2020-05-07T16:20:13-05:00 2019-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2018-07-01 560611546 Chatham Hospital Inc % JEFF LEGAY CHAT 9197994000 PO Box 649 Siler City NC 27344 JEFF LEGAY CFO 9197994000 2020-04-27 true Sandra L Feinsmith P01064157 9192781936 2020-05-07 38.132.154.29 69472520201285000000 2020-05-07 P EE67232BAF8A01E3EF255EA535F6ED661CA5E56F F1629F6A3F74945AEE6FE2E323340EE9C36B3F52 2018 2020-04-17 16:48:07Z Jeffrey Strickler PO Box 649 Siler City NC 27344 40070953 false X www.chathamhospital.org X 1939 NC Provides short-term medical care on an inpatient and outpatient basis. 14 11 268 19 158320 0 1971351 103700 39728519 39521780 190361 44589 1579421 400884 43469652 40070953 1284 5740 0 0 12677583 13268523 0 0 0 28579386 31169541 41258253 44443804 2211399 -4372851 30461883 26897084 19702804 20596073 10759079 6301011 to provide exceptional health care services to our county and surrounding communities in collaboration with our physicians and the unc health care system. false false 38214573 5740 39521780 chatham hospital, inc. is a private, not-for-profit health care organization located in Siler City, North Carolina. The facility is a 25-bed critical access hospital. The hospital has a 75-year history of providing quality health services. The hospital provides comprehensive care, including emergency, general surgery, intensive care, lab, ct, mri, nuclear medicine, pharmacy, cardiopulmonary, cardiac rehabilitation, physical therapy, and diabetes education on its campus. 38214573 true true false true false false false false false false true false false false true true true false false false false false false false false false true true false false true false false false false false false false false false false false false true true false false false true 27 0 true 268 true true true false false false false false false false false false false false X 14 11 false false false false true true true true true false false true true true true true true true true false X JEFF LEGAY 9197994000 PO BOX 649 Siler City NC 27344 Mary Beck Director/Chairman 2.0 0.0 X X 0 0 0 Raghid Bitar MD Director 2.0 0.0 X 0 0 0 Woodward Burgert III MD Director 2.0 58.0 X 0 246674 23079 Paul Cuadros Director 2.0 0.0 X 0 0 0 Cody Deen MD Director 2.0 0.0 X 0 0 0 Etta Foushee Director 2.0 0.0 X 0 0 0 Angelynn Fox Director 2.0 0.0 X 0 0 0 Mark Hall Director 2.0 0.0 X 0 0 0 Barry Hayes Director 2.0 0.0 X 0 0 0 Mel Hurston Director 2.0 58.0 X 0 350759 94919 Walter Petty Director 2.0 0.0 X 0 0 0 David Poe Director/Vice Chairman 2.0 0.0 X X 0 0 0 Anne Schwankl Director 2.0 0.0 X 0 0 0 Matthew Smith Director 2.0 58.0 X 0 188221 41445 Dennis Streets Director 2.0 0.0 X 0 0 0 Bob Enders President & CEO 60.0 0.0 X X 0 274893 89384 Jeff Strickler President & CEO 60.0 0.0 X X 0 238327 69623 Jeff LeGay CFO 30.0 30.0 X 0 234711 18170 Tammy Needham CNO 60.0 0.0 X 0 160878 36151 Paula Barrows Clinical Supervisor 40.0 0.0 X 102764 0 8478 Johnsie Hubble Infection Control/ EE Health 40.0 0.0 X 101345 0 9581 204109 1694463 390830 2 false true false Palmetto GBA 17 Technology Circle COLUMBIA SC 29203 Claims & Transaction 433830 Alliance Healthcare Service 100 Bay View Circle NEWPORT BEACH CA 92660 Medical Equipment 308250 Triangle Xray Company 4900 Thornton Road 117 RALEIGH NC 27616 XRay Equipment 205181 Heartcare Imaging Inc 760 North US Highway One TEQUESTA FL 33469 Medical Equipment 165800 Allied Universal Security Services 4600 Marriott Drive 300 RALEIGH NC 27612 Facility Services 138603 5 103700 103700 PATIENT REVENUE 524113 39269803 39111483 158320 OTHER REVENUE 621110 251977 73713 178264 39521780 44589 44589 0 0 400884 400884 0 400884 400884 0 0 0 0 0 0 0 0 0 0 0 40070953 39185196 158320 623737 5740 5740 0 0 0 0 0 11225633 11225633 63558 63558 1392981 1392981 586351 586351 0 0 0 5805 5805 0 0 11663021 10613349 1049672 6790 6179 611 406243 369682 36561 153567 139746 13821 0 890181 810064 80117 149692 136220 13472 0 785 785 423271 385177 38094 2114224 2114224 1717362 1562800 154562 151663 138013 13650 PATIENT CARE SUPPLIES & SERVIC 1939795 1939795 BAD DEBT EXPENSE 5996172 5996172 MINOR EQUIPMENT AND R&M 492929 448565 44364 HOME OFFICE ALLOCATION 4749992 4749992 308049 280324 27725 44443804 38214573 6229231 0 411 500 5694190 3266224 0 0 4653904 4220764 0 0 0 0 43164 0 411505 465987 827715 1274815 41817541 24677795 18316868 17139746 0 0 514126 529048 0 0 0 0 0 0 30461883 26897084 2876839 5029341 0 0 190257 175709 0 0 0 0 0 0 635708 532260 0 0 16000000 14858763 19702804 20596073 X 10759079 6301011 0 0 0 0 10759079 6301011 30461883 26897084 X -4372851 14783 -100000 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5805 5805 false false Part II-B, Line 1, Lobbying Activities Annual 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. 402081 402081 17122682 6880798 10241884 2510317 1598505 911812 21708472 16198492 5509980 73989 0 73989 17139746 0 LOAN PAYABLE TO UNCHCS 14858763 14858763 X 33926491 14783 -5996172 -5981389 39907880 163073 163073 40070953 35910137 35910137 8533667 8533667 44443804 Part X, Line 2 The 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 Adjustments Bad Debt Expense -5,996,172 Part XI, Line 4b - Other Adjustments Investment Income 59,373 Other Income 3,700 Temporary Restricted Deferred Revenue 100,000 Total to Schedule D, Part XI, Line 4B 163,073 Part XII, Line 4b - Other Adjustments Bad Debt Expense 5,996,172 Interest Expense 423,271 Payment to Sole Member 2,114,224 Total to Schedule D, Part XII, Line 4b 8,533,667 true true X true X 250. false true true true false true true 3376116 3376116 0.07590 5246664 8043319 0.00000 8622780 8043319 3376116 0.07590 27779 27779 0.00060 5740 5740 0.00010 33519 33519 0.00070 8656299 8043319 3409635 0.07660 true 5996172 3991937 14490235 16427500 -1937265 X true true 1 1 Chatham Hospital Inc 475 Progress Blvd Siler City NC 27344 H0007 X X X X Chatham Hospital Inc 1 false false true X X X X X X X X X 18 true false true true X See Part V X true 18 true See Part V false true X 250. 0. false true X X X true X See Part V X See Part V X See Part V X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 For 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 indiction 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 6B Chatham County Public Health Department PART V, SECTION B, LINE 7A HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESsem ent PART V, SECTION B, LINE 10A HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESsem ent PART V, SECTION B, LINE 11 The 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 16A-C HTTPS://WWW.UNCMEDICALCENTER.ORG/UNCMC/PATIENTS-VISITORS/BILLING/FINANCial -assistance-programs 3 CHATHAM medical park 163 MEDICAL PARK DRIVE SILER CITY NC 27344 CARDIAC REHABILITATION, DIABETES EDUCATION, PT/OT, AND specialty care UNC chatham park medical office 75 FREEDOM Parkway PITTSBORO NC 27312 imaging services Rehabilitation services and Speciality care north chatham pediatrics & int medicine 118 knox Way Chapel Hill NC 27516 Healthcare PART I, LINE 3C CHARITY CARE IS AVAILABLE FOR NORTH CAROLINA RESIDENTS WHO HAVE A HOUSEHOLD INCOME AT OR LESS THAN 250% OF THE FEDERAL POVERTY GUIDELINES FOR THEIR FAMILY SIZE. A COMPLETE APPLICATION WITH SUPPORTING DOCUMENTATION OF INCOME IS PROVIDED FOR A FINAL DETERMINATION TO BE MADE. CHARITY CARE IS A BENEFIT WHERE 100% OF THE PATIENTS BALANCE WILL BE WRITTEN OFF EXCEPT FOR CERTAIN LIMITATIONS SUCH AS ELECTIVE, NON-MEDICALLY NECESSARY SERVICES AND THOSE BALANCES COVERED BY OTHER EXTERNAL FUNDING SOURCES. FPG IS USED FOR CHARITY CARE/FREE CARE. FOR SELF PAY, PROVIDE STRAIGHT 40% DISCOUNT ON CHARGES. PART I, LINE 7 AMOUNTS SHOWN IN PART I, LINE 7, COLUMN C WERE COMPUTED USING THE COST-TO-CHARGE RATIO WORKSHEET (WORKSHEET 2) FROM THE IRS INSTRUCTIONS FOR SCHEDULE H. 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 $5,996,172. PART II, COMMUNITY BUILDING ACTIVITIES 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. CHATHAM HOSPITAL PARTICIPATES IN NUMEROUS COMMUNITY HEALTH FAIRS, PARTNERS WITH OTHER COMMUNITY LEADERS IN ADDRESSING HEALTH RELATED MATTERS, PARTICIPATES IN COMMUNITY FUND RAISING EVENTS. PART III, LINE 2 THE COST-TO-CHARGE RATIO WAS APPLIED AGAINST GROSS BAD DEBT CHARGES TO ARRIVE AT THE ESTIMATED COST OF BAD DEBT EXPENSES. PART III, LINE 3 THE AMOUNTS ESTIMATED AS BAD DEBT ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY WERE CALCULATED BY DETERMINING WHAT AMOUNT OF GROSS BAD DEBT CHARGES WERE ATTRIBUTABLE TO UNINSURED PATIENTS AND APPLYING THE COST-TO-CHARGE RATIO. PART III, LINE 4 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. PART III, LINE 8 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. PART III, LINE 9B POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. PART VI, LINE 2 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. PART VI, LINE 3 NOTICES 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 4 Population 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 5 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. PART VI, LINE 6 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. PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: NC X X X X X false false false false false true true false false Woodward Burgert III MD Director 0 191449 0 39329 0 15896 0 7990 0 15089 0 269753 0 0 Mel Hurston Director 0 254668 0 47040 0 49051 0 86090 0 8829 0 445678 0 0 Matthew Smith Director 0 160752 0 23028 0 4441 0 35441 0 6004 0 229666 0 0 Bob Enders President & CEO 0 228188 0 39403 0 7302 0 68391 0 20993 0 364277 0 0 Jeff Strickler President & CEO 0 199905 0 35921 0 2501 0 57030 0 12593 0 307950 0 0 Jeff LeGay CFO 0 199532 0 27120 0 8059 0 8299 0 9871 0 252881 0 0 Tammy Needham CNO 0 134521 0 24347 0 2010 0 29898 0 6253 0 197029 0 0 Part I, Line 6: 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. Form 990, Part VI, Section A, Line 6 See response to question 7A. Form 990, Part VI, Section A, Line 7A 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 CORPORATIONS 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 CORPORATIONS 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 7B See response to question 7A. Form 990, Part VI, Section B, Line 11B THE 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 12C THE 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 19 PHOTOCOPIES OF THE FORM 1023 AND RECENT COPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATIONS 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 WEEK BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII LINE 1B. Form 990, Part XI, Line 9 Chatham Hospital received a grant of $100,000 in June 2019. The grant is temporary restricted funds for the developing maternal care center. None of the funds have been used and are recorded for book purposes in deferred revenue. Form 990, Part XII, Line 2C PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROFESSIONAL SERVIC TOTAL FEES:7206558 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:3474958 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:981505 Chatham Imaging Services of Pittsboro LL 75 US-1 Pittsboro NC 27812 811651110 Imaging Servi NC 193687 595478 Chatham Hosp UNC Health Care System 101 Manning Drive Chapel Hill NC 27514 562206970 Healthcare NC Section 115 UNC Health C false UNC Hospitals 211 Friday Center Drive Suite 2029 Chapel Hill NC 27517 561118388 Healthcare NC Section 115 UNC Health C false Caldwell Memorial Hospital PO Box 1890 Lenoir NC 28645 560554204 Healthcare NC 501(c)(3) Line 3 UNC Health C false Caldwell Memorial Hospital Foundation I PO Box 1890 Lenoir NC 28645 581935514 Support of Ca NC 501(c)(3) Line 7 caldwell mem false High Point Regional Health 601 N Elm Street High Point NC 27261 560532309 Healthcare NC 501(c)(3) Line 3 UNC Health C false Piedmont Triad Health Services 101 Manning Drive Medical Wing E 2 Chapel Hill NC 27514 561497163 Support of UN NC 501(c)(3) Line 12B II UNC Health C false High Point Regional Health Foundation I 601 N Elm Street High Point NC 27261 272854711 Support of Hi NC 501(c)(3) Line 12A I High Point R false Rex Healthcare Inc 4420 Lake Boone Trail Raleigh NC 27607 561509129 Healthcare NC 501(c)(3) Line 12A I UNC Health C false Rex Hospital Inc 4420 Lake Boone Trail Raleigh NC 27607 561509260 Healthcare NC 501(c)(3) Line 3 UNC Health C false The Rex Healthcare Foundation Inc 4420 Lake Boone Trail Raleigh NC 27607 566052117 Support of Re NC 501(c)(3) Line 12 II UNC Health C false UNCPN 1600 Perimeter Park Drive Ste 225 Morrisville NC 27560 271081647 healthcare NC 501(c)(3) Line 10 UNC Health C false UNC Rockingham Health Care Inc 117 East Kings Hwy Eden NC 27288 823745228 Healthcare NC 501(c)(3) Line 3 UNC Health C false UNC Physicians Network Group Practices L 1600 Perimeter Park Drive Ste 225 Morrisville NC 27560 461416986 Healthcare NC NA C Corp 0 0 false false false false false true false false false false false false false false true true true false true false