HUGH CHATHAM MEMORIAL HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: HUGH CHATHAM MEMORIAL HOSPITAL INC (EIN 56-0642846)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-09
IRS object ID: 201642229349300939
Schema version: 2014v6.0
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-09T11:35:17-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560747981	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	560642846	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHATHAM MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HUGH	BusinessNameControlTxt
Phone	3365277000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	180 PARKWOOD DR	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DONALD E TRIPPEL	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3365277000	PhoneNum
Signature	2016-07-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DONALD E TRIPPEL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	180 PARKWOOD DR	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$141,531,983	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HUGHCHATHAM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1930	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE BIRTHING AND ACUTE CARE SERVICES IN ADDITION TO SKILLED NURSING, RETIREMENT COMMUNITY, HOME HEALTH, AND HOSPICE SERVICES PRIMARILY TO THE RESIDENTS OF AND SURROUNDING COUNTIES TO SURRY COUNTY, NORTH CAROLINA.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	928	TotalEmployeeCnt
Total Volunteers	85	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$51,200	PYContributionsGrantsAmt
CY Contributions Grants	$2,333,978	CYContributionsGrantsAmt
PY Program Service Revenue	$91,818,549	PYProgramServiceRevenueAmt
CY Program Service Revenue	$103,909,698	CYProgramServiceRevenueAmt
PY Investment Income	$14,688,971	PYInvestmentIncomeAmt
CY Investment Income	$6,089,452	CYInvestmentIncomeAmt
PY Other Revenue	$1,408,416	PYOtherRevenueAmt
CY Other Revenue	$1,204,857	CYOtherRevenueAmt
PY Total Revenue	$107,967,136	PYTotalRevenueAmt
CY Total Revenue	$113,537,985	CYTotalRevenueAmt
PY Grants And Similar Paid	$182,058	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,064	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$41,295,790	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$46,104,534	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$67,456	CYTotalFundraisingExpenseAmt
PY Other Expenses	$56,013,215	PYOtherExpensesAmt
CY Other Expenses	$57,210,414	CYOtherExpensesAmt
PY Total Expenses	$97,491,063	PYTotalExpensesAmt
CY Total Expenses	$103,338,012	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,476,073	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,199,973	CYRevenuesLessExpensesAmt
Total Assets BOY	$208,018,399	TotalAssetsBOYAmt
Total Assets EOY	$211,923,747	TotalAssetsEOYAmt
Total Liabilities BOY	$88,302,120	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$90,698,008	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$119,716,279	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$121,225,739	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO CONSISTENLY DELIVER EXCEPTIONAL QUALITY AND SERVICE BY DEMONSTRATING THE VALUES OF SERVICE, TEAMWORK, ACCOUNTABILITY, RESPECT, AND SAFE CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$95,410,142	ExpenseAmt
Grant	$23,064	GrantAmt
Revenue	$103,909,698	RevenueAmt
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 TO COME TO US FOR CARE FROM SEVERAL COUNTIES IN VIRGINIA, INCLUDING CARROLL, GRAYSON AND PATRICK COUNTIES. HCMH IS FOCUSED ON PROVIDING COMMUNITY SUPPORT, CONSISTENT QUALITY, EXCELLENT SERVICE AND A REMARKABLE WORK ENVIRONMENT FOR OUR STAFF. DURING THE FISCAL YEAR, HCMH WAS NAMED "BEST PLACE TO WORK" BY THE TRIAD BUSINESS JOURNAL, BASED LARGELY ON A RANDOM SAMPLE OF 200 EMPLOYEES' RESPONSES TO A SURVEY THAT MEASURED 10 EMPLOYEE ENGAGEMENT CATEGORIES. HCMH HAS NEARLY 800 EMPLOYEES IN ALL.THE HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITIES IN THE YADKIN VALLEY REGION OF NORTH CAROLINA, ONE PERSON AT A TIME. IT OFFERS A FULL CONTINUUM OF EMERGENCY, MEDICAL, SURGICAL, REHABILITATIVE AND BEHAVIORAL HEALTH SERVICES. TOP PROGRAMS INCLUDE CANCER SERVICES, CARDIOLOGY, GENERAL SURGERY, GASTROENTEROLOGY, IMAGING, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDIC AND SPORTS MEDICINE, PULMONOLOGY AND REHABILITATION SERVICES. THE HOSPITAL ALSO HAS A CERTIFIED PRIMARY STROKE CENTER THAT HAS GOLD PLUS LEVEL DISTINCTION FROM THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION - THE ONLY HOSPITAL IN REGION CERTIFIED AT THAT LEVEL. OUR COMMITMENT TO EXCELLENCE IN PATIENT CARE CONTINUED DURING THE YEAR. FOR EXAMPLE, HCMH EARNED "MOST WIRED" HOSPITAL STATUS AS ONE OF THE NATION'S HEALTH LEADERS IN INFORMATION TECHNOLOGY AND ALSO ACHIEVED STAGE 6 OF 7 FOR ELECTRONIC MEDICAL RECORD ADOPTION ACCORDING TO THE HEALTHCARE INFORMATION AND MANAGEMENT SYSTEM SOCIETY (HIMSS) PUTTING HCMH IN THE TOP 22 PERCENT OF ALL U.S. HOSPITALS IN THAT CATEGORY. DURING THE FISCAL YEAR, HCMH ADDED TO ITS ALREADY STRONG FOCUS ON PATIENT SAFETY BY LAUNCHING A MULTI-STRATEGY "GOING FOR ZERO" PATIENT SAFETY INITIATIVE GUIDED BY A VISION STATEMENT ENCOURAGING ALL EMPLOYEES AND MEDICAL STAFF TO, "IMAGINE PLACE WHERE COMMUNICATION IS CLEAR, EVERYONE CARES AND PATIENTS ARE ALWAYS SAFE." EDUCATION WAS PROVIDED TO STAFF IN THE USE OF BEST PRACTICE SAFETY COMMUNICATION METHODS SUCH AS CUS AND SBARQ AND A CULTURE OF COMMUNICATING OPENLY ABOUT NEAR MISSES AND "GREAT CATCHES" WAS CREATIVELY ENCOURAGED AND FACILITATED.AS ANOTHER PATIENT SAFETY STRATEGY, HCMH CONTINUED TO USE BIOMETRIC TECHNOLOGY THAT USES IRIS RECOGNITION TO IDENTIFY PATIENTS. THIS TECHNOLOGY IS PART OF THE ADMISSIONS PROCESS AND IMPROVES SAFETY BY ACCURATELY IDENTIFYING PATIENTS AND LIMITING DUPLICATE MEDICAL RECORDS. IT ALSO HELPS TO ELIMINATE IDENTITY THEFT AT THE POINT OF SERVICE.FISCAL YEAR 2015 HIGHLIGHTS:DURING THE YEAR, HCMH HANDLED MORE THAN 29,300 EMERGENCY ROOM VISITS; 17,131 HOME HEALTH VISITS; AND MORE THAN 99,000 PATIENT VISITS TO ITS MEDICAL GROUP PRIMARY AND SPECIALTY CARE PRACTICES. THE HOSPITAL ALSO HANDLED MORE THAN 50,000 OUTPATIENT IMAGING VISITS; 7,888 RADIATION ONCOLOGY PROCEDURES AND MORE THAN 4,300 INPATIENT ADMISSIONS. EXPANDING ACCESS TO PRIMARY, SPECIALTY AND HOME HEALTH CARE:TO HELP PATIENTS AND LOCAL COMMUNITIES TO GET BETTER AND STAY HEALTHY, HCMH EXPANDED ACCESS TO MEDICAL CARE BY OPENING AN EXPRESS CARE FACILITY IN ELKIN, NC, AND AN URGENT CARE CLINIC IN JONESVILLE, NC THAT INCLUDES X-RAY AND LABORATORY SERVICES. THE JONESVILLE FACILITY ALSO PROVIDES OCCUPATIONAL HEALTH SERVICES AND HAS A MEETING ROOM AVAILABLE TO COMMUNITY GROUPS FOR THEIR USE. OTHER NEW DEVELOPMENTS TO MEET THE COMMUNITY'S HEALTH CARE NEEDS INCLUDED HCMH ADDING TWO NEW FAMILY MEDICINE CLINICS IN WILKES COUNTY, NORTH CAROLINA. IN ADDITION, FIVE HCMH PRIMARY CARE PRACTICES EARNED CERTIFICATION AS PATIENT-CENTERED MEDICAL HOMES.FURTHER ENHANCING ACCESS TO CONVENIENT, PATIENT-CENTERED CARE, HCMH LAUNCHED A FREE NURSE ADVICE LINE, 336-527-CARE AVAILABLE TO THE PUBLIC AROUND-THE-CLOCK, SEVEN DAYS A WEEK, TO ANSWER MEDICAL QUESTIONS.THE EXPAND ACCESS TO SPECIALTY CARE, HCMH OPENED HUGH CHATHAM NEUROLOGY AS A REGIONAL DESTINATION FOR NEUROLOGIC AND STROKE CARE AND FOR DIAGNOSING AND TREATING HEADACHES, ALZHEIMER'S DISEASE AND PARKINSON'S DISEASE. HCMH ALSO ESTABLISHED A BEHAVIORAL HEALTH PRACTICE TO MEET THE REGION'S GROWING NEED FOR MENTAL HEALTH, COUNSELING AND SUBSTANCE ABUSE ADDICTION SUPPORT SERVICES INCLUDING PERSONALIZED TREATMENT PLANS AND MEDICATION MANAGEMENT.HCMH ALSO ESTABLISHED A HOME HEALTH PRACTICE, YADKIN VALLEY HOME HEALTH, TO SERVE HOMEBOUND PATIENTS IN SURRY, ALLEGHANY, WILKES AND YADKIN COUNTIES. THESE COUNTIES HAVE HIGH PERCENTAGES OF THE POPULATION WHO ARE ELDERLY, LOW-INCOME AND WHO LIVE IN RURAL AREAS OR SMALL TOWNS WHERE TRANSPORTATION TO MEDICAL CARE CAN BE DIFFICULT BECAUSE OF A LACK OF PUBLIC TRANSPORTATION OR MOUNTAINOUS ROADS THAT CAN BE HARD FOR ILL, ELDERLY PATIENTS AND THEIR CAREGIVERS TO NAVIGATE. REHABILITATION AND WELLNESS SERVICES DELIVERED THE COMMUNITY INCLUDED STROKE SCREENINGS AND THE ADDITION OF NEW LAND- AND WATER-BASED EXERCISE CLASSES AT THE HCMH AQUATIC AND WELLNESS CENTER INCLUDING TAI CHI FOR ARTHRITIS AND YOGA CLASSES.HCMH ALSO CONTINUED TO OWN AND MANAGE PARKWOOD PLACE SENIOR INDEPENDENT LIVING APARTMENTS IN ELKIN, NORTH CAROLINA. AMENITIES AND SERVICES ARE DESIGNED TO GIVE RESIDENTS A SAFE, COMFORTABLE APARTMENT LIVING ENVIRONMENT THAT IS ALSO AFFORDABLE. ACTIVITIES INCLUDED SPONSORSHIP OF A FREE HEALTH FAIR AT YADKIN VALLEY SENIOR CENTER IN JONESVILLE.PROVIDING HEALTH EDUCATION, SCREENINGS AND SUPPORT TO PATIENTS AND COMMUNITIES:DURING THE YEAR, THE HOSPITAL DID MANY COMMUNITY OUTREACH ACTIVITIES. ONE EXAMPLE WAS PROVIDING BASELINE CONCUSSION SCREENINGS FOR ATHLETES FROM THREE HIGH SCHOOLS (ELKIN, STARMOUNT AND SURRY CENTRAL) IN A VARIETY OF SPORTS INCLUDING BASKETBALL, CHEERLEADING, FOOTBALL, SOCCER AND TENNIS. A TOTAL OF 162 BASELINE AND POST-INJURY SCREENINGS WERE PROVIDED TO 154 STUDENTS. IN ADDITION, DR. JONATHAN SNYDER AND JOHN ORTA, DPT SERVED ON THE SIDELINES TO ASSIST WITH FIRST AID AND TO ASSESS INJURIES FOR EVERY FOOTBALL GAME AT ELKIN HIGH SCHOOL.	Desc
Total Program Service Expenses	$95,410,142	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
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	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	Yes (1)	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	80	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	928	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHERYL PARDUE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3365277595	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 560	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BOB MIDKIFF
CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$0
TERRY DARNELL
VICE CHAIRMAN	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID CLINE
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
CAROL JERNIGAN
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
DONNA THOMPSON
ASST. SECRETARY/ASST. TREA	1.00	Yes (X)	Yes (X)	$0	$0	$0	1.00
DOMINICK CARBONE MD
CHIEF OF STAFF	40.00	Yes (X)		$736,296	$0	$19,927	1.00
PHIL HARRIS
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ERCEL CARTER
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
JAMES FREEMAN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
JL LOWE JR
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ALAN PAYNE
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0	1.00
MIKE STANLEY
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
BARBARA MYERS
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
KEVIN AUSTIN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
BOB BALL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ALVARO CASTILLEJO MD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
PAUL HAMMES
CEO	40.00		Yes (X)	$300,000	$0	$23,597	2.00
DONALD TRIPPEL
CFO	40.00		Yes (X)	$180,957	$0	$9,055
MARY BLACKBURN
CPO	40.00			$158,246	$0	$12,837		Yes (X)
SARBA KUNDU MD
PHYSICIAN	40.00			$467,977	$0	$12,476			Yes (X)
ANDREW LEE MD
PHYSICIAN	40.00			$454,174	$0	$19,474			Yes (X)
JONATHAN SNYDER MD
PHYSICIAN	40.00			$531,830	$0	$20,258			Yes (X)
MURUGANANTHAN SUBBIAH MD
PHYSICIAN	40.00			$378,179	$0	$17,981			Yes (X)
PRAG GUPTA MD
PHYSICIAN	40.00			$379,157	$0	$12,078			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,586,816	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$147,683	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	42	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC
PO BOX 536922	ATLANTA	GA	30353	DIETARY & HOUSEKEEPING SERVICES	$2,599,037
HORIZON CSA LLC
265 PITT ROAD	MOORESVILLE	NC	28115	EQUIPMENT MAINTENANCE	$1,945,258
CARDINAL HEALTH
PO BOX 905867	CHARLOTTE	NC	28290	PATIENT & HOSPITAL SUPPLIES	$1,716,321
GARANCO INC
PO BOX 100	PILOT MOUNTAIN	NC	27041	CONSTRUCTION SERVICES	$1,654,063
CARDINAL DISTRIBUTION PHARMACY
25025 NETWORK PLACE	CHICAGO	IL	60673	PHARMACY SUPPLIES & MEDICATIONS	$1,568,901

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	67	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,333,978	RelatedOrganizationsAmt
Total Contributions	$2,333,978	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CARE SERVICES	621400	$102,961,879	$102,961,879
OTHER OPERATING REVENUE	621400	$735,312	$735,312
EHR MEANINGFUL USE REVENUE	621400	$149,559	$149,559
NET HOSPICE INVESTMENT	623000	$62,948	$62,948

Field	Value	IRS element (for citing)
Total Program Service Revenue	$103,909,698	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,964,075	TotalRevenueColumnAmt
Exclusion	$1,964,075	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,395,165	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$334,637	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,060,528	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,060,528	TotalRevenueColumnAmt
Exclusion	$1,060,528	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,781,915	SecuritiesAmt
Other	$2,823	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$27,658,704	SecuritiesAmt
Other	$657	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,123,211	SecuritiesAmt
Other	$2,166	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,125,377	TotalRevenueColumnAmt
Exclusion	$4,125,377	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA & VENDING	Desc
Business	722210	BusinessCd
Total Revenue Column	$144,329	TotalRevenueColumnAmt
Exclusion	$144,329	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$144,329	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,537,985	TotalRevenueColumnAmt
Related Or Exempt Func Income	$103,909,698	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,294,309	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	$23,064	TotalAmt
Program Services	$23,064	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,337,558	TotalAmt
Program Services	$334,390	ProgramServicesAmt
Management And General	$949,457	ManagementAndGeneralAmt
Fundraising	$53,711	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$60,006	TotalAmt
Program Services	$60,006	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,324,720	TotalAmt
Program Services	$33,818,223	ProgramServicesAmt
Management And General	$1,506,497	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$604,872	TotalAmt
Program Services	$563,466	ProgramServicesAmt
Management And General	$40,520	ManagementAndGeneralAmt
Fundraising	$886	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,448,461	TotalAmt
Program Services	$6,007,041	ProgramServicesAmt
Management And General	$431,973	ManagementAndGeneralAmt
Fundraising	$9,447	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,328,917	TotalAmt
Program Services	$2,169,494	ProgramServicesAmt
Management And General	$156,011	ManagementAndGeneralAmt
Fundraising	$3,412	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$432,147	TotalAmt
Management And General	$432,147	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$145,784	TotalAmt
Management And General	$145,784	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$120,285	TotalAmt
Management And General	$120,285	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$504,636	TotalAmt
Management And General	$504,636	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,414,011	TotalAmt
Program Services	$11,578,991	ProgramServicesAmt
Management And General	$1,835,020	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$598,254	TotalAmt
Program Services	$20,102	ProgramServicesAmt
Management And General	$578,152	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,520,843	TotalAmt
Program Services	$8,112,696	ProgramServicesAmt
Management And General	$408,147	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,547,527	TotalAmt
Program Services	$1,547,527	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$285,888	TotalAmt
Program Services	$258,449	ProgramServicesAmt
Management And General	$27,439	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,057,647	TotalAmt
Program Services	$3,057,647	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,913,608	TotalAmt
Program Services	$6,913,608	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,065,125	TotalAmt
Program Services	$1,065,125	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$12,730,298	$12,730,298
MEDICAL SUPPLIES	$3,927,548	$3,927,548
PROVIDER TAX	$2,673,112	$2,673,112
RECRUITMENT	$374,240		$374,240

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$899,461	TotalAmt
Program Services	$549,355	ProgramServicesAmt
Management And General	$350,106	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$103,338,012	TotalAmt
Program Services	$95,410,142	ProgramServicesAmt
Management And General	$7,860,414	ManagementAndGeneralAmt
Fundraising	$67,456	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,212,540	BOYAmt
EOY	$15,449,307	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,990	BOYAmt
EOY	$6,240	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,914,767	BOYAmt
EOY	$8,007,196	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,300,862	BOYAmt
EOY	$1,023,037	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,644,962	BOYAmt
EOY	$2,832,295	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$149,440,925	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$79,673,848	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$72,552,722	BOYAmt
EOY	$69,767,077	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$106,000,758	BOYAmt
EOY	$107,958,746	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,350,905	BOYAmt
EOY	$4,618,417	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,037,893	BOYAmt
EOY	$2,261,432	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$208,018,399	BOYAmt
EOY	$211,923,747	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,474,731	BOYAmt
EOY	$9,946,335	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,825,000	BOYAmt
EOY	$68,995,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,002,389	BOYAmt
EOY	$11,756,673	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$88,302,120	BOYAmt
EOY	$90,698,008	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$117,894,899	BOYAmt
EOY	$118,259,751	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,821,380	BOYAmt
EOY	$2,965,988	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$119,716,279	BOYAmt
EOY	$121,225,739	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$208,018,399	BOYAmt
EOY	$211,923,747	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,199,973	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,389,217	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,301,296	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	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$11,586	OtherActivitiesAmt
Total Lobbying Expenditures	$11,586	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1I: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA). THESE ORGANIZATIONS ENGAGE IN LOBBYING EFFORTS TO LEGISLATIVE BODIES ON BEHALF OF THEIR MEMBERSHIP BASES. EACH YEAR, A PORTION OF MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ENDEAVORS. FOR THE CURRENT YEAR, THE PORTION OF DUES PAID ALLOCATED TO LOBBYING IS APPROXIMATELY $ 11,600.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,546,331	OtherCostOrOtherBasisAmt
Book Value	$2,546,331	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,933,941	OtherCostOrOtherBasisAmt
Depreciation	$31,765,803	DepreciationAmt
Book Value	$56,168,138	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,127,906	OtherCostOrOtherBasisAmt
Depreciation	$6,978,536	DepreciationAmt
Book Value	$2,149,370	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,897,995	OtherCostOrOtherBasisAmt
Depreciation	$40,929,509	DepreciationAmt
Book Value	$7,968,486	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$934,752	OtherCostOrOtherBasisAmt
Book Value	$934,752	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$69,767,077	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTEREST PAYABLE	$746,689
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$4,618,710
PHYSICIAN GUARANTEE	$371,064
INTEREST RATE SWAP	$5,944,493
RESIDENT TRUST FUNDS	$75,717

Field	Value	IRS element (for citing)
Total Liability	$11,756,673	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$89,570,587	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,389,217	NetUnrealizedGainsInvstAmt
Other Revenue	$617,538	OtherRevenueAmt
Revenue Not Reported	-$1,771,679	RevenueNotReportedAmt
Revenue Subtotal	$91,342,266	RevenueSubtotalAmt
Investment Expenses Not Incld	$504,636	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$21,691,083	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$22,195,719	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$113,537,985	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$88,061,127	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$334,637	OtherExpensesIncludedAmt
Expenses Not Reported	$334,637	ExpensesNotReportedAmt
Expenses Subtotal	$87,726,490	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$504,636	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$15,106,886	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$15,611,522	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$103,338,012	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	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, 2015. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2012 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	JOINT VENTURE INCOME FROM ACCOUNT WITH SWAP 282,901. DIRECT RENTAL EXPENSE 334,637.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CHANGE IN VALUE OF SWAP AGREEMENT 2,444,923. BAD DEBT EXPENSE NET WITH REVENUES 12,730,298. RECOGNIZED LOSSES ON IMPAIRMENTS 4,139,274. GRANTS/CONTRIBUTIONS TO FOUNDATION 2,376,588.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DIRECT RENTAL EXPENSES 334,637.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE NET WITH REVENUES 12,730,298. GRANTS/CONTRIBUTIONS TO FOUNDATION 2,376,588.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
Most Hospitals Policy	Yes (X)	MostHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$1,337,991	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,337,991	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,992,733	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,729,381	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,263,352	NetCommunityBenefitExpnsAmt
Total Expense	0.02500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,330,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,729,381	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,601,343	NetCommunityBenefitExpnsAmt
Total Expense	0.03980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,772	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,772	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$225,826	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$225,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$617,748	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$617,748	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$859,346	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$859,346	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,190,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,729,381	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,460,689	NetCommunityBenefitExpnsAmt
Total Expense	0.04930	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	4328	PersonsServedCnt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	4328	PersonsServedCnt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,913,294	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,369,653	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$75,542,218	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$75,620,270	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$78,052	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHATHAM MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	180 PARKWOOD DRIVE	AddressLine1Txt
City	ELKIN	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28621	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	DISPROPORTIONATE SHARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHATHAM MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE DISCLOSURE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE DISCLOSURE	StrategyWebsiteURLTxt
Strategy Attached	0	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	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE DISCLOSURE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE DISCLOSURE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE DISCLOSURE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HUGH CHATHAM MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: EXPERTS IN THE FIELD OF PUBLIC HEALTH, HOSPICE CARE, NURSES, PHYSICIANS, CASE MANAGEMENT, EDUCATION, AND PHILANTHROPY WERE CHOSEN FOR THE FOCUS GROUP. THE FOCUS GROUPS WERE DESIGNED AROUND THE KEY ISSUES THAT EMERGED FROM THE MEETINGS.
HUGH CHATHAM MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: HUGH CHATHAM MEMORIAL HOSPITAL WILL CONTINUE TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS OF THOSE WITHIN OUR COMMUNITY, WITH A SPECIAL FOCUS ON THE UNDERSERVED. AS SUCH, COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO OUR HOPSITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES TO ENSURE WE CONTINUE TO EFFECTIVELY SUPPORT COMMUNITY BENEFITS.
PART V, SECTION B, LINE 7A:	HTTP://WWW.HUGHCHATHAM.ORG/ABOUT/COMMUNITY-HEALTH/
PART V, SECTION B, LINE 10A:	HTTP://WWW.HUGHCHATHAM.ORG/ABOUT/COMMUNITY-HEALTH/
PART V, SECTION B, LINE 16A:	HTTP://WWW.HUGHCHATHAM.ORG/PATIENTS/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16B:	HTTP://WWW.HUGHCHATHAM.ORG/PATIENTS/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16C:	HTTP://WWW.HUGHCHATHAM.ORG/PATIENTS/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
HUGH CHATHAM MEMORIAL HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	SEE DISCLOSURE
HUGH CHATHAM MEMORIAL HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	SEE DISCLOSURE
HUGH CHATHAM MEMORIAL HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	SEE DISCLOSURE

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HUGH CHATHAM NURSING CENTER
700 JOHNSON RIDGE ROAD	ELKIN	NC	28621	NURSING FACILITY
YADKIN VALLEY HOME HEALTH
213 WINSTON ROAD	JONESVILLE	NC	28642	HOME HEALTH
YADKIN VALLEY ADULT MEDICINE
500 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIANS OFFICES
CLINGMAN MEDICAL CENTER
3369 CLINGMAN ROAD	RONDA	NC	28670	PHYSICIANS OFFICES
YADKIN VALLEY UROLOGY
200 JOHNSON RIDGE MEDICAL PARK	ELKIN	NC	28621	PHYSICIANS OFFICES
HUGH CHATHAM FAMILY MEDICINE JONESVILLE
112 N SWAIM STREET	JONESVILLE	NC	28642	PHYSICIANS OFFICES
YADKIN VALLEY GASTROENTEROLOGY
201 WEST MAIN STREET	ELKIN	NC	28621	PHYSICIANS OFFICES
G I CLINIC
201 WEST MAIN STREET	ELKIN	NC	28621	PHYSICIANS OFFICES
YADKIN VALLEY DERMATOLOGY
690 PARKWOOD MEDICAL PARK	ELKIN	NC	28621	PHYSICIANS OFFICES
HUGH CHATHAM NEUROLOGY
100 CHATHAM MEDICAL PARK	ELKIN	NC	28621	PHYSICIANS OFFICES
HUGH CHATHAM FAMILY MEDICINE ELKIN
101 CLAREMONT MEDICAL PARK	ELKIN	NC	28621	PHYSICIANS OFFICES
HUGH CHATHAM SURGICAL
201 B CLAREMONT MEDICAL PARK	ELKIN	NC	28621	PHYSICIANS OFFICES
TRI COUNTY ORTHOPEDIC & SPORTS MEDICINE
400 JOHNSON RIDGE RD	ELKIN	NC	28621	PHYSICIANS OFFICES
HUGH CHATHAM BEHAVORIAL
690 PARKWOOD MEDICAL PARK	ELKIN	NC	28621	PHYSICIANS OFFICES
YADKIN VALLEY PULMONARY
180 PARKWOOD DRIVE	ELKIN	NC	28621	PHYSICIANS OFFICES
HUGH CHATHAM FAMILY MEDICINE BOOMER
156 BOOMER COMMUNITY CENTER RD	BOOMER	NC	28606	PHYSICIANS OFFICES
HUGH CHATHAM FAMILY MEDICINE MT VIEW
5229 ROCK CREEK RD	MT VIEW	NC	28602	PHYSICIANS OFFICES
EXPRESS CARE
NORTH BRIDGE STREET	ELKIN	NC	28621	PROCEDURE CLINIC
HUGH CHATHAM PODIATRIC MEDICINE AND SURG
150 CHATHAM MEDICAL PARK	MT VIEW	NC	28621	PHYSICIANS OFFICES
HUGH CHATHAM WOMEN'S CENTER
150 PARKWOOD DRIVE	MT VIEW	NC	28621	PHYSICIANS OFFICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE ORGANIZATION'S INTERNAL COST ACCOUNTING SYSTEM WAS USED TO COMPUTE A COST-TO-CHARGES RATIO THAT WAS USED TO CALCULATE COSTS USED IN PART I, LINE 7.
PART I, LN 7 COL(F):	THE TOTAL EXPENSE AMOUNT LISTED ON FORM 990, PART IX, LINE 26 CONTAINS BAD DEBT EXPENSE OF $12,730,298 THAT WAS REMOVED FOR THE PURPOSE OF CALCULATING TOTAL CHARITY CARE PERCENTAGE ON LINE 7, COLUMN (F).
PART I, LINE 6A:	THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS FILED THROUGH THE MEDICAL CARE COMMISSION OF NORTH CAROLINA.
PART II, COMMUNITY BUILDING ACTIVITIES:	HUGH CHATHAM MEMORIAL HOSPITAL PROVIDES ALL LOCAL SCHOOLS WITH FREE HAND SANITIZERS WITH FLU PREVENTION BROCHURES EVERY FALL AND SUNCREEN WITH MELANOMA AWARENESS BROCHURES EVERY SPRING.
PART III, LINE 4:	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE ON BAD DEBT EXPENSE. THE BAD DEBT EXPENSE AT COST ON PART III, LINE 2 WAS COMPUTED BY USING THE GROSS BAD DEBT EXPENSE PER AUDITED FINANCIAL STATEMENTS REDUCED TO COST USING AN INTERNALLY COMPUTED COST-TO-CHARGES RATIO FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEMS.DUE TO THE FACT THAT APPROXIMATELY 30% OF THE SURROUNDING COMMUNITY'S RESIDENTS ARE CONSIDERED TO BE LIVING BELOW THE POVERTY LINE, IN COMBINATION WITH THE FACT THAT THE UNEMPLOYMENT PERCENTAGE FOR THE AREA IS APPROXIMATELY 12.7%, THE ORGANIZATION FEELS THAT APPROXIMATELY 35% OF BAD DEBT IS AN APPROPRIATE ESTIMATION OF THE AMOUNT OF BAD DEBT THAT MAY CONSTITUTE A COMMUNITY BENEFIT.
PART III, LINE 8:	AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6.
PART III, LINE 9B:	HCMH MAKES EVERY EFFORT TO EVALUATE PATIENTS PRIOR TO PLACEMENT WITH A COLLECTIONS AGENCY TO SEE IF THEY ARE QUALIFIED FOR MEDICAID OR HOSPITAL CHARITY CARE. WE HAVE AN IN-HOUSE EMPLOYEE DESIGNATED TO ASSISTING PATIENTS ELIGIBLE FOR MEDICAID AND/OR FINANCIAL ASSISTANCE. AT THE POINT OF THE PATIENT NOT BEING ELIGIBLE AND FAILURE TO RESPOND FOR OUR PAYMENT PLAN OPTIONS, THE ACCOUNT IS PLACED WITH A COLLECTION AGENCY AND THE AGENCY MAKES AN EFFORT FOR 30 DAYS PRIOR TO PLACING ON THE CREDIT SCORE, TO OBTAIN PAYMENT.
PART VI, LINE 2:	THE ORGANIZATION TRACKS THE RESULTS OF HEALTH SCREENINGS PROVIDED THROUGH ITS QUARTERLY HEALTH FAIRS AND LOOKS FOR TRENDS. THESE SCREENINGS PROVIDE INSIGHT INTO FURTHER MEDICAL NEEDS OF THE COMMUNITY MEMBERS. THE FAIRS ARE HELD QUARTERLY 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, SUCH AS "KIDSFEST, HEARTFEST, AND SCREENINGS SPECIFICALLY HELD FOR OUR EMPLOYEES. WE SPONSER SUPPORT GROUPS, LUNCH AND LEARN SESSIONS FOR THE COMMUNITY ALSOTHE ORGANIZATION TRACKS THE RESULTS OF HEALTH SCREENINGS PROVIDED THROUGH ITS QUARTERLY HEALTH FAIRS AND LOOKS FOR TRENDS. THESE SCREENINGS PROVIDE INSIGHT INTO FURTHER MEDICAL NEEDS OF THE COMMUNITY MEMBERS. THE FAIRS ARE HELD QUARTERLY 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, SUCH AS "KIDSFEST, HEARTFEST, AND SCREENINGS SPECIFICALLY HELD FOR OUR EMPLOYEES. ALSO, WE SPONSER SUPPORT GROUPS, LUNCH AND LEARN SESSIONS FOR THE COMMUNITY.
PART VI, LINE 3:	FINANCIAL ASSISTANCE EDUCATION IS MADE AVAILABLE AT ADMISSION AND ON THE WEBSITE. AT REGISTRATION THERE ARE BROCHURES WITH FINANCIAL ASSISTANCE INFORMATION MADE AVAILABLE. SIGNAGE IS LOCATED THROUGHOUT THE FACILITY TO INFORM AND EDUCATE THE PUBLIC OF THEIR FINANCIAL RIGHTS. HUGH CHATHAM MEMORIAL HOSPITAL OFFERS A LANGUAGE LINE FOR THE NON-ENGLISH SPEAKING COMMUNITY AND PHONETREE ASSISTANCE WHERE NEEDED.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA OF THE HOSPITAL INCLUDES NINE ZIP CODES--ROUGHLY A FIFTEEN MILE DIAMETER AROUND ELKIN, NC. THE SECONDARY SERVICE AREA INCLUDES AN ADDITIONAL FIVE ZIP CODES WIDENING THE DIAMETER TO THIRTY MILES AROUND ELKIN. BOTH OF THESE 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. THESE AREAS HAVE BEEN SEVERELY AFFECTED BY THE ECONOMIC CLIMATE OF THE PAST YEAR. THE AREA CURRENTLY HAS AN UNEMPLOYMENT PERCENTAGE OF 12.7%. DOBSON, NC, WHICH IS IN THE CENTER OF SURRY COUNTY, IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. HUGH CHATHAM IS THE ONLY HOSPITAL IN THE PRIMARY SERVICE AREA.
PART VI, LINE 5:	A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OF ITS DEPARTMENTS.HCMH OFFERS A WIDE VARIEY OF SERVICES TO OUR COMMUNITY, SUCH AS WOMEN'S HEALTH EDUCATION SEMINARS,INFANT AND CHILD CPR CLASSES, LAMAZE AND CHILDBIRTH CLASSES, CARDIAC REHABILITATION, AND VARIOUS PATIENT EDUCATIONAL PROGRAMS. THE HOSPITAL PARTICIPATES IN AND HOSTS MANY COMMUNITY HEALTH SCREENINGS AND IMMUNIZATIONS, CANCER SCREENINGS (PROSTATE, BREAST, SKIN, AND COLON), AS WELL AS SCREENINGS IN THE FOLLOWING AREAS: CHOLESTEROL/GLUCOSE, BLOOD PRESSURE, HEART RATE,OXYGEN SATURATION, WEIGHT AND BODY MASS INDEX ASSESSMENT, FALLS ASSESSMENT, BONE DENSITY TESTING, TETANUS AND FLU CLINICS. THE EMPLOYEES AT HCMH ARE COMMITTED TO THE AREA'S NEEDS. COMMITTMENT IS DEMONSTRATED THROUGH PARTICIPATION IN THE FOLLOWING: THE STOP HUNGER FOOD DRIVE, MARCH OF DIMES, UNITED WAY, TRI C MINISTRIES, SUSAN G. KOMEN WALKATHONS, SPECIAL OLYMPICS, THE AMERICAN CANCER SOCIETY, THE NATIONAL MS SOCIETY, AND A LOCAL ORGANIZATION TRIAD FIRST IN FAMILIES THAT HELPS CHILDREN IN NEED.HCMH IS COMMITTED TO THE PROMOTION OF HEALTH, OUTREACH, AND SUPPORT GROUPS. THE HOSPITAL SPONSORS THE FOLLOWING:CANCER HEART AND SOUL, LOOK GOOD FEEL BETTER CANCER SUPPORT, HOSPICE GRIEF CAMP FOR CHILDREN, BEREAVEMENT AND THE GRIEF PROCESS, STROKE SUPPORT, AMPUTEE SUPPORT, ALZHEIMER'S SUPPORT, CPR FOR INDUSTRY, DAY CARE WORKERS, AND LIFEGUARDS, SENIOR FITNESS CLASSES, AND CARDIAC REHABILITATION CLASSES. HCMH ALSO HOLDS "LUNCH AND LEARNS" WHICH ARE OFFERED TO THE COMMUNITY PROMOTING DIFFERENT TOPICS OF HEALTH RELATED INTEREST.THE HOSPITAL ALSO SPONSORS THE GRACE CLINIC WHICH IS A LOCAL FREE CLINIC WHICH OPERATES ON DONATED SERVICES AND SUPPLIES.
PART VI, LINE 6:	THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES	NC

Schedule I IRS990ScheduleI

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
DOMINICK CARBONE MD
CHIEF OF STAFF	$499,910	$0	$236,386	$0	$0	$0	$9,061	$0	$10,866	$0	$756,223	$0	$0	$0
PAUL HAMMES
CEO	$275,000	$0	$25,000	$0	$0	$0	$8,566	$0	$15,031	$0	$323,597	$0	$0	$0
DONALD TRIPPEL
CFO	$170,957	$0	$10,000	$0	$0	$0	$4,493	$0	$4,562	$0	$190,012	$0	$0	$0
MARY BLACKBURN
CPO	$148,246	$0	$10,000	$0	$0	$0	$3,943	$0	$8,894	$0	$171,083	$0	$0	$0
SARBA KUNDU MD
PHYSICIAN	$431,309	$0	$36,668	$0	$0	$0	$398	$0	$12,078	$0	$480,453	$0	$0	$0
ANDREW LEE MD
PHYSICIAN	$274,298	$0	$179,876	$0	$0	$0	$7,539	$0	$11,935	$0	$473,648	$0	$0	$0
JONATHAN SNYDER MD
PHYSICIAN	$456,073	$0	$75,757	$0	$0	$0	$8,180	$0	$12,078	$0	$552,088	$0	$0	$0
MURUGANANTHAN SUBBIAH MD
PHYSICIAN	$240,294	$0	$137,885	$0	$0	$0	$6,261	$0	$11,720	$0	$396,160	$0	$0	$0
PRAG GUPTA MD
PHYSICIAN	$323,273	$0	$55,884	$0	$0	$0	$0	$0	$12,078	$0	$391,235	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 6

THE PHYSICIANS IN CHARGE OF THE UROLOGY PRACTICE, GASTROENTEROLOGY PRACTICE, AND CLINGMAN 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 2014 WERE: DOMINICK CARBONE, MD $236,386 JONATHAN SNYDER, MD 75,757 ANDREW LEE, MD 179,876 SARBA KUNDA, MD 36,668 MURUGANANTHAN SUBBIAH, MD 37,885 PRAG GUPTA, MD 55,884

FORM 990, PART VII, SECTION A, LINE 1:

COMPENSATION FROM AN UNRELATED ORGANIZATION: CEO PAUL HAMES IS COMPENSATED BY AN OUTSIDE MANAGEMENT COMPANY, ALLIANT MANAGEMENT GROUP. THE COMPENSATION PAID BY THE UNRELATED ORGANIZATION IS INCLUDED ON FORM 990, PART VII, SECTION A, LINE 1. THE DETAILS ARE AS FOLLOWS: PAUL HAMES: $ 300,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	657902F31	2003-04-23	$39,673,032	REFUNDING, NEW STRUCTURES, EQUIPMENT	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	65821DAF8	2008-09-24	$45,455,000	NEW STRUCTURES, EQUIPMENT	Yes (1)	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Bond DefeasedBondDefeasedAmt	Capitalized InterestCapitalizedInterestAmt
A	$13,240,000	$41,151,940	$2,658,335	$529,906	$1,878,294	$21,551,473	$11,100,000	2005	Yes (1)	0	Yes (1)	Yes (1)
B	$3,220,000	$46,276,755		$435,743	$513,249	$42,448,072		2010	0	0	Yes (1)	Yes (1)	$42,235,000	$3,493,414

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	Yes (1)	0.13870	Yes (1)	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0			0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	0	Yes (1)	0	0	0	0	0
WELLS FARGO
B	0	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	30.000000000000	Yes (1)	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 06/13/2013 ISSUER NAME: NORTH CAROLINA MEDICAL CARE COMMISSION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/28/2013
SCH K, PART II, LINE 11, COLUMN A	THE OTHER SPENT PROCEEDS OF $11,100,000 WERE USED TO CURRENTLY REFUND PRIOR BONDS ISSUED ON 05-08-1996.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LAURA OAKS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF BOARD MEMBER BOB MIDKIFF	RelationshipDescriptionTxt
Transaction	$60,006	TransactionAmt
Transaction	COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	THROUGHOUT THE YEAR, TO TEACH PEOPLE TO RECOGNIZE STROKE WARNING SIGNS THAT OFTEN COME ON SUDDENLY, HCMH EDUCATED THE PUBLIC ABOUT AN ACRONYM CALLED F.A.S.T. - FACE DROOPING, ARM WEAKNESS, SPEECH DIFFICULTY AND TIME TO CALL 9-1-1. MORE THAN TWO MILLION MARKETING IMPRESSIONS WERE GENERATED FOR PUBLIC EDUCATION ABOUT THESE SIGNS AND SYMPTOMS. HCMH ALSO SUPPORTED COMMUNITY ORGANIZATIONS SUCH AS PROJECT LAZARUS SURRY COALITION BY ALLOWING THE GROUP TO MEET AT THE HOSPITAL AND BY PROVIDING HOSPITAL STAFF AS PARTICIPANTS. IT ALSO PROVIDED HANDS-ONLY CPR AND AED USE INSTRUCTION TO MEMBERS OF THE YADKIN VALLEY ROTARY. THE HOSPITAL ALSO SUBSIDIZED LABORATORY AND IMAGING EXPENSES FOR GRACE CLINIC OF THE YADKIN VALLEY, A FREE CLINIC LOCATED IN ELKIN, NORTH CAROLINA THAT SEES PATIENTS AGES 18 TO 64 WITH NO MEDICAL INSURANCE AND WHO FALL UNDER THE INCOME AT OR LESS THAN 200 PERCENT OF THE FEDERAL POVERTY LEVEL. A FREE, MONTHLY SERIES OF CLASSES TAUGHT BY A REGISTERED DIETITIAN AND CERTIFIED DIABETES EDUCATOR WERE HELD AT THE HOSPITAL TO EDUCATE ADULTS ABOUT HOW TO KEEP DIABETES IN CONTROL. CLASSES LASTED 90 MINUTES AND MORE THAN 100 PEOPLE ATTENDED. SUPPORT FOR CANCER PATIENTS INCLUDED MASTECTOMY FITTERS GOING TO PATIENT'S HOMES AFTER SURGERY FOR A PROSTHESIS FITTING. THEY PROVIDE A "SOFTIE AND PILLOW FOR THE PATIENT'S COMFORT DURING THE RECOVERY PERIOD UNTIL THE PROSTHESIS IS READY FOR FITTING. HCMH ALSO CONTINUED TO OFFER "LOOK GOOD FEEL BETTER" A FREE NATIONAL PUBLIC SERVICE PROGRAM THAT HELPS WOMEN UNDERGOING CANCER TREATMENT LEARN TO COPE WITH THEIR APPEARANCE AND WITH SIDE EFFECTS OF TREATMENT. A LICENSED COSMETOLOGIST VOLUNTEER TEACHES WOMEN HOW TO ENHANCE THEIR APPEARANCE AND MATERIALS ARE PROVIDED AT NO CHARGE. OTHER WOMEN'S SERVICES COMMUNITY OUTREACH INCLUDED BIRTHING CLASSES AND BREASTFEEDING EDUCATION. DURING THE FISCAL YEAR, HCMH RECEIVED SEVERAL CERTIFICATIONS, AWARDS AND RANKINGS THAT DEMONSTRATE THE HOSPITAL'S CONTINUED BENEFIT TO THE COMMUNITY: - HCMH RANKED FIRST AMONG ALL ACUTE-CARE HOSPITALS IN NORTH CAROLINA FOR THE QUALITY OF OUR PATIENT CARE, INCLUDING CLINICAL PROCESSES OF CARE, PATIENT EXPERIENCE AND PATIENT OUTCOMES, BASED ON HOSPITAL TOTAL PERFORMANCE SCORES UNDER MEDICARE'S FISCAL YEAR 2014 VALUE-BASED PURCHASING PROGRAM, ACCORDING TO HOSPITAL COMPARE DATA FROM WWW.MEDICARE.GOV - FOR A THIRD YEAR, HCMH RECEIVED A 2015 WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S TOP 100 HOSPITALS FOR PATIENT EXPERIENCE AND WAS ALSO RECOGNIZED AMONG AMERICA'S BEST STROKE CENTERS. - THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION RECOGNIZED HCMH FOR "GOLD PLUS" LEVEL PERFORMANCE BY THE HOSPITAL ACHIEVING AT LEAST 24 CONSECUTIVE MONTHS OF 85% OR HIGHER ADHERENCE TO ALL GET WITH THE GUIDELINES STROKE PERFORMANCE ACHIEVEMENT INDICATORS.
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE IMMEDIATE PAST CHAIRMAN AND ONE (1) OR MORE ADDITIONAL MEMBERS WHO WILL BE NOMINATED BY THE CHAIRMAN FOR THE ELECTION BY THE BOARD OF TRUSTEES. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE. THE EXECUTIVE COMMITTEE SHALL ALSO ANNUALLY REVIEW THE PERFORMANCE, COMPENSATION AND TERMS OF EMPLOYEMENT OF THE CHIEF EXECUTIVE OFFICER AND MAKE RECOMMENDATIONS TO THE BOARD CONCERNING COMPENSATION AND TERMS OF THE EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION A, LINE 3	THE HOSPITAL ENTERED INTO A MANAGEMENT AGREEMENT IN JUNE 2006 WITH ALLIANT, AN UNRELATED CORPORATION WHEREBY THE MANAGEMENT COMPANY WILL PERFORM MANAGEMENT AND ADMINISTRATION SERVICES ON A DAY-TO-DAY BASIS AND PROVIDE A CHIEF EXECUTIVE OFFICER. THE AGREEMENT CALLS FOR A BASE MANAGEMENT FEE OF APPROXIMATELY $220,000 IN THE FIRST YEAR WITH ANNUAL INCREASES TO APPROXIMATE THE INCREASE IN CONSUMER PRICE INDEX. IN ADDITION TO THE ANNUAL FEE, THE HOSPITAL IS REQUIRED TO PAY THE SALARIES, BONUSES AGREED UPON BY THE BOARD, AND ALL FRINGE BENEFITS OF THE MANAGEMENT COMPANY'S KEY PERSONNEL WHO PERFORM THE ADMINISTRATIVE DUTIES.
FORM 990, PART VI, SECTION B, LINE 11	THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH SUPERVISION AND ASSISTANCE BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS REVIEWED BY MANAGEMENT AND DELIVERED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR APPROVAL. THE RETURN WAS THEN PRESENTED AT A SCHEDULED MEETING OF THE BOARD OF DIRECTORS BY A REPRESENTATIVE OF THE ACCOUNTING FIRM, AND EACH VOTING MEMBER OF THE BOARD WAS PROVIDED A COPY FOR DISCUSSION AND QUESTIONS. FOLLOWING THE MEETING AND A PERIOD OF TIME FOR COMMENT, THE RETURN WAS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, ALL VOTING BOARD MEMBERS ARE PRESENTED WITH THE GOVERNANCE POLICIES CONCERNING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. UPON REVIEW AND DISCUSSION CONCERNING RELATIONSHIPS WITH THE ORGANIZATION, ITS AFFILIATES, OR AMONGST EACH OTHER, THE BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE POLICY STATEMENT TO THE ADMINISTRATION. THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR AND ARE PRESENTED TO THE AUDITORS DURING THE ANNUAL AUDIT.
FORM 990, PART VI, SECTION B, LINE 15	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.
FORM 990, PART VI, SECTION C, LINE 18	PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990, PART VI, SECTION C, LINE 19	PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990, PART IX, LINE 11G	CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 5,330,907. MANAGEMENT AND GENERAL EXPENSES 1,309,003. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,639,910. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,741,334. MANAGEMENT AND GENERAL EXPENSES 325,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,066,334. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 3,277,576. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,277,576. CENTRALIZED BILLING: PROGRAM SERVICE EXPENSES 778,953. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 778,953. OTHER FEES: PROGRAM SERVICE EXPENSES 450,221. MANAGEMENT AND GENERAL EXPENSES 201,017. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 651,238.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF SWAP AGREEMENT -2,444,923. RECOGNIZED LOSSES ON IMPAIRMENTS -4,139,274. JV INCOME FROM ACCOUNT WITH SWAP 282,901.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC
180 PARKWOOD DRIVE	ELKIN	NC	28621	562049537	FUNDRAISING	NC	501(C)(3)	LINE 11A, I	HUGH CHATHAM MEMORIAL HOSPITAL	Yes (1)
HUGH CHATHAM MEMORIAL HOSPITAL AUXILIARY
180 PARKWOOD DRIVE	ELKIN	NC	28621	561199949	THRIFT/GIFT SHOP	NC	501(C)(3)	LINE 11A, I	HUGH CHATHAM MEMORIAL HOSPITAL	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	C	TransactionTypeTxt
Involved	$2,333,978	InvolvedAmt
Method Of Amount Determination	CASH	MethodOfAmountDeterminationTxt