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      <Desc>HUGH CHATHAM MEMORIAL HOSPITAL (HCMH) IS A NOT-FOR-PROFIT HOSPITAL LOCATED IN ELKIN, SURRY COUNTY, NORTH CAROLINA. IT IS THE SIXTH LARGEST EMPLOYER IN SURRY COUNTY AND IS RANKED AMONG TOP HOSPITALS NATIONWIDE FOR QUALITY BY THE JOINT COMMISSION. HCMH CARES FOR PATIENTS IN THE YADKIN VALLEY REGION IN NORTH CAROLINA, AND ALSO FOR THOSE WHO CHOOSE OUR CARE FROM SEVERAL COUNTIES IN VIRGINIA, INCLUDING CARROLL, GRAYSON AND PATRICK COUNTIES. 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 ACHIEVEMENT. NATIONALLY RECOGNIZED FOR PROVIDING EXCEPTIONAL QUALITY 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 IN EVERY FACET.THE WOMEN'S CHOICE AWARD FOR REGION'S BEST HOSPITAL FOR SURRY, WILKES, ALLEGHANY, YADKIN, DAVIE, ALEXANDER AND IREDELL COUNTIES IN NORTH CAROLINA FOR PATIENT SAFETY. IN ADDITION, HUGH CHATHAM'S STROKE CENTER IS ALSO RANKED AS ONE OF THE BEST IN THE COUNTRY. OUR PRIMARY STROKE CENTER RECEIVED THE 2018 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND TARGET: STROKE HONOR ROLL ELITE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION CONFIRMING OUR DEDICATION TO FOSTERING THE BEST POSSIBLE OUTCOMES.BASED ON A NATIONAL SURVEY CONDUCTED BY TWO LEADING HEALTH CARE ORGANIZATIONS, HUGH CHATHAM EARNED "MOST WIRED" STATUS AS ONE OF AMERICA'S HEALTH LEADERS IN INFORMATION TECHNOLOGY. OUR "LINK AND SYNC" CAPABILITY ENABLES US TO BETTER COORDINATE PATIENT CARE AND REDUCE THE LIKELIHOOD OF MEDICAL ERROR. 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. WE WERE ALSO PLEASED THAT OUR HIGHEST NUMBER OF EMPLOYEES EVER COMPLETED THE HUMAN RESOURCES EMPLOYEE ENGAGEMENT SURVEY AT 72% TAKING THE SURVEY.OUR HOME HEALTH AGENCY, YADKIN VALLEY HOME HEALTH, HAD A TREMENDOUS YEAR BEING RECOGNIZED WITH THE PREMIER PERFORMER AWARD. THEY EXPANDED INTO 6 ADDITIONAL COUNTIES, WITH NOW AN ACTIVE CENSUS OF OVER 400 PATIENTS. AND MOST IMPRESSIVE OF ALL IS THAT THEY EARN THE SUPERIOR HOME HEALTH PERFORMER AWARD FOR RANKING IN THE TOP 5% IN PATIENT SATISFACTION IN THE NATION.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. THE AGREEMENT FORMALIZED COLLABORATIVE AND POPULATION HEALTH-FOCUSED EFFORTS AMONG THE THREE FACILITIES IN ELKIN, SPARTA, AND WINSTON-SALEM TO IMPROVE HEALTHCARE IN NORTHWESTERN NC COMMUNITIES.THE HUGH CHATHAM WOMEN'S IMAGING CENTER RECENTLY BROUGHT GENIUS 3D MAMMOGRAPHY TO ELKIN OVER THE SUMMER. 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.HUGH CHATHAM SAW GROWTH WITHIN ITS MEDICAL PRACTICES. THIRTEEN NEW PROVIDERS JOINED OUR TEAM IN 2018 ACROSS SEVERAL SPECIALTIES. AMONG THESE WERE PRIMARY CARE, NEUROLOGY, ORTHOPEDICS, PULMONOLOGY, AND NEONATAL CARE.THE HUGH CHATHAM FOUNDATION IS A DEEPLY ROOTED NON-PROFIT ARM OF THE ORGANIZATION WITH A MISSION TO SUPPORT AND ENHANCE SERVICES AND EQUIPMENT. 2018 HAS PROVEN TO BE THE MOST SUCCESSFUL YEAR EVER FOR THE GROUPS KEY FUNDRAISING EVENTS. THE YADKIN VALLEY WINE AUCTION NETTED $47,500 AND THE GOLF CLASSIC NETTED $46,000. THIS YEAR'S FOCUS WAS AN EXTREMELY SUCCESSFUL CAMPAIGN TO PROVIDE AREA NURSING STUDENTS WITH SCHOLARSHIPS. FIVE DESERVING STUDENTS RECEIVED $5,000 THIS YEAR. WITH A SHORTAGE OF NURSES NATIONALLY, THIS IS CLEARLY AN INVESTMENT IN THE HOSPITAL'S FUTURE.OUR VOLUNTEERS COMPLETE OUR ORGANIZATION. WITH A CADRE OF MORE THAN 100 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.FINANCIAL VIABILITY IS BOTH A MUST FOR CONTINNUING TO PROVIDE HEALTHCARE TO THE RESIDENTS OF THE YADKIN VALLEY AND IT IS IMPERATIVE FOR THE WELLNESS OF THE REGION. HUGH CHATHAM EMPLOYS MORE THAN 800 TEAM MEMBERS WHICH INCLUDES A MEDICAL GROUP OF MORE THAN 70 PROVIDERS ACROSS 30 LOCATIONS AND 7 COUNTIES. IN SERVICE TO OUR COMMUNITIES, HUGH CHATHAM IS A LEADER IN USING TECHNOLOGY TO COORDINATE PATIENT CARE AND TO ENSURE THAT HEALTHCARE IS MORE ACCESSIBLE AND COST-EFFECTIVE.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 TODAY.</Desc>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR STEPHANIE CARTWRIGHT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLENA SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BILL JOHNSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID ROBERSTON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA THOMPSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOB MIDKIFF</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENT KLEINHEKSEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL HAMMES</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>417856</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14285</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DON TRIPPEL</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>262669</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28929</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BLACKBURN</PersonNm>
        <TitleTxt>CPO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>220364</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32678</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR JONATHAN SNYDER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>587797</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37455</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOMINICK CARBONE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>759742</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36681</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARC STEVENS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>688968</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34839</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARBA KUNDU MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>672195</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36957</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MURUGANANTHAN SUBBIAH MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>547116</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>40272</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA MOORE</PersonNm>
        <TitleTxt>FORMER CPO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>126089</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8871</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4282796</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>270967</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>65</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SODEXO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 536922</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30353</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIETARY &amp; HOUSEKEEPING SERVICES</ServicesDesc>
        <CompensationAmt>3240303</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARDINAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 905867</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28290</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT &amp; HOSPITAL SUPPLIES</ServicesDesc>
        <CompensationAmt>1869532</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARDINAL PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>25025 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY SUPPLIES &amp; MEDICATIONS</ServicesDesc>
        <CompensationAmt>1744626</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HORIZON CSA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>265 PITT ROAD</AddressLine1Txt>
            <CityNm>MOORESVILLE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28115</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EQUIPMENT MAINTENANCE</ServicesDesc>
        <CompensationAmt>1583108</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SMITH AND NEPHEW ORTHO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 933782</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>31933</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>1347035</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>83</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>70</AllOtherContributionsAmt>
      <TotalContributionsAmt>70</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>109765392</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109765392</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER OPERATING REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>388173</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>388173</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EHR MEANINGFUL USE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>193401</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>193401</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET HOSPICE INVESTMENT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>-429883</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-429883</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>109917083</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3368005</TotalRevenueColumnAmt>
        <ExclusionAmt>3368005</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1437106</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>340885</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1096221</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1096221</TotalRevenueColumnAmt>
        <ExclusionAmt>1096221</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>9289753</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>5558</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>9289753</SecuritiesAmt>
        <OtherAmt>-5558</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9284195</TotalRevenueColumnAmt>
        <ExclusionAmt>9284195</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA &amp; VENDING</Desc>
        <BusinessCd>722210</BusinessCd>
        <TotalRevenueColumnAmt>8836</TotalRevenueColumnAmt>
        <ExclusionAmt>8836</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>8836</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>123674410</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109917083</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>13757257</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>14000</TotalAmt>
        <ProgramServicesAmt>14000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>949524</TotalAmt>
        <ProgramServicesAmt>237381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>664667</ManagementAndGeneralAmt>
        <FundraisingAmt>47476</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>66283</TotalAmt>
        <ProgramServicesAmt>66283</ProgramServicesAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>41581019</TotalAmt>
        <ProgramServicesAmt>39240708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2340311</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>673914</TotalAmt>
        <ProgramServicesAmt>625622</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47541</ManagementAndGeneralAmt>
        <FundraisingAmt>751</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5912012</TotalAmt>
        <ProgramServicesAmt>5488362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>417061</ManagementAndGeneralAmt>
        <FundraisingAmt>6589</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2787082</TotalAmt>
        <ProgramServicesAmt>2587362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196614</ManagementAndGeneralAmt>
        <FundraisingAmt>3106</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>103268</TotalAmt>
        <ManagementAndGeneralAmt>103268</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>95534</TotalAmt>
        <ManagementAndGeneralAmt>95534</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>259814</TotalAmt>
        <ManagementAndGeneralAmt>259814</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>601675</TotalAmt>
        <ManagementAndGeneralAmt>601675</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>15919057</TotalAmt>
        <ProgramServicesAmt>14435590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1483467</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>302363</TotalAmt>
        <ProgramServicesAmt>132948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>169415</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>9021791</TotalAmt>
        <ProgramServicesAmt>8648110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>373681</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>2099496</TotalAmt>
        <ProgramServicesAmt>2099496</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>234578</TotalAmt>
        <ProgramServicesAmt>212200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22378</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>2510842</TotalAmt>
        <ProgramServicesAmt>2510842</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>6181249</TotalAmt>
        <ProgramServicesAmt>6181249</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>838598</TotalAmt>
        <ProgramServicesAmt>838598</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>16893472</TotalAmt>
        <ProgramServicesAmt>16893472</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>4191785</TotalAmt>
        <ProgramServicesAmt>4191785</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER TAX</Desc>
        <TotalAmt>2257523</TotalAmt>
        <ProgramServicesAmt>2257523</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>948080</TotalAmt>
        <ProgramServicesAmt>628659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>319421</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>297381</TotalAmt>
        <ManagementAndGeneralAmt>297381</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>114740340</TotalAmt>
        <ProgramServicesAmt>107290190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7392228</ManagementAndGeneralAmt>
        <FundraisingAmt>57922</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>12693512</BOYAmt>
        <EOYAmt>7588956</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>9526802</BOYAmt>
        <EOYAmt>10639546</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>907403</BOYAmt>
        <EOYAmt>845141</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1746165</BOYAmt>
        <EOYAmt>1695229</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>153718970</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>91414921</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>64992393</BOYAmt>
        <EOYAmt>62304049</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>136591000</BOYAmt>
        <EOYAmt>147003994</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>5332400</BOYAmt>
        <EOYAmt>8405160</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2110053</BOYAmt>
        <EOYAmt>2130710</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>233899728</BOYAmt>
        <EOYAmt>240612785</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>10285634</BOYAmt>
        <EOYAmt>11652079</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>64465427</BOYAmt>
        <EOYAmt>62148711</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>10805996</BOYAmt>
        <EOYAmt>7291127</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>85557057</BOYAmt>
        <EOYAmt>81091917</EOYAmt>
      </TotalLiabilitiesGrp>
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        <Desc>PHYSICIAN GUARANTEE</Desc>
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        <Desc>RESIDENT TRUST FUNDS</Desc>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2018.</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>180 PARKWOOD DRIVE</AddressLine1Txt>
          <CityNm>ELKIN</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <OwnWebsiteURLTxt>SEE DISCLOSURE</OwnWebsiteURLTxt>
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        <FAPAvailableOnWebsiteURLTxt>SEE DISCLOSURE</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE DISCLOSURE</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>SEE DISCLOSURE</FAPSummaryOnWebsiteURLTxt>
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        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationGrp>
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        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A AND 10A:</FormAndLineReferenceDesc>
        <ExplanationTxt>WEBSITE ADDRESSES FOR CHNA AND IMPLEMENTATION STRATEGYHTTP://WWW.HUGHCHATHAM.ORG/ASSETS/FORMS/2016-COMMUNITY-HEALTH-NEEDS-ASSESSMENTHTTP://WWW.HUGHCHATHAM.ORG/ASSETS/FORMS/2016-CHNA-IMPLEMENTATION-PLAN.PDF</ExplanationTxt>
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          </BusinessName>
          <USAddress>
            <AddressLine1Txt>213 WINSTON RD</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28642</ZIPCd>
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          <FacilityTxt>HOME HEALTH</FacilityTxt>
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          <BusinessName>
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            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
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        <OthHlthCareFcltsGrp>
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          </BusinessName>
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            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - YADKIN VALLEY ADULT MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>500 CHATHAM MEDICAL PARK</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - CLINGMAN MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3369 CLINGMAN RD</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28670</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - YADKIN VALLEY GASTROENTEROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201 WEST MAIN STREET</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - JONESVILLE URGENT CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>546 WINSTON ROAD</AddressLine1Txt>
            <CityNm>MT VIEW</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28642</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - G I CLINIC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>201 WEST MAIN STREET</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PROCEDURE CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - YADKIN VALLEY DERMATOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201A ELDON PARK DRIVE</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - HUGH CHATHAM FAMILY MEDICINE ELKIN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>600 CHATHAM MEDICAL PARK</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - HUGH CHATHAM SURICAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>201B ELDON PARK DRIVE</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
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        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - HUGH CHATHAM NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 CHATHAM MEDICAL PARK</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - HUGH CHATHAM BEHAVIORAL</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>690 PARKWOOD MEDICAL PARK</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - YADKIN VALLEY PULMONARY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>180 PARKWOOD DRIVE</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - HUGH CHATHAM FAMILY MED BOOMER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>156 BOOMER COMMUNITY CENTER RD</AddressLine1Txt>
            <CityNm>BOOMER</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28606</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - HUGH CHATHAM FAMILY MED MT VIEW</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5229 ROCK CREEK RD</AddressLine1Txt>
            <CityNm>MT VIEW</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28602</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - HUGH CHATHAM WOMEN'S CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>150 PARKWOOD DRIVE</AddressLine1Txt>
            <CityNm>MT VIEW</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - HUGH CHATHAM PODIATRIC MEDICINE AND SURG</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>150 CHATHAM MEDICAL PARK</AddressLine1Txt>
            <CityNm>MT VIEW</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - HUGH CHATHAM EXPRESS CARE DOBSON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>911 E ATKINS ST</AddressLine1Txt>
            <CityNm>DOBSON</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - PARKWOOD PLACE RETIREMENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>601 JOHNSON RIDGE RD</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>RETIREMENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - HUGH CHATHAM FAMILY MEDICINE INDEPEDENCE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>127 EAST MAIN STREET</AddressLine1Txt>
            <CityNm>INDEPENDENCE</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>24348</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - HUGH CHATHAM INTERNAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>360 PARKWOOD DR</AddressLine1Txt>
            <CityNm>ELKIN</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28621</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN OFFICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TOTAL EXPENSE AMOUNT LISTED ON FORM 990, PART IX, LINE 26 CONTAINS BAD DEBT EXPENSE OF $16,527,389 THAT WAS REMOVED FOR THE PURPOSE OF CALCULATING TOTAL CHARITY CARE PERCENTAGE ON LINE 7, COLUMN (F).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS FILED THROUGH THE MEDICAL CARE COMMISSION OF NORTH CAROLINA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ACHIEVEMENT. NATIONALLY RECOGNIZED FOR PROVIDING EXCEPTIONAL QUALITY 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 IN EVERY FACET.THE WOMEN'S CHOICE AWARD FOR REGION'S BEST HOSPITAL FOR SURRY, WILKES, ALLEGHANY, YADKIN, DAVIE, ALEXANDER AND IREDELL COUNTIES IN NORTH CAROLINA FOR PATIENT SAFETY. IN ADDITION, HUGH CHATHAM'S STROKE CENTER IS ALSO RANKED AS ONE OF THE BEST IN THE COUNTRY. OUR PRIMARY STROKE CENTER RECEIVED THE 2018 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND TARGET: STROKE HONOR ROLL ELITE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION CONFIRMING OUR DEDICATION TO FOSTERING THE BEST POSSIBLE OUTCOMES.BASED ON A NATIONAL SURVEY CONDUCTED BY TWO LEADING HEALTH CARE ORGANIZATIONS, HUGH CHATHAM EARNED "MOST WIRED" STATUS AS ONE OF AMERICA'S HEALTH LEADERS IN INFORMATION TECHNOLOGY. OUR "LINK AND SYNC" CAPABILITY ENABLES US TO BETTER COORDINATE PATIENT CARE AND REDUCE THE LIKELIHOOD OF MEDICAL ERROR. 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. WE WERE ALSO PLEASED THAT OUR HIGHEST NUMBER OF EMPLOYEES EVER COMPLETED THE HUMAN RESOURCES EMPLOYEE ENGAGEMENT SURVEY AT 72% TAKING THE SURVEY.OUR HOME HEALTH AGENCY, YADKIN VALLEY HOME HEALTH, HAD A TREMENDOUS YEAR BEING RECOGNIZED WITH THE PREMIER PERFORMER AWARD. THEY EXPANDED INTO 6 ADDITIONAL COUNTIES, WITH NOW AN ACTIVE CENSUS OF OVER 400 PATIENTS. AND MOST IMPRESSIVE OF ALL IS THAT THEY EARN THE SUPERIOR HOME HEALTH PERFORMER AWARD FOR RANKING IN THE TOP 5% IN PATIENT SATISFACTION IN THE NATION.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. THE AGREEMENT FORMALIZED COLLABORATIVE AND POPULATION HEALTH-FOCUSED EFFORTS AMONG THE THREE FACILITIES IN ELKIN, SPARTA, AND WINSTON-SALEM TO IMPROVE HEALTHCARE IN NORTHWESTERN NC COMMUNITIES.THE HUGH CHATHAM WOMEN'S IMAGING CENTER RECENTLY BROUGHT GENIUS 3D MAMMOGRAPHY TO ELKIN OVER THE SUMMER. 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.HUGH CHATHAM SAW GROWTH WITHIN ITS MEDICAL PRACTICES. THIRTEEN NEW PROVIDERS JOINED OUR TEAM IN 2018 ACROSS SEVERAL SPECIALTIES. AMONG THESE WERE PRIMARY CARE, NEUROLOGY, ORTHOPEDICS, PULMONOLOGY, AND NEONATAL CARE.THE HUGH CHATHAM FOUNDATION IS A DEEPLY ROOTED NON-PROFIT ARM OF THE ORGANIZATION WITH A MISSION TO SUPPORT AND ENHANCE SERVICES AND EQUIPMENT. 2018 HAS PROVEN TO BE THE MOST SUCCESSFUL YEAR EVER FOR THE GROUPS KEY FUNDRAISING EVENTS. THE YADKIN VALLEY WINE AUCTION NETTED $47,500 AND THE GOLF CLASSIC NETTED $46,000. THIS YEAR'S FOCUS WAS AN EXTREMELY SUCCESSFUL CAMPAIGN TO PROVIDE AREA NURSING STUDENTS WITH SCHOLARSHIPS. FIVE DESERVING STUDENTS RECEIVED $5,000 THIS YEAR. WITH A SHORTAGE OF NURSES NATIONALLY, THIS IS CLEARLY AN INVESTMENT IN THE HOSPITAL'S FUTURE.OUR VOLUNTEERS COMPLETE OUR ORGANIZATION. WITH A CADRE OF MORE THAN 100 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.FINANCIAL VIABILITY IS BOTH A MUST FOR CONTINNUING TO PROVIDE HEALTHCARE TO THE RESIDENTS OF THE YADKIN VALLEY AND IT IS IMPERATIVE FOR THE WELLNESS OF THE REGION. HUGH CHATHAM EMPLOYS MORE THAN 800 TEAM MEMBERS WHICH INCLUDES A MEDICAL GROUP OF MORE THAN 70 PROVIDERS ACROSS 30 LOCATIONS AND 7 COUNTIES. IN SERVICE TO OUR COMMUNITIES, HUGH CHATHAM IS A LEADER IN USING TECHNOLOGY TO COORDINATE PATIENT CARE AND TO ENSURE THAT HEALTHCARE IS MORE ACCESSIBLE AND COST-EFFECTIVE.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 TODAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>NC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATION GRANT</GrantTypeTxt>
        <RecipientCnt>4</RecipientCnt>
        <CashGrantAmt>14000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <NontaxableBenefitsFilingOrgAmt>22799</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>625252</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOMINICK CARBONE MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>552</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20103</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16578</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>796423</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARC STEVENS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>145278</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>360</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12485</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>723807</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARBA KUNDU MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>591028</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>80927</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>240</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14158</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22799</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>709152</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MURUGANANTHAN SUBBIAH MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>491281</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>55475</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>360</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17473</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22799</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>587388</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAULA MOORE</PersonNm>
        <TitleTxt>FORMER CPO</TitleTxt>
        <BaseCompensationFilingOrgAmt>125948</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>141</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5394</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3477</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>134960</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP AT HIGH MEADOWS COUNTRY CLUB IS ONLY USED FOR BUSINESS PURPOSES ONLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PAULA MOORE RECEIVED A SEVERANCE PAYMENT OF $61,542.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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 2017 WERE: $84,231 DOMINICK CARBONE, MD 120,227 JONATHAN SNYDER, MD 145,278 MARC STEVENS, MC 80,927 SARBA KUNDA, MD 55,475 MURUGANANTHAN SUBBIAH, MD</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NORTH CAROLINA MEDICAL CARE COMMISSION</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521309402</BondIssuerEIN>
        <CUSIPNum>65821DAF8</CUSIPNum>
        <BondIssuedDt>2008-09-24</BondIssuedDt>
        <IssuePriceAmt>45455000</IssuePriceAmt>
        <PurposeDesc>NEW STRUCTURES, EQUIPMENT</PurposeDesc>
        <DefeasedInd>1</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>NORTH CAROLINA MEDICAL CARE COMMISSION</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>521309402</BondIssuerEIN>
        <BondIssuedDt>2015-12-16</BondIssuedDt>
        <IssuePriceAmt>25495000</IssuePriceAmt>
        <PurposeDesc>REFUNDING REVENUE BONDS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>5480000</RetiredAmt>
        <BondDefeasedAmt>42235000</BondDefeasedAmt>
        <TotalProceedsAmt>46276755</TotalProceedsAmt>
        <CapitalizedInterestAmt>3493414</CapitalizedInterestAmt>
        <IssuanceCostsFromProceedsAmt>435743</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>513249</CreditEnhancementAmt>
        <CapitalExpendituresAmt>42448072</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>3300000</RetiredAmt>
        <TotalProceedsAmt>25214951</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>280049</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>25214951</OtherSpentProceedsAmt>
        <CurrentRefundingInd>0</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>WELLS FARGO</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>30.000000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>1</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
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        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/28/2013</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH K, PART II, LINE 11, COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OTHER SPENT PROCEEDS OF $ WERE USED TO CURRENTLY REFUND PRIOR BONDS ISSUED ON 05-08-1996.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LAURA OAKES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RELATED TO BOARD MEMBER BOB MIDKIFF</RelationshipDescriptionTxt>
        <TransactionAmt>66283</TransactionAmt>
        <TransactionDesc>COMPENSATED AS DIRECTOR OF MARKETING</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A REPRESENTATIVE FROM ALLIANT, THE OUTSIDE MANAGEMENT COMPANY, MEETS WITH THE BOARD TO REVIEW AND APPROVE SALARIES FOR THE CEO AND OTHER OFFICERS. THE SALARIES OF THE TOP EXECUTIVE AND OTHER MEMBERS OF THE ADMINISTRATIVE DEPARTMENT ARE DETERMINED IN THE CONTRACT NEGOTIATIONS. A REVIEW OF ALL SALARIES, TOP TO BOTTOM, WAS DONE THROUGH THE ADMINISTRATIVE TEAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 5,756,352. MANAGEMENT AND GENERAL EXPENSES 999,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,755,860. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,780,604. MANAGEMENT AND GENERAL EXPENSES 27,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,808,104. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 3,565,745. MANAGEMENT AND GENERAL EXPENSES 419. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,566,164. CENTRALIZED BILLING: PROGRAM SERVICE EXPENSES 1,160,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,160,400. OTHER FEES: PROGRAM SERVICE EXPENSES 172,489. MANAGEMENT AND GENERAL EXPENSES 456,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 628,529.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SWAP AGREEMENT 2,548,972. RECOGNIZED LOSSES ON IMPAIRMENTS -2,717,923. JV INCOME FROM ACCOUNT WITH SWAP 1,268,626. CHANGE IN NET ASSETS 50,745.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>180 PARKWOOD DRIVE</AddressLine1Txt>
          <CityNm>ELKIN</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28621</ZIPCd>
        </USAddress>
        <EIN>562049537</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HUGH CHATHAM MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUGH CHATHAM MEMORIAL HOSPITAL AUXILIARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>180 PARKWOOD DRIVE</AddressLine1Txt>
          <CityNm>ELKIN</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28621</ZIPCd>
        </USAddress>
        <EIN>561199949</EIN>
        <PrimaryActivitiesTxt>THRIFT/GIFT SHOP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HUGH CHATHAM MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HUGH CHATHAM MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>60642</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>