 30467 41588824 29253756 12335068 27372596 12011054 15361542 78476790 0 0 X SCHEDULE D, PART X, LINE 2: 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. true true X true X 250. false true true false true false 5776185 5776185 0.03090 30368901 41769001 36145086 41769001 5776185 0.03090 700003 700003 0.00380 475230 475230 0.00250 1175233 1175233 0.00630 37320319 41769001 6951418 0.03720 true 18720704 73535317 89799605 -16264288 X true true PRIME SURGICAL SUITE AMBULATORY SURGERY CENTER 0.71 0.29 1 1 CALDWELL MEMORIAL HOSPITAL inc 321 MULBERRY STREET SW Lenoir NC 28645 www.caldwellmemorial.org H0061 X X X DISPROPORTIONATE SHARE HOSPITAL CALDWELL MEMORIAL HOSPITAL inc 1 false false true X X X X X X X X 22 true false true true X See Part V X true 22 true See Part V false true X 250. 0. X true true X X X X true X SEE PART V X SEE PART V X SEE PART V X X X X X X true X false X X X true X false false 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. 8 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 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. X X X X X false true false false false true true false false JAMES HATHORN MEDICAL PRACTICE PHYSICIAN 394164 0 0 0 910622 0 0 0 6725 0 1311511 0 0 0 TAMMY SCARBOROUGH DIRECTOR 0 679849 0 310531 0 16595 0 175868 0 13066 0 1195909 0 0 RANDAL BAST MEDICAL PRACTICE PHYSICIAN 343837 0 20000 0 273294 0 12425 0 27921 0 677477 0 0 0 JEESHAN FARIDI MEDICAL PRACTICE PHYSICIAN 436221 0 100000 0 1349 0 11250 0 6725 0 555545 0 0 0 LAURA J EASTON PRESIDENT & CEO (THRU 12/2023) 371743 0 69744 0 0 0 10230 0 28467 0 480184 0 0 0 DAVID A LOWRY MD PRESIDENT & CEO (AS OF 1/2024) 355564 0 66395 0 3664 0 15000 0 28857 0 469480 0 0 0 MICHAEL BUNCH FORMER CFO 0 267030 0 46460 0 8518 0 105283 0 13066 0 440357 0 0 MARK BRADY MEDICAL PRACTICE PHYSICIAN 373642 0 0 0 12968 0 4084 0 0 0 390694 0 0 0 JOHN POWELL MD DIRECTOR 0 213401 0 20000 0 100947 0 8749 0 27921 0 371018 0 0 KEITH SHARPTON MEDICAL PRACTICE PHYSICIAN 342217 0 0 0 3052 0 6404 0 15302 0 366975 0 0 0 SARAH W YOUNG MD CMO (AS OF 4/2024) 288769 0 0 0 20339 0 10190 0 13602 0 332900 0 0 0 ALAN STILES DIRECTOR 0 235349 0 0 0 73329 0 11250 0 1053 0 320981 0 0 KAREN SHADOWENS CFO 0 256142 0 34937 0 0 0 7423 0 18306 0 316808 0 0 ALLISON L CHARLES VP PHYSICIAN SERVICES 171471 0 32394 0 6629 0 9040 0 26665 0 246199 0 0 0 DONITA M DAMRON VP PHYSICIAN SVCS(THRU 5/2024) 177390 0 33549 0 0 0 9074 0 19007 0 239020 0 0 0 JERRELL E SUDDRETH CNO 173337 0 24494 0 0 0 5481 0 27921 0 231233 0 0 0 HEATHER P FOSS COO 156828 0 29657 0 0 0 4159 0 26665 0 217309 0 0 0 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. 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 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) LINE 7 CALDWELL MEM false CHATHAM HOSPITAL INC PO BOX 649 SILER CITY NC 27344 560611546 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false PIEDMONT TRIAD HEALTH SERVICES 101 MANNING DRIVE CHAPEL HILL NC 27514 561497163 SUPPORT OF UN NC 501(C)(3) LINE 12B II UNC HEALTH C false REX HEALTHCARE INC 4420 LAKE BOONE TRAIL RALEIGH NC 27607 561509129 HEALTHCARE NC 501(C)(3) LINE 12A I UNC HEALTH C false REX HOSPITAL INC 4420 LAKE BOONE TRAIL RALEIGH NC 27607 561509260 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false UNCPN 5221 Paramount Pkwy Suite 220 MORRISVILLE NC 27560 271081647 HEALTHCARE NC 501(C)(3) LINE 10 UNC HEALTH C false UNC ROCKINGHAM HEALTH CARE INC 117 EAST KINGS HIGHWAY EDEN NC 27288 823745228 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false prime surgical suites LLC 180 river bend drive granite falls NC 28630 463556921 surgical NC NA RELATED 12370 2361205 0 false 0.69298 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 false false true false false false false false false false false false true true false true false false false Caldwell Memorial Hospital Foundation C 1020000 CASH