CUMBERLAND COUNTY HOSPITAL SYSTEM INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CUMBERLAND COUNTY HOSPITAL SYSTEM INC (EIN 56-0845796)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201222289349302542
- Schema version
- 2010v3.4
- 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) |
|---|---|---|
| Timestamp | 2012-08-15T13:06:28-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 North 20th St Suite 2400 | AddressLine1 |
| City | Birmingham | City |
| State | AL | State |
| ZIP Code | 35203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560845796 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cumberland County Hospital System Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CUMB | NameControl |
| Phone | 9106154829 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SANDRA WILLIAMS CFO | Name |
| Title | Chief Financial Officer | Title |
| Phone | 9106154829 | Phone |
| Date Signed | 2012-08-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Charles B Freeman II | Name |
| Phone | 2053216000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sandra Williams | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 999026452 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.capefearvalley.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1956 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6594 | TotalNbrEmployees |
| Total Nbr Volunteers | 425 | TotalNbrVolunteers |
| Total Gross UBI | -50907 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -50907 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 862041 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 750077 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 684330101 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 747761734 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10386182 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16528780 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6688549 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7789242 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 702266873 | TotalRevenuePriorYear |
| Total Revenue Current Year | 772829833 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6207 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 183391 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 335263359 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 355490906 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 350120051 | OtherExpensePriorYear |
| Other Expenses Current Year | 386053651 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 685389617 | TotalExpensesPriorYear |
| Total Expenses Current Year | 741727948 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 16877256 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 31101885 | RevenuesLessExpensesCY |
| Total Assets BOY | 846966837 | TotalAssetsBOY |
| Total Assets EOY | 865155354 | TotalAssetsEOY |
| Total Liabilities BOY | 512905652 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 520277668 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 334061185 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 344877686 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 707407095 | Expense |
| Grants | 183391 | Grants |
| Revenue | 747761734 | Revenue |
| Description | As part of meeting the health care needs of the service area, CCHS, Inc. admitted 35,052 patients, provided 219,374 patient days of care, had 138,957 emergency room visits and had over 452,400 outpatient visits for other services. | Description |
| Total Program Service Expense | 707407095 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 487 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 6594 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 1 | Form8899Filed |
| Form1098 C Filed | 1 | Form1098CFiled |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James Dupe | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9106154829 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Jeannette Council | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Jerry Dean | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Mary Dickey | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Kenneth Edge | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Marshall Faircloth | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Bradley Broussard | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Earnest Curry | ||||||||
| Chairperson | 2.00 | X | 0 | 0 | 0 | |||
| John Henley | ||||||||
| Board Chairperson | 2.00 | X | 0 | 0 | 0 | |||
| Jimmy Keefe | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Billy King | ||||||||
| Secretary/Treasurer | 2.00 | X | 0 | 0 | 0 | |||
| Ed Melvin | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Marion Gillis Olion | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Divyang Patel | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Donald L Porter | ||||||||
| Vice Chair | 2.00 | X | 0 | 0 | 0 | |||
| Rueben Rivers | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| W Dickson Schaefer | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Sanjeev Slehria | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Charles Evans | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Jennifer Twaddell | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Denise Mahone Wyatt | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| James Martin | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| William Hurley | ||||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | |||
| Joyce Korzen | ||||||||
| Former COO | 0.00 | 177408 | 0 | 15429 | X | |||
| Michael Nagowski | ||||||||
| CEO | 55.00 | 637350 | 0 | 69329 | X | |||
| Sandra Williams | ||||||||
| CFO | 55.00 | 447994 | 0 | 13902 | X | |||
| Michael Harrington | ||||||||
| COO | 55.00 | 182838 | 0 | 6748 | X | |||
| Richard Osenbach | ||||||||
| Medical Director | 55.00 | 739435 | 0 | 10780 | X | |||
| John Spitalieri | ||||||||
| Staff Physician | 55.00 | 721889 | 0 | 6333 | X | |||
| Stuart Shelton | ||||||||
| Medical Director | 55.00 | 492733 | 0 | 16601 | X | |||
| Matthew Wells | ||||||||
| Staff Physician | 55.00 | 446872 | 0 | 15606 | X | |||
| Bradley Setser | ||||||||
| Staff Physician | 55.00 | 446751 | 0 | 13776 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4293270 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 168504 | TotalOtherCompensation |
| Number Individuals GT100 K | 408 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Aramark Clinical Technology Services | |||||
| 12483 Collection Ctr Dr | Chicago | IL | 60693 | Professional Services | 3757691 |
| Allied Barton Security Services | |||||
| PO Box 534265 | Atlanta | GA | 303534265 | Security Services | 3456090 |
| Fayetteville Kidney Center | |||||
| PO Box 101518 | Atlanta | GA | 30392 | Professional Services | 2285428 |
| Trinity Healthcare Staffing | |||||
| 1834 Sally Hill Farms Blvd | Florence | SC | 29501 | Professional Services | 1771598 |
| Aramark Healthcare Support Services | |||||
| PO Box 905810 | Charlotte | NC | 28290 | Professional Services | 1611603 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 76 | NumberOfContractorsGT100K |
| Government Grants | 189666 | GovernmentGrants |
| All Other Contributions | 560411 | AllOtherContributions |
| Total Contributions | 750077 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Rev. | 900099 | 735061259 | 735061259 |
| Ancillary Medical Ser. | 900099 | 12496674 | 12496674 |
| Education/Outreach | 611710 | 203801 | 203801 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 747761734 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12135426 | TotalRevenueColumn |
| Exclusion | $12,135,426 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1875 | TotalRevenueColumn |
| Exclusion | $1,875 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 62069 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 16000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 46069 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 46069 | TotalRevenueColumn |
| Exclusion | $46,069 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 230510957 | Securities |
| Other | 61141 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 226110567 | Securities |
| Other | 70052 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4400390 | Securities |
| Other | -8911 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4391479 | TotalRevenueColumn |
| Exclusion | $4,391,479 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria and Parking | 900099 | 3381000 | $3,381,000 |
| Purchase Rebates, Dis. | 812900 | 3306108 | $3,306,108 |
| Employee Daycare Rev. | 624410 | 1106972 | $1,106,972 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -50907 | TotalRevenueColumn |
| Unrelated Business Revenue | -50907 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7743173 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 772829833 | TotalRevenueColumn |
| Related Or Exempt Function Income | 747761734 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -50907 | UnrelatedBusinessRevenue |
| Exclusion | $24,368,929 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183391 | Total |
| Program Services | 183391 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1670844 | Total |
| Program Services | 1503759 | ProgramServices |
| Management And General | 167085 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287034767 | Total |
| Program Services | 287034767 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11898063 | Total |
| Program Services | 10708256 | ProgramServices |
| Management And General | 1189807 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35717188 | Total |
| Program Services | 32145469 | ProgramServices |
| Management And General | 3571719 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19170044 | Total |
| Program Services | 17253039 | ProgramServices |
| Management And General | 1917005 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5858834 | Total |
| Program Services | 5272950 | ProgramServices |
| Management And General | 585884 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1109582 | Total |
| Program Services | 998623 | ProgramServices |
| Management And General | 110959 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457487 | Total |
| Program Services | 411738 | ProgramServices |
| Management And General | 45749 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85000 | Total |
| Program Services | 85000 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 937073 | Total |
| Program Services | 843365 | ProgramServices |
| Management And General | 93708 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4416181 | Total |
| Program Services | 3974562 | ProgramServices |
| Management And General | 441619 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10352657 | Total |
| Program Services | 9317391 | ProgramServices |
| Management And General | 1035266 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12932077 | Total |
| Program Services | 11638869 | ProgramServices |
| Management And General | 1293208 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 218075 | Total |
| Program Services | 109038 | ProgramServices |
| Management And General | 109037 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1161852 | Total |
| Program Services | 580926 | ProgramServices |
| Management And General | 580926 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13838257 | Total |
| Program Services | 13838257 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31413299 | Total |
| Program Services | 28271969 | ProgramServices |
| Management And General | 3141330 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28624697 | Total |
| Program Services | 25762227 | ProgramServices |
| Management And General | 2862470 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical supplies | 109346368 | 98411731 | 10934637 |
| Bad debt | 90749698 | 90749698 | |
| Purchased services | 19215627 | 17294064 | 1921563 |
| Contract labor | 13730693 | 12357623 | 1373070 |
| Repairs and Maintenance | 12148085 | 12148085 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29458109 | Total |
| Program Services | 26512298 | ProgramServices |
| Management And General | 2945811 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 741727948 | Total |
| Program Services | 707407095 | ProgramServices |
| Management And General | 34320853 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5288284 | BOY |
| EOY | 2089182 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62713782 | BOY |
| EOY | 58317021 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93667312 | BOY |
| EOY | 101542779 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9040533 | BOY |
| EOY | 9101968 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4595501 | BOY |
| EOY | 6038843 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 651214809 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 353680657 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295968496 | BOY |
| EOY | 297534152 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 213961693 | BOY |
| EOY | 235082670 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161731236 | BOY |
| EOY | 155448739 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 846966837 | BOY |
| EOY | 865155354 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74262155 | BOY |
| EOY | 65444177 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119227 | BOY |
| EOY | 131933 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304484909 | BOY |
| EOY | 298476441 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134039361 | BOY |
| EOY | 156225117 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 512905652 | BOY |
| EOY | 520277668 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322932674 | BOY |
| EOY | 333749175 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 334061185 | BOY |
| EOY | 344877686 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 846966837 | BOY |
| EOY | 865155354 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 31101885 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -20285384 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $85,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 85000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15610783 | OtherCostOrOtherBasis |
| Book Value | 15610783 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 382809804 | OtherCostOrOtherBasis |
| Depreciation | 165211173 | Depreciation |
| Book Value | 217598631 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1000812 | OtherCostOrOtherBasis |
| Depreciation | 498506 | Depreciation |
| Book Value | 502306 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 241334934 | OtherCostOrOtherBasis |
| Depreciation | 179278589 | Depreciation |
| Book Value | 62056345 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10458476 | OtherCostOrOtherBasis |
| Depreciation | 8692389 | Depreciation |
| Book Value | 1766087 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 297534152 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Other Receivables | 58488314 |
| Self Insurance Trusts | 39738603 |
| Trusts - Bond Funds | 21153036 |
| Other Assets | 20821564 |
| Construction in Progress | 15247222 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 155448739 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated Prof Liability & Worker Comp Costs | $53,829,715 |
| Due to Payor Agencies | $56,568,732 |
| Derivative Instrument | $45,826,670 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 156225117 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24840230 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1927500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22912730 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03090 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 39093500 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25480000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13613500 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01840 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63933730 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27407500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 36526230 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04930 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 75000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 75000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3176000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3080000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 96000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17745330 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10455500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7289830 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21006330 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13535500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7470830 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 84940060 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40943000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 43997060 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05930 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 160000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 160000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 45000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 45000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 205000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 205000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $25,913,000 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 173683733 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 192961760 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -19278027 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 3 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | Critical Access HospitalCriticalAccessHospital | Er24 HoursEr24Hours | OtherOther | General Medical And SurgicalGeneralMedicalAndSurgical |
|---|---|---|---|---|---|---|---|---|---|
| Bladen County Hospital | |||||||||
| 1 | 501 South Poplar Street | Elizabethtown | NC | 28337 | X | X | X | ||
| Highsmith Rainey Hospital | |||||||||
| 2 | 150 Robeson Street | Fayetteville | NC | 28301 | Long Term Acute Care Hospital | ||||
| Cape Fear Valley Health System | |||||||||
| 3 | 1638 Owen Drive | Fayetteville | NC | 28304 | X | X | X | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)
| Hospital Facility NumberHospitalFacilityNumber |
|---|
| NA |
| 1 |
| NA |
| 2 |
| NA |
| 3 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part II: 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 then does not pay, their charges are written-off as bad debt. Amounts in 2 are determined by calculating a cost-to-charge ratio. Total expenses (less bad debt and other operating revenue) is 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 determined to qualify for charity, account is written-off to charity rather than bad debt. | ||
| Cumberland County Hospital System files a community benefit report annually in the state of North Carolina to the NC Hospital Association. | ||
| 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. Our facility is a member of a group called Greater Fayetteville Futures. As a member of this group we participate in community meetings to gain insight needs and community suggestions.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, 13 primary care clinics, 16 specialty care clinics, 5 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 2010 Census Data, Cumberland has a population of over 319,000 residents; this was a growth of 5.4% from the 2000 Census Data. Approximately 48.6% of the 319,000 residents in our primary service area are minorities, compared to 31.5% for the state. | ||
| Part VI, Line 6: 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 7: Cumberland County Hospital System is a stand-alone health care organization and is not a part of an affiliated health care system. | ||
| NC | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Cape Fear Valley Health Foundation | |||||||
| PO Box 87526 | Fayetteville | NC | 28304 | 561947017 | 501(c)(3) | 171241 | General Support |
| UNC - Chapel Hill | |||||||
| 104 Airport Drive CB1220 | Chapel Hill | NC | 27599 | 566001393 | 501(c)(3) | 10000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: 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 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 patients, instead the funds are paid directly to the organization for which patient owes the bill and/or expense. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joyce Korzen | |||||||||||||
| 0 | 0 | 0 | 0 | 177408 | 0 | 13605 | 0 | 1824 | 0 | 192837 | 0 | 0 | 0 |
| Michael Nagowski | |||||||||||||
| 466807 | 0 | 145741 | 0 | 24802 | 0 | 60529 | 0 | 8800 | 0 | 706679 | 0 | 0 | 0 |
| Sandra Williams | |||||||||||||
| 321083 | 0 | 101384 | 0 | 25527 | 0 | 9900 | 0 | 4002 | 0 | 461896 | 0 | 0 | 0 |
| Michael Harrington | |||||||||||||
| 163065 | 0 | 8461 | 0 | 11312 | 0 | 4231 | 0 | 2517 | 0 | 189586 | 0 | 0 | 0 |
| Richard Osenbach | |||||||||||||
| 721704 | 0 | 16500 | 0 | 1231 | 0 | 4900 | 0 | 5880 | 0 | 750215 | 0 | 0 | 0 |
| John Spitalieri | |||||||||||||
| 721087 | 0 | 0 | 0 | 802 | 0 | 0 | 0 | 6333 | 0 | 728222 | 0 | 0 | 0 |
| Stuart Shelton | |||||||||||||
| 399536 | 0 | 73515 | 0 | 19682 | 0 | 9900 | 0 | 6701 | 0 | 509334 | 0 | 0 | 0 |
| Matthew Wells | |||||||||||||
| 406567 | 0 | 29828 | 0 | 10477 | 0 | 8794 | 0 | 6812 | 0 | 462478 | 0 | 0 | 0 |
| Bradley Setser | |||||||||||||
| 395936 | 0 | 33801 | 0 | 17014 | 0 | 9900 | 0 | 3876 | 0 | 460527 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 4a | Joyce Korzen received severance in the amount of $116,934 during the calendar year ending December 31, 2010. |
| Part I, Line 6 | 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. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| North Carolina Medical Care Commission | |||||||
| 521309402 | 6579022Y7 | 2006-05-04 | 37995351 | Construction and Equipment | 0 | 0 | 0 |
| North Carolina Medical Care Commission | |||||||
| 521309402 | 65821DAL5 | 2008-09-23 | 285335000 | To refund bonds issued 5/4/2006, and to fund building costs | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Other Spent ProceedsOtherSpentProceeds |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 21520000 | 39439715 | 366802 | 2974844 | 352680 | 683338 | 12370 | 35416483 | 2008 | 0 | 0 | 1 | 1 | |
| 2420000 | 285335000 | 14626234 | 3722838 | 10007178 | 2008 | 1 | 0 | 1 | 1 | 260250000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 1 | 1 |
| 0 | 0 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied |
|---|---|---|---|---|---|---|---|
| (no name) | |||||||
| 0 | 0 | 0 | 0 | 0 | 1 | ||
| Morgan Stanley | |||||||
| 0 | 1 | 0 | 1 | 0 | 1 | 1.100000000000 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. Part II, line 4, column A - The amount shown here consists of debt service fund deposits. Part II, line 4, column B - The amount shown here consists of $3,265,841 of debt service fund deposits plus $11,360,393 in a reasonably required reserve or replacement fund. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 thorough review before the filing date of August 15, 2012. | |
| 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 12c | |
| 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 B, line 15 | |
| Provided upon request. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized losses on investments: -20,285,384. | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cape Fear Insurance LTD | ||||||||||||||
| PO Box 30600 SMB West Bay Road F | Grand Cayman | Cayman Island | CJ | 980449284 | Insurance | CJ | 10986078 | 36366448 | 100 | |||||
| Bladen County Healthcare LLC | ||||||||||||||
| 800164702 | Health Services | 32820407 | 12489612 | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | |||||
| Cumberland Health Affiliates LLC | ||||||||||||||
| 562275588 | Health Services | 0 | 0 | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | |||||
| Valley Health Facilities LLC | ||||||||||||||
| 204268819 | Health Services | 0 | 0 | 100 | PO Box 2000 | Fayetteville | NC | 28302 | NC | |||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Highsmith-Rainey Medical Arts Center Assoc | |||||||||||
| PO Box 2000 | Fayetteville | NC | 28302 | 561747424 | Rental Association | NC | Cumberland County Hospital System Inc | C | -70870 | 918963 | 1.00000 |
| Cumberland Health Partners Inc | |||||||||||
| PO Box 2000 | Fayetteville | NC | 28302 | 562043978 | Behavioral Health Care | NC | Cumberland County Hospital System Inc | C | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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