2025-09-25T15:39:00-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-10-01 560845796 CUMBERLAND COUNTY HOSPITAL SYSTEM INC CUMB 9106154829 PO BOX 2000 FAYETTEVILLE NC 283022000 BRET JOHNSON CFO 9106154829 2025-09-24 1 0 KURT BENNION CPA P01469618 4252506100 2025-09-23 2023 2025-03-06 01:10:19Z BRET JOHNSON PO BOX 2000 FAYETTEVILLE NC 283022000 1451345046 0 X WWW.CAPEFEARVALLEY.COM X 1956 NC PROVIDING EXCEPTIONAL HEALTHCARE FOR ALL OUR PATIENTS 21 19 9664 87 4213890 0 6250964 17109196 1105830203 1314709617 34589787 39977543 30015953 23190884 1176686907 1394987240 412895 896009 0 0 587842169 542470930 0 0 0 508289916 785585972 1096544980 1328952911 80141927 66034329 1650668720 5847504726 886415614 4959369167 764253106 888135559 X AT CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. DBA: CAPE FEAR VALLEY HEALTH SYSTEM, OUR GOAL IS TO IMPROVE THE QUALITY OF EVERY LIFE WE TOUCH. TO ACHIEVE THAT, OUR DOCTORS, SURGEONS AND STAFF ARE COMMITTED TO EXCELLENCE IN EVERY ASPECT OF THE HEALTHCARE PROCESS. OUR VALUES OF PATIENT-CENTEREDNESS, INTEGRITY, INNOVATION, TEAMWORK, DIVERSITY, ACCOUNTABILITY AND EDUCATION HELP US CREATE A BETTER EXPERIENCE FOR EVERY PATIENT, EVERY TIME. 0 0 1084926323 896009 1310495727 AS PART OF MEETING THE HEALTH CARE NEEDS OF THE SERVICE AREA, CCHS, INC. ADMITTED 38,129 PATIENTS, PROVIDED 222,972 PATIENT DAYS OF CARE, HAD 191,942 EMERGENCY ROOM VISITS AND HAD OVER 795,000 OUTPATIENT VISITS FOR SERVICES. 1084926323 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 561 0 1 9664 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 21 19 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NC X BRET JOHNSON 9106154829 PO BOX 2000 FAYETTEVILLE NC 283022000 SANJAY SHAH MD CHAIR 2.00 0.00 X X 0 0 0 JIMMY KEEFE VICE CHAIR 2.00 0.00 X X 0 0 0 ERNEST JONES SECRETARY 2.00 0.00 X X 0 0 0 GLENN ADAMS TRUSTEE 2.00 0.00 X 0 0 0 AFUA ARHIM TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL BOOSE TRUSTEE 2.00 0.00 X 0 0 0 TERRILL BROWN TRUSTEE 2.00 0.00 X 0 0 0 CHUCK CHIMA TRUSTEE 2.00 0.00 X 62500 0 0 JEANNETTE COUNCIL TRUSTEE 2.00 0.00 X 0 0 0 MARSHALL FAIRCLOTH TRUSTEE 2.00 0.00 X 0 0 0 GIRUM FEYISSA MD TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL JONES MD TRUSTEE 2.00 0.00 X 0 0 0 VERONICA JONES TRUSTEE 2.00 0.00 X 0 0 0 KELVIN FARMER TRUSTEE 2.00 0.00 X 0 0 0 LARRY LANCASTER TRUSTEE 2.00 0.00 X 0 0 0 SHANNON MATTHEWS TRUSTEE 2.00 0.00 X 0 0 0 TONI STEWART TRUSTEE 2.00 0.00 X 0 0 0 PAMELA STORY TRUSTEE 2.00 0.00 X 0 0 0 MYRON STRICKLAND TRUSTEE 2.00 0.00 X 49440 0 0 CLARENCE GRIER TRUSTEE 2.00 0.00 X 0 0 0 RYAN AUL TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL NAGOWSKI CEO 54.00 1.00 X 1541010 0 20660 BRET JOHNSON CFO 54.00 1.00 X 721558 0 20014 DANIEL WEATHERLY COO 54.00 1.00 X 779595 0 20391 DEBORAH MARSHBURN CNO 54.00 1.00 X 423481 0 17322 PHILIP WOOD JR CIO 54.00 1.00 X 567051 0 17275 CHARLES HAWORTH PHYSICIAN 40.00 0.00 X 1236208 0 16305 ROBERT MAUGHAN PHYSICIAN 40.00 0.00 X 1385898 0 12058 IRLENE LOCKLEAR PHYSICIAN 40.00 0.00 X 1051135 0 12459 KENNETH MANNING PHYSICIAN 40.00 0.00 X 874673 0 15261 HUGHEY CARTER PHYSICIAN 40.00 0.00 X 968921 0 6655 9661470 0 158400 1071 0 1 0 RODGERS BUILDERS INC 5701 N SHARON AMITY ROAD CHARLOTTE NC 28215 CONSTRUCTION 39665775 AYA HEALTHCAARE INC PO BOX 123519 DEPT 3519 DALLAS TX 75312 CONTRACT LABOR 28995400 AMN HEALTHCARE INC 4441 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACT LABOR 26420363 ARAMARK DALLAS LOCKBOX PO BOX 978839 DALLAS TX 75397 MANAGEMENT SERVICES 16055108 CHG COMPANIES PO BOX 972651 DALLAS TX 75397 CONTRACT LABOR 6161234 188 990731 15405085 713380 17109196 PATIENT SERVICE REVENU 621400 1228286012 1228286012 PHARMACY REVENUE 621990 86423605 82209715 4213890 1314709617 757665 757665 404696 99393 305303 305303 305303 95301737 176554 56045757 212656 39255980 -36102 39219878 39219878 MISCELLANEOUS REVENUE 900099 17056451 17056451 INSURANCE INCOME 900099 5526097 5526097 INVESTMENT IN JOINT VE 900001 303033 303033 22885581 1394987240 1310495727 4213890 63168427 896009 896009 4128357 4128357 435865869 392301522 43564347 20884987 20884987 40911434 40911434 40680283 31541544 9138739 70897618 66771527 4126091 6538243 5962585 575658 291939 23333 268606 98911912 83534227 15377685 853317 35693 817624 31219474 2701694 28517780 5057393 2257680 2799713 9077654 7768790 1308864 1153343 787069 366274 17709914 17709914 58688914 52056558 6632356 10971843 1053695 9918148 MEDICAL SUPPLIES 212206650 199930427 12276223 REPAIRS AND MAINTENANCE 145360654 127662341 17698313 MISCELLANEOUS EXPENSE 62856632 38141243 24715389 BAD DEBT EXPENSE 53790472 53790472 1328952911 1084926323 244026588 0 35434415 108224344 74280334 63802525 154306822 212729630 0 1274420 16087576 17833096 12107833 15786911 1151722585 611582524 582565236 540140061 247425205 301773009 0 4705434 0 2763520 528461299 4578471776 1650668720 5847504726 100371433 177314429 49992 7957746 281080000 0 254047442 493377575 250866747 4280719417 886415614 4959369167 X 0 0 0 0 764253106 888135559 764253106 888135559 1650668720 5847504726 X 66034329 53937084 3911040 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 159823 0 0 159823 0 PART II-B, LINE 1: EMPLOYEES OF THE HEALTH SYSTEM AN DNCHA MEET WITH LOCAL, STAFF, AND FEDERAL LEGISLAORS AND REGULATORS REGARDING MATTERS OF INTEREST TO THE HOSPITAL. 28688090 28688090 674843430 337783932 337059498 6130798 769029 5361769 337146689 266156259 70990430 104913578 6873304 98040274 540140061 SELF-INSURANCE TRUSTS 72270823 BOND FUND TRUSTS 54145129 DEFERRED OUTFLOW 24466772 DESIGNATED FOR CAPITAL IMPROVEMENTS 143870062 RIGHT-OF-USE LEASE ASSETS 86598888 DUE FROM INTERCOMPANY 4189992118 RESERVE FUND 7127984 4578471776 DUE TO INTERCOMPANY 4141830746 DEFERRED PENSION LIABILITY 53187457 RIGHT-OF-USE LEASE LIABILITIES 81051257 COST REPORT SETTLEMENT 4649957 4280719417 X PART X, LINE 2: THE HEALTH SYSTEM AND THE FOUNDATIONS ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS ORGANIZATIONS DESCRIBED IN THE SECTION 501(C)(3). THE UNRELATED BUSINESS INCOME GENERATED BY THE HEALTH SYSTEM AND THE INCOME GENERATED BY THE HEALTH SYSTEM'S TAXABLE COMPONENT ARE NOT MATERAL TO THE FINANCIAL STATEMENTS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED IN THE ACCOMPANYING FINANCIAL STATEMENTS. CENTRAL AMERICAN AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS 0 0 INVESTMENTS CAPTIVE INSURANCE 69871105 0 0 0 0 0 0 69871105 0 69871105 1 0 1 0 0 0 PART III ACCOUNTING METHOD: THE ACCRUAL METHOD IS USED FOR INVESTMENTS. 1 1 X 1 X 1 X 500.000000000000 1 1 0 1 1 34500833 34500833 0.02690 240112461 194186090 45926371 0.03580 254457 131373 123084 0.00010 274867751 194317463 80550288 0.06280 45087652 7446373 37641279 0.02940 119330061 37257606 82072455 0.06400 164417713 44703979 119713734 0.09340 439285464 239021442 200264022 0.15620 305504 305504 0.00020 62500 62500 0.00000 368004 368004 0.00020 46592848 0 125209312 127669216 -2459904 X 1 1 4 1 CAPE FEAR VALLEY HEALTH SYSTEM 1638 OWEN DRIVE FAYETTEVILLE NC 28304 WWW.CAPEFEARVALLEY.COM H0213 X X X 2 HIGHSMITH RAINEY HOSPITAL 150 ROBESON STREET FAYETTEVILLE NC 28301 WWW.CAPEFEARVALLEY.COM H0275 X LONG TERM ACUTE CARE HOSPITAL 3 HOKE HOSPITAL 210 MEDICAL PAVILION DRIVE RAEFORD NC 28376 WWW.CAPEFEARVALLEY.COM H0288 X 4 BLADEN COUNTY HOSPITAL 501 SOUTH POPLAR STREET ELIZABETH TOWN NC 28337 WWW.CAPEFEARVALLEY.COM H0154 X X X FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION B, LINE 7D X 1 21 0 1 0 1 X 200.000000000000 500.000000000000 X X 1 1 X X X 1 X HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 5: CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022 THROUGH A REGIONAL PARTNERSHIP WITH HEALTHENC, THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, 22 HOSPITALS, AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA. TO ENSURE BROAD COMMUNITY REPRESENTATION, CFVHS ESTABLISHED COMMUNITY HEALTH ASSESSMENT TEAMS (CHATS) IN BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES. THESE TEAMS INCLUDED COMMUNITY MEMBERS, LOCAL STAKEHOLDERS, AND PUBLIC HEALTH PROFESSIONALS.THE CHATS WERE INSTRUMENTAL IN DISTRIBUTING SURVEYS AND LEADING FOCUS GROUPS TO GATHER INPUT FROM RESIDENTS. DATA FROM THESE SURVEYS AND FOCUS GROUPS, ALONG WITH STATE AND FEDERAL SOURCES, INFORMED THE IDENTIFICATION OF KEY HEALTH PRIORITIES. CFVHS WORKED CLOSELY WITH THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES TO ADDRESS THE MOST PRESSING NEEDS: SUBSTANCE ABUSE/MENTAL HEALTH, ACCESS TO HEALTH SERVICES, AND CHRONIC DISEASE MANAGEMENT.IN ADDITION TO THE CHATS AND COUNTY HEALTH DEPARTMENTS, CFVHS CONSULTED AND PARTNERED WITH ORGANIZATIONS SUCH AS FRIENDS OF THE CANCER CENTER, NC MEDASSIST, AND THE ARTS COUNCIL OF FAYETTEVILLE/CUMBERLAND COUNTY TO FURTHER ENGAGE THE COMMUNITY AND TAILOR PROGRAMMING TO LOCAL NEEDS.PERSONS CONSULTED INCLUDED:- COMMUNITY HEALTH ASSESSMENT TEAMS (CHATS) COMPOSED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND PUBLIC HEALTH WORKERS - HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES- REGIONAL PARTNERS: HEALTHENC, CONDUENT HEALTHY COMMUNITIES INSTITUTE, 22 HOSPITALS, AND 21 HEALTH DEPARTMENTS- FRIENDS OF THE CANCER CENTER- NC MEDASSIST- ARTS COUNCIL OF FAYETTEVILLE/CUMBERLAND COUNTYTHIS COLLABORATIVE APPROACH ENSURED THAT CFVHS'S IMPLEMENTATION STRATEGY WAS INFORMED BY A DIVERSE RANGE OF COMMUNITY PERSPECTIVES AND ADDRESSED THE MOST SIGNIFICANT HEALTH NEEDS IDENTIFIED BY LOCAL RESIDENTS. PART V, SECTION B, LINE 6A: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED INVOLVING 22 HOSPITALS INCLUDING CAPE FEAR MEDICAL CENTER, BLADEN COUNTY HOSPITAL, HOKE HOSPITAL, AND HIGHSMITH RAINEY HOSPITAL. PART V, SECTION B, LINE 6B: THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED IN COLLABORATION WITH HEALTHENC AND THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AS PART OF A REGIONAL PARTNERSHIP INVOLVING 22 HOSPITALS AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA, INCLUDING THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES. PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ON OUR WEBSITE AT: HTTPS://WWW.CAPEFEARVALLEY.COM/LOCATIONS/CAPE-FEAR-VALLEY-HOKE-HOSPITALDIRECT LINK:HTTPS://WWW.CAPEFEARVALLEY.COM/LOCATIONS/CAPE-FEAR-VALLEY-MEDICAL-CENTER/WHEN COPYING AND PASTING THE DIRECT LINKS, FORMAT THE URL WITH UNDERCASE LETTERS. PART V, SECTION B, LINE 11: CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED IN COLLABORATION WITH HEALTHENC AND THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AS PART OF A REGIONAL PARTNERSHIP INVOLVING 22 HOSPITALS AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA, INCLUDING THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES. COMMUNITY HEALTH ASSESSMENT TEAMS (CHAT) WERE DEVELOPED IN EACH OF THE RESPECTIVE COUNTIES. THE CHAT CONSISTED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND THOSE WORKING IN PUBLIC HEALTH. THE CHATS WERE INSTRUMENTAL IN THE DISTRIBUTION OF OUR SURVEYS IN THE COMMUNITY IN ELECTRONIC AND PAPER FORMAT. UTILIZING THE SURVEYS (PRIMARY DATA) AND DATA FROM THE STATE PLUS FEDERAL SOURCES (SECONDARY DATA), AND CHAT LED FOCUSED GROUPS ASSISTED HEALTHENC IN CREATING A COMPREHENSIVE REPORT FOR EACH OF THE FOUR COUNTIES CAPE FEAR VALLEY HAS A HOSPITAL. THERE WERE A FEW CONTINUOUS THEMES DESPITE THE GEOGRAPHICAL DIFFERENCES IN THE COUNTIES. WORKING WITH THE RESPECTIVE HEALTH DEPARTMENTS IN EACH COUNTY, CAPE FEAR VALLEY HEALTH SYSTEM IDENTIFIED SUBSTANCE ABUSE/MENTAL HEALTH, ACCESS TO HEALTH SERVICES, AND CHRONIC DISEASE MANAGEMENT AS THE AREAS THAT NEEDED TO BE ADDRESSED. THESE AREAS ARE ALL AMONG THE MOST MENTIONED AREAS AMONGST OUR SURVEY RESPONDENTS AND FOCUS GROUP ATTENDEES. THE PRIORITIES AND HEALTH NEEDS IDENTIFIED WERE STRATEGICALLY ADDRESSED THROUGH TARGETED INITIATIVES AND PROGRAMMING DURING FISCAL YEAR 2024 (10/01/2023 - 09/30/2024).EARLY INTERVENTION AND CHRONIC DISEASE MANAGEMENT:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) CONTINUED ITS COMMITMENT TO PROMOTING EARLY INTERVENTION AND SUPPORTING THE LONG-TERM MANAGEMENT OF CHRONIC CONDITIONS THROUGH ROBUST COMMUNITY OUTREACH AND EDUCATION INITIATIVES IN FY 2024. THESE EFFORTS REACHED ACROSS OUR SERVICE REGION AND IMPACTED HUNDREDS OF THOUSANDS OF LIVES.EXTENSIVE COMMUNITY ENGAGEMENTIN FISCAL YEAR 2024, MORE THAN 190 COMMUNITY EVENTS WERE HOSTED, AIMED AT EMPOWERING THE COMMUNITY WITH VITAL KNOWLEDGE ABOUT CHRONIC DISEASE MANAGEMENT, PREVENTATIVE HEALTH PRACTICES, AND GENERAL HEALTH EDUCATION. THESE EVENTS SUCCESSFULLY ENGAGED OVER 444,000 INDIVIDUALS ACROSS THE REGION. OVER 3,400 INDIVIDUALS PARTICIPATED IN SYSTEM-WIDE BLOOD DRIVES, WHICH NOT ONLY SUPPORTED THE LOCAL BLOOD SUPPLY BUT ALSO SERVED AS EDUCATIONAL TOUCHPOINTS. COMMUNITY MEMBERS WERE INFORMED ABOUT THE IMPORTANCE OF BLOOD DONATION, SAFE NEEDLE DISPOSAL, AND RECOGNIZING CRITICAL SIGNS OF BLOOD LOSS THAT REQUIRE MEDICAL INTERVENTION.CAPE FEAR VALLEY HEALTH MADE SIGNIFICANT STRIDES IN SPREADING LIFE-SAVING KNOWLEDGE THROUGH RECURRING OUTREACH PROGRAMS:- HANDS-ONLY CPR, AED TRAINING, EARLY HEART ATTACK CARE (EHAC) EDUCATION, AND BLOOD PRESSURE SCREENINGS WERE INTEGRATED INTO MANY OUTREACH EVENTS.- DURING BREAST CANCER AWARENESS EVENTS, OVER 23,200 COMMUNITY MEMBERS RECEIVED BREAST CARE EDUCATION, INCLUDING EARLY DETECTION STRATEGIES. THROUGH THE GENEROSITY OF THE FRIENDS OF THE CANCER CENTER, 144 COMMUNITY MEMBERS RECEIVED FREE MAMMOGRAMS.MORE THAN 180 COMMUNITY MEMBERS ATTENDED DEDICATED SESSIONS ON SLEEP APNEA AWARENESS, LEARNING HOW TO RECOGNIZE SYMPTOMS AND WHERE TO SEEK CARE FURTHER SUPPORTING EARLY DETECTION AND TREATMENT OF POTENTIALLY LIFE-THREATENING SLEEP DISORDERS.CAPE FEAR VALLEY HEALTH'S RADIO SHOW "MAKING ROUNDS LIVE" BROUGHT EXPERT-LED HEALTH EDUCATION DIRECTLY TO THE PUBLIC. IN FY 2024, OVER 89,500 PARTICIPANTS JOINED IN TO LISTEN OR WATCH THESE SESSIONS, COVERING VITAL TOPICS SUCH AS:- HEART HEALTH- NUTRITION AND EXERCISE- THE OPIOID CRISIS- CHRONIC DISEASE PREVENTION AND MANAGEMENT- CANCER EARLY DETECTION- STROKE AND HEART ATTACK WARNING SIGNS- PALLIATIVE CARE- SEXUAL ASSAULT AWARENESS- KIDNEY HEALTH- MATERNAL CARE AND COLORECTAL CANCER SCREENINGIN SUPPORT OF EARLY INTERVENTION, CAPE FEAR VALLEY HEALTH PROVIDED OVER 400 FREE HEALTH SCREENINGS, INCLUDING LUNG CANCER SCREENINGS AND GENERAL WELLNESS ASSESSMENTS. IN ADDITION, MORE THAN 24,400 FLU VACCINATIONS WERE ADMINISTERED THROUGHOUT THE REGION TO HELP PREVENT ILLNESS AND PROTECT THE COMMUNITY, ESPECIALLY THOSE WITH CHRONIC HEALTH CONDITIONS.OUTREACH SURROUNDING THE CUMBERLAND COUNTY MEDICATION ACCESS PROGRAM (CCMAP) REACHED MORE THAN 350,000 INDIVIDUALS IN CUMBERLAND, HOKE, HARNETT, AND SAMPSON COUNTIES. CCMAP CONTINUES TO BRIDGE THE GAP FOR UNDERSERVED POPULATIONS BY PROVIDING FREE OR LOW-COST MEDICATIONS THROUGH LICENSED NON-PROFIT PHARMACIES ENABLING IMPROVED OUTCOMES FOR THOSE MANAGING CHRONIC DISEASES.CAPE FEAR VALLEY HEALTH MAINTAINED ITS PARTNERSHIP WITH NC MEDASSIST, HELPING ELIMINATE ACCESS BARRIERS FOR HOMEBOUND PATIENTS. THROUGH THEIR OVER THE COUNTER MEDICINE PROGRAM, RESIDENTS COULD REQUEST ESSENTIAL MEDICATIONS SUCH AS ALLERGY RELIEF, COLD REMEDIES, PAIN MANAGEMENT, VITAMINS, AND CHILDREN'S MEDICINE WITHOUT NEEDING TO ATTEND MOBILE FREE PHARMACY EVENTS IN PERSON.THESE EFFORTS REFLECT CAPE FEAR VALLEY HEALTH'S ONGOING MISSION TO IMPROVE POPULATION HEALTH THROUGH ACCESSIBLE CARE, EDUCATION, AND PREVENTION. BY EMPOWERING INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH WHETHER THROUGH LEARNING CPR, UNDERSTANDING CHRONIC DISEASE WARNING SIGNS, OR ACCESSING MEDICATIONS CAPE FEAR VALLEY CONTINUES TO BUILD A HEALTHIER, MORE INFORMED COMMUNITY.ENHANCING ACCESS TO CARE & STRENGTHENING THE PROVIDER PIPELINE:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) REMAINS STEADFAST IN ITS MISSION TO IMPROVE ACCESS TO HIGH-QUALITY, COORDINATED HEALTH SERVICES ACROSS SOUTHEASTERN NORTH CAROLINA. THROUGHOUT FY24, THE HEALTH SYSTEM ADVANCED MULTIPLE STRATEGIC INITIATIVES AIMED AT STRENGTHENING THE PROVIDER WORKFORCE, INCREASING CARE AVAILABILITY IN UNDERSERVED AREAS, ENHANCING BEHAVIORAL HEALTH CAPACITY, AND LEVERAGING TECHNOLOGY TO IMPROVE PATIENT OUTCOMES.TO MEET THE GROWING DEMAND FOR CARE, CFVHS PRIORITIZED RECRUITMENT AND WORKFORCE DEVELOPMENT. THROUGH A COMPREHENSIVE PHYSICIAN NEEDS ASSESSMENT, COMPLETED IN PARTNERSHIP WITH 3D CONSULTING IN 2022, THE SYSTEM IDENTIFIED SPECIALTY-SPECIFIC NEEDS ACROSS EACH COUNTY IN ITS SERVICE AREA. THROUGHOUT FY24, CFVHS REMAINED COMMITTED TO IMPROVING ACCESS TO HIGH-QUALITY CARE BY ACTIVELY RECRUITING AND RETAINING BOTH GENERAL AND SPECIALIZED PROVIDERS TO SERVE THE NEEDS OF OUR COMMUNITY. AS A RESULT:- 60 FULL-TIME AND 25 PART-TIME PROVIDERS WERE HIRED, INCLUDING HOSPITALISTS (21), EMERGENCY MEDICINE (16), OB/GYN (9), PEDIATRICS (8), ORTHOPEDICS (6), AND 25 OTHERS ACROSS 15+ SPECIALTIES.THIS GROWTH ENSURES TIMELY ACCESS TO BOTH PRIMARY AND SPECIALTY CARE, HELPING REDUCE WAIT TIMES AND IMPROVE CARE CONTINUITY.IN PARALLEL, CFVHS CONTINUED TO INVEST IN ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH NOW SUPPORT OVER 290 RESIDENTS ACROSS 14 SPECIALTIESFROM INTERNAL MEDICINE AND PSYCHIATRY TO EMERGENCY MEDICINE AND ORTHOPEDICS. THE SYSTEM ALSO HOSTS 13 FELLOWS ACROSS CARDIOLOGY, ADOLESCENT PSYCHIATRY, AND PULMONARY/CRITICAL CARE (STARTING JULY 2025). THESE PROGRAMS SERVE AS A LONG-TERM PIPELINE TO ADDRESS REGIONAL PHYSICIAN SHORTAGES.THE METHODIST UNIVERSITY CAPE FEAR VALLEY HEALTH SCHOOL OF MEDICINE MARKED A HISTORIC MILESTONE IN SEPTEMBER 2024 WITH A GROUNDBREAKING CEREMONY FOR ITS NEW MEDICAL SCHOOL BUILDING, FUNDED IN PART BY AN $8 MILLION GRANT FROM THE GOLDEN LEAF FOUNDATION. ONCE OPERATIONAL, THE SCHOOL WILL GRADUATE OVER 100 PHYSICIANS ANNUALLY HELPING ADDRESS CRITICAL PROVIDER SHORTAGES ACROSS RURAL AND UNDERSERVED COMMUNITIES.WITH THE FULL IMPLEMENTATION OF EPIC AT HARNETT HEALTH, CFVHS NOW OPERATES ON A UNIFIED ELECTRONIC HEALTH RECORD PLATFORM. THIS SEAMLESS INTEGRATION:- ENHANCES REAL-TIME DATA SHARING ACROSS FACILITIES- REDUCES DUPLICATIVE DOCUMENTATION- IMPROVES CARE TRANSITIONS- SUPPORTS INFORMED CLINICAL DECISION-MAKINGTHE RESULT IS SAFER, FASTER, AND MORE COORDINATED CARE, REGARDLESS OF LOCATION. CFVHS INVESTED SIGNIFICANTLY IN EXPANDING ITS PHYSICAL FOOTPRINT TO ACCOMMODATE RISING DEMAND:- THE VALLEY PAVILION EXPANSION ADDED TWO ROOFTOP HELIPADS, ENABLING CRITICALLY ILL PATIENTS TO BE TRANSPORTED DIRECTLY TO THE ED, HEART CENTER, ICU, OR OPERATING ROOM IMPROVING CARE TIMELINES AND SUPPORTING INTER-HOSPITAL TRANSFERS.- 10 NEW AMBULATORY CLINICS OPENED ACROSS THE REGION, THREE OF WHICH ARE IN RURAL AREAS. THESE CLINICS EXPANDED SERVICES IN ORTHOPEDICS, OB/GYN, PEDIATRICS, INTERVENTIONAL PAIN, AND PODIATRY, DRIVING A 19% INCREASE IN PHYSICIAN VISITS SYSTEM-WIDE.INCREASED UTILIZATION DEMONSTRATED ENHANCED ACCESS TO SERVICES THROUGHOUT THE COMMUNITIES WE SERVE.- 3% INCREASE IN INPATIENT DISCHARGES- 1% INCREASE IN EMERGENCY DEPARTMENT VISITS- 11% INCREASE IN INTERVENTIONAL RADIOLOGY VOLUMES DUE TO THE ADDITION OF THREE NEW IR PHYSICIANS PART V, SECTION B, LINE 11 (CONTINUED): CFV HOKE HOSPITAL WAS HONORED WITH THE LEAPFROG TOP HOSPITAL AWARD, AND CFVMC EARNED U.S. NEWS & WORLD REPORT HIGH PERFORMING RATINGS IN SIX CARE AREAS (COPD, COLON CANCER SURGERY, DIABETES, HEART ATTACK, HEART FAILURE, AND STROKE) , REINFORCING THE SYSTEM'S QUALITY AND COMMITMENT TO CLINICAL EXCELLENCE. HOKE HOSPITAL ALSO RECEIVED A HIGH PERFORMING DESIGNATION FOR PNEUMONIA.CAPE FEAR VALLEY HEALTH'S SIMULATION CENTER, LOCATED WITHIN THE CENTER FOR MEDICAL EDUCATION AND NEUROSCIENCE INSTITUTE AT CFVMC, IS A STATE-OF-THE-ART FACILITY ADVANCING HEALTHCARE EDUCATION THROUGH CUTTING-EDGE SIMULATION TECHNOLOGIES AND MULTIDISCIPLINARY TRAINING. THIS FACILITY WAS HONORED BY BECKER'S HOSPITAL REVIEW AS ONE OF THE TOP 64 IN THE COUNTRY. THIS DISTINCTION UNDERSCORES OUR UNWAVERING COMMITMENT TO EXCELLENCE IN MEDICAL TRAINING AND PATIENT CARE.CFVHS AND METHODIST UNIVERSITY DEEPENED THEIR PARTNERSHIP THROUGH:- THE STEP UP 4 HEALTH & WELLNESS EXPO, WHICH RAISED OVER $70,000 FOR CANCER CARE, HEART SERVICES, PEDIATRIC PROGRAMS, AND MORE.- A NEW "DEDICATED EDUCATION UNIT" PROJECT SUPPORTED BY NC-AHEC, WHERE CFVH NURSES ARE TRAINED AS CLINICAL INSTRUCTORS TO MENTOR NURSING STUDENTSINTEGRATING EDUCATION WITH PRACTICE TO GROW THE LOCAL NURSING WORKFORCE.ADDITIONALLY, CFVHS WAS AWARDED $22,000 BY THE ARTS COUNCIL OF FAYETTEVILLE/CUMBERLAND COUNTY TO EXPAND ART THERAPY PROGRAMS FOR BEHAVIORAL HEALTH AND CANCER PATIENTS, SUPPORTING HOLISTIC CARE MODELS.MENTAL HEALTH & SUBSTANCE ABUSE:TO ADDRESS THE URGENT MENTAL HEALTH NEEDS OF ADOLESCENTS, CFVHS IS BUILDING A 12-BED INPATIENT PSYCHIATRIC FACILITY AT CENTRAL HARNETT HOSPITAL. THE ADOLESCENT INPATIENT PSYCHIATRIC FACILITY IN LILLINGTON, NC WILL BE A STATE LICENSED PROGRAM DESIGNED TO TREAT PSYCHIATRIC ILLNESS IN ADOLESCENTS THAT ARE NOT SAFE TO BE MANAGED ON AN OUTPATIENT BASIS AND TO PROVIDE STABILIZATION SERVICES TO ALLOW FOR ONGOING TREATMENT UPON DISCHARGE ONCE STABILIZATION HAS OCCURRED. CAPE FEAR VALLEY HEALTH SYSTEM HAS PURCHASED APPROXIMATELY SIX ACRES TO EXPAND THE SIZE OF THE OVERALL CAMPUS WHICH WILL PROVIDE THE SITE FOR THE CONSTRUCTION OF THE ADOLESCENT PSYCHIATRIC UNIT, RECREATIONAL AREAS FOR THE UNIT, APPROPRIATE PARKING, AND EASY CONNECTIONS TO THE MAIN HOSPITAL FACILITY. IN ADDITION, THE FACILITY AT CENTRAL HARNETT HOSPITAL ALLOWS FOR FUTURE EXPANSION SHOULD THE NEED ARISE. FUNDED BY $8 MILLION IN GRANTS FROM DOROTHEA DIX AND THE STATE CAPITAL AND INFRASTRUCTURE FUND (SCIF), THIS NEW FACILITY WILL PROVIDE STABILIZATION AND INPATIENT TREATMENT FOR YOUTH AGED 1317. GROUNDBREAKING IS SCHEDULED FOR JANUARY 2025, WITH THE FACILITY EXPECTED TO OPEN BY SPRING 2026.MEANWHILE, INPATIENT PSYCHIATRIC SERVICES AT CAPE FEAR VALLEY MEDICAL CENTER EXPERIENCED CONTINUED DEMAND:- ADULT UNIT AVERAGE DAILY CENSUS: 19.31- ADOLESCENT UNIT AVERAGE DAILY CENSUS: 9.01- OUTPATIENT THERAPY VISITS AT THE COMMUNITY MENTAL HEALTH CENTER ROSE BY 5%, SUPPORTED BY THE HIRING OF FOUR ADDITIONAL PSYCHOTHERAPISTS.THE HEALTH SYSTEM'S OPIOID STEWARDSHIP PROGRAM ADVANCED ITS GOALS THROUGH: - PROACTIVE INPATIENT AND OUTPATIENT MONITORING - PEER SUPPORT SPECIALISTS CONNECTING PATIENTS WITH RECOVERY RESOURCES- DEVELOPMENT OF CLINICAL TRAINING MODULES BASED ON CDC PRESCRIBING GUIDELINESTHESE EFFORTS AIM TO REDUCE OPIOID MISUSE, SUPPORT THOSE WITH OPIOID USE DISORDER, AND PROMOTE SAFE PRESCRIBING PRACTICES SYSTEM-WIDE.IN FISCAL YEAR 2024, CAPE FEAR VALLEY HEALTH SYSTEM TOOK BOLD, COORDINATED STEPS TO EXPAND ACCESS TO CARE ACROSS EVERY CORNER OF ITS SERVICE AREA. THROUGH WORKFORCE EXPANSION, FACILITY INVESTMENTS, BEHAVIORAL HEALTH INNOVATION, AND COMMUNITY PARTNERSHIPS, CFVHS CONTINUES TO TRANSFORM HOW CARE IS DELIVEREDENSURING PATIENTS RECEIVE THE RIGHT CARE, AT THE RIGHT TIME, IN THE RIGHT PLACE. 40 1 - CFV - REHABILITATION CENTER 1638 OWEN DRIVE FAYETTEVILLE NC 28304 REHABILITATION CENTER 2 - CUMBERLAND CITY EMS OF CFV 610 GILLESPIE STREET FAYETTEVILLE NC 28306 EMERGENCY MEDICAL SERVICES 3 - CFV BEHAVIOR HEALTH CENTER 3425 MELROSE ROAD FAYETTEVILLE NC 28304 BEHAVIOR HEALTH CENTER 4 - CFV DETOX CENTER 1724 ROXIE AVENUE FAYETTEVILLE NC 28304 DETOXICATION CENTER 5 - HEALTHPLEX WELLNESS CENTER 1930 SKIBO ROAD FAYETTEVILLE NC 28304 REHABILITATION CENTER 6 - HEALTH PAVILION NORTH 6387 RAMSEY STREET FAYETTEVILLE NC 28311 OUTPATIENT SERVICES 7 - HIGHSMITH-RAINEY EXPRESS CARE 150 ROBESON STREET FAYETTEVILLE NC 28311 EXPRESS CARE 8 - CAPE FEAR VALLEY EXPRESS CARE 1638 OWEN DRIVE FAYETTEVILLE NC 28304 EXPRESS CARE 9 - CAPE FEAR VALLEY OBGYN 1341 WALTHER REED ROAD FAYETTEVILLE NC 28304 OB/GYN SERVICES 10 - HEALTH PAVILION NORTH EXPRESS CARE 6387 RAMSEY STREET FAYETTEVILLE NC 28301 EXPRESS CARE 11 - CAPE FEAR VALLEY SLEEP MEDICINE 1213 WALTER REED ROAD FAYETTEVILLE NC 28304 SLEEP CENTER 12 - HEALTH PAVILION NORTH FAMILY CARE 6387 RAMSEY STREET FAYETTEVILLE NC 28311 FAMILY CENTER 13 - HOPE MILLS FAMILY CARE 4092 PROFESSIONAL DRIVE HOPE MILLS NC 28348 FAMILY PRACTICE 14 - CAPE FEAR VALLEY PERINATOLOGY 2109 VALLEYGATE DRIVE FAYETTEVILLE NC 28304 PERINATOLOGY 15 - BEHAVIORAL HEALTH CENTER 3425 MELROSE ROAD FAYETTEVILLE NC 28304 MENTAL HEALTH CLINIC INPATIENT 16 - VALLEY MEDICAL ASSOCIATES - HIGHSMITH 101 ROBESON STREET FAYETTEVILLE NC 28301 FAMILY PRACTICE 17 - CAPE FEAR VALLEY UROLOGY 2301 ROBESON STREET SUITE 203 FAYETTEVILLE NC 28305 UROLOGY 18 - HOKE FAMILY MEDICAL CENTER 405 SOUTH MAIN STREET RAFFORD NC 28376 FAMILY PRACTICE 19 - SENIOR HEALTH SERVICES 101 ROBESON STREET SUITE 202 FAYETTEVILLE NC 28310 GERIATRICS 20 - BLADEN MEDICAL ASSOCIATION - ELIZABETHTOWN 300 A EAST MCKAY STREET ELIZABETHTOWN NC 28337 FAMILY PRACTICE 21 - STEDMAN MEDICAL CARE 114 FORTE ROAD STEDMAN NC 28391 FAMILY PRACTICE 22 - CAPE FEAR VALLEY NEUROSURGERY 3308 MELROSE ROAD FAYETTEVILLE NC 28304 NEUROSURGERY OUTPATIENT 23 - CAPE FEAR VALLEY WOUND CARE CENTER 101 ROBESON STREET SUITE 210 FAYETTEVILLE NC 28301 WOUND CENTER 24 - CAPE FEAR VALLEY PEDIATRIC CARE 1262 OLIVER STREET FAYETTEVILLE NC 28304 PEDIATRIC CARE 25 - WESTSIDE MEDICAL CARE 1463 PAMALEE DRIVE FAYETTEVILLE NC 28303 FAMILY PRACTICE 26 - CAPE FEAR VALLEY INTERNAL MEDICINE 101 ROBESON STREET SUITE 100 FAYETTEVILLE NC 28301 INTERNAL MEDICINE 27 - WOMEN'S HEALTH SPECIALISTS 300 EAST MCKAY STREET SUITE F ELIZABETHTOWN NC 28337 OB/GYN SERVICES 28 - THREE RIVERS MEDICAL CENTER 580 WEST MCLEAN STREET ST PAULS NC 28384 FAMILY PRACTICE 29 - BLADEN MEDICAL ASSOCIATES - BLADENBORO 1106 W SEABOARD STREET BLADENBORO NC 28320 FAMILY PRACTICE 30 - BLADEN MEDICAL ASSOCIATES-DUBLIN 16 THIRD STREET DUBLIN NC 28332 FAMILY PRACTICE 31 - DIABETES & ENDOCRINE CENTER 101 ROBESON STREET SUITE 405 FAYETTEVILLE NC 28301 DIABETES & ENDOCRINOLOGY OUTPATIENT 32 - CFV PEDIATRIC ENDOCRINOLOGY 101 ROBESON STREET SUITE 410 FAYETTEVILLE NC 28301 DIABETES & ENDOCRINOLOGY OUTPATIENT 33 - BEHAVIORAL HEALTH CLINIC 3425 MELROSE ROAD FAYETTEVILLE NC 28304 MENTAL HEALTH CLINIC OUTPATIENT CARE 34 - BLADEN SURGICAL SPECIALIST 107 EAST DUNHAM STREET ELIZABETHTOWN NC 28377 SURGICAL SPECIALIST 35 - HEALTH PAVILION HOKE PNORTH PEDIATRIC CARE 6387 RAMSEY STREET FAYETTEVILLE NC 28311 PEDIATRIC CARE 36 - HEALTH PAVILION HOKE PRIMARY CARE 300 MEDICAL PAVILION DRIVE SUITE 102 RAEFORD NC 28376 FAMILY PRACTICE 37 - HOKE OBGYN 300 MEDICAL PAVILION DRIVE SUITE 250 RAEFORD NC 28376 FAMILY PRACTICE 38 - HOKE EXPRESS CARE 300 MEDICAL PAVILION DRIVE SUITE 102 RAEFORD NC 28376 EXPRESS CARE 39 - CFV INFECTIOUS DISEASE CARE 101 ROBESON STREET SUITE 300 FAYETTEVILLE NC 28301 INFECTIOUS DISEASE 40 - CAPE FEAR VALLEY NEUROLOGY 3308 MELROSE ROAD FAYETTEVILLE NC 28304 NEUROLOGY PART I, LINE 6A: CUMBERLAND COUNTY HOSPITAL SYSTEM FILES A COMMUNITY BENEFIT REPORT ANNUALLY IN THE STATE OF NORTH CAROLINA TO THE NORTH CAROLINA HOSPITAL ASSOCIATION. PART I, LINE 7: LINE 7A - CHARITY CARE COSTS WERE CALCULATED USING A MEDICAID SPECIFIC COST-TO-CHARGE RATIO (CCR) FROM THE MEDICARE COST REPORT. A MEDICAID CCR WAS USED BECAUSE THE MEDICAID POPULATION BETTER REPRESENTS THE UTILIZATION AND ACUITY OF THE CHARITY POPULATION THAN THE USE OF AN OVERALL CCR AS CALCULATED IN WORKSHEET 2. A CCR WAS USED INSTEAD OF A COST ACCOUNTING SYSTEM BECAUSE CHARITY, AS WELL AS BAD DEBTS, REPRESENT ONLY A PORTION OF A PATIENT ACCOUNT THAT IS BEING WRITTEN OFF. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 46,592,848. PART II, COMMUNITY BUILDING ACTIVITIES: CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. ("CCHS") CONTINUES TO ENGAGE IN COALITION BUILDING AND WORKFORCE DEVELOPMENT ACTIVITIES IN THE COMMUNITY. COALITION BUILDING PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES BY NETWORKING WITH OTHER COMMUNITY AGENCIES TO ADDRESS THE HEALTH AND SAFETY ISSUES OF THE COMMUNITY. THE EMPLOYEES OF CCHS UTILIZE THEIR CLINICAL EXPERTISE TO COLLABORATE WITH OTHER COMMUNITY AGENCIES AND COUNTY AND STATE HEALTH DEPARTMENTS TO PROVIDE EDUCATION AND OTHER INITIATIVES THAT BENEFIT THE HEALTH OF PEOPLE IN THE COMMUNITY. WORKFORCE DEVELOPMENT ACTIVITIES INCLUDE THE RECRUITMENT OF PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO MEDICAL SHORTAGE AREAS . PART III, LINE 2: IN THE CURRENT YEAR, BAD DEBTS ARE REPORTED AT CHARGES WRITTEN OFF IN THE PERIOD PLUS AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS. SEE THE LINE 4 NOTEBELOW FOR A MORE DETAILED DESCRIPTION OF THE METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 2 PER THE FINANCIAL STATEMENT FOOTNOTE RELATED TO "PROVISION FOR UNCOLLECTIBLE ACCOUNTS". DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE REFLECTED IN THE PATIENT BALANCE PRIOR TO ACCOUNTS BEING WRITTEN OFF TO BAD DEBT. PART III, LINE 4: SEE THE "PATIENT AND RESIDENT ACCOUNTS RECEIVABLE" PARAGRAPHS ON PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR INFORMATION ABOUT OUR BAD DEBT EXPENSE CALCULATION. PART III, LINE 8: THE COST REPORTED ON LINE 6 WAS CALCULATED USING THE SEPTEMBER 30, 2024 MEDICARE COST REPORT AND WAS CALCULATED BASED ON COST-TO-CHARGE RATIOS. SINCE THE AMOUNTS REPORTED ON LINES 5 AND 6 ONLY INCLUDE MEDICARE PART A COSTS AND PAYMENTS, THE OTHER MEDICARE COSTS (I.E. - MEDICARE PART C, PHYSICIAN SERVICES, FEE SCHEDULE, NON-ALLOWABLE) AND PAYMENTS ARE INCLUDED IN THE ATTACHED MEDICARE RECONCILIATION. $0 OF THE MEDICARE SHORTFALL, IF APPLICABLE, REPORTED ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT SINCE THAT PORTION OF THE SHORTFALL WAS RELATED TO THOSE PATIENTS THAT HAD MEDICAID AS A SECONDARY PAYOR AND THEREFORE DEEMED INDIGENT FOR MEDICARE BAD DEBT PURPOSES. PART III, LINE 9B: IF PATIENTS ARE DETERMINED TO QUALIFY FOR CHARITY, THEN THE ACCOUNT IS TREATED AS CHARITY RATHER THAN BAD DEBT. PART VI, LINE 2: THE MISSION OF CAPE FEAR VALLEY HEALTH SYSTEM IS TO STRENGTHEN THE HEALTH AND WELLBEING OF THE GREATER CAPE FEAR VALLEY REGION THROUGH HIGHQUALITY, COMPASSIONATE CARE PROVIDED TO ALL WHO NEED IT. AS A COMMUNITY NOTFOR PROFIT ORGANIZATION, WE TAKE SERIOUSLY OUR RESPONSIBILITY TO INVEST OUR RESOURCES AND ENERGIES INTO UNDERSTANDING AND MEETING THE DIVERSE HEALTH CARE NEEDS OF ALL, AND ENSURE THAT EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY, RECEIVES THE CARE THEY NEED. THE SENIOR ADMINISTRATIVE TEAM SERVES IN VARIOUS CAPACITIES ON SEVERAL LOCAL COMMUNITY BOARDS AND GROUPS. AS MEMBERS OF THESE VARIOUS GROUPS, THEY ARE ABLE TO GAIN INSIGHT TO NEEDS OF THE COMMUNITY. OUR COMMUNITY PARTNERS ARE CRITICAL TO HELPING US IMPROVE THE HEALTH AND WELLBEING OF THE CAPE FEAR VALLEY REGION. TOGETHER, WE CAN COMBINE RESOURCES AND STRENGTHS, POSITIVELY IMPACTING THE GREATEST NUMBER OF PEOPLE. BY WORKING CLOSELY WITH THE COMMUNITY LEADERS, WE ALSO BUILD A GREATER SENSE OF COMMUNITY AND A SHARED COMMITMENT TOWARD OUR COMMON GOAL OF IMPROVING THE COMMUNITY'S HEALTH. THE RESULTS HELP US TO DETERMINE OUR SHORT AND LONG TERM PRIORITIES AS WELL AS STRATEGIES FOR IMPROVING COMMUNITY HEALTH. THOSE COMMUNITY GROUPS AND PARTNERS CCCC, SRAHEC, CCMAP, CHAMBER OF COMMERCE, FAYETTEVILLE AREA PR ALLIANCE, CUMBERLAND COUNTY EDUCATION FOUNDATION, COMMUNITIES IN SCHOOLS OF NC, FORT BRAGG REGIONAL ALLIANCE, CARE CLINIC, AND THE METHODIST UNIVERSITY PHYSICIAN ASSISTANT PROGRAM. PART VI, LINE 3: UNINSURED PATIENTS ARE SCREENED AT THE TIME OF REGISTRATION FOR THEIR ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. IF THE PATIENT HAS NO ABILITY TO PAY AND IS DEEMED INELIGIBLE FOR GOVERNMENT PROGRAMS (MEDICARE, MEDICAID, ETC.) THEN THEY ARE INFORMED OF THE HOSPITAL CHARITY PROGRAM. THEY ARE PROVIDED WITH AN APPLICATION AND A LISTING OF THE APPROPRIATE DOCUMENTS NECESSARY TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL CHARITY PROGRAM. ALL PATIENTS RECEIVE A COPY OF OUR CHARITY CARE APPLICATION ACCOMPANYING THE FIRST BILLING STATEMENT. PART VI, LINE 4: CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. ("CCHS") DOING BUSINESS AS CAPE FEAR VALLEY MEDICAL CENTER ("CFVMC") IS THE FLAGSHIP OF CAPE FEAR VALLEY HEALTH SYSTEM ("CFVHS"). CFVHS OPERATES A VARIETY OF THE HEALTHCARE FACILITIES FROM ITS HEADQUARTERS IN FAYETTEVILLE, NORTH CAROLINA INCLUDING A TERTIARY ACUTE CARE HOSPITAL, A LONGTERM ACUTE CARE HOSPITAL, A CRITICAL ACCESS HOSPITAL, AN INPATIENT REHABILITATION FACILITY, COUNTY EMERGENCY MEDICAL SERVICES, AN OUTPATIENT PSYCHIATRIC FACILITY, A DETOXIFICATION FACILITY, A WELLNESS CENTER, 14 PRIMARY CARE CLINICS, 16 SPECIALTY CARE CLINICS, 4 WALKIN CLINICS, AND HEALTH PAVILION NORTH, AN OUTPATIENT COMPLEX. CAPE FEAR VALLEY HEALTH SYSTEM SERVES A SIXCOUNTY SERVICE AREA MADE UP OF THE FIVE COUNTIES CONTIGUOUS TO CUMBERLAND COUNTY, NC, WHICH IS ITS PRIMARY SERVICE AREA. PER INFORMATION FROM THE 2012 ESTIMATED CENSUS DATA, CUMBERLAND HAS A POPULATION OF OVER 326,000 RESIDENTS THIS WAS A GROWTH OF 6.9% FROM THE 2000 CENSUS DATA. APPROXIMATELY 54.2% OF THE 326,000 RESIDENTS IN OUR PRIMARY SERVICE AREA ARE MINORITIES, COMPARED TO 35.6% FOR THE STATE. PART VI, LINE 5: CHRONIC DISEASES LIKE DIABETES AND OBESITY ARE INCREASING WITHIN OUR COMMUNITY. OUR FACILITY HAS OPENED A DIABETES AND ENDOCRINE CLINIC TO HELP THOSE PATIENTS DIAGNOSED WITH DIABETES. OUR HEALTHPLEX PROVIDES BOTH NUTRITIONAL AND EXERCISE PROGRAMS TO HELP THOSE IN THE COMMUNITY ADDRESS THE PROBLEM OF OBESITY. THE GOAL IS TO HELP ALL RESIDENTS LEARN TO MANAGE THEIR CONDITIONS AND LIVE HEALTHIER LIVES BY ADDRESSING THE CHALLENGES ASSOCIATED WITH THESE CONDITIONS. EXAMPLE OF PROGRAM AT CAPE FEAR VALLEY: CAPE FEAR VALLEY HEALTH SYSTEM'S "TAKE CHARGE OF YOUR HEALTH" PROGRAM BEGAN AS AN INITIATIVE TO CLOSE THE HEALTHCARE GAP BETWEEN AFRICAN AMERICANS AND NON-HISPANIC WHITES IN CUMBERLAND COUNTY THROUGH PUBLIC SERVICE ANNOUNCEMENTS, HEALTH FAIRS, SCREENINGS AND SPEAKING ENGAGEMENTS. IT HAS SINCE BROADENED ITS FOCUS TO ALL OF CUMBERLAND COUNTY. DARVIN JONES IS THE COORDINATOR OF THE "TAKE CHARGE OF YOUR HEALTH" PROGRAM. HE SERVES ON THE BOARD OF DIRECTORS OF COMMUNITY HEALTH INTERVENTIONS & SICKLE CELL AGENCY, A NONPROFIT THAT WORKS WITH INDIVIDUALS WITH SICKLE CELL DISEASE, HYPERTENSION AND DIABETES. DARVIN IS ALSO A MEMBER OF THE CUMBERLAND COUNTY COUNCIL FOR HEALTHY LIVING, A GROUP ASSEMBLED BY THE HEALTH DEPARTMENT, AND THE CUMBERLAND COUNTY SCHOOLS SCHOOL HEALTH ADVISORY COUNCIL. TAKE CHARGE OF YOUR HEALTH IS AFFILIATED WITH EAT SMART, MOVE MORE NORTH CAROLINA, A STATEWIDE INITIATIVE. AT CAPE FEAR VALLEY HEALTH SYSTEM, IT IS IMPORTANT TO US TO GIVE BACK TO OUR COMMUNITY. IN ADDITION TO EMPLOYEE UNITED WAY DONATIONS AND VOLUNTEER TIME, OUR EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY SERVICE INITIATIVES, TO INCLUDE THE HABITAT FOR HUMANITY AND THE FRIENDS OF CANCER RIVER WALK. LAST YEAR OUR EMPLOYEES GAVE OVER $250,000 IN DONATIONS TO VARIOUS COMMUNITY ORGANIZATIONS. PART VI, LINE 6: CUMBERLAND COUNTY HOSPITAL SYSTEM IS A STAND-ALONE HEALTH CARE ORGANIZATION AND IS NOT A PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES NC 1 BLADEN COMMUNITY COLLEGE PO BOX 266 DUBLIN NC 28332 560894927 NORTH CAROLINA 110739 0 GENERAL SUPPORT FAYETTEVILLE TECHNICAL COMMUNITY COLLEGE FOUNDATION INC P O BOX 35236 FAYETTEVILLE NC 28303 581640133 501(C)(3) 100000 0 GENERAL SUPPORT CAPE FEAR VALLEY MEDICAL FOUNDATION PO BOX 87526 FAYETTEVILLE NC 28304 561947017 501(C)(3) 73744 0 GENERAL SUPPORT CENTRAL CAROLINA COMMUNITY COLLEGE FOUNDATION INC 1105 KELLY DRIVE SANFORD NC 27330 561644218 501(C)(3) 52400 0 GENERAL SUPPORT CUMBERLAND COMMUNITY FOUNDATION INC 308 GREEN STREET FAYETTEVILLE NC 28301 581406831 501(C)(3) 10000 0 GENERAL SUPPORT CUMBERLAND COUNTY SCHOOLS 2465 GILLESPIE STREET FAYETTEVILLE NC 28306 581479884 CUMBERLAND COUNTY 6000 0 GENERAL SUPPORT FAYETTEVILLE STATE UNIVERSITY 1200 MURCHISON ROAD FAYETTEVILLE NC 28301 237029901 NORTH CAROLINA 148263 0 GENERAL SUPPORT METHODIST UNIVERSITY 5400 RAMSEY STREET FAYETTEVILLE NC 28311 560657294 501(C)(3) 20246 0 GENERAL SUPPORT UNIVERSITY OF NORTH CAROLINA AT PEMBROKE FOUNDATION INC 1 UNIVERSITY DRIVE PEMBROKE NC 28372 581592230 501(C)(3) 10000 0 GENERAL SUPPORT FAYETTEVILLE TECHNICAL COMMUNITY COLLEGE FOUNDATION INC 2201 HULL ROAD FAYETTEVILLE NC 28311 581640133 501(C)(3) 142111 0 GENERAL SUPPORT 10 0 PART I, LINE 2: CUMBERLAND COUNTY HOSPITAL SYSTEM AWARDS GRANTS TO THE CAPE FEAR VALLEY MEDICAL FOUNDATION FOR THE PURPOSE OF ASSISTING PATIENTS IN PAYING VARIOUS BILLS AND OTHER EXPENSES WHICH PATIENTS CANNOT PAY DUE TO THEIR EXCESSIVE MEDICAL EXPENSES REQUIRED FOR TREATING ILLNESS. PATIENTS APPLY AND APPLICATIONS ARE REVIEWED BY HOSPITAL SOCIAL WORKERS. ANY FUNDS GRANTED ARE PAID DIRECTLY TO THE ORGANIZATION FOR WHICH PATIENT OWES THE BILL AND/OR EXPENSE. ALL GRANT FUNDING REQUESTS MUST BE MADE IN WRITING. MEETINGS ARE HELD TO ENSURE THE GOALS OF THE HEALTH SYSTEM ARE MAINTAINED. X X X X 0 0 0 0 0 0 0 1 0 MICHAEL NAGOWSKI CEO 1104910 0 433195 0 2905 0 9386 0 11274 0 1561670 0 0 0 ROBERT MAUGHAN PHYSICIAN 1385898 0 0 0 0 0 9900 0 2158 0 1397956 0 0 0 CHARLES HAWORTH PHYSICIAN 896534 0 137347 0 202327 0 7889 0 8416 0 1252513 0 0 0 IRLENE LOCKLEAR PHYSICIAN 499999 0 550027 0 1109 0 9900 0 2559 0 1063594 0 0 0 HUGHEY CARTER PHYSICIAN 275000 0 666767 0 27154 0 5682 0 973 0 975576 0 0 0 KENNETH MANNING PHYSICIAN 500011 0 277188 0 97474 0 9900 0 5361 0 889934 0 0 0 DANIEL WEATHERLY COO 647040 0 132555 0 0 0 9900 0 10491 0 799986 0 0 0 BRET JOHNSON CFO 577574 0 129687 0 14297 0 9900 0 10114 0 741572 0 0 0 PHILIP WOOD JR CIO 433699 0 124767 0 8585 0 9900 0 7375 0 584326 0 0 0 DEBORAH MARSHBURN CNO 366492 0 53753 0 3236 0 9900 0 7422 0 440803 0 0 0 PART I, LINE 7 THE HOSPITAL PROVIDES INCENTIVE COMPENSATION TO ITS EXECUTIVES, WHICH IS BASED ON THE QUANTITATIVE AND QUALITATIVE PERFORMANCES OF THE HOSPITAL. THE DETERMINATION OF INCENTIVE COMPENSATION FOLLOWS THE HOSITAL'S COMPENSATION PROCEDURES AS OUTLINED IN FORM 990, PART VI, SECTION B, LINE 15. A PUBLIC FINANCE AUTHORITY 273866124 2020-12-10 152000000 SEE PART VI 0 0 0 B PUBLIC FINANCE AUTHORITY 273866124 2022-06-09 87500000 SEE PART VI 0 0 0 C PUBLIC FINANCE AUTHORITY 273866124 2022-07-01 93400000 SEE PART VI 0 0 0 A 50000000 152000000 152000000 2017 1 0 1 1 B 1820000 87500000 440000 4111290 82948710 0 0 1 1 C 1200000 93400000 290000 965650 42144350 50000000 2020 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 SCHEDULE K, PART I, COLUMN F - DESCRIPTION OF PURPOSE: BOND A ISSUED 12/10/2020 - $50,000,000 ISSUED TO REFUND A PORTION OF THE $152,000,000 BONDS ISSUED IN 2017 TO PARTIALLY REFUND BONDS ISSUED 9/23/2008, AND $102,000,000 DEEMED TO CURRENTLY REFUND A PORTION OF THOSE 2017 BONDS UPON CONVERSION TO A NEW MODE AND REISSUED, BECOMING ONE ISSUE FOR FEDERAL INCOME TAX PURPOSES. BOND B ISSUED 6/9/2022 - TO FUND A PORTION OF (1) THE ACQUISTION, CONSTRUCTION, EQUIPPING AND FURNISHING OF (A) A 100-BED EXPANSION OF THE VALLEY PAVILION TOWER AT CAPE FEAR VALLEY MEDICAL CENTER AND (B) A NEW MEDICAL OFFICE CANCER CENTER BUILDING LOCATED AT CENTRAL HARNETT HOSPITAL AND (2) ACQUIRING AND INSTALLING MEDICAL, COMPUTER, OFFICE, AND CAPITAL EQUIPMENT FOR USE AT BOTH LOCATIONS (COLLECTIVELY, THE PROJECT). BOND C ISSUED 7/1/2022 - $43,400,000 TO FUND A PORTION OF THE PROJECT AND $50,000,000 TO REFUND THE SERIES 2020 BONDS. SCHEDULE K, PART IV, LINE 6, COLUMN A: THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF THE BONDS. SCHEDULE K, PART IV, ARBITRAGE, LINE 7: INVESTMENT OF BOND PROCEEDS ARE BEING MONITORED THROUGH THE WRITTEN PROCEDURE REQUIREMENTS OF SECTION 148. FORM 990, PART VI, SECTION A, LINE 7A THE CUMBERLAND COUNTY BOARD OF COMMISSIONERS, WHICH IS A GOVERNMENTAL UNIT, APPOINTS THE MAJORITY OF THE CUMBERLAND COUNTY HOSPITAL SYSTEM. THE BOARD OF TRUSTEES OF CUMBERLAND COUNTY HOSPITAL SYSTEM IS COMPRISED OF SEVEN TRUSTEES WHO ARE THE SEVEN MEMBERS OF THE BOARD OF COMMISSIONERS. THE BOARD OF TRUSTEES WILL ALSO HAVE EIGHT AT-LARGE TRUSTEES WHO ARE APPOINTED BY THE BOARD OF COMMISSIONERS. THE REMAINING FIVE AT LARGE MEMBERS ARE APPOINTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B PRINTED COPIES OF THE FORM 990 ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES AT THE ADMINISTRATIVE OFFICE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT-OF-INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATE POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE MEETING WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE SALARIES ARE DETERMINED BY A MARKET ANALYSIS INVOLVING COMPARABILITY DATA, INDUSTRY STANDARDS, AND LOCAL ECONOMICS. THE CEO'S SALARY IS REVIEWED AND APPROVED INDPENDENTLY BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATAION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDERESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS. FORM 990, PART XI, LINE 9: PURCHASE OF FAYETTEVILLE AMBULATORY SURGERY CENTER. 3,911,040. BLADEN COUNTY HEALTHCARE LLC PO BOX 2000 FAYETTEVILLE NC 28302 800164702 HEALTH SERVICES NC 59255883 58979034 CCHS CUMBERLAND HEALTH AFF LLC PO BOX 2000 FAYETTEVILLE NC 28302 562275588 INACTIVE NC 0 0 CCHS VALLEY HEALTH FACILITIES LLC PO BOX 2000 FAYETTEVILLE NC 28302 204268819 INACTIVE NC 0 0 CCHS HOKE HEALTHCARE LLC PO BOX 2000 FAYETTEVILLE NC 28302 272763125 HEALTH SERVICES NC 88408640 188194219 CCHS FAYETTEVILLE AMB SURGERY CENTER 1781 METROMEDICAL DRIVE FAYETTEVILLE NC 28304 561754482 HEALTH SERVICES NC 9965180 21704145 CCHS CAPE FEAR VALLEY MEDICAL FOUNDATION PO BOX 87526 FAYETTEVILLE NC 28304 561947017 FUNDRAISING NC 501(C)(3) LINE 7 CCHS 1 BLADEN COUNTY HOSPITAL FOUNDATION INC PO BOX 398 ELIZABETHTOWN NC 28337 561833893 FUNDRAISING NC 501(C)(3) LINE 7 CCHS 1 HARNETT HEALTH SYSTEM INC PO BOX 1796 DUNN NC 28335 560603898 HEALTH SERVICES NC 501(C)(3) LINE 3 CCHS 1 HARNETT HEALTH SYSTEM FOUNDATION 800 TILGMAN DRIVE DUNN NC 28334 201929953 FUNDRAISING NC 501(C)(3) LINE 7 N/A 0 HIGHSMITH-RAINEY MED ARTS CENTER ASSOC PO BOX 2000 FAYETTEVILLE NC 28302 561747424 RENTAL ASSOC. NC CCHS C 138118 703861 1.00000 1 CUMBERLAND HEALTH PARTNER INC PO BOX 2000 FAYETTEVILLE NC 28302 562043978 INACTIVE NC CCHS C 1.00000 1 CAPE FEAR INSURANCE LTD PO BOX 30600 SMB WEST BAY ROAD GRAND CAYMAN CJ 980449284 INSURANCE CJ CCHS C 1009418 85940257 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 CAPE FEAR VALLEY MEDICAL FOUNDATION C 990731 CAPE FEAR VALLEY MEDICAL FOUNDATION B 296250