CHATHAM HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHATHAM HOSPITAL INC (EIN 56-0611546)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-04-28
IRS object ID
202201189349300130
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-04-28T09:26:41-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1421 Fayetteville Street Suite 300AddressLine1Txt
CityRaleighCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560611546EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Chatham Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JEFF LEGAYInCareOfNm
Business Name ControlCHATBusinessNameControlTxt
Phone9197994000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 649AddressLine1Txt
CitySiler CityCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27344ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFF LEGAYPersonNm
Person TitleCFOPersonTitleTxt
Phone9197994000PhoneNum
Signature2022-04-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFPersonFirstNm
Person LastLEGAYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSandra L FeinsmithPreparerPersonNm
PTINP01064157PTIN
Phone9192781936PhoneNum
Preparation2022-04-25PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJeffrey StricklerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 649AddressLine1Txt
CitySiler CityCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27344ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,685,356GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.chathamhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo support the health and well-being of those we serve through quality, equitable healthcare and to build partnerships within our diverse community.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee292TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$153,899TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$272,565PYContributionsGrantsAmt
CY Contributions Grants$100,662CYContributionsGrantsAmt
PY Program Service Revenue$40,299,172PYProgramServiceRevenueAmt
CY Program Service Revenue$48,207,672CYProgramServiceRevenueAmt
PY Investment Income$34,947PYInvestmentIncomeAmt
CY Investment Income$21,645CYInvestmentIncomeAmt
PY Other Revenue$3,706,420PYOtherRevenueAmt
CY Other Revenue$355,377CYOtherRevenueAmt
PY Total Revenue$44,313,104PYTotalRevenueAmt
CY Total Revenue$48,685,356CYTotalRevenueAmt
PY Grants And Similar Paid$6,211PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,250CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,132,227PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,846,378CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,962,139PYOtherExpensesAmt
CY Other Expenses$40,363,456CYOtherExpensesAmt
PY Total Expenses$46,100,577PYTotalExpensesAmt
CY Total Expenses$54,220,084CYTotalExpensesAmt
PY Revenues Less Expenses-$1,787,473PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,534,728CYRevenuesLessExpensesAmt
Total Assets BOY$25,669,520TotalAssetsBOYAmt
Total Assets EOY$26,102,358TotalAssetsEOYAmt
Total Liabilities BOY$21,065,121TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,985,773TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,604,399NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$883,415NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo support the health and well-being of those we serve through quality, equitable healthcare and to build partnerships within our diverse community.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$47,909,072ExpenseAmt
Grant$10,250GrantAmt
Revenue$48,051,444RevenueAmt
DescCHATHAM HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN SILER CITY, NC THAT IS PART OF THE UNC HEALTH SYSTEM. WITH A LONG HISTORY OF PROVIDING HIGH QUALITY HEALTH CARE TO THE RESIDENTS OF CHATHAM AND SURROUNDING COUNTIES, CHATHAM HOSPITAL HAS RECEIVED MULTIPLE FIVE-STAR RATINGS FOR PATIENT EXPERIENCE FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE HOSPITAL, ACCREDITED BY THE JOINT COMMISSION, PROVIDES SURGICAL, MEDICAL, PEDIATRIC, MATERNITY AND EMERGENCY SERVICES. COMMUNITY BASED OUTPATIENT SERVICES IN THE AREA OF DIABETES EDUCATION, LABORATORY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, IMAGING, CARDIAC REHABILITATION AND PULMONARY REHABILITATION ARE ALSO OFFERED. AS A CRITICAL ACCESS HOSPITAL, CHATHAM HOSPITAL IS ABLE TO UTILIZE BEDS, TO NOT ONLY MEET THE NEEDS OF ACUTE PATIENT CARE, BUT TO ALSO PROVIDE POST-ACUTE CARE TO PATIENTS WHO NO LONGER REQUIRE ACUTE MEDICAL CARE, BUT NEED ADDITIONAL TIME AND CARE FOR STRENGTHENING AND RECOVERY BEFORE RETURNING HOME. THE 10-BED EMERGENCY DEPARTMENT PROVIDES FULL-SERVICE AROUND THE CLOCK CARE TO MORE THAN 1,200 ADULTS AND CHILDREN EACH MONTH. UNC HEALTH BASES A HELICOPTER FOR TRANSPORT ON THE GROUNDS OF CHATHAM HOSPITAL. IN SEPTEMBER 2020, CHATHAM HOSPITAL OPENED A $2.6 MILLION MATERNITY CARE CENTER. THE CHATHAM HOSPITAL MATERNITY CARE CENTER IS CLOSE TO HOME AND PROVIDES COMPASSIONATE AND EXPERT CARE FOR MOTHERS AND THEIR NEWBORNS. THE OPENING IS THE FIRST TIME SINCE 1992 THAT CHATHAM HOSPITAL HAS OFFERED MATERNITY SERVICES. DESPITE MANY RURAL HEALTHCARE FACILITIES CLOSING MATERNITY CARE WARDS ACROSS THE NATION, CHATHAM HOSPITAL'S VENTURE IS PART OF UNC HEALTH'S RURAL CARE INITIATIVE. THIS SYSTEM INITIATIVE IS DESIGNED TO BRING MUCH NEEDED SERVICES TO WHERE PATIENTS LIVE.Desc
Total Program Service Expenses$47,909,072TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee292EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFF LEGAYPersonNm
Phone9197994000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 649AddressLine1Txt
CitySiler CityCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27344ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jeff Strickler
President & CEO60.00.0Yes (X)Yes (X)$0$295,442$97,091
Matthew Smith
Director2.058.0Yes (X)$0$254,458$62,268
Woodward Burgert III MD
Director2.058.0Yes (X)$0$259,329$26,135
Jeff LeGay
CFO30.030.0Yes (X)$0$250,925$20,350
Tammy Needham
COO & CNO60.00.0Yes (X)$0$165,061$51,304
Donna Sessoms
Director of Surgical Services40.00.0$116,225$0$32,373Yes (X)
Warren Stinson
Director of Emergency Services40.00.0$113,534$0$30,419Yes (X)
Hans Meth
Dir of Clinical Business Ops40.00.0$113,379$0$24,386Yes (X)
Scott Ratcliff
Director of Imaging Services40.00.0$111,911$0$21,673Yes (X)
Sanjay KC
Pharmacy Coordinator40.00.0$113,798$0$2,989Yes (X)
Paul Cuadros
Director2.00.0Yes (X)$0$0$0
Cody Deen MD
Director2.00.0Yes (X)$0$0$0
Misty Drake
Director2.00.0Yes (X)$0$0$0
Etta Foushee
Director2.00.0Yes (X)$0$0$0
Angelynn Fox
Director/Vice Chairman5.00.0Yes (X)Yes (X)$0$0$0
Mark Hall
Director2.00.0Yes (X)$0$0$0
Laura House MD
Director2.00.0Yes (X)$0$0$0
Derrick Mangum
Director2.00.0Yes (X)$0$0$0
Meghan McCann
Director2.00.0Yes (X)$0$0$0
Walter Petty
Director/Vice Chairman5.00.0Yes (X)Yes (X)$0$0$0
David Poe
Director/Chairman5.00.0Yes (X)Yes (X)$0$0$0
Anne Schwankl
Director2.00.0Yes (X)$0$0$0
Dennis Streets
Director2.00.0Yes (X)$0$0$0
Eric Wolak
COO & CNO60.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$568,847TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,225,215TotReportableCompRltdOrgAmt
Total Other Compensation$368,988TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Williams Realty Building
3111 Glenwood AvenueRALEIGHNC27612General Contracting$1,587,009
Sodexo Inc and Affiliates
9801 Washingtonian BlvdGAITHERSBURGMD20878Housekeeping Service$393,266
Sightpath Medical LLC
5775 West Old Shakopee Road 90BLOOMINGTONMN55437Opthalmic Services$222,595
Ellington Son Contracting
183 Isaac DriveSILER CITYNC27344Contracting Services$211,232
Weiser Security Services Inc
1110 Navaho Drive 201RALEIGHNC27609Security Services$202,273
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$100,662AllOtherContributionsAmt
Total Contributions$100,662TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT REVENUE524113$47,286,536$47,132,637$153,899
OTHER REVENUE621110$921,136$764,908$156,228
FieldValueIRS element (for citing)
Total Program Service Revenue$48,207,672TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,645TotalRevenueColumnAmt
Exclusion$21,645ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$477,679RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$477,679RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$477,679TotalRevenueColumnAmt
Exclusion$477,679ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLOSS ON FIXED ASSET DISPOSALDesc
Business900099BusinessCd
Total Revenue Column-$122,302TotalRevenueColumnAmt
Exclusion-$122,302ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$122,302OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,685,356TotalRevenueColumnAmt
Related Or Exempt Func Income$47,897,545RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$153,899UnrelatedBusinessRevenueAmt
Exclusion$533,250ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,250TotalAmt
Program Services$10,250ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,173,766TotalAmt
Program Services$11,173,766ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$524,094TotalAmt
Program Services$524,094ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,295,129TotalAmt
Program Services$1,295,129ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$853,389TotalAmt
Program Services$853,389ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,500TotalAmt
Management And General$12,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$3,437TotalAmt
Management And General$3,437ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,674,800TotalAmt
Program Services$14,264,068ProgramServicesAmt
Management And General$1,410,732ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,749TotalAmt
Program Services$1,592ProgramServicesAmt
Management And General$157ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$496,813TotalAmt
Program Services$452,100ProgramServicesAmt
Management And General$44,713ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,085TotalAmt
Program Services$2,807ProgramServicesAmt
Management And General$278ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$857,081TotalAmt
Program Services$779,944ProgramServicesAmt
Management And General$77,137ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$135,554TotalAmt
Program Services$123,354ProgramServicesAmt
Management And General$12,200ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$361,460TotalAmt
Program Services$328,929ProgramServicesAmt
Management And General$32,531ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$4,132,812TotalAmt
Program Services$4,132,812ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,021,562TotalAmt
Program Services$1,839,622ProgramServicesAmt
Management And General$181,940ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$377,781TotalAmt
Program Services$343,781ProgramServicesAmt
Management And General$34,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$7,677,530$7,677,530
HOME OFFICE ALLOCATION$4,415,985$4,415,985
PATIENT CARE SUPPLIES & SERV$3,242,388$3,242,388
MINOR EQUIPMENT AND R&M$671,771$611,312$60,459

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$277,148TotalAmt
Program Services$252,205ProgramServicesAmt
Management And General$24,943ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$54,220,084TotalAmt
Program Services$47,909,072ProgramServicesAmt
Management And General$6,311,012ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$595BOYAmt
EOY$509EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,012,806BOYAmt
EOY$250,394EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,663,073BOYAmt
EOY$5,077,044EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$808,021BOYAmt
EOY$669,347EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,294,124BOYAmt
EOY$1,352,101EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$39,438,721LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,252,445LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,368,492BOYAmt
EOY$18,186,276EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$522,409BOYAmt
EOY$566,687EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,669,520BOYAmt
EOY$26,102,358EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,848,422BOYAmt
EOY$12,964,546EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$206,711BOYAmt
EOY$195,944EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$324,023BOYAmt
EOY$1,344,782EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,685,965BOYAmt
EOY$12,480,501EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,065,121BOYAmt
EOY$26,985,773EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,604,399BOYAmt
EOY-$883,415EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,604,399BOYAmt
EOY-$883,415EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,669,520BOYAmt
EOY$26,102,358EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,534,728ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$46,914NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedfalseFederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$3,437OtherActivitiesAmt
Total Lobbying Expenditures$3,437TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1, Lobbying ActivitiesFormAndLineReferenceDesc
ExplanationAnnual dues were paid to the American Hospital Association and North Carolina Hospital Association. A percentage, determined by the Organizations, was estimated to be expenditures used in lobbying activities by these Organizations.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$402,081OtherCostOrOtherBasisAmt
Book Value$402,081BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,518,068OtherCostOrOtherBasisAmt
Depreciation$7,961,657DepreciationAmt
Book Value$11,556,411BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,609,213OtherCostOrOtherBasisAmt
Depreciation$1,718,907DepreciationAmt
Book Value$890,306BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,575,137OtherCostOrOtherBasisAmt
Depreciation$11,571,881DepreciationAmt
Book Value$5,003,256BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$334,222OtherCostOrOtherBasisAmt
Book Value$334,222BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,186,276TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLOAN PAYABLE TO UNCHCSDesc
Amt$12,480,501Amt
FieldValueIRS element (for citing)
Total Liability$12,480,501TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$41,054,740TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$46,914NetUnrealizedGainsInvstAmt
Other Revenue-$7,677,530OtherRevenueAmt
Revenue Not Reported-$7,630,616RevenueNotReportedAmt
Revenue Subtotal$48,685,356RevenueSubtotalAmt
Total Revenue Per Form990$48,685,356TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,542,554TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$46,542,554ExpensesSubtotalAmt
Other Expenses Not Included$7,677,530OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,677,530ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$54,220,084TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2THE HOSPITAL IS INCORPORATED AS A NONPROFIT ORGANIZATION UNDER THE LAWS OF THE STATE OF NORTH CAROLINA AND IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
Part XI, Line 2D - Other AdjustmentsBAD DEBT EXPENSE -7,677,530 PART XII, LINE 4B - OTHER ADJUSTMENTS BAD DEBT EXPENSE 7,677,530

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,323,444TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,323,444NetCommunityBenefitExpnsAmt
Total Expense0.07140TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,169,784TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,355,616DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,493,228TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,355,616DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,323,444NetCommunityBenefitExpnsAmt
Total Expense0.07140TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$230,316TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$230,316NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,250TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,250NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$240,566TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$240,566NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,733,794TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,355,616DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,564,010NetCommunityBenefitExpnsAmt
Total Expense0.07650TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$7,677,530BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$15,381,021ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,980,734CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,599,713MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Chatham Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1475 Progress BlvdAddressLine1Txt
CitySiler CityCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27344ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.chathamhospital.orgWebsiteAddressTxt
State LicenseH0007StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Chatham Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part VOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSee Part VStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5FOR THIS ASSESSMENT, DATA WERE COMPILED FROM NUMEROUS PRIMARY AND SECONDARY SOURCES, INCLUDING THE 2018 CHATHAM COUNTY COMMUNITY SURVEY, FOCUS GROUPS, COMMUNITY CONVERSATIONS AND KEY INFORMANT INTERVIEWS. SECONDARY DATA SOURCES INCLUDED THE 2017 YOUTH RISK BEHAVIOR SURVEY CONDUCTED IN CHATHAM COUNTY SCHOOLS, THE CHATHAM COUNTY COMPREHENSIVE PLAN, THE CHATHAM AGING PLAN, AS WELL AS NUMEROUS LOCAL, STATE AND NATIONAL SOURCES. TOGETHER, THESE SOURCES GIVE RESIDENT VIEWS ON HEALTH AND WELL-BEING IN THE COUNTY AS WELL AS AN INDICATION OF HOW CHATHAM COMPARES WITH OTHER AREAS AND HAS CHANGED OVER TIME. SEVERAL COMMITTEES WERE ESTABLISED TO ASSIST IN GATHERING THE DATA AND EDITING THE SURVEYS. THESE COMMITTEES WERE MADE UP OF INDIVIDUALS WITH EXPERTISE IN RESEARCH METHODS AND ETHICS AND INCLUDED REPRESENTATIVES FROM DIFFERENT SECTORS IN THE COUNTY.
PART V, SECTION B, LINE 6BCHATHAM COUNTY PUBLIC HEALTH DEPARTMENT
PART V, SECTION B, LINE 7AHTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT
PART V, SECTION B, LINE 10AHTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT
PART V, SECTION B, LINE 11THE HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE HEALTH PRIORITIES: ACCESS TO COMPREHENSIVE HEALTH SERVICES MENTAL HEALTH AND PHYSICAL HEALTH ARE FUNDAMENTALLY LINKED. THE WORLD HEALTH ORGANIZATION SUMS UP THIS LINKAGE WITH THE STATEMENT, "THERE IS NO HEALTH WITHOUT MENTAL HEALTH." THIS LINK WAS THE DRIVING FORCE TO MERGE ACCESS TO HEALTHCARE AND ACCESS TO MENTAL HEALTH SERVICES AS ONE ISSUE. OBESITY OVERWEIGHT AND OBESITY ARE DETERMINED BY AN INDIVIDUAL'S BODY MASS INDEX (BMI), WHICH IS A MEASURE OF BODY FAT BASED ON HEIGHT AND WEIGHT. HEALTH EFFECTS OF OVERWEIGHT AND OBESITY ARE WIDE RANGING AND INCLUDE HIGH BLOOD PRESSURE, DIABETES, STROKE, HEART DISEASE, DEPRESSION, AND CERTAIN CANCERS. OTHER OBESITY RELATED COMPLICATIONS INCLUDE HIGH CHOLESTEROL, JOINT PAIN, AND INFLAMMATION. GOOD NUTRITION AND PHYSICAL ACTIVITY ARE IMPORTANT PARTS OF LEADING A HEALTHY LIFESTYLE TO HELP ACHIEVE AND MAINTAIN A HEALTHY WEIGHT AND REDUCE RISK OF CHRONIC DISEASE. POVERTY POVERTY IS A BROAD ISSUE THAT ENCOMPASSES A MULTITUDE OF FACTORS AND HAS A STRONG LINK TO HEALTH OUTCOMES. MANY OF THE RELATED ISSUES THAT FALL UNDER THE UMBRELLA OF POVERTY, LIKE HOUSING AND FOOD INSECURITY, ARE OFTEN CALLED DETERMINANTS OF HEALTH. THE RELATIONSHIP BETWEEN ECONOMIC WELL-BEING AND HEALTH, AS WELL AS OVERALL QUALITY OF LIFE, WAS FREQUENTLY MENTIONED BY CHATHAM RESIDENTS. THE BURDEN OF POVERTY, WHEN COMBINED WITH OTHER FACTORS LIKE AGE OR DISABILITY STATUS, CAN WORSEN THE OUTCOMES. CHATHAM HOSPITAL'S STRATEGIC PLAN TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES: 1. CHATHAM HOSPITAL CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE STEERING COMMITTEE. 2. CHATHAM HOSPITAL CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE. 3. CHATHAM HOSPITAL LEAN DIRECTOR WILL BECOME A MEMBER OF THE POVERTY SUB-COMMITTEE. 4. CHATHAM HOSPITAL CNO/COO WILL BECOME A MEMBER OF THE ACCESS TO COMPREHENSIVE HEALTH SERVICES SUB-COMMITTEE. 5. CHATHAM HOSPITAL CARDIAC REHAB DIRECTOR WILL CONTINUE AS A MEMBER OF THE OBESITY SUB-COMMITTEE. 6. CHATHAM HOSPITAL WILL CONTINUE TO PROVIDE THE CHARITY CARE PROGRAM. 7. CHATHAM HOSPITAL'S DIETICIAN WILL PARTICIPATE ON THE OBESITY SUB-COMMITTEE. 8. CHATHAM HOSPITAL WILL IMPLEMENT A NEW MATERNITY CARE CENTER IN 2020 TO MEET THIS IDENTIFIED HEALTH SERVICE. 9. CHATHAM HOSPITAL WILL PROVIDE AN IMPROVED TELE PSYCHIATRY PROGRAM IN THE EMERGENCY DEPARTMENT THROUGH UNC PSYCHIATRIC PROVIDERS TO HELP PROVIDE THIS IDENTIFIED HEALTH SERVICE NEED. 10. CHATHAM HOSPITAL WILL EVALUATE CURRENT SPECIALTY SERVICES OFFERED IN SILER CITY AND PITTSBORO. DO THESE SERVICES MEET THE COMMUNITY NEED? 11. PARTNER WITH PIEDMONT HEALTH SYSTEM AND CHATHAM COUNTY TO DEVELOP THE PROPOSED COMMUNITY HEALTH CAMPUS/CENTER. THIS THREE-YEAR PLAN WAS PRESENTED AND ADOPTED WITH THE VISION THAT CHATHAM HOSPITAL WILL USE THE PLAN AS A ROAD MAP TO TRACK AND ASSESS PROGRESS TOWARDS MEETING OUR 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. THE CHATHAM CHNA TASK FORCE WILL EVALUATE PROGRESS AT THE END OF EACH CALENDAR YEAR AND MODIFY THE PLAN ACCORDINGLY. THROUGH THESE EFFORTS AND THE WORK OF THE BROADER CHATHAM COMMUNITY, TOGETHER, WE WILL WORK TO BUILD AN ACTIVE, THRIVING COMMUNITY FOR ALL. THE REMAINING TOP HEALTH ISSUES THAT CHATHAM HOSPITAL WILL NOT BE ADDRESSING INCLUDE THE FOLLOWING: AFFORDABLE HOUSING, DOMESTIC AND SEXUAL VIOLENCE, DEPRESSION/ANXIETY, PHYSICAL INACTIVITY (INCLUDING ACCESS TO PARKS, TRAILS AND SIDEWALKS) AND TRANSPORTATION. WHILE CHATHAM HOSPITAL RECOGNIZES THESE HEALTH NEEDS, THEIR RESOURCES ARE BETTER USED IN ADDRESSING THE TOP THREE HEALTH PRIORITIES LISTED ABOVE.
PART V, SECTION B, LINES 15ePROVIDED SEVERAL WAYS TO RETURN THE COMPLETED APPLICATION, SUCH AS, IN THE ENVELOPE PROVIDED, UPLOAD TO PROVIDED WEBSITE AND FAX NUMBER.
PART V, SECTION B, LINES 16A-CHTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/PATIENTS-VISITORS/BILLING
PART V, SECTION B, LINE 20DPRESUMPTIVE ELIGIBILITY DETERMINATIONS NOT CURRENTLY IN PRACTICE. THE OVERSIGHT BOARD FOR THE FINANCIAL ASSISTANCE POLICY HAS GIVEN THE APPROVAL TO PROCEED WITH PRESUMPTIVE ELIGIBILITY DETERMINATIONS.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CHATHAM medical park
163 MEDICAL PARK DRIVESILER CITYNC27344CARDIAC REHABILITATION, DIABETES EDUCATION, PT/OT, AND specialty care
UNC chatham park medical office
75 FREEDOM ParkwayPITTSBORONC27312imaging services Rehabilitation services and Speciality care

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7, COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,677,530.
PART III, LINE 2THE 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.
PART III, LINE 3The 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.
PART III, LINE 4NET 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.
PART III, LINE 8AS 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.
PART III, LINE 9BPOLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE.
PART VI, LINE 2LESS 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.
PART VI, LINE 3NOTICES OF PATIENT FINANCIAL PROGRAMS ARE POSTED IN SERVICE AREAS, AND BROCHURES ARE AVAILABLE DESCRIBING THE PROGRAMS AND PHONE NUMBERS FOR QUESTIONS OR TO REQUEST APPLICATIONS. FINANCIAL COUNSELORS ARE LOCATED IN SERVICE AREAS FOR DISCUSSIONS REGARDING FUNDING SOURCES, INCLUDING CHARITY CARE, AND SELF PAY PATIENT ACCOUNTS ARE AUTOMATICALLY ROUTED TO MEDICAID ASSISTANCE COUNSELORS FOR REVIEW OF ELIGIBILITY POTENTIAL FOR MEDICAID. REGISTRATION COVERS THE CHARITY PROGRAM WITH PATIENTS DURING REGISTRATION AND GIVES CHARITY APPLICATIONS TO THOSE WHO DON'T HAVE INSURANCE OR WHO MEET CERTAIN CRITERIA. REGISTRATION ALSO INFORMS PATIENTS THAT PATIENT FINANCIAL SERVICES IS AVAILABLE TO PATIENTS WHO WISH TO DISCUSS PAYMENT OPTIONS.
PART VI, LINE 4POPULATION INFORMATION: CHATHAM COUNTY'S POPULATION INCREASED FROM JUST UNDER 50,000 IN 2000 TO OVER 71,000 IN 2017, MAKING IT ONE OF THE FASTEST GROWING COUNTIES IN THE STATE. 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 82.2% WHITE, 12.7% BLACK/AFRICAN-AMERICAN, 12.5% HISPANIC/ LATINX, 2.0% ASIAN, 1.2% AMERICAN INDIAN OR ALASKA NATIVE AND 1.8% MULTIRACIAL. AGE: THE AVERAGE AGE OF RESIDENTS IS 45.5 YEARS, WHICH IS HIGHER THAN THE NORTH CAROLINA AVERAGE OF 37.8 YEARS. NEARLY ONE QUARTER OF RESIDENTS ARE 65 YEARS OR OLDER, AND THIS IS EXPECTED TO INCREASE IN THE COMING DECADES. INCOME AND POVERTY: CHATHAM HAS AMONG THE HIGHEST MEDIAN HOUSEHOLD INCOMES IN THE STATE AT $59,684, WITH 29.3% OF HOUSEHOLDS REPORTING INCOMES OF $100,000 PER YEAR OR HIGHER. ON THE OTHER HAND, 10.7% OF HOUSEHOLDS EARN LESS THAN $15,000. THIS POINTS OUT THE CHALLENGES OF A COUNTY WITH RESIDENTS AT EXTREME ENDS OF THE INCOME SPECTRUM.
PART VI, LINE 5CHATHAM 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.
PART VI, LINE 6CHATHAM 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Woodward Burgert III MD
Director$0$223,144$0$36,185$0$0$0$8,913$0$17,222$0$285,464$0$0
Matthew Smith
Director$0$207,022$0$46,811$0$625$0$49,577$0$12,691$0$316,726$0$0
Jeff Strickler
President & CEO$0$243,092$0$51,725$0$625$0$84,400$0$12,691$0$392,533$0$0
Jeff LeGay
CFO$0$211,602$0$32,179$0$7,144$0$10,990$0$9,360$0$271,275$0$0
Tammy Needham
COO & CNO$0$146,878$0$0$0$18,183$0$44,846$0$6,458$0$216,365$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 6:FormAndLineReferenceDesc
ExplanationEMPLOYEES 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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6SEE RESPONSE TO QUESTION 7A.
Form 990, Part VI, Section A, Line 7AIN 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 OF THE HOSPITAL, WHICH SHALL BE SUBJECT TO FINAL APPROVAL BY UNCHCS; AND (G) OTHER POWERS MUTUALLY AGREED TO BY UNCHCS AND THE CORPORATION.
Form 990, Part VI, Section A, Line 7BSEE RESPONSE TO QUESTION 7A.
Form 990, Part VI, Section B, Line 11BTHE FORM 990 WAS REVIEWED PRIOR TO FILING BY THE PRESIDENT AND CFO OF THE HOSPITAL. PRIOR TO FILING WITH THE IRS, A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS.
Form 990, Part VI, Section B, Line 12CTHE CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY THE BOARD MEMBERS ANNUALLY TO BE REVIEWED BY THE HOSPITAL PRESIDENT. THE CHATHAM HOSPITAL CONFLICT OF INTEREST POLICY OUTLINES THE PROCESS TO BE FOLLOWED IN DETERMINING THE EXISTENCE OF A POTENTIAL CONFLICT, AND HOW TO ADDRESS THE SITUATION.
Form 990, Part VI, Section C, Line 19PHOTOCOPIES OF THE FORM 1023 AND RECENT COPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT COPIES OF FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VII, LINE 1B AVERAGE HOURS PER WEEKBOARD 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 XII, Line 2CPROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART XII, LINE 3BONCE THE FINANCIAL AUDIT WAS COMPLETED, THE AUDITORS BEGAN THE SINGLE AUDIT. THEY ARE SCHEDULED TO BE COMPLETED ON OR BEFORE 9/30/2022, WHICH IS THE EXTENDED DUE DATE.
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED PROFESSIONAL SERVIC TOTAL FEES:11050504
FORM 990 PART IX LINE 11GDESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:4434847
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:189449

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Chatham Imaging Services of Pittsboro LLBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 US-1AddressLine1Txt
CityPittsboroCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27812ZIPCd
FieldValueIRS element (for citing)
EIN811651110EIN
Primary ActivitiesImaging ServiPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Total Income$240,781TotalIncomeAmt
End Of Year Assets$1,026,754EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Chatham HospBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
UNC Health Care System
101 Manning DriveChapel HillNC27514562206970HealthcareNCSection 115UNC Health Cfalse
UNC Hospitals
101 MANNING DRIVEChapel HillNC27514561118388HealthcareNCSection 115UNC Health Cfalse
Caldwell Memorial Hospital
PO Box 1890LenoirNC28645560554204HealthcareNC501(c)(3)UNC Health CfalseLine 3
Caldwell Memorial Hospital Foundation I
PO Box 1890LenoirNC28645581935514Support of CaNC501(c)(3)caldwell memfalseLine 7
Piedmont Triad Health Services
101 Manning Drive Medical Wing E 2Chapel HillNC27514561497163Support of UNNC501(c)(3)UNC Health CfalseLine 12B II
Rex Healthcare Inc
4420 Lake Boone TrailRaleighNC27607561509129HealthcareNC501(c)(3)UNC Health CfalseLine 12A I
Rex Hospital Inc
4420 Lake Boone TrailRaleighNC27607561509260HealthcareNC501(c)(3)UNC Health CfalseLine 3
The Rex Healthcare Foundation Inc
4420 Lake Boone TrailRaleighNC27607566052117Support of ReNC501(c)(3)UNC Health CfalseLine 12 II
UNCPN
1600 Perimeter Park Dr Ste 225MorrisvilleNC27560271081647healthcareNC501(c)(3)UNC Health CfalseLine 10
UNC Rockingham Health Care Inc
117 East Kings HwyEdenNC27288823745228HealthcareNC501(c)(3)UNC Health CfalseLine 3

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
UNC Physicians Network Group Practices L
1600 Perimeter Park Drive Ste 225MorrisvilleNC27560461416986HealthcareNCNAC Corp$0$0false
UNC Physicians Network Group Practices I
2500 Blue Ridge Road Suite 401RaleighNC27607852823886HealthcareNCNAC Corp$0$0false
UNC Health Innovations Inc
4420 Lake Boone TrailRaleighNC27607871233049Operation supportNCNAC Corp$0$0false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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