CUMBERLAND COUNTY HOSPITAL SYSTEM INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CUMBERLAND COUNTY HOSPITAL SYSTEM INC (EIN 56-0845796)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201502299349304210
- Schema version
- 2013v4.0
- 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 | 2015-08-17T16:19:24-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 191 Peachtree Street Suite 2000 | AddressLine1 |
| City | Atlanta | City |
| State | GA | State |
| ZIP Code | 303031749 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CUMB | BusinessNameControlTxt |
| Phone | 9106154829 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2000 | AddressLine1 |
| City | Fayetteville | City |
| State | NC | State |
| ZIP Code | 283022000 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SANDRA WILLIAMS CFO | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 9106154829 | PhoneNum |
| Signature | 2015-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John W Sadoff Jr | PreparerPersonNm |
| PTIN | P00540589 | PTIN |
| Phone | 4042201500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Sandra Williams | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2000 | AddressLine1 |
| City | Fayetteville | City |
| State | NC | State |
| ZIP Code | 283022000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,045,241,128 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 of Cumberland and Bladen counties, and the surrounding area in North Carolina. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 6928 | TotalEmployeeCnt |
| Total Volunteers | 505 | TotalVolunteersCnt |
| Total Gross UBI | -$82,304 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$107,178 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $478,450 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,558,425 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $827,954,023 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $837,359,002 | CYProgramServiceRevenueAmt |
| PY Investment Income | $17,194,462 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,766,796 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,438,255 | PYOtherRevenueAmt |
| CY Other Revenue | $11,677,273 | CYOtherRevenueAmt |
| PY Total Revenue | $858,065,190 | PYTotalRevenueAmt |
| CY Total Revenue | $865,361,496 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $262,290 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $343,141 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $383,399,136 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $385,789,235 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $448,335,825 | PYOtherExpensesAmt |
| CY Other Expenses | $451,150,229 | CYOtherExpensesAmt |
| PY Total Expenses | $831,997,251 | PYTotalExpensesAmt |
| CY Total Expenses | $837,282,605 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $26,067,939 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $28,078,891 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $935,749,959 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,024,920,170 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $501,306,750 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $562,215,051 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $434,443,209 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $462,705,119 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $770,118,582 | ExpenseAmt |
| Grant | $343,141 | GrantAmt |
| Revenue | $849,087,457 | RevenueAmt |
| Desc | As part of meeting the Health Care needs of the service area, CCHS, Inc. admitted 33,391 patients, provided 207,750 patient days of care, had 147,082 emergency room visits and had over 390,893 outpatient visits for other services. | Desc |
| Total Program Service Expenses | $770,118,582 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 631 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6928 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James Dupe | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9106154829 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2000 | AddressLine1 |
| City | Fayetteville | City |
| State | NC | State |
| ZIP Code | 283022000 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 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 | Institutional TrusteeInstitutionalTrusteeInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Betsy Bradshaw | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bradley Broussard | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Bryant Murphy | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Charles Evans | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Denise Mahone Wyatt | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Earnest Curry | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Glenn Adams | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeannette Council | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jennifer Twaddell | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jerry Dean | |||||||||
| Board Chairperson | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jimmy Keefe | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| John Henley | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kenneth Edge | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Larry Lancaster | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Marion Gillis Olion | |||||||||
| Vice Chairperson | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark Kasari | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Marshall Faircloth | |||||||||
| Secretary/Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Williford | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Nitin Desai | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Rueben Rivers | |||||||||
| Trustee | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Amy Cannon | |||||||||
| Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Tom Costello | |||||||||
| Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Michael Nagowski | |||||||||
| CEO | 55.00 | 0.00 | $976,162 | $0 | $95,907 | Yes (X) | |||
| Sandra Williams | |||||||||
| CFO | 55.00 | 0.00 | $509,809 | $0 | $28,360 | Yes (X) | |||
| William Pryor | |||||||||
| CHRO | 55.00 | 0.00 | $335,381 | $0 | $25,540 | Yes (X) | |||
| Inad Atassi | |||||||||
| Staff Physician | 55.00 | 0.00 | $769,140 | $0 | $26,633 | Yes (X) | |||
| John Spitalieri | |||||||||
| Staff Physician | 55.00 | 0.00 | $720,688 | $0 | $18,498 | Yes (X) | |||
| John Whitley | |||||||||
| Staff Physician | 55.00 | 0.00 | $783,556 | $0 | $18,053 | Yes (X) | |||
| Richard Osenbach | |||||||||
| Medical Director | 55.00 | 0.00 | $741,792 | $0 | $23,598 | Yes (X) | |||
| Stuart Shelton | |||||||||
| Medical Director | 55.00 | 0.00 | $962,113 | $0 | $29,122 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,798,641 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $265,711 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 467 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Simpli Fi Managed Services | |||||
| 1834 Sally Hill Farms Blvd | Florence | SC | 29501 | Professional Services | $17,425,475 |
| Allied Barton Security Services | |||||
| PO Box 534265 | Atlanta | GA | 30353 | Security Services | $4,735,697 |
| K&L Gates LLP | |||||
| 210 Sixth Avenue | Pittsburgh | PA | 15222 | Legal Services | $3,482,820 |
| Fayetteville Kidney | |||||
| PO Box 101518 | Atlanta | GA | 30392 | Professional Services | $2,755,284 |
| Hematology & Oncology Assoc Fayettevill | |||||
| PO Box 42935 | Fayetteville | NC | 28309 | Professional Services | $2,628,325 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 79 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $177,632 | RelatedOrganizationsAmt |
| Government Grants | $1,010,008 | GovernmentGrantsAmt |
| All Other Contributions | $370,785 | AllOtherContributionsAmt |
| Total Contributions | $1,558,425 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 900099 | $823,223,098 | $823,223,098 |
| Ancillary Medical Services | 900099 | $13,970,996 | $13,970,996 |
| Education/Outreach | 611710 | $164,908 | $164,908 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $837,359,002 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,957,657 | TotalRevenueColumnAmt |
| Exclusion | $10,957,657 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,796 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,800 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $55,996 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,996 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $24,874 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,122 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $183,657,796 | SecuritiesAmt |
| Other | $12,175 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $178,718,103 | SecuritiesAmt |
| Other | $1,142,729 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,939,693 | SecuritiesAmt |
| Other | -$1,130,554 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,809,139 | TotalRevenueColumnAmt |
| Exclusion | $3,809,139 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Purchase Rebates, Disc. and Other | 812900 | $6,934,954 | $6,934,954 |
| Cafeteria And Parking Revenue | 900099 | $3,812,728 | $3,812,728 |
| Employee Daycare Revenue | 624410 | $980,773 | $980,773 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$107,178 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$107,178 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,621,277 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $865,361,496 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $849,087,457 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$82,304 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,797,918 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,141 | TotalAmt |
| Program Services | $343,141 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,947,391 | TotalAmt |
| Program Services | $1,752,653 | ProgramServicesAmt |
| Management And General | $194,738 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,493,587 | TotalAmt |
| Program Services | $275,844,229 | ProgramServicesAmt |
| Management And General | $30,649,358 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,268,712 | TotalAmt |
| Program Services | $12,841,841 | ProgramServicesAmt |
| Management And General | $1,426,871 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,381,053 | TotalAmt |
| Program Services | $38,142,948 | ProgramServicesAmt |
| Management And General | $4,238,105 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,698,492 | TotalAmt |
| Program Services | $18,628,643 | ProgramServicesAmt |
| Management And General | $2,069,849 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,388,004 | TotalAmt |
| Program Services | $5,749,204 | ProgramServicesAmt |
| Management And General | $638,800 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,811,776 | TotalAmt |
| Program Services | $2,530,598 | ProgramServicesAmt |
| Management And General | $281,178 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,710 | TotalAmt |
| Program Services | $400,239 | ProgramServicesAmt |
| Management And General | $44,471 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,250 | TotalAmt |
| Program Services | $110,250 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,081,173 | TotalAmt |
| Program Services | $973,056 | ProgramServicesAmt |
| Management And General | $108,117 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,018,508 | TotalAmt |
| Program Services | $3,616,657 | ProgramServicesAmt |
| Management And General | $401,851 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,499,507 | TotalAmt |
| Program Services | $12,149,556 | ProgramServicesAmt |
| Management And General | $1,349,951 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,814,209 | TotalAmt |
| Program Services | $11,532,788 | ProgramServicesAmt |
| Management And General | $1,281,421 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,440 | TotalAmt |
| Program Services | $384,696 | ProgramServicesAmt |
| Management And General | $42,744 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,419 | TotalAmt |
| Program Services | $702,377 | ProgramServicesAmt |
| Management And General | $78,042 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,434,231 | TotalAmt |
| Program Services | $11,190,808 | ProgramServicesAmt |
| Management And General | $1,243,423 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,913,910 | TotalAmt |
| Program Services | $25,122,519 | ProgramServicesAmt |
| Management And General | $2,791,391 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,526,583 | TotalAmt |
| Program Services | $4,073,925 | ProgramServicesAmt |
| Management And General | $452,658 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt | $165,188,963 | $165,188,963 | |
| Medical and Other Suppl | $110,868,286 | $99,781,457 | $11,086,829 |
| Purchased Services | $17,398,107 | $15,658,296 | $1,739,811 |
| Contract Labor | $10,408,829 | $9,367,946 | $1,040,883 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,035,324 | TotalAmt |
| Program Services | $54,031,792 | ProgramServicesAmt |
| Management And General | $6,003,532 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $837,282,605 | TotalAmt |
| Program Services | $770,118,582 | ProgramServicesAmt |
| Management And General | $67,164,023 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,257,931 | BOYAmt |
| EOY | $22,980,761 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,368,461 | BOYAmt |
| EOY | $48,943,475 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,653,476 | BOYAmt |
| EOY | $102,424,561 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,275,510 | BOYAmt |
| EOY | $9,598,498 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,016,216 | BOYAmt |
| EOY | $5,648,245 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $739,504,357 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $426,944,424 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,653,925 | BOYAmt |
| EOY | $312,559,933 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,870,967 | BOYAmt |
| EOY | $304,786,253 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,653,473 | BOYAmt |
| EOY | $217,978,444 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,749,959 | BOYAmt |
| EOY | $1,024,920,170 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,614,285 | BOYAmt |
| EOY | $72,511,455 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,310 | BOYAmt |
| EOY | $308,418 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,594,642 | BOYAmt |
| EOY | $270,577,543 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,447,999 | BOYAmt |
| EOY | $82,899,672 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,491,514 | BOYAmt |
| EOY | $135,917,963 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,306,750 | BOYAmt |
| EOY | $562,215,051 | 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 | $423,314,698 | BOYAmt |
| EOY | $451,576,608 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,443,209 | BOYAmt |
| EOY | $462,705,119 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,749,959 | BOYAmt |
| EOY | $1,024,920,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $28,078,891 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,659,546 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$2,476,527 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $110,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $250 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $110,250 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,535,647 | OtherCostOrOtherBasisAmt |
| Book Value | $23,535,647 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $420,467,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $193,808,850 | DepreciationAmt |
| Book Value | $226,658,994 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,224,250 | OtherCostOrOtherBasisAmt |
| Depreciation | $738,282 | DepreciationAmt |
| Book Value | $1,485,968 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $282,948,377 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,982,631 | DepreciationAmt |
| Book Value | $59,965,746 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,328,239 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,414,661 | DepreciationAmt |
| Book Value | $913,578 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $312,559,933 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $26,684,756 |
| Self Insurance Trusts | $46,303,480 |
| Trusts - Bond Funds | $11,712,122 |
| Other Assets | $4,282,713 |
| Construction in Progress | $76,629,827 |
| Derivative Instrument | $52,365,546 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $217,978,444 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Prof Liability & Worker Comp Costs | $44,779,476 |
| Due to Payor Agencies | $56,650,272 |
| Derivative Instrument | $34,488,215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $135,917,963 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,470,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,048,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,422,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01850 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,875,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,115,616 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,759,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02790 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,345,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,163,616 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,181,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04640 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $125,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $125,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,838,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $744,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,094,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,339,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,040,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,299,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02430 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $475,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $475,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,777,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,784,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,993,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02980 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $118,122,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,947,616 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,174,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07620 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $180,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $180,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $255,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $255,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $38,626,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $163,712,716 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $188,201,447 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$24,488,731 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Website AddressWebsiteAddressTxt | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Cape Fear Valley Health System | ||||||||||
| 1 | 1638 Owen Drive | Fayetteville | NC | 28304 | Yes (X) | Yes (X) | Yes (X) | |||
| Highsmith Rainey Hospital | ||||||||||
| 2 | 150 Robeson Street | Fayetteville | NC | 28301 | Yes (X) | Long Term Acute Care Hospital | ||||
| Bladen County Hospital | ||||||||||
| 3 | 501 South Poplar Street | Elizabethtown | NC | 28337 | Yes (X) | Yes (X) | WWW.bladencountyhospital.org | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Medical IndigencyMedicalIndigencyInd | Uninsured DiscountUninsuredDiscountInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Attached To InvoiceAttachedToInvoiceInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Reporting To Credit AgencyReportingToCreditAgencyInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Own Website URLOwnWebsiteURLTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cape Fear Valley Health System | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 500.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
| Highsmith Rainey Hospital | |||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 500.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
| Bladen County Hospital | |||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 500.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | www.capefearvalley.com/bladen/home.html |
Supplemental Information SupplementalInformationGrp (8 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 14g: See the response to Part VI, Line 3 |
| Highsmith Rainey Hospital | Part V, Section B, Line 14g: See the response to Part VI, Line 3 |
| Bladen County Hospital | Part V, Section B, Line 14g: See the response to Part VI, Line 3 |
| Cape Fear Valley Health System | Part V, Section B, Line 20d: Patients are charged at the hospital Usual Customary and Reasonable rate minus 30%. |
| Highsmith Rainey Hospital | Part V, Section B, Line 20d: Patients are charged at the hospital Usual Customary and Reasonable rates minus 30%. |
| Bladen County Hospital | Part V, Section B, Line 20d: Patients are charged at the hospital Usual Customary and Reasonable rates 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|
| 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 Neurology | |||||
| 3308 Melrose Road | Fayetteville | NC | 28304 | Neurology | |
| 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 Medial 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 Medial 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 300 | 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 Medial Assoc - Bladenboro | |||||
| 106 Fourth Street | Bladenboro | NC | 28302 | Family Practice | |
| Bladen Medial 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 Primary Care | |||||
| 300 Medical Pavilion Drive Suite | Raeford | NC | 28376 | Family Practice | 102 |
| Hoke OBGYN | |||||
| 300 Medical Pavilion Drive Suite | Raeford | NC | 28376 | OB/Gyn services | 250 |
| Hoke Express Care | |||||
| 300 Medical Pavilion Drive Suite | Raeford | NC | 28376 | Express Care | 102 |
| CFV Infectious Disease Care | |||||
| 101 Robeson Street Suite 300 | Fayetteville | NC | 28301 | Infectious Disease | |
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") reported coalition building and workforce development details in the Community Building Activities Part II. 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 Systems, Inc. treats 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 written-off to charity rather than to 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, receive 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 governmental 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 flag ship of Cape Fear Valley Health System ("CFVHS"). CFVHS operates a variety of 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 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 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, Reports Filed With States | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cape Fear Valley Health Foundation | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 87526 | AddressLine1 |
| City | Fayetteville | City |
| State | NC | State |
| ZIP Code | 28304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 561947017 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $343,141 | CashGrantAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | 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 patients for purposes of assisting them in paying various bills and other expenses which the 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 not 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 | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael Nagowski | ||||||||||||||
| CEO | $579,760 | $0 | $366,092 | $0 | $30,310 | $0 | $72,578 | $0 | $23,329 | $0 | $1,072,069 | $0 | $0 | $0 |
| Sandra Williams | ||||||||||||||
| CFO | $356,328 | $0 | $111,082 | $0 | $42,399 | $0 | $10,100 | $0 | $18,260 | $0 | $538,169 | $0 | $0 | $0 |
| William Pryor | ||||||||||||||
| CHRO | $285,637 | $0 | $48,502 | $0 | $1,242 | $0 | $3,676 | $0 | $21,864 | $0 | $360,921 | $0 | $0 | $0 |
| Inad Atassi | ||||||||||||||
| Staff Physician | $722,835 | $0 | $23,000 | $0 | $23,305 | $0 | $10,100 | $0 | $16,533 | $0 | $795,773 | $0 | $0 | $0 |
| John Spitalieri | ||||||||||||||
| Staff Physician | $719,878 | $0 | $0 | $0 | $810 | $0 | $0 | $0 | $18,498 | $0 | $739,186 | $0 | $0 | $0 |
| John Whitley | ||||||||||||||
| Staff Physician | $753,349 | $0 | $0 | $0 | $30,207 | $0 | $0 | $0 | $18,053 | $0 | $801,609 | $0 | $0 | $0 |
| Richard Osenbach | ||||||||||||||
| Medical Director | $721,970 | $0 | $17,500 | $0 | $2,322 | $0 | $5,100 | $0 | $18,498 | $0 | $765,390 | $0 | $0 | $0 |
| Stuart Shelton | ||||||||||||||
| Medical Director | $654,418 | $0 | $256,785 | $0 | $50,910 | $0 | $10,100 | $0 | $19,022 | $0 | $991,235 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 6 | FormAndLineReferenceDesc |
| Explanation | A component of the CEO's bonus at year end is dependent on the financial standing of the organization. No specific percentage is tied to net income. | ExplanationTxt |
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 (1) | 0 | 0 |
| North Carolina Medical Care Commission | ||||||||
| B | 521309402 | 65821DPP0 | 2012-12-19 | $124,978,739 | To refund bonds issued 9/23/2008 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $133,335,000 | $285,335,000 | $3,722,838 | $10,007,178 | $271,604,984 | 2008 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $124,978,739 | $1,630,191 | $123,348,548 | 0 | Yes (1) | Yes (1) | Yes (1) |
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 | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00380 | 0.00380 | 0 | 0 | 0 |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00380 | 0.00380 | 0 | 0 | 0 |
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 | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Morgan Stanley | |||||||||||
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 1.100000000000 | Yes (1) | 0 | 0 |
| (no name) | |||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: North Carolina Medical Care Commission Date the Rebate Computation was Performed: 11/20/2012 |
| Schedule K Supplental 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 7a | The Board of Trustees of Cumberland County Hospital System shall be comprised of seven trustees who are the seven members of the Cumberland County 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 process the organization uses to review the Form 990 consists of providing the Form 990 to the Cumberland County Hospital System's Board of Trustees by electronic copy. Board Members will be given time to do a review before the filing date of August 15, 2015. |
| 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 delegated 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 conflicts 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, Section C, line 19 | Provided upon request. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cape Fear Insurance LTD | |||||||||||||
| PO Box 30600 SMB West Bay Road F | Grand Cayman | CJ | 980449284 | Insurance | CJ | $11,294,936 | $35,565,713 | 100 | |||||
| Bladen County Healthcare LLC | |||||||||||||
| 800164702 | Health Services | $45,066,215 | $23,099,197 | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||
| Cumberland Health Affiliates LLC | |||||||||||||
| 562275588 | Health Services | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||||
| Valley Health Facilities LLC | |||||||||||||
| 204268819 | Health Services | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||||
| Hoke Healthcare LLC | |||||||||||||
| 272763125 | Health Services | $5,140,740 | $100,540,747 | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | ||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Highsmith-Rainey Medical Arts Center Assoc | |||||||||||
| PO Box 2000 | Fayetteville | NC | 28302 | 561747424 | Rental Association | NC | Cumberland County Hospital | C | $202,203 | $1,063,596 | 0 |
| Cumberland Health Partners Inc | |||||||||||
| PO Box 2000 | Fayetteville | NC | 28302 | 562043978 | Behavioral Health Care | NC | Cumberland County Hospital | C | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |