HARNETT HEALTH SYSTEM INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HARNETT HEALTH SYSTEM INC (EIN 56-0603898)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-13
- IRS object ID
- 202132259349300528
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-13T08:24:00-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 WEST TRADE STREET SUITE 800 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560603898 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARNETT HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARN | BusinessNameControlTxt |
| Phone | 9108921000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1706 | AddressLine1Txt |
| City | DUNN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28335 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA LANG | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9108921000 | PhoneNum |
| Signature | 2021-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN NORMAN | PreparerPersonNm |
| PTIN | P01506766 | PTIN |
| Phone | 7049985200 | PhoneNum |
| Preparation | 2021-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETSY JOHNSON REGIONAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JESSICA LANG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1706 | AddressLine1Txt |
| City | DUNN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28335 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $105,334,985 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYHARNETTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1937 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | HARNETT HEALTH IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO THE RESIDENTS OF HARNETT COUNTY AND SURROUNDING COMMUNITIES. WE ARE A PRIVATE, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN HARNETT COUNTY, N.C. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1164 | TotalEmployeeCnt |
| Total Volunteers | 147 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $91,552 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,450,661 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,550,425 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $102,188,785 | CYProgramServiceRevenueAmt |
| PY Investment Income | $86,049 | PYInvestmentIncomeAmt |
| CY Investment Income | $85,896 | CYInvestmentIncomeAmt |
| PY Other Revenue | $716,789 | PYOtherRevenueAmt |
| CY Other Revenue | $609,643 | CYOtherRevenueAmt |
| PY Total Revenue | $101,444,815 | PYTotalRevenueAmt |
| CY Total Revenue | $105,334,985 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $58,396,865 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,388,123 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,947,148 | PYOtherExpensesAmt |
| CY Other Expenses | $47,316,979 | CYOtherExpensesAmt |
| PY Total Expenses | $100,344,013 | PYTotalExpensesAmt |
| CY Total Expenses | $104,705,102 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,100,802 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $629,883 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $95,706,242 | TotalAssetsBOYAmt |
| Total Assets EOY | $121,887,306 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $103,053,631 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $121,760,020 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$7,347,389 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $127,286 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HARNETT HEALTH IS DEDICATED TO PROVIDING QUALITY AND PERSONALIZED CARE WITH RESPECT AND COMPASSION AND ARE COMMITTED TO MAKING A DIFFERENCE THROUGHOUT OUR COMMUNITIES WITH SERVICE EXCELLENCE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $90,906,025 | ExpenseAmt |
| Revenue | $102,188,785 | RevenueAmt |
| Desc | AS PART OF MEETING HEALTH CARE NEEDS OF THE SERVICE AREA, HHS, INC. ADMITTED 4,991 PATIENTS, PROVIDING 19,885 PATIENT DAYS OF CARE, HAD 50,116 EMERGENCY ROOM VISITS AND HAD OVER 52,000 OUTPATIENT VISITS FOR OTHER SERVICES. | Desc |
| Total Program Service Expenses | $90,906,025 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 179 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1164 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JESSICA LANG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9108921000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 TILGHMAN DRIVE | AddressLine1Txt |
| City | DUNN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28334 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WALTER MASSEY | ||||||||
| CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GENE LEWIS | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NEIL EMORY | ||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVE CLABAUGH | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MIKE NAGOWSKI | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TERRILL BROWN DPM | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BARBARA MCKOY | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GEORGE WOMBLE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DR BRADLEY CREED | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ERIC TRUESDALE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TEDDY BYRD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CORY HESS | ||||||||
| PRESIDENT | 40.00 | Yes (X) | $0 | $0 | $0 | 4.00 | ||
| MIKE JONES | ||||||||
| VP | 40.00 | Yes (X) | $189,651 | $0 | $18,061 | |||
| JESSICA LANG | ||||||||
| CFO | 40.00 | Yes (X) | $0 | $0 | $0 | 4.00 | ||
| OLALEKAN FOLARIN MD | ||||||||
| COMS | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| MARLEIGH ZACEK | ||||||||
| CNO | 40.00 | Yes (X) | $128,882 | $0 | $34,729 | |||
| BIKRAMJIT GREWAL | ||||||||
| PHYSICIAN | 40.00 | $536,020 | $0 | $26,962 | Yes (X) | |||
| OGOCHUKWU OKPALA | ||||||||
| PHYSICIAN | 40.00 | $364,025 | $0 | $19,079 | Yes (X) | |||
| MICHAEL ZICH | ||||||||
| PHYSICIAN | 40.00 | $328,509 | $0 | $73,370 | Yes (X) | |||
| RAID ABO-KAMIL | ||||||||
| PHYSICIAN | 40.00 | $310,920 | $0 | $41,564 | Yes (X) | |||
| ASIF ZIA | ||||||||
| PHYSICIAN | 40.00 | $281,566 | $0 | $33,594 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,139,573 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $247,359 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 47 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RILEY CONTRACTING GROUP INC | |||||
| 8255 CHAPEL HILL ROAD | CARY | NC | 27513 | CONSTRUCTION | $1,025,132 |
| BYERS DEAN & ASSOCIATES | |||||
| 155 COMMERCE PARK | WESTERVILLE | OH | 430828384 | BILLING SVC | $672,336 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 606731285 | STAFFING MGMT | $648,594 |
| MEDICAL SOLUTIONS LLC | |||||
| PO BOX 310737 | DES MOINES | IA | 503310737 | STAFFING | $529,151 |
| SOURCEHOV HEALTHCARE INC | |||||
| PO BOX 142589 | IRVING | TX | 75014 | CODING/STAFFING | $401,290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $23,680 | RelatedOrganizationsAmt |
| Government Grants | $1,741,025 | GovernmentGrantsAmt |
| All Other Contributions | $685,956 | AllOtherContributionsAmt |
| Total Contributions | $2,450,661 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $101,807,679 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,807,679 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $381,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $381,106 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $102,188,785 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,896 | TotalRevenueColumnAmt |
| Exclusion | $85,896 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $295,809 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $295,809 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $295,809 | TotalRevenueColumnAmt |
| Exclusion | $295,809 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA SALES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $313,834 | TotalRevenueColumnAmt |
| Exclusion | $313,834 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $313,834 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,334,985 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $102,188,785 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $695,539 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $805,369 | TotalAmt |
| Program Services | $684,564 | ProgramServicesAmt |
| Management And General | $120,805 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,846,942 | TotalAmt |
| Program Services | $38,969,901 | ProgramServicesAmt |
| Management And General | $6,877,041 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,417,579 | TotalAmt |
| Program Services | $1,204,942 | ProgramServicesAmt |
| Management And General | $212,637 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,030,091 | TotalAmt |
| Program Services | $5,125,577 | ProgramServicesAmt |
| Management And General | $904,514 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,288,142 | TotalAmt |
| Program Services | $2,794,921 | ProgramServicesAmt |
| Management And General | $493,221 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,328,677 | TotalAmt |
| Management And General | $1,328,677 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,457 | TotalAmt |
| Management And General | $113,457 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,833 | TotalAmt |
| Management And General | $96,833 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,628,032 | TotalAmt |
| Program Services | $4,628,032 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,633 | TotalAmt |
| Program Services | $418,633 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453,711 | TotalAmt |
| Program Services | $1,453,711 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,252,839 | TotalAmt |
| Program Services | $2,252,839 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,243 | TotalAmt |
| Program Services | $67,243 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,986,831 | TotalAmt |
| Program Services | $2,986,831 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,064,760 | TotalAmt |
| Program Services | $5,064,760 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $960,865 | TotalAmt |
| Program Services | $960,865 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CONTRACT SERVICES/ CONT | $8,432,600 | $8,432,600 |
| MEDICAL SUPPLIES | $7,257,950 | $7,257,950 |
| MAINT. & REPAIRS | $3,717,090 | $3,717,090 |
| DRUGS | $3,590,540 | $3,590,540 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,946,918 | TotalAmt |
| Program Services | $1,295,026 | ProgramServicesAmt |
| Management And General | $3,651,892 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,705,102 | TotalAmt |
| Program Services | $90,906,025 | ProgramServicesAmt |
| Management And General | $13,799,077 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,775,493 | BOYAmt |
| EOY | $10,031,381 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $25,035,587 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,505,187 | BOYAmt |
| EOY | $10,203,128 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570 | BOYAmt |
| EOY | $3,831 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,147,104 | BOYAmt |
| EOY | $2,402,682 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $842,332 | BOYAmt |
| EOY | $945,790 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $152,421,217 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $89,321,615 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,459,661 | BOYAmt |
| EOY | $63,099,602 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,095,267 | BOYAmt |
| EOY | $4,878,850 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,880,628 | BOYAmt |
| EOY | $5,286,455 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,706,242 | BOYAmt |
| EOY | $121,887,306 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,036,334 | BOYAmt |
| EOY | $15,442,120 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,687 | BOYAmt |
| EOY | $115,047 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,348,523 | BOYAmt |
| EOY | $74,000,258 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,610,087 | BOYAmt |
| EOY | $32,202,595 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,053,631 | BOYAmt |
| EOY | $121,760,020 | 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 | -$12,442,656 | BOYAmt |
| EOY | -$4,751,564 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,095,267 | BOYAmt |
| EOY | $4,878,850 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,347,389 | BOYAmt |
| EOY | $127,286 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,706,242 | BOYAmt |
| EOY | $121,887,306 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $629,883 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $6,844,792 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,411 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,411 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DURING THE YEAR, THE ORGANIZATION PAID MEMBERSHIP DUES TO NCHA. NCHA ESTIMATED THAT APPROXIMATELY 17.59% OF DUES WERE ATTRIBUTABLE TO LOBBYING EFFORTS NCHA CONDUCTED ON BEHALF OF ITS MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,591,703 | OtherCostOrOtherBasisAmt |
| Book Value | $1,591,703 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,907,737 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,443,699 | DepreciationAmt |
| Book Value | $50,464,038 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,952,373 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,249,699 | DepreciationAmt |
| Book Value | $8,702,674 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,969,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $628,217 | DepreciationAmt |
| Book Value | $2,341,187 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,099,602 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED INFLOWS OF RESOURCES (PENSION RELATED) | $904,077 |
| ESTIMATED THIRD PARTY SETTLEMENTS | $3,680,526 |
| ADVANCE MEDICARE PAYMENTS | $11,715,336 |
| CARES ACT PROVIDER RELIEF AND STATE FUNDS | $15,902,656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $32,202,595 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $519,136 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $89,049 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $430,087 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,520,119 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,821,432 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $253,458 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $131,473 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $121,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,292,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,041,954 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $552,072 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,356 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,356 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,047,608 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,208,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,839,590 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,375 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,051,339 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,208,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,843,321 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,344,052 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,249,972 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,395,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05150 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,783,551 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $21,650,366 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,285,849 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,364,517 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|
| BETSY JOHNSON REGIONAL HOSPITAL | ||||||||
| 1 | 800 TILGHMAN DRIVE | DUNN | NC | 28835 | Yes (X) | Yes (X) | Yes (X) | DISPROPORTIONATE SHARE HOSPITAL |
| CENTRAL HARNETT HOSPITAL | ||||||||
| 2 | 215 BRIGHTWATER DRIVE | LILLINGTON | NC | 27546 | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BETSY JOHNSON REGIONAL HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.MYHARNETTHEALTH.ORG/COMMUNITY-NEEDS/ | Yes (X) | Yes (X) | Yes (1) | 18 | Yes (1) | WWW.MYHARNETTHEALTH.ORG/COMMUNITY-NEEDS/ | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTP://MYHARNETTHEALTH.ORG/FINANCIAL-SERVICES | Yes (X) | HTTP://MYHARNETTHEALTH.ORG/FINANCIAL-SERVICES | Yes (X) | HTTP://MYHARNETTHEALTH.ORG/FINANCIAL-SERVICES | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| CENTRAL HARNETT HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.MYHARNETTHEALTH.ORG/COMMUNITY-NEEDS/ | Yes (X) | Yes (1) | 18 | Yes (1) | WWW.MYHARNETTHEALTH.ORG/COMMUNITY-NEEDS/ | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTP://MYHARNETTHEALTH.ORG/FINANCIAL-SERVICES | Yes (X) | HTTP://MYHARNETTHEALTH.ORG/FINANCIAL-SERVICES | Yes (X) | HTTP://MYHARNETTHEALTH.ORG/FINANCIAL-SERVICES | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BETSY JOHNSON REGIONAL HOSPITAL | PART V, SECTION B, LINE 5: THE ASSESSMENT PROCESS INCLUDED DATA COLLECTION FROM A COMBINATION OF PRIMARY AND SECONDARY SOURCES. VALUABLE INPUT FROM COMMUNITY SURVEY RESPONDENTS PROVIDED PRIMARY DATA FOR THE ASSESSMENT. SECONDARY DATA SOURCES INCLUDED THE 2010 U.S. CENSUS DATA AND THE NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS, AND COUNTY LEVEL DATA FROM HARNETT HEALTH SYSTEM AND HARNETT COUNTY DEPARTMENT OF HEALTH. HARNETT HEALTH SYSTEM WAS AN INTEGRAL PART OF THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) ESTABLISHED TO ANALYZE THE COMMUNITY HEALTH NEEDS OF HARNETT COUNTY. THE CHAT REVIEWED THE PRIMARY AND SECONDARY DATA AND DISCUSSED COMMUNITY HEALTH NEEDS THAT MAY BE ADDRESSED BY THE HARNETT HEALTH SYSTEM. THE COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED THE FOLLOWING SEVEN STEP PROCESS:THE CHAT PARTICIPANTS INCLUDED REPRESENTATIVES FROM HARNETT HEALTH SYSTEM, HARNETT COUNTY HEALTH DEPARTMENT, CAPE FEAR VALLEY HEALTH SYSTEM, THE HEALTHY HARNETT COALITION, AND THE DEPARTMENT OF PUBLIC HEALTH AT CAMPBELL UNIVERSITY. ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS IDENTIFIED THE TOP HEALTH CONCERNS IN HARNETT COUNTY. THOSE INDIVIDUALS, REPRESENTING DIVERSE GROUPS IN HARNETT COUNTY WERE CHOSEN TO PARTICIPATE IN THE CHAT BECAUSE OF THEIR INSIGHTS ABOUT THE COMMUNITY'S HEALTH NEEDS.THE COMMUNITY HEALTH SURVEY FOR HARNETT COUNTY WAS CONDUCTED IN SPRING 2019. A TOTAL OF 577 INDIVIDUALS WERE SURVEYED. AFTER DATA CLEANING (INCLUDING LISTWISE DELETION OF INCOMPLETE SURVEY RESPONSES), THE FINAL DATASET INCLUDED 433 RESPONSES. SURVEYS WERE COLLECTED USING A COMBINATION OF HOUSEHOLD CANVASSING USING ADDRESSES RANDOMLY SELECTED FROM A TWO-STAGE CLUSTER SAMPLING PROCESS (122 SURVEYS) AND ONLINE, SELF-ADMINISTERED CONVENIENCE SAMPLING (311 SURVEYS). MUCH OF THE DATA LOSS FROM THE CLEANING PROCESS IS ATTRIBUTED TO SURVEYS STARTED BY NON-RESIDENTS AND SURVEYS IN WHICH PARTICIPANTS COMPLETED LESS THAN 5% OF THE ONLINE SURVEY. SECONDARY DATA WAS COLLECTED THROUGH SEVERAL SOURCES, TO INCLUDE U.S. CENSUS DATA AND THE NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS. |
| CENTRAL HARNETT HOSPITAL | PART V, SECTION B, LINE 5: THE ASSESSMENT PROCESS INCLUDED DATA COLLECTION FROM A COMBINATION OF PRIMARY AND SECONDARY SOURCES. VALUABLE INPUT FROM COMMUNITY SURVEY RESPONDENTS PROVIDED PRIMARY DATA FOR THE ASSESSMENT. SECONDARY DATA SOURCES INCLUDED THE 2010 U.S. CENSUS DATA AND THE NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS, AND COUNTY LEVEL DATA FROM HARNETT HEALTH SYSTEM AND HARNETT COUNTY DEPARTMENT OF HEALTH. HARNETT HEALTH SYSTEM WAS AN INTEGRAL PART OF THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) ESTABLISHED TO ANALYZE THE COMMUNITY HEALTH NEEDS OF HARNETT COUNTY. THE CHAT REVIEWED THE PRIMARY AND SECONDARY DATA AND DISCUSSED COMMUNITY HEALTH NEEDS THAT MAY BE ADDRESSED BY THE HARNETT HEALTH SYSTEM. THE COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZED THE FOLLOWING SEVEN STEP PROCESS:THE CHAT PARTICIPANTS INCLUDED REPRESENTATIVES FROM HARNETT HEALTH SYSTEM, HARNETT COUNTY HEALTH DEPARTMENT, CAPE FEAR VALLEY HEALTH SYSTEM, THE HEALTHY HARNETT COALITION, AND THE DEPARTMENT OF PUBLIC HEALTH AT CAMPBELL UNIVERSITY. ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS IDENTIFIED THE TOP HEALTH CONCERNS IN HARNETT COUNTY. THOSE INDIVIDUALS, REPRESENTING DIVERSE GROUPS IN HARNETT COUNTY WERE CHOSEN TO PARTICIPATE IN THE CHAT BECAUSE OF THEIR INSIGHTS ABOUT THE COMMUNITY'S HEALTH NEEDS.THE COMMUNITY HEALTH SURVEY FOR HARNETT COUNTY WAS CONDUCTED IN SPRING 2019. A TOTAL OF 577 INDIVIDUALS WERE SURVEYED. AFTER DATA CLEANING (INCLUDING LISTWISE DELETION OF INCOMPLETE SURVEY RESPONSES), THE FINAL DATASET INCLUDED 433 RESPONSES. SURVEYS WERE COLLECTED USING A COMBINATION OF HOUSEHOLD CANVASSING USING ADDRESSES RANDOMLY SELECTED FROM A TWO-STAGE CLUSTER SAMPLING PROCESS (122 SURVEYS) AND ONLINE, SELF-ADMINISTERED CONVENIENCE SAMPLING (311 SURVEYS). MUCH OF THE DATA LOSS FROM THE CLEANING PROCESS IS ATTRIBUTED TO SURVEYS STARTED BY NON-RESIDENTS AND SURVEYS IN WHICH PARTICIPANTS COMPLETED LESS THAN 5% OF THE ONLINE SURVEY. SECONDARY DATA WAS COLLECTED THROUGH SEVERAL SOURCES, TO INCLUDE U.S. CENSUS DATA AND THE NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS. |
| BETSY JOHNSON REGIONAL HOSPITAL | PART V, SECTION B, LINE 6A: CENTRAL HARNETT HOSPITAL, BETSY JOHNSON REGIONAL HOSPITAL, AND CAPE FEAR VALLEY HEALTH SYSTEM WORKED TOGETHER TO CONDUCT THE CHNA. |
| CENTRAL HARNETT HOSPITAL | PART V, SECTION B, LINE 6A: CENTRAL HARNETT HOSPITAL, BETSY JOHNSON REGIONAL HOSPITAL, AND CAPE FEAR VALLEY HEALTH SYSTEM WORKED TOGETHER TO CONDUCT THE CHNA. |
| BETSY JOHNSON REGIONAL HOSPITAL | PART V, SECTION B, LINE 6B: HARNETT COUNTY HEALTH DEPARTMENTHEALTHY HARNETT COALITIONDEPARTMENT OF PUBLIC HEALTH AT CAMPBELL UNIVERSITY |
| CENTRAL HARNETT HOSPITAL | PART V, SECTION B, LINE 6B: HARNETT COUNTY HEALTH DEPARTMENTCAMPBELL SCHOOL OF PUBLIC HEALTH |
| BETSY JOHNSON REGIONAL HOSPITAL | PART V, SECTION B, LINE 7D: THE HOSPITAL MADE THE CHNA AVAILABLE IN PRINT AT THE HEALTH DEPARTMENT. |
| BETSY JOHNSON REGIONAL HOSPITAL | PART V, SECTION B, LINE 11: HARNETT HEALTH SYSTEM AND HARNETT COUNTY DEPARTMENT OF HEALTH HELD MEETINGS FOR CHAT PARTICIPANTS. AT THE FIRST, THE CHAT PARTICIPANTS REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRIMARY AND SECONDARY DATA COLLECTION METHODS, AND THE REQUIRED COMMUNITY SURVEY. ADDITIONALLY, RESULTS FROM THE 2013-2015 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN WERE SHARED WITH THE GROUP. EACH PARTICIPANT WAS ENCOURAGED TO SHARE THE FOLLOWING IDEAS: STRENGTHS AND VALUES OF THE COMMUNITY; AND CONCERNS AND BARRIERS OF THE COMMUNITY.RESULTS OF THE CHNA SURVEY WERE ANALYZED AT THE SECOND MEETING. ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS TOP HEALTH CONCERNS SEEN THROUGHOUT THE HARNETT COUNTY AREA. |
| CENTRAL HARNETT HOSPITAL | PART V, SECTION B, LINE 11: HARNETT HEALTH SYSTEM AND HARNETT COUNTY DEPARTMENT OF HEALTH HELD MEETINGS FOR CHAT PARTICIPANTS. AT THE FIRST, THE CHAT PARTICIPANTS REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, PRIMARY AND SECONDARY DATA COLLECTION METHODS, AND THE REQUIRED COMMUNITY SURVEY. ADDITIONALLY, RESULTS FROM THE 2013-2015 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN WERE SHARED WITH THE GROUP. EACH PARTICIPANT WAS ENCOURAGED TO SHARE THE FOLLOWING IDEAS: STRENGTHS AND VALUES OF THE COMMUNITY; AND CONCERNS AND BARRIERS OF THE COMMUNITY.RESULTS OF THE CHNA SURVEY WERE ANALYZED AT THE SECOND MEETING. ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS, AS WELL AS TOP HEALTH CONCERNS SEEN THROUGHOUT THE HARNETT COUNTY AREA. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HARNETT HEALTH ANGIER MEDICAL SERVICES | ||||
| 185 RAWLS ROAD | ANGIER | NC | 27501 | PRIMARY CARE PROVIDER |
| 2 - HARNETT HEALTH LILLINGTON MEDICAL SERVIC | ||||
| 7 EAST DUNCAN STREET | LILLINGTON | NC | 27546 | PRIMARY CARE PROVIDER |
| 3 - HARNETT HEALTH DUNN MEDICAL SERVICES | ||||
| 803 TILGHMAN DRIVE STE 100 | DUNN | NC | 28335 | PRIMARY CARE PROVIDER |
| 4 - HARNETT HEALTH HARNETT OBGYN | ||||
| 700 TILGHMAN DRIVE | DUNN | NC | 28335 | OBSTETRICS/GYNECOLOGY SERVICES |
| 5 - HARNETT HEALTH PREMIER PEDIATRICS | ||||
| 802 TILGHMAN DRIVE | DUNN | NC | 28335 | PRIMARY CARE PROVIDER |
| 6 - COATS MEDICAL SERVICES | ||||
| 25 N JOHNSON STREET | COATS | NC | 27521 | PRIMARY CARE PROVIDER |
| 7 - HARNETT HEALTH ORTHO & SPORTS MED | ||||
| 716 10TH ST | LILLINGTON | NC | 27546 | ORTHOPAEDIC & SPORTS MEDICINE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | INCOME LEVEL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS |
| PART I, LINE 7: | HARNETT HEALTH USED THE COST-TO-CHARGE RATIO, ESTABLISHED FROM ITS COST REPORTS FILED, TO REPORT FINANIAL ASSISTANCE SHOWN IN PART I AND PART III OF SCHEDULE H. |
| PART III, LINE 2: | COST-TO-CHARGE RATIO APPLIED AGAINST BAD DEBT CHARGES FROM UN-DISCOUNTED SELF-PAY PATIENTS. |
| PART III, LINE 4: | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT. BAD DEBT IS PRESENTED AT GROSS CHARGES. PER THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS, THE ORGANIZATION ESTIMATES THAT SOME PORTION OF ITS BAD DEBT MAY QUALIFY FOR FINANCIAL ASSISTANCE DUE TO THE FACT THAT THE HOSPITAL DOES NOT HAVE 24 HOUR COVERAGE IN THE ED FOR FINANCIAL ASSISTANCE. ALSO, SOME PATIENTS TREATED REFUSE TO MEET AND DISCUSS FINANCIAL ASSISTANCE OPTIONS. THE ANDI REPORT WAS USED TO CALCULATE THE AMOUNT OF BAD DEBT THAT QUALIFIES FOR FINANCIAL ASSISTANCE. ANOTHER FACTOR CONTRIBUTING TO THE ESTIMATE OF BAD DEBT THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE IS THAT WE DO NOT VISIT OUR INSURED INPATIENTS THAT MAY HAVE HIGH DEDUCTIBLES OR CO-INSURANCES. IN FUTURE YEARS, THE ORGANIZATION PLANS TO IMPROVE CONSULTATION SESSIONS TO INLCUDE INSURED PATIENTS WITH POTENTIALLY HIGH DEDUCTIBLES OR CO-PAYMENTS. |
| PART III, LINE 9B: | ALL PATIENTS RECEIVE LETTERS AND/OR STATEMENTS REGARDING THEIR ACCOUNTS AND THEY ARE GIVEN 120 DAYS FROM THE BILL DATE TO MAKE SATISFACTORY PAYMENT ARRANGEMENTS OR TO APPLY FOR FINANCIAL ASSISTANCE BEFORE THE ACCOUNT GOES TO BAD DEBT STATUS. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE MUST COMPLY WITH THE REQUIREMENTS OF THE APPLICATION TO AVOID THE ACCOUNT GOING INTO BAD DEBT STATUS. PATIENTS APPLYING FOR AID ARE PLACED IN A HOLD STATUS BY THE PALS TEAM TO AVOID COLLECTIONS. PATIENTS WHO HAVE MADE AN EFFORT TO COMPLETE AN APPLICATION OR WHO MAY NOT HAVE HAD AN OPPORTUNITY TO DISCUSS THEIR FINANCIAL SITUATION AND THEIR ACCOUNT GOES TO A COLLECTION STATUS ARE EVALUATED ON A CASE BY CASE BASIS TO DETERMINE IF THE ACCOUNT IS REMOVED FROM COLLECTIONS AND FINANCIAL ASSISTANCE IS PROVIDED. |
| PART VI, LINE 2: | BASED ON THE DATA FROM THE HARNETT COUNTY NEEDS ASSESSMENT WE REVIEW WHAT KEY ISSUES ARE ALIGNED WITH OUR MISSION. FROM THERE, WE DEVELOP PLANS ON WHICH STRATEGIES WILL HAVE THE MOST IMPACT ON OUR COMMUNITY. |
| PART VI, LINE 3: | THE HOSPITAL SYSTEM OFFERS FINANCIAL ASSISTANCE TO ANYONE BASED ON NEED AND ABILITY TO PAY. OUR PATIENT ACCOUNT LIAISONS WILL ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE AND ANY OTHER FUNDING SOURCES THAT MAY BE AVAILABLE. PRE-SCREENING MAYBE CONDUCTED AT PRE-ADMISSION OR POINT OF SERVICE FOR ALL UNISURED OR UNDERINSURED PATIENTS THAT CAN NOT MEET THE DEPOSIT REQUIREMENTS; HOWEVER, ALL EMERGENT SERVICES ARE PROVIDED WITHOUT REGARD TO THE ABLITY TO PAY OR NOT. |
| PART VI, LINE 4: | HARNETT HEALTH SYSTEM, INC. IS LOCATED IN THE SOUTHEASTERN/MIDDLE SECTION OF HARNETT COUNTY NORTH CAROLINA. AS A RURAL HOSPITAL, WE ARE A KEY COMPONENT OF OUR STATE'S HEALTH CARE SAFETY NET BY TREATING EVERYONE WHO COMES THROUGH OUR DOORS. OUR PATIENT VOLUMES EXEMPLIFY OUR COMMITTMENT: MEDICARE 46.9%, MEDICAID 18.2%, MANAGED CARE 18.2%, SELF PAY 12.4%, TRICARE AND ALL OTHER 4.3%. THE HOSPITAL'S SERVICE AREA INCLUDED HARNETT AND A PORTION OF THREE NEIGHBORING COUNTIES, CUMBERLAND, JOHNSTON AND SAMPSON. AGRICULTURE AND CONSTRUCTION ARE THE LEADING INDUSTRIES OF OUR ECONOMIC STRUCTURE. THE TOP LARGEST EMPLOYER IN HARNETT COUNTY IS THE PUBLIC SCHOOL SYSTEM. |
| PART VI, LINE 5: | THE ROLE OF HARNETT HEALTH SYSTEM PLAYS IN THE COMMUNITY IS TO CARE FOR AND HEAL THE SICK AND INJURED, BUT EQUALLY IMPORTANT IS EDUCATING OUR COMMUNITY THE IMPORTANCE OF GOOD HEALTH AND WAYS TO IMPROVE THEIR LIFESTYLES. WE DEFINE OUR OBLIGATION BY HOLDING COMMUNITY EDUCATION AND WELLNESS CLASSES, PARTICIPATING IN ANNUAL COMMUNITY EVENTS, AND EDUCATING HIGH SCHOOL STUDENT ON THE MANY AREA OF EMPLOYMENT IN THE HEALTHCARE FIELD.WITH THE FEDERAL FUNDING AND STATE CUTS IN REIMBURSEMENT NO SURPLUS OF FUNDS TO PROVIDE MANY OF THE EXTRA ACTIVITIES THAT THE SYSTEM WOULD LIKE TO BE ABLE TO PROVIDE TO THE COMMUNITY. THE TEENS AS PARENTS PROGRAM, WORKS WITH TEENS WHO ARE PREGANANT OR HAVE HAD BABIES TO PROVIDE ADDITIONAL SUPPORT BY THE MEANS OF HOME BASED VISITS AND SUPPORT GROUP MEETINGS. EMPHASIS IS TO HAVE THE TEEN RETURN TO THE EDUCATION ARENA AND TO CONTINUE TO PROVIDE PARENTING SUPPORT AND HAVE HEALTHY BABIES. SOME OF OUR STAFF SERVES OR HAS SERVED ON LOCAL BOARDS WITHIN THE COMMUNITES INCLUDING THE NC COOPERATIVE EXTENSION ADVISORY BOARD, TEENS AS PARENTS EXECUTIVE AND ADVISORY BOARD, AND VARIOUS OTHER CIVIC BOARDS. |
| PART VI, LINE 6: | THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH SYSTEM. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MIKE JONES | ||||||||||||||
| VP | $177,252 | $0 | $12,399 | $0 | $0 | $0 | $3,824 | $0 | $14,237 | $0 | $207,712 | $0 | $0 | $0 |
| MARLEIGH ZACEK | ||||||||||||||
| CNO | $128,882 | $0 | $0 | $0 | $0 | $0 | $2,746 | $0 | $31,983 | $0 | $163,611 | $0 | $0 | $0 |
| BIKRAMJIT GREWAL | ||||||||||||||
| PHYSICIAN | $531,220 | $0 | $4,800 | $0 | $0 | $0 | $0 | $0 | $26,962 | $0 | $562,982 | $0 | $0 | $0 |
| OGOCHUKWU OKPALA | ||||||||||||||
| PHYSICIAN | $364,025 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,079 | $0 | $383,104 | $0 | $0 | $0 |
| MICHAEL ZICH | ||||||||||||||
| PHYSICIAN | $325,509 | $0 | $3,000 | $0 | $0 | $0 | $6,442 | $6,442 | $30,243 | $30,243 | $365,194 | $36,685 | $0 | $0 |
| RAID ABO-KAMIL | ||||||||||||||
| PHYSICIAN | $236,651 | $0 | $74,269 | $0 | $0 | $0 | $3,816 | $0 | $37,748 | $0 | $352,484 | $0 | $0 | $0 |
| ASIF ZIA | ||||||||||||||
| PHYSICIAN | $201,710 | $0 | $79,856 | $0 | $0 | $0 | $3,329 | $0 | $30,265 | $0 | $315,160 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | CAPE FEAR VALLEY HEALTH SYSTEM, A NORTH CAROLINA NONPROFIT HEALTH SYSTEM UNRELATED TO HARNETT HEALTH, PROVIDES THE DAY-TO-DAY OPERATIONAL MANAGEMENT OF HARNETT HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF TRUSTEES OF THE ORGANIZATION IS COMPRISED OF THIRTEEN RESIDENTS OF HARNETT COUNTY, NC AND THE APPOINTED TRUSTEES SHALL SERVE A STAGGERED TERM FOR 1 TO 3 YEARS. SEVEN TRUSTEES OF THE ORGANIZATION ARE APPOINTED BY THE HARNETT COUNTY BOARD OF COMMISSIONERS, AND SHALL, AT ALL TIMES, INCLUDE AT LEAST ONE RESIDENT OF EACH OF THE FIVE COMMISSIONERS' DISTRICTS AND TWO OTHER PERSONS RESIDING IN HARNETT COUNTY. THE REMAINING SIX TRUSTEES ARE APPOINTED BY THE ORGANIZATION'S BOARD OF TRUSTEES AT ITS ANNUAL MEETING FROM NOMINEES THAT MEET RESIDENCY AND AGE REQUIREMENTS, AS DEFINED IN THE ORGANIZATION'S BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 7B | APPOINTED BOARD MEMBERS ARE APPROVED BY COUNTY COMMISSIONERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | COPY OF THE 990 FORM IS AVAILABLE AT THE BOARD MEETING FOR REVIEW AND BOARD MEMBERS CAN REQUEST TO REVIEW OTHER TIMES OUTSIDE OF THE BOARD MEETING AS WELL. THE CHIEF FINANCIAL OFFICER REVIEWS THE 990 WITH THE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ANNUALLY FILE A DISCLOSURE STATEMENT WITH THE SECRETARY OF THE BOARD AT THE TIME OF THE PERSONS INITIAL APPOINTMENT AS A TRUSTEE OR COMMITTEE MEMBER AND THEREAFTER. THE STATEMENT SHALL BE ON A FORM APPROVED BY THE BOARD AND A COPY OF EACH STATEMENT SHALL BE PROVIDED TO THE CHAIR OF THE BOARD AND THE HOSPITAL'S GENERAL COUNCIL |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE SALARIES ARE DETERMINED BY A MARKET ANALYSIS INVOLVING COMPARABILITY DATA, INDUSTRY STANDARDS, AND LOCAL ECONOMICS. THE CEO'S SALARY IS A CONDITION OF THE MANAGEMENT AGREEMENT BETWEEN THE BOARD OF DIRECTORS AND CAPE FEAR (SEE THE RESPONSE TO LINE 3 ABOVE). THE BOARD HAS INDIRECT APPROVAL OVER THE COMPENSATION PAID TO THE CEO THROUGH THIS AGREEMENT, AND HAS APPROVAL OVER ANY ADDITIONAL AMOUNTS AND INCREASES. CAPE FEAR PREPARES A COMPENSATION STUDY FOR OFFICERS AND KEY EMPLOYEES EXCLUDING THE CEO AND MAKES THE RECOMMENDATIONS TO THE CEO OF HARNETT HEALTH SYSTEM. THOSE RECOMMENDATIONS, INCLUDING ANY AMOUNTS ALLOCATED FOR RAISES AND INCENTIVES, ARE INCLUDED IN THE ANNUAL BUDGET PROCESS WHICH IS APPROVED BY THE FINANCE COMMITIEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 18 | PHOTOCOPIES OF RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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 XI, LINE 9: | LIQUIDITY AGREEMENT FORGIVENESS 6,844,792. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| ANGIER MEDICAL SERVICES LLC | |||||||||
| 185 RAWLS RD | ANGIER | NC | 27501 | 270906936 | PRIMARY CARE PROVIDER | NC | $1,279,838 | $679,764 | HARNETT HEALTH SYSTEM |
| COATS MEDICAL SERVICES LLC | |||||||||
| 25 JOHNSON ST N | COATS | NC | 27521 | 462540799 | PRIMARY CARE PROVIDER | NC | $1,028,759 | $224,718 | HARNETT HEALTH SYSTEM |
| DUNN MEDICAL SERVICES LLC | |||||||||
| 803 TILGHMAN DR 100 | DUNN | NC | 28334 | 273320115 | PRIMARY CARE PROVIDER | NC | $988,957 | $82,305 | HARNETT HEALTH SYSTEM |
| HARNETT OBGYN LLC | |||||||||
| 700 TILGHMAN DR | DUNN | NC | 28334 | 273320275 | OBSTETRICS/GYNECOLOGY SERVICES | NC | $763,113 | $103,374 | HARNETT HEALTH SYSTEM |
| LILLINGTON MEDICAL SERVICES LLC | |||||||||
| 7 EAST DUNCAN STREET | LILLINGTON | NC | 27546 | 272944176 | INTERNAL MEDICINE, INFECTIOUS DISEASE, AND GYNECOLOGY | NC | $1,152,795 | $295,231 | HARNETT HEALTH SYSTEM |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARNETT HEALTH SYSTEM FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 TILGHMAN DRIVE | AddressLine1Txt |
| City | DUNN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28334 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201929953 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |