2025-02-03T14:08:15-06:00 2023-09-30 135565207 KPMG LLP 500 W 5TH ST STE 800 WINSTONSALEM NC 27101 990 2022-10-01 560845796 CUMBERLAND COUNTY HOSPITAL SYSTEM INC CUMB 9106154829 PO BOX 2000 FAYETTEVILLE NC 283022000 BRET JOHNSON CFO 9106154829 2025-02-03 1 0 WHITNEY B HEBRON P01226647 3362753394 2022 2025-03-06 01:10:19Z MICHAEL NAGOWSKI CEO PO BOX 2000 FAYETTEVILLE NC 283022000 1180725242 0 X WWW.CAPEFEARVALLEY.COM X 1956 NC SEE SCHEDULE O 22 20 8269 155 703589 0 24345333 6250964 1200502235 1105830203 21160229 34589787 15355488 30015953 1261363285 1176686907 382750 412895 0 0 535516533 587842169 0 0 0 675021481 508289916 1210920764 1096544980 50442521 80141927 1447981523 1650668720 760660924 886415614 687320599 764253106 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. 0 0 984915993 412895 1105830203 AS PART OF MEETING THE HEALTH CARE NEEDS OF THE SERVICE AREA, CCHS, INC. ADMITTED 35,857 PATIENTS, PROVIDED 221,726 PATIENT DAYS OF CARE, HAD 188,811 EMERGENCY ROOM VISITS AND HAD OVER 664,000 OUTPATIENT VISITS FOR OTHER SERVICES. 984915993 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 441 0 1 8269 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 22 20 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X BRET JOHNSON 9106154829 PO BOX 2000 FAYETTEVILLE NC 283022000 ALICIA FLOWERS TRUSTEE, CHAIR 2.00 0.00 X X 0 0 0 TAMMY THURMAN TRUSTEE, VICE CHAIR 2.00 0.00 X X 0 0 0 SANJAY SHAH MD TRUSTEE, SECRETARY 2.00 0.00 X X 0 0 0 GLENN ADAMS TRUSTEE 2.00 0.00 X 0 0 0 AFUA ARHIM TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL BOOSE TRUSTEE 2.00 0.00 X 0 0 0 TERRILL BROWN TRUSTEE 2.00 0.00 X 0 0 0 CHUCK CHIMA TRUSTEE 2.00 0.00 X 75000 0 0 JEANNETTE COUNCIL TRUSTEE 2.00 0.00 X 0 0 0 MARSHALL FAIRCLOTH TRUSTEE 2.00 0.00 X 0 0 0 GIRUM FEYISSA MD TRUSTEE 2.00 0.00 X 0 0 0 ERNEST JONES TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL JONES MD TRUSTEE 2.00 0.00 X 0 0 0 VERONICA JONES TRUSTEE 2.00 0.00 X 0 0 0 JIMMY KEEFE TRUSTEE 2.00 0.00 X 0 0 0 LARRY LANCASTER TRUSTEE 2.00 0.00 X 0 0 0 SHANNON MATTHEWS TRUSTEE 2.00 0.00 X 0 0 0 TONI STEWART TRUSTEE 2.00 0.00 X 0 0 0 PAMELA STORY TRUSTEE 2.00 0.00 X 0 0 0 MYRON STRICKLNAD TRUSTEE 2.00 0.00 X 29760 0 0 CLARENCE GRIER TRUSTEE 2.00 0.00 X 0 0 0 RYAN AUL TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL NAGOWSKI CEO 55.00 0.00 X 1885915 0 20236 BRET JOHNSON CFO 55.00 0.00 X 642246 0 18538 DANIEL WEATHERLY COO 55.00 0.00 X 725131 0 19921 DEBORAH MARSHBURN CNO 55.00 0.00 X 389056 0 18544 PHILIP WOOD JR CIO 55.00 0.00 X 526305 0 18356 ROBERT MAUGHAN PHYSICIAN 40.00 0.00 X 1408256 0 13788 CHARLES HAWORTH PHYSICIAN 40.00 0.00 X 1200684 0 18111 MELISSA STAMATES PHYSICIAN 40.00 0.00 X 846899 0 15813 PRITHVI NARAYAN PHYSICIAN 40.00 0.00 X 911388 0 18198 MICHAEL ZAPPA CCO 55.00 0.00 X 823307 0 11679 9463947 0 173184 979 0 1 0 AMN HEALTHCARE INC 4441 COLLECTIONS CENTER DR CHICAGO IL 60693 CONTRACT LABOR 43133138 AYA HEALTHCARE INC PO BOX 123519 DALLAS TX 75312 CONTRACT LABOR 43052146 MB KAHN CONSTRUCTION CO PO BOX 1179 COLUMBIA SC 29202 CONSTRUCTION 14570900 ARAMARK DALLAS LOCKBOX PO BOX 978839 DALLAS TX 75397 MANAGEMENT FEES 14008687 RODGERS BUILDERS INC 5701 NORTH SHARON AMITY RD CHARLOTTE NC 28215 CONTRUCTION 4744007 170 5955614 99491 195859 6250964 PATIENT SERVICE REVENU 900099 1046487981 1046487981 ANCILLARY MEDICAL SERV 900099 59342222 58642351 699871 1105830203 34955638 3718 34951920 866005 117833 748172 748172 748172 3554651 3920502 -365851 -365851 -365851 PURCHASE REBATES, DISC 812900 56920 56920 29210861 29210861 29267781 1176686907 1105130332 703589 64602022 412895 412895 5162205 5162205 480738090 433560102 47177988 20377922 20377922 49640449 50434487 -794038 31923503 28544093 3379410 14673311 13869182 804129 -443567 -443567 332852 332852 173165 124423 48742 77944281 56051447 21892834 1011604 986987 24617 6660080 5674436 985644 13790497 1211493 12579004 10911748 10911748 724637 447435 277202 586036 447435 138601 18472635 18472635 60938246 54384090 6554156 4842508 636998 4205510 MEDICAL & OTHER SUPPLIE 228652873 226153868 2499005 CONTRACT LABOR 61732524 59128264 2604260 REPAIRS & MAINTENANCE 17563462 14572630 2990832 BAD DEBT EXPENSE -21965546 -21965546 11688570 10478969 1209601 1096544980 984915993 111628987 0 159009111 35434415 251411 74280334 129366631 154306822 15322189 16087576 8624575 12107833 1166152701 583587465 476100987 582565236 395309680 247425205 263996939 528461299 1447981523 1650668720 82967262 100371433 4376547 49992 293177000 281080000 179458904 254047442 200681211 250866747 760660924 886415614 X 0 0 0 0 687320599 764253106 687320599 764253106 1447981523 1650668720 X 80141927 3041544 -6250964 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 173165 0 0 173165 0 PART II-B, LINE 1: EMPLOYEES OF THE HEALTH SYSTEM AND NCHA MEET WITH LOCAL, STATE, AND FEDERAL LEGISLATORS AND REGULATORS REGARDING MATTERS OF INTEREST TO THE HOSPITAL. 35445599 35445599 621365770 302147116 319218654 6245412 661751 5583661 335275626 232075788 103199838 167820294 48702810 119117484 582565236 OTHER RECEIVABLES 139542789 SELF INSURANCE TRUSTS 73293656 BOND FUND TRUSTS 104591529 OTHER ASSETS 8838791 DEFERRED OUTFLOW 54924472 SELF INSURANC LIABILITY 3400000 DESIGNATED FOR CAPITAL IMPROVEMENTS 143870062 528461299 DUE TO PAYOR AGENCIES 116462220 OTHER LIABILITIES 59294362 DEFERRED INFLOWS 75110165 250866747 X 1195869797 -3041544 -3041544 1198911341 -16141346 -16141346 1182769995 1118937290 0 1118937290 -22392310 -22392310 1096544980 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 -21,965,546. RENT EXPENSE -117,833. PURCHASE REBATES, DISC. AND OTHER 56,920. CONTRIBUTIONS 6,250,964. REALIZED GAINS -365,851. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -21,965,546. RENT EXPENSE -117,833. REALIZED GAIN/(LOSS) -365,851. PURCHASES REBATE 56,920. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, INVESTMENTS CAPTIVE INSURANCE 69912971 0 0 0 0 0 0 69912971 0 69912971 1 0 1 0 0 0 PART I, LINE 3: THE ACCRUAL METHOD IS USED FOR INVESTMENTS. PART III ACCOUNTING METHOD: 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 56434944 56434944 0.05050 227836262 155481374 72354887 0.06470 533366 345843 187523 0.00020 284804572 155827217 128977354 0.11540 39930970 7651816 32279154 0.02890 57199003 36374923 20824080 0.01860 97129973 44026739 53103234 0.04750 381934545 199853956 182080588 0.16290 337055 337055 0.00030 59784 59784 0.00010 396839 396839 0.00040 0 189619000 151181840 142276159 8905681 X 1 1 4 1 CAPE FEAR VALLEY HEALTH SYSTEM 1638 OWEN DRIVE FAYETTEVILLE NC 28304 WWW.CAPEFEARVALLEY.COM X X X A 2 HIGHSMITH RAINEY HOSPITAL 150 ROBESON STREET FAYETTEVILLE NC 28301 WWW.CAPEFEARVALLEY.COM X LONG TERM ACUTE CARE HOSPITAL A 3 BLADEN COUNTY HOSPITAL 501 SOUTH POPLAR STREET ELIZABETHTOWN NC 28337 WWW.CAPEFEARVALLEY.COM X X X A 4 HOKE HOSPITAL 210 MEDICAL PAVILION DRIVE RAEFORD NC 28376 WWW.CAPEFEARVALLEY.COM X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://WWW.CAPEFEARVALLEY.COM/DOWNLOADS/CHNA/CUMBERLAND-CHNA-2019.PDF X 1 21 0 0 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.CAPEFEARVALLEY.COM/PATIENTS/FINANCIAL-ASSISTANCE.HTML X HTTPS://WWW.CAPEFEARVALLEY.COM/PATIENTS/FINANCIAL-ASSISTANCE.HTML X HTTPS://WWW.CAPEFEARVALLEY.COM/PATIENTS/FINANCIAL-ASSISTANCE.HTML X X X X X X X 1 X 0 X X X X 1 X 0 0 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 2022. FOR OUR 2022 CHNA WE COLLABORATED WITH HEALTHENC AND CONDUENT HEALTHY COMMUNITIES INSTITUTE, A COLLABORATIVE OF 22 HOSPITALS AND 21 HEALTH DEPARTMENTS FROM ACROSS EASTERN NC, INCLUDING THE BLADEN, CUMBERLAND, HOKE, AND HARNETT 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 ASSISTED HEALTHENC IN CREATING A COMPREHENSIVE REPORT FOR EACH OF THE FOUR 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 SUBSTANCE ABUSE/MENTAL HEALTH, ACCESS TO HEALTH SERVICES, AND CHRONIC DISEASE MANAGEMENT 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.THE OUTPATIENT PHARMACIES AT CAPE FEAR VALLEY CONTINUED THE MISSION OF VACCINATING THE PUBLIC AGAINST COVID-19 AND INFLUENZA, WITH BOTH NEW VACCINATIONS AND BOOSTERS. THROUGHOUT THE PANDEMIC AND SINCE THE COVID VACCINE WAS MADE AVAILABLE, CFVHS HAS PROVIDED OVER 183,000 VACCINES TO MEMBERS OF THE COMMUNITY. SYSTEM-WIDE INFLUENZA VACCINES IN 2023 AMOUNTED TO 17,679. 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.PHARMACY HAS CONTINUED TO EXPAND INTO THE OUTPATIENT CLINICS AS WELL. CLINICAL PHARMACIST PRACTITIONERS, OR CPPS, PROVIDE SERVICES 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 IN THE MEDICAL ONCOLOGY CLINIC CONTINUES 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. IN 2023, SIX CLINICAL PHARMACIST PRACTITIONERS JOINED THE HEALTH SYSTEM IN OUR OUTPATIENT PHARMACIES AND CLINICS. THE SUCCESS OF THE CPP PROGRAM HAS BEEN AN ASSET TO THE COMMUNITY THROUGH TARGETED MEDICATION COUNSELING AND FOCUSED PATIENT CARE.CAPE FEAR VALLEY HEALTH SYSTEM PARTICIPATED IN THE NC MEDASSIST OVER THE COUNTER MEDICINE PROGRAM. NC MEDASSIST TRIES TO ELIMINATE THE BARRIERS FOR HOMEBOUND PATIENTS WHO WOULD LIKE TO PARTICIPATE IN A SCHEDULED MOBILE FREE PHARMACY EVENT BY PROVIDING A PROCESS TO SELECT OVER-THE-COUNTER MEDICINE ITEMS WITHOUT PHYSICALLY ATTENDING THE EVENT. OVER-THE-COUNTER MEDICATIONS AVAILABLE THROUGH NC MEDASSIST INCLUDE ALLERGY, COUGH, COLD, PAIN RELIEF, VITAMINS, AND CHILDREN'S MEDICATIONS. THE RESIDENCY PROGRAM AT CFVHS FOSTERS OUTREACH AMONGST OUR RESIDENTS AND RAISES 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 ONE INTERNAL MEDICINE CLINIC IN HARNETT COUNTY. ADDITIONALLY, SIX SPECIALTY CLINICS WERE OPENED IN CUMBERLAND AND HARNETT COUNTY TO PROVIDE GREATER ACCESS FOR OUR COMMUNITY TO SPECIALTY PROVIDERS. THE SPECIALTY CLINICS THAT BECAME OPERATIONAL DURING FY23 WERE NEUROLOGY, RHEUMATOLOGY, HEART AND VASCULAR, AND THREE ORTHOPEDICS PRACTICES. 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.THE PROVIDER RESIDENCY PROGRAM AT CFVHS BOASTS 13 PROGRAMS AND OVER 275 RESIDENTS. PROGRAM AREAS OFFERED BY THE HEALTH SYSTEM INCLUDE TRADITIONAL ROTATING INTERNSHIP, INTERNAL MEDICINE, FAMILY MEDICINE, EMERGENCY MEDICINE, SURGERY, PSYCHIATRY, OB/GYN, PODIATRY, PHARMACY, AND ORTHOPEDICS. FELLOWS IN THE CARDIOLOGY AND ADOLESCENT PSYCHIATRY FELLOWSHIP PROGRAM HAVE GROWN 30% SINCE 2022. MORE THAN HALF OF ELIGIBLE RESIDENTS HAVE COMMITTED TO WORK AT CFVHS UPON COMPLETION OF THEIR RESIDENCY.ON FEBRUARY 27, 2023, METHODIST UNIVERSITY AND CAPE FEAR VALLEY HEALTH SYSTEM ANNOUNCED THEIR INTENT TO ESTABLISH A STATE-OF-THE-ART SCHOOL OF MEDICINE ON THE CAMPUS OF CAPE FEAR VALLEY MEDICAL CENTER. THE NEW MEDICAL SCHOOL WILL COMBINE THE EXPERTISE AND RESOURCES OF BOTH INSTITUTIONS TO PROVIDE STUDENTS WITH UNPARALLELED EDUCATIONAL AND CLINICAL EXPERIENCES. THE PARTNERSHIP WILL HAVE A MISSION THAT FOCUSES ON PROVIDING BETTER MEDICAL CARE FOR RURAL AND UNDERSERVED POPULATIONS AND DIVERSIFYING THE PHYSICIAN WORKFORCE, ACCORDING TO A STATEMENT FROM THE UNIVERSITY.THE PARTNERSHIP BETWEEN CFVHS AND METHODIST UNIVERSITY IS A SIGNIFICANT MILESTONE IN THE HISTORY OF MEDICAL EDUCATION IN SOUTHEASTERN NORTH CAROLINA. THE NEW MEDICAL SCHOOL WILL BE AN IMPORTANT CONTRIBUTOR TO THE HEALTHCARE INDUSTRY, ADDRESSING THE SHORTAGE OF HEALTHCARE PROFESSIONALS AND IMPROVING THE QUALITY OF HEALTHCARE DELIVERY. STUDENTS WILL BE GIVEN THE OPPORTUNITY TO LEARN IN A COLLABORATIVE AND INNOVATIVE ENVIRONMENT, WITH ACCESS TO INNOVATIVE TECHNOLOGIES AND NEW, STATE-OF-THE-ART FACILITIES CONSTRUCTED AT CFVMC. STUDENTS WILL BE GIVEN THE OPPORTUNITY TO WORK ALONGSIDE EXPERIENCED FACULTY AND HEALTHCARE PROFESSIONALS, GAINING VALUABLE REAL-WORLD EXPERIENCE THAT WILL PREPARE THEM FOR THEIR FUTURE CAREERS.CONSTRUCTION ON THE MEDICAL SCHOOL BUILDING BEGAN IN EARLY 2024. THE BUILDING IS SCHEDULED FOR COMPLETION IN LATE 2025. THE FIRST CLASS (CLASS OF 2030) WILL MATRICULATE IN JULY 2026. RECRUITMENT OF STUDENTS WILL BEGIN PENDING RECEIPT OF PRELIMINARY ACCREDITATION FROM THE LIAISON COMMISSION ON MEDICAL EDUCATION (LCME) IN THE SPRING OF 2025. THE SCHOOL WILL START WITH 80 STUDENTS PER YEAR AND GROW TO 120 STUDENTS PER YEAR.IN JANUARY 2023, CFVHS OPENED THE CENTER FOR MEDICAL EDUCATION & RESEARCH AND NEUROSCIENCE INSTITUTE, A STATE-OF-THE-ART EDUCATION AND RESEARCH CENTER FOR MEDICAL RESIDENCY PROGRAMS THAT WILL BENEFIT MEDICAL STUDENTS FOR GENERATIONS TO COME. THE CENTER FOR MEDICAL EDUCATION & RESEARCH AND NEUROSCIENCE INSTITUTE SPANS FIVE FLOORS AND 120,000 SQUARE FEET AND INCLUDES LECTURE HALLS, CLASSROOMS, AND SIMULATION LABS TO PROVIDE RESIDENT MEDICAL STUDENTS WITH HANDS-ON, APPLIED LEARNING WITH SOPHISTICATED TECHNOLOGY. THE FACILITY WAS UNDER CONSTRUCTION FOR SEVERAL YEARS AND HAS BEEN A WONDERFUL ADDITIONAL TO COMMUNITY SINCE ITS OPENING IN JANUARY 2023. THE NEW CENTER FOR MEDICAL EDUCATION ALLOWS CFVMC TO EXPAND TO ITS FULL EDUCATIONAL CAPACITY, THUS, THE RESIDENCY PROGRAM IS POISED TO BRING HUNDREDS OF NEW DOCTORS TO THE REGION IN THE NEXT DECADE.CFVHS ENGAGED 3D CONSULTING TO PROVIDE A PHYSICIAN NEEDS ASSESSMENT BY EACH COUNTY IN OUR SERVICE AREA. THIS ASSESSMENT WAS COMPLETED ON NOVEMBER 9, 2022. BASED ON INTERVIEWS WITH CFVHS PROVIDERS AND EXECUTIVES, THE TOP AREAS WITH IDENTIFIED NEED BASED ON A SHORTAGE OF ALIGNED PROVIDERS, LONG WAIT TIMES, AND OLDER PHYSICIAN BASES WERE: GENERAL PRIMARY CARE, UROLOGY, NEUROLOGY, PEDIATRICS, PULMONOLOGY, VASCULAR SURGERY, GENERAL SURGERY, AND OBGYN. BASED ON CURRENT DEMAND AND SUPPLY IN OUR SERVICE AREA FOR 2022, THE FOLLOWING AREAS HAVE GREATER DEMAND THAN SUPPLY: GENERAL PRIMARY CARE, OBGYN, PEDIATRICS, PSYCHOLOGY, NEUROLOGY, PULMONOLOGY, AND PLASTIC SURGERY. TARGETED PRODUCTIVITY INCREASES AMONG CURRENT EMPLOYED PROVIDERS AND FOCUSED RECRUITMENT EFFORTS ARE EXPECTED TO CONTINUE ACROSS THE HEALTH SYSTEM TO MEET GROWING PATIENT DEMAND. DURING FY23, SEVENTY FULL TIME PROVIDERS WERE HIRED ACROSS THE HEALTH SYSTEM TO MEET THE GROWING DEMAND FOR CARE WITHIN OUR COMMUNITIES. CAPE FEAR VALLEY HEALTH SYSTEM (CONT.) ADDITIONALLY, THE VALLEY PAVILION AT CAPE FEAR MEDICAL CENTER IS UNDERGOING AN EXPANSION THAT HAS BEEN IN THE WORKS FOR SEVERAL YEARS. THIS PROJECT WILL ADD 100 BEDS BY BUILDING TWO NEW FLOORS ON TOP OF THE EXISTING VALLEY PAVILION. APPROXIMATELY 40 OF THE BEDS WILL BE DESIGNED AS ICU BEDS, WITH THE REMAINING BEDS DESIGNATED FOR MEDICAL/SURGERY INPATIENT AND OBSERVATION. ADDITIONALLY, TWO HELICOPTER PADS WILL BE ADDED TO THE TOP OF THE BUILDING WHICH WILL PROVIDE GREATER ACCESS TO PATIENTS IN EMERGENT SITUATIONS. THIS EXPANSION WILL MEET THE GROWING NEEDS OF OUR COMMUNITY AND PROVIDE ASSISTANCE IN REDUCING WAIT TIME IN OUR EMERGENCY DEPARTMENT. THE EXPANSION IS EXPECTED TO BE COMPLETE IN 2025.BLADEN COUNTY HOSPITAL, ONE OF NORTH CAROLINA'S 21 CRITICAL ACCESS FACILITIES, IS LOCATED IN A RURAL, OFTEN UNDERSERVED COMMUNITY THAT PROVIDES LIMITED OUTPATIENT AND INPATIENT SERVICES TO RESIDENTS WHO OTHERWISE WOULD HAVE TO TRAVEL LONG DISTANCES FOR EMERGENCY CARE. AS OF MAY 2023, A NEW LIFELINK AIR HELICOPTER IS STATIONED AT BLADEN COUNTY HOSPITAL. THE AIRCRAFT IS AN EXAMPLE OF CAPE FEAR VALLEY HEALTH'S INVESTMENT IN CARING FOR AND SUPPORTING THE RESIDENTS OF BLADEN COUNTY AND ITS SURROUNDING COMMUNITIES. HAVING ACCESS TO A HELICOPTER THAT IS STAFFED WITH A NURSE, A PARAMEDIC, AND A PILOT 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR ENSURES THAT COMMUNITIES IN AND AROUND BLADEN COUNTY ARE PROVIDED WITH THE BEST POSSIBLE OPPORTUNITY TO RECEIVE MEDICAL TREATMENT AT MORE ADVANCED HOSPITALS AS SOON AS POSSIBLE IN EMERGENT SITUATIONS.CFVHS FRIENDS OF THE CANCER CENTER CONTINUED TO PROVIDE FUNDING FOR MAMMOGRAMS TO CATCH BREAST CANCER IN EARLIER STAGES. THE HEALTH SYSTEM ALSO HOSTED MANY BREAST CANCER AWARENESS OUTREACH EVENTS THROUGHOUT THE YEAR, EDUCATING MEMBERS OF THE COMMUNITY ABOUT BREAST CARE EDUCATION AND BREAST CANCER AWARENESS. HANDS-ONLY CPR INSTRUCTION AND BLOOD PRESSURE CHECKS ARE A SERVICE OFFERED AT MOST OUTREACH EVENTS - OVER 6,166 COMMUNITY MEMBERS ACROSS OUR FOUR COUNTIES WERE REACHED IN 2023. OVER 3,100 COMMUNITY MEMBERS PARTICIPATED IN HEALTH SYSTEM SPONSORED BLOOD DRIVES THAT OFFERED EDUCATION AND BLOOD DONATION TO OUR HOSPITALS. THE HEALTH SYSTEM HOSTED EIGHTEEN EDUCATIONAL EVENTS FOR MEMBERS OF OUR COMMUNITY. MAKING ROUNDS LIVE PROVIDES EDUCATION FROM OUR DOCTORS AND LEADERS TO MEMBERS OF OUR COMMUNITY. OVER 21,900 COMMUNITY MEMBERS PARTICIPATED IN THE MAKING ROUNDS LIVE EDUCATIONAL EVENTS TO LEARN MORE ABOUT HEART HEALTH, ORTHOPEDICS, HEALTHY HABITS (EXERCISE AND DIET), THE OPIOID CRISIS, CHRONIC DISEASES MANAGEMENT/PREVENTION, EARLY DETECTION OF CANCER, STROKES, AND HEART ATTACKS, PALLIATIVE CARE, AND ALZHEIMER'S AWARENESS. STROKE EDUCATION EVENTS WERE HELD TO EDUCATE OVER 220 MEMBERS OF THE COMMUNITY ON IDENTIFYING AND PREVENTING STROKES AS WELL AS CARING FOR YOURSELF AND OTHERS AFTER A STROKE.STEP UP 4 HEALTH & WELLNESS EXPO IS A PARTNERSHIP BETWEEN CAPE FEAR VALLEY HEALTH FOUNDATION AND METHODIST UNIVERSITY. APRIL 15, 2023 WAS THE SECOND YEAR THIS EVENT TOOK PLACE IN FAYETTEVILLE, NC AND OVER 500 PARTICIPANTS AND 50 VENDORS WERE PRESENT. A 4K OR 1 MILE ROUTE WAS AVAILABLE FOR ATTENDEES TO PARTICIPATE IN WHICH REQUIRED A REGISTRATION FEE WHERE REGISTRANTS COULD CHOOSE THE BENEFICIARY (FRIENDS OF THE CANCER CENTER, CHILDREN'S SERVICES, ETC.). THIS HEALTH-RELATED EDUCATIONAL FESTIVAL FEATURED INFORMATIONAL BOOTHS FOR CFVHS SERVICES AS WELL AS FOOD TRUCKS, MUSIC, AND SPONSOR TABLES. PARTICIPANTS LEARNED ABOUT HANDS-ONLY CPR, RECEIVED FREE WELLNESS CHECKS, AND OTHER HEALTH-RELATED GOODIES.CFVHS CONTINUES TO UTILIZE AND EXPAND THE COMMUNITY PARAMEDIC PROGRAM TO AIDE IN HOME VISITS TO PATIENTS WITH CHRONIC CONDITIONS TO PREVENT READMISSIONS AND TO MAINTAIN STABLE HEALTH OUTCOMES. A GRANT WAS RECEIVED TO SUPPORT THE EXPANSION OF THIS PROGRAM. THIS PROGRAM PROVIDES PATIENTS AND FAMILIES WITH ADDITIONAL EDUCATION AND ROUTINE SUPPORT IN MANAGING THEIR CONDITION.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). THE OPIOID STEWARDSHIP PROGRAM EXISTS TO REDUCE OPIOID USE, DECREASE HARM RELATED TO OPIOID USE, AND IDENTIFY PATIENTS WITH POTENTIAL OPIOID USE DISORDERS. THESE GOALS ARE MET BY EDUCATING PATIENTS, IDENTIFYING, AND MONITORING HIGH RISK PATIENTS, SYSTEMIC SCREENING, AND PROVIDING ALTERNATIVE TREATMENT OPTIONS. ORDERING PRACTICES OF OUR PHYSICIANS ARE MONITORED REGULARLY AND ALTERNATIVES FOR PAIN CONTROL ARE OFFERED IN OUR EMERGENCY DEPARTMENTS. KITS ARE PROVIDED THROUGH THE OUTPATIENT PHARMACY TO DISPOSE OF OPIOIDS SAFELY. ADDITIONALLY, SAFE DRUG DISPOSALS ARE LOCATED AT OUR PHARMACIES FOR PRESCRIPTION TAKE-BACK DURING OPERATING HOURS. NARCAN IS AVAILABLE FOR USE ON OUR EMS TRANSPORT VEHICLES.IN MAY OF 2023, OUR EMERGENCY DEPARTMENTS IMPLEMENTED PEER SUPPORT SPECIALISTS. THESE SPECIALISTS INTERACT WITH EMERGENCY DEPARTMENT PATIENTS WHO HAVE EXISTING DRUG/ALCOHOL ISSUES TO HELP PATIENTS IDENTIFY COMMUNITY ASSETS. TRAINING MODULES ARE BEING DEVELOPED FOR OUR HEALTHCARE PROFESSIONALS FOR PRESCRIBING OPIOIDS FOR PAIN BASED ON RECENT CDC GUIDELINES.THE REPLACEMENT OF THE CARDIAC CATH & INTERVENTIONAL LAB AT CFVMC WAS COMPLETED IN 2022 AND HAS RESULTED IN GREATER EFFICIENCY AND THROUGHPUT OF PATIENTS. IN 2023, CARDIAC CATHETERIZATIONS INCREASED BY 7% AT CFVMC WHEN COMPARED TO FY22. INTERVENTIONAL HEART CATHETERIZATIONS ARE CONTINUING TO BE PERFORMED AT HARNETT HEALTH AND HAVE CONTINUED TO SEE GROWTH. IN FY23, CARDIAC CATHETERIZATIONS INCREASED BY 6.7% AT HARNETT HEALTH WHEN COMPARED TO FY22. HEARTFELT BANQUET IS HELD EACH YEAR IN RECOGNITION OF CARDIAC ARREST AND ECMO SURVIVORS AND THEIR FAMILIES/CAREGIVERS. CARDIAC PROVIDERS ARE CONTINUING TO MEET WITH HEALTH SYSTEM PROVIDERS IN AN EFFORT TO INCREASE THE NUMBER OF PATIENTS STAYING IN THE COUNTY FOR THEIR CARE/TREATMENT. THE HEALTH SYSTEM OPENED A HEART & VASCULAR CLINIC IN HARNETT COUNTY WHICH OPENED IN THE SUMMER OF 2023.WITH THE SUPPORT OF THE DOROTHEA DIX STATE ALLOCATED FUNDS, CAPE FEAR VALLEY MEDICAL CENTER, LOCATED IN CUMBERLAND COUNTY, BUILT, AND OPENED 16 ADDITIONAL ADOLESCENT BEHAVIORAL HEALTH BEDS WHICH BECAME OPERATIONAL IN JUNE OF 2022. THESE BEDS HAVE BEEN SUPPORTING OUR YOUTH IN NEED OF THESE SERVICES. 2023 WAS THE FIRST FULL YEAR THAT THE ADOLESCENT BEHAVIORAL HEALTH UNIT WAS OPERATIONAL. THE AVERAGE DAILY CENSUS WAS 7 PATIENTS WHICH HAS CONTINUED TO INCREASE AS MORE AWARENESS IS RAISED AROUND THIS NEW SERVICE OFFERING.CAPE FEAR VALLEY HEALTH SYSTEM IS BUILDING AND WILL OPERATE AND ADOLESCENT PSYCHIATRIC FACILITY AT CENTRAL HARNETT HOSPITAL IN LILLINGTON, NORTH CAROLINA. THE DORTHEA DIX PSYCHIATRIC SERVICES (DDPS) UNIT IS PLANNED AS A 12-BED FACILITY DESIGNED SPECIFICALLY TO PROVIDE HELP TO ADOLESCENTS GENERALLY FROM AGES 13-17 AND THEIR FAMILIES DURING PERIODS OF ACUTELY EXACERBATED PSYCHIATRIC ILLNESS. THE DDPS UNIT WILL BE A STATE LICENSED PROGRAM DESIGNED TO TREAT PSYCHIATRIC ILLNESS IN ADOLESCENTS THAT ARE NOT SAFE TO BE MANAGED ON AN OUTPATIENT BASIS AND TO PROVIDE STABILIZATION SERVICES TO ALLOW FOR ONGOING TREATMENT UPON DISCHARGE ONCE STABILIZATION HAS OCCURRED. CAPE FEAR VALLEY HEALTH SYSTEM HAS PURCHASED APPROXIMATELY SIX ACRES TO EXPAND THE SIZE OF THE OVERALL CAMPUS WHICH WILL PROVIDE THE SITE FOR THE CONSTRUCTION OF THE ADOLESCENT PSYCHIATRIC UNIT, RECREATIONAL AREAS FOR THE UNIT, APPROPRIATE PARKING, AND EASY CONNECTIONS TO THE MAIN HOSPITAL FACILITY. IN ADDITION, THE FACILITY AT CENTRAL HARNETT HOSPITAL ALLOWS FOR FUTURE EXPANSION SHOULD THE NEED ARISE.CAPE FEAR VALLEY HEALTH HAS SECURED $8 MILLION IN FUNDING FOR THIS PROJECT THROUGH DORTHEA DIX AND THE STATE CAPITAL AND INFRASTRUCTURE FUND SCIF. GROUND BREAKING FOR THIS PROJECT WILL BE SCHEDULED DURING THE EARLY SUMMER OF 2024, WITH A PROJECTED OPENING DATE IN LATE 2025.CAPE FEAR VALLEY HEALTH SYSTEM IS CONSTANTLY EVOLVING TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. THE INTEGRATION OF EPIC AT HARNETT HEALTH WAS SUCCESSFULLY COMPLETED ON OCTOBER 1, 2022. THIS INTEGRATION HAS BEEN SUCCESSFUL OVER THE PAST YEAR AND HAS AIDED IN PROVIDING SEAMLESS CARE TO OUR PATIENTS ACROSS THE COUNTIES THAT 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 FOR EVERY LIFE WE TOUCH. CAPE FEAR VALLEY HEALTH SYSTEM (CONT.) 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. 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 CAPE FEAR VALLEY HEALTH SYSTEM PART V, SECTION B, LINE 16I: SEE THE RESPONSE TO PART VI, LINE 3 40 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 102 RAEFORD NC 28376 FAMILY PRACTICE 37 - HOKE OBGYN 300 MEDICAL PAVILION DRIVE SUITE 250 RAEFORD NC 28376 FAMILY PRACTICE 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 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 $189,619,000 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 $231,512,000 AT SEPTEMBER 30, 2023. THE HEALTH SYSTEM'S NET PATIENT SERVICE REVENUE IS PRESENTED NET OF PROVISION OF UNCOLLECTIBLE ACCOUNTS OF $189,619,000 FOR THE YEAR ENDED SEPTEMBER 30, 2023. 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 1 CAPE FEAR VALLEY MEDICAL FOUNDATION PO BOX 87526 FAYETTEVILLE NC 28304 561947017 501(C)(3) 315500 0 GENERAL SUPPORT BLADEN COMMUNITY COLLEGE PO BOX 266 DUBLIN NC 28332 560894927 501(C)(3) 50000 0 GENERAL SUPPORT FTCC FOUNDATION INC PO BOX 35236 FAYETTEVILLE NC 28303 581640133 501(C)(3) 16000 0 GENERAL SUPPORT GREATER FAYETTEVILLE BUSINESS 4424 FORT BRAGG BLVD FAYETTEVILLE NC 28303 852103575 501(C)(3) 13420 0 GENERAL SUPPORT FAYETTEVILLE CHAMBER OF COMMERCE PO BOX 58585 FAYETTEVILLE NC 28305 800058724 501(C)(3) 10000 0 GENERAL SUPPORT 5 PART I, LINE 2: 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. X X X X X 0 0 0 0 0 0 0 1 0 MICHAEL NAGOWSKI CEO 1069997 0 814230 0 1688 0 9150 0 11086 0 1906151 0 0 0 ROBERT MAUGHAN PHYSICIAN 1159385 0 227422 0 21449 0 9150 0 4638 0 1422044 0 0 0 CHARLES HAWORTH PHYSICIAN 899995 0 225441 0 75248 0 9150 0 8961 0 1218795 0 0 0 PRITHVI NARAYAN PHYSICIAN 750000 0 0 0 161388 0 9150 0 9048 0 929586 0 0 0 MELISSA STAMATES PHYSICIAN 830000 0 0 0 16899 0 9150 0 6663 0 862712 0 0 0 MICHAEL ZAPPA CCO 632808 0 75840 0 114659 0 9150 0 2529 0 834986 0 0 0 DANIEL WEATHERLY COO 617616 0 107515 0 0 0 9150 0 10771 0 745052 0 0 0 BRET JOHNSON CFO 550603 0 83417 0 8226 0 9150 0 9388 0 660784 0 0 0 PHILIP WOOD JR CIO 391045 0 129285 0 5975 0 9150 0 9206 0 544661 0 0 0 DEBORAH MARSHBURN CNO 337468 0 48892 0 2696 0 9150 0 9394 0 407600 0 0 0 PART I, LINE 7 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. A PUBLIC FINANCE AUTHORITY 273866124 000000000 2020-12-10 152000000 SEE DETAIL 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 000000000 2022-06-09 87500000 SEE DETAIL 0 0 0 C PUBLIC FINANCE AUTHORITY 273866124 000000000 2022-07-01 93400000 SEE DETAIL 0 0 0 A 50000000 152000000 152000000 2017 1 0 1 1 B 87500000 440000 4111290 82948710 0 0 1 1 C 93400000 290000 965650 42144350 50000000 2020 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K, PART I, COLUMN F - DESCRIPTION OF PURPOSE: BOND A 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. BOND B ISSUED 6/9/2022 - TO FUND A PORTION OF (1) THE ACQUISITION, CONSTRUCTION, EQUIPPING AND FURNISHING OF (A) A 100-BED EXPANSION OF THE VALLEY PAVILION TOWER AT CAPE FEAR VALLEY MEDICAL CENTER AND (B) A NEW MEDICAL OFFICE CANCER CENTER BUILDING LOCATED AT CENTRAL HARNETT HOSPITAL AND (2) ACQUIRING AND INSTALLING MEDICAL, COMPUTER, OFFICE AND CAPITAL EQUIPMENT FOR USE AT BOTH LOCATIONS (COLLECTIVELY, THE PROJECT). BOND C ISSUED 7/1/2022 - $43,400,000 TO FUND A PORTION OF THE PROJECT AND $50,000,000 TO REFUND THE SERIES 2020 BONDS. 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. 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 PRINTED COPIES ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES AT THE ADMINISTRATIVE OFFICE 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. FORM 990, PART XI, LINE 9: CONTRIBUTIONS -6,250,964. BLADEN COUNTY HEALTHCARE LLC PO BOX 2000 FAYETTEVILLE NC 28302 800164702 HEALTH SERVICES NC 44035465 46073103 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 77852215 162681535 CCHS CAPE FEAR VALLEY MEDICAL FOUNDATION PO BOX 87526 FAYETTEVILLE NC 28304 561947017 FUNDRAISING NC 501(C)(3) 7 CCHS 1 BLADEN COUNTY HOSPITAL FOUNDATION INC PO BOX 398 ELIZABETHTOWN NC 28337 561833893 FUNDRAISING NC 501(C)(3) 7 CCHS 1 HARNETT HEALTH SYSTEM INC PO BOX 1706 DUNN NC 28335 560603898 HEALTH SERVICES NC 501(C)(3) 3 CCHS 1 HARNETT HEALTH SYSTEM FOUNDATION 800 TILGMAN DRIVE DUNN NC 28334 201929953 FUNDRAISING NC 501(C)(3) 7 N/A 0 FAYETTEVILLE AMB SURGERY CENTER 1781 METROMEDICAL DRIVE FAYETTEVILLE NC 28304 561754482 HEALTHCARE NC CCHS RELATED 0 1 0.68320 HIGHSMITH-RAINEY MED ARTS CENTER ASSOC PO BOX 2000 FAYETTEVILLE NC 28302 561747424 RENTAL ASSOC. NC CCHS C 90627 1363011 1.00000 1 CUMBERLAND HLTH PARTNERS INC (INACTIVE) PO BOX 2000 FAYETTEVILLE NC 28302 562043978 BEHAVIORAL HEALTH NC CCHS C 1.00000 1 CAPE FEAR INSURANCE LTD PO BOX 30600 SMB WEST BAY RD GRAND CAYMAN CJ 980449284 INSURANCE CJ CCHS C 1924134 69912971 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 CAPE FEAR VALLEY MEDICAL FOUNDATION C 5955614 CASH CAPE FEAR VALLEY MEDICAL FOUNDATION N 258934 CASH CAPE FEAR VALLEY MEDICAL FOUNDATION O 493139 CASH