CUMBERLAND COUNTY HOSPITAL SYSTEM INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (EIN 56-0845796)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-11
IRS object ID: 202102239349302400
Schema version: 2019v5.2
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-11T16:59:44-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	300 North Greene Street Suite 400	AddressLine1Txt
City	Greensboro	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27401	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	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)
In Care Of	% JAMES DUPE	InCareOfNm
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	2021-08-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WHITNEY B HEBRON	PreparerPersonNm
PTIN	P01226647	PTIN
Phone	3362753394	PhoneNum
Preparation	2021-08-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	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	$1,353,706,180	GrossReceiptsAmt
Group Return For Affiliates	false	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	Cumberland County Hospital System, Inc. exists to meet the Health Care needs of the residents.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	8312	TotalEmployeeCnt
Total Volunteers	201	TotalVolunteersCnt
Total Gross UBI	$177,713	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,746,162	PYContributionsGrantsAmt
CY Contributions Grants	$4,971,041	CYContributionsGrantsAmt
PY Program Service Revenue	$1,107,956,072	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,132,178,813	CYProgramServiceRevenueAmt
PY Investment Income	$25,189,570	PYInvestmentIncomeAmt
CY Investment Income	$16,818,108	CYInvestmentIncomeAmt
PY Other Revenue	$11,507,800	PYOtherRevenueAmt
CY Other Revenue	$12,555,271	CYOtherRevenueAmt
PY Total Revenue	$1,149,399,604	PYTotalRevenueAmt
CY Total Revenue	$1,166,523,233	CYTotalRevenueAmt
PY Grants And Similar Paid	$341,158	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$620,833	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$494,518,407	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$484,409,556	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$624,046,166	PYOtherExpensesAmt
CY Other Expenses	$630,299,793	CYOtherExpensesAmt
PY Total Expenses	$1,118,905,731	PYTotalExpensesAmt
CY Total Expenses	$1,115,330,182	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,493,873	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$51,193,051	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,159,079,000	TotalAssetsBOYAmt
Total Assets EOY	$1,384,134,000	TotalAssetsEOYAmt
Total Liabilities BOY	$602,061,431	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$769,734,123	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$557,017,569	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$614,399,877	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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,005,748,445	ExpenseAmt
Grant	$620,833	GrantAmt
Revenue	$1,140,046,428	RevenueAmt
Desc	As part of meeting the Health Care needs of the service area, CCHS, Inc. admitted 37,775 patients, provided 216,226 patient days of care, had 176,498 emergency room visits and had over 545,000 outpatient visits for other services.	Desc
Total Program Service Expenses	$1,005,748,445	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	396	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8312	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JAMES DUPE	PersonNm
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Michael Nagowski
CEO	55.0	0.0	Yes (X)	$1,482,334	$0	$16,935
Charles Haworth MD
Physician	40.0	0.0		$1,190,756	$0	$16,556	Yes (X)
Robert Maughan MD
Medical Director	40.0	0.0		$1,006,524	$0	$12,259	Yes (X)
Michael Zappa
Medical Director	40.0	0.0		$824,778	$0	$10,990	Yes (X)
Sandra Williams
CFO	55.0	0.0	Yes (X)	$761,535	$0	$8,877
STUART SHELTON
PHYSICIAN	40.0	0.0		$694,086	$0	$14,569	Yes (X)
MARK EATON
PHYSICIAN	40.0	0.0		$672,235	$0	$14,147	Yes (X)
Samuel Fleischman
CMO	55.0	0.0	Yes (X)	$668,692	$0	$15,360
DANIEL WEATHERLY
COO	55.0	0.0	Yes (X)	$629,379	$0	$17,345
William B Pryor
Former CHRO	55.0	0.0		$84,979	$0	$2,257		Yes (X)
CHUKWUEMEKA CHIMA MD
TRUSTEE & PHYSICIAN	5.0	0.0		$55,000	$0	$0			Yes (X)
BRADLEY J BROUSSARD
TRUSTEE & PHYSICIAN	5.0	0.0		$34,000	$0	$0			Yes (X)
NITIN DESAI MD
TRUSTEE & CHIEF OF STAFF	5.0	0.0		$6,250	$0	$0			Yes (X)
SANDRA CARR JOHNSON MD
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
LARRY LANCASTER
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
GLENN ADAMS
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
SANDY AMMONS
Trustee	2.0	0.0		$0	$0	$0			Yes (X)
JEANNETTE COUNCIL
Trustee	2.0	0.0		$0	$0	$0			Yes (X)
CHARLES EVANS
Trustee	2.0	0.0		$0	$0	$0			Yes (X)
JIMMY KEEFE
Trustee	2.0	0.0		$0	$0	$0			Yes (X)
WARREN MCDONALD PHD
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
SANJAY SHAH MD
Trustee	2.0	0.0		$0	$0	$0			Yes (X)
MURTIS WORTH
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
MICHAEL BOOSE
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
ALICIA MARKS
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
PAMELA S STORY
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
TAMMY S THURMAN
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
GIRUM FEYISSA MD
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
TONI STEWART
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
AMY CANNON
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)
EMILY SCHAEFER
TRUSTEE	2.0	0.0		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,110,548	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$129,295	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	786	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	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	$18,120,244
ARAMARK DALLAS LOCKBOX
PO BOX 978839	DALLAS	TX	75397	Management Fees	$8,164,087
ALLIED UNIVERSAL SECURITY
PO Box 534265	ATLANTA	GA	30353	SECURITY SERVICES	$3,969,012
FRESENIUS MEDICAL CARE - BMA
16343 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONTRACT LABOR	$3,609,144
APOGEE MEDICAL MANAGEMENT
15059 N SCOTTSDALE RD SUITE 600	SCOTTSDALE	AZ	85254	CONTRACT LABOR	$3,106,044

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	123	CntrctRcvdGreaterThan100KCnt
Related Organizations	$392,085	RelatedOrganizationsAmt
Government Grants	$1,215,998	GovernmentGrantsAmt
All Other Contributions	$3,362,958	AllOtherContributionsAmt
Total Contributions	$4,971,041	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	900099	$1,092,410,601	$1,092,410,601
ANCILLARY MEDICAL SERVICES	900099	$39,764,571	$39,764,571
EDUCATION/OUTREACH	611710	$3,641	$3,641

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,132,178,813	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,724,051	TotalRevenueColumnAmt
Unrelated Business Revenue	$97,696	UnrelatedBusinessRevenueAmt
Exclusion	$13,626,355	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$253,433	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$51,121	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$202,312	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$202,312	TotalRevenueColumnAmt
Exclusion	$202,312	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$190,225,883	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$187,131,826	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,094,057	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,094,057	TotalRevenueColumnAmt
Exclusion	$3,094,057	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PURCHASE REBATES, DISC. AND OTHER	812900	$1,803,666	$1,803,666
CAFETERIA AND PARKING REVENUE	900099	$3,533,812	$3,533,812
BUILDING CONVEYANCE	900099	$4,485,344	$4,485,344

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,530,137	TotalRevenueColumnAmt
Unrelated Business Revenue	$80,017	UnrelatedBusinessRevenueAmt
Exclusion	$2,450,120	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,352,959	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,166,523,233	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,132,178,813	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$177,713	UnrelatedBusinessRevenueAmt
Exclusion	$29,195,666	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$620,833	TotalAmt
Program Services	$620,833	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,782,943	TotalAmt
Management And General	$3,782,943	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$396,458,834	TotalAmt
Program Services	$359,002,970	ProgramServicesAmt
Management And General	$37,455,864	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,940,013	TotalAmt
Program Services	$16,940,013	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$41,175,841	TotalAmt
Program Services	$41,153,021	ProgramServicesAmt
Management And General	$22,820	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,051,925	TotalAmt
Program Services	$23,508,008	ProgramServicesAmt
Management And General	$2,543,917	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,965,527	TotalAmt
Program Services	$5,965,294	ProgramServicesAmt
Management And General	$233	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,428,364	TotalAmt
Program Services	$4,000,000	ProgramServicesAmt
Management And General	$1,428,364	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$180,000	TotalAmt
Management And General	$180,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$182,530	TotalAmt
Program Services	$142,568	ProgramServicesAmt
Management And General	$39,962	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$895,859	TotalAmt
Program Services	$895,219	ProgramServicesAmt
Management And General	$640	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,104,097	TotalAmt
Program Services	$3,854,686	ProgramServicesAmt
Management And General	$249,411	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,146,872	TotalAmt
Program Services	$44,942	ProgramServicesAmt
Management And General	$21,101,930	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,847,350	TotalAmt
Program Services	$8,059,273	ProgramServicesAmt
Management And General	$788,077	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$331,649	TotalAmt
Program Services	$315,604	ProgramServicesAmt
Management And General	$16,045	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$666,581	TotalAmt
Program Services	$468,803	ProgramServicesAmt
Management And General	$197,778	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,125,243	TotalAmt
Program Services	$12,005,149	ProgramServicesAmt
Management And General	$120,094	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$34,691,617	TotalAmt
Program Services	$27,753,224	ProgramServicesAmt
Management And General	$6,938,393	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,025,273	TotalAmt
Program Services	$647,108	ProgramServicesAmt
Management And General	$11,378,165	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL & OTHER SUPPLIES	$170,226,037	$165,998,254	$4,227,783
BAD DEBT EXPENSE	$243,266,866	$243,266,866
CONTRACT LABOR	$21,082,229	$20,455,660	$626,569
PURCHASED SERVICES	$27,768,232	$16,444,190	$11,324,042

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,365,467	TotalAmt
Program Services	$54,206,760	ProgramServicesAmt
Management And General	$7,158,707	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,115,330,182	TotalAmt
Program Services	$1,005,748,445	ProgramServicesAmt
Management And General	$109,581,737	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$57,742,423	BOYAmt
EOY	$228,193,159	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$95,128	BOYAmt
EOY	$20,095,128	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$108,178,854	BOYAmt
EOY	$97,208,614	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,991,223	BOYAmt
EOY	$14,197,514	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,884,794	BOYAmt
EOY	$5,153,255	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,014,271,533	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$584,542,402	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$433,029,788	BOYAmt
EOY	$429,729,131	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$384,582,240	BOYAmt
EOY	$411,963,685	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$158,574,550	BOYAmt
EOY	$177,593,514	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,159,079,000	BOYAmt
EOY	$1,384,134,000	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$75,126,173	BOYAmt
EOY	$176,464,814	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,263,308	BOYAmt
EOY	$43,534,310	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$226,635,338	BOYAmt
EOY	$217,525,441	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$89,526,849	BOYAmt
EOY	$87,865,019	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$206,509,763	BOYAmt
EOY	$244,344,539	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$602,061,431	BOYAmt
EOY	$769,734,123	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	$557,017,569	BOYAmt
EOY	$614,399,877	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$557,017,569	BOYAmt
EOY	$614,399,877	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,159,079,000	BOYAmt
EOY	$1,384,134,000	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$51,193,051	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,582,596	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$393,339	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$182,530	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$182,530	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1g	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

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	$569,351,321	OtherCostOrOtherBasisAmt
Depreciation	$271,546,519	DepreciationAmt
Book Value	$297,804,802	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,308,784	OtherCostOrOtherBasisAmt
Depreciation	$1,921,552	DepreciationAmt
Book Value	$3,387,232	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$388,867,765	OtherCostOrOtherBasisAmt
Depreciation	$299,616,286	DepreciationAmt
Book Value	$89,251,479	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,526,721	OtherCostOrOtherBasisAmt
Depreciation	$11,458,044	DepreciationAmt
Book Value	$12,068,676	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$429,729,131	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$2,855,430
SELF INSURANCE TRUSTS	$64,289,109
TRUSTS-BOND FUNDS	$6,506,876
OTHER ASSETS	$14,472,000
DERIVATIVE INSTRUMENT	$89,470,099

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$177,593,514	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
COMP COSTS	$36,048,324
DUE TO PAYOR AGENCIES	$89,546,360
DERIVATIVE INSTRUMENT	$46,498,260
OTHER LIABILITIES	$70,474,951
DEFERRED INFLOWS OF RESOURCES	$1,776,644

Field	Value	IRS element (for citing)
Total Liability	$244,344,539	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$933,111,838	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$6,582,596	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$6,582,596	RevenueNotReportedAmt
Revenue Subtotal	$926,529,242	RevenueSubtotalAmt
Other Revenues Not Included	$239,993,991	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$239,993,991	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,166,523,233	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$875,336,191	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$875,336,191	ExpensesSubtotalAmt
Other Expenses Not Included	$239,993,991	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$239,993,991	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,115,330,182	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	BAD DEBT EXPENSE RECLASSIFIED $243,266,866 RENT EXPENSE RECLASSIFIED ($51,121) Reclass eliminations of other revenue and net investment income ($4,009,000) Reclass of other negative expenses to revenue $787,246
Part XII, Line 4b	BAD DEBT EXPENSE RECLASSIFIED $243,266,866 RENT EXPENSE RECLASSIFIED ($51,121) Reclass eliminations of other revenue and net investment income ($4,009,000) Reclass of other negative expenses to revenue $787,246

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$55,916,832	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$55,916,832	SubtotalSpentAmt
Total Spent	$55,916,832	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	The accrual method is used for investments.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,432,485	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,160,946	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,271,539	NetCommunityBenefitExpnsAmt
Total Expense	0.03010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,853,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$169,440,282	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,412,918	NetCommunityBenefitExpnsAmt
Total Expense	0.01650	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,040,766	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$507,464	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$533,302	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$213,326,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$172,108,692	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,217,759	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,635,696	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,734,279	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,901,417	NetCommunityBenefitExpnsAmt
Total Expense	0.02740	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,489,113	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,673,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,815,640	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,124,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,407,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,717,057	NetCommunityBenefitExpnsAmt
Total Expense	0.03520	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$260,451,260	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$188,516,444	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$71,934,816	NetCommunityBenefitExpnsAmt
Total Expense	0.08240	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$210,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$210,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$55,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$265,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$265,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$243,266,866	BadDebtExpenseAmt
Reimbursed By Medicare	$164,640,847	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$159,706,406	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$4,934,441	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	Yes (true)	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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 (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Cape Fear Valley Health System	PART V, SECTION B, LINE 3: Cape Fear Valley Health System 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. CFVHS hosted almost 200 outreach events in the community in 2020 to address the issues in our service area. Preventive education, screening, and support groups were just a few of the ways we address our community needs. During the Pandemic and since the COVID vaccine was made available, CFVHS has provided over 141,000 vaccines. We operated 2 mass vaccination sites for several months as well as several smaller sites. We partnered with Cumberland County schools to vaccinate 50% of their 8,000 workforce the first week they were eligible and provided five separate outreach events at historically minority high schools to create and improve access. We are currently planning summer events for school age children aged 12 and above. CFVHS has administered over 200 doses to shut-ins through our CAP program via a mobile home deliver method. We worked with the WoodPeckers minor league baseball team to vaccinate the players and staff so the season could begin on time. We partnered with multiple organizations in multiple counties to host or staff vaccine events. Other health systems and military operations were so impressed with our efficient operations and delivery they came onsite to observe and to take back our best practice to their sites. The CFVHS Friends of the Cancer Center funded over 186 screening mammograms to catch breast cancer in earlier stages. 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 has added new access points in the forms of urgent care and primary care practices, so patients have greater access to physicians. We continue to strengthen our relationships with our local health departments and identifying potential collaborations with community stakeholders. 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 (Fighting addiction through Community Empowerment Teams with SRAHEC & Cumberland-Fayetteville Opioid Response Teams) 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 System	Part 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 7a and 10a: https://www.capefearvalley.com/downloads/CHNA/Cumberland-CHNA-2019.pdf 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. Part V, Section B, Line 16a-c: https://www.capefearvalley.com/patients/financial-assistance.html
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
CFV-Rehabilitation Center
1638 Owen Drive	Fayetteville	NC	28304	Rehabilitation Center
Cumberland Cty EMS of CFV
610 Gillespie Street	Fayetteville	NC	28306	Emergency Medical Services
CFV Behavior Health Center
3425 Melrose Road	Fayetteville	NC	28304	Behavior Health Center
CFV Detox Center
1724 Roxie Avenue	Fayetteville	NC	28304	Detoxication Center
Healthplex Wellness Center
1930 Skibo Road	Fayetteville	NC	28304	Rehabilitation Center
Health Pavilion North
6387 Ramsey Street	Fayetteville	NC	28311	Outpatient Services
Highsmith-Rainey Express Care
150 Robeson Street	Fayetteville	NC	28311	Express Care
Cape Fear Valley Express Care
1638 Owen Drive	Fayetteville	NC	28304	Express Care
Cape Fear Valley OBGYN
1341 Walther Reed Road	Fayetteville	NC	28304	OB/Gyn Services
Health Pavilion North Express Care
6287 Ramsey Street	Fayetteville	NC	28301	Express Care
Cape Fear Valley Sleep Medicine
1213 Walter Reed Road	Fayetteville	NC	28304	Sleep Center
Health Pavilion North Family Care
6387 Ramsey Street	Fayetteville	NC	28311	Family Practice
Hope Mills Family Care
4092 Professional Drive	Hope Mills	NC	28348	Family Practice
Cape Fear Valley Perinatology
2109 Valleygate Drive	Fayetteville	NC	28304	Perinatology
Behavioral Health Center
3425 Melrose Road	Fayetteville	NC	28304	Mental Health Clinic Inpatient
Valley Medical Associates-Highsmith
101 Robeson Street	Fayetteville	NC	28301	Family Practice
Cape Fear Valley Urology
2301 Robeson Street Suite 203	Fayetteville	NC	28305	Urology
Hoke Family Medical Center
405 South Main Street	Raeford	NC	28376	Family Practice
Senior Health Services
101 Robeson Street Suite 202	Fayetteville	NC	28310	Geriatrics
Bladen Medical Assoc-Elizabethtown
300 A East McKay Street	Elizabethtown	NC	28337	Family Practice
Stedman Medical Care
114 Forte Road	Stedman	NC	28391	Family Practice
Cape Fear Valley Neurosurgery
3308 Melrose Road	Fayetteville	NC	28304	Neurosurgery Outpatient
Cape Fear Valley Wound Care Center
101 Robeson St Suite 210	Fayetteville	NC	28301	Wound Center
Cape Fear Valley Pediatric Care
1262 Oliver Street	Fayetteville	NC	28304	Pediatric Care
Westside Medical Care
1463 Pamalee Drive	Fayetteville	NC	28303	Family Practice
Cape Fear Valley Internal Medicine
101 Robeson Street Suite 100	Fayetteville	NC	28301	Internal Medicine
Women's Health Specialists
300 East McKay Street Suite F	Elizabethtown	NC	28337	OB/GYN
Three Rivers Medical Center
580 West McLean Street	St Pauls	NC	28384	Family Practice
Bladen Medical Assoc - Bladenboro
106 Fourth Street	Bladenboro	NC	28302	Family Practice
Bladen Medical Associates-Dublin
16 3rd Street	Dublin	NC	28332	Family Practice
Diabetes & Endocrine Center
101 Robeson Street Suite 405	Fayetteville	NC	28301	Diabetes & Endocrinology Outpatient
CFV Pediatric Endocrinology
101 Robeson Street Suite 410	Fayetteville	NC	28301	Diabetes & Endocrinology Outpatient
Behavioral Health Clinic
3425 Melrose Road	Fayetteville	NC	28304	Mental Health Outpatient Care
Bladen Surgical Specialist
107 East Dunham Street	Elizabethtown	NC	28377	Surgical Specialist
Health Pavilion North Pediatric Care
6387 Ramsey Street Suite 240	Fayetteville	NC	28311	Pediatric Care
Health Pavilion Hoke Primay Care
300 Medical Pavilion Drive Suite 1	Raeford	NC	28376	Family Practice
Hoke OBGYN
300 Medical Pavilion Drive Suite 2	Raeford	NC	28376	Family Practice
Hoke Express Care
300 Medical Pavilion Drive Suit 10	Raeford	NC	28376	Express Care
CFV Infectious Disease Care
101 Robeson Street Suite 300	Fayetteville	NC	28301	Infectious Disease
Cape Fear Valley Neurology
3308 Melrose Road	Fayetteville	NC	28304	Neurology

Supplemental Information Detail SupplementalInformationDetail (15 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, column (f)	Exclusions from Percent of Total Expense $243,266,866 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).
Part I, Line 7	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 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.
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 $179,503,000 at September 30, 2020. The Health System's net patient service revenue is presented net of provision of uncollectible accounts of $211,977,000 for the year ended September 30, 2020.
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. $8,722,345 of the Medicare shortfall 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 County 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 $150,000 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, List of States Receiving Community Benefit Report	NC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Cape Fear Valley Health Foundation
PO Box 87526	Fayetteville	NC	28304	561947017	501(c)(3)	$467,833	GENERAL SUPPORT
Cape Fear Regional Theatre
1209 Hay St	Fayetteville	NC	28305	560856992	501(c)(3)	$48,000	General Support
Community Concerts of Fayetteville Incorporated
PO BOX 53932	FAYETTEVILLE	NC	28305	561449568	501(c)(3)	$30,000	GENERAL SUPPORT
Cape Fear Botanical Garden
536 N Eastern Blvd	Fayetteville	NC	28301	561673281	501(c)(3)	$20,000	GENERAL SUPPORT
PARTNERSHIP FOR CHILDREN OF CUMBERLAND COUNTY
351 Wagoner Drive	Fayetteville	NC	28303	561845926	501(c)(3)	$20,000	GENERAL SUPPORT
FAYETTEVILLE TECHNICAL COMMUNITY COLLEGE
2201 HULL ROAD	FAYETTEVILLE	NC	28303	581640133	GOVT	$15,000	GENERAL SUPPORT
FAYETTEVILLE SYMPHONY ORCHESTRA INC
PO BOX 302	FAYETTEVILLE	NC	28302	581393271	501(c)(3)	$10,000	GENERAL SUPPORT
GREATER FAYETTEVILLE CHAMBER
225 RAY AVE SUITE 165	FAYETTEVILLE	NC	28301	800058724	501(c)(6)	$10,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

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 MedicaY 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.	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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
Michael Nagowski
CEO	$1,017,693	$0	$460,020	$0	$4,621	$0	$8,400	$0	$8,535	$0	$1,499,269	$0	$0	$0
Sandra Williams
CFO	$557,617	$0	$182,875	$0	$21,043	$0	$8,400	$0	$477	$0	$770,412	$0	$0	$0
William B Pryor
Former CHRO	$40,615	$0	$0	$0	$44,364	$0	$1,232	$0	$1,025	$0	$87,236	$0	$0	$0
Charles Haworth MD
Physician	$946,281	$0	$244,475	$0	$0	$0	$7,098	$0	$9,458	$0	$1,207,312	$0	$0	$0
Robert Maughan MD
Medical Director	$814,214	$0	$192,310	$0	$0	$0	$8,400	$0	$3,859	$0	$1,018,783	$0	$0	$0
Michael Zappa
Medical Director	$639,500	$0	$133,945	$0	$51,333	$0	$8,750	$0	$2,240	$0	$835,768	$0	$0	$0
DANIEL WEATHERLY
COO	$506,926	$0	$122,453	$0	$0	$0	$8,400	$0	$8,945	$0	$646,724	$0	$0	$0
Samuel Fleischman
CMO	$455,000	$0	$201,658	$0	$12,034	$0	$8,400	$0	$6,960	$0	$684,052	$0	$0	$0
STUART SHELTON
PHYSICIAN	$495,388	$0	$172,616	$0	$26,082	$0	$8,400	$0	$6,169	$0	$708,655	$0	$0	$0
MARK EATON
PHYSICIAN	$300,000	$0	$372,235	$0	$0	$0	$6,161	$0	$7,986	$0	$686,382	$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	false	false	false
PUBLIC FINANCE AUTHORITY
B	273866124	000000000	2017-11-29	$152,000,000	SEE DETAIL	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$45,870,000	$0	$124,978,739	$0	$0	$0	$1,630,191	$0	$0	$0	$123,348,548	$0	2012	false	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$152,000,000	$0	$0	$0	$0	$0	$0	$0	$152,000,000	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

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	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00360	0.00360	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0.00360	0.00360	false	false	false	Yes (true)

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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

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 11/29/2017 - TO PARTIALLY REFUND BONDS ISSUED 9/23/2008
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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Cape Fear Cardiology	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$243,246	TransactionAmt
Transaction	INDEPENDENT CONTRACTOR	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM SCH L PART IV	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: CAPE FEAR CARDIOLOGY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS PRESIDENT IN COMPANY. (C) AMOUNT OF TRANSACTION: $243,246 (D) DESCRIPTION OF TRANSACTION: ARMS' LENGTH INDEPENDENT CONTRACTOR ARRANGEMENT WITH CAPE FEAR CARDIOLOGY, BOARD MEMBER IS PRESIDENT. (E) SHARING OF ORGANIZATION REVENUES?: NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION	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 11	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, 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.
Form 990, Part XI, Line 9	Eliminations from Fayetteville Ambulatory Surgery Center -393,339

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 Srvcs	NC	$27,557,343	$33,451,780	CCHS
Cumberland Health Aff LLC (INACTIVE)
PO Box 2000	Fayetteville	NC	28302	562275588	Health SRVCS	NC	$0	$0	CCHS
Valley Health Facilities LLC (INACTIVE)
PO Box 2000	Fayetteville	NC	28302	204268819	Health SRVCS	NC	$0	$0	CCHS
Hoke Healthcare LLC
PO Box 2000	Fayetteville	NC	28302	272763125	Health SRVCS	NC	$46,175,037	$115,154,112	CCHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
CAPE FEAR VALLEY MEDICAL FOUNDATION
PO BOX 87526	FAYETTEVILLE	NC	28304	561947017	FUNDRAISING	NC	501(C)(3)	7	CCHS	Yes (true)
BLADEN COUNTY HOSPITAL FOUNDATION INC
PO BOX 398	ELIZABETHTOWN	NC	28337	561833893	FUNDRAISING	NC	501(C)(3)	7	CCHS	Yes (true)

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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Fayetteville Amb Surgery Center LP
569 Brookwood Village Ste 901	Birmingham	AL	35209	561754482	healthcare	NC	CCHS	RELATED	$572,346	$4,350,072	false	$0	false	0.68315
THE MED IMAGING CENTER LLC
3186 Village Drive STE 101	Fayetteville	NC	28304	264473832	healthcare	NC	CCHS	RELATED	-$274,690	$628,085	false	$0	false	0.68894

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 CORP	$164,536	$1,300,663	1.00000	Yes (true)
Cumberland Hlth Partners Inc (inactive)
PO Box 2000	Fayetteville	NC	28302	562043978	Behavioral He	NC	CCHS	C CORP	$0	$0	1.00000	Yes (true)
CAPE FEAR INSURANCE LTD
				980449284	INSURANCE		CCHS	C CORP	-$2,632,038	$55,916,832	1.00000	Yes (true)	PO BOX 30600 SMB WEST BAY RD	GRAND CAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Cape Fear Valley Medical Foundation
b	$465,230	Cash
Cape Fear Valley Medical Foundation
c	$480,389	Cash
Cape Fear Valley Medical Foundation
n	$15,231	Cash
Cape Fear Valley Medical Foundation
o	$278,239	Cash