CUMBERLAND COUNTY HOSPITAL SYSTEM INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CUMBERLAND COUNTY HOSPITAL SYSTEM INC (EIN 56-0845796)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-12
- IRS object ID
- 201612259349303791
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-12T15:44:17-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 North Greene Street Suite 400 | AddressLine1Txt |
| City | Greensboro | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560845796 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAMES DUPE | InCareOfNm |
| Business Name Control | CUMB | BusinessNameControlTxt |
| Phone | 9106154829 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2000 | AddressLine1Txt |
| City | FAYETTEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 283022000 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SANDRA WILLIAMS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9106154829 | PhoneNum |
| Signature | 2016-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA COLLINS CPA | PreparerPersonNm |
| PTIN | P00008888 | PTIN |
| Phone | 3362753394 | PhoneNum |
| Preparation | 2016-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael Nagowski ceo | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2000 | AddressLine1Txt |
| City | FAYETTEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 283022000 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,083,411,980 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.capefearvalley.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | Cumberland County Hospital System, Inc. exists to meet the Health Care needs of the residents. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 7178 | TotalEmployeeCnt |
| Total Volunteers | 487 | TotalVolunteersCnt |
| Total Gross UBI | $132,651 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$73,822 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,558,425 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,212,443 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $837,359,002 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $856,520,492 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,766,796 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,100,126 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,677,273 | PYOtherRevenueAmt |
| CY Other Revenue | $8,464,799 | CYOtherRevenueAmt |
| PY Total Revenue | $865,361,496 | PYTotalRevenueAmt |
| CY Total Revenue | $881,297,860 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $343,141 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $563,405 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $385,789,235 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $404,312,480 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $451,150,229 | PYOtherExpensesAmt |
| CY Other Expenses | $447,852,682 | CYOtherExpensesAmt |
| PY Total Expenses | $837,282,605 | PYTotalExpensesAmt |
| CY Total Expenses | $852,728,567 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $28,078,891 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $28,569,293 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,024,920,170 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,059,832,850 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $562,215,051 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $650,370,300 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $462,705,119 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $409,462,550 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Cumberland County Hospital System, Inc. exists to meet the Health Care needs of the residents of Cumberland, Bladen, and Hoke counties, and the surrounding area in North Carolina. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $752,696,686 | ExpenseAmt |
| Grant | $563,405 | GrantAmt |
| Revenue | $864,791,987 | RevenueAmt |
| Desc | As part of meeting the Health Care needs of the service area, CCHS, Inc. admitted 34,263 patients, provided 211,278 patient days of care, had 155,584 emergency room visits and had over 441,630 outpatient visits for other services. | Desc |
| Total Program Service Expenses | $752,696,686 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 456 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 7178 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES DUPE | PersonNm |
| Phone | 9106154829 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2000 | AddressLine1Txt |
| City | FAYETTEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 283022000 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Marion Gillis Olion phd | ||||||||
| Board Chair | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Earnest Curry | ||||||||
| Board Vice Chair | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Marshall Faircloth | ||||||||
| Secretary/Treasurer | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Jerry Dean | ||||||||
| Board Chair (Former) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Glenn Adams | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Sandy Ammons | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Jeannette Council | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Duane Degaetano | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Kenneth Edge | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Charles Evans | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Jimmy Keefe | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Larry Lancaster | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Bryant Murphy MD | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Rueben Rivers MD | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Michael Williford PHD | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Denise Mahone Wyatt | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Bradley Broussard MD | ||||||||
| Trustee & Chief of Staff | 31.0 | 0.0 | Yes (X) | $122,250 | $0 | $0 | ||
| Nitin Desai MD | ||||||||
| Trustee & Vice Chief of Staff | 5.0 | 0.0 | Yes (X) | $28,948 | $0 | $0 | ||
| Betsy Bradshaw | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| John Henley MD | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Sandra Carr Johnson MD | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Mark Kasari MD | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Sanjay Shah MD | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Jennifer Twaddell phd | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Michael Nagowski | ||||||||
| CEO | 55.0 | 0.0 | $996,559 | $0 | $83,171 | Yes (X) | ||
| Sandra Williams | ||||||||
| CFO | 55.0 | 0.0 | $527,789 | $0 | $12,955 | Yes (X) | ||
| William B Pryor | ||||||||
| CHRO | 55.0 | 0.0 | $363,513 | $0 | $7,216 | Yes (X) | ||
| Stuart Shelton MD | ||||||||
| Medical Director | 40.0 | 0.0 | $624,841 | $0 | $12,605 | Yes (X) | ||
| Richard Osenbach MD | ||||||||
| Medical Director | 40.0 | 0.0 | $336,064 | $0 | $511 | Yes (X) | ||
| John Spitalieri MD | ||||||||
| Physician | 40.0 | 0.0 | $456,795 | $0 | $371 | Yes (X) | ||
| Inad Atassi MD | ||||||||
| Physician | 40.0 | 0.0 | $742,410 | $0 | $11,397 | Yes (X) | ||
| Robert Maughan MD | ||||||||
| Medical Director | 40.0 | 0.0 | $771,421 | $0 | $12,378 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,970,590 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $140,604 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Simpli Fi Managed Services | |||||
| 1834 Sally Hill Farms Blvd | FLORENCE | SC | 29501 | Contract Labor | $9,483,345 |
| Apogee Medical Management | |||||
| 2525 E Camelback Rd St 1100 | PHOENIX | AZ | 85016 | Professional SRVCS | $5,805,491 |
| Allied Barton Security SVCS | |||||
| PO Box 534265 | ATLANTA | GA | 30353 | Security Services | $4,353,157 |
| Hematology Oncology | |||||
| PO Box 42935 | FAYETTEVILLE | NC | 28309 | Medical Services | $2,927,023 |
| KL Gates LLP | |||||
| 210 Sixth Ave | PITTSBURGH | PA | 15222 | Legal Services | $2,764,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 77 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $294,159 | RelatedOrganizationsAmt |
| Government Grants | $918,284 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $1,212,443 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 900099 | $838,137,685 | $838,137,685 |
| ANCILLARY MEDICAL SERVICES | 900099 | $18,328,404 | $18,328,404 |
| EDUCATION/OUTREACH | 611710 | $54,403 | $54,403 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $856,520,492 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,961,847 | TotalRevenueColumnAmt |
| Exclusion | $13,961,847 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $80,959 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,306 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $60,653 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,653 | TotalRevenueColumnAmt |
| Exclusion | $60,653 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $203,232,093 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $202,093,814 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,138,279 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,138,279 | TotalRevenueColumnAmt |
| Exclusion | $1,138,279 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PURCHASE REBATES, DISC. AND OTHER | 812900 | $1,459,849 | $1,459,849 |
| CAFETERIA AND PARKING REVENUE | 900099 | $3,871,071 | $3,871,071 |
| EMPLOYEE DAYCARE REVENUE | 900099 | $894,908 | $894,908 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,178,318 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,045,667 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $132,651 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,404,146 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $881,297,860 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $864,791,987 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $132,651 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,160,779 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,405 | TotalAmt |
| Program Services | $563,405 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,139,094 | TotalAmt |
| Management And General | $2,139,094 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,887,275 | TotalAmt |
| Program Services | $309,791,132 | ProgramServicesAmt |
| Management And General | $53,096,143 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117,011 | TotalAmt |
| Program Services | $185,968 | ProgramServicesAmt |
| Management And General | $931,043 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,459,376 | TotalAmt |
| Program Services | $2,533,731 | ProgramServicesAmt |
| Management And General | $2,925,645 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,709,724 | TotalAmt |
| Program Services | $29,227,872 | ProgramServicesAmt |
| Management And General | $3,481,852 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,005,509 | TotalAmt |
| Program Services | $902,135 | ProgramServicesAmt |
| Management And General | $103,374 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $452,309 | TotalAmt |
| Program Services | -$8,280 | ProgramServicesAmt |
| Management And General | $460,589 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,707 | TotalAmt |
| Program Services | $36,503 | ProgramServicesAmt |
| Management And General | $37,204 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,701 | TotalAmt |
| Program Services | $154,648 | ProgramServicesAmt |
| Management And General | $53 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,694,185 | TotalAmt |
| Program Services | $17,034,227 | ProgramServicesAmt |
| Management And General | $5,659,958 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,639,983 | TotalAmt |
| Program Services | $767,046 | ProgramServicesAmt |
| Management And General | $2,872,937 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $914,285 | TotalAmt |
| Program Services | $764,354 | ProgramServicesAmt |
| Management And General | $149,931 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,947 | TotalAmt |
| Program Services | $194,628 | ProgramServicesAmt |
| Management And General | $55,319 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,316 | TotalAmt |
| Program Services | $158,969 | ProgramServicesAmt |
| Management And General | $125,347 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,443,329 | TotalAmt |
| Program Services | $9,365,516 | ProgramServicesAmt |
| Management And General | $77,813 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,874,059 | TotalAmt |
| Program Services | $23,642,300 | ProgramServicesAmt |
| Management And General | $8,231,759 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,436 | TotalAmt |
| Program Services | $13,710 | ProgramServicesAmt |
| Management And General | $114,726 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $192,432 | $159,600 | $32,832 |
| MEDICAL & OTHER SUPPLIES | $140,958,383 | $140,433,999 | $524,384 |
| BAD DEBT EXPENSE | $129,830,081 | $129,830,081 | |
| CONTRACT LABOR | $25,898,657 | $25,240,893 | $657,764 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,058,363 | TotalAmt |
| Program Services | $61,704,249 | ProgramServicesAmt |
| Management And General | $18,354,114 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $852,728,567 | TotalAmt |
| Program Services | $752,696,686 | ProgramServicesAmt |
| Management And General | $100,031,881 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,980,761 | BOYAmt |
| EOY | $45,363,350 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,943,475 | BOYAmt |
| EOY | $289,396 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,424,561 | BOYAmt |
| EOY | $108,941,979 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,598,498 | BOYAmt |
| EOY | $10,240,797 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,648,245 | BOYAmt |
| EOY | $6,864,913 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $853,729,652 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $453,024,708 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,559,933 | BOYAmt |
| EOY | $400,704,944 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,786,253 | BOYAmt |
| EOY | $336,670,314 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,978,444 | BOYAmt |
| EOY | $150,757,157 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,024,920,170 | BOYAmt |
| EOY | $1,059,832,850 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,511,455 | BOYAmt |
| EOY | $60,253,899 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,418 | BOYAmt |
| EOY | $582,086 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,577,543 | BOYAmt |
| EOY | $261,903,076 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,899,672 | BOYAmt |
| EOY | $95,018,261 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,917,963 | BOYAmt |
| EOY | $232,612,978 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $562,215,051 | BOYAmt |
| EOY | $650,370,300 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,576,608 | BOYAmt |
| EOY | $450,405,349 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,705,119 | BOYAmt |
| EOY | $409,462,550 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,024,920,170 | BOYAmt |
| EOY | $1,059,832,850 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $28,569,293 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$14,930,300 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$66,881,562 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $60,159 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $60,159 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1g | FormAndLineReferenceDesc |
| Explanation | Hospital employees meet with local, state, and federal legislators and regulators regarding matters of interests to the hospital. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,550,845 | OtherCostOrOtherBasisAmt |
| Book Value | $23,550,845 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $499,767,897 | OtherCostOrOtherBasisAmt |
| Depreciation | $204,636,823 | DepreciationAmt |
| Book Value | $295,131,074 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,368,531 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,338,834 | DepreciationAmt |
| Book Value | $1,029,697 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $306,221,977 | OtherCostOrOtherBasisAmt |
| Depreciation | $237,376,131 | DepreciationAmt |
| Book Value | $68,845,846 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,820,402 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,672,920 | DepreciationAmt |
| Book Value | $12,147,482 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $400,704,944 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $15,816,661 |
| SELF INSURANCE TRUSTS | $52,041,238 |
| TRUSTS-BOND FUNDS | $5,658,562 |
| OTHER ASSETS | $3,712,561 |
| DERIVATIVE INSTRUMENT | $73,528,135 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $150,757,157 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| COMP COSTS | $31,294,248 |
| DUE TO PAYOR AGENCIES | $56,049,418 |
| DERIVATIVE INSTRUMENT | $42,763,002 |
| OTHER LIABILITIES | $98,026,310 |
| DEFERRED INFLOWS OF RESOURCES | $4,480,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $232,612,978 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $736,557,785 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$14,930,300 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$129,830,081 | OtherRevenueAmt |
| Revenue Not Reported | -$144,760,381 | RevenueNotReportedAmt |
| Revenue Subtotal | $881,318,166 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$20,306 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$20,306 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $881,297,860 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $722,918,792 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $20,306 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $20,306 | ExpensesNotReportedAmt |
| Expenses Subtotal | $722,898,486 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $129,830,081 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $129,830,081 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $852,728,567 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2 | The Health System and the Foundation are exempt from federal income taxes on related income under Section 501(a) of the Internal Revenue Code as organizations described in Section 501(c)(3). The unrelated business income generated by the Health System and the income generated by the Health System's taxable component are not material to the financial statements. Accordingly, no provision for income taxes is required in the accompanying financial statements. |
| Part XI, Line 2d | Bad Debt expense reclassified ($129,830,081) |
| Part XI, Line 4b | Rent expense reclassified ($20,306) |
| Part XII, Line 2d | Rent Expense Reclassified $20,306 |
| Part XII, Line 4b | Bad Debt expense reclassified $129,830,081 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,344,061 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,344,061 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $121,969,241 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $64,994,610 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,974,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09610 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $146,313,302 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $64,994,610 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $81,318,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13710 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,890,060 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $806,057 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,084,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,213,758 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,783,059 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,430,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02940 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,103,818 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,589,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,514,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03460 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $199,417,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $97,583,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $101,833,394 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17170 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $168,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $168,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $211,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $211,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $129,830,081 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $180,291,344 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $193,377,843 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,086,499 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cape Fear Valley Health System | ||||||||||||
| 1 | 1638 Owen Drive | Fayetteville | NC | 28304 | www.capefearvalley.com | H0213 | Yes (X) | Yes (X) | Yes (X) | A | ||
| Highsmith Rainey Hospital | ||||||||||||
| 2 | 150 Robeson Street | Fayetteville | NC | 28301 | www.capefearvalley.com | H0275 | Yes (X) | A | Long Term Acute Care Hospital | |||
| Bladen County Hospital | ||||||||||||
| 3 | 501 South Poplar Street | Elizabethtown | NC | 28337 | www.capefearvalley.com | H0154 | Yes (X) | Yes (X) | A | Yes (X) | ||
| Hoke Hospital | ||||||||||||
| 4 | 210 Medical Pavilion Drive | Raeford | NC | 28376 | www.capefearvalley.com | H0288 | Yes (X) | A | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | Yes (true) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.capefearvalley.com | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500. | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.capefearvalley.com/patients | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.capefearvalley.com/patients | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.capefearvalley.com | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Cape Fear Valley Health System | Part V, Section B, Line 3: The Health System established a Community Health Assessment Team (CHAT) to analyze the community health needs. Attendees provided input regarding community health strengths and concerns, as well as identified the top health concerns. Those individuals, representing diverse groups were chosen to participate in the CHAT because of their insights about the community's health needs. These individuals represented the local Health Departments, County Departments, and community organizations such as United Way and March of Dimes. |
| Cape Fear Valley Health System | Part V, Section B, Line 4: Cape Fear Valley and Highsmith Rainey worked collaboratively with one another. |
| Cape Fear Valley Health System | Part V, Section B, Line 16I: See the response to Part VI, Line 3 |
| Highsmith Rainey Hospital | Part V, Section B, Line 16I: See the response to Part VI, Line 3 |
| Bladen County Hospital | Part V, Section B, Line 16I: See the response to Part VI, Line 3 |
| Hoke Hospital | Part V, Section B, Line 16I: See the Response to part VI, Line 3 |
| Cape Fear Valley Health System | Part V, Section B, Line 22d: Patients are charged at the hospital Usual Customary and Reasonable rate minus 30%. |
| Highsmith Rainey Hospital | Part V, Section B, Line 22d: Patients are charged at the hospital Usual Customary and Reasonable rate minus 30%. |
| Bladen County Hospital | Part V, Section B, Line 22d: Patients are charged at the hospital Usual Customary and Reasonable rate minus 30%. |
| Hoke Hospital | Part V, Section B, Line 22d: Patients are charged at the hospital Usual Customary and Reasonable rate minus 30%. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 40 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CFV-Rehabilitation Center | ||||
| 1638 Owen Drive | Fayetteville | NC | 28304 | Rehabilitation Center |
| Cumberland Cty EMS of CFV | ||||
| 610 Gillespie Street | Fayetteville | NC | 28306 | Emergency Medical Services |
| CFV Behavior Health Center | ||||
| 3425 Melrose Road | Fayetteville | NC | 28304 | Behavior Health Center |
| CFV Detox Center | ||||
| 1724 Roxie Avenue | Fayetteville | NC | 28304 | Detoxication Center |
| Healthplex Wellness Center | ||||
| 1930 Skibo Road | Fayetteville | NC | 28304 | Rehabilitation Center |
| Health Pavilion North | ||||
| 6387 Ramsey Street | Fayetteville | NC | 28311 | Outpatient Services |
| Highsmith-Rainey Express Care | ||||
| 150 Robeson Street | Fayetteville | NC | 28311 | Express Care |
| Cape Fear Valley Express Care | ||||
| 1638 Owen Drive | Fayetteville | NC | 28304 | Express Care |
| Cape Fear Valley OBGYN | ||||
| 1341 Walther Reed Road | Fayetteville | NC | 28304 | OB/Gyn Services |
| Health Pavilion North Express Care | ||||
| 6287 Ramsey Street | Fayetteville | NC | 28301 | Express Care |
| Cape Fear Valley Sleep Medicine | ||||
| 1213 Walter Reed Road | Fayetteville | NC | 28304 | Sleep Center |
| Health Pavilion North Family Care | ||||
| 6387 Ramsey Street | Fayetteville | NC | 28311 | Family Practice |
| Hope Mills Family Care | ||||
| 4092 Professional Drive | Hope Mills | NC | 28348 | Family Practice |
| Cape Fear Valley Perinatology | ||||
| 2109 Valleygate Drive | Fayetteville | NC | 28304 | Perinatology |
| Behavioral Health Center | ||||
| 3425 Melrose Road | Fayetteville | NC | 28304 | Mental Health Clinic Inpatient |
| Valley Medical Associates-Highsmith | ||||
| 101 Robeson Street | Fayetteville | NC | 28301 | Family Practice |
| Cape Fear Valley Urology | ||||
| 2301 Robeson Street Suite 203 | Fayetteville | NC | 28305 | Urology |
| Hoke Family Medical Center | ||||
| 405 South Main Street | Raeford | NC | 28376 | Family Practice |
| Senior Health Services | ||||
| 101 Robeson Street Suite 202 | Fayetteville | NC | 28310 | Geriatrics |
| Bladen Medical Assoc-Elizabethtown | ||||
| 300 A East McKay Street | Elizabethtown | NC | 28337 | Family Practice |
| Stedman Medical Care | ||||
| 114 Forte Road | Stedman | NC | 28391 | Family Practice |
| Cape Fear Valley Neurosurgery | ||||
| 3308 Melrose Road | Fayetteville | NC | 28304 | Neurosurgery Outpatient |
| Cape Fear Valley Wound Care Center | ||||
| 101 Robeson St Suite 210 | Fayetteville | NC | 28301 | Wound Center |
| Cape Fear Valley Pediatric Care | ||||
| 1262 Oliver Street | Fayetteville | NC | 28304 | Pediatric Care |
| Westside Medical Care | ||||
| 1463 Pamalee Drive | Fayetteville | NC | 28303 | Family Practice |
| Cape Fear Valley Internal Medicine | ||||
| 101 Robeson Street Suite 100 | Fayetteville | NC | 28301 | Internal Medicine |
| Women's Health Specialists | ||||
| 300 East McKay Street Suite F | Elizabethtown | NC | 28337 | OB/GYN |
| Three Rivers Medical Center | ||||
| 580 West McLean Street | St Pauls | NC | 28384 | Family Practice |
| Bladen Medical Assoc - Bladenboro | ||||
| 106 Fourth Street | Bladenboro | NC | 28302 | Family Practice |
| Bladen Medical Associates-Dublin | ||||
| 16 3rd Street | Dublin | NC | 28332 | Family Practice |
| Diabetes & Endocrine Center | ||||
| 101 Robeson Street Suite 405 | Fayetteville | NC | 28301 | Diabetes & Endocrinology Outpatient |
| CFV Pediatric Endocrinology | ||||
| 101 Robeson Street Suite 410 | Fayetteville | NC | 28301 | Diabetes & Endocrinology Outpatient |
| Behavioral Health Clinic | ||||
| 3425 Melrose Road | Fayetteville | NC | 28304 | Mental Health Outpatient Care |
| Bladen Surgical Specialist | ||||
| 107 East Dunham Street | Elizabethtown | NC | 28377 | Surgical Specialist |
| Health Pavilion North Pediatric Care | ||||
| 6387 Ramsey Street Suite 240 | Fayetteville | NC | 28311 | Pediatric Care |
| Health Pavilion Hoke Primay Care | ||||
| 300 Medical Pavilion Drive Suite 1 | Raeford | NC | 28376 | Family Practice |
| Hoke OBGYN | ||||
| 300 Medical Pavilion Drive Suite 2 | Raeford | NC | 28376 | Family Practice |
| Hoke Express Care | ||||
| 300 Medical Pavilion Drive Suit 10 | Raeford | NC | 28376 | Express Care |
| CFV Infectious Disease Care | ||||
| 101 Robeson Street Suite 300 | Fayetteville | NC | 28301 | Infectious Disease |
| Cape Fear Valley Neurology | ||||
| 3308 Melrose Road | Fayetteville | NC | 28304 | Neurology |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a | Cumberland County Hospital System files a community benefit report annually in the state of North Carolina to the North Carolina Hospital Association. |
| Part II, Community Building Activities | Cumberland County Hospital System, Inc. ("CCHS") continues to engage in coalition building and workforce development activities in the Community. Coalition building promotes the health of the communities it serves by networking with other community agencies to address the health and safety issues of the community. The employees of CCHS utilize their clinical expertise to collaborate with other community agencies and county and state health departments to provide education and other initiatives that benefit the health of people in the community. Workforce development activities include the recruitment of physicians and other health professionals to medical shortage areas. |
| Part III, Line 4 | A patient's record is reviewed for possible charity care and if the patient does not qualify for charity and the patient does not pay, their charges are written-off as bad debt. Amounts in line 2 are determined by calculating a cost-to-charge ratio. Total expenses (less bad debts and other operating revenue) are divided into total gross patient revenue. Total bad debt charges are multiplied by this percentage. |
| Part III, Line 8 | Cumberland County Hospital System, Inc. considers the total shortfall of Medicare reimbursement compared to the amount of computed Medicare allowable costs as a community benefit. The Hospital improves access to patient care by providing services regardless of a patient's ability to pay or the hospital's ability to receive full cost reimbursement for services. The hospital also relieves the government of a financial burden when it provides care to publicly insured patients where reimbursement is less than cost of providing the service. |
| Part III, Line 9b | If patients are determined to qualify for charity, then the account is treated as charity rather than bad debt. |
| Part III, Lines 2-4 | A patient's record is reviewed for possible charity care and if the patient does not qualify for charity and the patient does not pay, their charges are written-off as bad debt. Amounts in line 2 are determined by calculating a cost-to-charge ratio. Total expenses (less bad debts and other operating revenue) are divided into total gross patient revenue. Total bad debt charges are multiplied by this percentage. |
| Part VI, Line 2 | The mission of Cape Fear Valley Health System is to strengthen the health and well-being of the greater Cape Fear Valley region through high-quality, compassionate care provided to all who need it. As a community not-for-profit organization, we take seriously our responsibility to invest our resources and energies into understanding and meeting the diverse health care needs of all, and ensure that everyone, regardless of their ability to pay, receives the care they need. The Senior Administrative team serves in various capacities on several local community boards and groups. As members of these various groups, they are able to gain insight to needs of the community. Our community partners are critical to helping us improve the health and well-being of the Cape Fear Valley region. Together, we can combine resources and strengths, positively impacting the greatest number of people. By working closely with the community leaders, we also build a greater sense of community and a shared commitment toward our common goal of improving the community's health. The results help us to determine our short and long term priorities as well as strategies for improving community health. Those community groups and partners CCCC, SRAHEC, CCMAP, Chamber of Commerce, Fayetteville Area PR Alliance, Cumberland County Education Foundation, Communities in Schools of NC, Fort Bragg Regional Alliance, Care Clinic, and the Methodist University Physician Assistant program. |
| Part VI, Line 3 | Uninsured patients are screened at the time of registration for their ability to pay for their health care services. If the patient has no ability to pay and is deemed ineligible for government programs (Medicare, Medicaid, etc.) then they are informed of the Hospital Charity program. They are provided with an application and a listing of the appropriate documents necessary to establish eligibility for the Hospital Charity program. All patients receive a copy of our Charity Care Application accompanying the first billing statement. |
| Part VI, Line 4 | Cumberland County Hospital System, Inc. ("CCHS") doing business as Cape Fear Valley Medical Center ("CFVMC") is the flagship of Cape Fear Valley Health System ("CFVHS"). CFVHS operates a variety of the healthcare facilities from its headquarters in Fayetteville, North Carolina including a tertiary acute care hospital, a long-term acute care hospital, a critical access hospital, an inpatient rehabilitation facility, county emergency medical services, an outpatient psychiatric facility, a detoxification facility, a wellness center, 14 primary care clinics, 16 specialty care clinics, 4 walk-in clinics, and Health Pavilion North, an outpatient complex. Cape Fear Valley Health System serves a six-county service area made up of the five counties contiguous to Cumberland County, NC, which is its Primary Service Area. Per information from the 2012 Estimated Census Data, Cumberland has a population of over 326,000 residents; this was a growth of 6.9% from the 2000 Census Data. Approximately 54.2% of the 326,000 residents in our primary service area are minorities, compared to 35.6% for the state. |
| Part VI, Line 5 | Chronic diseases like diabetes and obesity are increasing within our community. Our facility has opened a diabetes and endocrine clinic to help those patients diagnosed with diabetic. Our healthplex provides both nutritional and exercise programs to help those in the community address the problem of obesity. The goal is to help all residents learn to manage their conditions and live healthier lives by addressing the challenges associated with these conditions. Example of Program at Cape Fear Valley: Cape Fear Valley Health System's "Take Charge of Your Health" Program began as an initiative to close the healthcare gap between African-Americans and non-Hispanic Whites in Cumberland County through public service announcements, health fairs, screenings and speaking engagements. It has since broadened its focus to all of Cumberland County. Darvin Jones is the Coordinator of the "Take Charge of Your Health" Program. He serves on the Board of Directors of Community Health Interventions & Sickle Cell Agency, a non-profit that works with individuals with sickle cell disease, hypertension and diabetes. Darvin is also a member of the Cumberland County Council for Healthy Living, a group assembled by the Health Department, and the Cumberland County Schools School Health Advisory Council. Take Charge of Your Health is affiliated with Eat Smart, Move More North Carolina, a statewide initiative. At Cape Fear Valley Health System, it is important to us to give back to our community. In addition to employee United Way donations and volunteer time, our employees participate in a variety of community service initiatives, to include the Habitat for Humanity and the Friends of Cancer River Walk. Last year our employees gave over $150,000 in donations to various community organizations. |
| Part VI, Line 6 | Cumberland County Hospital System is a stand-alone health care organization and is not a part of an affiliated health care system. |
| Part VI, Line 7, List of States Receiving Community Benefit Report | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|
| Cape Fear Valley Health Foundation | ||||||
| PO Box 87526 | Fayetteville | NC | 28304 | 561947017 | 501(c)(3) | $391,124 |
| Goshen Medical Center | ||||||
| POBox 187 | FAISON | NC | 28341 | 561209062 | 501(c)(3) | $172,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2 | FormAndLineReferenceDesc |
| Explanation | Cumberland County Hospital System awards grants to the Cape Fear Valley Medical Foundation for the purpose of assisting patients in paying various bills and other expenses which patients cannot pay due to their excessive medical expenses required for treating illness. Patients apply and applications are reviewed by hospital social workers. Any funds granted are paid directly to the organization for which patient owes the bill and/or expense. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael Nagowski | ||||||||||||||
| CEO | $705,658 | $0 | $286,922 | $0 | $3,979 | $0 | $80,766 | $0 | $2,405 | $0 | $1,079,730 | $0 | $0 | |
| Sandra Williams | ||||||||||||||
| CFO | $423,746 | $0 | $89,547 | $0 | $14,496 | $0 | $10,200 | $0 | $2,755 | $0 | $540,744 | $0 | $0 | |
| William B Pryor | ||||||||||||||
| CHRO | $320,717 | $0 | $42,796 | $0 | $0 | $0 | $4,811 | $0 | $2,405 | $0 | $370,729 | $0 | $0 | $0 |
| Stuart Shelton MD | ||||||||||||||
| Medical Director | $401,699 | $0 | $205,817 | $0 | $17,325 | $0 | $10,200 | $0 | $2,405 | $0 | $637,446 | $0 | $0 | $0 |
| Richard Osenbach MD | ||||||||||||||
| Medical Director | $87,774 | $0 | $0 | $0 | $248,290 | $0 | $418 | $0 | $93 | $0 | $336,575 | $0 | $0 | $0 |
| John Spitalieri MD | ||||||||||||||
| Physician | $127,057 | $0 | $0 | $0 | $329,738 | $0 | $0 | $0 | $371 | $0 | $457,166 | $0 | $0 | $0 |
| Inad Atassi MD | ||||||||||||||
| Physician | $725,005 | $0 | $0 | $0 | $17,405 | $0 | $10,200 | $0 | $1,197 | $0 | $753,807 | $0 | $0 | $0 |
| Robert Maughan MD | ||||||||||||||
| Medical Director | $721,154 | $0 | $0 | $0 | $50,267 | $0 | $10,200 | $0 | $2,178 | $0 | $783,799 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | Richard Osenbach and John Spitalieri received severance packages from the hospital. |
| Part I, Line 7 | The hospital provides incentive compensation to its executives, which is based on the quantitative and qualitative performance of the hospital. The determination of incentive compensation follows the hospital's compensation procedures as outlined in Form 990, Part VI, Section B, Line 15. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| North Carolina Medical Care Commission | ||||||||
| A | 521309402 | 65821DAL5 | 2008-09-23 | $285,335,000 | To refund bonds issued 5/4/2006 | Yes (true) | false | false |
| North Carolina Medical Care Commission | ||||||||
| B | 521309402 | 65821DPP0 | 2012-12-19 | $124,978,739 | To refund bonds issued 9/23/2008 | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $133,335,000 | $0 | $285,335,000 | $0 | $0 | $0 | $3,722,838 | $0 | $0 | $10,007,178 | $271,604,984 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $124,978,739 | $0 | $0 | $0 | $1,630,191 | $0 | $0 | $0 | $123,348,548 | $0 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.00380 | 0.00000 | 0.00380 | false | false | false | false |
| B | false | false | Yes (true) | Yes (true) | false | 0.00380 | 0.00000 | 0.00380 | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||||
| A | false | false | false | Yes (true) | Yes (true) | false | Yes (true) | Morgan Stanley | 1.1 | Yes (true) | false | Yes (true) |
| 0 | ||||||||||||
| B | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part IV, Arbitrage, Line 2c: | (a) Issuer Name: North Carolina Medical Care Commission Date the Rebate Computation was Performed: 11/20/2012 |
| Schedule K, Supplemental Information: Part IV, Line 6, column B | This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bonds. |
| Schedule K, Part IV, Arbitrage, Line 7: | Investment of bond proceeds are being monitored through the written procedure requirements of section 148. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION | OF CUMBERLAND AND BLADEN COUNTIES, AND THE SURROUNDING AREA IN NORTH CAROLINA. |
| Form 990, Part VI, Section A, line 7a | The Cumberland County Board of Commissioners, which is a governmental unit, appoints the majority of the Cumberland County Hospital System. The Board of Trustees of Cumberland County Hospital System is comprised of seven trustees who are the seven members of the Board of Commissioners. The Board of Trustees will also have eight at large trustees who are appointed by the Board of Commissioners. The remaining five at large members are appointed by the Board of Trustees. |
| Form 990, Part VI, Section B, line 11: | The Organization's Form 990 is prepared by KPMG, then it is reviewed by the Finance Department of Cumberland County Hospital System, Inc. Upon completion of the Form 990, it is provided to the board of trustees prior to filing. |
| Form 990, Part VI, Section B, Line 12c | Cumberland County Hospital System, Inc. regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegate powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conficts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Section B, Line 15 | A human resources consulting firm is retained by Cumberland County Hospital Systems, Inc. to review the competitiveness and reasonableness of the compensation provided to the CEO and other top management personnel. |
| FORM 990, PART VI, LINE 16b | Hospital regularly evaluates the joint ventures in which it participates. |
| Form 990, Part VI, Section C, Line 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC UPON REQUEST. ORGANIZATION'S FORM 990 IS OPEN FOR PUBLIC INSPECTION, PROVIDES FINANCIAL INFORMATION, AND ADDRESSES ISSUES OF GOVERNANCE SUCH AS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNANCE DOCUMENTS. |
| FORM 990, PART XI, LINE 9 | THE CHANGE IN NETS ASSETS OF $66,881,562 IS FROM A CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cape Fear Insurance LTD | |||||||||||||
| PO Box 30600 SMB West Bay Road FC | Grand Cayman | CJ | 980449284 | Insurance | CJ | $7,120,000 | $35,566,000 | 100 | |||||
| Bladen County Healthcare LLC | |||||||||||||
| 800164702 | Health Srvcs | $1,225,000 | $23,100,000 | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||
| Cumberland Health Aff LLC (INACTIVE) | |||||||||||||
| 562275588 | Health SRVCS | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||||
| Valley Health Facilities LLC (INACTIVE) | |||||||||||||
| 204268819 | Health SRVCS | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||||
| Hoke Healthcare LLC | |||||||||||||
| 272763125 | Health SRVCS | -$10,502,000 | $100,450,000 | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fayetteville Amb Surgery Center LP | ||||||||||||||
| 569 Brookwood Village Ste 901 | Birmingham | AL | 35209 | 561754482 | healthcare | NC | CCHS | Related | $1,208,546 | $1,248,857 | false | $0 | false | 0.22071 |
| The Med Imaging Center LLC | ||||||||||||||
| 3186 Village Drive STE 101 | Fayetteville | NC | 28304 | 264473832 | healthcare | NC | CCHS | Related | $416,259 | $1,318,815 | false | $0 | false | 0.49000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Highsmith-Rainey Med Arts Center Assoc | ||||||||||||
| PO Box 2000 | Fayetteville | NC | 28302 | 561747424 | Rental Assoc. | NC | CCH | C CORP | $7,665 | $1,118,586 | 1.00000 | false |
| Cumberland Hlth Partners Inc (inactive) | ||||||||||||
| PO Box 2000 | Fayetteville | NC | 28302 | 562043978 | Behavioral Health | NC | CCH | C CORP | $0 | $0 | 1.00000 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Cape Fear Valley Medical Foundation | ||
| b | $343,141 | Cash |
| Cape Fear Valley Medical Foundation | ||
| c | $159,515 | Cash |
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