COLUMBUS REGIONAL HEALTHCARE SYSTEM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COLUMBUS REGIONAL HEALTHCARE SYSTEM (EIN 56-0538020)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-11
- IRS object ID
- 201412239349300401
- Schema version
- 2012v2.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-11T06:15:06-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560538020 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COLU | NameControl |
| Phone | 9106421703 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON STREET | AddressLine1 |
| City | WHITEVILLE | City |
| State | NC | State |
| ZIP Code | 28472 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CARL BIBER | Name |
| Title | CFO | Title |
| Phone | 9106421703 | Phone |
| Date Signed | 2014-08-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | HENRY HAWTHORNE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON STREET | AddressLine1 |
| City | WHITEVILLE | City |
| State | NC | State |
| ZIP Code | 28472 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 89865765 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CRHEALTHCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1937 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | SERVING THE CITIZENS BY PROVIDING COMMUNITY SERVICES, HEALTH EDUCATION, AND CHARITY CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 779 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 704874 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 9903 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 86904133 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 88006602 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1228163 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1374003 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 140468 | OtherRevenuePriorYear |
| Other Revenue Current Year | 111081 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 88977638 | TotalRevenuePriorYear |
| Total Revenue Current Year | 89501589 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 60676 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 50936 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 36437462 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 36967762 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 103893 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 46515263 | OtherExpensePriorYear |
| Other Expenses Current Year | 48261339 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 83013401 | TotalExpensesPriorYear |
| Total Expenses Current Year | 85280037 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 5964237 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4221552 | RevenuesLessExpensesCY |
| Total Assets BOY | 98538205 | TotalAssetsBOY |
| Total Assets EOY | 125379787 | TotalAssetsEOY |
| Total Liabilities BOY | 14991678 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 36710510 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 83546527 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 88669277 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE WILL BE THE PRIMARY HEALTHCARE HOME FOR THE CITIZENS OF COLUMBUS COUNTY AND SURROUNDING COMMUNITIES.WE PROMISE TO PUT OUR PATIENTS FIRST, PROVIDING HEALTHCARE SERVICES THAT RAISE STANDARDS FOR SAFETY, QUALITY, SERVICE, COMPASSION, AND EFFICIENCY. WE WILL PROMOTE HEALTH, WELLNESS, AND PREVENTION INITIATIVES. AND WE WILL SERVE AS A GATEWAY FOR OUR COMMUNITY TO ACCESS THE ENTIRE SPECTRUM OF HEALTHCARE RESOURCES, WHETHER LOCAL OR DISTANT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 76199983 | Expense |
| Grants | 50936 | Grants |
| Revenue | 88006602 | Revenue |
| Description | WE WILL BE THE COMMUNITY'S FIRST CHOICE FOR HEALTHCARE SERVICES, RECOGNIZED FOR OUR LEADERSHIP IN HELPING OUR REGION BECOME ONE OF THE HEALTHIEST IN THE STATE. WE WILL BE THE PRIMARY HEALTHCARE HOME FOR THE CITIZENS OF COLUMBUS COUNTY AND SURROUNDING COMMUNITIES. WE PROMISE TO PUT OUR PATIENTS FIRST, PROVIDING HEALTHCARE SERVICES THAT RAISE STANDARDS FOR SAFETY, QUALITY, SERVICE, COMPASSION, AND EFFICIENCY. WE WILL PROMOTE HEALTH, WELLNESS, AND PREVENTION INITIATIVES, AND WE WILL SERVE AS A GATEWAY FOR OUR COMMUNITY TO ACCESS THE ENTIRE SPECTRUM OF HEALTHCARE RESOURCES, WHETHER LOCAL OR DISTANT. OUR VALUES START WITH THE RECOGNITION OF OUR PRIMARY ROLE AS A CARE-GIVING HEALTH SYSTEM: THE NEEDS OF OUR PATIENTS COME FIRST. | Description |
| Total Program Service Expense | 76199983 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 132 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 779 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARL BIBER CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9106421703 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON STREET | AddressLine1 |
| City | WHITEVILLE | City |
| State | NC | State |
| ZIP Code | 28472 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| TERRAY F SUGGS | |||||||||
| CHAIRMAN | 1.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| SAMUAL N WHEATLEY MD | |||||||||
| VICE-CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| FREDA GORE | |||||||||
| SECRETARY/TREASURER | 1.00 | X | X | 0 | 0 | 0 | |||
| JAMES FORREST RIGGS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| ANDY MARTIN | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| CARL W MEARES JR | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| H THOMAS JONES II | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| BOB DEANS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID GRECO MD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| GILES BUDDY BYRD | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| TRENT BURROUGHS | |||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||||
| HENRY C HAWTHORNE III | |||||||||
| CEO/PRESIDENT | 60.00 | 1.00 | X | 237693 | 0 | 47921 | |||
| CARL BIBER | |||||||||
| VP OF FINANCE | 60.00 | 1.00 | X | 149078 | 0 | 33884 | |||
| CRAIG MARTIN SLATER | |||||||||
| CHIEF MEDICAL OFFICER | 60.00 | X | 264898 | 0 | 49810 | ||||
| ANDREW TODD HOWELL | |||||||||
| VP OF OPERATIONS | 40.00 | 1.00 | 233160 | 0 | 17695 | X | |||
| TERRY BEASLEY | |||||||||
| VP PATIENT CARE | 40.00 | 157114 | 0 | 14749 | X | ||||
| GLORIA H MILLER | |||||||||
| CRNA | 40.00 | 227422 | 0 | 25703 | X | ||||
| JEFFREY W SAVAGE | |||||||||
| CRNA | 40.00 | 240782 | 0 | 26246 | X | ||||
| KIMBERLY RAGSDALE | |||||||||
| PHYSICIAN | 40.00 | 195519 | 0 | 15855 | X | ||||
| JOHN F SCACHERI | |||||||||
| CRNA | 40.00 | 210542 | 0 | 26004 | X | ||||
| KATHERINE KINCER | |||||||||
| CRNA | 40.00 | 198480 | 0 | 25679 | X | ||||
| SHERYL GORE | |||||||||
| VP OF OPERATIONAL EXCELLENCE | 40.00 | 108562 | 0 | 12563 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2223250 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 296109 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CROTHALL HEALTHCARE | |||||
| 13028 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | MANAGEMENT FIRM | 1831652 |
| TOTAL HEALTH & REHAB SERVICES | |||||
| 109 E WYCHE STREET | WHITEVILLE | NC | 28472 | PHYSICAL THERAPY | 1368240 |
| CAROLINA HEALTHCARE SYSTEM | |||||
| PO BOX 32861 | CHARLOTTE | NC | 28232 | MANAGEMENT FIRM | 1321076 |
| MORRISON HEALTHCARE | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | MANAGEMENT FIRM | 1242872 |
| SPEECH LANGUAGE PATHOLOGY SERVICES | |||||
| PO BOX 762 | WHITEVILLE | NC | 28472 | SPEECH THERAPY | 443710 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| All Other Contributions | 9903 | AllOtherContributions |
| Total Contributions | 9903 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621990 | 85585913 | 85585913 |
| ANCILLARY REVENUE | 621990 | 2420689 | 2420689 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 88006602 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1591844 | TotalRevenueColumn |
| Exclusion | $1,591,844 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 190389 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 115377 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 75012 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75012 | TotalRevenueColumn |
| Exclusion | $75,012 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 23065 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 240906 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -240906 | Securities |
| Other | 23065 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -217841 | TotalRevenueColumn |
| Exclusion | -$217,841 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 43962 | GrossSalesOfInventory |
| Cost Of Goods Sold | 7893 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 36069 | TotalRevenueColumn |
| Exclusion | $36,069 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89501589 | TotalRevenueColumn |
| Related Or Exempt Function Income | 88006602 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,485,084 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50936 | Total |
| Program Services | 50936 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1366108 | Total |
| Program Services | 588100 | ProgramServices |
| Management And General | 778008 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27479273 | Total |
| Program Services | 25739819 | ProgramServices |
| Management And General | 1672120 | ManagementAndGeneral |
| Fundraising | 67334 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 821082 | Total |
| Program Services | 749422 | ProgramServices |
| Management And General | 69743 | ManagementAndGeneral |
| Fundraising | 1917 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5170227 | Total |
| Program Services | 4718999 | ProgramServices |
| Management And General | 439159 | ManagementAndGeneral |
| Fundraising | 12069 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2131072 | Total |
| Program Services | 1945084 | ProgramServices |
| Management And General | 181013 | ManagementAndGeneral |
| Fundraising | 4975 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70302 | Total |
| Management And General | 70302 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112232 | Total |
| Management And General | 112232 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12803720 | Total |
| Program Services | 10385407 | ProgramServices |
| Management And General | 2418313 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214653 | Total |
| Program Services | 98384 | ProgramServices |
| Management And General | 116269 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3388267 | Total |
| Program Services | 2127753 | ProgramServices |
| Management And General | 1246294 | ManagementAndGeneral |
| Fundraising | 14220 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47637 | Total |
| Program Services | 47637 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1583354 | Total |
| Program Services | 1515587 | ProgramServices |
| Management And General | 67767 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131862 | Total |
| Program Services | 91195 | ProgramServices |
| Management And General | 37289 | ManagementAndGeneral |
| Fundraising | 3378 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 733213 | Total |
| Management And General | 733213 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5121900 | Total |
| Program Services | 4963016 | ProgramServices |
| Management And General | 158884 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 739659 | Total |
| Program Services | 2860 | ProgramServices |
| Management And General | 736799 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 13494799 | 13494799 | |
| MEDICAL SUPPLIES | 9510234 | 9510234 | |
| FOOD | 238650 | 163317 | 75333 |
| MISCELLANEOUS | 70857 | 7434 | 63423 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85280037 | Total |
| Program Services | 76199983 | ProgramServices |
| Management And General | 8976161 | ManagementAndGeneral |
| Fundraising | 103893 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47757 | BOY |
| EOY | 20105 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3332567 | BOY |
| EOY | 2082564 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8993909 | BOY |
| EOY | 10269795 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1540013 | BOY |
| EOY | 1889871 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1557276 | BOY |
| EOY | 954014 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 92858619 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 47650296 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41822133 | BOY |
| EOY | 45208323 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29260515 | BOY |
| EOY | 46277028 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7380565 | BOY |
| EOY | 12147038 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2773568 | BOY |
| EOY | 3362462 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1829902 | BOY |
| EOY | 3168587 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98538205 | BOY |
| EOY | 125379787 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6232306 | BOY |
| EOY | 6949510 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 25237154 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3805425 | BOY |
| EOY | 1397810 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4953947 | BOY |
| EOY | 3126036 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14991678 | BOY |
| EOY | 36710510 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83358584 | BOY |
| EOY | 88381474 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187943 | BOY |
| EOY | 287803 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83546527 | BOY |
| EOY | 88669277 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98538205 | BOY |
| EOY | 125379787 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4221552 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -69347 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | 970545 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | 1 | OtherActivities |
| Other Activities | $3,489 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 3489 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID TO THAT ORGANIZATION IS ALLOCATED TO LOBBYING EXPENDITURES ON BEHALF OF ITS MEMBERSHIP BODY. FOR 2013, THE AMOUNT OF DUES ALLOCATED TO LOBBYING EXPENDITURES WAS APPROXIMATELY $1,764. THE ORGANIZATION IS A MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION. A PORTION OF THE MEMBERSHIP DUES PAID TO THAT ORGANIZATION IS ALLOCATED TO LOBBYING EXPENDITURES ON BEHALF OF ITS MEMBERSHIP BODY. FOR 2013, THE AMOUNT OF DUES ALLOCATED TO LOBBYING EXPENDITURES WAS $1,725. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1145423 | OtherCostOrOtherBasis |
| Book Value | 1145423 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36624440 | OtherCostOrOtherBasis |
| Depreciation | 17016308 | Depreciation |
| Book Value | 19608132 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50481908 | OtherCostOrOtherBasis |
| Depreciation | 30633988 | Depreciation |
| Book Value | 19847920 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4606848 | OtherCostOrOtherBasis |
| Book Value | 4606848 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45208323 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN CHRN | 10445213 | F |
| INVESTMENT IN CRHO | 302812 | F |
| INVESTMENT IN CRP II | 1153069 | F |
| INVESTMENT IN CR DIAGNOSTICS | 245944 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 12147038 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | Description |
| Amount | $3,126,036 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3126036 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | INCOME TAXES- THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2013. THE SYSTEM BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAXES EXAMINATIONS FOR YEARS PRIOR TO SEPTEMBER 30, 2010. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3494039 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3494039 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04870 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1132034 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1132034 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01580 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4626073 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4626073 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06450 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2075 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2075 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50344 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 50344 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 54419 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 54419 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4680492 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4680492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06520 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $13,494,799 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 24818802 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 65150882 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -40332080 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 COLUMBUS REGIONAL SAME DAY SURGERY CENTER LLC | ||
| AMBULATORY SURGERY CENTER | 0.50000 | 0.50000 |
| 2 COLUMBUS REGIONAL PROPERTIES LLC | ||
| PURCHASE PROPERTY & CONSTUCT BUILDING FOR SURGERY CENTER | 0.20000 | 0.30000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 JEFFERSON STREET | AddressLine1 |
| City | WHITEVILLE | City |
| State | NC | State |
| ZIP Code | 28472 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notified All Patients | X | NotifiedAllPatients |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| SOUTHEAST PRIMARY CARE | ||||
| 619 JEFFERSON STREET | WHITEVILLE | NC | 28472 | OTHER OUTPATIENT CLINIC |
| SOUTH COLUMBUS MEDICAL CENTER | ||||
| 14508 JAMES B WHITE HWY S | TABOR CITY | NC | 28463 | OTHER OUTPATIENT CLINIC |
| BALDWIN WOODS DIAGNOSTICS | ||||
| 619 JEFFERSON STREET | WHITEVILLE | NC | 28472 | DIAGNOSTIC CENTER |
| DONAYRE CANCER CARE CENTER | ||||
| 711 NORTH FRANKLIN STREET | WHITEVILLE | NC | 28472 | OTHER OUTPATIENT CLINIC |
| CAROLINA UROLOGY ASSOCIATES | ||||
| 720 JEFFERSON STREET | WHITEVILLE | NC | 28472 | OTHER OUTPATIENT CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2012 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. | ||
| PART I, L7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $13,494,799 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F). | ||
| PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE. | ||
| PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. | ||
| PART V, SECTION B, LINE 3: TERRIE PRIEST - VP COMMUNITY RELATIONS AND BETH BROWN - COMMUNITY OUTREACH COORDINATOR WERE PART OF THE COLUMBUS COUNTY COMMUNITY HEALTH ASSESSMENT TEAM. THE CCCHA WAS A 16 PERSON TEAM THAT INCLUDED REPRESENTATIVES FROM THE COUNTY HEALTH DEPARTMENT, THE COMMUNITY HEALTH CENTER AND VARIOUS COMMUNITY ORGANIZATIONS. | COLUMBUS REGIONAL HEALTHCARE SYSTEM | |
| PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY IS IN THE PROCESS OF ADOPTING A METHOD FOR COMPUTING AMOUNT GENERALLY BILLED THAT WILL BE IN COMPLIANCE WITH THE REGULATIONS UNDER SECTION 1.501(R)-3 WHEN FINAL GUIDANCE IS AVAILABLE. | COLUMBUS REGIONAL HEALTHCARE SYSTEM | |
| PART VI, LINE 2: THE ORGANIZATION PERFORMS A PERIODIC COMMUNITY NEEDS ASSESSMENT THAT ADDRESSES THE NEEDS OF THE SURROUNDING AREA. THE MOST RECENT NEEDS ASSESSMENT WAS PERFORMED IN SPRING OF 2011. | ||
| PART VI, LINE 3: A PATIENT PRESENTED AS SELF PAY IS ASKED TO SPEAK WITH A FINANCIAL COUNSELOR OR THE CONTRACTED MEDICAID ELIGIBILITY SPECIALIST WHO WILL EVALUATE FOR MEDICAID ELIGIBILITY. IF NOT ELIGIBLE FOR MEDICAID, CHARITY CARE GUIDELINES ARE REVIEWED WITH PATIENT AND PROCESSES AS NEEDED. | ||
| PART VI, LINE 4: THE PERIODIC COMMUNITY NEEDS ASSESSMENT PERFORMED TAKES INTO ACCOUNT GEOGRAPHIC AND DEMOGRAPHIC DATA FOCUSED ON CONSTITUENCY IN COLUMBUS COUNTY AND THE SURROUNDING APPLLICABLE COUNTIES IN THE REGION. DATA PARTS INCLUDE AGE, GENDER, MIGRATION TRENDS, THE ECONOMIC ENVIRONMENT, ETC. COLUMBUS COUNTY IS LOCATED IN SOUTHEASTERN NORTH CAROLINA AND COVERS A LAND MASS OF OVER 959 SQUARE MILES. POPULATION OF COLUMBUS COUNTY IS 58,212 WITH A RACIAL MAKEUP OF THE FOLLOWING: CAUCASIAN 60.4%, AFRICAN AMERICAN 30.3%, HISPANIC 4.6% AND NATIVE AMERICAN 3.1%. THERE ARE 21,779 HOUSEHOLDS IN COLUMBUS COUNTY AVERAGING 2.53 PEOPLE PER HOUSEHOLD. MEDIAN HOUSEHOLD INCOME IS AT $35,421 AND PEOPLE LIVINGS BELOW POVERTY LEVEL IS AT 21.4% | ||
| PART VI, LINE 5: THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEDGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MOST OF ITS DEPARTMENTS. THE SURPLUS OF FUNDS, IF ANY, ARE USED TO PURCHSE MEDICAL EQUIPMENT AND IMPROVING PATIENT CARE. THE ORGANIZATION'S BOARD IS COMPRISED OF MOSTLY UNREALTED, LOCAL RESIDENTS TO ENSURE THAT THE VOICE OF COMMUNITY IS HEARD. | ||
| NC | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| GREATER WHITEVILLE CHAMBER OF COMMERCE | |||||||
| 601 S MADISON STREET | WHITEVILLE | NC | 28472 | 560468371 | 501(C)(3) | 11547 | ORGANIZATIONAL SUPPORT |
| LOWER CAPE FEAR HOSPICE FOUNDATION | |||||||
| 1414 PHYSICIANS DR | WILMINGTON | NC | 28401 | 561391849 | 501(C)(3) | 6250 | ORGANIZATIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HENRY C HAWTHORNE III | ||||||||||||||
| CEO/PRESIDENT | 236802 | 0 | 0 | 0 | 891 | 0 | 32230 | 0 | 15691 | 0 | 285614 | 0 | 0 | 0 |
| CARL BIBER | ||||||||||||||
| VP OF FINANCE | 148183 | 0 | 0 | 0 | 895 | 0 | 21555 | 0 | 12329 | 0 | 182962 | 0 | 0 | 0 |
| CRAIG MARTIN SLATER | ||||||||||||||
| CHIEF MEDICAL OFFICER | 259622 | 0 | 0 | 0 | 5276 | 0 | 32467 | 0 | 17343 | 0 | 314708 | 0 | 0 | 0 |
| ANDREW TODD HOWELL | ||||||||||||||
| VP OF OPERATIONS | 198566 | 0 | 25731 | 0 | 8863 | 0 | 3396 | 0 | 14299 | 0 | 250855 | 0 | 0 | 0 |
| TERRY BEASLEY | ||||||||||||||
| VP PATIENT CARE | 119588 | 0 | 20526 | 0 | 17000 | 0 | 6599 | 0 | 8150 | 0 | 171863 | 0 | 0 | 0 |
| GLORIA H MILLER | ||||||||||||||
| CRNA | 209553 | 0 | 338 | 0 | 17531 | 0 | 14500 | 0 | 11203 | 0 | 253125 | 0 | 0 | 0 |
| JEFFREY W SAVAGE | ||||||||||||||
| CRNA | 223444 | 0 | 338 | 0 | 17000 | 0 | 11947 | 0 | 14299 | 0 | 267028 | 0 | 0 | 0 |
| KIMBERLY RAGSDALE | ||||||||||||||
| PHYSICIAN | 195181 | 0 | 338 | 0 | 0 | 0 | 6450 | 0 | 9405 | 0 | 211374 | 0 | 0 | 0 |
| JOHN F SCACHERI | ||||||||||||||
| CRNA | 193204 | 0 | 338 | 0 | 17000 | 0 | 11705 | 0 | 14299 | 0 | 236546 | 0 | 0 | 0 |
| KATHERINE KINCER | ||||||||||||||
| CRNA | 186440 | 0 | 338 | 0 | 11702 | 0 | 11303 | 0 | 14376 | 0 | 224159 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | CAROLINAS HEALTHCARE SYSTEM WILL FURNISH THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER PER AGREEMENT. CRHS REIMBURSES CHS THE SALARY AND BENEFITS COST OF THESE INDIVIDUALS. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH CAROLINA MEDICAL CARE COMMISSION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521309402 | IssuerEIN |
| CUSIP Number | 65821DQR5 | CUSIPNumber |
| Date Issued | 2013-02-07 | DateIssued |
| Issue Price | 26188219 | IssuePrice |
| Description Of Purpose | SEE PART VI | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 26188219 | TotalProceeds |
| Amount In Reserve Fund | 1788953 | AmountInReserveFund |
| Issuance Costs From Proceeds | 521980 | IssuanceCostsFromProceeds |
| Capital Expenditures | 16486469 | CapitalExpenditures |
| Other Spent Proceeds | 3446823 | OtherSpentProceeds |
| Amount Unspent | 3943994 | AmountUnspent |
| Year Of Subst Completion | 2014 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K, PART I, COLUMB F | Identifier |
| Explanation | THE PURPOSE OF THE SERIES 2013A BONDS ARE TO: 1. PAY OR REIMBURSE THE SYSTEM FOR PAYING, A PORTION OF THE COST OF THE PROJECT, 2. REFINANCE CERTAIN INDEBTEDNESS INCURRED ON BEHALF OF THE SYSTEM, 3. FUND A DEBT SERVICE RESERVE FUND, AND 4. PAY CERTAIN EXPENSES OF ISSUING THE 2013A BONDS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | EFFECTIVE NOVEMBER 26, 2007, CRHS ENTERED INTO A NINE-YEAR MANAGEMENT SERVICES AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WHICH DOES BUSINESS AS CAROLINAS HEALTHCARE SYSTEM (CHS) TO MANAGE THE SYSTEM ON A DAY-TO-DAY BASIS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION'S 990 WAS REVIEWED BY MANAGEMENT BEFORE FILING WITH THE IRS. THE FORM WAS PRESENTED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AT A MEETING AFTER RETURN WAS SUBMITTED TO THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF TRUSTEES COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. ALL EMPLOYEES AT ORIENTATION AND ANNUALLY, DURING HEALTH AND SAFETY EDUCATION ARE SURVEYED REGARDING ANY SITUATIONS THAT MAY CONSTITUTE AS A CONFLICT OF INTEREST. ANY EMPLOYEE FORMS WITH AN AFFIRMATIVE RESPONSE ARE FORWARDED TO THE COMPLIANCE OFFICER FOR REVIEW. THE BOARD OF TRUSTEES FORMS ARE SUBMITTED TO THE COMPLIANCE OFFICER FOR REVIEW AS WELL. ANY QUESTIONS OR CONCERNS ARE DISCUSSED WITH CEO. | |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE CEO AND CFO ARE DETERMINED BY CAROLINAS HEALTHCARE SYSTEM (CHS) BY EXTERNAL INFORMATION EACH YEAR. THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION. THE BOARD OF TRUSTEES CONSIDERS RECOMMENDATIONS BASED ON AVAILABLE MARKET DATA AS THEY REVIEW AND APPROVE COMPENSATION FOR OTHER MEMBERS OF CRHS EXECUTIVE STAFF ON AN ANNUAL BASIS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED. | |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. | |
| FORM 990, PART VI, SECTION C, LINE 19 | CRHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE CONFLICT OF INTEREST STATEMENT IS AVAILABILE IN PATIENT LITERATURE. | |
| FORM 990, PART IX, LINE 11G | CONSULTING : PROGRAM SERVICE EXPENSES 5,213. MANAGEMENT AND GENERAL EXPENSES 196,109. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,322. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 10,380,194. MANAGEMENT AND GENERAL EXPENSES 2,222,204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,602,398. | OTHER FEES |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | |
| FORM 990, PART VI, LINE 3 | THE ORGANIZATION IS UTILIZING PART VII AND SCHEDULE J OF THE FORM 990 TO REPORT THE COMPENSATION PAID TO THE CEO AND CFO BY THE MANAGEMENT COMPANY FOR SERVICES PROVIDED TO THE FILING ORGANIZATION. THE COMPENSATION HAS BEEN REPORTED IN THE FILING ORGANIZATION'S COMPENSATION COLUMNS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Total IncomeTotalIncome | EOY AssetsEOYAssets |
|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS REGIONAL SAME DAY SURGERY CENTER LLC | |||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 204662182 | INACTIVE - AMBULATORY SURGERY CENTER | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM | ||
| COLUMBUS REGIONAL PROPERTIES LLC | |||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 204662123 | INACTIVE - PROPERTY HOLDINGS FOR SURGEY CENTER | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM | ||
| COLUMBUS REGIONAL PROPERTIES II LLC | |||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 274332231 | PROPERTY HOLDINGS | NC | COLUMBUS REGIONAL HEALTHCARE SYSTEM | 147237 | 1393664 |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBUS COUNTY HOSPITAL FOUNDATION INC | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 010673231 | TO SUPPORT AND PROMOTE COLUMBUS REGIONAL HEALTHCARE SYSTEM | NC | 501(C)(3) | LINE 11A, I | COLUMBUS REGIONAL HEALTHCARE SYSTEM | 1 |
| COLUMBUS REGIONAL HEALTH NETWORK | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 263807951 | TO PROVIDE PRIMARY MEDICAL SERVICES | NC | 501(C)(3) | LINE 3 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | 1 |
| COLUMBUS REGIONAL HEALTH OUTREACH | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 272325401 | HEALTHCARE SERVICES | NC | 501(C)(3) | LINE 3 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | 1 |
| COLUMBUS REGIONAL DIAGNOSTICS | ||||||||||
| 500 JEFFERSON STREET | WHITEVILLE | NC | 28472 | 462091076 | HEALTHCARE SERVICES | NC | 501(C)(3) | LINE 3 | COLUMBUS REGIONAL HEALTHCARE SYSTEM | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COLUMBUS REGIONAL HEALTH NETWORK | ||
| R | 1433630 | CASH |
| COLUMBUS REGIONAL HEALTH NETWORK | ||
| A | 140025 | CASH |