HUGH CHATHAM MEMORIAL HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HUGH CHATHAM MEMORIAL HOSPITAL INC (EIN 56-0642846)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-19
- IRS object ID
- 202642319349300224
- Schema version
- 2024v5.1
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-19T11:10:49+00:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS MAZARS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE OAK ST SUITE 300 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560642846 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGH CHATHAM MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HUGH | BusinessNameControlTxt |
| Phone | 3365277000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 PARKWOOD DR | AddressLine1Txt |
| City | ELKIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28621 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL H HAMMES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2026-08-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Preparation | 2026-08-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGH CHATHAM HEALTH | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAUL H HAMMES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 PARKWOOD DR | AddressLine1Txt |
| City | ELKIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28621 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $133,746,492 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HUGHCHATHAM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1930 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE BIRTHING AND ACUTE CARE SERVICES IN ADDITION TO SKILLED NURSING, RETIREMENT COMMUNITY, HOME HEALTH, AND HOSPICE SERVICES PRIMARILY TO THE RESIDENTS OF AND SURROUNDING COUNTIES TO SURRY COUNTY, NORTH CAROLINA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1208 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $74,498 | PYContributionsGrantsAmt |
| CY Contributions Grants | $913,523 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $133,004,746 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $124,381,388 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,502,183 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,527,217 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,878,967 | PYOtherRevenueAmt |
| CY Other Revenue | $1,924,364 | CYOtherRevenueAmt |
| PY Total Revenue | $139,460,394 | PYTotalRevenueAmt |
| CY Total Revenue | $133,746,492 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $334,679 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $76,850 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $82,436,962 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $71,663,270 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $141,093 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $88,462,917 | PYOtherExpensesAmt |
| CY Other Expenses | $76,536,002 | CYOtherExpensesAmt |
| PY Total Expenses | $171,234,558 | PYTotalExpensesAmt |
| CY Total Expenses | $148,276,122 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$31,774,164 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,529,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $221,645,326 | TotalAssetsBOYAmt |
| Total Assets EOY | $168,598,313 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $57,989,739 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,472,146 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $163,655,587 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $153,126,167 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO CONSISTENLY DELIVER EXCEPTIONAL QUALITY AND SERVICE BY DEMONSTRATING THE VALUES OF SERVICE, TEAMWORK, ACCOUNTABILITY, RESPECT, AND SAFE CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $136,660,090 | ExpenseAmt |
| Grant | $76,850 | GrantAmt |
| Revenue | $124,389,896 | RevenueAmt |
| Desc | IN 2025, HUGH CHATHAM HEALTH CONTINUED THEIR LEGACY OF PROVIDING HEALTHCARE TO ALL WITHIN THE COMMUNITY. THE ORGANIZATION'S VISION, "TO BE THE BEST COMMUNITY HEALTH SYSTEM IN THE NATION WITH SERVICE AS OUR GUIDING PRINCIPLE," DECLARES THAT EVERY MEMBER OF THE TEAM PROVIDES THE HIGHEST LEVEL OF CARE FOR EVERY PATIENT, AT EVERY LOCATION. HUGH CHATHAM MAKES A DIFFERENCE EVERY DAY FOR LOCAL CITIZENS AND EMPLOYERS. THE NONPROFIT HEALTHCARE SYSTEM HAS RECENTLY RECEIVED MANY PRESTIGIOUS AWARDS THAT ACCENTUATE ITS COMMITMENT TO EXCELLENCE. CONTINUED ON SCHEDULE O | Desc |
| Total Program Service Expenses | $136,660,090 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 129 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1208 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMY REDIES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3365277595 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 560 | AddressLine1Txt |
| City | ELKIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28621 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANN ASHMAN | |||||||||
| VICE CHAIR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BOB BALL | |||||||||
| TREASURER | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CYNTHIA GONZALEZ | |||||||||
| CHAIR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DR MURUG SUBBIAH | |||||||||
| BOARD MEMBER/CHIEF OF STAFF | 40.0 | Yes (X) | Yes (X) | $503,942 | $0 | $66,122 | |||
| ELANA THOMASSON | |||||||||
| ASST. SEC/TREASURER | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PHIL HARRIS | |||||||||
| SECRETARY | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BILL JOHNSON | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS GRONER | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| CRYSTAL MORPHIS | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID ACKERMAN | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID CLINE | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| KEVIN AUSTIN | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARK STEPHENS | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| MYRA COX | |||||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| TERRY DARNELL | |||||||||
| IMMEDIATE PAST CHAIR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JONATHAN SNYDER | |||||||||
| CMO | 40.0 | $860,906 | $0 | $54,026 | Yes (X) | ||||
| KEVIN MAY | |||||||||
| CFO | 40.0 | $445,586 | $0 | $0 | Yes (X) | ||||
| LAUREN LEDFORD | |||||||||
| CHIEF AMBULATORY OFFICER | 40.0 | $255,779 | $0 | $11,901 | Yes (X) | ||||
| MARY BLACKBURN | |||||||||
| CNO | 40.0 | $329,576 | $0 | $45,673 | Yes (X) | ||||
| PAUL HAMMES | |||||||||
| CEO | 40.0 | $456,071 | $0 | $67,459 | Yes (X) | 1.0 | |||
| ANDREW LEE | |||||||||
| PHYSICIAN | 40.0 | $670,126 | $0 | $44,119 | Yes (X) | ||||
| JACQUELINE DARCEY | |||||||||
| PHYSICIAN | 40.0 | $451,370 | $0 | $32,148 | Yes (X) | ||||
| JOHNATHAN WHITAKER | |||||||||
| PHYSICIAN | 40.0 | $966,970 | $0 | $57,466 | Yes (X) | ||||
| JUDSON RACKLEY | |||||||||
| PHYSICIAN | 40.0 | $785,504 | $0 | $35,858 | Yes (X) | ||||
| SARBA KUNDU | |||||||||
| PHYSICIAN | 40.0 | $1,278,922 | $0 | $59,316 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,004,752 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $474,088 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 110 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| NURSE ANESTHESIA OF N C-ELKIN | ||||||
| 6625 N STATE HWY 161 | IRVING | TX | 75038 | ANESTHESIA SERVICES | $1,370,181 | |
| NORTH CAROLINA BAPTIST HOSPITA | ||||||
| 200 EAST FIRST STREET | WINSTON SALEM | NC | 27101 | RADIATION ONCOLOGY, ETC | $1,060,535 | MAILBOX 1 |
| QUALIVIS LLC | ||||||
| P O BOX 674913 | DALLAS | TX | 752674913 | CONTRACT LABOR | $750,762 | |
| WEATHERBY LOCUMS INC | ||||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT LABOR - LOCUMS | $490,378 | |
| CORNERSTONE HEALTH ENABLEMENT | ||||||
| 165 KIMEL PARK DR | WINSTON SALEM | NC | 27103 | ACO - HEALTH CARE SERVICES | $431,403 | SUITE B |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $913,523 | RelatedOrganizationsAmt |
| Total Contributions | $913,523 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE SERVICES | 621400 | $122,391,031 | $122,391,031 |
| OTHER OPERATING REVENUE | 621400 | $1,990,357 | $1,990,357 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $124,381,388 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,013,214 | TotalRevenueColumnAmt |
| Exclusion | $3,013,214 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,915,856 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,915,856 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,915,856 | TotalRevenueColumnAmt |
| Exclusion | $1,915,856 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,093,853 | SecuritiesAmt |
| Other | $420,150 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,093,853 | SecuritiesAmt |
| Other | $420,150 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,514,003 | TotalRevenueColumnAmt |
| Exclusion | $3,514,003 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA & VENDING | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,508 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,508 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,508 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $133,746,492 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $124,389,896 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,443,073 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,850 | TotalAmt |
| Program Services | $76,850 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,898,807 | TotalAmt |
| Program Services | $1,123,737 | ProgramServicesAmt |
| Management And General | $1,656,732 | ManagementAndGeneralAmt |
| Fundraising | $118,338 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,206,956 | TotalAmt |
| Program Services | $52,166,032 | ProgramServicesAmt |
| Management And General | $5,040,924 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,198 | TotalAmt |
| Program Services | $515,290 | ProgramServicesAmt |
| Management And General | $64,764 | ManagementAndGeneralAmt |
| Fundraising | $1,144 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,059,126 | TotalAmt |
| Program Services | $6,258,621 | ProgramServicesAmt |
| Management And General | $786,607 | ManagementAndGeneralAmt |
| Fundraising | $13,898 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,917,183 | TotalAmt |
| Program Services | $3,472,974 | ProgramServicesAmt |
| Management And General | $436,496 | ManagementAndGeneralAmt |
| Fundraising | $7,713 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,492,831 | TotalAmt |
| Management And General | $1,492,831 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,757 | TotalAmt |
| Management And General | $270,757 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,579 | TotalAmt |
| Management And General | $365,579 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,771,853 | TotalAmt |
| Program Services | $28,771,853 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,933 | TotalAmt |
| Program Services | $417,933 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,988,422 | TotalAmt |
| Program Services | $2,649,535 | ProgramServicesAmt |
| Management And General | $338,887 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,521,114 | TotalAmt |
| Program Services | $1,348,620 | ProgramServicesAmt |
| Management And General | $172,494 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,510 | TotalAmt |
| Program Services | $120,510 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,880,283 | TotalAmt |
| Program Services | $1,667,059 | ProgramServicesAmt |
| Management And General | $213,224 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,605,326 | TotalAmt |
| Program Services | $4,969,682 | ProgramServicesAmt |
| Management And General | $635,644 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,616 | TotalAmt |
| Program Services | $845,616 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT EXPENSE | $9,572,740 | $9,572,740 |
| MEDICAL SUPPLIES | $15,542,758 | $15,542,758 |
| PROVIDER TAX | $5,191,522 | $5,191,522 |
| MISCELLANEOUS | $1,499,067 | $1,499,067 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,691 | TotalAmt |
| Program Services | $449,691 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,276,122 | TotalAmt |
| Program Services | $136,660,090 | ProgramServicesAmt |
| Management And General | $11,474,939 | ManagementAndGeneralAmt |
| Fundraising | $141,093 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,353,024 | BOYAmt |
| EOY | $4,528,575 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,531,515 | BOYAmt |
| EOY | $10,493,983 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,148,503 | BOYAmt |
| EOY | $1,132,717 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,726,547 | BOYAmt |
| EOY | $3,452,755 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $153,905,494 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $104,439,884 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,347,458 | BOYAmt |
| EOY | $49,465,610 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,172,171 | BOYAmt |
| EOY | $77,191,075 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,757,446 | BOYAmt |
| EOY | $14,882,429 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,608,662 | BOYAmt |
| EOY | $7,451,169 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,645,326 | BOYAmt |
| EOY | $168,598,313 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,558,342 | BOYAmt |
| EOY | $12,969,127 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,700 | BOYAmt |
| EOY | $979,671 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,571,170 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,719,527 | BOYAmt |
| EOY | $1,523,348 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,989,739 | BOYAmt |
| EOY | $15,472,146 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,430,175 | BOYAmt |
| EOY | $152,497,149 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,225,412 | BOYAmt |
| EOY | $629,018 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,655,587 | BOYAmt |
| EOY | $153,126,167 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,645,326 | BOYAmt |
| EOY | $168,598,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,529,630 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,195,221 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$51,488 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $856,477 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (true) | VolunteersInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $10,674 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,674 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | PART II-B, LINE 1I: THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA). THESE ORGANIZATIONS ENGAGE IN LOBBYING EFFORTS TO LEGISLATIVE BODIES ON BEHALF OF THEIR MEMBERSHIP BASES. EACH YEAR, A PORTION OF MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ENDEAVORS. FOR THE CURRENT YEAR, THE PORTION OF DUES PAID ALLOCATED TO LOBBYING IS APPROXIMATELY $ 10,674. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,954,879 | OtherCostOrOtherBasisAmt |
| Book Value | $3,954,879 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $98,782,877 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,928,967 | DepreciationAmt |
| Book Value | $41,853,910 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,546,781 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,908,196 | DepreciationAmt |
| Book Value | -$361,415 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,620,957 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,602,721 | DepreciationAmt |
| Book Value | $4,018,236 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,465,610 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN HOSPICE OF SURRY COUNTY | $6,899,501 | C |
| INVESTMENT IN ALLEGHANY HEALTH | $7,982,928 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $14,882,429 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| FEDERAL INCOME TAXES | |
| INTEREST PAYABLE | |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $625,002 |
| PHYSICIAN GUARANTEE | $186,200 |
| INTEREST RATE SWAP | |
| RESIDENT TRUST FUNDS | $56,111 |
| LEASE LIABILITY | $656,035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,523,348 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| Most Hospitals Policy | Yes (X) | MostHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,578,405 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,578,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01859 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,798,346 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,993,597 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,804,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03464 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $9,376,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,993,597 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,383,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05323 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $413 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $413 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $142,834 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142,834 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00103 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $143,247 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $143,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00103 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $9,519,998 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,993,597 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,526,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05426 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $443,693 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $443,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $443,693 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $443,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,572,740 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,150,389 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $12,176,409 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $12,176,409 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $0 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGH CHATHAM MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 180 PARKWOOD DRIVE | AddressLine1Txt |
| City | ELKIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28621 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | H0049 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | DISPROPORTIONATE SHARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUGH CHATHAM MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.https://hughchatham.org/wp-content/uploads/2023/01/2022_CommunityHealthNeeds-Plan_1.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://wwwhttps://hughchatham.org/wp-content/uploads/2023/01/2022-Community-Health-Needs-Assessment | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://hughchatham.org/patient-visitor-guide/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://hughchatham.org/patient-visitor-guide/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://hughchatham.org/patient-visitor-guide/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 | FACILITY , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. EXPERTS IN THE FIELD OF PUBLIC HEALTH, HOSPICE CARE, NURSES, PHYSICIANS, CASE MANAGEMENT, EDUCATION, AND PHILANTHROPY WERE CHOSEN FOR THE FOCUS GROUP. THE FOCUS GROUPS WERE DESIGNED AROUND THE KEY ISSUES THAT EMERGED FROM THE MEETINGS. |
| SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 | FACILITY , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. HUGH CHATHAM MEMORIAL HOSPITAL WILL CONTINUE TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS OF THOSE WITHIN OUR COMMUNITY, WITH A SPECIAL FOCUS ON THE UNDERSERVED. AS SUCH, COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO OUR HOSPITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES TO ENSURE WE CONTINUE TO EFFECTIVELY SUPPORT COMMUNITY BENEFITS. |
| SCHEDULE H, PART V, SECTION B, LINE 15 FACILITY , 1 | FACILITY , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. PATIENT ACCESS SCREENING QUESTIONS AND COVER LETTER WITH PLAIN LANGUAGE DIRECTIONS TO APPLY. |
| SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1 | FACILITY , 1 - HUGH CHATHAM MEMORIAL HOSPITAL. ENGLISH AND SPANISH OPTIONS ARE AVAILABLE ON THE WEBSITE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 35 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| YADKIN VALLEY HOME HEALTH | ||||
| 560 WINSTON RD | ELKIN | NC | 28642 | HOME HEALTH |
| PARKWOOD PLACE RETIREMENT CENTER | ||||
| 601 JOHNSON RIDGE RD | ELKIN | NC | 28621 | RETIREMENT CENTER |
| TRI COUNTY ORTHOPEDIC AND SPORTS MEDICINE | ||||
| 400 JOHNSON RIDGE RD | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| TRI COUNTY ORTHOPEDIC AND SPORTS MEDICINE - JONESVILLE | ||||
| 546 WINSTON ROAD | JONESVILLE | NC | 28642 | PHYSICIAN OFFICE |
| YADKIN VALLEY GASTROENTEROLOGY | ||||
| 201 WEST MAIN STREET | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| G I CLINIC | ||||
| 201 WEST MAIN STREET | ELKIN | NC | 28621 | PROCEDURE CLINIC |
| HUGH CHATHAM SURGICAL | ||||
| 101-A ELDON PARK DRIVE | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM URGENT CARE - ELKIN | ||||
| 631 CC CAMP ROAD | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| JONESVILLE URGENT CARE CENTER | ||||
| 546 WINSTON ROAD | JONESVILLE | NC | 28642 | PHYSICIAN OFFICE |
| YADKIN VALLEY UROLOGY | ||||
| 200 JOHNSON RIDGE MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| YADKIN VALLEY INTERNAL MEDICINE | ||||
| 500 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| CLINGMAN MEDICAL CENTER FAMILY MEDICINE & EXPRESS CARE | ||||
| 3369 CLINGMAN RD | RONDA | NC | 28670 | PHYSICIAN OFFICE |
| YADKIN VALLEY DERMATOLOGY | ||||
| 201A ELDON PARK DRIVE | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MEDICINE ELKIN | ||||
| 600 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM NEUROLOGY | ||||
| 101-B ELDON PARKS DRIVE | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM BEHAVIORAL HEALTH | ||||
| 690 PARKWOOD MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| YADKIN VALLEY PULMONOLOGY | ||||
| 546 WINSTON ROAD | JONESVILLE | NC | 28642 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MED BOOMER | ||||
| 156 BOOMER COMMUNITY CENTER RD | BOOMER | NC | 28606 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MED MT VIEWHAYS | ||||
| 5229 ROCK CREEK RD | HAYS | NC | 28635 | PHYSICIAN OFFICE |
| HUGH CHATHAM WOMEN'S CENTER | ||||
| 150 PARKWOOD DRIVE | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM PODIATRY MEDICINE AND SURGERY | ||||
| 800 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM EXPRESS CARE DOBSON | ||||
| 911 E ATKINS ST | DOBSON | NC | 27017 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MEDICINE INDEPEDENCE | ||||
| 127 EAST MAIN STREET | INDEPENENCE | VA | 24348 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MEDICINE WOODLAWN | ||||
| 22 TRAINING CENTER RD | WOODLAWN | VA | 24381 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MEDICINE DOBSON | ||||
| 911 E ATKINS ST | DOBSON | NC | 27017 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MEDICINE JONESVILLE | ||||
| 546 WINSTON ROAD | JONESVILLE | NC | 28642 | PHYSICIAN OFFICE |
| HUGH CHATHAM ENDOCRINOLOGY AND DIABETES SPECIALISTS | ||||
| 150 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM FAMILY MEDICINE AND OBSETRICS | ||||
| 680 PARKWOOD MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM MULTISPECIALTY CLINIC | ||||
| 123 SCENIC OUTLET LANE SUITE 3 | MT AIRY | NC | 27030 | PHYSICIAN OFFICE |
| HEALTH AT HOME - WOODLAWN | ||||
| 22 TRAINING CENTER RD | WOODLAWN | VA | 24381 | HOME HEALTH |
| INTERNAL MEDICINE AND TRANSITIONAL CARE | ||||
| 300 JOHNSON RIDGE MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| HUGH CHATHAM NEPHROLOGY | ||||
| 500 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | PHYSICIAN OFFICE |
| TRI COUNTY ORTHOPEDIC AND SPORTS MEDICINE | ||||
| 1908 CAUDLE DRIVE | MT AIRY | NC | 27030 | PHYSICIAN OFFICE |
| HUGH CHATHAM WOUND CENTER | ||||
| 800 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | WOUND CARE |
| HUGH CHATHAM HEALTH WELLNESS CENTER | ||||
| 700 CHATHAM MEDICAL PARK | ELKIN | NC | 28621 | FITNESS FACILITY |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART VI, LINE 6 | THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. |
| SCHEDULE H, PART I, LINE 7F | THE TOTAL EXPENSE AMOUNT LISTED ON FORM 990, PART IX, LINE 26 CONTAINS BAD DEBT EXPENSE OF $9,572,740 THAT WAS REMOVED FOR THE PURPOSE OF CALCULATING TOTAL CHARITY CARE PERCENTAGE ON LINE 7, COLUMN (F). |
| SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES | HUGH CHATHAM ACKNOWLEDGED THAT HELPING OUR COMMUNITY WAS ESSENTIAL IN COMBATTING COVID 19 AND TO PROTECT THE PEOPLE WHO MAKE HUGH CHATHAM'S HEALTH SYSTEM SO IMPACTFUL. THE ORGANIZATION PROVIDED COVID-10 VACCINE CLINICS FOR EMPLOYEES AND THE COMMUNITY. IN ADDITION HCMH PROVIDED EDUCATION TO DECREASE THE SPREAD OF THE VIRUS TO COMMUNITY MEMBERS. HCMH ALSO OPENED THREE NEW PHYSICIAN PRACTICES AND EXPANDED EXPRESS CARE SERVICES. WE RALLIED TO ENSURE SAFETY FOR ALL. WE CREATED PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO PROVIDE PERSONAL PROTECTION EQUIPMENT. |
| SCHEDULE H, PART III, LINE 9B | HCMH MAKES EVERY EFFORT TO EVALUATE PATIENTS PRIOR TO PLACEMENT WITH A COLLECTIONS AGENCY TO SEE IF THEY ARE QUALIFIED FOR MEDICAID OR HOSPITAL CHARITY CARE. WE HAVE AN IN-HOUSE EMPLOYEE DESIGNATED TO ASSISTING PATIENTS ELIGIBLE FOR MEDICAID AND/OR FINANCIAL ASSISTANCE. AT THE POINT OF THE PATIENT NOT BEING ELIGIBLE AND FAILURE TO RESPOND FOR OUR PAYMENT PLAN OPTIONS, THE ACCOUNT IS PLACED WITH A COLLECTION AGENCY AND THE AGENCY MAKES AN EFFORT FOR 30 DAYS PRIOR TO PLACING ON THE CREDIT SCORE, TO OBTAIN PAYMENT. |
| SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION | 9572740 |
| SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE | THE ORGANIZATION INTERNALLY COMPUTED ITS COST-TO-CHARGES RATIO THAT WAS USED TO CALCULATE CHARITY CARE/FINANCIAL ASSISTANCE AT COST USED IN PART I, LINE 7. |
| SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT | THE OUTSTANDING ACCTS RECEIVABLE IS SEGREGATED BY AGE. A PERCENTAGE, DETERMINED BY HISTORICAL DATA, OF EACH AGING GROUP IS RESERVED FOR BAD DEBT AND EXPENSED MONTHLY. WHAT WE CALL TRADITIONAL MEDICARE AND CROSSOVER BAD DEBT ARE EXPENSED AT 100%. |
| SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY | $3,286,827 WHICH IS THE BAD DEBT AMOUNT STATED ABOVE TIMES THE COST TO CHARGE RATIO. 35% WOULD QUALIFY FOR FINANCIAL ASSISTANCE. |
| SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE ON BAD DEBT EXPENSE. THE BAD DEBT EXPENSE AT COST ON PART III, LINE 2 WAS COMPUTED BY USING THE GROSS BAD DEBT EXPENSE PER AUDITED FINANCIAL STATEMENTS REDUCED TO COST USING AN INTERNALLY COMPUTED COST-TO-CHARGES RATIO. DUE TO THE FACT THAT APPROXIMATELY 30% OF THE SURROUNDING COMMUNITY'S RESIDENTS ARE CONSIDERED TO BE LIVING BELOW THE POVERTY LINE, IN COMBINATION WITH THE FACT THAT THE UNEMPLOYMENT PERCENTAGE FOR THE AREA IS APPROXIMATELY 12.7%, THE ORGANIZATION FEELS THAT APPROXIMATELY 35% OF BAD DEBT IS AN APPROPRIATE ESTIMATION OF THE AMOUNT OF BAD DEBT THAT MAY CONSTITUTE A COMMUNITY BENEFIT. |
| SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS | AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6. |
| SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE | - HUGH CHATHAM MEMORIAL HOSPITAL: LINE 16A URL: HTTPS://HUGHCHATHAM.ORG/PATIENT-VISITOR-GUIDE/FINANCIAL-ASSISTANCE/; |
| SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE | - HUGH CHATHAM MEMORIAL HOSPITAL: LINE 16B URL: HTTPS://HUGHCHATHAM.ORG/PATIENT-VISITOR-GUIDE/FINANCIAL-ASSISTANCE/; |
| SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE | - HUGH CHATHAM MEMORIAL HOSPITAL: LINE 16C URL: HTTPS://HUGHCHATHAM.ORG/PATIENT-VISITOR-GUIDE/FINANCIAL-ASSISTANCE/; |
| SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT | THE ORGANIZATION TRACKS THE RESULTS OF HEALTH SCREENINGS PROVIDED THROUGH ITS HEALTH FAIRS AND LOOKS FOR TRENDS. THESE SCREENINGS PROVIDE INSIGHT INTO FURTHER MEDICAL NEEDS OF THE COMMUNITY MEMBERS. THE FAIRS ARE HELD PERIODICALLY THROUGH THE YEAR AND ARE ATTENDED BY HUNDREDS OF PEOPLE WHO ARE OFFERED VARIOUS HEALTH SCREENINGS. THIS YEAR OUR SCREENINGS WERE COVID RELATED. THE ORGANIZATION ALSO SUBSCRIBES TO NATIONAL AFFILIATED ORGANIZATIONS THAT PROVIDE DATA ON REGIONAL HEALTH NEEDS. THE LAST COUPLE OF YEARS OUR FOCUS HAS BEEN ON STROKE EDUCATION, WITH STROKE CERTIFICATION FOR OUR FACILITY. WE RECEIVED THE STROKE SILVER WITH HONOR ROLL ELITE AND TARGET. WE ALSO RECEIVED JOINT COMMISSIONS'S GOLD SEAL OF APRROVAL FOR THE ADVANCED CERTIFICATION FOR TOTAL HIP AND KNEE REPLACEMENT. REACHING INTO THE BUSINESS COMMUNITY WITH EDUCATIONAL MATERIALS AND SCREENINGS BEING PROVIDED. THE HUGH CHATHAM VIRTUAL CARE PROGRAM ALLOWS ACCESS TO PROVIDERS VIA WEBSITE OR APPLICATION IN ORDER TO PROVIDE CARE TO PATIENTS THAT DO NOT WANT TO BE AT RISK FOR COVID-19 OR OTHERWISE HOMEBOUND. THE 2022 CHNA PRIMARILY FOCUSED ON SURRY, WILKES, YADKIN, AND ALLEGHANY COUNTIES. THESE COUNTIES ARE CONSIDERED OUR "COMMUNITY" AS GREATER THAN EIGHTY-EIGHT (88) PERCENT OF THE HCMH INPATIENT POPULATION RESIDES WITHIN THESE FOUR COUNTIES. PRIMARY DATA FOR THE ASSESSMENT WAS GATHERED THROUGH A SURVEY TOOL WITH MORE THAN TWO HUNDRED AND EIGHTY-FIVE (285) SUBMISSIONS. PARTICIPANTS REPRESENTED MULTIPLE ORGANIZATIONS AND INCLUDED INDIVIDUALS WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY AND/OR HAD SPECIFIC EXPERTISE OR KNOWLEDGE. SECONDARY DATA WAS OBTAINED FROM LOCAL AND NATIONAL DATA PUBLISHED IN GOVERNMENT AND PRIVATE SOURCES. A COMPREHENSIVE LIST OF IDENTIFIED HEALTH ISSUES WAS COMPILED AND RECOMMENDATIONS WERE MADE TO HCMH'S EXECUTIVE LEADERSHIP FOR FURTHER REVIEW AND PRIORITIZATION. PRIORITIES WERE ASSESSED AND RANKED BASED ON ISSUE PREVALENCE, ISSUE SEVERITY, AND ABILITY TO IMPACT. FINAL PRIORITIZATION AS DETERMINED BY THE EXECUTIVE LEADERSHIP WAS APPROVED BY THE HCMH BOARD OF TRUSTEES. THE UNPRECEDENTED PANDEMIC OF COVID-19, SHOCKED OUR NATION AND HAD AN UNFATHOMABLE IMPACT ON HEALTHCARE SYSTEMS. HCMH UTILIZED THEIR STRENGTHS AS A COMMUNITY HEALTHCARE SYSTEM TO QUICKLY PIVOT TO PRIORITIZE CARE THAT EMBRACED NEW STRATEGIES TO DIAGNOSE AND TREAT THIS EMERGING INFECTIOUS DISEASE. WHILE MANY ELECTIVE SERVICES WERE LIMITED IN ORDER TO PROVIDE ADEQUATE RESOURCES OF SUPPLIES AND PERSONNEL WHERE THEY WERE MOST NEEDED, HCMH WAS CONSIDERED A LEADER IN THEIR RESPONSE TO PATIENT AND COMMUNITY NEEDS. |
| SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | FINANCIAL ASSISTANCE EDUCATION IS MADE AVAILABLE AT ADMISSION AND ON THE WEBSITE. AT REGISTRATION THERE ARE BROCHURES WITH FINANCIAL ASSISTANCE INFORMATION MADE AVAILABLE. SIGNAGE IS LOCATED THROUGHOUT THE FACILITY TO INFORM AND EDUCATE THE PUBLIC OF THEIR FINANCIAL RIGHTS. HUGH CHATHAM MEMORIAL HOSPITAL OFFERS A LANGUAGE LINE FOR THE NON-ENGLISH SPEAKING COMMUNITY AND PHONETREE ASSISTANCE WHERE NEEDED. |
| SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION | THE PRIMARY SERVICE AREA OF THE HOSPITAL INCLUDES NINE ZIP CODES. ROUGHLY A FIFTEEN MILE DIAMETER AROUND ELKIN, NC. THE SECONDARY SERVICE AREA INCLUDES AN ADDITIONAL FIVE ZIP CODES WIDENING THE DIAMETER TO THIRTY MILES AROUND ELKIN. BOTH OF THESES MARKETS INCLUDE PART, BUT NOT ALL, OF THE NORTH CAROLINA COUNTIES OF WILKES, ALLEGHANY, YADKIN AND SURRY. SOUTHERN VIRGINIA COUNTIES OF GRAYSON, PATRICK, AND CARROLL ARE ALSO INCLUDED. |
| SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH | HCMH SPENT OVER $2.1 MILLION IN UPDATES TO CAPITAL PROJECTS RELATED TO PATIENT CARE. NEW RADIOLOGY EQUIPMENT ADDED INTO OPERATION TO FURTHER ENHANCE OUR IMAGING DEPARTMENTS, LAB SERVICES AND EQUIPMENT TO ENHANCE OUR PATIENT TESTING AND MONITORING SYSTEMS IN PATIENT CARE AREAS THAT WILL ENABLE OUR STAFF TO MONITOR AND IMPROVE PATIENT OUTCOMES. |
| SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SURRY COUNTY ECONOMIC DEVELOPMENT PARTNERSHIP | |||||||
| PO BOX 7128 | MT AIRY | NC | 27030 | 561946934 | 501(C)(6) | $20,000 | ANNUAL INVESTMENT PLEDGE |
| MARTHA BASSETT LLC | |||||||
| $10,000 | OPERATIONAL SUPPORT | ||||||
| YADKIN VALLEY CHAMBER OF COMMERCE | |||||||
| 257 STANDARD STREET | ELKIN | NC | 28621 | 561570031 | 501(C)(6) | $8,000 | OPERATIONAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE MADE IN ACCORDANCE WITH HUGH CHATHAM MEMORIAL HOSPITAL'S MISSION STATEMENT TO CONSISTENLY DELIVER EXCEPTIONAL QUALITY AND SERVICE BY DEMONSTRATING THE VALUES OF SERVICE, TEAMWORK, ACCOUNTABILITY, RESPECT, AND SAFE CARE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR MURUG SUBBIAH | ||||||||||||||
| BOARD MEMBER/CHIEF OF STAFF | $443,577 | $0 | $59,813 | $0 | $552 | $0 | $53,500 | $0 | $12,622 | $0 | $570,064 | $0 | $0 | $0 |
| JONATHAN SNYDER | ||||||||||||||
| CMO | $577,000 | $0 | $283,546 | $0 | $360 | $0 | $43,010 | $0 | $11,016 | $0 | $914,932 | $0 | $0 | $0 |
| PAUL HAMMES | ||||||||||||||
| CEO | $455,039 | $0 | $0 | $0 | $1,032 | $0 | $53,500 | $0 | $13,959 | $0 | $523,530 | $0 | $0 | $0 |
| KEVIN MAY | ||||||||||||||
| CFO | $445,586 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $445,586 | $0 | $0 | $0 |
| MARY BLACKBURN | ||||||||||||||
| CNO | $328,544 | $0 | $0 | $0 | $1,032 | $0 | $31,714 | $0 | $13,959 | $0 | $375,249 | $0 | $0 | $0 |
| LAUREN LEDFORD | ||||||||||||||
| CHIEF AMBULATORY OFFICER | $255,587 | $0 | $0 | $0 | $192 | $0 | $10,288 | $0 | $1,613 | $0 | $267,680 | $0 | $0 | $0 |
| SARBA KUNDU | ||||||||||||||
| PHYSICIAN | $1,278,562 | $0 | $0 | $0 | $360 | $0 | $46,000 | $0 | $13,316 | $0 | $1,338,238 | $0 | $0 | $0 |
| JOHNATHAN WHITAKER | ||||||||||||||
| PHYSICIAN | $562,684 | $0 | $404,046 | $0 | $240 | $0 | $45,150 | $0 | $12,316 | $0 | $1,024,436 | $0 | $0 | $0 |
| JUDSON RACKLEY | ||||||||||||||
| PHYSICIAN | $653,141 | $0 | $132,044 | $0 | $319 | $0 | $23,000 | $0 | $12,858 | $0 | $821,362 | $0 | $0 | $0 |
| ANDREW LEE | ||||||||||||||
| PHYSICIAN | $386,381 | $0 | $282,713 | $0 | $1,032 | $0 | $30,500 | $0 | $13,619 | $0 | $714,245 | $0 | $0 | $0 |
| JACQUELINE DARCEY | ||||||||||||||
| PHYSICIAN | $228,100 | $0 | $222,238 | $0 | $1,032 | $0 | $20,248 | $0 | $11,900 | $0 | $483,518 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL JOINED HIGH MEADOWS COUNTRY CLUB. THERE HAS BEEN NO CHANGE IN THE POLICY SINCE ITS INCEPTION IN 2018. IT IS USED FOR BUSINESS PURPOSES ONLY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A | *AMERICAN HEART ASSOCIATION 2025 GET WITH THE GUIDELINES: STROKE GOLD PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES *AMERICAN HEART ASSOCIATION 2025 GET WITH THE GUIDELINES: STROKE RURAL GOLD *WOMEN'S CHOICE AWARD FOR BEST IN COMPREHENSIVE CARE, EMERGENCY AND STROKE CARE FOR 2025 *BEST HOSPITALS FOR PATIENT SATISFACTION BY BUSINESS NORTH CAROLINA *WELLBEING FIRST CHAMPION FOR 2025 BY ALL IN: WELLBEING FIRST FOR HEALTHCARE *5-STAR RATED FOR CLEANLINESS BY CMS HCAHPS *HUGH CHATHAM HEALTH AT HOME: PREMIER PERFORMER FOR PATIENT SATISFACTION BY SHP *NAMED ONE OF 12 HOSPITALS IN NC TO REPORT ZERO CAUTIS IN 2025, THE BIRTHPLACE AT HUGH CHATHAM HEALTH INTRODUCED THE "I GAVE BIRTH" INITIATIVE, A PROGRAM AIMED AT ENHANCING EDUCATION FOR THE COMMUNITY, PATIENTS, AND TEAM MEMBERS TO HELP DECREASE MATERNAL MORBIDITY AND MORTALITY RATES IN NORTH CAROLINA. THE BRACELET GIVEN TO PATIENTS AFTER BIRTH SERVES AS A REMINDER TO THE INDIVIDUAL AND MEDICAL PROFESSIONALS OF POTENTIAL POSTPARTUM COMPLICATIONS. IN PARTNERSHIP WITH HUGH CHATHAM HEALTH - PULMONOLOGY AND PULMONOLOGIST, DR. JERAY JOHNSON, HUGH CHATHAM OPENED A SLEEP MEDICINE CLINIC OFFERING COMPREHENSIVE SLEEP EVALUATIONS, OVERNIGHT SLEEP STUDIES, INTERVENTIONS TO IMPROVE SLEEP QUALITY, AND TREATMENT PLANS FOR CONDITIONS SUCH AS SLEEP APNEA, RESTLESS LEGS SYNDROME, NARCOLEPSY AND INSOMNIA. HUGH CHATHAM HEALTH RAISED OVER $1.2 MILLION THROUGH GRANTS, EVENTS AND FUNDRAISERS FOR THE HUGH CHATHAM HEALTH FOUNDATION, WHICH DIRECTLY SUPPORTS THE NEEDS OF THE COMMUNITY AND ITS MEMBERS. FUNDS WERE DISTRIBUTED TO SCHOLARSHIPS, COMMUNITY PARTNERSHIPS, AND THE HUGH CHATHAM HEALTH - WELLNESS CENTER WHICH UNDERWENT $490K IN RENOVATIONS TO UPDATE AND EXPAND THE FACILITY, ACCOMMODATE ADDITIONAL MEMBERSHIPS, AND INTRODUCE NEW WELLNESS INITIATIVES IN THE COMMUNITY. HUGH CHATHAM CONTINUES TO SUPPORT LOCAL SCHOOL SYSTEMS BY PROVIDING LIFE-SAVING EDUCATION AND SKILLS, SCHOLARSHIP OPPORTUNITIES, AND SPONSORSHIPS FOR HOSA ORGANIZATIONS. HUGH CHATHAM ALSO WELCOMED LOCAL EDUCATORS TO CAMPUS AS PART OF THE SURRY-YADKIN WORKS EDUCATOR EXCHANGE PROGRAM, PROVIDING BEHIND-THE-SCENES LOOK AT TODAY'S WORKFORCE IN HEALTHCARE. IN PARTNERSHIP WITH THE ELKIN VALLEY TRAILS ASSOCIATION, HUGH CHATHAM BROKE GROUND ON THE HEALING TRAIL AT HUGH CHATHAM HEALTH. THE HEALING TRAIL, A ONE-MILE-LONG TRAIL LOCATED ON HOSPITAL CAMPUS, WILL PROVIDE A RESTORATIVE OUTDOOR SPACE FOSTERING NATURE-BASED HEALING. THIS TRAIL WILL SERVE AS A THERAPEUTIC RESPITE FOR STAFF, CAREGIVERS, VOLUNTEERS AND VISITORS, THROUGH NATURE'S INNATE ABILITY TO REDUCE STRESS, LOWER BLOOD PRESSURE, AND CALM ANXIETY. A COMPLETE LISTING OF SERVICES IS AVAILABLE ON THE HEALTH SYSTEM'S WEBSITE AT WWW.HUGHCHATHAM.ORG. FOR REAL-TIME UPDATES AND STORIES ABOUT THE PEOPLE WHO MAKE THIS HEALTH SYSTEM SUCCESSFUL, VISIT HUGH CHATHAM HEALTH ON FACEBOOK, INSTAGRAM, TWITTER AND LINKEDIN. |
| FORM 990, PART VI, LINE 1A | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE IMMEDIATE PAST CHAIRMAN AND ONE (1) OR MORE ADDITIONAL MEMBERS WHO WILL BE NOMINATED BY THE CHAIRMAN FOR THE ELECTION BY THE BOARD OF TRUSTEES. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD OR BY STATUTE. THE EXECUTIVE COMMITTEE SHALL ALSO ANNUALLY REVIEW THE PERFORMANCE, COMPENSATION AND TERMS OF EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER AND MAKE RECOMMENDATIONS TO THE BOARD CONCERNING COMPENSATION AND TERMS OF THE EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | THE ARTICLES OF INCORPORATION AND BYLAWS HAVE BEEN AMENDED TO REFLECT THE AFFILIATION WITH WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC). WFUBMC WAS MADE THE SOLE MEMBER OF HUGH CHATHAM MEMORIAL HOSPITAL. |
| FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH SUPERVISION AND ASSITANCE BY MANAGMENT OF HUGH CHATHAM MEMORIAL HOSPITAL. THE RETURN WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY | ANNUALLY, ALL VOTING BOARD MEMBERS ARE PRESENTED WITH THE GOVERNANCE POLICIES CONCERNING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. UPON REVIEW AND DISCUSSION CONCERNING RELATIONSHIPS WITH THE ORGANIZATION, ITS AFFILIATES, OR AMONGST EACH OTHER, THE BOARD MEMBERS ARE REQUIRED TO COMPLETE AND RETURN THE POLICY STATEMENT TO THE ADMINISTRATION. THESE STATEMENTS ARE REVIEWED BY THE BOARD CHAIR AND ARE PRESENTED TO THE AUDITORS DURING THE ANNUAL AUDIT. |
| FORM 990, PART VI, LINE 18 HOW FORMS ARE MADE AVAILABLE TO THE PUBLIC | PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. COPIES CAN ALSO BE FOUND ONLINE AT PROPUBLICA.ORG AND CAUSEIQ.COM. |
| FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC | PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART IX, LINE 11G OTHER FEES | CONTRACT SERVICES - TOTAL EXPENSE: 20482060, PROGRAM SERVICE EXPENSE: 20482060, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 1814734, PROGRAM SERVICE EXPENSE: 1814734, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; MAINTENANCE CONTRACTS - TOTAL EXPENSE: 5741849, PROGRAM SERVICE EXPENSE: 5741849, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER FEES - TOTAL EXPENSE: 733210, PROGRAM SERVICE EXPENSE: 733210, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; |
| FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES | CHANGE IN VALUE OF SWAP AGREEMENT - 856477; TOTAL - 856477; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 180 PARKWOOD DRIVE | ELKIN | NC | 28621 | 562049537 | FUNDRAISING | NC | 501(C)(3) | TYPE I | HUGH CHATHAM MEMORIAL HOSPITAL | Yes (true) |
| HUGH CHATHAM MEMORIAL HOSPITAL AUXILIARY | ||||||||||
| 180 PARKWOOD DRIVE | ELKIN | NC | 28621 | 561199949 | THRIFT/GIFT SHOP | NC | 501(C)(3) | TYPE I | HUGH CHATHAM MEMORIAL HOSPITAL | Yes (true) |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 510190238 | FACILITATE THE CARRYING OUT OF THE FUNCTIONS AND PURPOSES OF WFUHS & NCBH | NC | 501(C)(3) | TYPE I | NA | false |
| NORTH CAROLINA BAPTIST HOSPITAL | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 560552787 | HEALTHCARE | NC | 501(C)(3) | 3 | NA | false |
| WAKE FOREST UNIVERSITY HEALTH SCIENCES | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 223849199 | HEALTHCARE, EDUCATION & RESEARCH | NC | 501(C)(3) | 2 | WAKE FOREST UNIVERSITY | false |
| WAKE FOREST UNIVERSITY | ||||||||||
| PO BOX 7201 | WINSTON SALEM | NC | 27109 | 560532138 | EDUCATION | NC | 501(C)(3) | 2 | NA | false |
| LEXINGTON MEDICAL CENTER | ||||||||||
| 250 HOSPITAL DRIVE | LEXINGTON | NC | 27293 | 560543238 | HEALTHCARE | NC | 501(C)(3) | 3 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | false |
| LEXINGTON MEDICAL CENTER FOUNDATION | ||||||||||
| 250 HOSPITAL DRIVE | LEXINGTON | NC | 27293 | 581876553 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | TYPE I | LEXINGTON MEDICAL CENTER | false |
| NORTHWEST COMMUNITY CARE NETWORK | ||||||||||
| 2000 WEST 1ST STREET | WINSTON SALEM | NC | 27104 | 020774853 | HEALTHCARE | NC | 501(C)(3) | 7 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | false |
| FAITHHEALTH INNOVATIONS INC | ||||||||||
| MEDICAL CENTER BOULEVARD | WINSTON SALEM | NC | 27157 | 237426944 | HEALTHCARE | NC | 501(C)(3) | 10 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | false |
| DAVIE MEDICAL CENTER TO 3224 | ||||||||||
| 329 NC HWY 801N | BERMUDA RUN | NC | 27006 | 562276994 | HEALTHCARE | NC | 501(C)(3) | 3 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | false |
| WRMC HOSPITAL OPERATING CORPORATION | ||||||||||
| PO BOX 609 | NORTH WILKESBORO | NC | 28659 | 830343789 | HEALTHCARE | NC | 501(C)(3) | 3 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | false |
| HIGH POINT REGIONAL HEALTH | ||||||||||
| PO BOX HP-5 | HIGH POINT | NC | 27261 | 560532309 | HEALTHCARE | NC | 501(C)(3) | 3 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | false |
| HIGH POINT REGIONAL HEALTH FOUNDATION | ||||||||||
| 601 N ELM STREET | HIGH POINT | NC | 27261 | 272854711 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | TYPE I | HIGH POINT REGIONAL HEALTH | false |
| WILKES MEDICAL CENTER FOUNDATION | ||||||||||
| 1370 WEST D STREET | NORTH WILKESBORO | NC | 28659 | 822345613 | SUPPORTING ORGANIZATION | NC | 501(C)(3) | TYPE I | WRMC HOSPITAL OPERATING CORP | false |
| ATRIUM HEALTH INC | ||||||||||
| PO BOX 32861 | CHARLOTTE | NC | 28232 | 843647453 | HEALTHCARE | NC | 501(C)(3) | 7 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC | ||
| C | $896,523 | CASH |
| HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC | ||
| Q | $206,435 | CASH |
| HUGH CHATHAM MEMORIAL HOSPITAL AUXILIARY | ||
| Q | $51,576 | CASH |
Comments