CUMBERLAND COUNTY HOSPITAL SYSTEM INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (EIN 56-0845796)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-15
IRS object ID: 202242279349303759
Schema version: 2020v4.2
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-15T14:05:36-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 W 5TH ST STE 800	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560845796	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CUMBERLAND COUNTY HOSPITAL SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CUMB	BusinessNameControlTxt
Phone	9106154829	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	283022000	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRET JOHNSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9106154829	PhoneNum
Signature	2022-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	BRET	PersonFirstNm
Person Last	JOHNSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANDREW ROE	PreparerPersonNm
PTIN	P01876391	PTIN
Phone	3362753394	PhoneNum

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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL NAGOWSKI CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	283022000	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,281,796,831	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CAPEFEARVALLEY.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1956	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	8179	TotalEmployeeCnt
Total Volunteers	157	TotalVolunteersCnt
Total Gross UBI	$260,396	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,971,041	PYContributionsGrantsAmt
CY Contributions Grants	$75,418,689	CYContributionsGrantsAmt
PY Program Service Revenue	$1,132,178,813	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,111,084,328	CYProgramServiceRevenueAmt
PY Investment Income	$16,818,108	PYInvestmentIncomeAmt
CY Investment Income	$15,810,860	CYInvestmentIncomeAmt
PY Other Revenue	$12,555,271	PYOtherRevenueAmt
CY Other Revenue	$11,527,958	CYOtherRevenueAmt
PY Total Revenue	$1,166,523,233	PYTotalRevenueAmt
CY Total Revenue	$1,213,841,835	CYTotalRevenueAmt
PY Grants And Similar Paid	$620,833	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$285,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$484,409,556	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$516,866,455	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$630,299,793	PYOtherExpensesAmt
CY Other Expenses	$624,721,513	CYOtherExpensesAmt
PY Total Expenses	$1,115,330,182	PYTotalExpensesAmt
CY Total Expenses	$1,141,872,968	CYTotalExpensesAmt
PY Revenues Less Expenses	$51,193,051	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$71,968,867	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,384,134,000	TotalAssetsBOYAmt
Total Assets EOY	$1,474,757,677	TotalAssetsEOYAmt
Total Liabilities BOY	$769,734,123	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$732,954,971	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$614,399,877	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$741,802,706	NetAssetsOrFundBalancesEOYAmt
Mission	CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. EXISTS TO MEET THE HEALTH CARE NEEDS OF THE RESIDENTS OF CUMBERLAND, BLADEN, AND HOKE COUNTIES, AND THE SURROUNDING AREA IN NORTH CAROLINA.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$986,151,819	ExpenseAmt
Grant	$285,000	GrantAmt
Revenue	$1,110,826,221	RevenueAmt
Desc	AS PART OF MEETING THE HEALTH CARE NEEDS OF THE SERVICE AREA, CCHS, INC. ADMITTED 36,296 PATIENTS, PROVIDED 223,701 PATIENT DAYS OF CARE, HAD 176,458 EMERGENCY ROOM VISITS AND HAD OVER 550,000 OUTPATIENT VISITS FOR OTHER SERVICES.	Desc
Total Program Service Expenses	$986,151,819	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	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	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	Yes (1)	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	0	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	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	405	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8179	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
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	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRET JOHNSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9106154829	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	283022000	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHUKWUEMEKA CHIMA MD
TRUSTEE & PHYSICIAN	5.00	0.00	Yes (X)	$53,750	$0	$0
BRADLEY J BROUSSARD
BOARD CHAIR & PHYSICIAN	5.00	0.00	Yes (X)	$34,000	$0	$0	Yes (X)
LARRY LANCASTER
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
GLENN ADAMS
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JEANNETTE COUNCIL
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
CHARLES EVANS
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
JIMMY KEEFE
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
WARREN MCDONALD PHD
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MURTIS WORTH
SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL BOOSE
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
ALICIA MARKS
BOARD VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
PAMELA S STORY
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
TAMMY S THURMAN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
GIRUM FEYISSA MD
TRUSTEE & PHYSICIAN	2.00	0.00	Yes (X)	$0	$0	$0
TONI STEWART
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
AMY CANNON
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
AFUA ARHIN
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MARSHALL FAIRCLOTH
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
RYAN AUL
TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0
MICHAEL JONES
TRUSTEE & PHYSICIAN	5.00	0.00	Yes (X)	$0	$0	$0
MYRON STRICKLAND
TRUSTEE & PHYSICIAN	5.00	0.00	Yes (X)	$0	$0	$0
MICHAEL NAGOWSKI
CEO	55.00	0.00		$1,454,312	$0	$17,684	Yes (X)
SANDRA WILLIAMS
CFO	55.00	0.00		$869,214	$0	$9,493	Yes (X)
SAMUEL FLEISCHMAN
CMO	55.00	0.00		$700,873	$0	$16,481	Yes (X)
DANIEL WEATHERLY
COO	55.00	0.00		$638,219	$0	$17,828	Yes (X)
CHARLES HAWORTH MD
PHYSICIAN	40.00	0.00		$1,465,760	$0	$19,756		Yes (X)
ROBERT MAUGHAN MD
PHYSICIAN	40.00	0.00		$1,404,191	$0	$12,571		Yes (X)
MICHAEL ZAPPA
MEDICAL DIRECTOR	55.00	0.00		$734,845	$0	$10,986		Yes (X)
MELISSA STAMATES
PHYSICIAN	40.00	0.00		$930,021	$0	$14,993		Yes (X)
TARIQ NAZIR
PHYSICIAN	40.00	0.00		$682,918	$0	$17,268		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,968,103	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$137,060	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	694	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
AMN HEALTHCARE INC
4441 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONTRACT LABOR	$19,426,039
ARAMARK DALLAS LOCKBOX
PO BOX 978839	DALLAS	TX	75397	MANAGEMENT FEES	$7,664,210
FRESENIUS MEDICAL CARE - BMA
16343 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONTRACT LABOR	$3,501,192
ALLIED UNIVERSAL SECURITY
PO BOX 534265	ATLANTA	GA	30353	SECURITY SERVICES	$3,314,500
LABORATORY CORP
PO BOX 12140	BURLINGTON	NC	27216	CONTRACT LABOR	$2,696,521

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	132	CntrctRcvdGreaterThan100KCnt
Related Organizations	$298,646	RelatedOrganizationsAmt
Government Grants	$74,947,123	GovernmentGrantsAmt
All Other Contributions	$172,920	AllOtherContributionsAmt
Total Contributions	$75,418,689	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENU	900099	$1,056,542,663	$1,056,542,663
ANCILLARY MEDICAL SERV	900099	$54,509,171	$54,251,064	$258,107
EDUCATION/OUTREACH	611710	$32,494	$32,494

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,111,084,328	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,137,656	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,289	UnrelatedBusinessRevenueAmt
Exclusion	$12,135,367	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$408,602	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$96,502	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$312,100	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$312,100	TotalRevenueColumnAmt
Exclusion	$312,100	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$71,531,698	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$67,858,494	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,673,204	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,673,204	TotalRevenueColumnAmt
Exclusion	$3,673,204	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA AND PARKING	900099	$3,165,855	$3,165,855
PURCHASE REBATES, DISC	812900	$1,647,961	$1,647,961

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,402,042	TotalRevenueColumnAmt
Exclusion	$6,402,042	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$11,215,858	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,213,841,835	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,110,826,221	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$260,396	UnrelatedBusinessRevenueAmt
Exclusion	$27,336,529	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$285,000	TotalAmt
Program Services	$285,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,811,854	TotalAmt
Management And General	$3,811,854	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$420,832,244	TotalAmt
Program Services	$383,492,277	ProgramServicesAmt
Management And General	$37,339,967	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$19,373,742	TotalAmt
Program Services	$19,373,742	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$45,309,008	TotalAmt
Program Services	$45,271,316	ProgramServicesAmt
Management And General	$37,692	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,539,607	TotalAmt
Program Services	$25,011,966	ProgramServicesAmt
Management And General	$2,527,641	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,360,616	TotalAmt
Program Services	$7,360,616	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,241,298	TotalAmt
Management And General	$1,241,298	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$210,000	TotalAmt
Management And General	$210,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$229,106	TotalAmt
Program Services	$149,248	ProgramServicesAmt
Management And General	$79,858	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$978,244	TotalAmt
Program Services	$975,994	ProgramServicesAmt
Management And General	$2,250	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,198,748	TotalAmt
Program Services	$3,852,347	ProgramServicesAmt
Management And General	$346,401	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,747,623	TotalAmt
Program Services	$41,984	ProgramServicesAmt
Management And General	$17,705,639	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,057,333	TotalAmt
Program Services	$8,057,333	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$235,914	TotalAmt
Program Services	$207,931	ProgramServicesAmt
Management And General	$27,983	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$544,931	TotalAmt
Program Services	$319,575	ProgramServicesAmt
Management And General	$225,356	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,365,644	TotalAmt
Program Services	$8,165,344	ProgramServicesAmt
Management And General	$200,300	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$35,282,321	TotalAmt
Program Services	$28,497,617	ProgramServicesAmt
Management And General	$6,784,704	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,747,159	TotalAmt
Program Services	$660,338	ProgramServicesAmt
Management And General	$15,086,821	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & OTHER SUPPLIE	$196,488,212	$192,560,657	$3,927,555
BAD DEBT EXPENSE	$142,273,897	$142,273,897
CONTRACT LABOR	$45,904,018	$45,425,355	$478,663
INTEREST RATE SWAP	$43,705,000		$43,705,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$96,151,449	TotalAmt
Program Services	$74,169,282	ProgramServicesAmt
Management And General	$21,982,167	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,141,872,968	TotalAmt
Program Services	$986,151,819	ProgramServicesAmt
Management And General	$155,721,149	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$228,193,159	BOYAmt
EOY	$270,882,682	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,095,128	BOYAmt
EOY	$20,250,854	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$97,208,614	BOYAmt
EOY	$95,221,475	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,197,514	BOYAmt
EOY	$15,785,059	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,153,255	BOYAmt
EOY	$6,804,471	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$939,941,571	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$500,630,493	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$429,729,131	BOYAmt
EOY	$439,311,078	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$411,963,685	BOYAmt
EOY	$477,701,598	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$177,593,514	BOYAmt
EOY	$148,800,460	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,384,134,000	BOYAmt
EOY	$1,474,757,677	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$176,464,814	BOYAmt
EOY	$150,560,537	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$43,534,310	BOYAmt
EOY	$7,086,730	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$217,525,441	BOYAmt
EOY	$152,000,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$87,865,019	BOYAmt
EOY	$188,237,317	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$244,344,539	BOYAmt
EOY	$235,070,387	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$769,734,123	BOYAmt
EOY	$732,954,971	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$614,399,877	BOYAmt
EOY	$741,802,706	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$614,399,877	BOYAmt
EOY	$741,802,706	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,384,134,000	BOYAmt
EOY	$1,474,757,677	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$71,968,867	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$52,057,962	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$3,376,000	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$229,106	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$229,106	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	EMPLOYEES OF THE HEALTH SYSTEM AND NCHA MEET WITH LOCAL, STATE, AND FEDERAL LEGISLATORS AND REGULATORS REGARDING MATTERS OF INTEREST TO THE HOSPITAL.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,216,942	OtherCostOrOtherBasisAmt
Book Value	$27,216,942	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$565,734,836	OtherCostOrOtherBasisAmt
Depreciation	$276,477,042	DepreciationAmt
Book Value	$289,257,794	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,791,497	OtherCostOrOtherBasisAmt
Depreciation	$2,320,490	DepreciationAmt
Book Value	$3,471,007	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$308,414,545	OtherCostOrOtherBasisAmt
Depreciation	$214,869,619	DepreciationAmt
Book Value	$93,544,926	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,783,751	OtherCostOrOtherBasisAmt
Depreciation	$6,963,342	DepreciationAmt
Book Value	$25,820,409	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$439,311,078	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$13,561,996
SELF INSURANCE TRUSTS	$69,699,645
BOND FUND TRUSTS	$6,679,590
OTHER ASSETS	$13,797,386
DEFERRED OUTFLOW	$45,061,843

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$148,800,460	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED CLAIM	$45,813,552
DUE TO PAYOR AGENCIES	$102,769,979
OTHER LIABILITIES	$85,054,289
DEFERRED INFLOWS	$1,432,567

Field	Value	IRS element (for citing)
Total Liability	$235,070,387	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,080,017,402	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$52,057,962	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$52,057,962	RevenueNotReportedAmt
Revenue Subtotal	$1,027,959,440	RevenueSubtotalAmt
Other Revenues Not Included	$185,882,395	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$185,882,395	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,213,841,835	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$955,990,573	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$955,990,573	ExpensesSubtotalAmt
Other Expenses Not Included	$185,882,395	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$185,882,395	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,141,872,968	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HEALTH SYSTEM AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). THE UNRELATED BUSINESS INCOME GENERATED BY THE HEALTH SYSTEM AND THE INCOME GENERATED BY THE HEALTH SYSTEM'S TAXABLE COMPONENT ARE NOT MATERIAL TO THE FINANCIAL STATEMENTS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED IN THE ACCOMPANYING FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 142,273,897. RENT EXPENSE -96,502. INTEREST RATE SWAP 43,705,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 142,273,897. RENT EXPENSE -96,502. INTEREST RATE SWAP 43,705,000.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$64,198,763	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$64,198,763	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$64,198,763	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	THE ACCRUAL METHOD IS USED FOR INVESTMENTS.
PART III ACCOUNTING METHOD:

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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$47,702,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,258,591	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,443,882	NetCommunityBenefitExpnsAmt
Total Expense	0.04150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$207,510,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$194,644,161	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,866,411	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,061,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$597,682	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$463,883	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$256,274,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$201,500,434	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,774,176	NetCommunityBenefitExpnsAmt
Total Expense	0.05490	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,617,845	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,049,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,568,710	NetCommunityBenefitExpnsAmt
Total Expense	0.02260	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,373,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,143,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,230,309	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,991,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,192,797	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,799,019	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$329,266,426	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$230,693,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$98,573,195	NetCommunityBenefitExpnsAmt
Total Expense	0.09880	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$248,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$248,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,700	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$303,700	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$303,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$142,273,897	BadDebtExpenseAmt
Reimbursed By Medicare	$172,362,629	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$155,026,069	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$17,336,560	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	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
CAPE FEAR VALLEY HEALTH SYSTEM
1	1638 OWEN DRIVE	FAYETTEVILLE	NC	28304	WWW.CAPEFEARVALLEY.COM	Yes (X)	Yes (X)	Yes (X)	A
HIGHSMITH RAINEY HOSPITAL
2	150 ROBESON STREET	FAYETTEVILLE	NC	28301	WWW.CAPEFEARVALLEY.COM	Yes (X)			A	LONG TERM ACUTE CARE HOSPITAL
BLADEN COUNTY HOSPITAL
3	501 SOUTH POPLAR STREET	ELIZABETHTOWN	NC	28337	WWW.CAPEFEARVALLEY.COM	Yes (X)		Yes (X)	A		Yes (X)
HOKE HOSPITAL
4	210 MEDICAL PAVILION DRIVE	RAEFORD	NC	28376	WWW.CAPEFEARVALLEY.COM	Yes (X)			A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.CAPEFEARVALLEY.COM/DOWNLOADS/CHNA/CUMBERLAND-CHNA-2019.PDF	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	0	StrategyAttachedInd
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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.CAPEFEARVALLEY.COM/PATIENTS/FINANCIAL-ASSISTANCE.HTML	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.CAPEFEARVALLEY.COM/PATIENTS/FINANCIAL-ASSISTANCE.HTML	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.CAPEFEARVALLEY.COM/PATIENTS/FINANCIAL-ASSISTANCE.HTML	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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 Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CAPE FEAR VALLEY HEALTH SYSTEM	PART V, SECTION B, LINE 3: CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) PERFORMED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT FOR FY 2019. FOR OUR 2019 CHNA WE COLLABORATED WITH HEALTHENC, A COLLABORATIVE OF 22 HOSPITALS AND 21 HEALTH DEPARTMENTS FROM ACROSS EASTERN NC, INCLUDING THE BLADEN, CUMBERLAND, AND HOKE COUNTY HEALTH DEPARTMENTS. COMMUNITY HEALTH ASSESSMENT TEAMS (CHAT) WERE DEVELOPED IN EACH OF THE RESPECTIVE COUNTIES. THE CHAT CONSISTED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND THOSE WORKING IN PUBLIC HEALTH. THE CHATS WERE INSTRUMENTAL IN THE DISTRIBUTION OF OUR SURVEYS IN THE COMMUNITY IN ELECTRONIC AND PAPER FORMAT. UTILIZING THE SURVEYS (PRIMARY DATA) AND DATA FROM THE STATE PLUS FEDERAL SOURCES (SECONDARY DATA), AND CHAT LED FOCUSED GROUPS HEALTHENC CREATED A COMPREHENSIVE REPORT FOR EACH OF THE THREE COUNTIES CAPE FEAR VALLEY HAS A HOSPITAL. THERE WERE A FEW CONTINUOUS THEMES DESPITE THE GEOGRAPHICAL DIFFERENCES IN THE COUNTIES. WORKING WITH THE RESPECTIVE HEALTH DEPARTMENTS IN EACH COUNTY, CAPE FEAR VALLEY HEALTH SYSTEM IDENTIFIED COMMUNITY OUTREACH & SCREENING FOR EARLY INTERVENTION, ACCESS TO HEALTH SERVICES, AND SUBSTANCE ABUSE AS THE AREAS THAT NEEDED TO BE ADDRESSED. THESE AREAS ARE ALL AMONG THE MOST MENTIONED AREAS AMONGST OUR SURVEY RESPONDENTS AND FOCUS GROUP ATTENDEES.DURING THE PANDEMIC AND SINCE THE COVID VACCINE WAS MADE AVAILABLE, CFVHS HAS PROVIDED OVER 175,000 VACCINES. THE OUTPATIENT PHARMACIES AT CAPE FEAR VALLEY CONTINUED THE MISSION OF VACCINATING THE PUBLIC AGAINST COVID-19 WITH BOTH NEW VACCINATIONS AND BOOSTERS. THE EASE OF ONLINE SCHEDULING AND WALK-IN OPTIONS LED TO VERY SHORT WAIT TIMES AND INCREASED AVAILABILITY TO THESE LIFE-SAVING VACCINES. CAPE FEAR VALLEY NOT ONLY HOSTED REGULAR CLINICS AT OUR HOSPITAL, COMMUNITY PHARMACIES AND CLINICS, BUT ALSO HOSTED EVENTS AT LOCAL HIGH SCHOOLS FOR ADULTS AND STUDENTS, AS WELL AS MULTIPLE OTHER COMMUNITY EVENTS. OUR PHARMACIES AND CLINICS ALSO BEGAN OFFERING THE PEDIATRIC FORMULATION OF THE VACCINE AND HAVE GIVEN ALMOST 3000 PEDIATRIC DOSES SINCE THEIR APPROVALS. ADDITIONALLY, IN THE FIGHT AGAINST COVID, CAPE FEAR VALLEY'S HEALTH PAVILION NORTH OFFERED DRIVE THROUGH COVID TESTING, MEETING A CRITICAL DEMAND IN THE REGION BY PROVIDING TESTING TO OVER 3000 INDIVIDUALS.PHARMACY HAS ALSO EXPANDED INTO THE OUTPATIENT CLINICS AS WELL. CLINICAL PHARMACIST PRACTITIONERS, OR CPPS, ARE NOW AVAILABLE IN FOUR CAPE FEAR VALLEY OUTPATIENT CLINICS INCLUDING FAYETTEVILLE FAMILY, SENIOR HEALTH SERVICES, THE DIABETES AND ENDOCRINE CLINIC, AND THE MEDICAL ONCOLOGY CLINIC AT THE MAIN CAMPUS. THESE ADVANCED PRACTICE PROVIDERS OFFER OUR PATIENTS IN-DEPTH MEDICATION COUNSELING TO IMPROVE OUTCOMES AND HELP EASE THE BURDEN OF HEAVY CASELOADS FOR OUR PROVIDERS. SINCE THE INTRODUCTION OF THE CPP IN THE DIABETES AND ENDOCRINE CENTER, PATIENT A1C LEVELS WERE DRAMATICALLY DECREASED IN PATIENTS RECEIVING MEDICATION COUNSELING FROM THE PHARMACIST. THE CPP POSITION WAS SO WELL RECEIVED THAT ANOTHER CPP IS BEING PLACED IN THE CLINIC TO FURTHER HELP PATIENTS GET TO THEIR DIABETES GOALS. THE CPP IN THE MEDICAL ONCOLOGY CLINIC WAS ALSO INTRODUCED THIS PAST YEAR TO OFFER CHEMOTHERAPY COUNSELING AND MEDICATION ADVERSE EVENT MANAGEMENT TO THE PATIENTS OF THE CANCER CENTER. THIS HAS ALLOWED FOR THE MEDICAL ONCOLOGISTS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS TO SEE MORE PATIENTS IN THIS EVER-GROWING CLINIC AND IMPROVES PATIENT UNDERSTANDING OF THEIR REGIMENS AND HOW TO COPE WITH THE ADVERSE EFFECTS OF CHEMOTHERAPY.OUR SPECIALTY PHARMACY AT CAPE FEAR VALLEY CONTINUES TO GROW THANKS TO THE ACCREDITATIONS FROM URAC AND ACHC. THIS MONUMENTAL ACHIEVEMENT ALLOWED FOR INCREASED ACCESS TO LIMITED DISTRIBUTION MEDICATIONS AND INSURANCE PROVIDERS. THE ADDITION OF THE PFIZER ONCOLOGY MEDICATIONS HAS ALLOWED FOR GREATER PATIENT AND PROVIDER SATISFACTION BY DECREASING THE WAIT TIME FROM TRADITIONAL MAIL-ORDER SPECIALTY PHARMACIES. THE STAFF OF THE SPECIALTY PHARMACY WORK EXTENSIVELY ON PATIENT FINANCIAL ASSISTANCE AND WAS ABLE TO SAVE THEIR PATIENTS OVER $400,000 THIS FISCAL YEAR.FINALLY, CAPE FEAR VALLEY'S RESIDENCY TEAM CONTINUES TO GIVE BACK TO THE COMMUNITY. PHARMACY RESIDENTS PROVIDE WEEKLY STAFFING FOR THE CARE CLINIC, A LOCAL NON-PROFIT THAT PROVIDES MEDICAL CARE AND PRESCRIPTIONS FOR FAYETTEVILLE'S UNINSURED POPULATION. IN ADDITION, IN PARTNERSHIP WITH BETTER HEALTH OF CUMBERLAND COUNTY, A NON-PROFIT THAT PROVIDES DIABETES EDUCATION TO FAYETTEVILLE AND SURROUNDING AREAS, THE RESIDENTS TEACH A 7-WEEK CLASS ENTITLED TAKE CHARGE OF DIABETES AS WELL AS TEACHING PATIENTS AT THE ANNUAL DIABETES SYMPOSIUM. CFVHS HOSTED MORE THAN 280 OUTREACH EVENTS IN THE COMMUNITY IN 2021 TO ADDRESS HEALTH ISSUES IN OUR SERVICE AREA. PREVENTIVE EDUCATION, SCREENINGS, AND SUPPORT GROUPS WERE JUST A FEW OF THE WAYS WE ADDRESSED OUR COMMUNITY NEEDS.CFVHS FRIENDS OF THE CANCER CENTER FUNDED OVER 239 SCREENING MAMMOGRAMS TO CATCH BREAST CANCER IN EARLIER STAGES. THIS IS A 28% INCREASE OVER THE PREVIOUS YEAR. HANDS-ONLY CPR INSTRUCTION AND BLOOD PRESSURE CHECKS ARE A SERVICE WE OFFER AT MOST OUTREACH EVENTS. OUR RESIDENCY PROGRAM FOSTERS OUTREACH AMONGST OUR RESIDENTS AND RAISE AWARENESS OF OUR RESIDENCY PROGRAM AND ITS EXPECTED IMPACT. WE WILL CONTINUE OUR AGGRESSIVE OUTREACH EFFORTS TO HELP EDUCATE OUR PATIENTS ABOUT THE VARIOUS RISK FACTORS ASSOCIATED WITH ALL THE IDENTIFIED NEEDS. THE HEALTH SYSTEM ADDED THREE PRIMARY CARE PRACTICES, TWO OF WHICH ARE RURAL COMMUNITIES, SO PATIENTS HAVE GREATER ACCESS TO PHYSICIANS. WE CONTINUE TO STRENGTHEN OUR RELATIONSHIPS WITH OUR LOCAL HEALTH DEPARTMENTS, AREA CHURCHES AND THE SCHOOL SYSTEMS TO BETTER IDENTIFY AREAS OF FUTURE COMMUNITY IMPACT. CAPE FEAR VALLEY HEALTH SYSTEM HAS ESTABLISHED A SYSTEM-WIDE OPIOID STEWARDSHIP PROGRAM. WE HAVE ESTABLISHED SEVERAL COMMUNITY PARTNERSHIPS TO ADDRESS SUBSTANCE ABUSE ISSUES IN OUR AREA SUCH AS (FIGHTING ADDICTION THROUGH COMMUNITY EMPOWERMENT TEAMS WITH SOUTHEASTERN REGIONAL AREA HEALTH EDUCATION CENTER (SRAHEC) & CUMBERLAND-FAYETTEVILLE OPIOID RESPONSE TEAMS). WITH THE SUPPORT OF OUR STATE AND THE DOROTHEA DIX FUNDS, CFVHS WORKED DILIGENTLY TO CONSTRUCT A STATE OF THE ART NEW 16 BED INPATIENT ADOLESCENT PSYCHIATRY UNIT LOCATED ON THE MAIN CAMPUS OF CAPE FEAR VALLEY MEDICAL CENTER IN FAYETTEVILLE, NC. CONSTRUCTION HAS JUST BEEN COMPLETED AND WILL OPEN FOR PATIENTS DURING THE SPRING OF 2022.CAPE FEAR VALLEY HEALTH SYSTEM IS CONSTANTLY EVOLVING TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. WE HAVE ALREADY BEGUN THE NEXT STEPS FOR OUR NEXT COMMUNITY NEEDS ASSESSMENT TO LEARN IF WE ARE HEADING IN THE RIGHT DIRECTION. OUR VISION IS TO IMPROVE THE QUALITY OF LIFE OF EVERY LIFE WE TOUCH. CAPE FEAR VALLEY HEALTH SYSTEMPART V, SECTION B, LINE 4: CAPE FEAR VALLEY AND HIGHSMITH RAINEY WORKED COLLABORATIVELY WITH ONE ANOTHER.PART V, SECTION B, LINE 5: COMMUNITY HEALTH ASSESSMENT TEAMS (CHAT) WERE DEVELOPED IN EACH OF THE RESPECTIVE COUNTIES. THE CHAT CONSISTED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND THOSE WORKING IN PUBLIC HEALTH. THE CHAT'S DEVELOPED COMMUNITY HEALTH ASSESSMENT SURVEYS AND DISTRIBUTED THEM IN THE COMMUNITY IN ELECTRONIC AND PAPER FORMAT. UTILIZING THE SURVEYS (PRIMARY DATA) AND DATA FROM THE STATE PLUS FEDERAL SOURCES (SECONDARY DATA), CFVHS WAS ABLE TO IDENTIFY THE MOST PRESSING NEEDS IN OUR COMMUNITIES.PART V, SECTION B, LINE 11: CFVHS WILL CONTINUE OUR AGGRESSIVE OUTREACH EFFORTS TO HELP EDUCATE OUR PATIENTS ABOUT THE VARIOUS RISK FACTORS ASSOCIATED WITH ALL THE IDENTIFIED NEEDS. WE ARE STRENGTHENING OUR RELATIONSHIPS WITH OUR LOCAL HEALTH DEPARTMENTS AND IDENTIFYING POTENTIAL COLLABORATIONS WITH COMMUNITY STAKEHOLDERS. GOING FORWARD THE HOSPITAL IS DEVELOPING AN ADDITIONAL CARDIAC CATHETERIZATION LAB. OUR LUNG NODULE CLINIC HAS MOVED TO THE MAIN CAMPUS FOR BETTER COVERAGE OF POTENTIAL LUNG CANCER PATIENTS.
CAPE FEAR VALLEY HEALTH SYSTEM	PART V, SECTION B, LINE 16I: SEE THE RESPONSE TO PART VI, LINE 3
HIGHSMITH RAINEY HOSPITAL	PART V, SECTION B, LINE 16I: SEE THE RESPONSE TO PART VI, LINE 3
BLADEN COUNTY HOSPITAL	PART V, SECTION B, LINE 16I: SEE THE RESPONSE TO PART VI, LINE 3
HOKE HOSPITAL	PART V, SECTION B, LINE 16I: SEE THE RESPONSE TO PART VI, LINE 3

Field	Value	IRS element (for citing)
Facility	40	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - CFV-REHABILITATION CENTER
1638 OWEN DRIVE	FAYETTEVILLE	NC	28304	REHABILITATION CENTER
2 - CUMBERLAND CTY EMS OF CFV
610 GILLESPIE STREET	FAYETTEVILLE	NC	28306	EMERGENCY MEDICAL SERVICES
3 - CFV BEHAVIOR HEALTH CENTER
3425 MELROSE ROAD	FAYETTEVILLE	NC	28304	BEHAVIOR HEALTH CENTER
4 - CFV DETOX CENTER
1724 ROXIE AVENUE	FAYETTEVILLE	NC	28304	DETOXICATION CENTER
5 - HEALTHPLEX WELLNESS CENTER
1930 SKIBO ROAD	FAYETTEVILLE	NC	28304	REHABILITATION CENTER
6 - HEALTH PAVILION NORTH
6387 RAMSEY STREET	FAYETTEVILLE	NC	28311	OUTPATIENT SERVICES
7 - HIGHSMITH-RAINEY EXPRESS CARE
150 ROBESON STREET	FAYETTEVILLE	NC	28311	EXPRESS CARE
8 - CAPE FEAR VALLEY EXPRESS CARE
1638 OWEN DRIVE	FAYETTEVILLE	NC	28304	EXPRESS CARE
9 - CAPE FEAR VALLEY OBGYN
1341 WALTHER REED ROAD	FAYETTEVILLE	NC	28304	OB/GYN SERVICES
10 - HEALTH PAVILION NORTH EXPRESS CARE
6387 RAMSEY STREET	FAYETTEVILLE	NC	28301	EXPRESS CARE
11 - CAPE FEAR VALLEY SLEEP MEDICINE
1213 WALTER REED ROAD	FAYETTEVILLE	NC	28304	SLEEP CENTER
12 - HEALTH PAVILION NORTH FAMILY CARE
6387 RAMSEY STREET	FAYETTEVILLE	NC	28311	FAMILY PRACTICE
13 - HOPE MILLS FAMILY CARE
4092 PROFESSIONAL DRIVE	HOPE MILLS	NC	28348	FAMILY PRACTICE
14 - CAPE FEAR VALLEY PERINATOLOGY
2109 VALLEYGATE DRIVE	FAYETTEVILLE	NC	28304	PERINATOLOGY
15 - BEHAVIORAL HEALTH CENTER
3425 MELROSE ROAD	FAYETTEVILLE	NC	28304	MENTAL HEALTH CLINIC INPATIENT
16 - VALLEY MEDICAL ASSOCIATES-HIGHSMITH
101 ROBESON STREET	FAYETTEVILLE	NC	28301	FAMILY PRACTICE
17 - CAPE FEAR VALLEY UROLOGY
2301 ROBESON STREET SUITE 203	FAYETTEVILLE	NC	28305	UROLOGY
18 - HOKE FAMILY MEDICAL CENTER
405 SOUTH MAIN STREET	RAEFORD	NC	28376	FAMILY PRACTICE
19 - SENIOR HEALTH SERVICES
101 ROBESON STREET SUITE 202	FAYETTEVILLE	NC	28310	GERIATRICS
20 - BLADEN MEDICAL ASSOC-ELIZABETHTOWN
300 A EAST MCKAY STREET	ELIZABETHTOWN	NC	28337	FAMILY PRACTICE
21 - STEDMAN MEDICAL CARE
114 FORTE ROAD	STEDMAN	NC	28391	FAMILY PRACTICE
22 - CAPE FEAR VALLEY NEUROSURGERY
3308 MELROSE ROAD	FAYETTEVILLE	NC	28304	NEUROSURGERY OUTPATIENT
23 - CAPE FEAR VALLEY WOUND CARE CENTER
101 ROBESON ST SUITE 210	FAYETTEVILLE	NC	28301	WOUND CENTER
24 - CAPE FEAR VALLEY PEDIATRIC CARE
1262 OLIVER STREET	FAYETTEVILLE	NC	28304	PEDIATRIC CARE
25 - WESTSIDE MEDICAL CARE
1463 PAMALEE DRIVE	FAYETTEVILLE	NC	28303	FAMILY PRACTICE
26 - CAPE FEAR VALLEY INTERNAL MEDICINE
101 ROBESON STREET SUITE 100	FAYETTEVILLE	NC	28301	INTERNAL MEDICINE
27 - WOMEN'S HEALTH SPECIALISTS
300 EAST MCKAY STREET SUITE F	ELIZABETHTOWN	NC	28337	OB/GYN
28 - THREE RIVERS MEDICAL CENTER
580 WEST MCLEAN STREET	ST PAULS	NC	28384	FAMILY PRACTICE
29 - BLADEN MEDICAL ASSOC - BLADENBORO
106 FOURTH STREET	BLADENBORO	NC	28302	FAMILY PRACTICE
30 - BLADEN MEDICAL ASSOCIATES-DUBLIN
106 FOURTH STREET	DUBLIN	NC	28332	FAMILY PRACTICE
31 - DIABETES & ENDOCRINE CENTER
101 ROBESON STREET SUITE 405	FAYETTEVILLE	NC	28301	DIABETES & ENDOCRINOLOGY OUTPATIENT
32 - CFV PEDIATRIC ENDOCRINOLOGY
101 ROBESON STREET SUITE 410	FAYETTEVILLE	NC	28301	DIABETES & ENDOCRINOLOGY OUTPATIENT
33 - BEHAVIORAL HEALTH CLINIC
3425 MELROSE ROAD	FAYETTEVILLE	NC	28304	MENTAL HEALTH OUTPATIENT CARE
34 - BLADEN SURGICAL SPECIALIST
107 EAST DUNHAM STREET	ELIZABETHTOWN	NC	28377	SURGICAL SPECIALIST
35 - HEALTH PAVILION NORTH PEDIATRIC CARE
6387 RAMSEY STREET SUITE 240	FAYETTEVILLE	NC	28311	PEDIATRIC CARE
36 - HEALTH PAVILION HOKE PRIMARY CARE
300 MEDICAL PAVILION DRIVE SUITE	RAEFORD	NC	28376	FAMILY PRACTICE	102
37 - HOKE OBGYN
300 MEDICAL PAVILION DRIVE SUITE	RAEFORD	NC	28376	FAMILY PRACTICE	250
38 - HOKE EXPRESS CARE
300 MEDICAL PAVILION DRIVE SUIT 102	RAEFORD	NC	28376	EXPRESS CARE
39 - CFV INFECTIOUS DISEASE CARE
101 ROBESON STREET SUITE 300	FAYETTEVILLE	NC	28301	INFECTIOUS DISEASE
40 - CAPE FEAR VALLEY NEUROLOGY
3308 MELROSE ROAD	FAYETTEVILLE	NC	28304	NEUROLOGY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	CUMBERLAND COUNTY HOSPITAL SYSTEM FILES A COMMUNITY BENEFIT REPORT ANNUALLY IN THE STATE OF NORTH CAROLINA TO THE NORTH CAROLINA HOSPITAL ASSOCIATION.
PART I, LINE 7:	EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE $142,273,897 IN BAD DEBT DEDUCTIONS WERE OFFSET FROM REVENUES IN THE FINANCIAL STATEMENTS. THERE IS NO NEED TO ADJUST THE TOTAL EXPENSE USED TO CALCULATE THE PERCENTAGES IN PART I, LINE 7, COLUMN (F).LINE 7A - CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO (CCR) FROM THE MEDICARE COST REPORT. A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2. A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY, AS WELL AS BAD DEBTS, REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF.
PART I, LINE 7G:	LINE 7B, 7C & 7G - A MEDICAID CCR WAS USED TO ESTIMATE THE MEDICAID FFS & MEDICAID MANAGED CARE AMOUNTS REPORTED ON LN 7B, THE NC HEALTHCHOICE (NC SCHIP PROGRAM) REPORTED ON LN 7C AND THE SUBSIDIZED HEALTH SERVICES REPORTED ON LN 7G. THE COST ACCOUNTING SYSTEM DATA USED DID INCLUDE INFORMATION FROM ALL PATIENT SEGMENTS REGARDLESS OF PAYOR. LN 7G INCLUDES SUBSIDIZED SERVICES FOR FREESTANDING CLINICS AS WELL.
PART II, COMMUNITY BUILDING ACTIVITIES:	CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. ("CCHS") CONTINUES TO ENGAGE IN COALITION BUILDING AND WORKFORCE DEVELOPMENT ACTIVITIES IN THE COMMUNITY. COALITION BUILDING PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY NETWORKING WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. THE EMPLOYEES OF CCHS UTILIZE THEIR CLINICAL EXPERTISE TO COLLABORATE WITH OTHER COMMUNITY AGENCIES AND COUNTY AND STATE HEALTH DEPARTMENTS TO PROVIDE EDUCATION AND OTHER INITIATIVES THAT BENEFIT THE HEALTH OF PEOPLE IN THE COMMUNITY. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO MEDICAL SHORTAGE AREAS.
PART III, LINE 2:	IN THE CURRENT YEAR, BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS. SEE THE LINE 4 NOTE BELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO "PROVISION FOR UNCOLLECTIBLE ACCOUNTS". DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT.
PART III, LINE 4:	AUDITED FINANCIAL STATEMENT FOOTNOTE -THE HEALTH SYSTEM'S PATIENT ACCOUNTS RECEIVABLE IS RECORDED NET OF ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS OF $253,708,000 AT SEPTEMBER 30, 2021. THE HEALTH SYSTEM'S NET PATIENT SERVICE REVENUE IS PRESENTED NET OF PROVISION OF UNCOLLECTIBLE ACCOUNTS OF $186,174,000 FOR THE YEAR ENDED SEPTEMBER 30, 2021.
PART III, LINE 8:	THE COST REPORTED ON LINE 6 ARE PER THE MEDICARE COST REPORT AND WERE CALCULATED BASED ON COST-TO-CHARGE RATIOS. SINCE THE AMOUNTS REPORTED ON LINES 5 & 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS, THE OTHER MEDICARE (I.E. - MEDICARE PT C, PHYSICIAN SERVICES, FEE SCHEDULE, NON-ALLOWABLE) COSTS AND PAYMENTS ARE INCLUDED IN THE ATTACHED MEDICARE RECONCILIATION. 0 OF THE MEDICARE SHORTFALL, IF APPLICABLE, REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THAT PORTION OF THE SHORTFALL WAS RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES.
PART III, LINE 9B:	IF PATIENTS ARE DETERMINED TO QUALIFY FOR CHARITY, THEN THE ACCOUNT IS TREATED AS CHARITY RATHER THAN BAD DEBT.
PART VI, LINE 2:	THE MISSION OF CAPE FEAR VALLEY HEALTH SYSTEM IS TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE GREATER CAPE FEAR VALLEY REGION THROUGH HIGH-QUALITY, COMPASSIONATE CARE PROVIDED TO ALL WHO NEED IT. AS A COMMUNITY NOT-FOR-PROFIT ORGANIZATION, WE TAKE SERIOUSLY OUR RESPONSIBILITY TO INVEST OUR RESOURCES AND ENERGIES INTO UNDERSTANDING AND MEETING THE DIVERSE HEALTH CARE NEEDS OF ALL, AND ENSURE THAT EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY, RECEIVES THE CARE THEY NEED. THE SENIOR ADMINISTRATIVE TEAM SERVES IN VARIOUS CAPACITIES ON SEVERAL LOCAL COMMUNITY BOARDS AND GROUPS. AS MEMBERS OF THESE VARIOUS GROUPS, THEY ARE ABLE TO GAIN INSIGHT TO NEEDS OF THE COMMUNITY. OUR COMMUNITY PARTNERS ARE CRITICAL TO HELPING US IMPROVE THE HEALTH AND WELL-BEING OF THE CAPE FEAR VALLEY REGION. TOGETHER, WE CAN COMBINE RESOURCES AND STRENGTHS, POSITIVELY IMPACTING THE GREATEST NUMBER OF PEOPLE. BY WORKING CLOSELY WITH THE COMMUNITY LEADERS, WE ALSO BUILD A GREATER SENSE OF COMMUNITY AND A SHARED COMMITMENT TOWARD OUR COMMON GOAL OF IMPROVING THE COMMUNITY'S HEALTH. THE RESULTS HELP US TO DETERMINE OUR SHORT AND LONG TERM PRIORITIES AS WELL AS STRATEGIES FOR IMPROVING COMMUNITY HEALTH. THOSE COMMUNITY GROUPS AND PARTNERS CCCC, SRAHEC, CCMAP, CHAMBER OF COMMERCE, FAYETTEVILLE AREA PR ALLIANCE, CUMBERLAND FCOUNTY EDUCATION FOUNDATION, COMMUNITIES IN SCHOOLS OF NC, FORT BRAGG REGIONAL ALLIANCE, CARE CLINIC, AND THE METHODIST UNIVERSITY PHYSICIAN ASSISTANT PROGRAM.
PART VI, LINE 3:	UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. IF THE PATIENT HAS NO ABILITY TO PAY AND IS DEEMED INELIGIBLE FOR GOVERNMENT PROGRAMS (MEDICARE, MEDICAID, ETC.) THEN THEY ARE INFORMED OF THE HOSPITAL CHARITY PROGRAM. THEY ARE PROVIDED WITH AN APPLICATION AND A LISTING OF THE APPROPRIATE DOCUMENTS NECESSARY TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL CHARITY PROGRAM. ALL PATIENTS RECEIVE A COPY OF OUR CHARITY CARE APPLICATION ACCOMPANYING THE FIRST BILLING STATEMENT.
PART VI, LINE 4:	CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. ("CCHS") DOING BUSINESS AS CAPE FEAR VALLEY MEDICAL CENTER ("CFVMC") IS THE FLAGSHIP OF CAPE FEAR VALLEY HEALTH SYSTEM ("CFVHS"). CFVHS OPERATES A VARIETY OF THE HEALTHCARE FACILITIES FROM ITS HEADQUARTERS IN FAYETTEVILLE, NORTH CAROLINA INCLUDING A TERTIARY ACUTE CARE HOSPITAL, A LONG-TERM ACUTE CARE HOSPITAL, A CRITICAL ACCESS HOSPITAL, AN INPATIENT REHABILITATION FACILITY, COUNTY EMERGENCY MEDICAL SERVICES, AN OUTPATIENT PSYCHIATRIC FACILITY, A DETOXIFICATION FACILITY, A WELLNESS CENTER, 14 PRIMARY CARE CLINICS, 16 SPECIALTY CARE CLINICS, 4 WALK-IN CLINICS, AND HEALTH PAVILION NORTH, AN OUTPATIENT COMPLEX. CAPE FEAR VALLEY HEALTH SYSTEM SERVES A SIX-COUNTY SERVICE AREA MADE UP OF THE FIVE COUNTIES CONTIGUOUS TO CUMBERLAND COUNTY, NC, WHICH IS ITS PRIMARY SERVICE AREA. PER INFORMATION FROM THE 2012 ESTIMATED CENSUS DATA, CUMBERLAND HAS A POPULATION OF OVER 326,000 RESIDENTS; THIS WAS A GROWTH OF 6.9% FROM THE 2000 CENSUS DATA. APPROXIMATELY 54.2% OF THE 326,000 RESIDENTS IN OUR PRIMARY SERVICE AREA ARE MINORITIES, COMPARED TO 35.6% FOR THE STATE.
PART VI, LINE 5:	CHRONIC DISEASES LIKE DIABETES AND OBESITY ARE INCREASING WITHIN OUR COMMUNITY. OUR FACILITY HAS OPENED A DIABETES AND ENDOCRINE CLINIC TO HELP THOSE PATIENTS DIAGNOSED WITH DIABETES. OUR HEALTHPLEX PROVIDES BOTH NUTRITIONAL AND EXERCISE PROGRAMS TO HELP THOSE IN THE COMMUNITY ADDRESS THE PROBLEM OF OBESITY. THE GOAL IS TO HELP ALL RESIDENTS LEARN TO MANAGE THEIR CONDITIONS AND LIVE HEALTHIER LIVES BY ADDRESSING THE CHALLENGES ASSOCIATED WITH THESE CONDITIONS. EXAMPLE OF PROGRAM AT CAPE FEAR VALLEY: CAPE FEAR VALLEY HEALTH SYSTEM'S "TAKE CHARGE OF YOUR HEALTH" PROGRAM BEGAN AS AN INITIATIVE TO CLOSE THE HEALTHCARE GAP BETWEEN AFRICAN-AMERICANS AND NON-HISPANIC WHITES IN CUMBERLAND COUNTY THROUGH PUBLIC SERVICE ANNOUNCEMENTS, HEALTH FAIRS, SCREENINGS AND SPEAKING ENGAGEMENTS. IT HAS SINCE BROADENED ITS FOCUS TO ALL OF CUMBERLAND COUNTY. DARVIN JONES IS THE COORDINATOR OF THE "TAKE CHARGE OF YOUR HEALTH" PROGRAM. HE SERVES ON THE BOARD OF DIRECTORS OF COMMUNITY HEALTH INTERVENTIONS & SICKLE CELL AGENCY, A NON-PROFIT THAT WORKS WITH INDIVIDUALS WITH SICKLE CELL DISEASE, HYPERTENSION AND DIABETES. DARVIN IS ALSO A MEMBER OF THE CUMBERLAND COUNTY COUNCIL FOR HEALTHY LIVING, A GROUP ASSEMBLED BY THE HEALTH DEPARTMENT, AND THE CUMBERLAND COUNTY SCHOOLS SCHOOL HEALTH ADVISORY COUNCIL. TAKE CHARGE OF YOUR HEALTH IS AFFILIATED WITH EAT SMART, MOVE MORE NORTH CAROLINA, A STATEWIDE INITIATIVE. AT CAPE FEAR VALLEY HEALTH SYSTEM, IT IS IMPORTANT TO US TO GIVE BACK TO OUR COMMUNITY. IN ADDITION TO EMPLOYEE UNITED WAY DONATIONS AND VOLUNTEER TIME, OUR EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY SERVICE INITIATIVES, TO INCLUDE THE HABITAT FOR HUMANITY AND THE FRIENDS OF CANCER RIVER WALK. LAST YEAR OUR EMPLOYEES GAVE OVER $250,000 IN DONATIONS TO VARIOUS COMMUNITY ORGANIZATIONS.
PART VI, LINE 6:	CUMBERLAND COUNTY HOSPITAL SYSTEM IS A STAND-ALONE HEALTH CARE ORGANIZATION AND IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CAPE FEAR VALLEY MEDICAL FOUNDATION
PO BOX 87526	FAYETTEVILLE	NC	28304	561947017	501(C)(3)	$240,000	GENERAL SUPPORT
CHILD ADVOCACY CENTER
PO BOX 488	FAYETTEVILLE	NC	283020488	562161682	501(C)(3)	$7,500	GENERAL SUPPORT
STANTON HOSPITALITY HOUSE
1617 ROXIE AVENUE	FAYETTEVILLE	NC	28304	463444289	501(C)(3)	$37,500	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	CUMBERLAND COUNTY HOSPITAL SYSTEM AWARDS GRANTS TO THE CAPE FEAR VALLEY MEDICAL FOUNDATION FOR THE PURPOSE OF ASSISTING PATIENTS IN PAYING VARIOUS BILLS AND OTHER EXPENSES WHICH PATIENTS CANNOT PAY DUE TO THEIR EXCESSIVE MEDICAL EXPENSES REQUIRED FOR TREATING ILLNESS. PATIENTS APPLY AND APPLICATIONS ARE REVIEWED BY HOSPITAL SOCIAL WORKERS. ANY FUNDS GRANTED ARE PAID DIRECTLY TO THE ORGANIZATION FOR WHICH PATIENT OWES THE BILL AND/OR EXPENSE. ALL GRANT FUNDING REQUESTS MUST BE MADE IN WRITING. MEETINGS ARE HELD TO ENSURE THE GOALS OF THE HEALTH SYSTEM ARE MAINTAINED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
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	0	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 (9 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
CHARLES HAWORTH MD
PHYSICIAN	$899,995	$0	$475,910	$0	$89,855	$0	$8,550	$0	$11,206	$0	$1,485,516	$0	$0	$0
MICHAEL NAGOWSKI
CEO	$1,020,001	$0	$430,668	$0	$3,643	$0	$8,550	$0	$9,134	$0	$1,471,996	$0	$0	$0
ROBERT MAUGHAN MD
PHYSICIAN	$770,000	$0	$559,436	$0	$74,755	$0	$8,550	$0	$4,021	$0	$1,416,762	$0	$0	$0
MELISSA STAMATES
PHYSICIAN	$830,000	$0	$0	$0	$100,021	$0	$8,550	$0	$6,443	$0	$945,014	$0	$0	$0
SANDRA WILLIAMS
CFO	$569,702	$0	$291,768	$0	$7,744	$0	$8,550	$0	$943	$0	$878,707	$0	$0	$0
MICHAEL ZAPPA
MEDICAL DIRECTOR	$608,154	$0	$81,370	$0	$45,321	$0	$8,550	$0	$2,436	$0	$745,831	$0	$0	$0
SAMUEL FLEISCHMAN
CMO	$466,385	$0	$115,920	$0	$118,568	$0	$8,550	$0	$7,931	$0	$717,354	$0	$0	$0
TARIQ NAZIR
PHYSICIAN	$537,495	$0	$126,025	$0	$19,398	$0	$8,550	$0	$8,718	$0	$700,186	$0	$0	$0
DANIEL WEATHERLY
COO	$526,616	$0	$111,603	$0	$0	$0	$8,550	$0	$9,278	$0	$656,047	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PROVIDES INCENTIVE COMPENSATION TO ITS EXECUTIVES, WHICH IS BASED ON THE QUANTITATIVE AND QUALITATIVE PERFORMANCE OF THE HOSPITAL. THE DETERMINATION OF INCENTIVE COMPENSATION FOLLOWS THE HOSPITAL'S COMPENSATION PROCEDURES AS OUTLINED IN FORM 990, PART VI, SECTION B, LINE 15.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	65821DPP0	2012-12-19	$124,978,739	SEE DETAIL	Yes (1)	0	0
PUBLIC FINANCE AUTHORITY
B	273866124	000000000	2020-12-10	$152,000,000	SEE DETAIL	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$54,305,000	$53,890,000	$124,978,739	$1,630,191	$123,348,548	2012	0	Yes (1)	Yes (1)	Yes (1)
B			$152,000,000		$152,000,000		Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0.00360	0.00360	0	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0	0.00360	0.00360	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F - DESCRIPTION OF PURPOSE	BOND A ISSUED 12/19/2012 - TO PARTIALLY REFUND BONDS ISSUED 9/23/2008 BOND B ISSUED 12/10/2020 - $50,000,000 ISSUED TO REFUND A PORTION OF THE $152,000,000 BONDS ISSUED IN 2017 TO PARTIALLY REFUND BONDS ISSUED 9/23/2008, AND $102,000,000 DEEMED TO CURRENTLY REFUND A PORTION OF THOSE 2017 BONDS UPON CONVERSION TO A NEW MODE AND REISSUED, BECOMING ONE ISSUE FOR FEDERAL INCOME TAX PURPOSES.
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 02/19/2018
SCHEDULE K, SUPPLEMENTAL INFORMATION: PART IV, LINE 6, COLUMN A	THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS.
SCHEDULE K, PART IV, ARBITRAGE, LINE 7:	INVESTMENT OF BOND PROCEEDS ARE BEING MONITORED THROUGH THE WRITTEN PROCEDURE REQUIREMENTS OF SECTION 148.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. EXISTS TO MEET THE HEALTH CARE NEEDS OF THE RESIDENTS OF CUMBERLAND AND BLADEN COUNTIES, AND THE SURROUNDING AREA IN NORTH CAROLINA.
FORM 990, PART VI, SECTION A, LINE 7A	THE CUMBERLAND COUNTY BOARD OF COMMISSIONERS, WHICH IS A GOVERNMENTAL UNIT, APPOINTS THE MAJORITY OF THE CUMBERLAND COUNTY HOSPITAL SYSTEM. THE BOARD OF TRUSTEES OF CUMBERLAND COUNTY HOSPITAL SYSTEM IS COMPRISED OF SEVEN TRUSTEES WHO ARE THE SEVEN MEMBERS OF THE BOARD OF COMMISSIONERS. THE BOARD OF TRUSTEES WILL ALSO HAVE EIGHT AT LARGE TRUSTEES WHO ARE APPOINTED BY THE BOARD OF COMMISSIONERS. THE REMAINING FIVE AT LARGE MEMBERS ARE APPOINTED BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S FORM 990 IS PREPARED BY KPMG, THEN IT IS REVIEWED BY THE FINANCE DEPARTMENT OF CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. UPON COMPLETION OF THE FORM 990, IT IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATE POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE.
FORM 990, PART VI, SECTION B, LINE 15	A HUMAN RESOURCES CONSULTING FIRM IS RETAINED BY CUMBERLAND COUNTY HOSPITAL SYSTEMS, INC. TO REVIEW THE COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND OTHER TOP MANAGEMENT PERSONNEL. FORM 990, PART VI, SECTION B, LINE 16B: HOSPITAL REGULARLY EVALUATES THE JOINT VENTURES IN WHICH IT PARTICIPATES.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BLADEN COUNTY HEALTHCARE LLC
PO BOX 2000	FAYETTEVILLE	NC	28302	800164702	HEALTH SERVICES	NC	$42,708,726	$36,697,487	CCHS
CUMBERLAND HEALTH AFF LLC (INACTIVE)
PO BOX 2000	FAYETTEVILLE	NC	28302	562275588	HEALTH SERVICES	NC	$0	$0	CCHS
VALLEY HEALTH FACILITIES LLC (INACTIVE)
PO BOX 2000	FAYETTEVILLE	NC	28302	204268819	HEALTH SERVICES	NC	$0	$0	CCHS
HOKE HEALTHCARE LLC
PO BOX 2000	FAYETTEVILLE	NC	28302	272763125	HEALTH SERVICES	NC	$77,963,883	$126,448,474	CCHS

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	Direct Controlling NADirectControllingNACd
CAPE FEAR VALLEY MEDICAL FOUNDATION
PO BOX 87526	FAYETTEVILLE	NC	28304	561947017	FUNDRAISING	NC	501(C)(3)	7	CCHS	Yes (1)
BLADEN COUNTY HOSPITAL FOUNDATION INC
PO BOX 398	ELIZABETHTOWN	NC	28337	561833893	FUNDRAISING	NC	501(C)(3)	7	CCHS	Yes (1)
HARNETT HEALTH SYSTEM INC
PO BOX 1706	DUNN	NC	28335	560603898	HEALTH SERVICES	NC	501(C)(3)	3	CCHS	Yes (1)
HARNETT HEALTH SYSTEM FOUNDATION
800 TILGMAN DRIVE	DUNN	NC	28334	201929953	FUNDRAISING	NC	501(C)(3)	7		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FAYETTEVILLE AMB SURGERY CENTER
1781 METROMEDICAL DRIVE	FAYETTEVILLE	NC	28304	561754482	HEALTHCARE	NC	CCHS	RELATED	$1,014,896	$6,421,310	0	Yes (1)	0.68320
THE MED IMAGING CENTER LLC
3186 VILLAGE DRIVE STE 101	FAYETTEVILLE	NC	28304	264473832	HEALTHCARE	NC	CCHS	RELATED	$481,808	$474,613	0	0	0.67800

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HIGHSMITH-RAINEY MED ARTS CENTER ASSOC
PO BOX 2000	FAYETTEVILLE	NC	28302	561747424	RENTAL ASSOC.	NC	CCHS	C	$100,732	$724,998	1.00000	Yes (1)
CUMBERLAND HLTH PARTNERS INC (INACTIVE)
PO BOX 2000	FAYETTEVILLE	NC	28302	562043978	BEHAVIORAL HEALTH	NC	CCHS	C			1.00000	Yes (1)
CAPE FEAR INSURANCE LTD
				980449284	INSURANCE		CCHS	C	-$5,674,134	$64,198,763	1.00000	Yes (1)	PO BOX 30600 SMB WEST BAY RD	GRAND CAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAPE FEAR VALLEY MEDICAL FOUNDATION
B	$240,000	CASH
CAPE FEAR VALLEY MEDICAL FOUNDATION
C	$260,691	CASH
CAPE FEAR VALLEY MEDICAL FOUNDATION
N	$8,168	CASH
CAPE FEAR VALLEY MEDICAL FOUNDATION
O	$295,692	CASH