2024-08-12T14:47:43-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 462091076 COLUMBUS REGIONAL DIAGNOSTICS COLU 3366428011 500 JEFFERSON STREET WHITEVILLE NC 28742 M JEFFERY ARMSTRONG CFO 3366428011 2024-08-12 1 1 AMY BIBBY P00445891 8282542254 2024-08-12 2022 2024-08-08 14:25:15Z W JASON BECK 500 JEFFERSON STREET WHITEVILLE NC 28742 1514287 0 X N/A X 2013 NC TO PROVIDE COMPASSIONATE CARE, ADVANCE HEALING AND INSPIRE HOPE FOR OUR PATIENTS AND THEIR LOVED ONES. 8 7 0 7 0 0 0 0 503846 1514287 0 0 0 0 503846 1514287 0 0 0 0 140046 354846 0 0 0 629873 1582340 769919 1937186 -266073 -422899 2475316 2572470 3577779 4097832 -1102463 -1525362 TO PROVIDE COMPASSIONATE CARE, ADVANCE HEALING AND INSPIRE HOPE FOR OUR PATIENTS AND THEIR LOVED ONES. 0 0 1937186 1514287 TO PROVIDE HEALTHCARE TO CITIZENS AND RESIDENTS OF COLUMBUS COUNTY, NORTH CAROLINA. 1937186 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NC X X M JEFFERY ARMSTRONG 9106421703 500 JEFFERSON STREET WHITEVILLE NC 28472 TERRAY SUGGS CHAIRMAN 1.00 3.00 X X 0 0 0 ANDY MARTIN TRUSTEE 1.00 3.00 X 0 0 0 DR SAM WHEATLEY CMO 1.00 12.00 X X 0 54750 0 BRENT WATTS TRUSTEE 1.00 3.00 X 0 0 0 DR JOHN SCHULTZ TRUSTEE 1.00 3.00 X 0 0 0 CARL MEARES JR TRUSTEE 1.00 3.00 X 0 0 0 FREDA GORE TRUSTEE 1.00 3.00 X 0 0 0 CHRIS SMITH TRUSTEE 1.00 3.00 X 0 0 0 DR DAVID GRECO TRUSTEE 1.00 3.00 X 0 0 0 JEROME MCMILLIAN TRUSTEE 1.00 3.00 X 0 0 0 W JASON BECK CEO 1.00 59.00 X 0 304308 34668 M JEFFERY ARMSTRONG CFO 1.00 59.00 X 0 254764 31613 VENEZIANO TERESA CNO 1.00 39.00 X 0 217615 13364 RACHEL DUNBAR COO 1.00 39.00 X 0 190923 23130 0 1022360 102775 0 0 1 0 0 PATIENT SERVICE REVENU 621400 1514287 1514287 1514287 1514287 1514287 0 0 X 354846 354846 245530 245530 88833 88833 171 171 321586 321586 BAD DEBT 904324 904324 SUPPLIES 21896 21896 1937186 1937186 0 0 110218 78035 445451 870388 511 497 0 26000 2194808 597258 1919136 1597550 0 0 2475316 2572470 0 -14 3577779 4097846 3577779 4097832 X -1102463 -1525362 -1102463 -1525362 2475316 2572470 -422899 0 X X 0 1 X 1 0 X 2194808 597258 1597550 1597550 DUE TO AFFILIATES 4097846 4097846 X PART X, LINE 2: THE SYSTEM IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023 OR 2022. X 0 0 0 0 0 0 0 0 0 W JASON BECK CEO 0 282649 0 0 0 21659 0 20636 0 14032 0 338976 0 0 M JEFFERY ARMSTRONG CFO 0 169652 0 54934 0 30178 0 17957 0 13656 0 286377 0 0 VENEZIANO TERESA CNO 0 165738 0 33388 0 18489 0 0 0 13364 0 230979 0 0 RACHEL DUNBAR COO 0 151745 0 29369 0 9809 0 0 0 23130 0 214053 0 0 PART I, LINE 3 COMPENSATION FOR THE CEO AND CFO ARE DETERMINED BY ATRIUM HEALTH BY EXTERNAL INFORMATION EACH YEAR. THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE COMPENSATION. THE BOARD OF TRUSTEES CONSIDERS RECOMMENDATIONS BASED ON AVAILABLE MARKET DATA AS THEY REVIEW AND APPROVE COMPENSATION FOR OTHER MEMBERS OF CRHS EXECUTIVE STAFF ON AN ANNUAL BASIS. ALL DECISIONS REGARDING COMPENSATION ARE DOCUMENTED. FORM 990, PART VI, SECTION A, LINE 3 EFFECTIVE NOVEMBER 26, 2007, CRHS ENTERED INTO A NINE-YEAR MANAGEMENT SERVICES AGREEMENT WITH THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WHICH DOES BUSINESS AS ATRIUM HEALTH TO MANAGE THE SYSTEM ON A DAY-TO-DAY BASIS. A RENEWAL TO THE MSA WAS APPROVED BY THE SYSTEM IN FISCAL YEAR 2021 FOR A PERIOD OF FIVE YEARS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION SHALL BE COLUMBUS REGIONAL HEALTHCARE SYSTEM, A NORTH CAROLINA NONPROFIT CORPORATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE OR THE CORRESPONDING PROVISIONS OF ANY SUBSEQUENT FEDERAL TAX LAWS. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE CORPORATION HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B COLUMBUS REGIONAL HEALTHCARE SYSTEM, SHALL EXERCISE SUCH POWERS IN ACCORDANCE WITH LAW AND THE AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS OF ITS BOARD OF DIRECTOR, AS THEN CONSTITUTED SUCH POWERS TO BE: - TO MERGE OR CONSOLIDATE THE CORPORATION WITH ANY OTHER NONPROFIT CORPORATION - TO ACQUIRE OR CREATE ANOTHER CORPORATION - TO MAKE A CAPITAL EXPENDITURE OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER - TO SELL CAPITAL ASSETS VALUED OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER - TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS - TO PERMISSION TO DISSOLVE THE CORPORATION - TO APPOINT THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S 990 WAS REVIEWED BY MANAGEMENT AND PROVIDED TO THE MEMBERS OF THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES COMPLETES A CONFLICT OF INTEREST FORM ANNUALLY. ALL EMPLOYEES AT ORIENTATION AND ANNUALLY, DURING HEALTH AND SAFETY EDUCATION ARE SURVEYED REGARDING ANY SITUATIONS THAT MAY CONSTITUTE AS A CONFLICT OF INTEREST. ANY EMPLOYEE FORMS WITH AN AFFIRMATIVE RESPONSE ARE FORWARDED TO THE COMPLIANCE OFFICER FOR REVIEW. THE BOARD OF TRUSTEES FORMS ARE SUBMITTED TO THE COMPLIANCE OFFICER FOR REVIEW AS WELL. ANY QUESTIONS OR CONCERNS ARE DISCUSSED WITH CEO. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 COLUMBUS REGIONAL DIAGNOSTICS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE CONFLICT OF INTEREST STATEMENT IS AVAILABILE IN PATIENT LITERATURE. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 129,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,918. OTHER PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 115,612. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,612. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. COLUMBUS REGIONAL HEALTHCARE SYSTEM 500 JEFFERSON STREET WHITEVILLE NC 28472 560538020 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 COLUMBUS REGIONAL HEALTH OUTREACH 500 JEFFERSON STREET WHITEVILLE NC 28472 272325401 INACTIVE - HEALTHCARE SERVICES NC 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 COLUMBUS REGIONAL HEALTH NETWORK 500 JEFFERSON STREET WHITEVILLE NC 28472 263807951 HEALTHCARE SERVICES NC 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 COLUMBUS COUNTY HOSPITAL FOUNDATION INC 500 JEFFERSON STREET WHITEVILLE NC 28472 010673231 TO SUPPORT AND PROMOTE COLUMBUS REGIONAL HEALTHCARE SYSTEM NC 501(C)(3) LINE 12A, I COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0