2023-05-09T21:00:36+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 425 HOUSTON ST SUITE 600 FT WORTH TX 76102 990 2021-07-01 560691100 Crawley Memorial Hospital Inc CRAW 9729736400 7950 LEGACY DRIVE 1000 PLANO TX 75024 APRIL MYERS DIRECTOR/PRESIDENT 2023-05-09 true JAMES HILL 999009999 Melva Scott P01207335 8173351900 2021 2023-04-26 12:10:37Z SEE SCHEDULE O APRIL MYERS 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 5326261 false X HTTPS://CHARLOTTE.CONTINUECARE.ORG/ X 1959 TX IT IS THE MISSION OF CAROLINAS CCH AT UNIVERSITY TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. CONTINUED ON SCHEDULE O. 6 4 0 0 0 0 186555 88249 8957147 4801845 15803 45956 -2916 469 9156589 4936519 0 0 0 4710872 4115528 0 0 4547107 3055706 9257979 7171234 -101390 -2234715 7539740 2881146 17152511 14728632 -9612771 -11847486 X AS A "HOSPITAL WITH-IN A HOSPITAL", IT IS THE MISSION OF CCH AT UNIVERSITY TO ENHANCE COMMUNITY HEALTH THROUGH SERVICE WITH COMPASSION, CARING, ACCOUNTABILITY, RESPECT, AND EMPATHY. false true 5175909 0 4801845 SEE SCHEDULE O 5175909 true false false true false false false false false false false false false true false 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 false true false true 10 0 true 0 false false false false false false false false false false false false X 6 4 false true false false true true true true false false false true true true true true true false false false NC X MIKE MURRAY 9729431225 7950 LEGACY DRIVE SUITE 1000 PLANO TX 75024 APRIL MYERS DIRECTOR/PRESIDENT 0.1 39.9 X X 0 388101 85058 DAVID TESNIARZ DIRECTOR (EFF. 2/2022) 1.0 1.0 X 0 0 0 EARL SCOTT WARRICK JR DIRECTOR 1.0 1.0 X 0 0 0 EVA WHITLEY DIRECTOR 1.0 1.0 X 0 0 0 JIM KENDRICK DIRECTOR 0.2 39.8 X 0 1387544 150013 JOSEPH BOWERS DIRECTOR 1.0 1.0 X 0 0 0 ROBERT LARRISON DIRECTOR (UNTIL 3/2022) 1.0 2.0 X 0 0 0 SAJU JOY MD DIRECTOR (UNTIL 8/2021) 1.0 1.0 X 0 0 0 JAMES HILL TREASURER 0.4 39.6 X 0 397284 32639 LINDA MOORE SECRETARY 0.1 39.9 X 0 365303 35016 0 2538232 302726 0 false true false THE HOSPITALIST SOLUTION 3129 CHAUCER DR CHARLOTTE NC 28210 STAFFING SERVICES 948330 PROLINK HEALTHCARE LLC 4600 Montgomery Rd Suite 300 Cincinnati OH 45212 STAFFING SERVICES 332110 TOTAL RENAL CARE OF NC LLC PO BOX 781607 PHILADELPHIA PA 19178 DIALYSIS SERVICES 195024 3 88249 88249 INPATIENT REVENUE 623000 4801845 4801845 0 0 0 0 4801845 10424 10424 0 0 425274 389742 0 35532 35532 35532 MEDICAL RECORDS 900099 322 322 OTHER INCOME 900099 147 147 0 0 0 0 469 4936519 4801845 0 46425 X 3722391 3350152 372239 53296 47967 5329 146152 131536 14616 193689 174320 19369 381774 381774 209612 209612 55540 55540 791 791 1019461 958294 61167 0 3560 3560 73768 73768 289006 289006 17700 17700 285304 285304 84953 84953 93582 93582 MEDICAL & OTHER SUPPLIES 384308 361250 23058 EQUIPMENT LEASE 79128 74380 4748 REPAIRS & MAINTENANCE 26902 26902 RECRUITMENT FEES 8544 8544 41773 41773 0 0 7171234 5175909 1995325 0 5494512 2876188 0 0 0 0 1392044 4958 0 0 0 0 0 33359 147487 0 0 472338 0 0 0 0 0 0 7539740 2881146 5551216 1105593 0 0 0 0 687695 9361 10913600 13613678 17152511 14728632 X -9612771 -11847486 -9612771 -11847486 7539740 2881146 -2234715 0 X false true X true false X Schedule A, Part I CAROLINAS CCH AT UNIVERSITY TREATED ITS LAST PATIENT ON MARCH 2, 2022 AND MOVED OUT OF THE LEASED SPACE OF ITS HOST HOSPITAL, ATRIUM HEALTH UNIVERSITY CITY ON MARCH 15, 2022. THE LTACH'S LEASE WAS SUBSEQUENTLY TERMINATED ON THAT DATE. THE STATE OF NORTH CAROLINA WAS ALSO NOTIFIED THAT CAROLINAS CCH AT UNIVERSITY CEASED OPERATING AS A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE ON MARCH 2, 2022. THE ORGANIZATION IS CURRENTLY WINDING DOWN ITS AFFAIRS. false false false false false false false false true 791 791 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY CRAWLEY MEMORIAL HOSPITAL, INC. PAID $5,236 TO THE NATIONAL ASSOCIATION OF LONG TERM HOSPITALS (NALTH) IN FISCAL YEAR 2022. THE PORTION OF NALTH DUES THAT WERE USED FOR LOBBYING PURPOSES WAS 15.10%. TOTAL DUES PAID AND REPORTED FOR LOBBYING ACTIVITIES WERE $791 (NALTH: $5,236 X 15.10% = $791). ESTIMATED THIRD PARTY STTLMNT 13603812 INTER-COMPANY 9866 13613678 true true true X true X true true false false 27835 27835 0.0039 186068 -9 186077 0.0259 0 0.0 0 0 213903 -9 213912 0.0298 0 0.0 0 0.0 0 0.0 0 0.0 2500 2500 0.0003 0 0 2500 0 2500 0.0003 0 0 216403 -9 216412 0.0302 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 2039994 2327906 -287912 X true true 1 1 CAROLINAS CCH AT UNIVERSITY 10648 PARK ROAD CHARLOTTE NC 28210 HTTPS://CHARLOTTE.CONTINUECARE.ORG/ H0289 X X CAROLINAS CCH AT UNIVERSITY 1 false false true X X X X X X X X X 20 true false false true X HTTPS://CHARLOTTE.CONTINUECARE.ORG/CHNA/ X true 20 true HTTPS://CHARLOTTE.CONTINUECARE.ORG/CHNA/ false true X 200.0 400.0 X X X true true X X X true X SEE PART VI X SEE PART VI X SEE PART VI X X X X X X true X false X false X X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA FOR CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY (CAROLINAS CCH AT UNIVERSITY) ARE PRESENTED AS A PRIORITIZED DESCRIPTION. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CAROLINAS CCH AT UNIVERSITY. CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY, (CAROLINAS CCH AT UNIVERSITY), OPENED IN OCTOBER OF 2015 AS A 35-BED LONG TERM ACUTE CARE HOSPITAL (LTACH). THE NEARLY 13,000 SQUARE FOOT FACILITY IS LOCATED ON THE 4TH FLOOR OF THE HOST HOSPITAL, CAROLINAS HEALTHCARE SYSTEM UNIVERSITY. AS A "HOSPITAL-WITHIN-A-HOSPITAL," CAROLINAS CCH AT UNIVERSITY IS A SEPARATE YET FULLY LICENSED ACUTE-CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT TO PATIENTS REQUIRING LONGER LENGTHS OF STAY FOR ACUTE-CARE. AS AN LTACH, CAROLINAS CCH AT UNIVERSITY DEVELOPS A CONTINUUM OF CARE BETWEEN THE ACUTE AND LONG-TERM PHASES OF A PATIENT'S ILLNESS. A PATIENT IS USUALLY ADMITTED AFTER A SHORT-TERM, ACUTE-CARE HOSPITAL STAY. AFTER CARE IN AN LTACH, MANY PATIENTS ARE THEN ABLE TO TRANSITION FROM THE LTACH TO ACUTE REHAB, SKILLED NURSING OR GO HOME. HOSPICE CARE IS ALSO A POST-ACUTE TREATMENT OPTION FOR PATIENTS WITH A TERMINAL DISEASE WHO HAVE A LIFE EXPECTANCY OF SIX MONTHS OR LESS. CAROLINAS CCH AT UNIVERSITY HAS SPECIALTY PROGRAMS DESIGNED TO MEET THE NEEDS OF LONG TERM, ACUTELY ILL PATIENTS WITH CONDITIONS INCLUDING VENTILATOR DEPENDENCE, RESPIRATORY FAILURE, CHRONIC PULMONARY PROBLEMS, COMPLEX AND SEVERE WOUNDS, AND INFECTIONS REQUIRING LONG TERM ANTIBIOTIC THERAPY. LTACH FACILITIES ALSO PROVIDE PHYSICAL, OCCUPATIONAL, AND NUTRITIONAL THERAPIES, AS WELL AS PAIN MANAGEMENT. THE DEFINED SERVICE AREA OF CAROLINAS CCH AT UNIVERSITY INCLUDES MECKLENBURG, CABARRUS AND IREDELL COUNTIES, NORTH CAROLINA. THESE THREE COUNTIES COMPRISED 67.7% OF FISCAL YEAR 2020 INPATIENT DISCHARGES. THE POPULATION OF MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 9.5% FROM 2020 (1,115,617) TO 2025 (1,221,449). THE POPULATION OF CABARRUS COUNTY IS EXPECTED TO INCREASE BY 10% FROM 2020 (221,329) TO 2025 (243,503). THE POPULATION OF IREDELL COUNTY IS EXPECTED TO INCREASE BY 8% FROM 2020 (189,306) TO 2025 (204,463). ALL OF THESE POPULATION PERCENTAGES ARE ABOVE THE 5.8% EXPECTED GROWTH FOR THE STATE OF NORTH CAROLINA FROM 2020 (10,736,879) TO 2025 (11,357,303). AS OF 2020, THE RACIAL/ETHNIC BREAKOUT OF MECKLENBURG COUNTY WAS 50.4% WHITE, 32.0% BLACK, 6.8% ASIAN, 0.4% AMERICAN INDIAN AND 10.3% ALL OTHERS. HISPANIC IS CATEGORIZED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2025, THE WHITE POPULATION IN MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 3.9% AND THE BLACK POPULATION IS ALSO EXPECTED TO INCREASE BY 11.4%. BY 2025, THE HISPANIC POPULATION IN MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 17.7% AND THE ASIAN POPULATION IS EXPECTED TO INCREASE BY 30.6%. THE AMERICAN INDIAN POPULATION IN MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 7.5% AND ALL OTHER RACIAL ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 17.1% BY 2025. THE MEDIAN AGE FOR MECKLENBURG COUNTY (35.6) IN 2020 IS EXPECTED TO REMAIN FLAT OVER THE NEXT FIVE YEARS (2020-2025) UNLIKE THE STATE MEDIAN AGE IN NORTH CAROLINA (38.9) WHICH IS EXPECTED TO INCREASE TO 39.6 BY 2025. AS OF 2020, THE RACIAL/ETHNIC BREAKOUT OF CABARRUS COUNTY WAS 69% WHITE, 19.6% BLACK, 1.7% ASIAN, 0.4% AMERICAN INDIAN AND 9.2% ALL OTHERS. HISPANIC IS CATEGORIZED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2025, THE WHITE POPULATION IN CABARRUS COUNTY IS EXPECTED TO INCREASE BY 4.8% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 23.5%. BY 2025, THE HISPANIC POPULATION IN CABBARUS COUNTY IS EXPECTED TO INCREASE BY 21.9% AND THE ASIAN POPULATION IN CABARRUS COUNTY IS EXPECTED TO INCREASE BY 2.6%. BY 2025, THE AMERICAN INDIAN POPULATION IN CABARRUS COUNTY IS EXPECTED TO INCREASE BY 17.1% AND ALL OTHER RACIAL ETHNIC GROUPS POPULATIONS ARE EXPECTED TO INCREASE BY 21.3%. THE MEDIAN AGE IN 2020 FOR BOTH CABARRUS COUNTY (38.0) AND THE STATE OF NORTH CAROLINA (38.9) IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2020-2025) TO 38.5 AND 39.6, RESPECTIVELY. AS OF 2020, THE RACIAL/ETHNIC BREAKOUT OF IREDELL COUNTY WAS 78.4% WHITE, 12% BLACK, 2.8% ASIAN, 0.4% AMERICAN INDIAN AND 6.4% ALL OTHERS. HISPANIC IS CATEGORIZED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. BY 2025, THE WHITE POPULATION IN IREDELL COUNTY IS EXPECTED TO INCREASE BY 6.0% AND THE BLACK POPULATION IS EXPECTED TO INCREASE BY 7.7%. BY 2025, THE HISPANIC POPULATION IN IREDELL COUNTY IS EXPECTED TO INCREASE BY 24.1% AND THE ASIAN POPULATION IN IS EXPECTED TO INCREASE BY 32.2%. THE AMERICAN INDIAN POPULATION IN IREDELL COUNTY IS EXPECTED TO INCREASE BY 10.8%, AND ALL OTHER RACIAL ETHNIC GROUPS ARE EXPECTED TO INCREASE BY 22.2% BY 2025 IN IREDELL COUNTY. THE MEDIAN AGE IN IREDELL COUNTY (40.5), WHICH IS HIGHER THAN THE STATE MEDIAN AGE (38.9), IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2020-2025) TO 41.3. THE MEDIAN AGE IN THE STATE OF NORTH CAROLINA IS ALSO EXEPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2020-2025) TO 39.6. CABARRUS COUNTY ($72,018) IREDELL COUNTY ($60,327) AND MECKLENBURG COUNTY ($66,230) ALL HAVE HIGHER MEDIAN HOUSEHOLD INCOMES THAN THE OF STATE NORTH CAROLINA. ($54,889) (2020). THE MEDIAN HOUSEHOLD INCOME IN ALL THREE COUNTIES AND THE STATE ARE PROJECTED TO INCREASE OVER THE NEXT FIVE YEARS (2020-2025). UNEMPLOYMENT RATES IN ALL THREE COUNTIES AND THE STATE DECREASED BETWEEN 2017 AND 2019. IN 2019, CABARRUS COUNTY (3.6%), IREDELL COUNTY (3.6%) AND MECKLENBURG COUNTY (3.6%) ALL HAD LOWER UNEMPLOYMENT RATES THAN THE STATE (3.9%). WITH RESPECT TO MONTHLY UNEMPLOYMENT RATES, THE AVERAGE UNEMPLOYMENT RATES IN CABARRUS, IREDELL AND MECKLENBURG COUNTIES SIGNIFICANTLY INCREASED BETWEEN MARCH AND MAY 2020, AND SINCE DECREASED THROUGH FEBRUARY 2021. IREDELL COUNTY EXPERIENCED ITS HIGHEST UNEMPLOYMENT RATE IN APRIL 2020 (14.1%), WHILE CABARRUS AND MECKLENBURG COUNTIES EXPERIENCED THEIR HIGHEST UNEMPLOYMENT RATES IN MAY 2020 (12.4% AND 13.6%, RESPECTIVELY). CABARRUS (3.9%), IREDELL (4.0%) AND MECKLENBURG (4.0%) COUNTIES HAD THEIR LOWEST UNEMPLOYMENT RATES IN MARCH 2020 FOR THE LATEST 12 MONTH TIME PERIOD. CABARRUS (14.6%), IREDELL (15.2%) AND MECKLENBURG (15.3%) COUNTIES ALL HAVE LOWER PERCENTAGES OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF NORTH CAROLINA (21.0%) (2020). BETWEEN 2014 AND 2018, THE PERCENTAGE OF CHILDREN (<18 YEARS) LIVING BELOW POVERTY IN CABARRUS, IREDELL AND MECKLENBURG COUNTIES AND THE STATE DECREASED. IN 2018, CABARRUS (12.9%), IREDELL (13.6%) AND MECKLENBURG (17.5%) COUNTIES ALL HAD LOWER PERCENTAGES OF CHILDREN LIVING BELOW POVERTY THAT THE STATE (20.2%) (2018). IREDELL (29.6%) COUNTY HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE THAN THE STATE (32.6%), WHILE CABARRUS (33.4%) AND MECKLENBURG (47.4%) COUNTIES HAVE A HIGHER PERCENTAGE OF RESIDENTS WITH BACHELORS OR ADVANCED DEGREES THAN THE STATE (2020). THE PERCENTAGE OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN CABARRUS (88.7%) AND IREDELL (89.4%) COUNTIES IS HIGHER THAN THE STATE (86.6%) AND THE NATION (87.4%), WHILE MECKLENBURG COUNTY (85.0%) HAS A LOWER PERCENTAGE THAN THE STATE AND THE NATION (2017-2018). THE PERCENTAGE OF PUBLIC-SCHOOL STUDENTS THAT ARE ELIGIBLE FOR FREE/REDUCED PRICE LUNCH IN CABARRUS (47.2%), IREDELL (34.7%) AND MECKLENBURG (54.8%) COUNTIES IS LOWER THAN THE STATE (56.0%) OF NORTH CAROLINA. MECKLENBURG COUNTY HAS A HIGHER PERCENTAGE THAN THE NATION (49.5%) (2018-2019). MECKLENBURG COUNTY (31.1%) HAS THE HIGHEST PERCENTAGE OF HOUSEHOLDS WHERE HOUSING COSTS EXCEED 30% OF TOTAL HOUSEHOLD INCOME AS COMPARED TO CABARRUS COUNTY (25.2%), IREDELL COUNTY (25.1%) AND THE STATE (28.9%) BUT IS SLIGHTLY LOWER THAN THE NATION (31.6%) (2014-2018). THE PERCENT OF HOMES THAT RECEIVED AN EVICTION JUDGMENT IN WHICH RENTERS WERE ORDERED TO LEAVE IN CABARRUS (6.3%) AND MECKLENBURG (5.8%) COUNTIES IS HIGHER THAN THE STATE (4.6%) AND THE NATION (2.3%) (2016). Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - CAROLINAS CCH AT UNIVERSITY - CONTINUED. CANCER IS THE LEADING CAUSE OF DEATH IN BOTH IREDELL AND MECKLENBURG COUNTIES AND IS THE SECOND LEADING CAUSE OF DEATH IN CABARRUS COUNTY AND THE STATE OF NORTH CAROLINA (2017-2019). BETWEEN 2017 AND 2019, CANCER MORTALITY RATES IN CABARRUS COUNTY, IREDELL COUNTY AND THE STATE DECREASED, WHILE RATES IN MECKLENBURG COUNTY SLIGHTLY INCREASED. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN CABARRUS COUNTY AND THE STATE AND IS THE SECOND LEADING CAUSE OF DEATH IN IREDELL AND MECKLENBURG COUNTIES (2017-2019). BETWEEN 2017 AND 2019, HEART DISEASE MORTALITY RATES DECREASED IN CABARRUS COUNTY AND THE STATE WHILE RATES INCREASED IN IREDELL AND MECKLENBURG COUNTIES. ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN IREDELL COUNTY, MECKLENBURG COUNTY AND THE STATE, AND THE FOURTH LEADING CAUSE OF DEATH IN CABARRUS COUNTY (2017-2019). ACCIDENT MORTALITY RATES IN CABARRUS COUNTY DECREASED, WHILE RATES IN IREDELL COUNTY, MECKLENBURG COUNTY AND THE STATE REMAINED RELATIVELY STEADY. IN 2019, THE LEADING CAUSE OF FATAL ACCIDENTS IN BOTH CABARRUS AND MECKLENBURG COUNTIES WAS DUE TO ACCIDENTAL POISIONING AND EXPOSURE TO NOXIOUS SUBSTANCES AND IN IREDELL COUNTY DUE TO MOTOR VEHICLE ACCIDENTS. CEREBROVASCULAR DISEASE IS THE FOURTH LEADING CAUSE OF DEATH IN MECKLENBURG COUNTY, THE FIFTH LEADING CAUSE OF DEATH IN IREDELL COUNTY AND THE STATE OF NORTH CAROLINA, AND THE SIXTH LEADING CAUSE OF DEATH IN CABARRUS COUNTY (2017-2019). BETWEEN 2017 AND 2019, CEREBROVASCULAR DISEASE MORTALITY RATES DECREASED IN CABARRUS COUNTY, IREDELL COUNTY AND THE STATE, WHILE RATES IN MECKLENBURG COUNTY SLIGHTLY INCREASED. ALZHEIMER'S DISEASE IS THE THIRD LEADING CAUSE OF DEATH IN CABARRUS COUNTY, THE FOURTH LEADING CAUSE OF DEATH IN IREDELL COUNTY, THE FIFTH LEADING CAUSE OF DEATH IN MECKLENBURG COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN NORTH CAROLINA (2017-2019). BETWEEN 2017 AND 2019, ALZHEIMER'S DISEASE MORTALITY RATES DECREASED IN CABARRUS COUNTY, IREDELL COUNTY AND NORTH CAROLINA, WHILE RATES IN MECKLENBURG COUNTY SLIGHTLY INCREASED. CHRONIC LOWER RESPIRATORY DISEASES (CLRD) ARE THE FOURTH LEADING CAUSE OF DEATH IN THE STATE, THE FIFTH LEADING CAUSE OF DEATH IN CABARRUS COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN IREDELL AND MECKLENBURG COUNTIES (2017-2019). BETWEEN 2017 AND 2019, CLRD MORTALITY RATES DECREASED IN CABARRUS COUNTY, MECKLENBURG COUNTY AND THE STATE, WHILE RATES IN IREDELL COUNTY SLIGHTLY INCREASED. DEATH IN CABARRUS COUNTY AND THE SIXTH LEADING CAUSE OF DEATH IN IREDELL AND MECKLENBURG COUNTIES (2017-2019). BETWEEN 2017 AND 2019, CLRD MORTALITY RATES DECREASED IN CABARRUS COUNTY, MECKLENBURG COUNTY AND THE STATE, WHILE RATES IN IREDELL COUNTY SLIGHTLY INCREASED. DIABETES MELLITUS AND INFLUENZA AND PNEUMONIA ARE ALSO LEADING CAUSES OF DEATH IN CABARRUS, IREDELL AND MECKLENBURG COUNTIES AS WELL AS THE STATE OF NORTH CAROLINA (2017-2019). NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS IS A LEADING CAUSE OF DEATH IN CABARRUS COUNTY AND IN MECKLENBURG COUNTY AND THE STATE BUT NOT IN IREDELL COUNTY (2017-2019). SEPTICEMIA IS A LEADING CAUSE OF DEATH IN CABARRUS AND MECKLENBURG COUNTIES BUT NOT A LEADING CAUSE OF DEATH IN IREDELL COUNTY OR THE STATE (2017-2019). INTENTIONAL SELF-HARM (SUICIDE) IS A LEADING CAUSE OF DEATH IN IREDELL COUNTY AND IN THE STATE OF NORTH CAROLINA BUT NOT IN MECKLENBURG OR CABARRUS COUNTIES (2017-2019). PARKINSON'S DISEASE IS A LEADING CAUSE OF DEATH IN IREDELL COUNTY BUT NOT IN CABARRUS, MECKLENBURG OR IN NORTH CAROLINA (2017-2019). OBESITY IS ALSO A PREVALENT CHRONIC CONDITION IN THE STUDY AREA. IN 2017, THE PERCENTAGE OF ADULTS (AGE 20+) WHO SELF-REPORTED THAT THEY HAVE A BODY MASS INDEX (BMI) GREATER THAN 30.0% (OBESE) IN IREDELL COUNTY (35.1%) IS HIGHEST AS COMPARED TO CABARRUS COUNTY (33.4%), MECKLENBURG COUNTY (28.7%), THE STATE (32.2%) AND THE NATION (29.5%). IN 2019, THE OBESITY PREVALENCE RATE IN ADULTS (AGE 18+) IN REGION 4 (33.6%) WAS CONSISTENT WITH ALL OTHER REGIONS AND THE STATE (34.0%). AS OF 4/15/21, MECKLENBURG COUNTY HAD THE HIGHEST NUMBER OF TOTAL CONFIRMED COVID-19 CASES AND TOTAL CONFIRMED COVID-19 DEATHS FOR THE LAST 14 DAYS (106,380; 921) AS COMPARED TO CABARRUS COUNTY (20,652; 247) AND IREDELL COUNTY (17,889; 205). AS OF 4/15/21, MECKLENBURG COUNTY HAD THE LARGEST POPULATION VACCINATED WITH THE FIRST DOSE AND SECOND DOSE (283,055 AND 199,736, RESPECTIVELY) AS COMPARED TO CABARRUS COUNTY (46,992 AND 34,243, RESPECTIVELY) AND IREDELL COUNTY (40,964 AND 30,397, RESPECTIVELY). AS OF 2018, CABARRUS (13.4%) AND IREDELL (14.5%) COUNTIES HAVE LOWER RATES OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO MECKLENBURG COUNTY (15.8%) AND THE STATE OF NORTH CAROLINA (15.5%). ALL COUNTIES AND THE STATE EXPERIENCED DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2014 AND 2018. A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY (CAROLINAS CCH AT UNIVERSITY) BY CHC CONTINUECARE. THIS CHNA UTILIZES HEALTH RELEVANT DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN CABARRUS, IREDELL AND MECKLENBURG COUNTIES, NORTH CAROLINA. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE, FROM NOVEMBER 18, 2020 - JANUARY 5, 2021. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. CONTINUECARE HOSPITAL AT UNIVERSITY BOARD REVIEWED AND ADOPTED THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 20, 2021. INTERVIEW METHODOLOGY: CAROLINAS CCH AT UNIVERSITY WORKED WITH CHC CONTINUECARE IN THE DEVELOPMENT OF ITS CHNA. CAROLINAS CCH AT UNIVERSITY PROVIDED ESSENTIAL DATA AND RESOURCES NECESSARY TO INITIATE AND COMPLETE THE PROCESS, INCLUDING THE DEFINITION OF THE HOSPITAL'S STUDY AREA AND THE IDENTIFICATION OF KEY COMMUNITY STAKEHOLDERS TO BE INTERVIEWED. HEALTH DATA WAS ALSO COLLECTED FROM A VARIETY OF SOURCES, INCLUDING BUT NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT CAROLINAS CCH AT UNIVERSITY, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING THE IBM WATSON HEALTH MARKET EXPERT, CARES ENGAGEMENT NETWORK, THE ANNIE E. CASEY FOUNDATION KIDS COUNT DATA CENTER, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE, ETHNICITY, AGE, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. CAROLINAS CCH AT UNIVERSITY PROVIDED CHC CONTINUECARE WITH A LIST OF PERSONS WITH SPECIAL KNOWLEDGE OF PUBLIC HEALTH IN THE REPORT AREA, INCLUDING PUBLIC HEALTH REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATION PROFESSIONALS, CHARITIES AND OTHER INDIVIDUALS WHO FOCUS SPECIFICALLY ON UNDERREPRESENTED GROUPS. FROM THAT LIST, TEN IN DEPTH INTERVIEWS WERE CONDUCTED THROUGH AN ELECTRONIC SURVEY OR, USING A STRUCTURED INTERVIEW GUIDE, WITH THE TWO GROUPS OUTLINED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS ISSUED DECEMBER 29, 2014. DISCUSSED WERE THE HEALTH NEEDS OF THE COMMUNITY, ACCESS ISSUES, BARRIERS AND ISSUES RELATED TO SPECIFIC POPULATIONS. WITH RESPECT TO INDIVIDUALS PROVIDING INPUT, IT WAS NOTED IN THE CHNA THAT 70.0% OF THOSE PROVIDING INPUT ARE MEMBERS OF A MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATION IN THE COMMUNITY, OR INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. 30.0% OF THOSE PROVIDING INPUT WORK FOR A STATE, LOCAL, TRIBAL OR REGIONAL GOVERNMENTAL PUBLIC HEALTH DEPARTMENT WITH KNOWLEDGE, INFORMATION OR EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INTERVIEWEES INCLUDED: - MARCELLA BEAM: EXECUTIVE DIRECTOR, HEALTHY CABARRUS - ANGIE BELK, RN: INTENSIVE CARE UNIT NURSE, ATRIUM HEALTH CABARRUS - STEPHANIE DAVIS: SOCIAL SERVICES INCOME MAINTENANCE ADMINISTRATOR, IREDELL COUNTY - GIBBIE HARRIS: PUBLIC HEALTH DIRECTOR, MECKLENBURG COUNTY HEALTH DEPARTMENT - KATIE KUTCHER: AGING PROGRAMS COORDINATOR, CENTRALINA AREA AGENCY ON AGING - MEGAN REDFORD: PUBLIC INFO OFFICER, IREDELL COUNTY HEALTH DEPT - DONNA RUFTY: SOCIAL SERVICES INCOME MAINTENANCE ADMINISTRATOR, IREDELL COUNTY - YVETTE SMITH: SOCIAL SERVICES DIRECTOR, IREDELL COUNTY - KAREN THOMPSON: SOCIAL SERVICES PROGRAM ADMINISTRATOR, IREDELL COUNTY - ANGELA WILLIAMS: SOCIAL SERVICES PROGRAM ADMIN, IREDELL COUNTY Schedule H, Part V, Section B, Line 5 Facility , 3 Facility , 3 - CAROLINAS CCH AT UNIVERSITY - CONTINUED. POPULATIONS THAT WERE IDENTIFIED AS THE MOST AT RISK FOR INADEQUATE CARE IN THE COMMUNITY BY INTERVIEWEES WERE: INFANT, /PEDIATRICEARLY CHILDHOOD, YOUTH, ELDERLY, RACIAL/ETHNIC GROUPS, LOW INCOME/WORKING POOR, HEALTH CARE WORKFORCE AND OBSTETRIC. THESE UNDERSERVED GROUPS WERE IDENTIFIED AS MOST AT RISK FOR INADEQUATE CARE DUE TO THE FOLLOWING: INFANT - INFANT MORTALITY PEDIATRIC - EARLY CHILDHOOD EDUCATION AND DEVELOPMENT YOUTH - TEEN PREGNANCY ELDERLY - DIFFICULTY NAVIGATING HEALTH CARE SYSTEM - LACK OF AFFORDABLE MEDICATIONS - TRANSPORTATION BARRIERS - RESISTING EMERGENCY SERVICES DUE TO COVID-19 - LIMITED ACCESS TO DENTAL CARE SERVICES RACIAL/ETHNIC - FEAR OF SEEKING CARE (HISPANIC/LATINO) - DISTRUST OF THE MEDICAL COMMUNITY (AFRICAN AMERICAN) - LANGUAGE BARRIERS (NON-ENGLISH SPEAKING LOW INCOME/WORKING POOR - INAPPROPRIATE USE OF ER - LIMITED ACCESS TO DENTAL CARE SERVICES - AFFORDABLE HOUSING OPTIONS - LACK OF TECHNOLOGICAL RESOURCES HEALTH CARE WORKFORCE - BURNOUT - OBSTETRIC - NEED FOR INCREASED EMPHASIS ON SEEKING - APPROPRIATE PRENATAL CARE - ADDICTION TREATMENT DURING PREGNANCY Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CAROLINAS CCH AT UNIVERSITY. THE MOST RECENTLY CONDUCTED CHNA IDENTIFIED FIVE SIGNIFICANT NEEDS IN THE COMMUNITY SERVED BY CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY (CAROLINAS CCH AT UNIVERSITY), WHICH WERE DETERMINED BY ASSESSING THE PREVALENCE OF THE ISSUES FOUND WITHIN THE HEALTH DATA FINDINGS, COMBINED WITH THE FREQUENCY AND SEVERITY OF MENTIONS DURING THE COMMUNITY INTERVIEWS. THE CHNA TEAM, CONSISTING OF LEADERSHIP FROM CAROLINAS CCH AT UNIVERSITY, PARTICIPATED IN A PRIORITIZED BALLOT PROCESS TO RANK THE COMMUNITY HEALTH NEEDS BASED ON THREE CHARACTERISTICS: SIZE AND PREVALENCE OF THE ISSUE, EFFECTIVENESS OF INTERVENTIONS AND THE HOSPITAL'S CAPACITY TO ADDRESS THE NEED. THE LIST OF PRIORITIZED NEEDS, IN DESCENDING ORDER, IS AS FOLLOWS: 1. IMPACT OF COVID-19 PANDEMIC 2. ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS 3. ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS 4. PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES 5. ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS ONCE THIS PRIORITIZATION PROCESS WAS COMPLETE, HOSPITAL LEADERSHIP DISCUSSED THE RESULTS AND DECIDED TO ADDRESS ALL OF THE PRIORITIZED NEEDS IN VARIOUS CAPACITIES THROUGH A HOSPITAL SPECIFIC IMPLEMENTATION PLAN. PRIORITY #1: IMPACT OF COVID-19 PANDEMIC OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE THE IMPACT OF THE COVID-19 PANDEMIC 1.A. CAROLINAS CCH AT UNIVERSITY CONTINUES TO PARTNER WITH LOCAL ORGANIZATIONS IN ADDRESSING COVID-19 AND OTHER FUNDRAISING EFFORTS. 1.B. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO FOLLOW COVID-19 PATIENT SAFETY PROTOCOLS IN ACCORDANCE WITH CDC AND STATE GUIDELINES. 1.C. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO ADMIT PATIENTS FROM REGIONAL SHORT TERM ACUTE CARE HOSPITALS IN AN EFFORT TO OPEN UP MORE BEDS FOR APPROPRIATE PATIENTS AND PROVIDE RELIEF DURING ANY COVID-19 PANDEMIC PATIENT SURGES. 1.D. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PARTICIPATE IN THE HOST HOSPITAL'S INCIDENT COMMAND CALLS FOR COVID-19 UPDATES AND IMPLEMENTATION OF APPROPRIATE PROCESSES. 1.E. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO WORK WITH THE HOST HOSPITAL FOR DISCHARGING COVID-19 POSITIVE AND RECOVERY PATIENTS THROUGH THE RECENTLY ESTABLISHED DASHBOARD THAT IS UPDATED DAILY WITH COVID-19 BED AVAILABILITY. 1.F. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PROVIDE EDUCATION ON COVID-19 AS OPPORTUNITIES ARISE. 1.G. CAROLINAS CCH AT UNIVERSITY CONTINUES APPROPRIATELY TESTING AND FOLLOWING CDC GUIDELINES AND COMMUNITY STANDARDS TO CONTROL THE SPREAD AND REDUCE RISK OF COVID-19 INFECTION WHEN DISCHARGING PATIENTS TO A LOWER LEVEL OF CARE AND THEIR HOME ENVIRONMENT. PRIORITY #2: ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES AND PROVIDERS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO MENTAL AND BEHAVIORAL HEALTH CARE SERVICES IN THE COMMUNITY 2.A. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO OFFER THE EMPLOYEE ASSISTANCE PROGRAM (EAP) THROUGH BEACON HEALTH OPTIONS TO HELP EMPLOYEES NAVIGATE VARIOUS LIFE CHALLENGES. 2.B. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PROMOTE MENTAL HEALTH SELF-CARE EDUCATION TO STAFF MEMBERS, INCLUDING SELF-COMPASSION, MINDFULNESS, COPING WITH STRESS AND SUICIDE PREVENTION STRATEGIES. 2.C. CAROLINAS CCH AT UNIVERSITY CONTINUES TO CONNECT PATIENTS WITH MENTAL HEALTH SUPPORT THROUGH PASTORAL CARE FOR APPROPRIATE PATIENTS AND THEIR FAMILIES. 2.D. CAROLINAS CONTINUECARE HOSPITAL STAFF CONTINUE TO GO ABOVE AND BEYOND TO CARE FOR THEIR PATIENTS WELLBEING, BOTH DURING WORKING HOURS AND AFTER HOURS, PARTICULARLY SERVING AS PATIENTS' SUPPORT DURING THE COVID-19 PANDEMIC WHEN THEIR FAMILIES COULD NOT VISIT THEM. PRIORITY #3: ACCESS TO AFFORDABLE CARE AND REDUCING HEALTH DISPARITIES AMONG SPECIFIC POPULATIONS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO REDUCE HEALTH DISPARITIES BY TARGETING SPECIFIC POPULATIONS 3.A. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PROVIDE SERVICES TO ELIGIBLE UNINSURED AND UNDERINSURED INDIVIDUALS AS OUTLINED IN THEIR CHARITY CARE POLICY, WHICH IS AVAILABLE TO EVERY PATIENT ON ADMISSION.THIS ALLOWS PATIENTS AND/OR FAMILIES TO KNOW THE DETAILS OF HOW THEY MAY QUALIFY FOR REDUCTION OR ELIMINATION OF ANY BALANCE OWED BY THEM FOR SERVICES WE PROVIDE. 3.B. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO OFFER FINANCIAL ASSISTANCE AND PAYMENT PLAN EDUCATION TO PATIENTS WHO HAVE AN ECONOMIC NEED AND MEET THE QUALIFICATIONS OF THE FINANCIAL ASSISTANCE POLICY. IF FINANCIAL ASSISTANCE IS NEEDED, CAROLINAS CCH AT UNIVERSITY ENCOURAGES PATIENTS TO COMPLETE AN APPLICATION TO SEE IF THEY QUALIFY. 3.C. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PARTNER WITH COMMUNITY ORGANIZATIONS THAT SERVE SPECIFIC, VULNERABLE POPULATIONS, IN ORDER TO REDUCE HEALTH DISPARITIES WITHIN THE COMMUNITY. 3.D. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO MAINTAIN RELATIONSHIPS WITH LOCAL NURSING HOMES ON THE APPROPRIATE TREATMENT OF MEDICALLY COMPLEX PATIENTS IN ORDER TO STRENGTHEN THE TRANSITION OF CARE BETWEEN THE LTAC FACILITY AND LOCAL NURSING HOMES. 3.E. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PROVIDE ADMISSIONS PAPERWORK IN MULTIPLE LANGUAGES TO APPLICABLE PATIENTS, AND TRANSLATION SERVICES THROUGH THE HOST HOSPITAL'S INTERPRETATION SERVICES IF NEEDED. 3.F. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO MAINTAIN ITS AFFILIATION AGREEMENTS WITH LOCAL ACADEMIC INSTITUTIONS FOR RN STUDENTS TO CONDUCT CLINICAL ROTATIONS IN THE HOSPITAL. 3.G. CAROLINAS CCH AT UNIVERSITY STAFF WILL CONTINUE TO PARTICIPATE IN BLOOD DRIVES AT THE HOST HOSPITAL. 3.H. CAROLINAS CCH AT UNIVERSITY WILL EXPLORE PARTICIPATING IN DRIVE EVENTS (I.E., TOY, FOOD, SCHOOL SUPPLY, AND CLOTHING DRIVES) AS NEEDED TO BENEFIT THE COMMUNITY. 3.I. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PROVIDE TRANSPORTATION SERVICES TO DISCHARGED PATIENTS REQUIRING SUCH SERVICES ON AN AS NEEDED BASIS. PRIORITY #4: PREVENTION, EDUCATION AND SERVICES TO ADDRESS HIGH MORTALITY RATES, CHRONIC DISEASES, PREVENTABLE CONDITIONS AND UNHEALTHY LIFESTYLES OBJECTIVE: IMPLEMENT PROGRAMS AND PROVIDE EDUCATIONAL OPPORTUNITIES THAT SEEK TO ADDRESS UNHEALTHY LIFESTYLES AND BEHAVIORS IN THE COMMUNITY 4.A. CAROLINAS CCH AT UNIVERSITY WILL ENGAGE IN A VARIETY OF EMPLOYEE WELLNESS INITIATIVES, INCLUDING A HEALTH PLAN THAT IS PREVENTION DRIVEN. IF EMPLOYEES MEET CERTAIN CRITERIA THEY WILL RECEIVE A REDUCTION ON A PORTION OF THEIR PREMIUMS. OTHER INITIATIVES INCLUDE: PROMOTING EMPLOYEE AND FAMILY WELLNESS VIA ACCOUNTABLE HEALTH (FORMERLY PRINCIPAL WELLNESS PROGRAM); OFFER NEED SPECIFIC SPECIAL PROGRAMS; SMOKING CESSATION OPPORTUNITIES; AND WEIGHT MANAGEMENT. 4.B. CAROLINAS CCH AT UNIVERSITY EMPLOYEES HAVE ACCESS TO THE HEALTHIER OPTIONS IN THE HOST HOSPITAL'S CAFETERIA, WHICH ARE NOTED AS "MINDFUL DIET" OPTIONS IN THE DINING AREA. 4.C. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO SERVE AS A TOBACCO-FREE FACILITY. 4.D. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO HOST INTERDISCIPLINARY TEAM MEETINGS ON A WEEKLY BASIS THAT INCLUDE ALL NECESSARY PERSONS IN DISCUSSIONS REGARDING INDIVIDUAL PATIENT CARE FOR A MORE COMPREHENSIVE, PATIENT-CENTERED APPROACH. CAROLINAS CCH AT UNIVERSITY STAFF ENCOURAGE FAMILY MEMBERS TO ATTEND AS WELL IN ORDER TO FULLY UNDERSTAND THE NEEDS OF THE PATIENT (IN-PERSON OR VIRTUALLY AS APPROPRIATE). 4.E. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PROVIDE PATIENTS' OTHER PHYSICIANS WITH A COPY OF THEIR DISCHARGE SUMMARIES AND H&P INFORMATION UPON DISCHARGE IN ORDER TO INCREASE COORDINATION ACROSS THE CONTINUUM OF CARE. 4.F. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO CONDUCT POST DISCHARGE FOLLOW UP CALLS FOR EVERY PATIENT DISCHARGED. FOR PATIENTS DISCHARGED TO THEIR HOME, A CALL IS PLACED WITHIN THE FIRST 24-48 HOURS TO ASSESS THE TRANSITION HOME, AND TO IDENTIFY AND ADDRESS ANY ISSUES OR PROBLEMS (I.E., INABILITY TO OBTAIN PRESCRIPTIONS, HOME HEALTH CARE START OF CARE, PAIN AND SYMPTOM MANAGEMENT, EQUIPMENT CONCERNS, OR EFFECTIVENESS OF DISCHARGE PLANNING). FOLLOW UP CALLS ARE ALSO PERFORMED ON EVERY PATIENT 30 DAYS AFTER DISCHARGE TO DETERMINE IF THE PATIENT WAS READMITTED TO A SHORT TERM ACUTE CARE HOSPITAL (STACH) WITHIN 30 DAYS OF DISCHARGING. 4.G. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO PARTICIPATE IN CONFERENCES FOCUSED AROUND THEIR PATIENT POPULATION'S NEEDS, SUCH AS THE AMERICAN CASE MANAGEMENT ASSOCIATION (ACMA) NORTH CAROLINA CONFERENCE (BI-ANNUALLY) AND RESPIRATORY-RELATED CONFERENCES. 4.H. CAROLINAS CCH AT UNIVERSITY IS AVAILABLE TO SPEAK AT COMMUNITY EVENTS, PROVIDE INFORMATION, OR PARTICIPATE IN OTHER EDUCATIONAL OPPORTUNITIES BY REQUEST. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - CAROLINAS CCH AT UNIVERSITY - CONTINUED. 4.I. CAROLINAS CCH AT UNIVERSITY WILL EXPLORE PROVIDING LUNCH AND LEARN SEMINAR EVENTS TO EDUCATE LOCAL HEALTH CARE PROVIDERS AND THE COMMUNITY ON SERVICES OFFERED BY THE LTAC FACILITY ON A PERIODIC BASIS. SESSIONS ARE PROVIDED VIRTUALLY AS APPROPRIATE. 4.J. CAROLINAS CCH AT UNIVERSITY IS AVAILABLE TO PARTICIPATE IN COMMUNITY EVENTS AND HEALTH FAIRS AND OFFER FREE/REDUCED PRICE SCREENINGS TO THE COMMUNITY IN CONJUNCTION WITH THE HOST HOSPITAL UPON REQUEST. 4.K. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO EDUCATE THE COMMUNITY ON WHAT SERVICES THE LTACH OFFERS THROUGH PARTICIPATING IN VENDOR FAIRS AND HOSTING OPEN HOUSE EVENTS FOR THE COMMUNITY. 4.L. CAROLINAS CCH AT UNIVERSITY EMPLOYEES WILL EXPLORE COLLABORATING WITH LOCAL ORGANIZATIONS IN HEALTH EDUCATION AND PROMOTION EFFORTS. PRIORITY #5: ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES AND PROVIDERS OBJECTIVE: IMPLEMENT AND OFFER PROGRAMS THAT AIM TO ADDRESS ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN THE COMMUNITY 5.A. CAROLINAS CCH AT UNIVERSITY WILL CONTINUE TO OFFER NIGHT TIME TELEHEALTH INTERNAL MEDICINE SERVICES, AND IS EXPLORING THE ADDITION OF VARIOUS TELEHEALTH SERVICES. 5.B. CAROLINAS CCH AT UNIVERSITY EMPLOYEES WILL CONTINUE TO CALL A PATIENT'S PRIMARY CARE PHYSICIAN UPON DISCHARGE TO PROVIDE THE PHYSICIAN'S OFFICE WITH THE NECESSARY INFORMATION AND TO SET UP THEIR FOLLOW UP APPOINTMENT. CAROLINAS CCH AT UNIVERSITY WILL ALSO FIND A PRIMARY CARE PROVIDER FOR ANY PATIENTS WHO CURRENTLY DO NOT HAVE ONE. EMPLOYEES WILL ALSO ASSIST IN SETTING UP TRANSPORTATION,PRESCRIPTIONS, NECESSARY EQUIPMENT, OR ANY OTHER RESOURCES NEEDED IN THE PATIENT'S PLAN OF CARE BEFORE THE PATIENT IS DISCHARGED. PRIORITIES NOT ADDRESSED: HOSPITAL LEADERSHIP DECIDED TO ADDRESS ALL OF THE RANKED HEALTH NEEDS. However, during fiscal year 2022, Carolinas CCH at University treated its last patient, ceased operating as a hospital and providing care under its hospital license on March 2, 2022. Carolinas CCH at University moved out of the leased space of its host hospital. The LTACH's lease was subsequently terminated on March 15, 2022. The organization is currently in the process of winding down its affairs. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - CAROLINAS CCH AT UNIVERSITY. CAROLINAS CCH AT UNIVERSITY DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTION ON ANY OUTSTANDING PATIENT ACCOUNTS. 0 Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A Schedule H, Part VI PAYMENT OF CHARITY CARE IN THE STATE OF NORTH CAROLINA, IT IS NOT PERMISSIBLE TO PAY ANOTHER HEALTH PROVIDER FOR CHARITY CARE TO SATISFY THE CHARITY REQUIREMENTS. Schedule H, Part V, Section B, Line 16a FAP AVAILABLE WEBSITE UNTIL MARCH 2, 2022, WHEN CRAWLEY MEMORIAL HOSPITAL, INC. D/B/A CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY CEASED OPERATING A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST. Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITE UNTIL MARCH 2, 2022, WHEN CRAWLEY MEMORIAL HOSPITAL, INC. D/B/A CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY CEASED OPERATING A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST. Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITE UNTIL MARCH 2, 2022, WHEN CRAWLEY MEMORIAL HOSPITAL, INC. D/B/A CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY CEASED OPERATING A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE, THEIR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION WERE MADE WIDELY AVAILABLE ON THE HOSPITAL'S WEBSITE AT ALL TIMES. A COPY OF EACH OF THESE DOCUMENTS IS AVAILABLE UPON REQUEST. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance SCHEDULE H, PART I, LINE 7, COLUMMN F SINCE CAROLINAS CCH AT UNIVERSITY IS A LONG TERM ACUTE CARE HOSPITALS IT WILL HAVE LOWER PERCENTAGES THAN AN ACUTE CARE HOSPITAL. Schedule H, Part II Community Building Activities CAROLINAS CCH AT UNIVERSITY DID NOT CONDUCT ANY COMMUNITY BUILDING ACTIVITIES. THE HOSPITAL TREATED ITS LAST PATIENT ON MARCH 2, 2022 AND MOVED OUT OF THE LEASED SPACE OF ITS HOST HOSPITAL, ATRIUM HEALTH UNIVERSITY CITY ON MARCH 15, 2022. CAROLINAS CCH AT UNIVERSITY'S LEASE WAS SUBSEQUENTLY TERMINATED ON THAT DATE. THE STATE OF NORTH CAROLINA WAS ALSO NOTIFIED THAT CAROLINAS CCH AT UNIVERSITY CEASED OPERATING AS A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE ON MARCH 2, 2022. THE ORGANIZATION IS CURRENTLY WINDING DOWN ITS AFFAIRS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT NET REALIZABLE VALUE BASED ON CERTAIN ASSUMPTIONS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE NET REALIZABLE VALUE. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE NET RECEIVABLE VALUE IS BASED ON THE ESTIMATED CONTRACTUAL REIMBURSEMENT PERCENTAGES, WHICH IS BASED ON CURRENT CONTRACT PRICES OR HISTORICAL CLAIMS PAID DATA BY PAYOR. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THRID-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NET REALIZABLE VALUE IS DETERMINED USING ESTIMATES OF HISTORICAL COLLECTION EXPERIENCE. THESE ESTIMATES ARE ADJUSTED FOR RECOVERIES AND ANY ANTICIPATED CHANGES IN TRENDS, INCLUDING SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COSTING METHODOLOGY USED ON LINE 6 COMES FROM THE COST REPORT(INPATIENT PPS COST-TO-CHARGE RATIO COMPUTATION). ANY SHORTFALL IS A COMMUNITY BENEFIT AS IT IS THE COST OF PROVIDING CARE TO THE COMMUNITY THAT IS NOT REIMBURSED BY THE MEDICARE PROGRAM. BY PROVIDING CARE TO THESE INDIVIDUALS, THE HOSPITAL IS IMPROVING THE HEALTH OF THE COMMUNITY. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance IF A PATIENT OF CAROLINAS CCH AT UNIVERSITY QUALIFIES FOR ITS CHARITY CARE POLICY THE PATIENTS ACCOUNT IS ADJUSTED ACCORDINGLY. PATIENT ACCOUNTS WITH REMAINING BALANCES WILL BE REASSESSED TO DETERMINE THEIR ABILITY TO PAY AND WILL EITHER BE ELIGIBLE TO PARTICIPATE IN A PAYMENT PLAN OR THEIR ACCOUNT BALANCE WILL BE WRITTEN OFF. Schedule H, Part V, Section B, Line 16a FAP website - CAROLINAS CCH AT UNIVERSITY: Line 16a URL: SEE PART VI; Schedule H, Part V, Section B, Line 16b FAP Application website - CAROLINAS CCH AT UNIVERSITY: Line 16b URL: SEE PART VI; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CAROLINAS CCH AT UNIVERSITY: Line 16c URL: SEE PART VI; Schedule H, Part VI, Line 2 Needs assessment AS REPORTED IN SCHEDULE H, PART V, LINES 1-7, A COMPREHENSIVE, SIX-STEP COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS CONDUCTED FOR CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY (CAROLINAS CCH AT UNIVERSITY) BY CHC CONTINUECARE. THIS CHNA UTILIZES RELEVANT HEALTH DATA AND STAKEHOLDER INPUT TO IDENTIFY THE SIGNIFICANT COMMUNITY HEALTH NEEDS IN CABARRUS, IREDELL AND MECKLENBURG COUNTIES, NORTH CAROLINA. COMMUNITY INPUT WAS RECEIVED DURING INTERVIEWS CONDUCTED BY CHC CONTINUECARE, FROM NOVEMBER 18, 2020 - JANUARY 5, 2021. THE CHNA IS DESIGNED IN ACCORDANCE WITH CHNA REQUIREMENTS IDENTIFIED IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND FURTHER ADDRESSED IN THE INTERNAL REVENUE SERVICE FINAL REGULATIONS RELEASED ON DECEMBER 29, 2014. THE CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY BOARD REVIEWED AND ADOPTED THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN ON MAY 20, 2021. IN ADDITION TO THE CHNA DISCUSSED ABOVE, A VARIETY OF PRACTICES AND PROCESSES ARE IN PLACE TO ENSURE THAT THE FILING ORGANIZATION IS RESPONSIVE TO THE HEALTH NEEDS OF ITS COMMUNITY. THE HEALTH CARE NEEDS FOR THE COMMUNITY ARE ASSESSED BY A REVIEW OF ESSENTIAL SOURCE DATA GATHERED DURING THE HEALTH DATA COLLECTION PROCESS. HEALTH DATA SOURCES INCLUDE, BUT ARE NOT LIMITED TO, THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WONDER TOOL, THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE, SPARKMAP, SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE), AND THE U.S. CENSUS BUREAU. BACKGROUND INFORMATION ABOUT CAROLINAS CCH AT UNIVERSITY, INCLUDING THE MISSION, VISION, VALUES, AND HOSPITAL SERVICES, WAS PROVIDED BY THE HOSPITAL OR TAKEN FROM ITS WEBSITE. POPULATION DEMOGRAPHICS INFORMATION WAS COLLECTED BY CHC CONTINUECARE USING THE IBM WATSON HEALTH MARKET EXPERT, CARES ENGAGEMENT NETWORK, THE ANNIE E. CASEY FOUNDATION KIDS COUNT DATA CENTER, THE U.S. CENSUS BUREAU AND THE UNITED STATES BUREAU OF LABOR STATISTICS AND INCLUDED INFORMATION REGARDING POPULATION CHANGE BY RACE/ETHNICITY AND AGE GROUP, MEDIAN HOUSEHOLD INCOME, UNEMPLOYMENT AND ECONOMIC STATISTICS IN THE STUDY AREA. ADDITIONALLY, INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS WERE CONDUCTED TO ASSESS THEIR PERCEIVED UNMET NEEDS IN THE HOSPITAL'S COMMUNITY. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS AND PERSONS WHO MAY BE BILLED FOR SERVICES ARE INFORMED OF THIS UPON ADMISSION TO CAROLINAS CCH AT UNIVERSITY. A FACE-TO-FACE VISIT WITH HOSPITAL ADMINISTRATIVE PERSONNEL MAY OCCUR, IF CLINICALLY APPROPRIATE, AT THE TIME OF ADMISSION OR LATER DURING THE HOSPITAL STAY. AS FINANCIAL ISSUES ARE DISCUSSED, IF IT IS FELT THAT THE PATIENT MAY QUALIFY FOR ASSISTANCE THROUGH THE HOSPITALS' FINANCIAL ASSISTANCE POLICY, THEN THE NECESSARY DOCUMENTS WOULD BE PRESENTED BY HOSPITAL PERSONNEL TO THE RESPONSIBLE PARTY FOR COMPLETION AND SUBMISSION FOR CONSIDERATION. Schedule H, Part VI, Line 4 Community information AS NOTED IN SCHEDULE H, PART V, SECTION B, THE DEFINED SERVICE AREA OF CAROLINAS CCH AT UNIVERSITY INCLUDES MECKLENBURG, CABARRUS AND IREDELL COUNTIES, NORTH CAROLINA. THE POPULATION OF MECKLENBURG COUNTY IS EXPECTED TO INCREASE BY 9.5% FROM 2020 (1,115,617) TO 2025 (1,221,449). THE POPULATION OF CABARRUS COUNTY IS EXPECTED TO INCREASE BY 10% FROM 2020 (221,329) TO 2025 (243,503). THE POPULATION OF IREDELL COUNTY IS EXPECTED TO INCREASE BY 8% FROM 2020 (189,306) TO 2025 (204,463). THE MEDIAN AGE IN 2020 FOR MECKLENBURG COUNTY (35.6) IS EXPECTED TO REMAIN FLAT OVER THE NEXT FIVE YEARS (2020-2025) UNLIKE THE STATE MEDIAN AGE (38.9) WHICH IS EXPECTED TO INCREASE TO 39.6 BY 2025. THE MEDIAN AGE IN 2020 FOR BOTH CABARRUS COUNTY (38.0) AND THE STATE (38.9) IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2020-2025) TO 38.5 AND 39.6, RESPECTIVELY. THE MEDIAN AGE IN IREDELL COUNTY (40.5), WHICH IS HIGHER THAN THE STATE MEDIAN AGE (38.9), IS EXPECTED TO INCREASE OVER THE NEXT FIVE YEARS (2020-2025) TO 41.3. ALL OF THESE POPULATION PERCENTAGES ARE ABOVE THE 5.8 EXPECTED GROWTH FOR THE STATE OF NORTH CAROLINA FROM 2020(10,736,879) TO 2025 (11,357,303). ALL THREE COUNTIES HAVE A HIGHER MEDIAN INCOME THAN THE STATE OF NORTH CAROLINA WHICH HAD A MEDIUM INCOME OF $54,889 IN 2020. THE MEDIAN HOUSEHOLD INCOME IN ALL THREE COUNTIES AND THE STATE ARE PROJECTED TO INCREASE OVER THE NEXT FIVE YEARS (2020-2025). UNEMPLOYMENT RATES IN ALL THREE COUNTIES AND THE STATE DECREASED BETWEEN 2017 AND 2019. IN 2019, EACH COUNTY HAD A LOWER UNEMPLOYMENT RATE THAN THE STATE OF NORTH CAROLINA, WHICH WAS 3.9%. IN 2020, EACH OF THE THREE COUNTIES ALSO HAD A LOWER PERCENTAGE OF FAMILIES LIVING BELOW POVERTY THAN THE STATE OF NORTH CAROLINA, WHICH HAD A RATE OF 21. IREDELL (29.6%) COUNTY HAS A LOWER PERCENTAGE OF RESIDENTS WITH A BACHELORS OR ADVANCED DEGREE THAN THE STATE (32.6%), WHILE CABARRUS (33.4%) AND MECKLENBURG (47.4%) COUNTIES HAVE A HIGHER PERCENTAGE OF RESIDENTS WITH BACHELORS OR ADVANCED DEGREES THAN THE STATE (2020). THE PERCENTAGE OF STUDENTS RECEIVING THEIR HIGH SCHOOL DIPLOMA WITHIN FOUR YEARS IN CABARRUS (88.7%) AND IREDELL (89.4%) COUNTIES IS HIGHER THAN THE STATE (86.6%) AND THE NATION (87.4%), WHILE MECKLENBURG COUNTY (85.0%) HAS A LOWER PERCENTAGE THAN THE STATE AND THE NATION (2017 2018). AS OF 2020, THE RACIAL/ETHNIC BREAKOUT OF MECKLENBURG COUNTY WAS 50.4% WHITE NON-HISPANIC, 32.0% BLACK, 6.8% ASIAN, 0.4% AMERICAN INDIAN AND 10.3% ALL OTHERS. AS OF 2020, THE RACIAL/ETHNIC BREAKOUT OF CABARRUS COUNTY WAS 69% WHITE-NON-HISPANIC, 19.6% BLACK, 1.7% ASIAN, 0.4% AMERICAN INDIAN AND 9.2% ALL OTHERS. FOR IREDELL COUNTY, AS OF 2020, THE RACIAL/ETHNIC BREAKOUT WAS 78.4% WHITE NON HISPANIC, 12% BLACK, 2.8% ASIAN, 0.4% AMERICAN INDIAN AND 6.4% ALL OTHERS. HISPANIC IS CATEGORIZED AS AN ETHNICITY AND THEREFORE IS CATEGORIZED SEPARATELY FROM WHITE, BLACK, ASIAN, AMERICAN INDIAN AND ALL OTHERS. CANCER IS THE LEADING CAUSE OF DEATH IN BOTH IREDELL AND MECKLENBURG COUNTIES AND IS THE SECOND LEADING CAUSE OF DEATH IN CABARRUS COUNTY AND THE STATE OF NORTH CAROLINA (2017-2019). HEART DISEASE IS THE LEADING CAUSE OF DEATH IN CABARRUS COUNTY AND THE STATE AND IS THE SECOND LEADING CAUSE OF DEATH IN IREDELL AND MECKLENBURG COUNTIES (2017-2019). ACCIDENTS ARE THE THIRD LEADING CAUSE OF DEATH IN IREDELL COUNTY, MECKLENBURG COUNTY AND THE STATE, AND THE FOURTH LEADING CAUSE OF DEATH IN CABARRUS COUNTY (2017-2019). IN 2019, THE LEADING CAUSE OF FATAL ACCIDENTS IN BOTH CABARRUS AND MECKLENBURG COUNTIES WAS DUE TO ACCIDENTAL POISIONING AND EXPOSURE TO NOXIOUS SUBSTANCES AND IN IREDELL COUNTY DUE TO MOTOR VEHICLE ACCIDENTS. CEREBROVASCULAR DISEASE, ALZHEIMER'S DISEASE AND CHRONIC LOWER RESPIRATORY DISEASES ARE ALSO LEADING CAUSES OF DEATH IN ALL THREE COUNTIES (2017-2019). DIABETES MELLITUS AND INFLUENZA AND PNEUMONIA ARE ALSO LEADING CAUSES OF DEATH IN CABARRUS, IREDELL AND MECKLENBURG COUNTIES AS WELL AS THE STATE OF NORTH CAROLINA (2017-2019). OBESITY IS ALSO A PREVALENT CHRONIC CONDITION IN CABARRUS AND IREDELL COUNTIES. (2017) AS OF 4/15/21, MECKLENBURG COUNTY HAD THE HIGHEST NUMBER OF TOTAL CONFIRMED COVID-19 CASES AND TOTAL CONFIRMED COVID-19 DEATHS FOR THE LAST 14 DAYS (106,380; 921) AS COMPARED TO CABARRUS COUNTY (20,652; 247) AND IREDELL COUNTY (17,889; 205). AS OF 4/15/21, MECKLENBURG COUNTY ALSO HAD THE LARGEST POPULATION VACCINATED WITH THE FIRST DOSE AND SECOND DOSE (283,055 AND 199,736, RESPECTIVELY) AS COMPARED TO CABARRUS COUNTY (46,992 AND 34,243, RESPECTIVELY) AND IREDELL COUNTY (40,964 AND 30,397, RESPECTIVELY). AS OF 2018, CABARRUS (13.4%) AND IREDELL (14.5%) COUNTIES HAVE LOWER RATES OF UNINSURED ADULTS (AGE 18-64) AS COMPARED TO MECKLENBURG COUNTY (15.8%) AND THE STATE (15.5%). ALL COUNTIES AND THE STATE EXPERIENCED DECLINES IN THE PERCENTAGE OF UNINSURED ADULTS (AGE 18-64) BETWEEN 2014 AND 2018. Schedule H, Part VI, Line 5 Promotion of community health CAROLINAS CCH AT UNIVERSITY HAD BEEN WORKING TO PROMOTE AND SUPPORT ITS HOST HOSPITAL, LOCAL COMMUNITY AGENCIES AND AREA NONPROFITS AS WELL AS LOCAL HEALTH CARE PROVIDERS IN WHATEVER WAYS WERE NECESSARY TO MEET THE NEEDS OF ITS RESPECTIVE COMMUNITY AND CONSTITUENTS. HOWEVER, PRIOR TO THE FILING OF THIS RETURN, CAROLINAS CCH AT UNIVERSITY TREATED ITS LAST PATIENT ON MARCH 2, 2022 AND MOVED OUT OF THE LEASED SPACE OF ITS HOST HOSPITAL, ATRIUM HEALTH UNIVERSITY CITY ON MARCH 15, 2022. THE LTACH'S LEASE WAS SUBSEQUENTLY TERMINATED ON THAT DATE. THE STATE OF NORTH CAROLINA WAS ALSO NOTIFIED THAT CAROLINAS CCH AT UNIVERSITY CEASED OPERATING AS A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE ON MARCH 2, 2022. THE ORGANIZATION IS CURRENTLY WINDING DOWN ITS AFFAIRS. Schedule H, Part VI, Line 6 Affiliated health care system CAROLINAS CCH AT UNIVERSITY IS AN AFFILIATE OF ATRIUM HEALTH UNIVERSITY CITY IN CHARLOTTE, NORTH CAROLINA, AND PART OF ATRIUM HEALTH. AS AN LTACH, CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY DEVELOPS A CONTINUUM OF CARE BETWEEN THE ACUTE AND LONG TERM PHASES OF A PATIENT'S ILLNESS. THE HOSPITAL PROVIDES CARE FOR A SMALL GROUP OF PATIENTS WHO HAVE MEDICALLY COMPLEX CONDITIONS ESPECIALLY FOR THOSE SUFFERING FROM MULTISYSTEM COMPLICATIONS AND NEEDING EXTENDED RECOVERY TIMES - A HOSPITAL STAY THAT IS OFTEN 25 DAYS OR MORE. A PATIENT IS USUALLY ADMITTED AFTER A SHORT-TERM, ACUTE-CARE HOSPITAL STAY. AFTER CARE IN AN LTACH, MANY PATIENTS ARE THEN ABLE TO TRANSITION FROM THE LTACH TO ACUTE REHAB, SKILLED NURSING OR GO HOME. CAROLINAS CCH AT UNIVERSITY TREATED ITS LAST PATIENT ON MARCH 2, 2022 AND MOVED OUT OF THE LEASED SPACE OF ITS HOST HOSPITAL, ATRIUM HEALTH UNIVERSITY CITY ON MARCH 15, 2022. THE LTACH'S LEASE WAS SUBSEQUENTLY TERMINATED ON THAT DATE. THE STATE OF NORTH CAROLINA WAS ALSO NOTIFIED THAT CAROLINAS CCH AT UNIVERSITY CEASED OPERATING AS A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE ON MARCH 2, 2022. THE ORGANIZATION IS CURRENTLY WINDING DOWN ITS AFFAIRS. false true false false false false false false false APRIL MYERS DIRECTOR/PRESIDENT 0 312656 0 48168 0 27277 0 47575 0 37483 0 473159 0 8907 JIM KENDRICK DIRECTOR 0 934482 0 370443 0 82619 0 112430 0 37583 0 1537557 0 27685 JAMES HILL TREASURER 0 327262 0 49537 0 20485 0 3854 0 28785 0 429923 0 0 LINDA MOORE SECRETARY 0 302507 0 41778 0 21018 0 14293 0 20723 0 400319 0 2412 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CRAWLEY MEMORIAL HOSPITAL, INC. (CMH) DOES NOT COMPENSATE THE PRESIDENT OF THE ORGANIZATION. COMMUNITY HOSPITAL CONSULTING COMPENSATES THE CMH PRESIDENT. COMMUNITY HOSPITAL CONSULTING FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6/30/2022 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NONQUALIFIED RETIREMENT PLAN PARTICIPATION WAS PAID TO: LINDA MOORE - $13,982 JIM KENDRICK - $52,788 JAMES HILL - $15,607 APRIL MYERS - $23,891 Form 990, Part I, Line 1 organization's mission CAROLINAS CCH AT UNIVERSITY TREATED ITS LAST PATIENT ON MARCH 2, 2022 AND MOVED OUT OF THE LEASED SPACE OF ITS HOST HOSPITAL, ATRIUM HEALTH UNIVERSITY CITY ON MARCH 15, 2022. THE LTACH'S LEASE WAS SUBSEQUENTLY TERMINATED ON THAT DATE. THE STATE OF NORTH CAROLINA WAS ALSO NOTIFIED THAT CAROLINAS CCH AT UNIVERSITY CEASED OPERATING AS A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE ON MARCH 2, 2022. THE ORGANIZATION IS CURRENTLY WINDING DOWN ITS AFFAIRS. Form 990, Part III, Line 4a Program Service Accomplishments CRAWLEY MEMORIAL HOSPITAL, INC. D/B/A CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY (CAROLINAS CCH AT UNIVERSITY) OPERATED A LONG-TERM ACUTE CARE HOSPITAL IN NORTH CAROLINA until March 2, 2022 when it ceased operating as a hospital and providing care under its hospital license. The LTACH then moved out of the leased space of its host hospital, Atrium Health University City on March 15, 2022. Until March 2, 2022, CAROLINAS CCH AT UNIVERSITY OPERATED AS A "HOSPITAL WITH-IN A HOSPITAL" YET IS A SEPARATE FULLY LICENSED ACUTE CARE HOSPITAL WITH THE ABILITY TO PROVIDE INTENSIVE AND COMPLEX MEDICAL TREATMENT. A LONG TERM ACUTE CARE HOSPITAL (LTACH) SERVES THE NEEDS OF PATIENTS WITH MEDICALLY COMPLEX CONDITIONS - ESPECIALLY THOSE SUFFERING FROM MULTISYSTEM COMPLICATIONS AND NEEDING EXTENDED RECOVERY TIMES. CONDITIONS APPROPRIATE FOR AN LTACH INCLUDE TRACHEOTOMY, VENTILATOR DEPENDENT CARDIAC/CARDIOVASCULAR CONDITIONS, RENAL DISEASE, ONCOLOGY AND WOUND CARE. TYPICALLY LENGTHS OF STAY WILL AVERAGE 25 DAYS OR LONGER. CAROLINAS CCH AT UNIVERSITY OPENED IN OCTOBER OF 2015 AS A 28-BED LONG TERM ACUTE CARE HOSPITAL (LTACH) AND BECAME CERTIFIED AS A LONG TERM ACUTE CARE HOSPITAL ON JULY 1, 2016. FOR FISCAL YEAR ENDED JUNE 30, 2022, CAROLINAS CCH AT UNIVERSITY ADMITTED 99 PATIENTS AND TOTAL PATIENT CARE DAYS PROVIDED WERE 3,077. THE AVERAGE DAILY CENSUS WAS 8.4 PATIENTS AND THE AVERAGE LENGTH OF STAY OF THE DISCHARGED PATIENTS WAS 29.5 DAYS. Form 990, Part III, Line 3 Significant changes in program services CAROLINAS CCH AT UNIVERSITY TREATED ITS LAST PATIENT, CEASED ALL PROGRAM SERVICES AND MOVED OUT OF THE LEASED SPACE OF ITS HOST HOSPITAL, ATRIUM HEALTH UNIVERSITY CITY ON MARCH 15, 2022. THE LTACH'S LEASE WAS SUBSEQUENTLY TERMINATED ON THAT DATE. THE STATE OF NORTH CAROLINA WAS ALSO NOTIFIED THAT CAROLINAS CCH AT UNIVERSITY CEASED OPERATING AS A HOSPITAL AND PROVIDING CARE UNDER ITS HOSPITAL LICENSE ON MARCH 2, 2022. THE ORGANIZATION IS CURRENTLY WINDING DOWN ITS AFFAIRS. Form 990, Part VI, Line 15 OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN THE ORGANIZATION FOLLOWS THE COMPENSATION POLICY OF COMMUNITY HOSPITAL CORPORATION (CHC). CHC ENGAGED SULLIVAN COTTER TO CONDUCT COMPETITIVE MARKET ANALYSIS OF THE COMPENSATION OF CHC'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS AND KEY EMPLOYEES. SULLIVAN COTTER GATHERED DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITIES AND CURRENT INCUMBENTS' COMPENSATION. SULLIVAN COTTER RECOMMENDED APPROPRIATE COMPARISON DATA AND UTILIZED SURVEY DATA FROM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET CHC'S COMPENSATION PHILOSOPHY. SULLIVAN COTTER'S RECOMMENDATIONS WERE PRESENTED TO THE CHC COMPENSATION COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. CHC ALSO CONDUCTS PERIODIC REVIEWS OF COMPENSATION TO DETERMINE WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING. THE ORGANIZATION FOLLOWED THE PROCESS FOR THE YEAR ENDED 6-30-22 FOR ITS OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES AND OTHER MANAGEMENT OFFICIALS. THIS PROCESS IS PERFORMED EACH YEAR PRIOR TO THE ANNUAL EMPLOYEE EVALUATION PROCESS, WHICH ENDS ON OCTOBER 1ST OF EACH YEAR. Form 990, Part VI, Line 3 Delegation of management duties CHC COMMUNITY CARE, LLC PROVIDES CERTAIN FINANCIAL, TECHNICAL AND MANAGERIAL SUPPORT SERVICES TO THE HOSPITAL. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE SHAREHOLDER OF CRAWLEY MEMORIAL HOSPITAL, INC. IS CAROLINAS COMMUNITY CARE, LLC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE SHAREHOLDER SHALL MAINTAIN A MINORITY VOTING INTEREST OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE BY THE SOLE MEMBER. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE BOARD OF DIRECTORS MAY RECOMMEND, BUT SHALL NOT, WITHOUT EXPRESS WRITTEN CONSENT OF THE SOLE MEMBER, HAVE THE POWER TO TAKE ANY OF THE FOLLOWING ACTIONS: 1. ANY FUNDAMENTAL CHANGE IN THE MISSION OF PHILOSOPHY OF THE HOSPITAL 2. THE INCURRANCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, PURCHASE OF LEASE OF REAL ESTATE, AND CAPITAL LEASES 3. ANY MERGER OR CONSOLIDATION TO WHICH THE HOSPITAL IS A PARTY 4. THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL 5. POLICY CHANGES PERTAINING TO CHARITY CARE 6. APPOINTMENT AND REMOVAL OF CORPORATE DIRECTORS 7. ANY RELEASE OR CANCELLATION OF INDIVIDUAL CLAIMS IN EXCESS OF $25,000 Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE WERE NO COMMITTEES OF THE GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE DETAILED REVIEW OF THE FORM 990 IS CONDUCTED BY THE HOSPITAL'S MANAGEMENT FOLLOWING THE PREPARATION AND REVIEW OF THE RETURN BY THE ORGANIZATION'S PAID PREPARER. AN ELECTRONIC COPY OF THE FINAL FORM 990 IS EMAILED TO EACH BOARD MEMBER PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADOPTED BY ITS SOLE MEMBER, CAROLINAS COMMUNITY CARE, LLC, WHICH IN TURN FOLLOWS THE CONFLICT OF INTEREST DISCLOSURE PROCESS ADMINISTERED BY ITS PARENT, COMMUNITY HOSPITAL CORPORATION (CHC), WHICH REQUIRES ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS ("COVERED PERSONS") TO DISCLOSE POTENTIAL CONFLICTS. THE ORGANIZATION'S BOARD FORMALLY ADOPTED CHC'S CONFLICT OF INTEREST POLICY FOR YEAR ENDED 6-30-14. PURSUANT TO THE POLICY, A DISCLOSURE STATEMENT IS CIRCULATED ANNUALLY TO COVERED PERSONS IN WHICH THE INDIVIDUAL MUST DISCLOSE TRANSACTIONS THAT MAY RESULT IN A CONFLICT. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT OR CONTRACT. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE AT ITS BUSINESS OFFICE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees PURCHASED SERVICES - MEDICAL - Total Expense: 642776, Program Service Expense: 604210, Management and General Expenses: 38566, Fundraising Expenses: ; PURCHASED SERVICES - PHARMACY - Total Expense: 176747, Program Service Expense: 166142, Management and General Expenses: 10605, Fundraising Expenses: ; PURCHASED SERVICES - IT - Total Expense: 83124, Program Service Expense: 78137, Management and General Expenses: 4987, Fundraising Expenses: ; PURCHASED SERVICES - LAB - Total Expense: 63775, Program Service Expense: 59949, Management and General Expenses: 3826, Fundraising Expenses: ; PURCHASED SERVICES - ADMIN - Total Expense: 29712, Program Service Expense: 27929, Management and General Expenses: 1783, Fundraising Expenses: ; PURCHASED SERVICES - OTHER - Total Expense: 23327, Program Service Expense: 21927, Management and General Expenses: 1400, Fundraising Expenses: ; FORM 990, BOX C - DOING BUSINESS AS DURING FISCAL YEAR 2022, CRAWLEY MEMORIAL HOSPITAL, INC. IS DOING BUSINESS AS CAROLINAS CONTINUECARE HOSPITAL AT UNIVERSITY (CAROLINAS CCH AT UNIVERSITY). 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