2019-05-09T11:40:30-05:00 2018-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2017-07-01 560611546 Chatham Hospital Inc % JEFF LEGAY CHAT 9197994000 PO Box 649 Siler City NC 27344 JEFF LEGAY CFO 9197994000 2019-05-08 true Marc Berger P01871563 9192781936 2019-05-08 4.14.250.26 69472520191295000002 2019-05-09 P 5A93BC6954598A5C499FB6FCEF79B3C90A134D16 5A93BC6954598A5C499FB6FCEF79B3C90A134D16 2017 2019-02-21 02:37:17Z robert enders PO Box 649 Siler City NC 27344 44200152 false X www.chathamhospital.org X 1939 NC Provides short-term medical care on an inpatient and outpatient basis. 15 11 281 19 219328 0 1971351 37080334 39728519 130550 190361 528442 1579421 37739326 43469652 1870 1284 0 0 11816355 12677583 0 0 0 26735552 28579386 38553777 41258253 -814451 2211399 38752645 30461883 30140589 19702804 8612056 10759079 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 32504100 1284 39728519 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. 32504100 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 41 0 true 281 true true true false false false false false false false false false X 15 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 X Mary Beck Director 2.0 0.0 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 223095 21421 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 325159 86927 Todd Peterson Director 2.0 0.0 X 0 0 0 Walter Petty Director 2.0 0.0 X 0 0 0 David Poe Director 2.0 0.0 X 0 0 0 Paul Powell DDS Director 2.0 0.0 X 0 0 0 Matthew Smith Director 2.0 58.0 X 0 177703 38336 Dennis Streets Director 2.0 0.0 X 0 0 0 Barry Wilkie Director 2.0 0.0 X 0 0 0 Mark Zeringue MD Director 2.0 0.0 X 0 0 0 Bob Enders CEO 60.0 0.0 X X 0 291957 85615 Jeff LeGay CFO 30.0 30.0 X 0 226260 17551 Tammy Needham CNO 60.0 0.0 X 0 170322 34713 0 1414496 284563 0 false true false Alliance Healthcare Service 100 Bay View Circle NEWPORT BEACH CA 92660 medical equipment 271864 sightpath medical inc 5775 west old shakopee road 90 BLOOMINGTON MN 55437 medical equipment 228331 ortho clinical diagnostics 100 indigo creek drive ROCHESTER NY 14626 medical equipment 221661 heartcare imaging inc 760 north us highway one TEQUESTA FL 33469 medical equipment 167260 arthrex inc po box 403511 ATLANTA GA 30384 Medical Equipment 132816 6 1953966 17385 1971351 PATIENT REVENUE 524113 39438516 39219188 219328 OTHER REVENUE 621110 290003 106792 183211 39728519 76341 76341 0 0 537726 0 537726 0 537726 537726 844520 730500 114020 114020 114020 0 0 0 0 0 0 0 0 0 GAIN ON DEFEASANCE OF BONDS 624100 1041695 1041695 1041695 43469652 39325980 219328 1952993 X 1284 1284 0 0 0 0 0 10777402 7200122 3577280 63248 39375 23873 1300661 708387 592274 536272 333855 202417 0 0 0 5373 5373 0 2112 2112 10848184 10848184 5934 5400 534 656658 602448 54210 142848 129992 12856 0 812684 730442 82242 126298 114931 11367 0 97 97 1266905 1152884 114021 0 2008720 1827935 180785 0 149800 136318 13482 BAD DEBT EXPENSE 6059445 6059445 0 HOME OFFICE ALLOCATION 3808728 3808728 PATIENT CARE SUPPLIES & SERVIC 1880024 1880024 MINOR EQUIPMENT AND R&M 659054 599739 59315 146522 133335 13187 41258253 32504100 8754153 0 2381 411 3087423 5694190 0 0 7603052 4653904 0 0 0 0 0 43164 382101 411505 533518 827715 41490196 23173328 19577980 18316868 0 0 7565190 514126 0 0 0 0 1000 0 38752645 30461883 3512819 2876839 0 0 201721 190257 24854823 0 0 0 0 0 1571226 635708 0 0 0 16000000 30140589 19702804 X 8612056 10759079 0 0 0 0 8612056 10759079 38752645 30461883 2211399 -64376 X X false true X true false X false false false false false false false false true 5373 5373 false Part II-B, Line 1, Lobbying Activities As a member of AHA and NCHA, A PERCENTAGE OF THE MEMBERSHIP DUES ARE ATTRIBUTED TO LOBBYING. 0 402081 402081 17122682 6318954 10803728 2454887 1532822 922065 21510546 15321552 6188994 0 0 18316868 0 LOAN PAYABLE TO UNCHCS 16000000 16000000 X 34206800 -64376 -6059445 -6123821 40330621 2112 3136919 3139031 43469652 33929791 33929791 2112 7326350 7328462 41258253 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 TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. PART XI, LINE 2D - OTHER ADJUSTMENTS BAD DEBT EXPENSE -6,059,445 PART XI, LINE 4B - OTHER ADJUSTMENTS GAIN ON DEFEASANCE OF BONDS 1,041,695 INVESTMENT INCOME 169,557 OTHER INCOME -28,299 CONTRIBUTION FROM SOLE MEMBER 1,953,966 TOTAL TO SCHEDULE D, PART XI, LINE 4B 3,136,919 PART XII, LINE 4B - OTHER ADJUSTMENTS BAD DEBT EXPENSE 6,059,445 INTEREST EXPENSE 1,266,905 TOTAL TO SCHEDULE D, PART XII, LINE 4B 7,326,350 true true X true X 250. false true true true false true true 2854862 2854862 0.06920 5338305 6852032 0 0.00000 8193167 6852032 2854862 0.06920 8193167 6852032 2854862 0.06920 true 6059445 1579571 14660052 15994927 -1334875 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 15 true false true true X SEE PART V X true 15 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 CHATHAM HOSPITAL PART V, SECTION B, LINE 5 THE FIRST STEP OF THE CHNA PROCESS WAS TO FORM A STEERING COMMITTEE. THE STEERING COMMITTEE GUIDES THE PROCESS, PROVIDING INPUT AND FEEDBACK TO THOSE WORKING ON EACH TASK. THE STEERING COMMITTEE IS ALSO RESPONSIBLE FOR PRIORITIZING HEALTH ISSUES BASED ON THE DATA COLLECTED AND REVIEWING THE FINAL CHNA REPORT. HEALTH DEPARTMENT STAFF WORKED WITH COMMUNITY PARTNERS TO RECRUIT MEMBERS OF THE STEERING COMMITTEE. CHATHAM HOSPITAL PART V, SECTION B, LINE 6B CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT CHATHAM HOSPITAL PART V, SECTION B, LINE 11 THE HOSPITAL HAS IDENTIFIED THE FOLLOWING AREAS AS THEIR TOP PRIORITIES: DECREASE OBESITY CHATHAM HOSPITAL, AS ONE OF THE TOP EMPLOYERS IN THE COUNTY WILL FOCUS ON OBESITY / POPULATION HEALTH OF ITS EMPLOYEES THROUGH STRATEGIES THAT ENCOURAGE HEALTHY LIFESTYLES. STRATEGIES IDENTIFIED INCLUDE: - ADVOCATE FOR STAND-UP, ERGONOMIC OPTIONS FOR CHATHAM EMPLOYEES - PROVIDE HEALTHY EATING OPTIONS IN THE CHATHAM HOSPITAL CAFETERIA - COMMIT TO THE HEALTHY FOOD IN HEALTH CARE PLEDGE THROUGH THE HEALTH CARE WITHOUT HARM ORGANIZATION - PARTICIPATE IN THE CHATHAM HEALTH ALLIANCE SUBCOMMITTEE FOR REDUCING OBESITY - PARTICIPATE IN THE EXERCISE IS MEDICINE IMPROVE AND SUPPORT ACCESS TO MENTAL HEALTH SERVICES CHATHAM HOSPITAL WILL PROMOTE MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT AND COUNSELING SERVICES. CHATHAM HOSPITAL, IN PARTNERSHIP WITH THE LOCAL MANAGEMENT ENTITY (LME), CARDINAL INNOVATIONS, WILL CONTINUE TO FOCUS ON IMPROVING THE MENTAL HEALTH/SUBSTANCE ABUSE PATIENT EXPERIENCE BY PROVIDING THE RIGHT CARE, AT THE RIGHT PLACE, AT THE RIGHT TIME, BY THE RIGHT PROVIDER. STRATEGIES IDENTIFIED INCLUDE: - CONTINUE TO IMPROVE CHATHAM HOSPITAL RESOURCE OF PSYCHIATRIC TELEHEALTH - PARTICIPATE IN MENTAL HEALTH ROUNDTABLE THROUGH THE UNC HEALTH CARE SYSTEM - PARTICIPATE WITH COMMUNITY PARTNERS IN THE CHATHAM HEALTH aLLIANCE ACCESS TO MENTAL HEALTH CARE SUBCOMMITTEE IMPROVE ACCESS TO HEALTHCARE IN CHATHAM COUNTY CHATHAM HOSPITAL WILL COLLABORATE WITH STRATEGIC PARTNERS TO PROMOTE, PROVIDE AND ASSIST IN COORDINATION OF HEALTHCARE SERVICES. STRATEGIES IDENTIFIED INCLUDE: - CONTINUE CHATHAM HOSPITAL CHARITY CARE PROGRAM - CONTINUE CHATHAM HOSPITAL CARDIAC AND PULMONARY REHAB SCHOLARSHIP PROGRAM - SUPPORT AND PROMOTE RECENT CHATHAM HOSPITAL ADDITIONAL SERVICES PROVIDED BY SPECIALISTS IN THE CHATHAM PARK MEDICAL OFFICE (GENERAL SURGERY, ORTHOPEDICS, OPHTHALMOLOGY, CARDIOLOGY, ENT, IMAGING, PHYSICAL THERAPY) - PARTICIPATE WITH COMMUNITY PARTNERS IN THE CHATHAM HEALTH ALLIANCE SUBCOMMITTEE - ACCESS TO HEALTHCARE THE CHATHAM CHNA SIP 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 TASK FORCE WILL EVALUATE PROGRESS AT THE END OF EACH CALENDAR YEAR AND MODIFY THE PLAN ACCORDINGLY. SCHEDULE H, PART V, SECTION B, LINE 7A HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESsem ent SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESsem ent SCHEDULE H, 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 $6,059,445. 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 MATERS, 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 85 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: THE OFFICIAL 2010 CENSUS PLACES OUR 2010 POPULATION AT 63,505, AN INCREASE OF 28.74% SINCE 2000. THE STATE AVERAGE GROWTH FOR THIS DECADE WAS 18.5%. LESS THAN 20% OF OUR COUNTYS RESIDENTS LIVE IN INCORPORATED TOWNS. THE COUNTY HAS ABOUT 85 RESIDENTS PER SQUARE MILE, WHICH REFLECTS ITS GENERALLY RURAL NATURE. ETHNIC/RACIAL DIVERSITY: THE OVERALL, RACIAL/ETHNIC COMPOSITION OF CHATHAM COUNTY IS: 71% WHITE, 13% AFRICAN AMERICAN, 12% HISPANIC, 2% ASIAN AND 2% OTHER. AGE: THE 2009 ESTIMATED MEDIAN AGE FOR CHATHAM COUNTY RESIDENTS IS 42, UP FROM 38.7 IN 2007 AND ABOVE THE STATE AVERAGE. THE GREATEST PERCENTAGE OF OUR POPULATION (54%) IS IN THE RANGE OF 20 TO 60 YEARS OLD, AND 21.9% ARE AGE 60 OR OLDER. INCOME AND POVERTY: THE ESTIMATED MEDIAN HOUSEHOLD INCOME FOR CHATHAM COUNTY IN 2008 WAS $46,574, A SIGNIFICANT DROP FROM $51,794 IN 2007, BUT STILL RANKS US 8TH IN THE STATE. PER CAPITA INCOME FOR 2008 WAS $43,894, WHICH RANKS THIRD OUT OF THE 100 COUNTIES. THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY IN 2008 WAS ESTIMATED AT 10.3%, LOWER THAN THE STATE AVERAGE OF 14.6%, BUT STILL SIGNIFICANT. 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 184803 22714 15578 0 6723 0 14698 0 244516 0 0 Mel Hurston Director 217527 41909 65723 0 78846 0 8081 0 412086 0 0 Matthew Smith Director 150317 16750 10636 0 32563 0 5773 0 216039 0 0 Bob Enders CEO 253695 30979 7283 0 65430 0 20185 0 377572 0 0 Jeff LeGay CFO 194660 24513 7087 0 8096 0 9455 0 243811 0 0 Tammy Needham CNO 147767 22489 66 0 28940 0 5773 0 205035 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 B, Line 15 EFFECTIVE AUGUST 1, 2006, THE HOSPITAL ENTERED INTO A FIVE-YEAR CONTRACT WITH UNC HOSPITAL (UNCH) TO PROVIDE A CEO AND CFO TO MANAGE THE DAY-TO-DAY OPERATIONS OF THE HOSPITAL. THE PRESIDENT OF CHATHAM HOSPITAL REPORTS MONTHLY TO THE PRESIDENT OF UNCH, DISCUSSING SURVEYS OF COMPENSATION DATA AND PLANNED RANGES OF SALARY OFFERS FOR EMPLOYEES OF CHATHAM. WITH INPUT FROM THE MANAGEMENT OF UNCH, THE PRESIDENT OF CHATHAM HOSPITAL MAKES THE FINAL DECISION ON SALARIES, WITH THE EXCEPTION OF HIS/HER OWN, WHICH IS SET BY THE PRESIDENT OF UNCH WITH INPUT FROM THE UNCH'S MANAgement TEAM. 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 XII, Line 2C PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROFESSIONAL SERVIC TOTAL FEES:7014366 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:3024937 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:808881 Chatham imaging services of pittsboro LL 75 Freedom Parkway Suite F Pittsboro NC 27312 811651110 Imaging Servi NC 189958 403434 chatham hosp UNC ROCKINGHAM HEALTH CARE INC 117 E KINGS HWY EDEN NC 27288 823745228 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false UNC HEALTH CARE SYSTEM 101 MANNING DRIVE CHAPEL HILL NC 27514 562206970 HEALTHCARE NC SECTION 115 UNC HEALTH C false UNC HOSPITALS AT CHAPEL HILL 211 FRIDAY CENTER DR SUITE 2 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 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 HIGH POINT REGIONAL HEALTH SERVICES 601 N ELM STREET HIGH POINT NC 27261 561497163 HEALTHCARE NC 501(C)(3) LINE 12B,II UNC HEALTH c false HIGH POINT REGIONAL HEALTH FOUNDATION 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 UNC PHYSICIANS NETWORK 1600 PERIMETER PARK DR STE 22 MORRISVILLE NC 27560 271081647 HEALTHCARE NC 501(C)(3) LINE 10 UNC HEALTH c false THE REX HEALTHCARE FOUNDATION INC 4420 LAKE BOONE TRAIL RALEIGH NC 27607 566052117 support Rex H NC 501(C)(3) lINE 12, II UNC HEALTH C false REX SURGERY CENTER OF CARY 273684056 ASC NC NA N/A 0 0 0 0.00000 JRH Ventures LLC 4420 Lake Boone Trail Raleigh NC 27607 274092967 MED CAMPUS DVLT NC NA N/A 0 0 0 Rex Health Ventures I LP 371690478 Venture Capital I NC na N/A 0 0 0 HIGH POINT SURGERY CENTER 561867005 HIGH POINT REGION NC Na N/A 0 0 0 ORTHOPAEDIC SURGERY CENTER OF 271740526 ORTHOPAEDIC SURGE NC na N/A 0 0 0 TRO VENTURES LLC 4420 LAKE BOONE TRAIL RALEIGH NC 27607 821330195 HEALTHCARE NC NA N/A 0 0 0 REX ENTERPRISES COMPANY INC 4420 Lake Boone Trail Raleigh NC 27607 561553957 Operations Suppor NC NA C Corp 0 0 0.00000 false HIGH POINT HEALTHCARE VENTURES 601 N ELM STREET HIGH POINT NC 27261 561343468 HOLDING COMPANY NC NA C Corp 0 0 0.00000 false UNC PHYSICIANS NETWORK GROUP PRACTICES 1600 PERIMETER PARK DRIVE SUITE 225 MORRISVILLE NC 27560 461416986 HEALTHCARE NC NA C-CORP 0 0 0.00000 false false false false false true false false false false false false false false true true true false false false