2022-08-12T12:25:52-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-10-01 010673231 COLUMBUS COUNTY HOSPITAL FOUNDATION COLU 9106421703 500 JEFFERSON STREET WHITEVILLE NC 28472 MARVIN J ARMSTRONG CFO 9106421703 2022-08-11 1 MARVIN ARMSTRONG 999009999 JOHN NORMAN P01506766 7049985200 2022-08-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN YOUNG 500 JEFFERSON STREET WHITEVILLE NC 28472 133263 0 X WWW.CRHEALTHCARE.ORG X 2002 NC TO SUPPORT COLUMBUS REGIONAL HEALTHCARE SYSTEM AND PROMOTE COMMUNITY BENEFIT PROGRAMS WITHIN COLUMBUS COUNTY 18 16 0 25 0 0 333133 93135 0 0 35 46 -24967 37044 308201 130225 22463 7500 0 0 0 0 0 0 0 248236 70626 270699 78126 37502 52099 432429 484528 162379 162379 270050 322149 X TO SUPPORT COLUMBUS REGIONAL HEALTHCARE SYSTEM AND PROMOTE COMMUNITY BENEFIT PROGRAMS WITHIN COLUMBUS COUNTY 0 0 78126 7500 THE FOUNDATION WAS ESTABLISHED IN FEBRUARY 2002 TO CONTINUE THE TRADITION OF CARING FIRST INSTILLED BY DR. WARREN EDWARD MILLER, WHO ESTABLISHED THE FIRST 12-PATIENT HOSPITAL IN WHITEVILLE IN 1935. THE FOUNDATION'S GOAL IS TO STRENGTHEN OUR MEDICAL RESOURCES RIGHT HERE AT HOME.THE FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS. THROUGH CHARITABLE GIFTS, THE FOUNDATION HELPS MEET THE DEMAND FOR MODERN EQUIPMENT AND SERVICES THAT BUILD UPON THE COMMUNITY'S HEALTH RESOURCES.THE FOUNDATION IS CHARGED WITH RAISING AND ADMINISTERING FUNDS THAT WILL BE USED TO FURTHER CHARITABLE, EDUCATIONAL AND HEALTHCARE OBJECTIVES OF THE COLUMBUS REGIONAL HEALTHCARE SYSTEM, AS WELL AS DEVELOP AND ADMINISTER FUNDRAISING CAMPAIGNS TO HELP CRHS MEET ITS SHORT- AND LONG-RANGE GOALS.AS MORE AND MORE STATE AND FEDERAL GOVERNMENT AND PRIVATE INSURERS CONTINUE TO CUT AND RESTRICT REIMBURSEMENT PAYMENTS TO HOSPITALS, THE FOUNDATION IS ONE WAY TO ASSIST IN COMPENSATING FOR THIS LOSS IN REVENUE. 78126 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X MARVIN J ARMSTRONG 9106421703 500 JEFFERSON STREET WHITEVILLE NC 28742 ANDY ANDERSON BOARD MEMBER 1.00 X 0 0 0 MARIEL BIEBL BOARD MEMBER 1.00 X 0 0 0 JOHN WATSON BOARD MEMBER 1.00 X 0 144239 0 MELISSA SINGLER BOARD MEMBER 1.00 X 0 0 0 EVAN GORE BOARD MEMBER 1.00 X 0 0 0 STUART HIGH BOARD MEMBER 1.00 X 0 0 0 MARY HOOKS BOARD MEMBER 1.00 X 0 0 0 WENDY MEARES BOARD MEMBER 1.00 X 0 0 0 BOYD WORLEY BOARD MEMBER 1.00 X 0 0 0 LYNNE INMAN BOARD MEMBER 1.00 X 0 0 0 DR SAM WHEATLEY BOARD MEMBER 1.00 15.00 X 0 70245 0 DR RON WALTERS BOARD MEMBER 1.00 X 0 0 0 DENSIL WORTHINGTON BOARD MEMBER 1.00 X 0 0 0 CARLTON WILLIAMSON BOARD MEMBER 1.00 X 0 0 0 BRUCE MCPHERSON BOARD MEMBER 1.00 X 0 0 0 BILL HORNE BOARD MEMBER 1.00 X 0 0 0 JASON BECK BOARD MEMBER 1.00 X 0 199688 22974 BRENDA JOLLY CHAIRMAN 1.00 X X 0 0 0 BRIAN JENKINS VICE-CHAIRMAN 1.00 40.00 X X 0 161159 29256 JOHN YOUNG CEO 1.00 63.00 X 0 0 0 MARVIN J ARMSTRONG CFO 1.00 63.00 X 0 0 0 0 575331 52230 0 0 1 0 0 93135 93135 46 46 40082 3038 37044 37044 130225 0 0 37090 7500 7500 101 101 2383 2383 74 74 COMMUNITY ASSISTANCE EX 67768 67768 MISCELLANEOUS 300 300 78126 78126 0 0 363550 415642 68879 68886 432429 484528 162379 162379 162379 162379 X 270050 322149 270050 322149 432429 484528 52099 0 X X 0 1 X 1 0 X X 1 COLUMBUS REGIONAL HEALTHCARE SYSTEM 560538020 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO CRHS 162379 162379 X PART X, LINE 2: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER 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, 2021. ANNUAL HOSPITAL GALA 40082 40082 3038 40082 40082 3038 3038 37044 0 HARDSHIP ASSISTANCE 1 2500 SCHOLARSHIPS 5 5000 X 0 0 0 0 0 0 0 0 0 JASON BECK BOARD MEMBER 0 145460 0 42435 0 11793 0 4718 0 18256 0 222662 0 0 BRIAN JENKINS VICE-CHAIRMAN 0 146901 0 0 0 14258 0 4835 0 24421 0 190415 0 0 PART I, LINE 3 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 B, LINE 11B THE ORGANIZATION'S 990 WAS REVIEWED BY MANAGEMENT BEFORE FILING WITH THE IRS. THE FORM WAS PRESENTED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AT A MEETING BEFORE RETURN WAS SUBMITTED TO 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 15A THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. 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 IN THE BOARD MINUTES. 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 XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. COLUMBUS REGIONAL HEALTH NETWORK 500 JEFFERSON STREET WHITEVILLE NC 28472 263807951 HEALTHCARE SERVICES NC 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 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 1 COLUMBUS REGIONAL HEALTHCARE SYSTEM 500 JEFFERSON STREET WHITEVILLE NC 28472 560538020 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 COLUMBUS REGIONAL DIAGNOSTICS 500 JEFFERSON STREET WHITEVILLE NC 28472 462091076 HEALTHCARE SERVICES NC 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0