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        <PersonNm>Udobi Campbell</PersonNm>
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        <PersonNm>Donna Sessoms</PersonNm>
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        <PersonNm>Rachel Brewer</PersonNm>
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        <PersonNm>Scott Ratcliff</PersonNm>
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        <PersonNm>Jeff LeGay</PersonNm>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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        <OtherWebsiteURLTxt>https://www.chathamhealthalliancenc.org/community-assessment</OtherWebsiteURLTxt>
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        <ExplanationTxt>Facility , 1 - CHATHAM HOSPITAL, INC.. For this assessment, the Chatham County Community Survey (CCCS) was implemented to take into account input from a broad representation. The CCCS was conducted using the Community Assessment (CA) cohort, which was initiated in 2018 through a structured protocol approved by Chatham County Public Health Department (CCPHD) and the Scientific Advisory Committee (SAC). In conducting the 2024 CCCS, there was an opportunity to revisit the original sampling scheme and modify the sampling scheme to reflect recent changes in the Chatham County population using the most current data available from the U.S. Census Bureau. Additionally, CCPHD wanted to expand the cohort to replace those lost to follow-up and to recruit more participants for better representation from Black/African American and Hispanic/Latinx community members and residents in rural areas of the county. The sampling methodology was modified first to account for changes in the median household income across census block groups in Chatham County using the 2019 American Community Survey 5-year estimates. Using this data, the census blocks were grouped into three categories, low, medium and high incomes, representing the percentiles of the median household income distribution across census blocks. To ensure an even number of census blocks in each stratum and to expand the CA cohort, 15 additional census blocks were selected for a total of 76 census blocks included in the CA cohort sampling. The additional blocks were selected with probability proportionate to the Black and Hispanic or Latino population, based on 2020 Decennial Census population estimates adapted to existing census block boundaries. For each newly sampled census block, seven households randomly sampled from residential address data, and for the originally sampled blocks with existing cohort members, replacement households were randomly sampled and added as necessary within each block to obtain a total of seven households in each block. In March 2024, households were contacted with two mailings - a postcard followed by a mailed survey packet containing information about the CCCS, a paper copy of the survey, and a pre-addressed stamped envelope to mail the completed survey back to CCPHD. All communications and the CCCS survey were available in both English and Spanish. Starting in mid-April 2024, teams of CCPHD staff and volunteers went door-to-door to collect surveys from selected households. This continued through May 2024. In total, 411 eligible responses were received through drof-off, mail, online, phone, and in-person data collection. The majority (253) were collected through door-to-door surveying. In addition to the cohort survey, a short supplemental survey was offered to all members of the Chatham County community as an opportunity for those not selected as part of the sample to participate and share thoughts about their experiences with health and well-being in Chatham County.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - CHATHAM HOSPITAL, INC.. THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT AND CHATHAM HEALTH ALLIANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Chatham Hospital, Inc.. The Hospital has identified the following three health priorities: Healthcare Access Healthcare access, including physical health services, mental health services, and other support services and resources, are hugely impactful on the health of an individual and the community. Lack of access due to cost, insurance status, language, or other barriers ranging from complex referral systems to lack of available services altogether can prevent many from attaining their best health; this access is also unequal among all members of the community, which can create or worsen existing health disparities. Nearly 4 in 10 Chatham County households (37.3%) faced some barrier to healthcare in 2024, especially primary care and dental care. A recurring theme across multiple focus groups conducted as a part of the Community Assessment was the need for expanded healthcare in the county. Activities for Youth and Young Adults Chatham County has an estimated population of 81,624 people as of 2023. Of them, 19% of those are under 18 years old and 14.6% are between 6 years old and 18. Community members advocated for more recreational and entertainment activities for youth, especially teenagers. Chatham County has transportation issues that also compound the dearth of activities for youth and young adults. Only 1.3% of respondents said they use public transportation to get around, meaning youth who do not have driver's licenses or cars may have difficulty getting to activities or places within the county, even of such activities or places were more available. There is also an intersection between activities for youth and other domains like mental health. Activities can help youth and students build their social emotional skills, as youth feel more involved and build social connections which can help their emotional well-being. Substance Use: Treatment and Support From the year 2000-2022, more than 36,000 North Carolinians died due to a drug overdose. The devastating effects of the opioid epidemic can be felt in every state, and North Carolina is not an exception. The overdose death rate per 100,000 residents in Chatham County was 24.5 in 2023, representing 20 people who died of an overdose that year. This was a decrease from 2022, when the overdose death rate in Chatham peaked at 37.1. It is also below the state rate of 41.0. Of those 20 deaths, 70% of them were illicit opioid overdoses, representing 14 people. In 2024 Chatham County had 11 fentanyl-positive deaths, of which all were under age 55. Males are over-represented based on population numbers compared to females in deaths. The need for more treatment options and support for people who use substances arose as theme across several focus groups conducted for the Community Assessment. UNC Health Chatham's strategic plan to address the identified health priorities: 1. UNC Health Chatham leadership will continue as a member of the Chatham Health Alliance Steering Committee. 2. A UNC Health Chatham leader will continue as a member of the Chatham Health Alliance. 3. UNC Health Chatham will have representation on Healthcare Access committee and ensure collaboration with the other two committees, particularly Substance Use Treatment and Support. 4. UNC Health Chatham will continue to collaborate with Chatham County Health Department on community health needs. 5. UNC Health Chatham will continue to collaborate with UNC Physicians Network on primary and specialty care services for Chatham County. 6. UNC Health Chatham will collaborate with the Chatham County Health Alliance to ensure clear metrics of success are created and monitored for each priority health need. This three-year Community Health Needs Assessment (CHNA) Strategic Implementation Plan (SIP) was presented and adopted by the Chatham Hospital Board of Directors on June 17, 2025 with the vision that UNC Health Chatham will use the plan as a road map to collaborate with the Chatham County Health Alliance and Chatham County Public Health Department to track and assess progress towards meeting the community health goals. Chatham CHNA task force will make adjustments along the way enabling collaboration with community partners while responding to local conditions and changes in community priorities and leadership. UNC Health Chatham will evaluate progress at the end of each calendar year and modify the plan accordingly. Priorities identified in the previous Community Assessment remain concerns, including Mental Health and Substance Use, Transportation and Employment along with Childcare, Built Environment, Healthy Aging, and Healthy Food Systems. While Chatham Hospital recognizes these health needs, their resources are better used in addressing the top three health priorities listed above.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - CHATHAM 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).</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 15 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - CHATHAM 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.</ExplanationTxt>
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      <FacilityNum>2</FacilityNum>
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            <BusinessNameLine1Txt>CHATHAM MEDICAL PARK</BusinessNameLine1Txt>
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            <AddressLine1Txt>163 MEDICAL PARK DRIVE</AddressLine1Txt>
            <CityNm>SILER CITY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27344</ZIPCd>
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          <FacilityTxt>CARDIAC REHABILITATION, DIABETES EDUCATION, PT/OT, AND SPECIALTY CARE</FacilityTxt>
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            <BusinessNameLine1Txt>UNC CHATHAM PARK MEDICAL OFFICE</BusinessNameLine1Txt>
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            <AddressLine1Txt>75 FREEDOM PARKWAY</AddressLine1Txt>
            <CityNm>PITTSBORO</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>27312</ZIPCd>
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          <FacilityTxt>IMAGING SERVICES, REHABILITATION SERVICES, AND SPECIALTY CARE</FacilityTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 BAD DEBT EXPENSE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THE COLUMN IS $5,502,320.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 BAD DEBT &amp; HASP REQUIREMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A MEMBER HOSPITAL OF UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM (UNC HCS), UNC HEALTH CHATHAM PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. UNC HEALTH CHATHAM COLLECTS SCHOOL SUPPLIES THAT ARE DONATED TO LOCAL COUNTY SCHOOLS TO BE SHARED WITH STUDENTS IN NEED. ALSO, UNC HEALTH CHATHAM COLLECTS FOOD FOR A UNC HCS WIDE FOOD DRIVE TO BE DONATED TO THE LOCAL FOOD BANKS AND GIVEN TO FAMILIES THAT STRUGGLE WITH FOOD INSECURITY. IN COMPLIANCE WITH THE AFFORDABLE CARE ACT, UNC HEALTH CHATHAM PARTICIPATES WITH OTHER CHATHAM COUNTY ORGANIZATIONS TO PREPARE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE MOST CURRENT CHNA WAS CONDUCTED IN TAX YEAR 2024 AND THE THREE PRIORITIES FOR UNC HEALTH CHATHAM ARE HEALTHCARE ACCESS, ACTIVITIES FOR YOUTH AND YOUNG ADULTS AND SUBSTANCE USE: TREATMENT AND SUPPORT. BY FOCUSING ON THESE PRIORITY ITEMS, UNC HEALTH CHATHAM CAN MAKE AN EFFECTIVE HEALTH IMPACT IN THE COMMUNITY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A CRITICAL ACCESS HOSPITAL, THE DIFFERENCE BETWEEN REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COST IS THE AMOUNT DUE FROM THE PATIENTS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE AND DEDUCTIBLES. THE PATIENT AMOUNTS THAT ARE NOT COLLECTED END UP AS BAD DEBTS WHICH ARE PARTIALLY RECOVERABLE ON FUTURE COST REPORTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- CHATHAM HOSPITAL, INC.: Line 16a URL: https://www.chathamhospital.org/ch/patients-visitors/billing;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- CHATHAM HOSPITAL, INC.: Line 16b URL: https://www.chathamhospital.org/ch/patients-visitors/billing;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- CHATHAM HOSPITAL, INC.: Line 16c URL: https://www.chathamhospital.org/ch/patients-visitors/billing;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>LESS THAN 20% OF OUR COUNTY'S RESIDENTS LIVE IN INCORPORATED TOWNS. THE COUNTY HAS ABOUT 93.1 RESIDENTS PER SQUARE MILE, WHICH REFLECTS ITS GENERALLY RURAL NATURE. A CRITICAL ACCESS HOSPITAL IS ESSENTIAL FOR A RURAL COMMUNITY SUCH AS THIS. CHATHAM HOSPITAL ADDRESSES THE COMMUNITY'S EMERGENCY HEALTH NEEDS BY PROVIDING AROUND-THE-CLOCK EMERGENCY SERVICES TO MORE THAN 1,000 PATIENTS EACH MONTH. OUR 5,500-SQUARE FOOT EMERGENCY ROOM IS NEWLY RENOVATED AND EQUIPPED WITH THE ADVANCED DIAGNOSTIC AND MONITORING EQUIPMENT REQUIRED TO DELIVER EXCELLENT CARE. CHATHAM HOSPITAL STRIVES TO IMPROVE EMERGENCY CARE FOR KIDS BY INCREASING MEDICATION SAFETY. ALSO, THE HOSPITAL HAS A DIABETES SELF MANAGEMENT PROGRAM FOR INDIVIDUALS WITH DIABETES WITHIN THE COMMUNITY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>CHATHAM HOSPITAL PROVIDES NEEDED HEALTHCARE SERVICES TO ANYONE REGARDLESS OF THAT PERSON'S ABILITY TO PAY. CHATHAM HOSPITAL'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 CHATHAM HOSPITAL'S PUBLIC WEBSITE. CHATHAM HOSPITAL 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 CHATHAM HOSPITAL'S 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 CHATHAM 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Population Information: Chatham County's population increased to over 81,000 as of July 1, 2023, an increase of more than 28% from the 2010 Census. Chatham County is the 36th largest county in North Carolina by population but had the 7th highest rate of population growth of all counties between 2010 and 2020. Chatham is a predominately rural county with a population density of 93.1 persons per square mile, less than half of the population density of the state as a whole. Sixty-six percent of the population lived in rural areas, which made up 97.5% of the county's total area. Ethnic/Racial Diversity: Fifty-two percent of county residents are female. The population is 81.9% White, 11.6% Black/African American, 13.4% Hispanic/ Latinx, 2.8% Asian, 1.4% American Indian or Alaska Native. Approximately 14% of the county's residents 5 years of age and older live in a home where a language other than English is spoken. Age: Chatham County has a relatively high proportion of residents aged sixty-five and older; approximately 25% of residents are sixty-five and older, compared to around 18% of the state and county populations, respectively. Around 20% of residents are under eighteen, including 4.4% under the age of five. Income and Poverty: The median household income in Chatham County as of 2023 is $97,219, about 37% higher than the state's median household income of $70,804. While this overall measure is strong, it does not capture notable disparities between different demographic groups. The median household income for White, non-Hispanic individuals, $95,631, was nearly 1.5 times higher than Black/African American individuals, $62,360, and more than 58% higher than that of Hispanic/Latinx individuals, $55.499.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>CHATHAM HOSPITAL STRIVES TO FURTHER ITS EXEMPT PURPOSES BY PARTNERING IN THE COMMUNITY TO ASSESS HEALTH NEEDS AND TO HELP DEVELOP STRATEGIES TO FULFILL THOSE NEEDS. CHATHAM HOSPITAL IS WELL ENGAGED IN THE COMMUNITY THROUGH JOINT EFFORTS WITH OTHER ORGANIZATIONS, COMMUNITY OUTREACH THROUGH EDUCATION AND HEALTH FAIRS, DIRECTLY CONTRIBUTING TO FUNDRAISING EFFORTS, WORKING TO QUALIFY PATIENTS FOR EITHER INSURANCE OR CHARITY CARE AND IF NOT, PROVIDING DISCOUNTS TO HEALTH SERVICES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>CHATHAM HOSPITAL AND UNC HEALTH CARE ARE PARTNERING TO BRING NATIONALLY-RECOGNIZED HEALTH CARE TO CHATHAM COUNTY. OUR PARTNERSHIP MEANS YOU'LL CONTINUE TO HAVE ACCESS TO ADVANCED HEALTH CARE CLOSE TO HOME, WITH THE PERSONAL TOUCH YOU'VE COME TO EXPECT FROM US.</ExplanationTxt>
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        <PersonNm>Meghan McCann</PersonNm>
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        <PersonNm>Leisa Powell</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeff LeGay</PersonNm>
        <TitleTxt>Former CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>251543</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>19686</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>352363</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Allison Bolin</PersonNm>
        <TitleTxt>Director of Surgical Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>128089</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>32058</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179706</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Donna Sessoms</PersonNm>
        <TitleTxt>Director of Surgical Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>128803</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21017</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216030</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Beverly Carpenter</PersonNm>
        <TitleTxt>Patient Services Manager I</TitleTxt>
        <BaseCompensationFilingOrgAmt>121176</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>18422</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2688</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20204</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162490</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rachel Brewer</PersonNm>
        <TitleTxt>Admin Coordinator/Nursing</TitleTxt>
        <BaseCompensationFilingOrgAmt>114404</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16130</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7185</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shelley Louya</PersonNm>
        <TitleTxt>Patient Services Manager II</TitleTxt>
        <BaseCompensationFilingOrgAmt>148822</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9565</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Ratcliff</PersonNm>
        <TitleTxt>HCS Director Imaging Services</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4692</BonusFilingOrganizationAmount>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I Line 6 - COMP. CONTINGENT ON NET EARNINGS OF ORGANIZATION &amp; RELATED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S SOLE MEMBER IS THE UNIVERSITY OF NORTH CAROLINA HEALTHCARE SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM APPOINTS THE CHAIR AND VICE CHAIR OF THE BOARD AND APPROVES ALL OTHER MEMBERS, NOT LESS THAN SEVEN (7) AND NO MORE THAN FIFTEEN (15).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO SUCH POWERS AND RIGHTS AS ARE VESTED IN IT BY LAW, THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF THE CORPORATION OR THE AMENDED AND RESTATED BYLAWS, THE MEMBER ("UNCHCS") SHALL HAVE THE FOLLOWING POWERS: (A) THE POWER TO APPOINT THE CHAIRMAN OF THE BOARD, VICE CHAIRMAN, PRESIDENT, EXECUTIVE VICE PRESIDENTS, SECRETARY/TREASURER AND OTHER CORPORATE OFFICERS OF THE CORPORATION; (B) THE POWER TO APPOINT INDIVIDUAL MEMBERS OF THE CORPORATION'S BOARD OF TRUSTEES; (C) THE POWER TO ESTABLISH AND MAINTAIN QUALITY, SERVICE DELIVERY, AND FINANCIAL STANDARDS TO BE OBSERVED BY ALL MEMBERS OF UNCHCS, INCLUDING THE CORPORATION; (D) THE POWER TO ESTABLISH A SCHEDULE OF COST-BASED ASSESSMENTS PAYABLE BY PROVIDER COMPONENTS OF UNCHCS FOR THE SUPPORT OF THAT PORTION OF ITS OPERATING BUDGET ATTRIBUTABLE TO UNCHCS-WIDE ADMINISTRATION AND INITIATIVES AND REFLECTING OPERATING ENTITY PERFORMANCE; (E) THE POWER TO NEGOTIATE, DEVELOP, AND APPROVE ALL MANAGED CARE PRODUCTS AND CONTRACTS FOR THE CORPORATION; (F) THE POWER TO APPROVE (I) THE CORPORATION'S NAME, (II) CAPITAL AND OPERATING BUDGETS OF THE CORPORATION, AND (III) NON-BUDGETED MATERIAL EXPENDITURES OF THE CORPORATION (AS "MATERIAL" IS ESTABLISHED BY THE MEMBER FROM TIME TO TIME), PROVIDED THAT ONLY THE BOARD OF TRUSTEES SHALL HAVE THE AUTHORITY TO INITIATE A CHANGE IN THE NAME OF THE CORPORATION OFTHE HOSPITAL, WHICH SHALL BE SUBJECT TO FINAL APPROVAL BY UNCHCS; AND (G) OTHER POWERS MUTUALLY AGREED TO BY UNCHCS AND THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE ORGANIZATION'S PRESIDENT AND CFO REVIEWED THE FORM 990 AND THE FULL BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REQUIRING ALL BOARD MEMBERS AND OFFICERS TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS AND OFFICERS ARE REQUIRED TO REPORT AND DOCUMENT ANY NEW AREAS OF CONFLICT OFINTEREST AS THEY ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES AN INDEPENDENT CONSULTANT TO MEASURE FAIR VALUE OF COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND OTHER TOP MANAGEMENT. THE ORGANIZATION'S BOARD REVIEWS AND APPROVES THE COMPENSATION FOR ALL OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1b AVERAGE HOURS PER WEEK</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED PROFESS SERVICES - Total Expense: 13176909, Program Service Expense: 11859218, Management and General Expenses: 1317691, Fundraising Expenses: 0; OUTSIDE MEDICAL SERVICES - Total Expense: 5111812, Program Service Expense: 5111812, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER CONTRACTED SERVICES - Total Expense: 231940, Program Service Expense: 231940, Management and General Expenses: 0, Fundraising Expenses: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c Change of oversight process or selection process</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PARTS VIII &amp; IX AND SCHEDULE H BAD DEBT &amp; HASP REQUIREMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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          <AddressLine1Txt>75 US-1</AddressLine1Txt>
          <CityNm>PITTSBORO</CityNm>
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        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
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          <CityNm>LENOIR</CityNm>
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        <EIN>560554204</EIN>
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        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>UNC HEALTH CARE</BusinessNameLine1Txt>
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          <CityNm>LENOIR</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
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        <EIN>581935514</EIN>
        <PrimaryActivitiesTxt>SUPPORT OF CA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>PIEDMONT TRIAD HEALTH SERVICES</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>UNC HEALTH CARE</BusinessNameLine1Txt>
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        <EIN>561509129</EIN>
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        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
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          <AddressLine1Txt>4420 LAKE BOONE TRAIL</AddressLine1Txt>
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        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>UNC HEALTH CARE</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNCPN</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>5221 PARAMOUNT PKWY SUITE 220</AddressLine1Txt>
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        <EIN>271081647</EIN>
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        <EIN>461416986</EIN>
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          <AddressLine1Txt>4420 LAKE BOONE TRAIL</AddressLine1Txt>
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          <ZIPCd>27607</ZIPCd>
        </USAddress>
        <EIN>852823886</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>REX HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNC HEALTH INNOVATIONS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4420 LAKE BOONE TRAIL</AddressLine1Txt>
          <CityNm>RALEIGH</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27607</ZIPCd>
        </USAddress>
        <EIN>871233049</EIN>
        <PrimaryActivitiesTxt>OPERATION SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>true</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>