HUGH CHATHAM MEMORIAL HOSPITAL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HUGH CHATHAM MEMORIAL HOSPITAL INC (EIN 56-0642846)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-07-31
- IRS object ID
- 202022139349300602
- Schema version
- 2018v3.2
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-31T07:41:47-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN 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 | 2018-10-01 | 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 | DONALD E TRIPPEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3365277000 | PhoneNum |
| Signature | 2020-07-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2020-07-29 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 47.27.82.235 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-30 | IPDt |
| IP Tm | 13:22:27 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BEC9594289F9DCBB4F655B5045764FC48E5A1487 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONALD E TRIPPEL | PrincipalOfficerNm |
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 | $129,995,493 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 989 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $70 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $109,917,083 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $119,119,803 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,652,200 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,398,552 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,105,057 | PYOtherRevenueAmt |
| CY Other Revenue | $1,126,881 | CYOtherRevenueAmt |
| PY Total Revenue | $123,674,410 | PYTotalRevenueAmt |
| CY Total Revenue | $129,645,236 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $14,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $24,545 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,969,834 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,006,413 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $51,240 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $62,756,506 | PYOtherExpensesAmt |
| CY Other Expenses | $64,121,555 | CYOtherExpensesAmt |
| PY Total Expenses | $114,740,340 | PYTotalExpensesAmt |
| CY Total Expenses | $121,152,513 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,934,070 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,492,723 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $240,612,785 | TotalAssetsBOYAmt |
| Total Assets EOY | $239,305,498 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $81,091,917 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $79,989,360 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $159,520,868 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $159,316,138 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $113,523,055 | ExpenseAmt |
| Grant | $24,545 | GrantAmt |
| Revenue | $119,119,803 | RevenueAmt |
| Desc | HUGH CHATHAM MEMORIAL HOSPITAL HAS AN ENVIABLE REPUTATION FOR EXCELLENCE. THE ORGANIZATION'S VISION, "TO BE THE BEST COMMUNITY HOSPITAL IN THE NATION WITH SERVICE AS THE GUIDING PRINCIPLE," DECLARES THAT EVERY MEMBER OF THE STAFF SUBSCRIBES TO THE HIGHEST LEVEL OF CARE. HUGH CHATHAM MAKES A DIFFERENCE EVERY DAY FOR LOCAL CITIZENS AND EMPLOYERS. THE NONPROFIT HEALTH CARE NETWORK HAS RECENTLY RECEIVED MANY PRESTIGIOUS AWARDS THAT UNDERSCORE ITS COMMITMENT TO EXCELLENCE.- THE WOMEN'S CHOICE AWARD FOR BEST IN PATIENT SAFETY BY THE WOMEN'S CERTIFIED GROUP, RANKING HUGH CHATHAM IN THE TOP 1% IN THE NATION.- OUR PRIMARY STROKE CENTER RECEIVED THE 2019 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND TARGET: STROKE HONOR ROLL ELITE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS.- THE ORGANIZATION CELEBRATED ITS 9TH CONSECUTIVE "A" GRADE FROM THE LEAPFROG HOSPITAL SAFETY GROUP. THIS NATIONAL SURVEY REPRESENTS HOW WELL THE HOSPITAL PROTECTS PATIENTS FROM ERRORS, INJURIES AND INFECTIONS. PATIENT SAFETY CONTINUES TO BE AT THE CENTER OF ALL CARE AT HUGH CHATHAM. - THE TRIAD BUSINESS JOURNAL VOTED HUGH CHATHAM AS A FINALIST IN THE "BEST PLACES TO WORK" INITIATIVE, WHICH ENGAGES EMPLOYEES REGARDING THEIR SATISFACTION WITH THEIR VOCATIONS. - YADKIN VALLEY HOME HEALTH, NOW EXPANDED INTO 6 ADDITIONAL COUNTIES, IS THE REGION'S TOP HOME HEALTH AGENCY.IN AN EFFORT TO PROVIDE IMPROVED PATIENT ACCESS TO CLINICAL SERVICES AND TO ENHANCE HEALTHCARE COORDINATION FOR RESIDENTS OF ALLEGHANY COUNTY, WAKE FOREST BAPTIST AND HUGH CHATHAM PARTNERED TO ENSURE THE FUTURE OF ALLEGHANY MEMORIAL HOSPITAL. UNDER THE AGREEMENT, THE TWO CREATED A 50-50 JOINT VENTURE CALLED ALLEGHANY HEALTH. THIS COLLABORATIVE FOR IMPROVED HEALTHCARE IN NORTHWESTERN NC INITIATED A NEW FACILITY PLAN THAT BEGAN CONSTRUCTION LATE IN 2019.THE HUGH CHATHAM WOMEN'S IMAGING CENTER RECENTLY BROUGHT GENIUS 3D MAMMOGRAPHY TO ELKIN. THIS STATE-OF-THE-ART TECHNOLOGY BRINGS THE NEWEST STANDARDS OF BREAST IMAGING TO OUR COMMUNITIES. 3D MAMMOGRAPHY AIDS IN EARLIER DETECTION OF CANCERS, RESULTING IN BETTER TREATMENT OPTIONS AND A HIGHER PROBABILITY OF CURE.THE HUGH CHATHAM FOUNDATION IS A DEEPLY ROOTED NON-PROFIT ARM OF THE ORGANIZATION WITH A MISSION TO SUPPORT AND ENHANCE SERVICES AND EQUIPMENT. 2019 PROVED TO BE THE MOST SUCCESSFUL YEAR EVER FUNDRAISING EVENTS. THE YADKIN VALLEY WINE AUCTION NETTED $47,000 AND THE GOLF CLASSIC MADE $27,000. THIS YEAR'S FOCUS WAS AN EXTREMELY SUCCESSFUL CAMPAIGN TO PROVIDE AREA NURSING STUDENTS WITH SCHOLARSHIPS. FIVE DESERVING STUDENTS RECEIVED $5,000 THIS YEAR. AND LATE IN 2019, THE FOUNDATION RECEIVED A $1.3 MILLION GIFT FROM THE GILMER HINSON CHARITABLE TRUST.OUR VOLUNTEERS COMPLETE OUR ORGANIZATION. WITH A CADRE OF MORE THAN 120 VOLUNTEERS, EVERY PATIENT, VISITOR AND EMPLOYEE IS GREETED WITH A WARM SMILE EACH AND EVERY DAY. WE HAVE VOLUNTEERS AT ALL OF OUR INFORMATION DESKS AND GIFT SHOP AND SERVING AS PATIENT-FAMILY LIAISONS IN SURGERY, IMAGING, EMERGENCY, AND REHAB. SOME EVEN ENJOY ASSISTING NON-CLINICAL DEPARTMENTS WITH OFFICE WORK. THERE IS A VOLUNTEER POSITION TO FIT EVERYONE. LIKE OUR EMPLOYEES, OUR VOLUNTEERS ARE THE SHINING STARS OF OUR ORGANIZATION.A COMPLETE LISTING OF SERVICES WITHIN OUR CONTINUUM OF CARE IS AVAILABLE ON THE HEALTH SYSTEM'S WEBSITE AT WWW.HUGHCHATHAM.ORG. WE ALSO ENJOY AN ACTIVE SOCIAL MEDIA VENTURE WHERE WE HAVE MANY, MANY FOLLOWERS. VISIT US ON FACEBOOK AND TWITTER. | Desc |
| Total Program Service Expenses | $113,523,055 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | Yes (1) | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 154 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 989 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL PARDUE | 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 (19 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 |
|---|---|---|---|---|---|---|---|---|---|
| ANN ASHMAN | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MIKE STANLEY | |||||||||
| VICE CHARIMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PHIL HARRIS | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DR BILL JOHNSON | |||||||||
| ASST SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BOB BALL | |||||||||
| TREASRER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KEVIN AUSTIN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MIKE NORMAN | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR STEPHANIE CARTWRIGHT | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLENA SMITH | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID ROBERTSON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DONNA THOMPSON | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRENT KLEINHEKSEL | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR JONATHAN SNYDER | |||||||||
| CHIEF OF STAFF | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL HAMMES | |||||||||
| CEO | 40.00 | Yes (X) | $350,216 | $0 | $29,984 | 2.00 | |||
| DONALD E TRIPPEL | |||||||||
| CFO | 40.00 | Yes (X) | $228,858 | $0 | $30,806 | ||||
| MARY BLACKBURN | |||||||||
| CPO | 40.00 | $200,767 | $0 | $29,376 | Yes (X) | ||||
| DOMINICK CARBONE MD | |||||||||
| PHYSICIAN | 40.00 | $716,697 | $0 | $44,266 | Yes (X) | ||||
| SARBA KUNDU MD | |||||||||
| PHYSICIAN | 40.00 | $690,650 | $0 | $39,022 | Yes (X) | ||||
| MURUGANANTHAN SUBBIAH MD | |||||||||
| PHYSICIAN | 40.00 | $683,333 | $0 | $44,667 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,870,521 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $218,121 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | 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 |
|---|---|---|---|---|---|
| SODEXO INC | |||||
| PO BOX 536922 | ATLANTA | GA | 30353 | DIETARY & HOUSEKEEPING SERVICES | $3,481,903 |
| CARDINAL PHARMACY | |||||
| 25025 NETWORK PLACE | CHICAGO | IL | 60673 | PHARMACY SUPPLIES & MEDICATIONS | $2,092,997 |
| CARDINAL HEALTH | |||||
| PO BOX 905867 | CHARLOTTE | NC | 28290 | PATIENT & HOSPITAL SUPPLIES | $1,774,725 |
| HORIZON CSA LLC | |||||
| 265 PITT ROAD | MOORESVILLE | NC | 28115 | EQUIPMENT MAINTENANCE | $1,750,518 |
| SMITH AND NEPHEW ORTHO | |||||
| PO BOX 933782 | ATLANTA | GA | 31933 | MEDICAL SUPPLIES | $1,509,441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 66 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE SERVICES | 621400 | $119,870,422 | $119,870,422 |
| OTHER OPERATING REVENUE | 621400 | $324,889 | $324,889 |
| NET HOSPICE INVESTMENT | 623000 | -$1,075,508 | -$1,075,508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $119,119,803 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,850,508 | TotalRevenueColumnAmt |
| Exclusion | $3,850,508 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,468,999 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $350,257 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,118,742 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,118,742 | TotalRevenueColumnAmt |
| Exclusion | $1,118,742 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,361,403 | SecuritiesAmt |
| Other | $186,641 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,361,403 | SecuritiesAmt |
| Other | $186,641 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,548,044 | TotalRevenueColumnAmt |
| Exclusion | $5,548,044 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA & VENDING | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $8,139 | TotalRevenueColumnAmt |
| Exclusion | $8,139 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,139 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,645,236 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $119,119,803 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,525,433 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,545 | TotalAmt |
| Program Services | $24,545 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,356,700 | TotalAmt |
| Program Services | $3,557,439 | ProgramServicesAmt |
| Management And General | $757,730 | ManagementAndGeneralAmt |
| Fundraising | $41,531 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,857 | TotalAmt |
| Program Services | $66,857 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,780,614 | TotalAmt |
| Program Services | $39,581,037 | ProgramServicesAmt |
| Management And General | $2,199,577 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,470 | TotalAmt |
| Program Services | $526,899 | ProgramServicesAmt |
| Management And General | $36,065 | ManagementAndGeneralAmt |
| Fundraising | $506 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,223,394 | TotalAmt |
| Program Services | $6,754,566 | ProgramServicesAmt |
| Management And General | $462,335 | ManagementAndGeneralAmt |
| Fundraising | $6,493 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,015,378 | TotalAmt |
| Program Services | $2,819,668 | ProgramServicesAmt |
| Management And General | $193,000 | ManagementAndGeneralAmt |
| Fundraising | $2,710 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,004 | TotalAmt |
| Management And General | $68,004 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,580 | TotalAmt |
| Management And General | $97,580 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,632 | TotalAmt |
| Management And General | $184,632 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,223 | TotalAmt |
| Management And General | $588,223 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,359,781 | TotalAmt |
| Program Services | $15,563,882 | ProgramServicesAmt |
| Management And General | $1,795,899 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,275 | TotalAmt |
| Program Services | $186,685 | ProgramServicesAmt |
| Management And General | $180,590 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,409,219 | TotalAmt |
| Program Services | $8,048,434 | ProgramServicesAmt |
| Management And General | $360,785 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,639,518 | TotalAmt |
| Program Services | $1,639,518 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,662 | TotalAmt |
| Program Services | $328,249 | ProgramServicesAmt |
| Management And General | $35,413 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,557,150 | TotalAmt |
| Program Services | $2,557,150 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,887,489 | TotalAmt |
| Program Services | $5,887,489 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,440 | TotalAmt |
| Program Services | $311,440 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $17,716,001 | $17,716,001 | |
| MEDICAL SUPPLIES | $5,219,239 | $5,219,239 | |
| PROVIDER TAX | $2,197,950 | $2,197,950 | |
| MISCELLANEOUS | $970,613 | $536,007 | $434,606 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,779 | TotalAmt |
| Management And General | $183,779 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,152,513 | TotalAmt |
| Program Services | $113,523,055 | ProgramServicesAmt |
| Management And General | $7,578,218 | ManagementAndGeneralAmt |
| Fundraising | $51,240 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,588,956 | BOYAmt |
| EOY | $3,399,925 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,639,546 | BOYAmt |
| EOY | $11,157,378 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $845,141 | BOYAmt |
| EOY | $814,446 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,695,229 | BOYAmt |
| EOY | $1,976,820 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $155,559,693 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $96,345,324 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,304,049 | BOYAmt |
| EOY | $59,214,369 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,003,994 | BOYAmt |
| EOY | $151,641,555 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,405,160 | BOYAmt |
| EOY | $8,284,529 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,130,710 | BOYAmt |
| EOY | $2,816,476 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,612,785 | BOYAmt |
| EOY | $239,305,498 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,652,079 | BOYAmt |
| EOY | $11,404,371 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $304,348 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,148,711 | BOYAmt |
| EOY | $59,867,359 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,291,127 | BOYAmt |
| EOY | $8,413,282 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,091,917 | BOYAmt |
| EOY | $79,989,360 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,375,956 | BOYAmt |
| EOY | $156,171,226 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,144,912 | BOYAmt |
| EOY | $3,144,912 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,520,868 | BOYAmt |
| EOY | $159,316,138 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,612,785 | BOYAmt |
| EOY | $239,305,498 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,492,723 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,409,096 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$7,288,357 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $12,888 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $12,888 | 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 | 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 $ 12,888. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,528,014 | OtherCostOrOtherBasisAmt |
| Book Value | $2,528,014 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,567,354 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,392,512 | DepreciationAmt |
| Book Value | $47,174,842 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,629,230 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,488,752 | DepreciationAmt |
| Book Value | $8,140,478 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,835,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,464,060 | DepreciationAmt |
| Book Value | $1,371,035 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $59,214,369 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST PAYABLE | $440,898 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $865,782 |
| PHYSICIAN GUARANTEE | $154,753 |
| INTEREST RATE SWAP | $6,877,967 |
| RESIDENT TRUST FUNDS | $73,882 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,413,282 | 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 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, 2019. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | $1,774,165 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,774,165 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01720 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,924,914 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,795,053 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,129,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,699,079 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,795,053 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,904,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02810 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,278 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $214,282 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $214,282 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $488,353 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $488,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $715,913 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $715,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,414,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,795,053 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,619,939 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03500 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,381 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,381 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,381 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,381 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,716,001 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,806,855 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $77,282,840 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $76,896,116 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $386,724 | 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 | 0 | 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 | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE DISCLOSURE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE DISCLOSURE | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | 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 (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE DISCLOSURE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE DISCLOSURE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE DISCLOSURE | 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 |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HUGH CHATHAM MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: 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. |
| HUGH CHATHAM MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: 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 HOPSITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES TO ENSURE WE CONTINUE TO EFFECTIVELY SUPPORT COMMUNITY BENEFITS. |
| PART V, SECTION B, LINE 7A AND 10A: | WEBSITE ADDRESSES FOR CHNA AND IMPLEMENTATION STRATEGYHTTPS://WWW.HUGHCHATHAM.ORG/ASSETS/FORMS/CHNA%20219.PDFHTTPS://WWW.HUGHCHATHAM.ORG/ASSETS/FORMS/CHNA%202019%20IMPLEMENTATION%20PLAN.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 23 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - YADKIN VALLEY HOME HEALTH | ||||
| 213 WINSTON RD | ELKIN | NC | 28642 | HOME HEALTH |
| 2 - TRI COUNTY ORTHOPEDIC AND SPORTS MEDICIN | ||||
| 400 JOHNSON RIDGE RD | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 3 - YADKIN VALLEY UROLOGY | ||||
| 200 JOHNSON RIDGE MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 4 - YADKIN VALLEY ADULT MEDICINE | ||||
| 500 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 5 - CLINGMAN MEDICAL CENTER | ||||
| 3369 CLINGMAN RD | ELKIN | NC | 28670 | PHYSICIAN OFFICE |
| 6 - YADKIN VALLEY GASTROENTEROLOGY | ||||
| 201 WEST MAIN STREET | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 7 - JONESVILLE URGENT CARE CENTER | ||||
| 546 WINSTON ROAD | MT VIEW | NC | 28642 | PHYSICIAN OFFICE |
| 8 - G I CLINIC | ||||
| 201 WEST MAIN STREET | ELKIN | NC | 28621 | PROCEDURE CLINIC |
| 9 - YADKIN VALLEY DERMATOLOGY | ||||
| 201A ELDON PARK DRIVE | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 10 - HUGH CHATHAM FAMILY MEDICINE ELKIN | ||||
| 600 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 11 - HUGH CHATHAM SURICAL | ||||
| 201B ELDON PARK DRIVE | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 12 - HUGH CHATHAM NEUROLOGY | ||||
| 100 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 13 - HUGH CHATHAM BEHAVIORAL | ||||
| 690 PARKWOOD MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 14 - YADKIN VALLEY PULMONARY | ||||
| 180 PARKWOOD DRIVE | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 15 - HUGH CHATHAM FAMILY MED BOOMER | ||||
| 156 BOOMER COMMUNITY CENTER RD | BOOMER | NC | 28606 | PHYSICIAN OFFICE |
| 16 - HUGH CHATHAM FAMILY MED MT VIEW | ||||
| 5229 ROCK CREEK RD | MT VIEW | NC | 28602 | PHYSICIAN OFFICE |
| 17 - HUGH CHATHAM WOMEN'S CENTER | ||||
| 150 PARKWOOD DRIVE | MT VIEW | NC | 28621 | PHYSICIAN OFFICE |
| 18 - HUGH CHATHAM PODIATRIC MEDICINE AND SURG | ||||
| 150 CHATHAM MEDICAL PARK | MT VIEW | NC | 28621 | PHYSICIAN OFFICE |
| 19 - HUGH CHATHAM EXPRESS CARE DOBSON | ||||
| 911 E ATKINS ST | DOBSON | NC | 28621 | PHYSICIAN OFFICE |
| 20 - PARKWOOD PLACE RETIREMENT CENTER | ||||
| 601 JOHNSON RIDGE RD | ELKIN | NC | 28621 | RETIREMENT CENTER |
| 21 - HUGH CHATHAM FAMILY MEDICINE INDEPEDENCE | ||||
| 127 EAST MAIN STREET | INDEPENDENCE | VA | 24348 | PHYSICIAN OFFICE |
| 22 - HUGH CHATHAM INTERNAL MEDICINE | ||||
| 360 PARKWOOD DR | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| 23 - HUGH CHATHAM FAMILY MEDICINE WOODLAWN | ||||
| 22 TRAINING CENTER RD | WOODLAWN | VA | 24381 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION'S INTERNAL COST ACCOUNTING SYSTEM WAS USED TO COMPUTE A COST-TO-CHARGES RATIO THAT WAS USED TO CALCULATE COSTS USED IN PART I, LINE 7. |
| PART I, LN 7 COL(F): | THE TOTAL EXPENSE AMOUNT LISTED ON FORM 990, PART IX, LINE 26 CONTAINS BAD DEBT EXPENSE OF $17,716,001 THAT WAS REMOVED FOR THE PURPOSE OF CALCULATING TOTAL CHARITY CARE PERCENTAGE ON LINE 7, COLUMN (F). |
| PART I, LINE 6A: | THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS FILED THROUGH THE MEDICAL CARE COMMISSION OF NORTH CAROLINA. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | HUGH CHATHAM MEMORIAL HOSPITAL PROVIDES ALL LOCAL SCHOOLS WITH FREE HAND SANITIZERS WITH FLU PREVENTION BROCHURES EVERY FALL AND SUNCREEN WITH MELANOMA AWARENESS BROCHURES EVERY SPRING. |
| PART III, LINE 2: | 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. |
| PART III, LINE 3: | 5,162,442.69 TIMES 35% WOULD QUALIFY FOR FINANCIAL ASSISTANCE. THIS IS THE BAD DEBT EXPENSE LISTED ABOVE TIMES COST TO CHARGE RATIO. |
| PART III, LINE 4: | 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 FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEMS.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. |
| PART III, LINE 8: | AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6. |
| 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. |
| PART VI, LINE 2: | 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. 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. VARIOUS HEALTH FAIRS FOR SPECIFIC GROUPS, REACHING INTO THE BUSINESS COMMUNITY WITH EDUCATIONAL MATERIALS AND SCREENINGS BEING PROVIDED. WE HAVE PROVIDED PRESENTATIONS TO THE SENIOR CENTER IN OUR AREA CONCERNING DISEASES THAT AFFECT THEIR AGE GROUPS. |
| PART VI, LINE 3: | 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. |
| PART VI, LINE 4: | 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 DIAMTER 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. |
| PART VI, LINE 5: | THE HUGH CHATHAM HEALTH SYSTEM HUGH CHATHAM MEMORIAL HOSPITAL HAS AN ENVIABLE REPUTATION FOR EXCELLENCE. THE ORGANIZATION'S VISION, "TO BE THE BEST COMMUNITY HOSPITAL IN THE NATION WITH SERVICE AS THE GUIDING PRINCIPLE," DECLARES THAT EVERY MEMBER OF THE STAFF SUBSCRIBES TO THE HIGHEST LEVEL OF CARE. HUGH CHATHAM MAKES A DIFFERENCE EVERY DAY FOR LOCAL CITIZENS AND EMPLOYERS. THE NONPROFIT HEALTH CARE NETWORK HAS RECENTLY RECEIVED MANY PRESTIGIOUS AWARDS THAT UNDERSCORE ITS COMMITMENT TO EXCELLENCE.THE WOMEN'S CHOICE AWARD FOR BEST IN PATIENT SAFETY BY THE WOMEN'S CERTIFIED GROUP, RANKING HUGH CHATHAM IN THE TOP 1% IN THE NATION.OUR PRIMARY STROKE CENTER RECEIVED THE 2019 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND TARGET: STROKE HONOR ROLL ELITE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS.THE ORGANIZATION CELEBRATED ITS 9TH CONSECUTIVE "A" GRADE FROM THE LEAPFROG HOSPITAL SAFETY GROUP. THIS NATIONAL SURVEY REPRESENTS HOW WELL THE HOSPITAL PROTECTS PATIENTS FROM ERRORS, INJURIES AND INFECTIONS. PATIENT SAFETY CONTINUES TO BE AT THE CENTER OF ALL CARE AT HUGH CHATHAM. THE TRIAD BUSINESS JOURNAL VOTED HUGH CHATHAM AS A FINALIST IN THE "BEST PLACES TO WORK" INITIATIVE, WHICH ENGAGES EMPLOYEES REGARDING THEIR SATISFACTION WITH THEIR VOCATIONS. YADKIN VALLEY HOME HEALTH, NOW EXPANDED INTO 6 ADDITIONAL COUNTIES, IS THE REGION'S TOP HOME HEALTH AGENCY.IN AN EFFORT TO PROVIDE IMPROVED PATIENT ACCESS TO CLINICAL SERVICES AND TO ENHANCE HEALTHCARE COORDINATION FOR RESIDENTS OF ALLEGHANY COUNTY, WAKE FOREST BAPTIST AND HUGH CHATHAM PARTNERED TO ENSURE THE FUTURE OF ALLEGHANY MEMORIAL HOSPITAL. UNDER THE AGREEMENT, THE TWO CREATED A 50-50 JOINT VENTURE CALLED ALLEGHANY HEALTH. THIS COLLABORATIVE FOR IMPROVED HEALTHCARE IN NORTHWESTERN NC INITIATED A NEW FACILITY PLAN THAT BEGAN CONSTRUCTION LATE IN 2019.THE HUGH CHATHAM WOMEN'S IMAGING CENTER RECENTLY BROUGHT GENIUS 3D MAMMOGRAPHY TO ELKIN. THIS STATE-OF-THE-ART TECHNOLOGY BRINGS THE NEWEST STANDARDS OF BREAST IMAGING TO OUR COMMUNITIES. 3D MAMMOGRAPHY AIDS IN EARLIER DETECTION OF CANCERS, RESULTING IN BETTER TREATMENT OPTIONS AND A HIGHER PROBABILITY OF CURE.THE HUGH CHATHAM FOUNDATION IS A DEEPLY ROOTED NON-PROFIT ARM OF THE ORGANIZATION WITH A MISSION TO SUPPORT AND ENHANCE SERVICES AND EQUIPMENT. 2019 PROVED TO BE THE MOST SUCCESSFUL YEAR EVER FUNDRAISING EVENTS. THE YADKIN VALLEY WINE AUCTION NETTED $47,000 AND THE GOLF CLASSIC MADE $27,000. THIS YEAR'S FOCUS WAS AN EXTREMELY SUCCESSFUL CAMPAIGN TO PROVIDE AREA NURSING STUDENTS WITH SCHOLARSHIPS. FIVE DESERVING STUDENTS RECEIVED $5,000 THIS YEAR. AND LATE IN 2019, THE FOUNDATION RECEIVED A $1.3 MILLION GIFT FROM THE GILMER HINSON CHARITABLE TRUST.OUR VOLUNTEERS COMPLETE OUR ORGANIZATION. WITH A CADRE OF MORE THAN 120 VOLUNTEERS, EVERY PATIENT, VISITOR AND EMPLOYEE IS GREETED WITH A WARM SMILE EACH AND EVERY DAY. WE HAVE VOLUNTEERS AT ALL OF OUR INFORMATION DESKS AND GIFT SHOP AND SERVING AS PATIENT-FAMILY LIAISONS IN SURGERY, IMAGING, EMERGENCY, AND REHAB. SOME EVEN ENJOY ASSISTING NON-CLINICAL DEPARTMENTS WITH OFFICE WORK. THERE IS A VOLUNTEER POSITION TO FIT EVERYONE. LIKE OUR EMPLOYEES, OUR VOLUNTEERS ARE THE SHINING STARS OF OUR ORGANIZATION.A COMPLETE LISTING OF SERVICES WITHIN OUR CONTINUUM OF CARE IS AVAILABLE ON THE HEALTH SYSTEM'S WEBSITE AT WWW.HUGHCHATHAM.ORG. WE ALSO ENJOY AN ACTIVE SOCIAL MEDIA VENTURE WHERE WE HAVE MANY, MANY FOLLOWERS. VISIT US ON FACEBOOK AND TWITTER. |
| PART VI, LINE 6: | THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | TUITION LOAN ASSISTANCE | GrantTypeTxt |
| Recipient | 7 | RecipientCnt |
| Cash Grant | $24,545 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | 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 | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | 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 | 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 | Yes (1) | 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL HAMMES | ||||||||||||||
| CEO | $345,416 | $0 | $0 | $0 | $4,800 | $0 | $6,415 | $0 | $23,569 | $0 | $380,200 | $0 | $0 | $0 |
| DONALD E TRIPPEL | ||||||||||||||
| CFO | $228,858 | $0 | $0 | $0 | $0 | $0 | $12,094 | $0 | $18,712 | $0 | $259,664 | $0 | $0 | $0 |
| MARY BLACKBURN | ||||||||||||||
| CPO | $200,767 | $0 | $0 | $0 | $0 | $0 | $12,741 | $0 | $16,635 | $0 | $230,143 | $0 | $0 | $0 |
| DOMINICK CARBONE MD | ||||||||||||||
| PHYSICIAN | $532,169 | $0 | $184,528 | $0 | $0 | $0 | $27,631 | $0 | $16,635 | $0 | $760,963 | $0 | $0 | $0 |
| SARBA KUNDU MD | ||||||||||||||
| PHYSICIAN | $486,219 | $0 | $204,431 | $0 | $0 | $0 | $15,395 | $0 | $23,627 | $0 | $729,672 | $0 | $0 | $0 |
| MURUGANANTHAN SUBBIAH MD | ||||||||||||||
| PHYSICIAN | $618,513 | $0 | $64,820 | $0 | $0 | $0 | $21,038 | $0 | $23,629 | $0 | $728,000 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | 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. |
| PART I, LINE 6 | 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 2018 WERE: $184,528 DOMINICK CARBONE, MD $204,431 SARBA KUNDA, MD $64,820 MURUGANANTHAN SUBBIAH, MD |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | 65821DAF8 | 2008-09-24 | $45,455,000 | NEW STRUCTURES, EQUIPMENT | Yes (1) | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | 2015-12-16 | $25,495,000 | REFUNDING REVENUE BONDS | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $6,295,000 | $42,235,000 | $46,276,755 | $3,493,414 | $435,743 | $513,249 | $42,448,072 | 2010 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $4,950,000 | $25,214,951 | $280,049 | 0 | 0 | Yes (1) | Yes (1) | $25,214,951 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WELLS FARGO | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 30.000000000000 | Yes (1) | 0 | 0 | 0 | 0 |
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/28/2013 |
| SCH K, PART II, LINE 11, COLUMN A | THE OTHER SPENT PROCEEDS OF $ WERE USED TO CURRENTLY REFUND PRIOR BONDS ISSUED ON 05-08-1996. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA OAKES | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | RELATED TO BOARD MEMBER BOB MIDKIFF | RelationshipDescriptionTxt |
| Transaction | $66,857 | TransactionAmt |
| Transaction | COMPENSATED AS DIRECTOR OF MARKETING | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | 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 EMPLOYEMENT 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, SECTION B, LINE 11B | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH SUPERVISION AND ASSISTANCE BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT AND DELIVERED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. THE RETURN WAS THEN PRESENTED AT A SCHEDULED MEETING OF THE BOARD OF DIRECTORS BY A REPRESENTATIVE OF THE ACCOUNTING FIRM, AND EACH VOTING MEMBER OF THE BOARD WAS PROVIDED A COPY FOR DISCUSSION AND QUESTIONS. FOLLOWING THE MEETING AND A PERIOD OF TIME FOR COMMENT, THE RETURN WAS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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, SECTION B, LINE 15 | 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, SECTION C, LINE 18 | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| 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 IX, LINE 11G | CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 6,075,504. MANAGEMENT AND GENERAL EXPENSES 1,326,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,402,313. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,624,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,624,099. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 3,774,648. MANAGEMENT AND GENERAL EXPENSES 426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,775,074. CENTRALIZED BILLING: PROGRAM SERVICE EXPENSES 1,888,086. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,888,086. OTHER FEES: PROGRAM SERVICE EXPENSES 201,545. MANAGEMENT AND GENERAL EXPENSES 468,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 670,209. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF SWAP AGREEMENT -4,446,372. RECOGNIZED LOSSES ON IMPAIRMENTS -2,572,524. CHANGE IN NET ASSETS -269,461. |
| FORM 990, PART XII, LINE 2C: | 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) | LINE 12A, I | HUGH CHATHAM MEMORIAL HOSPITAL | Yes (1) |
| HUGH CHATHAM MEMORIAL HOSPITAL AUXILIARY | ||||||||||
| 180 PARKWOOD DRIVE | ELKIN | NC | 28621 | 561199949 | THRIFT/GIFT SHOP | NC | 501(C)(3) | LINE 12A, I | HUGH CHATHAM MEMORIAL HOSPITAL | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |