2018-08-10T09:40:58-05:00 2017-09-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2016-10-01 010673231 COLUMBUS COUNTY HOSPITAL FOUNDATION INC COLU 9106421703 500 JEFFERSON STREET WHITEVILLE NC 284723696 Terrie Priest EXECUTIVE DIRECTOR 9106421703 2018-08-01 1 Amy Bibby P00445891 8282542254 2016 2022-09-23 18:48:47Z TERRIE PRIEST 500 JEFFERSON STREET WHITEVILLE NC 284723696 412212 0 X WWW.CRHEALTHCARE.ORG X 2002 NC TO SUPPORT COLUMBUS REGIONAL HEALTHCARE SYSTEM AND PROMOTE COMMUNITY BENEFIT PROGRAMS WITHIN COLUMBUS COUNTY 21 20 0 23 0 0 246846 393334 0 0 32 35 0 0 246878 393369 0 37600 0 0 179 0 0 0 0 7920 5997 8099 43597 238779 349772 209611 559384 162379 162380 47232 397004 TO SUPPORT COLUMBUS REGIONAL HEALTHCARE SYSTEM AND PROMOTE COMMUNITY BENEFIT PROGRAMS WITHIN COLUMBUS COUNTY 0 0 43597 37600 $62,440 WAS DONATED TO THE VARIOUS PROJECTS OF THE FOUNDATION. A BREAK-DOWN IS AS FOLLOWS:1. $1356.82 CONTRIBUTED TO THE DONAYRE CANCER CARE CENTER ASSISTANCE PROGRAM (MEDICATION, TRANSPORTATION, ETC) FOR PATIENTS IN NEED OF THESE RESOURCES.2. $662.25 DONATED TO ASSIST WITH THE CRHS CHAPLAIN'S CARE FUND.3. $37,600 DONATED TO CHRS TO FUND THE FIRST YEAR OF THE CLINICAL PASTORAL EDUCATION PROGRAM. 43597 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 X 21 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X TERRIE PRIEST 9106421703 500 JEFFERSON STREET WHITEVILLE NC 28742 Brenda Jolly Chair 1.00 X X 0 0 0 Brian Jenkins Vice Chair 0.50 X X 0 0 0 Butch Hooks Sec/Treas 1.00 X X 0 0 0 Luis Donayre MD Director 0.25 X 0 0 0 Shari Gardener Director 0.25 X 0 0 0 Paul Gerald Director 0.25 X 0 0 0 Lynne Inman Director 0.25 X 0 0 0 Phil Marion Director 0.25 X 0 0 0 Wendy Meares Director 0.25 X 0 0 0 Stuart High Rogers Director 0.25 X 0 0 0 Carlton Williamson Director 0.25 X 0 0 0 Linda Bell Director 0.25 X 0 0 0 Daniel Hilburn Director 0.25 X 0 0 0 Deborah McNeill Director 0.25 X 0 0 0 Bruce McPherson Director 0.25 X 0 0 0 Steve Smith Director 0.25 X 0 0 0 Ron Walters Director 0.25 X 0 0 0 Sam Wheatley MD Director 0.25 X 0 68464 0 Densil Worthington Director 0.25 X 0 0 0 TERRIE PRIEST EXECUTIVE DIRECTOR 4.00 36.00 X 0 87546 20392 0 156010 20392 0 0 0 0 0 191834 201500 201500 393334 35 35 18843 191834 18843 0 393369 0 0 35 37600 37600 1000 1000 97 97 2496 2496 COMMUNITY ASSISTANCE 1443 1443 VACCINES AND MEDICINES 576 576 HEALING GARDEN EXPENSE 385 385 43597 43597 0 0 209611 357884 201500 0 201500 209611 559384 1 162378 162380 162379 162380 X 47232 397004 47232 397004 209611 559384 349772 0 X X 0 1 X 1 0 X X 1 COLUMBUS REGIONAL HEALTHCARE SYSTEM 560538020 3 1 0 43597 1 0 43597 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 201500 201500 201500 DUE TO CRHS 162380 162380 X Part X, Line 2: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2017. THE ANNUAL HOSPITAL GALA 210677 191834 18843 18843 210677 191834 18843 18843 18843 0 0 HARDSHIP ASSISTANCE 37600 HARDSHIP ASSISTANCE X 2 201500 fmv 0 0 0 Form 990, Part VI, Section B, line 11b THE ORGANIZATION'S 990 WAS REVIEWED BY MANAGEMENT BEFORE FILING WITH THE IRS. THE FORM WAS PRESENTED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AT A MEETING BEFORE RETURN WAS SUBMITTED TO THE IRS. Form 990, Part VI, Section B, line 12c THE BOARD OF TRUSTEES COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. ALL EMPLOYEES AT ORIENTATION AND ANNUALLY, DURING HEALTH AND SAFETY EDUCATION ARE SURVEYED REGARDING ANY SITUATIONS THAT MAY CONSTITUTE AS A CONFLICT OF INTEREST. ANY EMPLOYEE FORMS WITH AN AFFIRMATIVE RESPONSE ARE FORWARDED TO THE COMPLIANCE OFFICER FOR REVIEW. THE BOARD OF TRUSTEES FORMS ARE SUBMITTED TO THE COMPLIANCE OFFICER FOR REVIEW AS WELL. ANY QUESTIONS OR CONCERNS ARE DISCUSSED WITH CEO. Form 990, Part VI, Section B, line 15a THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE BOARD OF TRUSTEES CONSIDERS RECOMMENDATIONS BASED ON AVAILABLE MARKET DATA AS THEY REVIEW AND APPROVE COMPENSATION FOR OTHER MEMBERS OF CRHS EXECUTIVE STAFF ON AN ANNUAL BASIS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED. Form 990, Part VI, Section C, line 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. Form 990, Part VI, Section C, line 19 CRHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE CONFLICT OF INTEREST STATEMENT IS AVAILABILE IN PATIENT LITERATURE. COLUMBUS REGIONAL HEALTH NETWORK 500 JEFFERSON STREET WHITEVILLE NC 28472 263807951 HEALTHCARE SERVICES NC 501(c)(3) Line 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 COLUMBUS REGIONAL HEALTH OUTREACH 500 JEFFERSON STREET WHITEVILLE NC 28472 272325401 HEALTHCARE SERVICES NC 501(c)(3) Line 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 COLUMBUS REGIONAL HEALTHCARE SYSTEM 500 JEFFERSON STREET WHITEVILLE NC 28472 560538020 HOSPITAL NC 501(c)(3) Line 3 N/A 0 COLUMBUS REGIONAL DIAGNOSTICS 500 JEFFERSON STREET WHITEVILLE NC 28472 462091076 HEALTHCARE SERVICES NC 501(c)(3) Line 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0