CUMBERLAND COUNTY HOSPITAL SYSTEM INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CUMBERLAND COUNTY HOSPITAL SYSTEM INC (EIN 56-0845796)
Tax period: 2024-10-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202543219349309029
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T12:13:55-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	227 WEST TRADE STREET SUITE 800	AddressLine1Txt
City	CHARLOTTE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560845796	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CUMBERLAND COUNTY HOSPITAL SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CUMB	BusinessNameControlTxt
Phone	9106154829	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	283022000	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRET JOHNSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9106154829	PhoneNum
Signature	2025-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION CPA	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	7049985200	PhoneNum
Preparation	2025-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BRET JOHNSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	283022000	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$395,958,371	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CAPEFEARVALLEY.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1956	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	PROVIDING EXCEPTIONAL HEALTHCARE FOR ALL OUR PATIENTS	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	21	VotingMembersIndependentCnt
Total Employee	10251	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$1,085,995	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$17,109,196	PYContributionsGrantsAmt
CY Contributions Grants	$495,556	CYContributionsGrantsAmt
PY Program Service Revenue	$1,314,709,617	PYProgramServiceRevenueAmt
CY Program Service Revenue	$356,572,744	CYProgramServiceRevenueAmt
PY Investment Income	$39,977,543	PYInvestmentIncomeAmt
CY Investment Income	-$12,385,743	CYInvestmentIncomeAmt
PY Other Revenue	$23,190,884	PYOtherRevenueAmt
CY Other Revenue	$2,207,060	CYOtherRevenueAmt
PY Total Revenue	$1,394,987,240	PYTotalRevenueAmt
CY Total Revenue	$346,889,617	CYTotalRevenueAmt
PY Grants And Similar Paid	$896,009	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$308,713	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$542,470,930	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$203,639,216	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$785,585,972	PYOtherExpensesAmt
CY Other Expenses	$155,109,332	CYOtherExpensesAmt
PY Total Expenses	$1,328,952,911	PYTotalExpensesAmt
CY Total Expenses	$359,057,261	CYTotalExpensesAmt
PY Revenues Less Expenses	$66,034,329	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$12,167,644	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,847,504,726	TotalAssetsBOYAmt
Total Assets EOY	$1,827,526,190	TotalAssetsEOYAmt
Total Liabilities BOY	$4,959,369,167	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$956,029,654	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$888,135,559	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$871,496,536	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$294,250,724	ExpenseAmt
Grant	$308,713	GrantAmt
Revenue	$355,486,749	RevenueAmt
Desc	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.	Desc
Total Program Service Expenses	$294,250,724	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	501	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	10251	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	21	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BRET JOHNSON	PersonNm
Phone	9106154829	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	283022000	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SANJAY SHAH MD
CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JIMMY KEEFE
VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ERNEST JONES
SECRETARY	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
GLENN ADAMS
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
AFUA ARHIM
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
RYAN AUL
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL BOOSE
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
TERRILL BROWN
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
CHUCK CHIMA
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
JEANNETTE COUNCIL
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MARSHALL FAIRCLOTH
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
KELVIN FARMER
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
GIRUM FEYISSA MD
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
CLARENCE GRIER
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL JONES MD
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
VERONICA JONES
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
LARRY LANCASTER
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
SHANNON MATTHEWS
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
TONI STEWART
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
PAMELA STORY
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MYRON STRICKLAND
TRUSTEE	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL NAGOWSKI
CEO	54.00	1.00		Yes (X)	$1,751,758	$0	$26,851
BRET JOHNSON
CFO	54.00	1.00		Yes (X)	$804,547	$0	$23,349
DANIEL WEATHERLY
COO	54.00	1.00			$991,567	$0	$25,009	Yes (X)
DEBORAH MARSHBURN
CNO	54.00	1.00			$495,612	$0	$22,526	Yes (X)
PHILIP WOOD JR
CIO	54.00	1.00			$606,948	$0	$25,025	Yes (X)
DEREN BAGSBY
PHYSICIAN	40.00	0.00			$1,550,874	$0	$19,491		Yes (X)
ROBERT MAUGHAN
PHYSICIAN	40.00	0.00			$1,296,921	$0	$17,508		Yes (X)
DANIEL MCBRAYER
PHYSICIAN	40.00	0.00			$1,118,766	$0	$16,130		Yes (X)
CHARLES HAWORTH
PHYSICIAN	40.00	0.00			$1,097,213	$0	$23,215		Yes (X)
MICHAEL ZAPPA
VP	40.00	0.00			$1,017,634	$0	$17,554		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,731,840	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$216,658	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1456	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RODGERS BUILDERS INC
5701 NORTH SHARON AMITY RD	CHARLOTTE	NC	28215	CONTRUCTION	$36,129,844
AYA HEALTHCARE INC
PO BOX 123519 DEPT 3519	DALLAS	TX	75312	CONTRACT LABOR	$28,886,763
TKC CCCXV LLC
4500 CAMERON VALLEY PKWY SUITE 400	CHARLOTTE	NC	28211	CONTRUCTION	$24,045,751
ARAMARK DALLAS LOCKBOX
PO BOX 978839	DALLAS	TX	75397	MANAGEMENT FEES	$23,434,690
AMN HEALTHCARE INC
4441 COLLECTIONS CENTER DR	CHICAGO	IL	60693	CONTRACT LABOR	$18,454,942

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$332,676	RelatedOrganizationsAmt
All Other Contributions	$162,880	AllOtherContributionsAmt
Total Contributions	$495,556	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REV	621400	$334,487,501	$334,487,501
PHARMACY REVENUE	621990	$22,085,243	$20,999,248	$1,085,995

Field	Value	IRS element (for citing)
Total Program Service Revenue	$356,572,744	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$254,001	TotalRevenueColumnAmt
Exclusion	$254,001	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$89,337	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$26,747	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$62,590	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,590	TotalRevenueColumnAmt
Exclusion	$62,590	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,402,263	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$49,042,007	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$12,639,744	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$12,639,744	TotalRevenueColumnAmt
Exclusion	-$12,639,744	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISCELLANEOUS REVENUE	900099	$1,390,413	$1,390,413
INSURANCE INCOME	900099	$678,155	$678,155
INVESTMENT IN JV	900001	$75,902	$75,902

Field	Value	IRS element (for citing)
Other Revenue Total	$2,144,470	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$346,889,617	TotalRevenueColumnAmt
Related Or Exempt Func Income	$355,486,749	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,085,995	UnrelatedBusinessRevenueAmt
Exclusion	-$10,178,683	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$308,713	TotalAmt
Program Services	$308,713	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,667,278	TotalAmt
Management And General	$1,667,278	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$167,598,063	TotalAmt
Program Services	$152,321,651	ProgramServicesAmt
Management And General	$15,276,412	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,452,389	TotalAmt
Management And General	$2,452,389	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,054,113	TotalAmt
Program Services	$5,476,032	ProgramServicesAmt
Management And General	$16,578,081	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,867,373	TotalAmt
Program Services	$2,200,445	ProgramServicesAmt
Management And General	$7,666,928	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,126,834	TotalAmt
Program Services	$5,967,426	ProgramServicesAmt
Management And General	$159,408	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$269,135	TotalAmt
Program Services	$7,300	ProgramServicesAmt
Management And General	$261,835	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$35,358	TotalAmt
Program Services	$3,358	ProgramServicesAmt
Management And General	$32,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,052,160	TotalAmt
Program Services	$33,068,097	ProgramServicesAmt
Management And General	$10,984,063	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,152,538	TotalAmt
Program Services	$4,907,384	ProgramServicesAmt
Management And General	$245,154	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$354,029	TotalAmt
Program Services	$159,463	ProgramServicesAmt
Management And General	$194,566	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,114,833	TotalAmt
Program Services	$5,114,833	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,508,181	TotalAmt
Program Services	$16,914,973	ProgramServicesAmt
Management And General	$1,593,208	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$65,774,494	$61,456,490	$4,318,004
REPAIRS AND MAINTENANCE	$4,942,755	$4,191,980	$750,775
BAD DEBT EXPENSE	$2,796,841	$1,259,762	$1,537,079
MISCELLANEOUS EXPENSE	$1,982,174	$892,817	$1,089,357

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$359,057,261	TotalAmt
Program Services	$294,250,724	ProgramServicesAmt
Management And General	$64,806,537	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$108,224,344	BOYAmt
EOY	$41,130,883	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$63,802,525	BOYAmt
EOY	$119,100,889	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$212,729,630	BOYAmt
EOY	$260,237,150	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,274,420	BOYAmt
EOY	$1,320,314	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,833,096	BOYAmt
EOY	$20,828,632	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,786,911	BOYAmt
EOY	$14,540,871	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,178,381,642	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$621,589,042	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$540,140,061	BOYAmt
EOY	$556,792,600	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$301,773,009	BOYAmt
EOY	$260,872,675	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,705,434	BOYAmt
EOY	$440,899	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,763,520	BOYAmt
EOY	$4,657,962	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,578,471,776	BOYAmt
EOY	$547,603,315	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,847,504,726	BOYAmt
EOY	$1,827,526,190	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$177,314,429	BOYAmt
EOY	$227,977,888	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$7,957,746	BOYAmt
EOY	$7,121,706	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$493,377,575	BOYAmt
EOY	$526,951,026	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,280,719,417	BOYAmt
EOY	$193,979,034	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,959,369,167	BOYAmt
EOY	$956,029,654	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$888,135,559	BOYAmt
EOY	$871,496,536	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$888,135,559	BOYAmt
EOY	$871,496,536	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,847,504,726	BOYAmt
EOY	$1,827,526,190	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$12,167,644	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$560,340	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$3,911,039	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$94,296	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$94,296	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	EMPLOYEES OF THE HEALTH SYSTEM AND NCHA MEET WITH LOCAL, STATE, AND FEDERAL LEGISLATORS AND REGULATORS REGARDING MATTERS OF INTEREST TO THE HOSPITAL.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,688,090	OtherCostOrOtherBasisAmt
Book Value	$28,688,090	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$737,590,382	OtherCostOrOtherBasisAmt
Depreciation	$339,150,305	DepreciationAmt
Book Value	$398,440,077	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,130,798	OtherCostOrOtherBasisAmt
Depreciation	$3,182,364	DepreciationAmt
Book Value	$2,948,434	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$381,627,000	OtherCostOrOtherBasisAmt
Depreciation	$271,936,657	DepreciationAmt
Book Value	$109,690,343	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,345,372	OtherCostOrOtherBasisAmt
Depreciation	$7,319,716	DepreciationAmt
Book Value	$17,025,656	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$556,792,600	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
SELF-INSURANCE TRUSTS	$73,385,468
BOND FUND TRUSTS	$65,053,894
DEFERRED OUTFLOW	$21,887,962
DESIGNATED FOR CAPITAL IMPROVEMENTS	$169,048,948
RIGHT-OF-USE LEASE ASSETS	$83,191,791
DUE FROM INTERCOMPANY	$127,885,603
RESERVE FUND	$7,149,649

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$547,603,315	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO INTERCOMPANY	$64,113,315
DEFERRED PENSION LIABILITY	$43,454,848
RIGHT-OF-USE LEASE LIABILITIES	$77,449,791
COST REPORT SETTLEMENT	$8,961,080

Field	Value	IRS element (for citing)
Total Liability	$193,979,034	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE 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.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$70,985,750	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$70,985,750	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$70,985,750	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART III ACCOUNTING METHOD:	FormAndLineReferenceDesc
Explanation	THE ACCRUAL METHOD IS USED FOR INVESTMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,613,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,613,650	NetCommunityBenefitExpnsAmt
Total Expense	0.02400	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,120,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,110,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,009,829	NetCommunityBenefitExpnsAmt
Total Expense	0.04740	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,443	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,961	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,743,448	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,117,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,626,440	NetCommunityBenefitExpnsAmt
Total Expense	0.07140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,137,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,372,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,765,343	NetCommunityBenefitExpnsAmt
Total Expense	0.01880	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,240,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,048,151	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,192,756	NetCommunityBenefitExpnsAmt
Total Expense	0.03670	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,378,780	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,420,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,958,099	NetCommunityBenefitExpnsAmt
Total Expense	0.05550	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,122,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,537,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,584,539	NetCommunityBenefitExpnsAmt
Total Expense	0.12690	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$117,840	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$117,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,625	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,625	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$133,465	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$133,465	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense	$2,796,841	BadDebtExpenseAmt
Reimbursed By Medicare	$31,844,109	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,302,070	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$542,039	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Critical Access HospitalCriticalAccessHospitalInd
CAPE FEAR VALLEY HEALTH SYSTEM
1	1638 OWEN DRIVE	FAYETTEVILLE	NC	28304	WWW.CAPEFEARVALLEY.COM	H0213	Yes (X)	Yes (X)	Yes (X)
HIGHSMITH RAINEY HOSPITAL
2	150 ROBESON STREET	FAYETTEVILLE	NC	28301	WWW.CAPEFEARVALLEY.COM	H0275	Yes (X)			LONG TERM ACUTE CARE HOSPITAL
HOKE HOSPITAL
3	210 MEDICAL PAVILION DRIVE	RAEFORD	NC	28376	WWW.CAPEFEARVALLEY.COM	H0288	Yes (X)
BLADEN COUNTY HOSPITAL
4	501 SOUTH POPLAR STREET	ELIZABETH TOWN	NC	28337	WWW.CAPEFEARVALLEY.COM	H0154	Yes (X)		Yes (X)		Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION B, LINE 7D	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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
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.

Field	Value	IRS element (for citing)
Facility	40	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
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 NORTH PEDIATRIC
6387 RAMSEY STREET	FAYETTEVILLE	NC	28311	PEDIATRIC CARE
36 - HEALTH PAVILION HOKE PRIMARY CARE
300 MEDICAL PAVILION DRIVE SUITE	RAEFORD	NC	28376	FAMILY PRACTICE	102
37 - HOKE OBGYN
300 MEDICAL PAVILION DRIVE SUITE	RAEFORD	NC	28376	FAMILY PRACTICE	250
38 - HOKE EXPRESS CARE
300 MEDICAL PAVILION DRIVE SUITE	RAEFORD	NC	28376	EXPRESS CARE	102
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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE FEAR VALLEY MEDICAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 87526	AddressLine1Txt
City	FAYETTEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28304	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	561947017	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$308,713	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	GENERAL SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL NAGOWSKI
CEO	$1,199,200	$0	$549,946	$0	$2,612	$0	$15,350	$0	$11,501	$0	$1,778,609	$0	$0	$0
DEREN BAGSBY
PHYSICIAN	$675,000	$0	$875,874	$0	$0	$0	$15,350	$0	$4,141	$0	$1,570,365	$0	$0	$0
ROBERT MAUGHAN
PHYSICIAN	$1,296,000	$0	$0	$0	$921	$0	$15,350	$0	$2,158	$0	$1,314,429	$0	$0	$0
DANIEL MCBRAYER
PHYSICIAN	$700,000	$0	$399,608	$0	$19,158	$0	$10,350	$0	$5,780	$0	$1,134,896	$0	$0	$0
CHARLES HAWORTH
PHYSICIAN	$896,534	$0	$0	$0	$200,679	$0	$15,350	$0	$7,865	$0	$1,120,428	$0	$0	$0
MICHAEL ZAPPA
VP	$740,485	$0	$157,149	$0	$120,000	$0	$15,350	$0	$2,204	$0	$1,035,188	$0	$0	$0
DANIEL WEATHERLY
COO	$684,441	$0	$306,501	$0	$625	$0	$15,350	$0	$9,659	$0	$1,016,576	$0	$0	$0
BRET JOHNSON
CFO	$610,684	$0	$175,770	$0	$18,093	$0	$15,350	$0	$7,999	$0	$827,896	$0	$0	$0
PHILIP WOOD JR
CIO	$455,481	$0	$141,980	$0	$9,487	$0	$15,350	$0	$9,675	$0	$631,973	$0	$0	$0
DEBORAH MARSHBURN
CNO	$386,789	$0	$105,247	$0	$3,576	$0	$15,350	$0	$7,176	$0	$518,138	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
PUBLIC FINANCE AUTHORITY
A	273866124	2020-12-10	$152,000,000	SEE PART VI	0	0	0
PUBLIC FINANCE AUTHORITY
B	273866124	2022-06-09	$87,500,000	SEE PART VI	0	0	0
PUBLIC FINANCE AUTHORITY
C	273866124	2022-07-01	$93,400,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt
A	$50,000,000	$152,000,000	$152,000,000	2017	Yes (1)	Yes (1)	Yes (1)
B	$1,820,000	$87,500,000			0	Yes (1)	Yes (1)	$440,000	$4,111,290	$82,948,710
C	$1,200,000	$93,400,000	$50,000,000	2020	Yes (1)	Yes (1)	Yes (1)	$290,000	$965,650	$42,144,350

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 INDEPENDENTLY 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 IX, LINE 11G	OTHER SERVICES: PROGRAM SERVICE EXPENSES 14,278,127. MANAGEMENT AND GENERAL EXPENSES 347,154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,625,281. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,738,882. MANAGEMENT AND GENERAL EXPENSES 10,434,538. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,173,420. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,051,088. MANAGEMENT AND GENERAL EXPENSES 202,371. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,253,459.
FORM 990, PART XII, LINE 2C:	THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BLADEN COUNTY HEALTHCARE LLC
PO BOX 2000	FAYETTEVILLE	NC	28302	800164702	HEALTH SERVICES	NC	$14,627,142	$65,491,652	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	$23,850,397	$194,829,964	CCHS
FAYETTEVILLE AMB SURGERY CENTER
1781 METROMEDICAL DRIVE	FAYETTEVILLE	NC	28304	561754482	HEALTH SERVICES	NC	$7,243,625	$8,203,097	CCHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CAPE FEAR VALLEY MEDICAL FOUNDATION
PO BOX 87526	FAYETTEVILLE	NC	28304	561947017	FUNDRAISING	NC	501(C)(3)	LINE 7	CCHS	Yes (1)
BLADEN COUNTY HOSPITAL FOUNDATION INC
PO BOX 398	ELIZABETHTOWN	NC	28337	561833893	FUNDRAISING	NC	501(C)(3)	LINE 7	CCHS	Yes (1)
HARNETT HEALTH SYSTEM INC
PO BOX 1796	DUNN	NC	28335	560603898	HEALTH SERVICES	NC	501(C)(3)	LINE 3	CCHS	Yes (1)
HARNETT HEALTH SYSTEM FOUNDATION
800 TILGMAN DRIVE	DUNN	NC	28334	201929953	FUNDRAISING	NC	501(C)(3)	LINE 7		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
HIGHSMITH-RAINEY MED ARTS CENTER ASSOC
PO BOX 2000	FAYETTEVILLE	NC	28302	561747424	RENTAL ASSOC.	NC	CCHS	C	-$48,848	$1,380,258	1.00000	Yes (1)
CUMBERLAND HEALTH PARTNER INC
PO BOX 2000	FAYETTEVILLE	NC	28302	562043978	INACTIVE	NC	CCHS	C			1.00000	Yes (1)
CAPE FEAR INSURANCE LTD
				980449284	INSURANCE		CCHS	C		$89,192,806	1.00000	Yes (1)	PO BOX 30600 SMB WEST BAY ROAD	GRAND CAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd