HUGH CHATHAM MEMORIAL HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: HUGH CHATHAM MEMORIAL HOSPITAL INC (EIN 56-0642846)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-13
IRS object ID: 202502259349302140
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-13T14:49:21+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560642846	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHATHAM MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HUGH	BusinessNameControlTxt
Phone	3365277000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	180 PARKWOOD DR	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL H HAMMES	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2025-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2025-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Hugh Chatham Health	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PAUL H HAMMES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	180 PARKWOOD DR	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$139,486,345	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HUGHCHATHAM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1930	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE BIRTHING AND ACUTE CARE SERVICES IN ADDITION TO SKILLED NURSING, RETIREMENT COMMUNITY, HOME HEALTH, AND HOSPICE SERVICES PRIMARILY TO THE RESIDENTS OF AND SURROUNDING COUNTIES TO SURRY COUNTY, NORTH CAROLINA.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1235	TotalEmployeeCnt
Total Volunteers	17	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$500,000	PYContributionsGrantsAmt
CY Contributions Grants	$74,498	CYContributionsGrantsAmt
PY Program Service Revenue	$131,680,631	PYProgramServiceRevenueAmt
CY Program Service Revenue	$133,004,746	CYProgramServiceRevenueAmt
PY Investment Income	$24,652,464	PYInvestmentIncomeAmt
CY Investment Income	$4,502,183	CYInvestmentIncomeAmt
PY Other Revenue	$1,514,842	PYOtherRevenueAmt
CY Other Revenue	$1,878,967	CYOtherRevenueAmt
PY Total Revenue	$158,347,937	PYTotalRevenueAmt
CY Total Revenue	$139,460,394	CYTotalRevenueAmt
PY Grants And Similar Paid	$17,807	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$334,679	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$77,027,452	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$82,436,962	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$123,233	CYTotalFundraisingExpenseAmt
PY Other Expenses	$82,546,701	PYOtherExpensesAmt
CY Other Expenses	$88,462,917	CYOtherExpensesAmt
PY Total Expenses	$159,591,960	PYTotalExpensesAmt
CY Total Expenses	$171,234,558	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,244,023	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$31,774,164	CYRevenuesLessExpensesAmt
Total Assets BOY	$245,776,061	TotalAssetsBOYAmt
Total Assets EOY	$221,645,326	TotalAssetsEOYAmt
Total Liabilities BOY	$71,444,275	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$57,989,739	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$174,331,786	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$163,655,587	NetAssetsOrFundBalancesEOYAmt
Mission	TO CONSISTENLY DELIVER EXCEPTIONAL QUALITY AND SERVICE BY DEMONSTRATING THE VALUES OF SERVICE, TEAMWORK, ACCOUNTABILITY, RESPECT, AND SAFE CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$155,703,695	ExpenseAmt
Grant	$334,679	GrantAmt
Revenue	$133,011,563	RevenueAmt
Desc	In 2024, Hugh Chatham Health continued their legacy of providing healthcare to all within the community. The organization's Vision, "to be the best community health system in the nation with service as our guiding principle," declares that every member of the team provides the highest level of care for every patient, at every location. Hugh Chatham makes a difference every day for local citizens and employers. The nonprofit healthcare system has recently received many prestigious awards that accentuate its commitment to excellence. * American Heart Association 2024 Get With The Guidelines: Stroke GOLD PLUS with Honor Roll Elite and Target: Type 2 Diabetes * American Heart Association 2024 Get With The Guidelines: Stroke Rural Silver * Women's Choice Award for Best in Obstetrics and Stroke Care for 2024 * Hugh Chatham Health at Home: Superior Performer for Patient Satisfaction by SHP In 2024, Hugh Chatham Health introduced Hugh Chatham Health - Family Medicine Residency, a three-year program that will allow doctoral students to complete a residency program geared towards family medicine in rural communities. This program will increase access to quality healthcare, offering a full spectrum of clinical learning experiences for new physicians, and include rotations in pediatrics, obstetrics, inpatient and outpatient family medicine, as well as select specialty opportunities. In partnership with Elkin Emergency Rescue Squad, Hugh Chatham Health began providing transport services for non-emergent patients, allowing additional room for those needing inpatient treatment and quicker discharge times for those already admitted. In 2024, the service transported over 450 patients throughout the Yadkin Valley and beyond. Hugh Chatham Health raised over $225,000 through events and fundraisers for the Hugh Chatham Health Foundation, which directly supports the needs of the community and its members. Funds were distributed to scholarships, community partnerships, new rehab equipment, and the Step-by-Step Program which allows individuals to receive cardiac or pulmonary rehab services without financial burden. Hugh Chatham continues to support local school systems by providing life-saving education and skills, scholarship opportunities, and sponsorships for HOSA organizations. Hugh Chatham leaders also participated in the high school's partnership with District C, an organization that encourages students to think critically and creatively while preparing them for the workforce. Hugh Chatham continues to provide a virtual care platform, caring for patients who are unable to attend a physical visit or are otherwise home-bound. Hugh Chatham Virtual Care allows access to providers via website or application. A complete listing of services is available on the health system's website at www.HughChatham.org. For real-time updates and stories about the people who make this health system successful, visit Hugh Chatham Health on Facebook, Instagram, Twitter and LinkedIn.	Desc
Total Program Service Expenses	$155,703,695	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	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	Yes (true)	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	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	144	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1235	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	false	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	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AMY REDIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3365277595	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 560	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BOB BALL
Treasurer	1.0	Yes (X)	Yes (X)	$0	$0	$0
CYNTHIA GONZALES
Chairman	1.0	Yes (X)	Yes (X)	$0	$0	$0
ELENA THOMASSON
Asst. Secretary/Treasurer	1.0	Yes (X)	Yes (X)	$0	$0	$0
PHIL HARRIS
Secretary	1.0	Yes (X)	Yes (X)	$0	$0	$0
ANN ASHMAN
Board Member	1.0	Yes (X)		$0	$0	$0
BILL JOHNSON
Board Member	1.0	Yes (X)		$0	$0	$0
CRYSTAL MORPHIS
Board Member	1.0	Yes (X)		$0	$0	$0
DAVID ACKERMAN
Board Member	1.0	Yes (X)		$0	$0	$0
DAVID CLINE
Board Member	1.0	Yes (X)		$0	$0	$0
DR MURUG SUBBIAH
Board Member/Chief of Staff	40.0	Yes (X)		$488,986	$0	$84,346	1.0
KEVIN AUSTIN
Board Member	1.0	Yes (X)		$0	$0	$0
MARK STEPHENS
Board Member	1.0	Yes (X)		$0	$0	$0
MYRA COX
Board Member	1.0	Yes (X)		$0	$0	$0
TERRY DARNELL
Board Member	1.0	Yes (X)		$0	$0	$0
KENT THOMPSON
CFO (THRU 10/26/23)	40.0		Yes (X)	$240,298	$0	$32,941
KEVIN MAY
CFO	40.0		Yes (X)	$165,677	$0	$0
PAUL HAMMES
CEO	40.0		Yes (X)	$457,089	$0	$83,698	2.0
ANDREW TATE
CPO & VP AMB Services (THRU 2/20/24)	40.0			$258,718	$0	$29,242		Yes (X)
JONATHAN SNYDER
CMO	40.0			$643,823	$0	$73,017		Yes (X)
MARY BLACKBURN
CNO	40.0			$258,097	$0	$84,362		Yes (X)
DOMINICK CARBONE
PHYSICIAN	40.0			$780,251	$0	$76,065			Yes (X)
JOHNATHAN WHITAKER
PHYSICIAN	40.0			$906,892	$0	$73,889			Yes (X)
MARC STEVENS
PHYSICIAN	40.0			$801,001	$0	$51,377			Yes (X)
SARBA KUNDU
PHYSICIAN	40.0			$1,122,367	$0	$77,346			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,123,199	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$666,283	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	124	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
QUALIVIS LLC
P O BOX 674913	DALLAS	TX	752674913	CONTRACT LABOR	$4,841,251
NURSE ANESTHESIA OF N C-ELKIN
6225 N STATE HWY 161	IRVING	TX	75038	CONTRACT LABOR	$1,991,202
NORTH CAROLINA BAPTIST HOSPITAL
MEDICAL CENTER BLVD	WINSTON SALEM	NC	271571191	Medical Services	$1,056,963
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	CONTRACT LABOR	$611,480
CORNERSTONE HEALTH ENABLEMENT
165 KIMEL PARK DRIVE SUITE B	WINSTON SALEM	NC	27103	ACO - Health Care Svcs	$354,861

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$74,498	AllOtherContributionsAmt
Total Contributions	$74,498	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CARE SERVICES	621400	$131,515,478	$131,515,478
OTHER OPERATING REVENUE	621400	$1,489,268	$1,489,268

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$133,004,746	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,439,579	TotalRevenueColumnAmt
Exclusion	$3,439,579	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,872,150	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,872,150	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,872,150	TotalRevenueColumnAmt
Exclusion	$1,872,150	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,088,555	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$25,951	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,088,555	SecuritiesAmt
Other	-$25,951	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,062,604	TotalRevenueColumnAmt
Exclusion	$1,062,604	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA & VENDING	Desc
Business	900099	BusinessCd
Total Revenue Column	$6,817	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,817	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,817	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$139,460,394	TotalRevenueColumnAmt
Related Or Exempt Func Income	$133,011,563	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$6,374,333	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$334,679	TotalAmt
Program Services	$334,679	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,467,748	TotalAmt
Program Services	$1,002,777	ProgramServicesAmt
Management And General	$1,367,306	ManagementAndGeneralAmt
Fundraising	$97,665	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$62,865,498	TotalAmt
Program Services	$54,484,749	ProgramServicesAmt
Management And General	$8,380,749	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$446,182	TotalAmt
Program Services	$378,942	ProgramServicesAmt
Management And General	$66,573	ManagementAndGeneralAmt
Fundraising	$667	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,261,006	TotalAmt
Program Services	$10,413,272	ProgramServicesAmt
Management And General	$1,829,405	ManagementAndGeneralAmt
Fundraising	$18,329	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,396,528	TotalAmt
Program Services	$3,733,971	ProgramServicesAmt
Management And General	$655,985	ManagementAndGeneralAmt
Fundraising	$6,572	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$221,149	TotalAmt
Management And General	$221,149	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$502,364	TotalAmt
Management And General	$502,364	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$610,808	TotalAmt
Management And General	$610,808	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$33,295,238	TotalAmt
Program Services	$33,295,238	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$503,140	TotalAmt
Program Services	$503,140	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,526,605	TotalAmt
Program Services	$2,145,846	ProgramServicesAmt
Management And General	$380,759	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,464,898	TotalAmt
Program Services	$1,244,138	ProgramServicesAmt
Management And General	$220,760	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$223,865	TotalAmt
Program Services	$223,865	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,811,130	TotalAmt
Program Services	$1,538,193	ProgramServicesAmt
Management And General	$272,937	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,964,399	TotalAmt
Program Services	$5,065,564	ProgramServicesAmt
Management And General	$898,835	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,236,968	TotalAmt
Program Services	$1,236,968	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$16,773,126	$16,773,126
BAD DEBT EXPENSE	$13,388,290	$13,388,290
PROVIDER TAX	$4,808,750	$4,808,750
MISCELLANEOUS	$4,739,050	$4,739,050

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$393,137	TotalAmt
Program Services	$393,137	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$171,234,558	TotalAmt
Program Services	$155,703,695	ProgramServicesAmt
Management And General	$15,407,630	ManagementAndGeneralAmt
Fundraising	$123,233	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,353,024	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$23,863,023	BOYAmt
EOY	$17,531,515	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,108,022	BOYAmt
EOY	$1,148,503	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,612,055	BOYAmt
EOY	$3,726,547	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$150,549,017	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$101,201,559	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$53,128,403	BOYAmt
EOY	$49,347,458	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$141,466,443	BOYAmt
EOY	$125,172,171	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$14,082,056	BOYAmt
EOY	$13,757,446	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,516,059	BOYAmt
EOY	$8,608,662	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$245,776,061	BOYAmt
EOY	$221,645,326	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,239,576	BOYAmt
EOY	$20,558,342	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$176,178	BOYAmt
EOY	$140,700	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,664,279	BOYAmt
EOY	$34,571,170	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,364,242	BOYAmt
EOY	$2,719,527	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,444,275	BOYAmt
EOY	$57,989,739	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$171,106,374	BOYAmt
EOY	$160,430,175	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,225,412	BOYAmt
EOY	$3,225,412	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$174,331,786	BOYAmt
EOY	$163,655,587	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$245,776,061	BOYAmt
EOY	$221,645,326	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$31,774,164	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$22,730,544	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$51,475	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$1,684,054	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
Volunteers	Yes (true)	VolunteersInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$16,073	OtherActivitiesAmt
Total Lobbying Expenditures	$16,073	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1I: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA). THESE ORGANIZATIONS ENGAGE IN LOBBYING EFFORTS TO LEGISLATIVE BODIES ON BEHALF OF THEIR MEMBERSHIP BASES. EACH YEAR, A PORTION OF MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ENDEAVORS. FOR THE CURRENT YEAR, THE PORTION OF DUES PAID ALLOCATED TO LOBBYING IS APPROXIMATELY $ 16,073.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,189,614	OtherCostOrOtherBasisAmt
Book Value	$4,189,614	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,499,079	OtherCostOrOtherBasisAmt
Depreciation	$54,736,348	DepreciationAmt
Book Value	$42,762,731	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,883,989	OtherCostOrOtherBasisAmt
Depreciation	$37,926,160	DepreciationAmt
Book Value	-$42,171	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,976,335	OtherCostOrOtherBasisAmt
Depreciation	$8,539,051	DepreciationAmt
Book Value	$2,437,284	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$49,347,458	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN HOSPICE OF SURRY COUNTY	$6,797,087	C
Investment in Alleghany Health	$6,960,359	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$13,757,446	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INTEREST PAYABLE	$187,854
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$750,000
PHYSICIAN GUARANTEE	$322,114
INTEREST RATE SWAP	$567,175
RESIDENT TRUST FUNDS	$66,224
Lease Liability	$826,160
Operating Account Overdraft	$0

Field	Value	IRS element (for citing)
Total Liability	$2,719,527	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	The Hospital, Foundation, and Auxiliary are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code; accordingly, the accompanying financial statements do not reflect a provision or liability for federal and state income taxes. The Hospital has determined that it does not have any material unrecognized tax benefits or obligations as of September 30, 2024.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$586,314	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$586,314	NetCommunityBenefitExpnsAmt
Total Expense	0.0037	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,898,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,876,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,022,397	NetCommunityBenefitExpnsAmt
Total Expense	0.0191	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,485,264	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,876,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,608,711	NetCommunityBenefitExpnsAmt
Total Expense	0.0229	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,170	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,170	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,995	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$119,995	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,019	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$126,019	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$260,184	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$260,184	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,745,448	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,876,553	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,868,895	NetCommunityBenefitExpnsAmt
Total Expense	0.0245	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$385,886	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$385,886	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$385,886	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$385,886	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$13,388,290	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,839,643	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$13,347,751	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,347,751	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$0	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHATHAM MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	180 PARKWOOD DRIVE	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	DISPROPORTIONATE SHARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHATHAM MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	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
CHNA Conducted	22	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	https://www.https://hughchatham.org/wp-content/uploads/2023/01/2022_CommunityHealthNeeds-Plan_1.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://wwwhttps://hughchatham.org/wp-content/uploads/2023/01/2022-Community-Health-Needs-Assessment	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	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://hughchatham.org/patient-visitor-guide/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://hughchatham.org/patient-visitor-guide/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://hughchatham.org/patient-visitor-guide/financial-assistance/	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
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. EXPERTS IN THE FIELD OF PUBLIC HEALTH, HOSPICE CARE, NURSES, PHYSICIANS, CASE MANAGEMENT, EDUCATION, AND PHILANTHROPY WERE CHOSEN FOR THE FOCUS GROUP. THE FOCUS GROUPS WERE DESIGNED AROUND THE KEY ISSUES THAT EMERGED FROM THE MEETINGS.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. Hugh Chatham Memorial Hospital will continue to play a leading role in addressing the health needs of those within our community, with a special focus on the underserved. As such, community benefit planning is integrated into our hospital's annual planning and budgeting processes to ensure we continue to effectively support community benefits.
Schedule H, Part V, Section B, Line 15 Facility , 1	Facility , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. Patient access screening questions and cover letter with plain language directions to apply.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. English and Spanish options are available on the website.

Field	Value	IRS element (for citing)
Facility	35	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
YADKIN VALLEY HOME HEALTH
560 WINSTON RD	ELKIN	NC	28642	HOME HEALTH
PARKWOOD PLACE RETIREMENT CENTER
601 JOHNSON RIDGE RD	ELKIN	NC	28621	RETIREMENT CENTER
TRI COUNTY ORTHOPEDIC AND SPORTS MEDICINE
400 JOHNSON RIDGE RD	ELKIN	NC	28621	PHYSICIAN OFFICE
TRI COUNTY ORTHOPEDIC AND SPORTS MEDICINE - Jonesville
546 WINSTON ROAD	JONESVILLE	NC	28642	PHYSICIAN OFFICE
YADKIN VALLEY GASTROENTEROLOGY
201 WEST MAIN STREET	ELKIN	NC	28621	PHYSICIAN OFFICE
G I CLINIC
201 WEST MAIN STREET	ELKIN	NC	28621	PROCEDURE CLINIC
HUGH CHATHAM SURGICAL
101-A ELDON PARK DRIVE	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM URGENT CARE - ELKIN
631 CC CAMP ROAD	ELKIN	NC	28621	PHYSICIAN OFFICE
JONESVILLE URGENT CARE CENTER
546 WINSTON ROAD	JONESVILLE	NC	28642	PHYSICIAN OFFICE
YADKIN VALLEY UROLOGY
200 JOHNSON RIDGE MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
YADKIN VALLEY INTERNAL MEDICINE
500 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
CLINGMAN MEDICAL CENTER FAMILY MEDICINE & EXPRESS CARE
3369 CLINGMAN RD	RONDA	NC	28670	PHYSICIAN OFFICE
YADKIN VALLEY DERMATOLOGY
201A ELDON PARK DRIVE	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MEDICINE ELKIN
600 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM NEUROLOGY
101-B ELDON PARKS DRIVE	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM BEHAVIORAL HEALTH
690 PARKWOOD MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
YADKIN VALLEY PULMONOLOGY
546 WINSTON ROAD	JONESVILLE	NC	28642	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MED BOOMER
156 BOOMER COMMUNITY CENTER RD	BOOMER	NC	28606	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MED MT VIEWHAYS
5229 ROCK CREEK RD	HAYS	NC	28635	PHYSICIAN OFFICE
HUGH CHATHAM WOMEN'S CENTER
150 PARKWOOD DRIVE	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM PODIATRY MEDICINE AND SURGERY
800 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM EXPRESS CARE DOBSON
911 E ATKINS ST	DOBSON	NC	27017	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MEDICINE INDEPEDENCE
127 EAST MAIN STREET	INDEPENENCE	VA	24348	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MEDICINE WOODLAWN
22 TRAINING CENTER RD	WOODLAWN	VA	24381	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MEDICINE DOBSON
911 E ATKINS ST	DOBSON	NC	27017	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MEDICINE JONESVILLE
546 WINSTON ROAD	JONESVILLE	NC	28642	PHYSICIAN OFFICE
HUGH CHATHAM ENDOCRINOLOGY AND DIABETES SPECIALISTS
150 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM FAMILY MEDICINE AND OBSETRICS
680 PARKWOOD MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM MULTISPECIALTY CLINIC
123 SCENIC OUTLET LANE SUITE 3	MT AIRY	NC	27030	PHYSICIAN OFFICE
HEALTH AT HOME - WOODLAWN
22 TRAINING CENTER RD	WOODLAWN	VA	24381	HOME HEALTH
INTERNAL MEDICINE AND TRANSITIONAL CARE
300 JOHNSON RIDGE MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
HUGH CHATHAM NEPHROLOGY
500 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIAN OFFICE
TRI COUNTY ORTHOPEDIC AND SPORTS MEDICINE
1908 CAUDLE DRIVE	MT AIRY	NC	27030	PHYSICIAN OFFICE
HUGH CHATHAM WOUND CENTER
800 CHATHAM MEDICAL PARK	ELKIN	NC	28621	WOUND CARE
HUGH CHATHAM HEALTH WELLNESS CENTER
700 CHATHAM MEDICAL PARK	ELKIN	NC	28621	FITNESS FACILITY

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 6	THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
Schedule H, Part I, Line 7f	THE TOTAL EXPENSE AMOUNT LISTED ON FORM 990, PART IX, LINE 26 CONTAINS BAD DEBT EXPENSE OF $13,388,290 THAT WAS REMOVED FOR THE PURPOSE OF CALCULATING TOTAL CHARITY CARE PERCENTAGE ON LINE 7, COLUMN (F).
Schedule H, Part II COMMUNITY BUILDING ACTIVITIES	Hugh Chatham acknowledged that helping our community was essential in combatting Covid 19 and to protect the people who make Hugh Chatham's health system so impactful. The organization provided Covid-10 vaccine clinics for employees and the community. In addition HCMH provided education to decrease the spread of the virus to community members. HCMH also opened three new physician practices and expanded express care services. We rallied to ensure safety for all. We created partnerships with local organizations to provide personal protection equipment.
Schedule H, Part III, Line 9b	HCMH MAKES EVERY EFFORT TO EVALUATE PATIENTS PRIOR TO PLACEMENT WITH A COLLECTIONS AGENCY TO SEE IF THEY ARE QUALIFIED FOR MEDICAID OR HOSPITAL CHARITY CARE. WE HAVE AN IN-HOUSE EMPLOYEE DESIGNATED TO ASSISTING PATIENTS ELIGIBLE FOR MEDICAID AND/OR FINANCIAL ASSISTANCE. AT THE POINT OF THE PATIENT NOT BEING ELIGIBLE AND FAILURE TO RESPOND FOR OUR PAYMENT PLAN OPTIONS, THE ACCOUNT IS PLACED WITH A COLLECTION AGENCY AND THE AGENCY MAKES AN EFFORT FOR 30 DAYS PRIOR TO PLACING ON THE CREDIT SCORE, TO OBTAIN PAYMENT.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	13388290
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION INTERNALLY COMPUTED ITS COST-TO-CHARGES RATIO THAT WAS USED TO CALCULATE CHARITY CARE/FINANCIAL ASSISTANCE AT COST USED IN PART I, LINE 7.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	The outstanding Accts Receivable is segregated by age. A percentage, determined by historical data, of each aging group is reserved for bad debt and expensed monthly. What we call traditional Medicare and Crossover Bad Debt are expensed at 100%.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	$5,256,122 which is the bad debt amount stated above times the cost to charge ratio. 35% would qualify for financial assistance.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE ON BAD DEBT EXPENSE. THE BAD DEBT EXPENSE AT COST ON PART III, LINE 2 WAS COMPUTED BY USING THE GROSS BAD DEBT EXPENSE PER AUDITED FINANCIAL STATEMENTS REDUCED TO COST USING AN INTERNALLY COMPUTED COST-TO-CHARGES RATIO. DUE TO THE FACT THAT APPROXIMATELY 30% OF THE SURROUNDING COMMUNITY'S RESIDENTS ARE CONSIDERED TO BE LIVING BELOW THE POVERTY LINE, IN COMBINATION WITH THE FACT THAT THE UNEMPLOYMENT PERCENTAGE FOR THE AREA IS APPROXIMATELY 12.7%, THE ORGANIZATION FEELS THAT APPROXIMATELY 35% OF BAD DEBT IS AN APPROPRIATE ESTIMATION OF THE AMOUNT OF BAD DEBT THAT MAY CONSTITUTE A COMMUNITY BENEFIT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6.
Schedule H, Part V, Section B, Line 16a FAP website	- HUGH CHATHAM MEMORIAL HOSPITAL: Line 16a URL: https://hughchatham.org/patient-visitor-guide/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- HUGH CHATHAM MEMORIAL HOSPITAL: Line 16b URL: https://hughchatham.org/patient-visitor-guide/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- HUGH CHATHAM MEMORIAL HOSPITAL: Line 16c URL: https://hughchatham.org/patient-visitor-guide/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	The organization tracks the results of Health Screenings provided through its health fairs and looks for trends. These screenings provide insight into further medical needs of the community members. The fairs are held periodically through the year and are attended by hundreds of people who are offered various health screenings. This year our screenings were Covid related. The organization also subscribes to national affiliated organizations that provide data on regional health needs. The last couple of years our focus has been on stroke education, with stroke certification for our facility. We received the Stroke Silver with Honor Roll Elite and Target. We also received Joint Commissions's Gold Seal of Aprroval for the Advanced Certification for total hip and knee replacement. Reaching into the business community with educational materials and screenings being provided. The Hugh Chatham Virtual Care program allows access to providers via website or application in order to provide care to patients that do not want to be at risk for Covid-19 or otherwise homebound. The 2022 CHNA primarily focused on Surry, Wilkes, Yadkin, and Alleghany counties. These counties are considered our "community" as greater than eighty-eight (88) percent of the HCMH inpatient population resides within these four counties. Primary data for the assessment was gathered through a survey tool with more than two hundred and eighty-five (285) submissions. Participants represented multiple organizations and included individuals who have a broad knowledge of the community and/or had specific expertise or knowledge. Secondary data was obtained from local and national data published in government and private sources. A comprehensive list of identified health issues was compiled and recommendations were made to HCMH's executive leadership for further review and prioritization. Priorities were assessed and ranked based on issue prevalence, issue severity, and ability to impact. Final prioritization as determined by the executive leadership was approved by the HCMH Board of Trustees. The unprecedented pandemic of COVID-19, shocked our nation and had an unfathomable impact on healthcare systems. HCMH utilized their strengths as a community healthcare system to quickly pivot to prioritize care that embraced new strategies to diagnose and treat this emerging infectious disease. While many elective services were limited in order to provide adequate resources of supplies and personnel where they were most needed, HCMH was considered a leader in their response to patient and community needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	FINANCIAL ASSISTANCE EDUCATION IS MADE AVAILABLE AT ADMISSION AND ON THE WEBSITE. AT REGISTRATION THERE ARE BROCHURES WITH FINANCIAL ASSISTANCE INFORMATION MADE AVAILABLE. SIGNAGE IS LOCATED THROUGHOUT THE FACILITY TO INFORM AND EDUCATE THE PUBLIC OF THEIR FINANCIAL RIGHTS. HUGH CHATHAM MEMORIAL HOSPITAL OFFERS A LANGUAGE LINE FOR THE NON-ENGLISH SPEAKING COMMUNITY AND PHONETREE ASSISTANCE WHERE NEEDED.
Schedule H, Part VI, Line 4 Community information	The primary service area of the hospital includes nine zip codes. Roughly a fifteen mile diameter around Elkin, NC. The secondary service area includes an additional five zip codes widening the diameter to thirty miles around Elkin. Both of theses markets include part, but not all, of the North Carolina counties of Wilkes, Alleghany, Yadkin and Surry. Southern Virginia counties of Grayson, Patrick, and Carroll are also included.
Schedule H, Part VI, Line 5 Promotion of community health	HCMH spent over $2.1 million in updates to capital projects related to patient care. New radiology equipment added into operation to further enhance our imaging departments, Lab services and equipment to enhance our patient testing and Monitoring systems in patient care areas that will enable our staff to monitor and improve patient outcomes.
Schedule H, Part VI, Line 7 State filing of community benefit report	NC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Hugh Chatham Wellness Center
700 Chatham Medical Park	Elkin	NC	28621	501(C)(3)	$300,000	OPERATIONAL SUPPORT
Mountain Valley Hospice & Palliative Care
108 Steele Avenue	Gloversville	NY	12078	501(C)(3)	$10,000	OPERATIONAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	GRANTS ARE MADE IN ACCORDANCE WITH HUGH CHATHAM MEMORIAL HOSPITAL'S MISSION STATEMENT TO CONSISTENLY DELIVER EXCEPTIONAL QUALITY AND SERVICE BY DEMONSTRATING THE VALUES OF SERVICE, TEAMWORK, ACCOUNTABILITY, RESPECT, AND SAFE CARE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	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	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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
DR MURUG SUBBIAH
Board Member/Chief of Staff	$447,149	$0	$40,688	$0	$1,149	$0	$52,500	$0	$31,846	$0	$573,332	$0	$0	$0
PAUL HAMMES
CEO	$450,216	$0	$0	$0	$6,873	$0	$52,500	$0	$31,198	$0	$540,787	$0	$0	$0
KENT THOMPSON
CFO (THRU 10/26/23)	$220,276	$0	$0	$0	$20,022	$0	$24,979	$0	$7,962	$0	$273,239	$0	$0	$0
KEVIN MAY
CFO	$165,677	$0	$0	$0	$0	$0	$0	$0	$0	$0	$165,677	$0	$0	$0
JONATHAN SNYDER
CMO	$593,860	$0	$48,975	$0	$988	$0	$44,421	$0	$28,596	$0	$716,840	$0	$0	$0
MARY BLACKBURN
CNO	$257,224	$0	$0	$0	$873	$0	$52,500	$0	$31,862	$0	$342,459	$0	$0	$0
ANDREW TATE
CPO & VP AMB Services (THRU 2/20/24)	$258,535	$0	$0	$0	$183	$0	$10,177	$0	$19,065	$0	$287,960	$0	$0	$0
SARBA KUNDU
PHYSICIAN	$664,523	$0	$456,857	$0	$987	$0	$45,000	$0	$32,346	$0	$1,199,713	$0	$0	$0
JOHNATHAN WHITAKER
PHYSICIAN	$619,721	$0	$286,289	$0	$882	$0	$44,093	$0	$29,796	$0	$980,781	$0	$0	$0
DOMINICK CARBONE
PHYSICIAN	$740,784	$0	$37,912	$0	$1,555	$0	$52,500	$0	$23,565	$0	$856,316	$0	$0	$0
MARC STEVENS
PHYSICIAN	$716,486	$0	$83,990	$0	$525	$0	$19,531	$0	$31,846	$0	$852,378	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	The Hospital joined High Meadows Country Club. There has been no change in the policy since its inception in 2018. It is used for business purposes only.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE PRIOR CFO KENT THOMPSON RECEIVED A SEVERANCE PAYMENT OF $19,546 AS PART OF AN AGREEMENT FOR SEPARATION OF SERVICE.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	THE PHYSICIANS IN CHARGE OF THE UROLOGY PRACTICE, GASTROENTEROLOGY PRACTICE, AND DERMATOLOGY CLINIC ARE ELIGIBLE TO RECEIVE A PORTION OF THE NET PROFIT FROM THEIR PRACTICE. ANY PROFITS RESULTING FROM PHYSICIANS' PROFESSIONAL SERVICES AFTER ALL THE PRACTICE AND PHYSICIAN EXPENSES, SHALL BE SHARED. THE PHYSICIANS RECEIVE UP TO AN 85% ALLOCATION WITH THE REMAINDER GOING TO THE EMPLOYER. THE HOSPITALIST BONUS IS BASED ON PERFORMANCE GOALS AND MAY BE UP TO AS MUCH AS 20% OF THEIR SALARY. ANOTHER PHYSICIAN IN CHARGE OF THE HOSPITALIST GROUP IS ELIGIBLE TO RECEIVE UP TO 20% OF THEIR BASE SALARY DEPENDING ON PERFORMANCE MEASURES OF THE HOSPITALIST GROUP. AMOUNTS PAID OUT TO INDIVIDUALS LISTED ON PART VII OF THE FORM 990 FOR 2023 WERE: $37,912 DOMINICK CARBONE, MD $456,857 SARBA KUNDU, MD $48,975 Jonathan Snyder, MD $83,990 MARC STEVENS, MD $40,688 MURAG SUBBIAH, MD $286,289 JONATHAN WHITAKER, DO

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521309402	BondIssuerEIN
CUSIP	65821DAF8	CUSIPNum
Bond Issued	2008-09-24	BondIssuedDt
Issue Price	$45,455,000	IssuePriceAmt
Purpose	NEW STRUCTURES, EQUIPMENT	PurposeDesc
Defeased	Yes (true)	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$9,910,000	RetiredAmt
Bond Defeased	$42,235,000	BondDefeasedAmt
Total Proceeds	$46,276,755	TotalProceedsAmt
Capitalized Interest	$3,493,414	CapitalizedInterestAmt
Issuance Costs From Proceeds	$435,743	IssuanceCostsFromProceedsAmt
Credit Enhancement	$513,249	CreditEnhancementAmt
Capital Expenditures	$42,448,072	CapitalExpendituresAmt
Substantial Completion	2010	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	WELLS FARGO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	30.0	TermOfHedgePct
Superintegrated Hedge	Yes (true)	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part IV, Line 2c COLUMN A	FormAndLineReferenceDesc
Explanation	Issuer name: NORTH CAROLINA MEDICAL CARE COMMISSION The calculation for computing no rebate due was performed on 08/28/2018	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a	THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE IMMEDIATE PAST CHAIRMAN AND ONE (1) OR MORE ADDITIONAL MEMBERS WHO WILL BE NOMINATED BY THE CHAIRMAN FOR THE ELECTION BY THE BOARD OF TRUSTEES. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE. THE EXECUTIVE COMMITTEE SHALL ALSO ANNUALLY REVIEW THE PERFORMANCE, COMPENSATION AND TERMS OF EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER AND MAKE RECOMMENDATIONS TO THE BOARD CONCERNING COMPENSATION AND TERMS OF THE EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH SUPERVISION AND ASSITANCE BY MANAGMENT OF HUGH CHATHAM MEMORIAL HOSPITAL. THE RETURN WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	ANNUALLY, ALL VOTING BOARD MEMBERS ARE PRESENTED WITH THE GOVERNANCE POLICIES CONCERNING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. UPON REVIEW AND DISCUSSION CONCERNING RELATIONSHIPS WITH THE ORGANIZATION, ITS AFFILIATES, OR AMONGST EACH OTHER, THE BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE POLICY STATEMENT TO THE ADMINISTRATION. THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR AND ARE PRESENTED TO THE AUDITORS DURING THE ANNUAL AUDIT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE BOARD USES MERCER, WHO USES DATA TO BENCHMARK HUGH CHATHAM'S COMPENSATION AGAINST SIMILAR ORGANIZATIONS. THE SALARIES OF THE TOP EXECUTIVES AND OTHER MEMBERS OF THE ADMINISTRATIVE DEPARTMENT ARE DETERMINED IN THE CONTRACT NEGOTIATIONS. A REVIEW OF ALL SALARIES, TOP TO BOTTOM, WAS ULTIMATELY APPROVED BY THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE BOARD USES MERCER, WHO USES DATA TO BENCHMARK HUGH CHATHAM'S COMPENSATION AGAINST SIMILAR ORGANIZATIONS. THE SALARIES OF THE TOP EXECUTIVES AND OTHER MEMBERS OF THE ADMINISTRATIVE DEPARTMENT ARE DETERMINED IN THE CONTRACT NEGOTIATIONS. A REVIEW OF ALL SALARIES, TOP TO BOTTOM, WAS ULTIMATELY APPROVED BY THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 18 How forms are made available to the public	PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. copies can also be found online at propublica.org and causeiq.com.
Form 990, Part VI, Line 19 Required documents available to the public	PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
Form 990, Part IX, Line 11g Other Fees	CONTRACT SERVICES - Total Expense: 22422461, Program Service Expense: 22422461, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 2728406, Program Service Expense: 2728406, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 6122438, Program Service Expense: 6122438, Management and General Expenses: , Fundraising Expenses: ; CENTRALIZED BILLING - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; OTHER FEES - Total Expense: 2021933, Program Service Expense: 2021933, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFER TO AFFILIATE - -137715; CHANGE IN VALUE OF SWAP AGREEMENT - -1546339;
Form 990, Part XII, Line 2c Change of oversight process or selection process	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

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
HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC
180 PARKWOOD DRIVE	ELKIN	NC	28621	562049537	FUNDRAISING	NC	501(c)(3)	Type I	HUGH CHATHAM MEMORIAL HOSPITAL	Yes (true)
HUGH CHATHAM MEMORIAL HOSPITAL AUXILIARY
180 PARKWOOD DRIVE	ELKIN	NC	28621	561199949	THRIFT/GIFT SHOP	NC	501(c)(3)	Type I	HUGH CHATHAM MEMORIAL HOSPITAL	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	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	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Hugh Chatham Memorial Hospital Foundation Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$74,498	InvolvedAmt
Method Of Amount Determination	Cash	MethodOfAmountDeterminationTxt