2024-08-12T14:47:43-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 263807951 COLUMBUS REGIONAL HEALTH NETWORK COLU 3363785551 500 JEFFERSON STREET WHITEVILLE NC 28472 JEFF ARMSTRONG CFO 3363785551 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 28472 13911079 0 X N/A X 2008 NC TO PROVIDE COMPASSIONATE CARE, ADVANCE HEALING AND INSPIRE HOPE FOROUR PATIENTS AND THEIR LOVED ONES. 8 8 0 8 0 0 0 0 12167436 13911079 0 0 0 0 12167436 13911079 0 0 0 0 4624781 6661396 0 0 0 16371665 19517575 20996446 26178971 -8829010 -12267892 1870124 3155423 66021183 79574374 -64151059 -76418951 TO PROMOTE COMMUNITY HEALTH THROUGH THE PROVISION OF HEALTH CARE SERVICES TO THE CITIZENS AND RESIDENTS OF COLUMBUS COUNTY, NORTH CAROLINA, AND SURROUNDING COUNTIES. 0 0 25106153 13911079 TO PROMOTE COMMUNITY HEALTH THROUGH THE PROVISION OF HEALTH CARE SERVICES AND EDUCATION TO THE CITIZENS OF COLUMBUS COUNTY, NORTH CAROLINA AND SURROUNDING COUNTIES. 25106153 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 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 REVENUE 621110 13911079 13911079 13911079 13911079 13911079 0 0 X 5811294 5325184 486110 850102 720392 129710 8220 8220 14029389 14029389 1356586 918895 437691 3100 3100 830680 821080 9600 27097 27097 99305 99305 394990 394990 MEDICAL SUPPLIES 1480655 1480655 BAD DEBT 1160244 1160244 MISCELLANEOUS 127309 125822 1487 26178971 25106153 1072818 0 99203 771098 926919 1861569 1126 1126 1604537 1397191 306651 207346 536225 314284 1870124 3155423 410286 936025 1 1 65610896 78638348 66021183 79574374 X -64151059 -76418951 -64151059 -76418951 1870124 3155423 -12267892 0 X X 0 1 X 1 0 X 1604537 1397191 207346 207346 OTHER RECEIVABLES 99546 DUE FROM CRHS 9075 LEASE FEE REC 205663 314284 DUE TO AFFILIATES 78638348 78638348 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 1 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. PART I, LINE 7 BONUSES ARE DISCRETIONARY AND BASED ON KEY PERFORMANCE INDICATORS AND QUALITY MEASURES. 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 CORPORATION'S AFFAIRS SHALL BE MANAGED BY A BOARD OF DIRECTORS ("BOARD") COMPOSED OF NOT LESS THAN THREE (3) DIRECTORS. THE BOARD SHALL HAVE, AND MAY EXERCISE, ANY AND ALL POWERS PROVIDED BY LAW AND IN THE ARTICLES OF INCORPORATION THAT ARE NECESSARY OR CONVENIENT TO CARRY OUT THE PURPOSES OF THE CORPORATION, AND WHICH SUPPORT AND FURTHER THE PURPOSES OF THE CORPORATION AS ESTABLISHED IN THESE BYLAWS. EXCEPT FOR RESIGNATIONS, REMOVALS, OR DEATH, EACH DIRECTOR DULY NOMINATED AND ELECTED SHALL HOLD OFFICE UNTIL HIS SUCCESSOR IS NOMINATED, ELECTED, AND QUALIFIED BY ATTENDING A MEETING AND BEING DULY RECOGNIZED AND PLACED ON THE OFFICIAL RECORDS OF THE CORPORATION BY THE SECRETARY. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED BY THE AFFIRMATIVE VOTE OF THE BOARD OF DIRECTORS OF COLUMBUS REGIONAL HEALTHCARE SYSTEM. THE DIRECTORS OF THE CORPORATION EACH SHALL SERVE A THREE (3) YEAR TERM OF OFFICE FROM THE TIME OF ELECTION, WHICH TERM SHALL COMMENCE ON THE DAY OF THEIR ELECTION. DIRECTORS OF THE BOARD SHALL BE ELIGIBLE TO SERVE FOUR (4) SUCCESSIVE TERMS OF THREE (3) YEARS EACH, SUBJECT TO THE PROVISIONS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN POWERS SHALL BE RESERVED EXCLUSIVELY UNTO THE SOLE MEMBER OF THE CORPORATION, COLUMBUS REGIONAL HEALTHCARE SYSTEM, WHICH SHALL EXERCISE SUCH POWERS IN ACCORDANCE WITH LAW AND THE AFFIRMATIVE VOTE OF A MAJORITY OF THE MEMBERS OF ITS BOARD OF DIRECTORS, AS THEN CONSTITUTED; SUCH POWERS TO BE: (1) TO MERGE OR CONSOLIDATE THE CORPORATION WITH ANY OTHER NONPROFIT CORPORATION; (2) TO ACQUIRE OR CREATE ANOTHER CORPORATION; (3) TO MAKE A CAPITAL EXPENDITURE OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (4) TO SELL CAPITAL ASSETS VALUED OVER A SPECIFIED DOLLAR LIMIT TO BE ESTABLISHED FROM TIME TO TIME BY THE SOLE MEMBER; (5) TO APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; (6) PERMISSION TO DISSOLVE THE CORPORATION; AND (7) TO APPOINT THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AS PROVIDED IN ARTICLE III, SECTION 2 AND 4 HEREOF. 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 COLUMBUS REGIONAL HEALTHCARE SYSTEM'S CEO. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT CURRENTLY COMPENSATE ANY OF ITS OFFICERS. BOARD OFFICERS ARE COMPENSATED FOR THEIR SERVICE AS OFFICER OF COLUMBUS REGIONAL HEALTHCARE SYSTEM, A RELATED ORGANIZATION. THEIR POLICY IS AS FOLLOWS: COMPENSATION FOR THE CEO AND CFO ARE DETERMINED BY CHS 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 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 CRHN 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 PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,778,944. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,778,944. CONSULTING FEES: PROGRAM SERVICE EXPENSES 149,228. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,228. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 101,217. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,217. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 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 HEALTHCARE SYSTEM 500 JEFFERSON STREET WHITEVILLE NC 28472 560538020 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 COLUMBUS REGIONAL DIAGNOSTICS 500 JEFFERSON STREET WHITEVILLE NC 28472 462091076 HEALTHCARE SERVICES NC 501(C)(3) LINE 3 COLUMBUS REGIONAL HEALTHCARE SYSTEM 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1