2026-04-30T18:06:23+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 560554202 CALDWELL MEMORIAL HOSPITAL INC CALD 8287575100 321 MULBERRY STREET SW LENOIR NC 28645 DAVID A LOWRY MD DIRECTOR/PRESIDENT & CEO 2026-04-30 true SANDRA L FEINSMITH P01064157 9197549370 2026-04-30 2024 2025-03-06 01:10:19Z UNC HEALTH CALDWELL DAVID A LOWRY MD 321 MULBERRY STREET SW LENOIR NC 28645 220031286 false X WWW.CALDWELLMEMORIAL.ORG X 1945 NC TO PROVIDE SAFE, EFFECTIVE, COMPASSIONATE CARE AND TO PROMOTE HEALTHY LIFESTYLES TO OUR COMMUNITY. 12 10 986 61 959139 0 1020250 1328386 205486914 218095049 371993 330907 598915 276944 207478072 220031286 0 0 0 0 98534851 82578763 0 0 0 106638781 119344917 205173632 201923680 2304440 18107606 139752021 161735418 59838583 63714374 79913438 98021044 TO PROVIDE SAFE, EFFECTIVE, COMPASSIONATE CARE AND TO PROMOTE HEALTHY LIFESTYLES TO OUR COMMUNITY. false false 172359240 0 217135910 Caldwell Memorial Health, Inc. d/b/a UNC Health Caldwell is a component unit of the University of North Carolina Health Care System (UNCHCS). UNC Health Caldwell is a 5013 corporation whose sole corporate member is UNCHCS. Caldwell's mission is "to provide safe, effective, and compassionate care and to promote healthy lifestyles to our community." More broadly UNC Health's mission is "To improve the health and well-being of North Carolinians and others we serve." Our system values are One Great Team, Carolina Care, Leading the Way and It Starts with Me. In fulfilling this mission, Caldwell Memorial Health, Inc. provides medically necessary care to all individuals regardless of their ability to pay and reinvests resources to address unmet health needs, particularly in a rural and medically underserved region. Since opening in 1951, Caldwell Memorial Hospital, Inc. has continued to grow and change to better meet the needs of our community. Anchored by a 137 bed, acute care facility, Caldwell has a 74-year history of providing excellent health services to the residents and visitors of Caldwell and surrounding counties. Caldwell provides comprehensive care and services throughout Caldwell County and the surrounding region. Locations include: 1. The main campus which includes a 110-bed acute care hospital, 27 inpatient bed psychiatric unit and outpatient clinic, outpatient diagnostic services, 24/7 fully staffed emergency room, heart catheterization lab and inpatient and outpatient surgical services. 2. The Hancock Center incorporating outpatient procedures, dialysis access and pain management. 3. The Quest4Life Wellness Center (adjacent to the Hancock Center), a state-of-the-art fitness center open to the public on a membership basis. In addition, outpatient physical and occupational therapy, a cardiac & pulmonary rehab program, metabolic clinic and aesthetic services are housed within the Quest4Life Wellness Center. 4. Hospital primary care and specialty clinics throughout the region (including Caldwell, Catawba and Watauga counties) consisting of more than 70 providers (physicians and mid-level providers) Services include general and family practice, internal medicine, pediatrics, medical oncology, gynecology, cardiovascular, orthopedics, spine surgery, podiatry, pulmonology, gastroenterology, urology, general surgery, urgent care and diagnostic services. As the only acute care hospital in Caldwell County, Caldwell Memorial Hospital serves as a critical access point for emergency, inpatient, behavioral health, and specialty services for a largely rural population. Current Year Accomplishments During the year ended June 30, 2025, Caldwell continued work on the Capstone II project. This $33 million project will modernize four areas in the Hospital and create additional space to accommodate future growth. Departments included are the Cath Lab, clinical laboratory, food services including the cafeteria and new inpatient pharmacy space. The Cath Lab is currently unable to accommodate new equipment needed to replace the near end of life current system. The new addition will have more space, new equipment, a second Cath lab and additional recovery spaces. Inclusion of the clinical laboratory allows for upgrades in the infrastructure to power new equipment with higher capacity to handle the current volume in addition to capacity for growth. The current food services department has not been fully renovated since original construction and will greatly benefit from enhanced space. It will allow for increased efficiency, lower energy usage and improvement in food options. The new cafeteria will provide additional seating for employees and visitors, replacing a space that has little space for sitting and relaxing. The inpatient pharmacy is not optimally sized for current volume, and the expansion will not only provide additional space but will enhance efficiency. Groundbreaking occurred in the fall of 2024 and has continued with the expected grand opening in March of 2026. These investments directly support Caldwell's charitable mission by ensuring continued access to modern, safe, and efficient healthcare services for the community while preparing for future population health needs. Caldwell is extremely proud that we can continue bringing new services to our community. A new Interventional Pulmonologist joined the organization late in 2024 and the practice has continued to grow. Caldwell became the first organization in the state to offer lung biopsy's utilizing a Galaxy Robot. This robot allows for much earlier diagnosis of lung cancer. This early-stage diagnosis provides a much higher survival rate than was previously possible. This is especially important for Caldwell county as statistics from Cancer.gov show that the county has a higher incidence of lung cancer than the state of North Carolina. Additionally, statistics show that it has the highest death rate of all cancers in the county and that lung cancer has the highest priority ranking. This program addresses a documented community health disparity and demonstrates Caldwell's commitment to improving outcomes for high-risk populations through early detection and advanced technology. Caldwell was also able to celebrate the successful recruitment of a Neurologist to join the community. A grand opening for the new practice was held in July 2025 and has been well received by the community, meeting a need that had previously been unavailable in the community and allowing patients to seek care close to home. The Heart and Vascular service line continues to grow and expand. Two new physicians, an additional interventional cardiologist and vascular surgeon committed to joining the practice in September 2025 allowing more patients to receive specialty care close to home and reducing the need for travel outside the county. The 27 inpatient bed psychiatric unit named Jonas Hill Hospital opened for patients in July 2020. This facility is adjacent to the Mulberry Medical Office Building and on the main campus of the Hospital. This facility serves people in the community living with mental health conditions and their families providing hope and healing. The facility offers a holistic program of evidence-based psychiatric treatment, team-based medical care and education provided by engaging and dedicated professionals in a safe and healing environment. Caldwell has developed a transformative, clinically integrated, sustained system of high-quality patient and family centered care to serve the mental health needs of patients, families and the community. Working collaboratively with local mental health partners, Caldwell is working to achieve the goal of making mental healthcare as routine, accessible and understandable as physical healthcare. The current year continued building on the success of the virtual Inpatient Psychiatric provider model. This work stabilized the Inpatient providers as well as becoming a new model for rural health care in the behavioral health services sector as the demand for psychiatrists outweighs the supply. This shortage is especially prevalent in rural areas and this model allows providers in high demand to provide services in areas where they traditionally would not exist. In FY 2025, the Inpatient Unit admitted patients for 699 separate stays totaling 8,008 days of care for patients. The center continues to receive positive feedback from patients on their stay. To complement the inpatient unit the psychiatric outpatient clinic was opened in September 2021 in the same building as the Jonas Hill Hospital. The clinic continues to experience high demand and experiences very high schedule utilization which has expanded outpatient services. We continue to look at models to grow capacity for existing demand locally. Jonas Hill services are provided to patients regardless of insurance status and the program helps reduce emergency department utilization and inpatient boarding for individuals experiencing mental health crisis. Caldwell continues to utilize lean transformation techniques and strategies throughout the organization resulting in safer care delivery, improved patient outcomes and better stewardship of charitable care. Caldwell strives to be a top employer in the region. Over the year there were many opportunities to recognize employees for their everyday sacrifices and contributions which we remain very focused on. The results of these efforts are apparent in our lower-than-industry average turnover and high employee satisfaction. Maintaining a stable, engaged workforce supports continuity of care for patients and strengthens the local healthcare infrastructure. 172359240 true true false true false false false false false false true false false false false true false true false false false false false false false false true true false false true false false false false false false false false false false false false false false false true false false false false true 142 0 true 986 true true true false false false false false false false false false false false X 12 10 false false true false true true true true true false false false true true true true true true true true false false X X KAREN SHADOWENS 8287575100 321 MULBERRY STREET SW LENOIR NC 28645 David Lowry MD Director/President & CEO 60.0 0 X X 593255 0 147316 David Smith Director/Chairman 4.0 0 X X 0 0 0 Jerry Church Director/Secretary & Treasurer 4.0 0 X X 0 0 0 Terry Hunt Director/Vice Chairman 4.0 0 X X 0 0 0 Bob Floyd Director 2.0 0 X 0 0 0 Bradley Christoph MD Director 2.0 58.0 X 0 360261 18013 Diana McClinton MD Director 2.0 0 X 0 0 0 Douglas Johnson Director 2.0 0 X 0 0 0 Elizabeth Darnell MD Director 2.0 58.0 X 0 235098 26508 Janet Aiken Director 2.0 0 X 0 0 0 Jason DePlatchett Director 2.0 58.0 X 0 320172 120340 Joseph Gibbons Director 2.0 0 X 0 0 0 Kevin McDougall Director 2.0 0 X 0 0 0 Mark Poarch MD Director 2.0 0 X 0 0 0 Muriel Gaither Director 2.0 0 X 0 0 0 Zachary Kimball MD Director 2.0 0 X 0 0 0 Heather Foss COO 60.0 0 X 247350 0 38948 Jerrell Suddreth RN CNO 60.0 0 X 251129 0 38896 Karen Shadowens CFO 30.0 30.0 X 0 347480 34911 Sarah Young MD CMO 60.0 0 X 391187 0 26504 Allison Charles PT VP/Physician Services 60.0 0 X 268079 0 38959 Amy Abouzied MD Medical Practice Physician 60.0 0 X 333021 0 12392 James Hathorn MD Medical Practice Physician 60.0 0 X 1355333 0 19945 Randal Bast MD Medical Practice Physician 60.0 0 X 679960 0 44025 Robert Hartman Nurse Anesthetist 60.0 0 X 297254 0 14798 Travis Lowe Chief CRNA 60.0 0 X 364547 0 43558 Donita Damron Former VP/Physician Services 0.0 0 X 262437 0 13262 Laura Easton Former President & CEO 0.0 0 X 197290 0 548 Michael Bunch Former CFO 0.0 60.0 X 0 403155 125656 5240842 1666166 764579 124 true true false MOUNTAIN EMERGENCY PHYSICIANS 319 SPRINGWOOD DRIVE NE VALDESE NC 28690 PHYSICIAN SERVICES 4031724 MINA PLLC 9935-D REA ROAD SUITE 441 CHARLOTTE NC 28277 STAFFING 1449837 CPL ARCHITECTS ENGINEERS LANDSCAPE 6302 FAIRVIEW ROAD SUITE 102 CHARLOTTE NC 28210 ARCHITECTURAL 1121844 DAVID E LOOPER & COMPANY INC 320 15TH STREET SE HICKORY NC 28602 CONSTRUCTION 898775 GRANITE GASTROENTEROLOGY AND HEPATOLOGY PLLC 160 S RIVER ROAD BEDFORD NH 03110 PHYSICIAN SERVICES 847124 28 1328136 250 1328386 PATIENT SERVICES 621500 215252588 215252588 QUEST4LIFE WELLNESS CENTER REVENUE 713990 959139 959139 OTHER PROGRAM SERVICES REVENUE 900099 1883322 1883322 0 0 0 0 218095049 330907 330907 276944 0 276944 0 276944 276944 0 0 0 0 0 0 0 220031286 217135910 959139 607851 X 0 0 1842825 1842825 62642772 53791337 8851435 1559228 1298960 260268 11873651 10833666 1039985 4660287 4252106 408181 15917 15917 216044 216044 12540 12540 40934644 26607518 14327126 0 279886 279886 1533683 1533683 77741 75409 2332 2164762 2164762 331365 198818 132547 6027 6027 559016 559016 1515222 1515222 10539640 10539640 1180347 1180347 PATIENT CARE SUPPLIES & SERVICES 28589939 28589939 HOME OFFICE ALLOCATION 18474562 17920322 554240 BAD DEBT EXPENSE 9785804 9785804 ALL OTHER EXPENSES 2700468 2613422 87046 427310 414491 12819 0 201923680 172359240 29564440 0 16293628 21504740 0 0 0 0 32144841 35392563 0 0 0 0 0 0 4681210 4195643 2975044 3089259 191632049 98598500 78476790 93033549 827003 876003 4083924 3478591 269581 165070 0 0 0 0 139752021 161735418 48039170 46305234 0 0 1058017 876557 0 0 0 0 0 0 10741396 16532583 0 0 0 0 59838583 63714374 X 79913438 98021044 0 0 79913438 98021044 139752021 161735418 18107606 0 X X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12540 12540 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ANNUAL DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PERCENTAGE, DETERMINED BY THE AHA AND NCHA, WAS ESTIMATED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. 2754303 2754303 97527877 52166059 45361818 157040 21548 135492 43601764 31708946 11892818 47591065 14701947 32889118 93033549 0 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE HOSPITAL AND FOUNDATION ARE NONPROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT, PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. true true X true X 300 false 17264774 17264774 0.08986 36514265 85176935 0 0.0 0 0.0 0 0 53779039 85176935 17264774 0.08986 89443 89443 0.00047 325468 325468 0.00169 0 0.0 0 0.0 0 0.0 0 0 414911 0 414911 0.00216 0 0 54193950 85176935 17679685 0.09202 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 9785804 0 75789852 91310076 -15520224 X true true PRIME SURGICAL SUITE AMBULATORY SURGERY CENTER 0.71 0 0.29 1 1 CALDWELL MEMORIAL HOSPITAL INC 321 MULBERRY STREET SW LENOIR NC 28645 WWW.CALDWELLMEMORIAL.ORG H0061 X X X DISPROPORTIONATE SHARE HOSPITAL CALDWELL MEMORIAL HOSPITAL INC 1 false false true X X X X X X X X 22 true false true true X https://www.caldwellmemorial.org/about-us/-community-health-needs-assessment/ X true 22 true https://www.caldwellmemorial.org/about-us/-community-health-needs-assessment/ false true X 300.0 0.0 X X true true X X X X true X https://www.caldwellmemorial.org/patients-visitors/billing-financial-assistance/ X https://www.caldwellmemorial.org/patients-visitors/billing-financial-assistance/ X https://www.caldwellmemorial.org/patients-visitors/billing-financial-assistance/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CALDWELL MEMORIAL HOSPITAL, INC.. BOTH PRIMARY DATA (COLLECTED DIRECTLY, INCLUDING SURVEYS AND FOCUS GROUP DATA) AND SECONDARY DATA (COLLECTED FROM OTHER SOURCES) WERE UTILIZED. UNC HEALTH CALDWELL, AS A MEMBER OF THE CALDWELL COUNTY COMMUNITY HEALTH ASSESSMENT ADVISORY COMMITTEE, PARTICIPATED IN DEVELOPING AN OPINION SURVEY THAT WAS WIDELY DISTRIBUTED. THE OPINION SURVEY WAS DISTRIBUTED TO INDIVIDUALS SELECTED FOR JURY DUTY AND AVAILABLE ONLINE. OVER 600 INDIVIDUALS COMPLETED THE OPINION SURVEY. FOUR FOCUS GROUPS WERE HELD WITH PARTICIPANTS FROM A VARIETY OF SOCIO ECONOMIC AND DEMOGRAPHIC GROUPS IN CALDWELL COUNTY. THE PARTICIPANTS OF THE FOCUS GROUPS WERE SOLICITED BY EMAIL, FLIERS AND OTHER ESTABLISHED GROUPS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - CALDWELL MEMORIAL HOSPITAL, INC.. THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE CALDWELL COUNTY HEALTH DEPARTMENT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CALDWELL MEMORIAL HOSPITAL, INC.. THE COMMUNITY HEALTH ASSESSMENT ADVISORY COMMITTEE REVIEWED ALL DATA COLLECTED FROM NUMEROUS OUTSIDE SOURCES AND THE COMMUNITY HEALTH ASSESSMENT OPINION SURVEY TO DETERMINE CALDWELL COUNTY'S TOP THREE HEALTH PRIORITIES. THE TOP THREE PRIORITIES ARE: SUBSTANCE ABUSE/USE WHILE UNC HEALTH CALDWELL DOES NOT HAVE RESOURCES CURRENTLY TO PROVIDE DIRECT CARE FOR THOSE NEEDING DETOX OR REHAB FOR SUBSTANCE ABUSE, THEY MAINTAIN RELATIONSHIPS WITH THE FOLLOWING ORGANIZATIONS IN THE SERVICE AREA: -CALDWELL COUNTY R.E.S.T.A.R.T. -RHA BEHAVIORAL HEALTH SERVICES -SYNERGY RECOVERY IN WILKES -BETHEL COLONY OF MERCY -MCLEOD CENTER ANY PATIENT NEEDING OR SHOWING INTEREST IN THESE SERVICES WILL BE PROVIDED INFORMATION ON THESE ORGANIZATIONS AND HOW TO GET STARTED. CALDWELL'S IN-HOSPITAL CASE MANAGEMENT TEAM HAS ACCESS TO THESE RESOURCES AND INFORMATION TO PROVIDE TO PATIENTS THAT MAY NEED THEM. THEY WORK CLOSELY WITH PATIENTS AND FAMILIES TO ENSURE THE BEST POSSIBLE TREATMENT OPTIONS FOR THE SITUATION. UNC HEALTH CALDWELL ALSO COLLABORATES WITH "HOPE FOR CALDWELL", A COLLABORATIVE GROUP CONSISTING OF OTHER ORGANIZATIONS INCLUDING CALDWELL COUNTY SCHOOLS, CHURCH COMMUNITIES, LAW ENFORCEMENT, AND MORE. THIS GROUP MEETS MONTHLY AND DISCUSSES ISSUES SURROUNDING SUBSTANCE ABUSE/MISUSE. IT IS ALSO IMPORTANT TO NOTE THAT THROUGH THE BEHAVIORAL HEALTH SERVICE LINE, JONAS HILL HOSPITAL AND CLINIC PLANS TO EXPLORE THE POSSIBILITY OF TRAINING PROVIDERS FOR MEDICATION ASSISTED THERAPY (MAT). THIS WOULD ALLOW PROVIDERS TO TREAT MORE COMPREHENSIVELY THOSE SUFFERING WITH SUBSTANCE ABUSE/MISUSE. MENTAL HEALTH UNC HEALTH CALDWELL CURRENTLY OFFERS INPATIENT BEHAVIORAL HEALTH SERVICES AT OUR JONAS HILL HOSPITAL AND CLINIC (JHH). JHH ALSO OFFERS OUTPATIENT BEHAVIORAL HEALTH TREATMENT FOR THOSE WHO SEEK IT. JHH OUTPATIENT SERVICES CAN SEE UP TO 10 PATIENTS AT ONE TIME, ONE OF THE HIGHEST IF NOT THE HIGHEST NUMBER IN THE REGION. THERE ARE MANY INITIATIVES SET FOR THE GROWTH AND EXPANSION OF THE UNC HEALTH CALDWELL AND JHH BEHAVIORAL HEALTH SERVICES. THESE INITIATIVES AND GOALS WILL BE OUTLINED IN THE FOLLOWING: 1. JHH RECENTLY PARTNERED WITH UNC SCHOOL OF MEDICINE (UNCSOM) PSYCHIATRY SERVICES TO INCREASE OUR ABILITY TO SERVE THE COMMUNITY. A NEW MEDICAL DIRECTOR FOR JONAS HILL INPATIENT (JHIP), A NEW FULL-TIME IN-PERSON PSYCHIATRIST, AND MULTIPLE VIRTUAL PSYCHIATRISTS FOR PART TIME WORK ARE BEING ONBOARDED AND ORIENTED TO PROVIDE MENTAL HEALTH SERVICES TO OUR COMMUNITY. 2. THESE ADDITIONS TO THE TEAM INCREASE THE ABILITY FOR JHH TO SEE MORE PATIENTS, BOTH INPATIENT AND OUTPATIENT. 3. JONAS HILL OFFERS THE ONLY PSYCHIATRY RESIDENCY, PARTNERED THROUGH (UNCSOM), IN A RURAL AREA SUCH AS CALDWELL COUNTY. 4. JHH HAS INCREASED THE NUMBER OF THERAPISTS WORKING. 5. THERE ARE PLANS TO EXPLORE SPACE EXPANSION BASED ON THE NEW PROVIDERS JHH IS ADDING. 6. THE BEHAVIORAL HEALTH SERVICE LINE IS ALSO EXPLORING SERVICES GROWTH THROUGH MEDICATION ASSISTED THERAPY (MAT). AN INITIATIVE THAT WOULD SEE PROVIDERS TRAINED IN MAT SERVICES TO PROVIDE TO INDIVIDUALS STRUGGLING WITH SUBSTANCE ABUSE/MISUSE. 7. CONTINUED COLLABORATION WITH CALDWELL COUNTY RESTART, RHA, AND CALDWELL CRISIS RESPONSE TEAM. 8. UNC HEALTH CALDWELL HAS ALSO BEEN IN COLLABORATIVE SESSIONS WITH CALDWELL COUNTY SCHOOLS TO ENSURE ANY SCHOOL-AGE ADOLESCENTS THAT ARE RECEIVING EXTENDED BEHAVIORAL HEALTH TREATMENT IN OUR FACILITY RECEIVE THE EDUCATIONAL RESOURCES AND CURRICULUM THEY NEED TO KEEP UP WITH THEIR EDUCATION. TRANSPORTATION UNC HEALTH CALDWELL CURRENTLY UTILIZES SEVERAL DIFFERENT TRANSPORTATION SERVICES TO HELP OUR PATIENTS UPON THEIR DISCHARGE HOME OR TRANSFER TO ANOTHER FACILITY. THE RELATIONSHIPS WITH THESE ORGANIZATIONS ARE CRUCIAL TO ENSURING APPROPRIATE CARE FOLLOWING DISCHARGE OR TRANSFER. SERVICE PROVIDED RANGE ALL THE WAY FROM CAB SERVICES FOR THE MORE MOBILE, INDEPENDENT PATIENTS, TO ADVANCED CARDIAC LIFE SUPPORT (ACLS) TRANSPORTS. UNC HEALTH CALDWELL IS EXPLORING OTHER TRANSPORTATION OPTIONS TO PROVIDE TO PATIENTS NEEDING TRANSPORT FROM OUR HOSPITAL TO OTHER FACILITIES OR HOME. AS A METHOD OF CONTINUOUS IMPROVEMENT, WE ARE ALWAYS ASSESSING FOR THE MOST EFFICIENT, SAFE, AND RELIABLE ANCILLARY SERVICES TO PROVIDE TO OUR PATIENTS AND COMMUNITY. THE OTHER TOP HEALTH ISSUES THAT UNC HEALTH CALDWELL WILL NOT BE ADDRESSING ARE CHRONIC DISEASES AND PREVENTATIVE CARE. WHILE UNC HEALTH CALDWELL RECOGNIZES THESE HEALTH NEEDS, THEIR RESOURCES ARE BETTER USED IN ADDRESSING THE TOP THREE HEALTH PRIORITIES LISTED ABOVE. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - CALDWELL MEMORIAL HOSPITAL, INC.. The Financial Assistance Policy implemented non-income based financial assistance criteria as of 1/1/2025. The non-income eligibility criteria include homelessness, mental incapacitation with no one to act on the patient's behalf, patient or child in patient's household enrolled in any Medicaid or Managed Medicaid insurance, and enrollment in another means-tested public assistance program including, but not limited to: Women, Infants and Children Nutrition Program (WIC), Supplemental Nutrition Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF). Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - CALDWELL MEMORIAL HOSPITAL, INC.. FINANCIAL ASSISTANCE APPLICATIONS CAN BE RETURNED SEVERAL WAYS INCLUDING US POSTAL MAIL IN PROVIDED PRE-PAID ENVELOPE, IN PERSON AT THE FINANCIAL ASSISTANCE DEPARTMENT OR WITH A FINANCIAL NAVIGATOR, VIA SECURE PATIENT PORTAL, OR BY SECURE FAX. 1 QUEST 4 LIFE WELLNESS CENTER 1031 MORGANTON BLVD LENOIR NC 28645 WELLNESS CENTER Schedule H, Part I, Line 7 COL (F) - BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION The Bad Debt Expense included on Form 990, Part IX, Line 24(c), but subtracted for purposes of calculating the percentage in the column is $9,785,804. Schedule H, Part III, Line 2 BAD DEBT & HASP REQUIREMENTS TO COMPLY WITH THE HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) REQUIREMENTS FOR FY2025, THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES MANDATED ALL NORTH CAROLINA HOSPITALS TO ATTEST TO IMPLEMENTING A STANDARDIZED, ENHANCED MEDICAL DEBT POLICY. THIS APPLIES TO NORTH CAROLINA RESIDENTS WHO ARE ACTIVELY ENROLLED IN MEDICAID OR MANAGED MEDICAID OR FALL BELOW CERTAIN FEDERAL POVERTY LEVELS. HISTORICAL DEBT REMAINING IN OUR SYSTEM WAS IMPACTED. IN FY2025, THE FILING ORGANIZATION IMPLEMENTED THE NORTH CAROLINA MEDICAL DEBT RELIEF AND MITIGATION POLICY AS REQUIRED BY HASP. THIS POLICY REDUCED BAD DEBT EXPENSE AND INCREASED CHARITY CARE FOR THE FILING YEAR. Schedule H, Part II Community Building Activities UNC Health Caldwell participates in several community building activities. UNC Health Caldwell collects school supplies that are donated to local county schools to be shared with students in need. Also, UNC Health Caldwell collects food for a food drive to be donated to the local Food Bank and given to families that struggle with food insecurity. In compliance with the Affordable Care Act, UNC Health Caldwell participates with other Caldwell County organizations to prepare a Community Health Needs Assessment (CHNA) every three years. The most current CHNA was conducted in tax year 2022 and the three top priorities for UNC Health Caldwell are Substance Abuse/Misuse, Mental Health and Transportation. By focusing on these priority items, UNC Health Caldwell can make an effective health impact in the community. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND FORM 990, PART IX. THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED TO THE GROSS BAD DEBT CHARGES FOR THE YEAR. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance THE HOSPITAL DOES NOT SUBJECT ANY PATIENTS WHO QUALIFIED FOR FINANCIAL ASSISTANCE GUIDELINES TO A COLLECTION AGENCY. Schedule H, Part V, Section B, Line 16a FAP website - CALDWELL MEMORIAL HOSPITAL, INC.: Line 16a URL: https://www.caldwellmemorial.org/patients-visitors/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - CALDWELL MEMORIAL HOSPITAL, INC.: Line 16b URL: https://www.caldwellmemorial.org/patients-visitors/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - CALDWELL MEMORIAL HOSPITAL, INC.: Line 16c URL: https://www.caldwellmemorial.org/patients-visitors/billing-financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment FEDERAL REGULATIONS SURROUNDING CHNA REQUIRE LOCAL INPUT FROM REPRESENTATIVES OF PARTICULAR DEMOGRAPHIC SECTORS. UNC HEALTH CALDWELL PARTICIPATED IN A STANDARD PROCESS OF GATHERING COMMUNITY INPUT. A WIDELY AVAILABLE PUBLIC SURVEY WAS LAUNCHED IN ORDER TO HAVE BROAD RESPONSES FROM COMMUNITY MEMBERS. A SELECT FOCUS GROUP WAS USED IN ORDER TO HAVE FEEDBACK ABOUT THE RESULTS FROM THE PUBLIC SURVEY AND COMMENTARY ABOUT THE PREVIOUS CHNA. IN ADDITION, UNC HEALTH CALDWELL ADDRESSES THE COMMUNITY'S EMERGENCY HEALTH NEEDS BY PROVIDING AROUND-THE-CLOCK EMERGENCY SERVICES. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance CALDWELL MEMORIAL HOSPITAL, INC. (CMH) PROVIDES NEEDED HEALTH CARE SERVICES TO ANYONE REGARDLESS OF THAT PERSON'S ABILITY TO PAY. CMH'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ASSIST PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR HEALTHCARE SERVICES. A LINK TO THE POLICY CAN BE FOUND ON THE CMH PUBLIC WEBSITE. CMH DISPLAYS INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ITS EMERGENCY ROOM, REGISTRATION AREAS IN THE HOSPITAL AND CLINICS, AND FINANCIAL COUNSELOR OFFICES. IN ADDITION TO FINANCIAL ASSISTANCE INFORMATION DISPLAYED ON CMH PROPERTY, FINANCIAL ASSISTANCE INFORMATION IS DISTRIBUTED AT LOCAL COMMUNITY EVENTS AND VIA ADVERTISEMENTS ON TV AND SOCIAL MEDIA PLATFORMS. A LINK IS ALSO PROVIDED ON THE HOSPITAL'S WEBSITE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND ITS FINANCIAL ASSISTANCE POLICY, ALONG WITH AN ON-LINE APPLICATION. INPATIENT CASE MANAGERS ALSO PROVIDE INFORMATION TO THE PATIENTS REGARDING AVAILABLE PROGRAMS AND THE ORGANIZATION'S FINANCIAL POLICY. CONSULTATION WITH FINANCIAL COUNSELORS IS ALSO AVAILABLE TO ALL PATIENTS AS NEEDED. Schedule H, Part VI, Line 4 Community information THE PRIMARY SERVICE AREA FOR CALDWELL MEMORIAL HOSPITAL, INC. IS CALDWELL COUNTY WITH A LIMITED NUMBER OF PATIENTS FROM THE SURROUNDING COUNTIES OF BURKE, WATAUGA AND CATAWBA. OF THE MULTIPLE INCORPORATED MUNICIPALITIES IN CALDWELL COUNTY, CMH RECEIVED 90.03% OF ITS PATIENTS FROM COLLETTSVILLE, GRANITE FALLS, HUDSON AND LENOIR. CALDWELL COUNTY IS IN THE NW SECTION OF NC IN THE FOOTHILLS OF THE BLUE RIDGE MOUNTAINS AND IS BOUND ON THE NW BY WATAUGA COUNTY, ON THE NE BY WILKES COUNTY, ON THE EAST BY ALEXANDER COUNTY, ON THE SOUTH BY CATAWBA AND BURKE COUNTIES AND ON THE WEST BY BURKE AND AVERY COUNTIES. THE POPULATION IS JUST OVER 80,000 WITH 51% FEMALE AND 49% MALE. THE POPULATION MAKEUP IS 87.1% WHITE, 5.4% HISPANIC, 4.9% BLACK OR AFRICAN AMERICAN AND 2.6% OTHER. THE LARGEST INCOME GROUP IS $25-50K AND LARGEST AGE GROUP IS 35-54 YEARS OLD. Schedule H, Part VI, Line 5 Promotion of community health CALDWELL MEMORIAL HOSPITAL, INC. PROVIDES FINANCIAL SUPPORT TO 2 COMMUNITY AGENCIES: THE HELPING HANDS CLINIC (PROVIDING CARE TO THE UNINSURED) AND THE SATIE AND JE BROYHILL CALDWELL SENIOR CENTER (FOCUS ON THE LIVES AND ADVOCACY OF SENIORS). OTHER COMMUNITY INVOLVEMENT INCLUDES BUT NOT LIMITED TO: ANNUAL PROSTATE SCREENING, HEALTH FAIRS, SUPPORT AND INVOLVEMENT IN THE CALDWELL COMMUNITY GARDEN WHICH HELPS FOSTER COMMUNITY GARDENING, REPRESENTATION BY ORGANIZATION REPRESENTATIVES ON LOCAL HEALTHCARE RELATED BOARDS (BOARD OF HEALTH, HOSPICE, AND CHILD PROTECTION TEAM.) CALDWELL MEMORIAL HEALTHWORKS WHICH IS OCCUPATIONAL, INDUSTRIAL AND WORKER'S COMP MEDICINE DESIGNED TO ASSIST EMPLOYERS TOWARD IMPROVING QUALITY OF HEALTHCARE. Schedule H, Part VI, Line 6 Affiliated health care system CALDWELL MEMORIAL HOSPITAL, INC. IS PART OF THE UNC HEALTH CARE SYSTEM. UNC HEALTH CARE IS A NOT-FOR-PROFIT INTEGRATED HEALTH CARE SYSTEM OWNED BY THE STATE OF NORTH CAROLINA AND BASED IN CHAPEL HILL. ORIGINALLY ESTABLISHED NOV. 1, 1998, UNC HEALTH CARE CURRENTLY COMPRISES UNC HOSPITALS AND ITS PROVIDER NETWORK, THE CLINICAL PROGRAMS OF THE UNC SCHOOL OF MEDICINE, AND TEN AFFILIATE HOSPITALS AND HOSPITAL SYSTEMS ACROSS THE STATE. COLLECTIVELY, THIS GROUP OF HEALTH CARE PROVIDERS WORKS TOGETHER TO MAKE SURE THAT ALL OF THE COMMUNITIES SERVED RECEIVED THE HIGHEST QUALITY OF CARE. X X X X X true false false false false true true false false David Lowry MD Director/President & CEO 430958 0 146675 0 15622 0 115258 0 32058 0 740571 0 0 0 Bradley Christoph MD Director 0 233730 0 5060 0 121471 0 8294 0 9719 0 378274 0 0 Elizabeth Darnell MD Director 0 179217 0 3119 0 52762 0 2979 0 23529 0 261606 0 0 Jason DePlatchett Director 0 230494 0 82201 0 7477 0 81095 0 39245 0 440512 0 0 Michael Bunch Former CFO 0 284686 0 102653 0 15816 0 109334 0 16322 0 528811 0 0 Donita Damron Former VP/Physician Services 72522 0 54527 0 135388 0 3937 0 9325 0 275699 0 0 0 Laura Easton Former President & CEO 21921 0 0 0 175369 0 548 0 0 0 197838 0 0 0 Heather Foss COO 187132 0 60218 0 0 0 9890 0 29058 0 286298 0 0 0 Karen Shadowens CFO 0 270775 0 76705 0 0 0 14464 0 20447 0 382391 0 0 Jerrell Suddreth RN CNO 183184 0 57675 0 10270 0 7774 0 31122 0 290025 0 0 0 Sarah Young MD CMO 332382 0 21063 0 37742 0 11321 0 15183 0 417691 0 0 0 Allison Charles PT VP/Physician Services 187579 0 74946 0 5554 0 9901 0 29058 0 307038 0 0 0 James Hathorn MD Medical Practice Physician 411930 0 2339 0 941064 0 12459 0 7486 0 1375278 0 0 0 Randal Bast MD Medical Practice Physician 356500 0 1040 0 322420 0 12903 0 31122 0 723985 0 0 0 Travis Lowe Chief CRNA 285492 0 38625 0 40430 0 11500 0 32058 0 408105 0 0 0 Amy Abouzied MD Medical Practice Physician 312006 0 2339 0 18676 0 12392 0 0 0 345413 0 0 0 Robert Hartman Nurse Anesthetist 238193 0 9236 0 49825 0 7312 0 7486 0 312052 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment The filing organization paid former VP/Physician Services, Donita Damron, severance compensation in the amount of $116,160. Schedule J, Part I LINE 6 - COMP. CONTINGENT ON NET EARNINGS OF ORGANIZATION & RELATED ORGANIZATIONS EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN APPROVED ANNUALLY BY THE UNC HCS BOARD OF DIRECTORS. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE NET EARNINGS OF THE ORGANIZATION AND THE UNC HCS. OTHER PERFORMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PATIENT SATISFACTION, PATIENT CARE QUALITY OUTCOMES AND INNOVATIVE INITIATIVES TO IMPROVE OPERATIONS AND CARE DELIVERY. EMPLOYED PHYSICIANS ARE PAID ON A PRODUCTIVITY BASIS BASED ON RVU'S GENERATED IN THEIR PRACTICE OPERATIONS AND THESE ARE TIED TO MGMA BENCHMARKS. Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION (continued) As a community hospital, Caldwell recognizes the importance of not only caring for our community but giving back. Caldwell provides active support to the Helping Hands Clinic which provides primary care and medication support to a broad population of patients including those who are homeless, uninsured and / or indigent. Many employees volunteer at local agencies including the Wig Bank, the Health Department, the Senior Center and the local Food Pantry among them. The hospital also sponsors various events around breast cancer and sponsors and attends the AHA Heart Ball annually. Employees also volunteer at the Lenoir Blackberry Festival and Wood Fire Smoke Festival sponsoring a tent where water and a cooling station are provided for attendees. Caldwell Memorial Health, Inc. also provides significant community benefit through charity care, financial assistance, and unreimbursed services for Medicaid and uninsured patients. These efforts help reduce the burden on local government and ensure access to essential healthcare services for vulnerable populations. There are numerous ways in which we collaborate with the local CCC&TI (community college) in order to support local students in pursuing various careers within the health system. Some of these efforts are serving as board members, allowing students to do local clinical rotations and providing preceptors. These partnerships strengthen the local healthcare workforce pipeline and support economic development within the region. Through these programs and services, Caldwell Memorial Health, Inc. fulfills its charitable purpose by improving health outcomes, expanding access to care, addressing community health needs, and reinvesting resources to benefit the residents of Caldwell County and surrounding areas. Form 990, Part VI, Line 1a Material differences in voting rights THE EXECUTIVE/FINANCE COMMITTEE SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Line 4 Significant changes to organizational documents Caldwell Memorial Hospital amended and restated their Bylaws effective April 15, 2025. The nature of the changes were to align Caldwell's Bylaws to a more standard UNC HCS format. Along with format changes, the term for Chairman of the Board was increased from 2 years to 3 years and if appointed, an additional term was added. Form 990, Part VI, Line 6 Classes of members or stockholders THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM IS A MEMBER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM IS A MEMBER AND THEY HAVE THE POWER TO APPOINT BOARD MEMBERS AND APPROVE GOVERNANCE DECISIONS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM AS A MEMBER HAS APPROVAL RIGHTS TO ALL GOVERNANCE DECISIONS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE FULL BOARD RECEIVED A COPY OF THE FORM 990 FOR THEIR REVIEW AND ANY QUESTIONS. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL BOARD MEMBERS AND EXECUTIVE LEADERSHIP TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS AND EXECUTIVE LEADERSHIP ARE REQUIRED TO REPORT AND DOCUMENT ANY NEW AREAS OF CONFLICT OF INTEREST AS THEY ARISE. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION COMPLETES THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS DESCRIBED IN TREASURY REGULATION 4958(6)(C) FOR EACH OFFICER AND KEY EMPLOYEE. THIS PROCESS IS PERFORMED BY AN OUTSIDE INDEPENDENT COMPENSATION SPECIALIST. THE CONSULTANT'S FINDINGS ARE PRESENTED TO THE HR COMMITTEE OF THE BOARD AND ARE ULTIMATELY APPROVED BY THE FULL BOARD. Form 990, Part VI, Line 18 How forms are made available to the public PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ON GUIDESTAR.ORG. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. PLEASE USE THE ORGANIZATION'S "CONTACT US" LINK ON ITS WEBSITE FOR REQUESTS. Form 990, Part VII, Section A, Line 1b AVERAGE HOURS PER WEEK BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII, LINE 1B. Form 990, Part IX, Line 11g Other Fees CONTRACTED PROFESS SERVICES - Total Expense: 32509408, Program Service Expense: 21131115, Management and General Expenses: 11378293, Fundraising Expenses: 0; OUTSIDE SERVICES - Total Expense: 8274708, Program Service Expense: 5378560, Management and General Expenses: 2896148, Fundraising Expenses: 0; OTHER PROFESSIONAL FEES - Total Expense: 150528, Program Service Expense: 97843, Management and General Expenses: 52685, Fundraising Expenses: 0; Form 990, Part XII, Line 2c Change of oversight process or selection process NO CHANGE FROM PRIOR YEAR. FORM 990, PARTS VIII & IX AND SCHEDULE H BAD DEBT AND HASP REQUIREMENTS TO COMPLY WITH THE HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) REQUIREMENTS FOR FY2025, THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES MANDATED ALL NORTH CAROLINA HOSPITALS TO ATTEST TO IMPLEMENTING A STANDARDIZED, ENHANCED MEDICAL DEBT POLICY. THIS APPLIES TO NORTH CAROLINA RESIDENTS WHO ARE ACTIVELY ENROLLED IN MEDICAID OR MANAGED MEDICAID OR FALL BELOW CERTAIN FEDERAL POVERTY LEVELS. HISTORICAL DEBT REMAINING IN OUR SYSTEM WAS IMPACTED. IN FY2025, THE FILING ORGANIZATION IMPLEMENTED THE NORTH CAROLINA MEDICAL DEBT RELIEF AND MITIGATION POLICY AS REQUIRED BY HASP. THIS POLICY REDUCED BAD DEBT EXPENSE AND INCREASED CHARITY CARE FOR THE FILING YEAR. 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