COLUMBUS REGIONAL HEALTHCARE SYSTEM: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBUS REGIONAL HEALTHCARE SYSTEM (EIN 56-0538020)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-11
- IRS object ID
- 202322239349302207
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-11T14:25:58-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560538020 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLU | BusinessNameControlTxt |
| Phone | 9106421703 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON STREET | AddressLine1Txt |
| City | WHITEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28472 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | M JEFFERY ARMSTRONG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9106421703 | PhoneNum |
| Signature | 2023-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | M | PersonFirstNm |
| Person Last | JEFFERY ARMSTRONG | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Preparation | 2023-08-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | W JASON BECK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON STREET | AddressLine1Txt |
| City | WHITEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28472 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $130,507,853 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CRHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1937 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | SERVING THE CITIZENS BY PROVIDING COMMUNITY SERVICES, HEALTH EDUCATION, AND CHARITY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 784 | TotalEmployeeCnt |
| Total Volunteers | 34 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,252,185 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,116,517 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $123,194,125 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $123,715,262 | CYProgramServiceRevenueAmt |
| PY Investment Income | $631,441 | PYInvestmentIncomeAmt |
| CY Investment Income | $528,049 | CYInvestmentIncomeAmt |
| PY Other Revenue | $446,917 | PYOtherRevenueAmt |
| CY Other Revenue | $999,002 | CYOtherRevenueAmt |
| PY Total Revenue | $134,524,668 | PYTotalRevenueAmt |
| CY Total Revenue | $129,358,830 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,911 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,939 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,788,770 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,172,114 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $82,266,637 | PYOtherExpensesAmt |
| CY Other Expenses | $76,994,492 | CYOtherExpensesAmt |
| PY Total Expenses | $123,067,318 | PYTotalExpensesAmt |
| CY Total Expenses | $117,176,545 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,457,350 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,182,285 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $197,969,739 | TotalAssetsBOYAmt |
| Total Assets EOY | $198,324,168 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $51,494,205 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,708,684 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $146,475,534 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $153,615,484 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE COMPASSIONATE CARE, ADVANCE HEALING AND INSPIRE HOPE FOR OUR PATIENTS AND THEIR LOVED ONES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $106,474,845 | ExpenseAmt |
| Grant | $9,939 | GrantAmt |
| Revenue | $123,715,262 | RevenueAmt |
| Desc | WE WILL BE THE PRIMARY HEALTHCARE HOME FOR THE CITIZENS OF COLUMBUS COUNTY AND SURROUNDING COMMUNITIES. CRHS WILL ESTABLISH ITSELF AS THE HEALTH SYSTEM OF CHOICE IN COLUMBUS COUNTY BY DEVELOPING LONG-TERM RELATIONSHIPS WITH PATIENTS AND PROVIDERS AND LEVERAGING PARTNERSHIPS AND TECHNOLOGY TO ENSURE EASY, TIMELY ACCESS TO A FULL BREADTH OF CLINICAL SERVICES. CRHS WILL FACILITATE THE COORDINATION OF CARE THAT RESULTS IN EXCELLENT OUTCOMES, HIGH LEVELS OF SATISFACTION AND VALUE FOR THE PATIENT, AND MEASURABLE IMPROVEMENTS IN OUR POPULATION'S HEALTH. OUR VALUES START WITH THE RECOGNITION OF OUR PRIMARY ROLE AS A CARE GIVING HEALTH SYSTEM: THE NEEDS OF OUR PATIENTS COME FIRST. | Desc |
| Total Program Service Expenses | $106,474,845 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 125 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 784 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | M JEFFERY ARMSTRONG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9106421703 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON ST | AddressLine1Txt |
| City | WHITEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28463 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| FREDA GORE | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRAY SUGGS | |||||||||
| BOARD MEMBER/CHAIRMAN | 12.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DR SAM WHEATLEY | |||||||||
| BOARD MEMBER/SEC & TREAS. | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CARL MEARES JR | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDY MARTIN | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| DR DAVID GRECO | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| BRENT WATTS | |||||||||
| BOARD MEMBER | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JEROME MCMILLIAN | |||||||||
| BOARD MEMBER | 3.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| M JEFFERY ARMSTRONG | |||||||||
| CFO | 60.00 | 4.00 | $0 | $0 | $0 | Yes (X) | |||
| TERESA VENEZIANO | |||||||||
| CNO | 40.00 | 0.00 | $214,567 | $0 | $18,697 | Yes (X) | |||
| WARREN BECK | |||||||||
| CEO/FORMER COO | 40.00 | 0.00 | $238,205 | $0 | $22,943 | Yes (X) | |||
| RACHEL DUNBAR | |||||||||
| COO/FORMER ADMIN CHIEF OF STAFF | 40.00 | 0.00 | $170,866 | $0 | $27,467 | Yes (X) | |||
| GLORIA MILLER | |||||||||
| CRNA | 40.00 | 0.00 | $247,940 | $0 | $20,545 | Yes (X) | |||
| JEFFREY SAVAGE | |||||||||
| CRNA | 40.00 | 0.00 | $320,016 | $0 | $17,052 | Yes (X) | |||
| HEATHER HINSON | |||||||||
| CRNA | 40.00 | 0.00 | $210,501 | $0 | $225 | Yes (X) | |||
| JOHN SCACHERI | |||||||||
| CRNA | 40.00 | 0.00 | $205,280 | $0 | $28,430 | Yes (X) | |||
| SHANNON MORGAN-BAEHR | |||||||||
| CRNA | 40.00 | 0.00 | $300,231 | $0 | $9,363 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,907,606 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $144,722 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ATRIUM HEALTH | |||||
| PO BOX 32861 | CHARLOTTE | NC | 28232 | MANAGEMENT SERVICES | $2,712,321 |
| MORRISON HEALTHCARE | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICES | $1,763,590 |
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTION CIRCLE | CHICAGO | IL | 60693 | ENGINEERING AND EVS SERVICES | $1,552,330 |
| TOTAL HEALTH & REHAB | |||||
| 109 E WYCHE ST | WHITEVILLE | NC | 28472 | PHYSICAL THERAPY SERVICES | $1,504,437 |
| GRAKA BUILDERS | |||||
| 113 E WALTER ST | WHITEVILLE | NC | 28472 | CONSTRUCTION SERVICES | $704,744 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,840,110 | GovernmentGrantsAmt |
| All Other Contributions | $276,407 | AllOtherContributionsAmt |
| Noncash Contributions | $216,500 | NoncashContributionsAmt |
| Total Contributions | $4,116,517 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | $120,924,356 | $120,924,356 |
| ANCILLARY REVENUE | 621990 | $2,790,906 | $2,790,906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $123,715,262 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,481,345 | TotalRevenueColumnAmt |
| Exclusion | $1,481,345 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $877,516 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $195,727 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $681,789 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $681,789 | TotalRevenueColumnAmt |
| Exclusion | $681,789 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $953,536 | SecuritiesAmt |
| Other | -$240 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$953,536 | SecuritiesAmt |
| Other | $240 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$953,296 | TotalRevenueColumnAmt |
| Exclusion | -$953,296 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $317,213 | TotalRevenueColumnAmt |
| Exclusion | $317,213 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $317,213 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,358,830 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $123,715,262 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,527,051 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,939 | TotalAmt |
| Program Services | $9,939 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623,638 | TotalAmt |
| Management And General | $623,638 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,717,405 | TotalAmt |
| Program Services | $31,560,085 | ProgramServicesAmt |
| Management And General | $1,157,320 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,352,672 | TotalAmt |
| Program Services | $4,120,168 | ProgramServicesAmt |
| Management And General | $232,504 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,478,399 | TotalAmt |
| Program Services | $2,346,012 | ProgramServicesAmt |
| Management And General | $132,387 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,090 | TotalAmt |
| Management And General | $93,090 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,537 | TotalAmt |
| Management And General | $89,537 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,506,448 | TotalAmt |
| Program Services | $22,274,989 | ProgramServicesAmt |
| Management And General | $2,231,459 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $828,687 | TotalAmt |
| Program Services | $5,713 | ProgramServicesAmt |
| Management And General | $822,974 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,487,713 | TotalAmt |
| Program Services | $2,439,011 | ProgramServicesAmt |
| Management And General | $3,048,702 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,492 | TotalAmt |
| Program Services | $45,492 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,097,507 | TotalAmt |
| Program Services | $2,062,037 | ProgramServicesAmt |
| Management And General | $35,470 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,961 | TotalAmt |
| Program Services | $40,347 | ProgramServicesAmt |
| Management And General | $71,614 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $824,037 | TotalAmt |
| Management And General | $824,037 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,109,266 | TotalAmt |
| Program Services | $7,038,149 | ProgramServicesAmt |
| Management And General | $71,117 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,145,906 | TotalAmt |
| Management And General | $1,145,906 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $19,993,362 | $19,993,362 | |
| BAD DEBT | $13,953,906 | $13,953,906 | |
| FOOD | $678,822 | $585,635 | $93,187 |
| MISCELLANEOUS | $28,758 | $28,758 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,176,545 | TotalAmt |
| Program Services | $106,474,845 | ProgramServicesAmt |
| Management And General | $10,701,700 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,392,935 | BOYAmt |
| EOY | $1,618,466 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,876,299 | BOYAmt |
| EOY | $2,433,311 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,988,946 | BOYAmt |
| EOY | $14,949,507 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,672,651 | BOYAmt |
| EOY | $2,498,148 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,660,698 | BOYAmt |
| EOY | $9,365,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $148,693,480 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $98,261,072 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,490,072 | BOYAmt |
| EOY | $50,432,408 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,329,071 | BOYAmt |
| EOY | $40,907,771 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,239,916 | BOYAmt |
| EOY | $72,447,138 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,133,515 | BOYAmt |
| EOY | $2,062,398 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,185,636 | BOYAmt |
| EOY | $1,609,187 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,969,739 | BOYAmt |
| EOY | $198,324,168 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,369,206 | BOYAmt |
| EOY | $12,683,214 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,251,708 | BOYAmt |
| EOY | $1,055,370 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,348,532 | BOYAmt |
| EOY | $20,428,065 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,524,759 | BOYAmt |
| EOY | $10,542,035 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,494,205 | BOYAmt |
| EOY | $44,708,684 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,732,798 | BOYAmt |
| EOY | $150,500,396 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,742,736 | BOYAmt |
| EOY | $3,115,088 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,475,534 | BOYAmt |
| EOY | $153,615,484 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,969,739 | BOYAmt |
| EOY | $198,324,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $12,182,285 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,878,780 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$163,555 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,853 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,853 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID TO THAT ORGANIZATION IS ALLOCATED TO LOBBYING EXPENDITURES ON BEHALF OF ITS MEMBERSHIP BODY. THE AMOUNT OF DUES ALLOCATED TO LOBBYING EXPENDITURES WAS APPROXIMATELY $2,255 THE ORGANIZATION IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID TO THAT ORGANIZATION IS ALLOCATED TO LOBBYING EXPENDITURES ON BEHALF OF ITS MEMBERSHIP BODY. THE AMOUNT OF DUES ALLOCATED TO LOBBYING EXPENDITURES WAS APPROXIMATELY $5,598. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,563,423 | OtherCostOrOtherBasisAmt |
| Book Value | $1,563,423 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,675,684 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,279,812 | DepreciationAmt |
| Book Value | $19,395,872 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,015,020 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,319,098 | DepreciationAmt |
| Book Value | $26,695,922 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,439,353 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,662,162 | DepreciationAmt |
| Book Value | $2,777,191 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $50,432,408 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN CHRN | $65,547,861 | F |
| INVESTMENT IN CRHO | $740,388 | F |
| INVESTMENT IN DIAGNOSTICS | $3,575,111 | F |
| INVESTMENT IN CR PROPOERTIES II | $2,583,778 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $72,447,138 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| EST 3RD PARTY PAYOR SETTLEMENTS | $5,457,396 |
| DEFERRED PENSION COST | $3,374,329 |
| LEASE LIABILITIES | $1,710,310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,542,035 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | INCOME TAXES- THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2022. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,462,559 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,462,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,866,293 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,769,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,096,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,328,852 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,769,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,559,252 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,939 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,939 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,338,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,769,600 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,569,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03050 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,150 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $661 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,911 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,953,906 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,318,195 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $51,115,762 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $42,226,166 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $8,889,596 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON STREET | AddressLine1Txt |
| City | WHITEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28472 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | PART V, SECTION B, LINE 5: IN THE SPRING OF 2022, COLUMBUS REGIONAL HEALTHCARE SYSTEM STAFF IN COLLABORATION WITH STAKEHOLDERS IN COLUMBUS COUNTY CONVENED A WELLNESS INITIATIVE TO REVIEW OBSTACLES TO HEALTH AND PHYSICAL NEEDS OF RESIDENTS IN OUR COUNTY. THIS EFFORT FOCUSED ON ASSESSING COMMUNITY HEALTH NEEDS, LOCAL HEALTH RESOURCES, BARRIERS TO CARE, GAPS IN SERVICES, AND TRENDS REGARDING HEALTH AND HEALTHY LIFESTYLES AND TO SEEK FUNDS TO ADDRESS STRATEGIES DEVELOPED DURING THIS PROCESS. THE CHNA WILL BE UTILIZED TO DOCUMENT COMMUNITY NEED AND LINK THOSE NEEDS TO BENEFIT COMMUNITYEFFORTS THROUGH PARTNERSHIPS WITH LOCAL HEALTH RESOURCES. THE NEEDS ASSESSMENT WILL BE UTILIZED TO ASSIST THE HOSPITAL IN PLANNING AND PRIORITIZING ITS COMMUNITY BENEFIT INVESTMENTS. THE ASSEMBLED TASK FORCE MET TO DISCUSS QUESTIONS TO BE INCLUDED ON THE SURVEY AND HOW THE SURVEY SHOULD BE DISSEMINATED ACROSS THE COUNTY. DURING THE FIRST MEETING OF THIS GROUP IT WAS DETERMINED THAT WE NEEDED A THIRD PARTY FACILITATOR TO ENSURE THE PROCESS WAS COMPREHENSIVE AND WAS OPEN TO ALL RESIDENTS. MDC-RURAL FORWARD AGREED TO TAKE ON THIS TASK AND HAS BEEN INVOLVED IN DEVELOPINGAGENDAS, MEETING TIMES AND STAKEHOLDERS. OUR COUNTY HAS COMPLETED TWO NEEDS ASSESSMENTS IN THE PAST NINE MONTHS. A STUDY OF THE RECREATION NEEDS OF THE COUNTY WAS COMMISSIONED BY THE COUNTY AND HAS BEEN COMPLETED. THE SECOND NEEDS ASSESSMENT WAS FUNDED THROUGH KATE B. REYNOLD AND ADDRESSES THE SUBSTANCE ABUSE/MISUSE ISSUES IN OUR COUNTY AND IS TARGETING SOME OF THE SAME AREAS WE ARE ADDRESSING IN OUR HEALTH ASSESSMENT. THE NEEDS ASSESSMENT IS WORKING WITH THE HOSPITAL AND LOCAL AGENCIES TO DETERMINE HOW TO BEST ALLOCATE FUNDS FROM THE PHARMASETTLEMENT WHICH WILL AVERAGE 7 MILLION DOLLARS OVER AN 18 YEAR PERIOD. THERE IS CURRENTLY A COLUMBUS COUNTY OPIOID SUBSTANCE ABUSE/MISUSE COALITION MADE UP OF MEMBERS FROM ACROSS THE COUNTY THAT IS ADDRESSING THESE ISSUES.THE CHNA WAS INCORPORATED INTO A SURVEY MONKEY AND PEN AND PAPER SURVEYS WERE PREPARED IN BOTH ENGLISH AND SPANISH. A LISTING OF POSSIBLE AGENCIES THAT SHOULD BE INCLUDED IN THE DISSEMINATION OF SURVEYS WAS DEVELOPED. THESE SITES INCLUDED, BUT WERE NOT LIMITED TO: - COLUMBUS REGIONAL HEALTHCARE STAFF- COLUMBUS COUNTY AND WHITEVILLE CITY SCHOOLS- SOUTHEASTERN COMMUNITY COLLEGE FACULTY, STAFF AND STUDENTS- LOCAL PUBLIC LIBRARIES- PHYSICIAN OFFICES- BEHAVIORAL HEALTH CENTERS- DEPARTMENT OF AGING SITES- CIVIC GROUPS SUCH AS ROTARY AND COLUMBUS CHILDREN, YOUTH AND FAMILIES- HISPANIC OUTREACH PROGRAMS- WACCAMAW SIOUAN DEVELOPMENT OFFICE- ALL LAW ENFORCEMENT AGENCIES- COLUMBUS COUNTY GOVERNMENT- LOCAL TOWN AND CITY GOVERNMENTS- FAITH BASED ORGANIZATIONS- COLUMBUS COUNTY CHAMBER AND TOURISM- INTERNATIONAL PAPER- COLUMBUS COUNTY JOBS FOUNDATION- PRIVATE MEDICAL PRACTICES AND CLINICS- LOCAL CHAMBERS OF COMMERCE (CHADBOURN, TABOR CITY AND FAIR BLUFF.- MINORITY OWNED BARBER SHOPS AND SALONSOUR INTENT WAS TO DISTRIBUTE SURVEYS THROUGHOUT THE COUNTY AND UTILIZE THOSE LISTED ABOVE TO OBTAIN RESPONSES THAT REFLECT THE ENTIRE COMMUNITY. WHITEVILLE, BEING THE LARGEST TOWNSHIP IN THE COUNTY, WAS EXPECTED TO HAVE THE GREATEST RETURN AND THAT WAS REFLECTED IN OUR RESPONSE RATE. AN EFFORT WAS MADE TO REACH UNDERSERVED AREAS OF THE COUNTY AND MEMBERS OF THE COMMITTEE WERE ASKED TO REACH OUT TO IDENTIFY INDIVIDUALS IN THESE AREAS. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY DEVELOPED FOR THIS ASSESSMENT CYCLE WAS UTILIZED IN ADDITION TO A SURVEY COMPLETED IN THE SUMMER OF 2022 TO ASSESS OPIOID, SUBSTANCE ABUSE AND MISUSE IN COLUMBUS COUNTY. THE OPIOID/SUBSTANCE ABUSE SURVEY WAS IMPLEMENTED THROUGH A JOINT EFFORT BY THE COLUMBUS COUNTY REGIONAL HOSPITAL AND COLUMBUS COUNTY GOVERNMENT. A TASK FORCE APPOINTED BY ADDICTION CONSULTANT TRAINING, LLC FROM CHAPEL HILLAND APPROVED BY THE COLUMBUS COUNTY BOARD OF COMMISSIONERS WILL OVERSEE THE SETTLEMENT FUNDING DESIGNATED FOR OUR COUNTY THROUGH THE BIG PHARMA SETTLEMENT. THIS SURVEY, INCLUDED AS A LINK IN THIS DOCUMENT, AND QUESTIONS/COMMENTS GATHERED DURING THIS PROCESS TEND TO VALIDATE ISSUES IDENTIFIED WITH THE CHNA. ALSO INCLUDED AS A LINK IN THIS DOCUMENT IS THE COMMUNITY RECREATION NEEDS ASSESSMENT, A STUDY CONDUCTED BY THE COLUMBUS COUNTY PARKS AND RECREATION TO RESEARCH STATUS OF ACCESS TO HEALTH AND RECREATION FACILITIES FOR RESIDENTS IN OUR COUNTY. THESEDOCUMENTS VALIDATE MANY OF THE FINDINGS IDENTIFIED THROUGHOUT OUR SURVEY. |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | PART V, SECTION B, LINE 6B: COLUMBUS REGIONAL, COLUMBUS COUNTY HEALTH DEPARTMENT, COLUMBUS COUNTY PARTNERSHIP FOR CHILDREN, COL CO COOPERATIVE EXTENSION, WACCAMAW-SIOUAN TRIBE, LOWER CAPE FEAR |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | PART V, SECTION B, LINE 11: COLUMBUS REGIONAL HEALTHCARE SYSTEM IS ADDRESSING THE FOLLOWING SIGNIFICANT NEEDS THAT WERE IDENTIFIED IN THE MOST RECENT CHNA:-HEART DISEASE AND STROKE: COMMUNITY EDUCATION, CODE STROKE INITIATIVE, EXPANDED RELATIONSHIP WITH CAPE FEAR HEART ASSOCIATES, CARE TRANSITIONS PROGRAM, AND PARTNERSHIP WITH THE COLUMBUS COUNTY FARMERS MARKET-CANCER: INCREASING EDUCATION TO THE COMMUNITY AND IMPLEMENTING CANCER SCREENING PROGRAMS INTO CURRENT COMMUNITY BENEFIT RELATED ACTIVITIES THROUGH THE DONAYRE CARE CENTER AND PARTNERSHIP WITH LEVINE CANCER INSTITUTE.-DIABETES: INCREASING EDUCATION AND PARTICIPATING IN AND OFFERING COMMUNITY EVENTS TO PROVIDE FREE SCRENINGS FOR PATIENTS AT RISK FOR THIS CHRONIC DISEASE WHILE OFFERING RESOURCES FOR MANAGEMENT AND TREATMENT OPTIONS. |
| SCHEDULE H, PART V SECTION B, LINES 7A AND 10A: | WEBSITE ADDRESS FOR COMMUNITY HEALTH NEEDS ASSESSMENT ANDIMPLEMENTATION STRATEGY:HTTP://WWW.CRHEALTHCARE.ORG/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| SCHEDULE H, PART V SECTION B, LINES 16A, 16B, AND 16C: | FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION:HTTP://WWW.CRHEALTHCARE.ORG/PATIENTS-VISITORS/CRHS-FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ADVANCED PRIMARY CARE - WHITEVILLE | ||||
| 619 JEFFERSON STREET | WHITEVILLE | NC | 28472 | OTHER OUTPATIENT CLINIC |
| 2 - ADVANCED ORTHOPEDICS | ||||
| 701 JEFFERSON ST | WHITEVILLE | NC | 28472 | OTHER OUTPATIENT CLINIC |
| 3 - ADVANCED PEDIATRICS | ||||
| 36 MCNEILL PLAZA | WHITEVILLE | NC | 28472 | OTHER OUTPATIENT CLINIC |
| 4 - ADVANCED UROLOGY - WHITEVILLE | ||||
| 320 JEFFERSON STREET | WHITEVILLE | NC | 28472 | OTHER OUTPATIENT CLINIC |
| 5 - ADVANCED PRIMARY CARE - TABOR CITY | ||||
| 14508 JAMES B WHITE HWY SOUTH | TABOR CITY | NC | 28463 | OTHER OUTPATIENT CLINIC |
| 6 - ADVANCED IMAGING - WHITEVILLE | ||||
| 619 JEFFERSON STREET | WHITEVILLE | NC | 28472 | DIAGNOSTIC CLINIC |
| 7 - BALDWIN WOODS DIAGNOSTICS | ||||
| 619 JEFFERSON STREET | WHITEVILLE | NC | 28472 | DIAGNOSTIC CLINIC |
| 8 - ADVANCED UROLOGY - LELAND | ||||
| 144 POOLE RD SUITE 102 | LELAND | NC | 28451 | OTHER OUTPATIENT CLINIC |
| 9 - ADVANCED PRIMARY CARE - LELAND | ||||
| 509 OLDE WATERFORD WAY SUITE 305 | LELAND | NC | 28451 | OTHER OUTPATIENT CLINIC |
| 10 - ADVANCED ORTHOPEDICS - LELAND | ||||
| 509 OLDE WATERFORD WAY SUITE 102 | LELAND | NC | 28451 | OTHER OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. |
| PART I, LN 7 COL(F): | TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBTEXPENSE OF $23,798,063 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTINGPERCENTAGE OF TOTAL EXPENSE ON COLUMN (F). |
| PART III, LINE 3: | THE ORGANIZATION MULTIPLIED BAD DEBT EXPENSE BY THE COST TO CHARGE RATIO. |
| PART III, LINE 4: | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BADDEBT EXPENSE. |
| PART III, LINE 8: | THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. |
| PART VI, LINE 2: | CRHS COMPLETES A NEEDS ASSESSMENT EVERY THREE YEARS. |
| PART VI, LINE 3: | A PATIENT PRESENTED AS SELF PAY IS ASKED TO SPEAK WITH A FINANCIAL COUNSELOR OR THE CONTRACTED MEDICAID ELIGIBILITY SPECIALIST WHO WILL EVALUATE FOR MEDICAID ELIGIBILITY. IF NOT ELIGIBLE FOR MEDICAID, CHARITY CARE GUIDELINES ARE REVIEWED WITH PATIENT AND PROCESSED AS NEEDED. |
| PART VI, LINE 4: | THE PERIODIC COMMUNITY NEEDS ASSESSMENT PERFORMED TAKES INTO ACCOUNT GEOGRAPHIC AND DEMOGRAPHIC DATA FOCUSED ON CONSTITUENCY IN COLUMBUS COUNTY AND THE SURROUNDING APPLLICABLE COUNTIES IN THE REGION. DATA PARTS INCLUDE AGE, GENDER, MIGRATION TRENDS, THE ECONOMIC ENVIRONMENT, ETC. |
| PART VI, LINE 5: | THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THECOMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MOST OF ITS DEPARTMENTS. THE SURPLUS OF FUNDS, IF ANY, ARE USED TO PURCHASE MEDICAL EQUIPMENT AND IMPROVING PATIENT CARE. THE ORGANIZATION'S BOARD IS COMPRISED OF MOSTLY UNRELATED, LOCAL RESIDENTS TO ENSURE THAT THE VOICE OF COMMUNITY IS HEARD. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY SAVAGE | ||||||||||||||
| CRNA | $271,395 | $0 | $5,218 | $0 | $43,403 | $0 | $7,226 | $0 | $9,826 | $0 | $337,068 | $0 | $0 | $0 |
| SHANNON MORGAN-BAEHR | ||||||||||||||
| CRNA | $277,581 | $0 | $522 | $0 | $22,128 | $0 | $9,093 | $0 | $270 | $0 | $309,594 | $0 | $0 | $0 |
| GLORIA MILLER | ||||||||||||||
| CRNA | $222,841 | $0 | $563 | $0 | $24,536 | $0 | $7,240 | $0 | $13,305 | $0 | $268,485 | $0 | $0 | $0 |
| WARREN BECK | ||||||||||||||
| CEO/FORMER COO | $163,944 | $0 | $31,299 | $0 | $42,962 | $0 | $6,221 | $0 | $16,722 | $0 | $261,148 | $0 | $0 | $0 |
| JOHN SCACHERI | ||||||||||||||
| CRNA | $193,532 | $0 | $507 | $0 | $11,241 | $0 | $6,015 | $0 | $22,415 | $0 | $233,710 | $0 | $0 | $0 |
| TERESA VENEZIANO | ||||||||||||||
| CNO | $164,691 | $0 | $33,723 | $0 | $16,153 | $0 | $6,214 | $0 | $12,483 | $0 | $233,264 | $0 | $0 | $0 |
| HEATHER HINSON | ||||||||||||||
| CRNA | $204,118 | $0 | $512 | $0 | $5,871 | $0 | $0 | $0 | $225 | $0 | $210,726 | $0 | $0 | $0 |
| RACHEL DUNBAR | ||||||||||||||
| COO/FORMER ADMIN CHIEF OF STAFF | $132,545 | $0 | $27,542 | $0 | $10,779 | $0 | $5,286 | $0 | $22,181 | $0 | $198,333 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TRAVEL EXPENSES RELATED TO ANNUAL BOARD RETREAT |
| PART I, LINE 6 | THE BONUS IS BASED ON PERFORMANCE IN QUALITY, PATIENT SERVICE, TEAMMATE ENGAGEMENT, AND STRATEGIC GROWTH INITIATIVES. |
| PART I, LINE 7 | BONUSES ARE DISCRETIONARY AND BASED ON KEY PERFORMANCE INDICATORS AND QUALITY MEASURES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521309402 | BondIssuerEIN |
| CUSIP | 65821DQR5 | CUSIPNum |
| Bond Issued | 2013-02-07 | BondIssuedDt |
| Issue Price | $26,188,219 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $6,320,000 | RetiredAmt |
| Total Proceeds | $26,188,379 | TotalProceedsAmt |
| In Reserve Fund | $1,789,132 | InReserveFundAmt |
| Issuance Costs From Proceeds | $521,980 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $16,486,469 | CapitalExpendituresAmt |
| Other Spent Proceeds | $7,390,817 | OtherSpentProceedsAmt |
| Substantial Completion | 2014 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, COLUMN F | FormAndLineReferenceDesc |
| Explanation | THE PURPOSE OF THE SERIES 2013A BONDS ARE TO: 1. PAY OR REIMBURSE THE SYSTEM FOR PAYING, A PORTION OF THE COST OF THE PROJECT, 2. REFINANCE CERTAIN INDEBTEDNESS INCURRED ON BEHALF OF THE SYSTEM, 3. FUND A DEBT SERVICE RESERVE FUND, AND 4. PAY CERTAIN EXPENSES OF ISSUING THE 2013A BONDS. | ExplanationTxt |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $216,500 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FORM 8283 | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 1 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE NOVEMBER 26, 2007, CRHS ENTERED INTO A NINE-YEAR MANAGEMENT SERVICES AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WHICH DOES BUSINESS AS ATRIUM HEALTH TO MANAGE THE SYSTEM ON A DAY-TO-DAY BASIS. A RENEWAL TO THE MSA WAS APPROVED BY THE SYSTEM IN FISCAL YEAR 2021 FOR A PERIOD OF FIVE YEARS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION'S AFFAIRS SHALL BE MANAGED BY A BOARD OF DIRECTORS ("BOARD") COMPOSED OF NOT LESS THAN THREE (3) DIRECTORS. THE BOARD SHALL HAVE, AND MAY EXERCISE, ANY AND ALL POWERS PROVIDED BY LAW AND IN THE ARTICLES OF INCORPORATION THAT ARE NECESSARY OR CONVENIENT TO CARRY OUT THE PURPOSES OF THE CORPORATION, AND WHICH SUPPORT AND FURTHER THE PURPOSES OF THE CORPORATION AS ESTABLISHED IN THESE BYLAWS. EXCEPT FOR RESIGNATIONS, REMOVALS, OR DEATH, EACH DIRECTOR DULY NOMINATED AND ELECTED SHALL HOLD OFFICE UNTIL HIS SUCCESSOR IS NOMINATED, ELECTED, AND QUALIFIED BY ATTENDING A MEETING AND BEING DULY RECOGNIZED AND PLACED ON THE OFFICIAL RECORDS OF THE CORPORATION BY THE SECRETARY. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS SHALL BE ELECTED BY THE AFFIRMATIVE VOTE OF THE BOARD OF DIRECTORS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM. THE DIRECTORS OF THE CORPORATION EACH SHALL SERVE A THREE (3) YEAR TERM OF OFFICE FROM THE TIME OF ELECTION, WHICH TERM SHALL COMMENCE ON THE DAY OF THEIR ELECTION. DIRECTORS OF THE BOARD SHALL BE ELIGIBLE TO SERVE FOUR (4) SUCCESSIVE TERMS OF THREE (3) YEARS EACH, SUBJECT TO THE PROVISIONS. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN POWERS SHALL BE RESERVED EXCLUSIVELY UNTO THE SOLE MEMBER OF THE CORPORATION, COLUMBUS REGIONAL HEALTHCARE SYSTEM, WHICH SHALL EXERCISE SUCH POWERS IN ACCORDANCE WITH LAW AND THE AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS OF ITS BOARD OF DIRECTORS, AS THEN CONSTITUTED; SUCH POWERS TO BE: (1) TO MERGE OR CONSOLIDATE THE CORPORATION WITH ANY OTHER NONPROFIT CORPORATION; (2) TO ACQUIRE OR CREATE ANOTHER CORPORATION; (3) TO MAKE A CAPITAL EXPENDITURE OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (4) TO SELL CAPITAL ASSETS VALUED OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (5) TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; (6) PERMISSION TO DISSOLVE THE CORPORATION; AND (7) TO APPOINT THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AS PROVIDED IN ARTICLE III, SECTION 2 AND |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S 990 WAS REVIEWED BY MANAGEMENT AND PROVIDED TO THE MEMBERS OF THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF TRUSTEES COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. ALL EMPLOYEES AT ORIENTATION AND ANNUALLY, DURING HEALTH AND SAFETY EDUCATION ARE SURVEYED REGARDING ANY SITUATIONS THAT MAY CONSTITUTE AS A CONFLICT OF INTEREST. ANY EMPLOYEE FORMS WITH AN AFFIRMATIVE RESPONSE ARE FORWARDED TO THE COMPLIANCE OFFICER FOR REVIEW. THE BOARD OF TRUSTEES FORMS ARE SUBMITTED TO THE COMPLIANCE OFFICER FOR REVIEW AS WELL. ANY QUESTIONS OR CONCERNS ARE DISCUSSED WITH CEO. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE CEO AND CFO ARE DETERMINED BY ATRIUM HEALTH BY EXTERNAL INFORMATION EACH YEAR. THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION. THE BOARD OF TRUSTEES CONSIDERS RECOMMENDATIONS BASED ON AVAILABLE MARKET DATA AS THEY REVIEW AND APPROVE COMPENSATION FOR OTHER MEMBERS OF CRHS EXECUTIVE STAFF ON AN ANNUAL BASIS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | CRHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE CONFLICT OF INTEREST STATEMENT IS AVAILABILE IN PATIENT LITERATURE. |
| FORM 990, PART IX, LINE 11G | CONSULTING: PROGRAM SERVICE EXPENSES 169,580. MANAGEMENT AND GENERAL EXPENSES 16,450. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 186,030. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,345,587. MANAGEMENT AND GENERAL EXPENSES 589,962. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,935,549. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 13,759,822. MANAGEMENT AND GENERAL EXPENSES 1,625,047. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,384,869. |
| FORM 990, PART XI, LINE 9: | OTHER CHANGES IN NET ASSETS 52,945. DONATED LAND -216,500. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| COLUMBUS REGIONAL SAME DAY SURGERY CENTER LLC | |||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 204662182 | INACTIVE - AMBULATORY SURGERY CENTER | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| COLUMBUS REGIONAL PROPERTIES LLC | |||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 204662123 | INACTIVE - PROPERTY | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| COLUMBUS REGIONAL PROPERTIES II LLC | |||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 274332231 | PROPERTY HOLDINGS | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| COLUMBUS REGIONAL SAME DAY SURGERY CENTER LLC | |||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 204662182 | INACTIVE - AMBULATORY SURGERY CENTER | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| COLUMBUS REGIONAL PROPERTIES LLC | |||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 204662123 | INACTIVE - PROPERTY | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| COLUMBUS REGIONAL PROPERTIES II LLC | |||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 274332231 | PROPERTY HOLDINGS | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS COUNTY HOSPITAL FOUNDATION INC | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 010673231 | TO SUPPORT AND PROMOTE COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | 501(C)(3) | LINE 12A, I | COLUMBUS REGIONAL HEALTHCARE SYSTEM | Yes (1) |
| COLUMBUS REGIONAL HEALTH NETWORK | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 263807951 | TO PROVIDE PRIMARY MEDICAL SERVICES | NC | 501(C)(3) | LINE 3 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | Yes (1) |
| COLUMBUS REGIONAL HEALTH OUTREACH | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 272325401 | INACTIVE - HEALTHCARE SERVICES | NC | 501(C)(3) | LINE 3 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | Yes (1) |
| COLUMBUS REGIONAL DIAGNOSTICS | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 462091076 | HEALTHCARE SERVICES | NC | 501(C)(3) | LINE 3 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |