2023-05-10T11:34:35-05:00 2022-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2021-07-01 560611546 Chatham Hospital Inc % MICHAEL BUNCH CHAT 9197994000 PO Box 649 Siler City NC 27344 MICHAEL BUNCH CFO 9197994000 2023-05-09 true MICHAEL BUNCH 999009999 Sandra L Feinsmith P01064157 9192781936 2023-04-25 2 2021 2023-04-26 12:10:37Z Jeffrey Strickler PO Box 649 Siler City NC 27344 53121700 false X www.chathamhospital.org X 1939 NC TO SUPPORT THE HEALTH AND WELL-BEING OF THOSE WE SERVE THROUGH QUALITY, EQUITABLE HEALTHCARE AND TO BUILD PARTNERSHIPS WITHIN OUR DIVERSE COMMUNITY. 13 10 268 11 380155 0 100662 340756 48207672 50534470 21645 86167 355377 2160307 48685356 53121700 10250 6435 0 0 13846378 14969735 0 0 0 40363456 39649905 54220084 54626075 -5534728 -1504375 26102358 33827655 26985773 36369536 -883415 -2541881 X TO SUPPORT THE HEALTH AND WELL-BEING OF THOSE WE SERVE THROUGH QUALITY, EQUITABLE HEALTHCARE AND TO BUILD PARTNERSHIPS WITHIN OUR DIVERSE COMMUNITY. false false 46243681 6435 51680405 CHATHAM HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN SILER CITY, NC THAT IS PART OF THE UNC HEALTH SYSTEM. WITH A LONG HISTORY OF PROVIDING HIGH QUALITY HEALTH CARE TO THE RESIDENTS OF CHATHAM AND SURROUNDING COUNTIES, CHATHAM HOSPITAL HAS RECEIVED MULTIPLE FIVE-STAR RATINGS FOR PATIENT EXPERIENCE FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE HOSPITAL, ACCREDITED BY THE JOINT COMMISSION, PROVIDES SURGICAL, MEDICAL, PEDIATRIC, MATERNITY AND EMERGENCY SERVICES. COMMUNITY BASED OUTPATIENT SERVICES IN THE AREA OF DIABETES EDUCATION, LABORATORY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, IMAGING, CARDIAC REHABILITATION AND PULMONARY REHABILITATION ARE ALSO OFFERED. AS A CRITICAL ACCESS HOSPITAL, CHATHAM HOSPITAL IS ABLE TO UTILIZE BEDS, TO NOT ONLY MEET THE NEEDS OF ACUTE PATIENT CARE, BUT TO ALSO PROVIDE POST-ACUTE CARE TO PATIENTS WHO NO LONGER REQUIRE ACUTE MEDICAL CARE, BUT NEED ADDITIONAL TIME AND CARE FOR STRENGTHENING AND RECOVERY BEFORE RETURNING HOME. THE 10-BED EMERGENCY DEPARTMENT PROVIDES FULL-SERVICE AROUND THE CLOCK CARE TO MORE THAN 1,200 ADULTS AND CHILDREN EACH MONTH. UNC HEALTH BASES A HELICOPTER FOR TRANSPORT ON THE GROUNDS OF CHATHAM HOSPITAL. IN SEPTEMBER 2020, CHATHAM HOSPITAL OPENED A $2.6 MILLION MATERNITY CARE CENTER. THE CHATHAM HOSPITAL MATERNITY CARE CENTER IS CLOSE TO HOME AND PROVIDES COMPASSIONATE AND EXPERT CARE FOR MOTHERS AND THEIR NEWBORNS. THE OPENING IS THE FIRST TIME SINCE 1992 THAT CHATHAM HOSPITAL HAS OFFERED MATERNITY SERVICES. DESPITE MANY RURAL HEALTHCARE FACILITIES CLOSING MATERNITY CARE WARDS ACROSS THE NATION, CHATHAM HOSPITAL'S VENTURE IS PART OF UNC HEALTH'S RURAL CARE INITIATIVE. THIS SYSTEM INITIATIVE IS DESIGNED TO BRING MUCH NEEDED SERVICES TO WHERE PATIENTS LIVE. 46243681 true true false true false false false false false false true false false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false true true false false false true 48 0 true 268 true true true false false false false false false false false false false false X 13 10 false false false false true true true true true false false true true true true true true true true false X MICHAEL BUNCH 9197994000 PO BOX 649 Siler City NC 27344 X Jeff Strickler President & CEO 30.0 30.0 X X 0 344799 100063 Meghan McCann Director 2.0 58.0 X 0 305132 100063 Matthew Smith Director 2.0 58.0 X 0 290553 66577 Michael Bunch CFO 15.0 45.0 X 0 294752 21010 Jeff LeGay CFO 30.0 30.0 X 0 281587 17727 Woodward Burgert III MD Director 2.0 58.0 X 0 245308 24236 Tammy Needham Former COO & CNO 0.0 0.0 X 244215 0 13458 Eric Wolak COO & CNO 60.0 0.0 X 0 229188 25416 Jami Mann Dir. of Virtual Care Svcs 40.0 0.0 X 155233 0 27885 Donna Sessoms Director of Surgical Services 40.0 0.0 X 130726 0 36594 Hans Meth CFO 30.0 30.0 X 129365 0 23446 Warren Stinson Director of Emergency Services 40.0 0.0 X 116337 0 32912 Kathryn Campbell Pharmacist 40.0 0.0 X 117021 0 22365 Scott Ratcliff Director of Imaging Services 40.0 0.0 X 114771 0 22056 Allison Bolin Director of Business Operation 60.0 0.0 X 12945 0 1834 Angelynn Fox Director/Chairman 5.0 0.0 X X 0 0 0 Mark Hall Director/Vice Chairman 5.0 0.0 X X 0 0 0 Paul Cuadros Director 2.0 0.0 X 0 0 0 Cody Deen MD Director 2.0 0.0 X 0 0 0 Misty Drake Director 2.0 0.0 X 0 0 0 Etta Foushee Director 2.0 0.0 X 0 0 0 Derrick Mangum Director 2.0 0.0 X 0 0 0 David Poe Director 2.0 0.0 X 0 0 0 Anne Schwankl Director 2.0 0.0 X 0 0 0 Dennis Streets Director 2.0 0.0 X 0 0 0 Andrew Hannapel CMO 60.0 0.0 X 0 0 0 1020613 1991319 535642 11 true true false Sodexo Management Inc 9801 Washingtonian Boulevard GAITHERSBURG MD 20878 Food & Fac Mgmt Svcs 658360 Sightpath Medical LLC 5775 West Old Shakopee Road 90 BLOOMINGTON MN 55437 Ophthalmic Services 356696 Weiser Security Services Inc 1110 Navaho Drive 201 RALEIGH NC 27609 Security Services 146285 3 340756 340756 PATIENT REVENUE 524113 50072063 49691908 380155 OTHER REVENUE 621110 462407 299133 163274 50534470 86167 86167 0 0 456855 456855 0 456855 456855 0 0 0 0 0 0 0 0 0 0 CARES ACT STIMULUS 900099 1689364 1689364 COST OF FA DISPOSAL 900099 14088 14088 1703452 53121700 51680405 380155 720384 X 6435 6435 0 0 0 173063 173063 0 12137048 11044714 1092334 469337 427096 42241 1318030 1199407 118623 872257 793754 78503 0 0 0 3431 3431 0 0 16327910 14800595 1527315 0 13019 11847 1172 834108 759038 75070 1625 1479 146 0 556549 506460 50089 215357 195975 19382 0 0 476703 433799 42904 1763814 1763814 2433523 2214506 219017 337130 306789 30341 BAD DEBT EXPENSE 7711389 7711389 HOME OFFICE ALLOCATION 4842984 4842984 PATIENT CARE SUPPLIES & SERV 3401479 3401479 MINOR EQUIPMENT AND R&M 488139 444206 43933 242745 220899 21846 54626075 46243681 8382394 0 X 509 509 250394 0 0 0 5077044 8580039 0 0 0 0 0 0 669347 696754 1352101 2524152 45058825 23528375 18186276 21530450 0 0 566687 495751 0 0 0 0 0 0 26102358 33827655 12964546 18859775 0 0 195944 1506899 0 0 0 0 0 0 1344782 244572 0 0 12480501 15758290 26985773 36369536 X -883415 -2541881 0 0 -883415 -2541881 26102358 33827655 -1504375 -72171 -81920 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3431 3431 false false Part II-B, Line 1, Lobbying Activities ANNUAL DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND NORTH CAROLINA HOSPITAL ASSOCIATION. A PERCENTAGE, DETERMINED BY THE ORGANIZATIONS, WAS ESTIMATED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. 402081 402081 19541958 8587178 10954780 2524146 1782948 741198 17035224 12503039 4532185 5555416 655210 4900206 21530450 0 LOAN PAYABLE TO UNCHCS 11240787 LEASE LIABILITY 4517503 15758290 X 44861437 -72171 -8188092 -8260263 53121700 53121700 46437983 46437983 8188092 8188092 54626075 Part X, Line 2 THE HOSPITAL IS INCORPORATED AS A NONPROFIT ORGANIZATION UNDER THE LAWS OF THE STATE OF NORTH CAROLINA AND IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. Part XI, Line 2D - Other Adjustments BAD DEBT EXPENSE -7,711,389 INTEREST EXPENSE - 476,703 ------------ TOTAL -8,188,092 ------------ PART XII, LINE 4B - OTHER ADJUSTMENTS BAD DEBT EXPENSE 7,711,389 INTEREST EXPENSE 476,703 ------------ TOTAL 8,188,092 ------------ true true X true X 250. false true true true false true false 3166558 3166558 0.06750 7068125 7097704 10234683 7097704 3166558 0.06750 239582 239582 0.00510 6435 6435 0.00010 246017 246017 0.00520 10480700 7097704 3412575 0.07270 true 7711389 0 15519821 19042435 -3522614 X true true 1 1 Chatham Hospital Inc 475 Progress Blvd Siler City NC 27344 www.chathamhospital.org H0007 X X X X Chatham Hospital Inc 1 false false true X X X X X X X X X 21 true false true true X See Part V X true 21 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 FOR THIS ASSESSMENT, THE CHATHAM COUNTY COMMUNITY SURVEY (CCCS) WAS IMPLEMENTED TO TAKE INTO ACCOUNT INPUT FROM A BROAD REPRESENTATION. THE CCCS WAS CONDUCTED USING THE COMMUNITY ASSESSMENT (CA) COHORT, WHICH WAS INITIATED IN 2018 THROUGH A STRUCTURED PROTOCOL APPROVED BY CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT (CCPHD) AND THE SCIENTIFIC ADVISORY COMMITTEE (SAC). THE CCCS WAS AN OPPORTUNITY TO REVISIT THE ORIGINAL SAMPLING SCHEME AND MODIFY THE SAMPLING SCHEME TO REFLECT RECENT CHANGES IN THE CHATHAM COUNTY POPULATION USING THE MOST CURRENT DATA AVAILABLE FROM THE U.S. CENSUS BUREAU. ADDITIONALLY, CCPHD WANTED TO EXPAND THE COHORT TO REPLACE THOSE LOST TO FOLLOW-UP AND TO RECRUIT MORE PARTICIPANTS FOR BETTER REPRESENTATION FROM BLACK/AFRICAN AMERICAN AND HISPANIC/LATINX COMMUNITY MEMBERS. THE SAMPLING METHODOLOGY WAS MODIFIED FIRST TO ACCOUNT FOR CHANGES IN THE MEDIAN HOUSEHOLD INCOME ACROSS CENSUS BLOCK GROUPS. USING THIS DATA, THE CENSUS BLOCKS WERE GROUPED INTO THREE CATEGORIES, LOW, MEDIUM AND HIGH INCOMES, REPRESENTING THE PERCENTILES OF THE MEDIAN HOUSEHOLD INCOME DISTRIBUTION ACROSS CENSUS BLOCKS. TO ENSURE AN EVEN NUMBER OF CENSUS BLOCKS IN EACH STRATUM AND TO EXPAND THE CA COHORT, ADDITIONAL CENSUS BLOCKS WERE SELECTED FOR A TOTAL OF 76 CENSUS BLOCKS INCLUDED IN THE CA COHORT SAMPLING. THE ADDITIONAL BLOCKS WERE SELECTED WITH PROBABILITY PROPORTIONATE TO THE BLACK AND HISPANIC OR LATINO POPULATION. FOR EACH NEWLY SAMPLED CENSUS BLOCK 7 HOUSEHOLDS RANDOMLY SAMPLED FROM RESIDENTIAL ADDRESS DATA, AND FOR THE ORiGINALLY SAMPLED BLOCKS WITH EXISTING COHORT MEMBERS, REPLACEMENT HOUSEHOLDS WERE RANDOMLY SAMPLED AND ADDED AS NECESSARY WiTHIN EACH BLOCK TO OBTAIN A TOTAL OF 7 HOUSEHOLDS IN EACH BLOCK. IN FALL 2021, GIVEN A SURGE IN COVID-19 AND ELEVATED COMMUNITY TRANSMISSION, THE DECISION WAS MADE TO FOREGO IN-PERSON DATA COLLECTION AND REACH OUT TO COHORT MEMBERS THROUGH MAIL, PHONE, AND EMAIL. TO ACCOUNT FOR THE ANTICIPATED LOW RESPONSE RATE WITH THE ABSENCE OF IN-PERSON SURVEYING, EACH OF THE CLUSTERS WERE OVERSAMPLED BY FOUR TIME THE ORIGINAL SELECTION, WITH AN OVERSAMPLING FROM 7 TO 28 HOUSEHOLDS. FOR SELECTED CLUSTERS WITH LESS THAN 28 HOUSEHOLDS, ALL WERE SELECTED AS PART OF THE OVERSAMPLE. WITH THE OVERSAMPLING, THE TOTAL OF 1,860 HOUSEHOLDS WERE SAMPLED. IN ADDITION TO THE COHORT SURVEY, A SHORT SUPPLEMENTAL SURVEY WAS OFFERED TO ALL MEMBERS OF THE CHATHAM COUNTY COMMUNITY AS AN OPPORTUNITY FOR THOSE NOT SELECTED AS PART OF THE SAMPLE TO PARTICIPATE AND SHARE THOUGHTS ABOUT THEIR EXPERIENCES WITH HEALTH AND WELL-BEING IN CHATHAM COUNTY. OVERALL, 207 RESPONSES WERE COLLECTED FROM OCTOBER TO DECEMBER 2021. PART V, SECTION B, LINE 6B THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT AND CHATHAM HEALTH ALLIANCE. PART V, SECTION B, LINE 7A HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT PART V, SECTION B, LINE 10A HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT PART V, SECTION B, LINE 11 THE HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE HEALTH PRIORITIES: MENTAL HEALTH SEVERAL KEY MENTAL HEALTH INDICATORS WORSENED IN RESULTS FROM THE 2018 CHATHAM COUNTY COMMUNITY SURVEY TO THE 2021 CHATHAM COUNTY COMMUNITY SURVEY, INCLUDING THE PERCENTAGE OF RESIDENTS REPORTING "HIGH" DAY-TO-DAY STRESS LEVELS (9.1% TO 10.7%), "FAIR"POOR" SELF-REPORTED MENTAL HEALTH (7.4% TO 11.3%), AND EVER HAVING ANXIETY OR DEPRESSION (20.1% TO 33.3%). YOUTH RISK BEHAVIOR SURVEY RESULTS FROM 2019 ALSO INDICATED THAT YOUTH IN CHATHAM COUNTY ARE EXPERIENCING HIGH LEVELS OF DEPRESSION AND OTHER MENTAL HEALTH STRESSES. WOMEN AND RESIDENTS OF COLOR WERE DISPROPORTIONATELY AFFECTED. SUBSTANCE USE AND ACCESS TO SERVICES WERE ALSO CONCERNS, PARTICULARLY THE SHARP INCREASE IN UNINTENTIONAL OVERDOSE DEATH RATES IN RECENT YEARS. TRANSPORTATION ISSUES WITH TRANSPORTATION CAN LIMIT ACCESSS TO MANY SERVICES, ACTIVITIES, AND OPPORTUNITIES, SUCH AS WORK, PHYSICAL ACTIVITY, HEALTHY FOOD STORES, AND HEALTH CARE. IN MANY PARTS OF THE COUNTY, ACCESS TO A VEHICLE IS CRUCIAL; ADDITIONALLY, CHATHAM COUNTY HAS JUST ONE PUBLIC TRANSPORTATION SERVICE, WHICH MANY RESIDENTS REPORTED NOT KNOWING ABOUT OR FELT WAS NOT CONVENIENT FOR THEIR NEEDS. SIDEWALKS WERE A COMMON TOPIC OF CONCERN IN THE 2021 CHATHAM COUNTY COMMUNITY SURVEY, WITH 16% OF ADULTS SAYING THERE WERE NO SIDEWALKS WHERE THEY NEEDED TO WALK, INCLUDING 26% OF HISPANIC/LATINX ADULTS. EMPLOYMENT EMPLOYMENT IS A CROSS-CUTTING ISSUE THAT IS INTERTWINED WITH MANY OTHER HEALTH PRIORITIES. WHILE CHATHAM COUNTY HAS A RELATIVELY LOW UNEMPLOYMENT RATE (3.6% AS OF MARCH 2022), MORE THAN HALF OF CHATHAM COUNTY WORKERS WORK OUTSIDE OF THE COUNTY (55.6%), ACCORDING TO THE U.S. CENSUS. AVERAGE WEEKLY WAGE IN THE COUNTY IS $839, COMPARED TO THE STATE AVERAGE OF $1,111, AS OF Q3 2021. THERE ARE ALSO STARK DISPARITIES IN MEDIAN HOUSEHOLD INCOME WITHIN THE COUNTY, WITH WHITE, NON-HISPANIC/LATINX RESIDENTS MAKING 1.6 TO 2.7 MORE PER YEAR THAN OTHER DEMOGRAPHIC GROUPS, ACCORDING TO THE U.S. CENSUS. LOSS OF EMPLOYMENT OR SWITCHING JOBS WAS ALSO A FACTOR FOR MANY WHO REPORTED NOT HAVING HEALTH INSURANCE IN THE 2021 CHATHAM COUNTY COMMUNITY SURVEY. UNC HEALTH CHATHAM'S STRATEGIC PLAN TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES: 1. UNC HEALTH CHATHAM CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE STEERING COMMITTEE. 2. UNC HEALTH CHATHAM CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE. 3. UNC HEALTH CHATHAM WILL HAVE REPRESENTATION ON EACH HEALTH ALLIANCE SUBCOMMITTEES AND ACTIVELY WORK TO ADDRESS THE THREE MAIN HEALTH PRIORITIES OF MENTAL HEALTH, TRANSPORTATION, AND EMPLOYMENT. 4. UNC HEALTH CHATHAM WILL WORK CLOSELY WITH UNC PHYSICIAN'S NETWORK TO INCREASE OUTPATIENT BEHAVIORAL HEALTH ACCESS. 5. UNC HEALTH CHATHAM WILL CONTINUE PROVIDING TELE PSYCHIATRY PROGRAM IN THE EMERGENCY DEPARTMENT THROUGH UNCMC EMERGENCY DEPARTMENT PSYCHIATRIC PROVIDERS. 6. UNC HEALTH CHATHAM WILL CONTINUE TO PROVIDE THE CHARITY CARE PROGRAM. 7. UNC HEALTH CHATHAM WILL CONTINUE GROWING AND DEVELOPING OUTPATIENT PROGRAMS INCLUDING, BUT NOT LIMITED TO, IMAGING, CARDIOPULMONARY, MATERNAL CARE, AND SURGICAL SERVICES ACCESS. 8. UNC HEALTH CHATHAM WILL CONTINUE TO COLLABORATE WITH CHATHAM COUNTY HEALTH DEPARTMENT ON COMMUNITY HEALTH NEEDS INCLUDING, BUT NOT LIMITED TO, DIABETES AND ON-GOING COVID PANDEMIC RESPONSE. 9. UNC HEALTH CHATHAM WILL CONTINUE TO COLLABORATE WITH UNC PHYSICIANS NETWORK ON PRIMARY AND SPECIALTY CARE SERVICES FOR CHATHAM COUNTY. THIS THREE-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STRATEGIC IMPLEMENTATION PLAN (SIP) WAS PRESENTED AND ADOPTED BY THE CHATHAM HOSPITAL BOARD OF DIRECTORS ON NOVEMBER 7, 2022 WITH THE VISION THAT UNC HEALTH CHATHAM WILL USE THE PLAN AS A ROAD MAP TO TRACK AND ASSESS PROGRESS TOWARDS MEETING THE COMMUNITY HEALTH GOALS. CHATHAM CHNA TASK FORCE WILL MAKE ADJUSTMENTS ALONG THE WAY ENABLING COLLABORATION WITH COMMUNITY PARTNERS WHILE RESPONDING TO LOCAL CONDITIONS AND CHANGES IN COMMUNITY PRIORITIES AND LEADERSHIP. UNC HEALTH CHATHAM WILL EVALUATE PROGRESS AT THE END OF EACH CALENDAR YEAR AND MODIFY THE PLAN ACCORDINGLY. THE REMAINING TOP HEALTH ISSUES THAT CHATHAM HOSPITAL WILL NOT BE ADDRESSING INCLUDE THE FOLLOWING: ACTIVITIES FOR YOUTH, CHILDCARE, BUILT ENVIRONMENT, HEALTHCARE ACCESS, HEALTHY AGING, HEALTHY FOOD SYSTEMS, AND SUBSTANCE USE SUPPORT/TREATMENT. WHILE CHATHAM HOSPITAL RECOGNIZES THESE HEALTH NEEDS, THEIR RESOURCES ARE BETTER USED IN ADDRESSING THE TOP THREE HEALTH PRIORITIES LISTED ABOVE. PART V, SECTION B, LINES 15e PROVIDED SEVERAL WAYS TO RETURN THE COMPLETED APPLICATION, SUCH AS, IN THE ENVELOPE PROVIDED, UPLOAD TO PROVIDED WEBSITE AND FAX NUMBER. PART V, SECTION B, LINES 16A-C HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/PATIENTS-VISITORS/BILLING PART V, SECTION B, LINE 20D TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT CIRCUMSTANCES PREVENT COMPLETION OF A FULL APPLICATION, A PRESUMPTIVE DETERMINATION MAY BE UTILIZED. 2 CHATHAM medical park 163 MEDICAL PARK DRIVE SILER CITY NC 27344 CARDIAC REHABILITATION, DIABETES EDUCATION, PT/OT, AND specialty care UNC chatham park medical office 75 FREEDOM Parkway PITTSBORO NC 27312 imaging services Rehabilitation services and Speciality care PART I, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,711,389. PART III, LINE 2 THE ORGANIZATION'S BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND FORM 990 PART IX. THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED TO THE GROSS BAD DEBT CHARGES FOR THE YEAR. PART III, LINE 3 THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4 NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. PART III, LINE 8 AS A CRITICAL ACCESS HOSPITAL, THE DIFFERENCE BETWEEN REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COST IS THE AMOUNT DUE FROM THE PATIENTS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE AND DEDUCTIBLES. THE PATIENT AMOUNTS THAT ARE NOT COLLECTED END UP AS BAD DEBTS WHICH ARE PARTIALLY RECOVERABLE ON FUTURE COST REPORTS. PART III, LINE 9B POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. PART VI, LINE 2 LESS THAN 20% OF OUR COUNTY'S RESIDENTS LIVE IN INCORPORATED TOWNS. THE COUNTY HAS ABOUT 93.1 RESIDENTS PER SQUARE MILE, WHICH REFLECTS ITS GENERALLY RURAL NATURE. A CRITICAL ACCESS HOSPITAL IS ESSENTIAL FOR A RURAL COMMUNITY SUCH AS THIS. CHATHAM HOSPITAL ADDRESSES THE COMMUNITY'S EMERGENCY HEALTH NEEDS BY PROVIDING AROUND-THE-CLOCK EMERGENCY SERVICES TO MORE THAN 1,000 PATIENTS EACH MONTH. OUR 5,500-SQUARE FOOT EMERGENCY ROOM IS NEWLY RENOVATED AND EQUIPPED WITH THE ADVANCED DIAGNOSTIC AND MONITORING EQUIPMENT REQUIRED TO DELIVER EXCELLENT CARE. CHATHAM HOSPITAL STRIVES TO IMPROVE EMERGENCY CARE FOR KIDS BY INCREASING MEDICATION SAFETY. ALSO, THE HOSPITAL HAS A DIABETES SELF MANAGEMENT PROGRAM FOR INDIVIDUALS WITH DIABETES WITHIN THE COMMUNITY. PART VI, LINE 3 NOTICES OF PATIENT FINANCIAL PROGRAMS ARE POSTED IN SERVICE AREAS, AND BROCHURES ARE AVAILABLE DESCRIBING THE PROGRAMS AND PHONE NUMBERS FOR QUESTIONS OR TO REQUEST APPLICATIONS. FINANCIAL COUNSELORS ARE LOCATED IN SERVICE AREAS FOR DISCUSSIONS REGARDING FUNDING SOURCES, INCLUDING CHARITY CARE, AND SELF PAY PATIENT ACCOUNTS ARE AUTOMATICALLY ROUTED TO MEDICAID ASSISTANCE COUNSELORS FOR REVIEW OF ELIGIBILITY POTENTIAL FOR MEDICAID. REGISTRATION COVERS THE CHARITY PROGRAM WITH PATIENTS DURING REGISTRATION AND GIVES CHARITY APPLICATIONS TO THOSE WHO DON'T HAVE INSURANCE OR WHO MEET CERTAIN CRITERIA. REGISTRATION ALSO INFORMS PATIENTS THAT PATIENT FINANCIAL SERVICES IS AVAILABLE TO PATIENTS WHO WISH TO DISCUSS PAYMENT OPTIONS. PART VI, LINE 4 POPULATION INFORMATION: CHATHAM COUNTY'S POPULATION INCREASED TO OVER 76,000 AS OF APRIL 1, 2020, AN INCREASE OF MORE THAN 20% FROM THE 2010 CENSUS. CHATHAM COUNTY IS THE 36TH LARGEST COUNTY IN NORTH CAROLINA BY POPULATION BUT HAD THE 7TH HIGHEST RATE OF POPULATION GROWTH OF ALL COUNTIES BETWEEN 2010 AND 2020. CHATHAM IS A PREDOMINATELY RURAL COUNTY WITH A POPULATION DENSITY OF 93.1 PERSONS PER SQUARE MILE, LESS THAN HALF OF THE POPULATION DENSITY OF THE STATE AS A WHOLE. SIXTY-SIX PERCENT OF THE POPULATION LIVED IN RURAL AREAS, WHICH MADE UP 97.5% OF THE COUNTY'S TOTAL AREA. ETHNIC/RACIAL DIVERSITY: FIFTY-TWO PERCENT OF COUNTY RESIDENTS ARE FEMALE. THE POPULATION IS 82.2% WHITE, 12.4% BLACK/AFRICAN-AMERICAN, 12.1% HISPANIC/ LATINX, 2.2% ASIAN, 1.2% AMERICAN INDIAN OR ALASKA NATIVE. APPROXIMATELY 14% OF THE COUNTY'S RESIDENTS 5 YEARS OF AGE AND OLDER LIVE IN A HOME WHERE A LANGUAGE OTHER THAN ENGLISH IS SPOKEN. AGE: CHATHAM COUNTY HAS A RELATIVELY HIGH PROPORTION OF RESIDENTS AGED SIXTY-FIVE AND OLDER; APPROXIMATELY 25% OF RESIDENTS ARE SIXTY-FIVE AND OLDER, COMPARED TO AROUNd 16% OF THE STATE AND COUNTY POPULATIONS, RESPECTIVELY. AROUND 20% OF RESIDENTS ARE UNDER EIGHTEEN, INCLUDING 4.9% UNDER THE AGE OF FIVE. INCOME AND POVERTY: THE COUNTY'S MEDIAN HOUSEHOLD INCOME, ADJUSTED FOR INFLATION, WAS $69,799 IN 2020, SLIGHTLY HIGHER THAN THE NORTH CAROLINA MEDIAN INCOME OF $56,642. THE MEDIAN HOUSEHOLD INCOME FOR WHITE, NON-HISPANIC INDIVIDUALS, $81,165, WAS NEARLY TWICE FOR BLACK/AFRICAN AMERICAN INDIVIDUALS, $41,498, AND MORE THAT 60% HIGHER THAN THAT OF HISPANIC/LATINX INDIVIDUALS, $50,461. PART VI, LINE 5 CHATHAM HOSPITAL STRIVES TO FURTHER ITS EXEMPT PURPOSES BY PARTNERING IN THE COMMUNITY TO ASSESS HEALTH NEEDS AND TO HELP DEVELOP STRATEGIES TO FULFILL THOSE NEEDS. CHATHAM HOSPITAL IS WELL ENGAGED IN THE COMMUNITY THROUGH JOINT EFFORTS WITH OTHER ORGANIZATIONS, COMMUNITY OUTREACH THROUGH EDUCATION AND HEALTH FAIRS, DIRECTLY CONTRIBUTING TO FUNDRAISING EFFORTS, WORKING TO QUALIFY PATIENTS FOR EITHER INSURANCE OR CHARITY CARE AND IF NOT, PROVIDING DISCOUNTS TO HEALTH SERVICES. PART VI, LINE 6 CHATHAM HOSPITAL AND UNC HEALTH CARE ARE PARTNERING TO BRING NATIONALLY-RECOGNIZED HEALTH CARE TO CHATHAM COUNTY. OUR PARTNERSHIP MEANS YOU'LL CONTINUE TO HAVE ACCESS TO ADVANCED HEALTH CARE CLOSE TO HOME, WITH THE PERSONAL TOUCH YOU'VE COME TO EXPECT FROM US. true Town of Siler City 311 North Second Ave Siler City NC 27344 566001334 GOVT Entity 5250 SEE PART IV 1 PART I, LINE 2: CHATHAM REQUIRES ALL REQUESTS FOR GRANTS OR OTHER ASSISTANCE TO BE IN WRITING AND SUCH REQUESTS ARE TYPICALLY REVIEWED ON AN ANNUAL BASIS FOLLOWING GUIDELINES RELATED TO COMMUNITY NEED AND CHATHAM'S MISSION. CHATHAM'S PRIORITIES INCLUDE SUPPORTING HEALTH, HUMAN SERVICES, EDUCATION AND ARTS IN THE COMMUNITY IT SERVES. CHATHAM WORKS CLOSELY WITH THE TOWN OF SILER CITY AND RECEIVES FREQUENT UPDATES ON THEIR WORK AND PROGRESS. PART II, LINE 1: NAME OF THE GRANT: TOWN OF SILER CITY PURPOSE OF GRANT: AQUATIC FACILITY CAPITAL CAMPAIGN AND SOFTBALL SPONSORSHIP X X X X X false false false false false true true false false Jeff Strickler President & CEO 0 267580 0 67954 0 9265 0 87880 0 12183 0 444862 0 0 Eric Wolak COO & CNO 0 170446 0 37888 0 20854 0 13745 0 11671 0 254604 0 0 Jeff LeGay CFO 0 222237 0 41935 0 17415 0 11300 0 6427 0 299314 0 0 Michael Bunch CFO 0 233917 0 60635 0 200 0 6952 0 14058 0 315762 0 0 Hans Meth CFO 97844 0 20301 0 11220 0 3121 0 20325 0 152811 0 0 0 Jami Mann Dir. of Virtual Care Svcs 136180 0 18823 0 230 0 21611 0 6274 0 183118 0 0 0 Donna Sessoms Director of Surgical Services 104063 0 12727 0 13936 0 30320 0 6274 0 167320 0 0 0 Tammy Needham Former COO & CNO 195466 0 41045 0 7704 0 6014 0 7444 0 257673 0 0 0 Woodward Burgert III MD Director 0 223058 0 22250 0 0 0 7014 0 17222 0 269544 0 0 Meghan McCann Director 0 229912 0 65955 0 9265 0 87880 0 12183 0 405195 0 0 Matthew Smith Director 0 206594 0 61965 0 21994 0 54394 0 12183 0 357130 0 0 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. Form 990, Part VI, Section A, Line 6 SEE RESPONSE TO QUESTION 7A. Form 990, Part VI, Section A, Line 7A IN ADDITION TO SUCH POWERS AND RIGHTS AS ARE VESTED IN IT BY LAW, THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF THE CORPORATION OR THE AMENDED AND RESTATED BYLAWS, THE MEMBER ("UNCHCS") SHALL HAVE THE FOLLOWING POWERS: (A) THE POWER TO APPOINT THE CHAIRMAN OF THE BOARD, VICE CHAIRMAN, PRESIDENT, EXECUTIVE VICE PRESIDENTS, SECRETARY/TREASURER AND OTHER CORPORATE OFFICERS OF THE CORPORATION; (B) THE POWER TO APPOINT INDIVIDUAL MEMBERS OF THE CORPORATION'S BOARD OF TRUSTEES; (C) THE POWER TO ESTABLISH AND MAINTAIN QUALITY, SERVICE DELIVERY, AND FINANCIAL STANDARDS TO BE OBSERVED BY ALL MEMBERS OF UNCHCS, INCLUDING THE CORPORATION; (D) THE POWER TO ESTABLISH A SCHEDULE OF COST-BASED ASSESSMENTS PAYABLE BY PROVIDER COMPONENTS OF UNCHCS FOR THE SUPPORT OF THAT PORTION OF ITS OPERATING BUDGET ATTRIBUTABLE TO UNCHCS-WIDE ADMINISTRATION AND INITIATIVES AND REFLECTING OPERATING ENTITY PERFORMANCE; (E) THE POWER TO NEGOTIATE, DEVELOP, AND APPROVE ALL MANAGED CARE PRODUCTS AND CONTRACTS FOR THE CORPORATION; (F) THE POWER TO APPROVE (I) THE CORPORATION'S NAME, (II) CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AND (III) NON-BUDGETED MATERIAL EXPENDITURES OF THE CORPORATION (AS "MATERIAL" IS ESTABLISHED BY THE MEMBER FROM TIME TO TIME), PROVIDED THAT ONLY THE BOARD OF TRUSTEES SHALL HAVE THE AUTHORITY TO INITIATE A CHANGE IN THE NAME OF THE CORPORATION OF THE HOSPITAL, WHICH SHALL BE SUBJECT TO FINAL APPROVAL BY UNCHCS; AND (G) OTHER POWERS MUTUALLY AGREED TO BY UNCHCS AND THE CORPORATION. Form 990, Part VI, Section A, Line 7B SEE RESPONSE TO QUESTION 7A. Form 990, Part VI, Section B, Line 11B THE FORM 990 WAS REVIEWED PRIOR TO FILING BY THE PRESIDENT AND CFO OF THE HOSPITAL. PRIOR TO FILING WITH THE IRS, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS. Form 990, Part VI, Section B, Line 12C THE CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY THE BOARD MEMBERS ANNUALLY TO BE REVIEWED BY THE HOSPITAL PRESIDENT. THE CHATHAM HOSPITAL CONFLICT OF INTEREST POLICY OUTLINES THE PROCESS TO BE FOLLOWED IN DETERMINING THE EXISTENCE OF A POTENTIAL CONFLICT, AND HOW TO ADDRESS THE SITUATION. Form 990, Part VI, Section C, Line 19 PHOTOCOPIES OF THE FORM 1023 AND RECENT COPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT COPIES OF FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VII, LINE 1B AVERAGE HOURS PER WEEK BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII LINE 1B. Form 990, Part XII, Line 2C PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART XII, LINE 3B ONCE THE FINANCIAL AUDIT WAS COMPLETED, THE AUDITORS BEGAN THE SINGLE AUDIT. THEY ARE SCHEDULED TO BE COMPLETED ON OR BEFORE 3/31/2023, WHICH IS THE EXTENDED DUE DATE. THE REQUIRED FY2021 SINGLE AUDIT IS CURRENTLY IN PROCESS AND WILL BE COMPLETED ON OR BEFORE 3/31/2023. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROFESSIONAL SERV TOTAL FEES:11748574 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:4451982 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:127354 Chatham Imaging Svcs of Pittsboro LLC 75 US-1 Pittsboro NC 27812 811651110 Imaging Svcs NC 152610 1180227 Chatham Hosp UNC Health Care System 101 Manning Drive Chapel Hill NC 27514 562206970 Healthcare NC Section 115 UNC Health C false UNC Hospitals 101 MANNING DRIVE Chapel Hill NC 27514 561118388 Healthcare NC Section 115 UNC Health C false Caldwell Memorial Hospital 321 MULBERRY STREET SW Lenoir NC 28645 560554204 Healthcare NC 501(c)(3) Line 3 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 Piedmont Triad Health Services 101 Manning Drive Medical Wing E 2 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 The Rex Healthcare Foundation Inc 4420 Lake Boone Trail Raleigh NC 27607 566052117 Support of Re NC 501(c)(3) Line 12B II 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 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 2500 Blue Ridge Road Ste 401 Raleigh NC 27607 852823886 Healthcare NC REX HEALTHCARE C Corp 0 0 false UNC Health Innovations Inc 4420 Lake Boone Trail Raleigh NC 27607 871233049 Operation support NC Rex Healthcare C Corp 0 0 false false false false false true false false false false false false false true true false true false false false