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Columbus Regional Healthcare System
Whiteville, NC 28472
| Bed count | 166 | Medicare provider number | 340068 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 117,176,545 Total amount spent on community benefits as % of operating expenses$ 3,569,191 3.05 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 2,462,559 2.10 %Medicaid as % of operating expenses$ 1,096,693 0.94 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 9,939 0.01 %Community building*
as % of operating expenses$ 11,911 0.01 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 11,911 0.01 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 9,150 76.82 %Community support as % of community building expenses$ 2,100 17.63 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 661 5.55 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 13,953,906 11.91 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 3,318,195 23.78 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 106474845 including grants of $ 9939) (Revenue $ 123715262) WE WILL BE THE PRIMARY HEALTHCARE HOME FOR THE CITIZENS OF COLUMBUS COUNTY AND SURROUNDING COMMUNITIES. CRHS WILL ESTABLISH ITSELF AS THE HEALTH SYSTEM OF CHOICE IN COLUMBUS COUNTY BY DEVELOPING LONG-TERM RELATIONSHIPS WITH PATIENTS AND PROVIDERS AND LEVERAGING PARTNERSHIPS AND TECHNOLOGY TO ENSURE EASY, TIMELY ACCESS TO A FULL BREADTH OF CLINICAL SERVICES. CRHS WILL FACILITATE THE COORDINATION OF CARE THAT RESULTS IN EXCELLENT OUTCOMES, HIGH LEVELS OF SATISFACTION AND VALUE FOR THE PATIENT, AND MEASURABLE IMPROVEMENTS IN OUR POPULATION'S HEALTH. OUR VALUES START WITH THE RECOGNITION OF OUR PRIMARY ROLE AS A CARE GIVING HEALTH SYSTEM: THE NEEDS OF OUR PATIENTS COME FIRST.
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Facility Information
COLUMBUS REGIONAL HEALTHCARE SYSTEM PART V, SECTION B, LINE 5: IN THE SPRING OF 2022, COLUMBUS REGIONAL HEALTHCARE SYSTEM STAFF IN COLLABORATION WITH STAKEHOLDERS IN COLUMBUS COUNTY CONVENED A WELLNESS INITIATIVE TO REVIEW OBSTACLES TO HEALTH AND PHYSICAL NEEDS OF RESIDENTS IN OUR COUNTY. THIS EFFORT FOCUSED ON ASSESSING COMMUNITY HEALTH NEEDS, LOCAL HEALTH RESOURCES, BARRIERS TO CARE, GAPS IN SERVICES, AND TRENDS REGARDING HEALTH AND HEALTHY LIFESTYLES AND TO SEEK FUNDS TO ADDRESS STRATEGIES DEVELOPED DURING THIS PROCESS. THE CHNA WILL BE UTILIZED TO DOCUMENT COMMUNITY NEED AND LINK THOSE NEEDS TO BENEFIT COMMUNITYEFFORTS THROUGH PARTNERSHIPS WITH LOCAL HEALTH RESOURCES. THE NEEDS ASSESSMENT WILL BE UTILIZED TO ASSIST THE HOSPITAL IN PLANNING AND PRIORITIZING ITS COMMUNITY BENEFIT INVESTMENTS. THE ASSEMBLED TASK FORCE MET TO DISCUSS QUESTIONS TO BE INCLUDED ON THE SURVEY AND HOW THE SURVEY SHOULD BE DISSEMINATED ACROSS THE COUNTY. DURING THE FIRST MEETING OF THIS GROUP IT WAS DETERMINED THAT WE NEEDED A THIRD PARTY FACILITATOR TO ENSURE THE PROCESS WAS COMPREHENSIVE AND WAS OPEN TO ALL RESIDENTS. MDC-RURAL FORWARD AGREED TO TAKE ON THIS TASK AND HAS BEEN INVOLVED IN DEVELOPINGAGENDAS, MEETING TIMES AND STAKEHOLDERS. OUR COUNTY HAS COMPLETED TWO NEEDS ASSESSMENTS IN THE PAST NINE MONTHS. A STUDY OF THE RECREATION NEEDS OF THE COUNTY WAS COMMISSIONED BY THE COUNTY AND HAS BEEN COMPLETED. THE SECOND NEEDS ASSESSMENT WAS FUNDED THROUGH KATE B. REYNOLD AND ADDRESSES THE SUBSTANCE ABUSE/MISUSE ISSUES IN OUR COUNTY AND IS TARGETING SOME OF THE SAME AREAS WE ARE ADDRESSING IN OUR HEALTH ASSESSMENT. THE NEEDS ASSESSMENT IS WORKING WITH THE HOSPITAL AND LOCAL AGENCIES TO DETERMINE HOW TO BEST ALLOCATE FUNDS FROM THE PHARMASETTLEMENT WHICH WILL AVERAGE 7 MILLION DOLLARS OVER AN 18 YEAR PERIOD. THERE IS CURRENTLY A COLUMBUS COUNTY OPIOID SUBSTANCE ABUSE/MISUSE COALITION MADE UP OF MEMBERS FROM ACROSS THE COUNTY THAT IS ADDRESSING THESE ISSUES.THE CHNA WAS INCORPORATED INTO A SURVEY MONKEY AND PEN AND PAPER SURVEYS WERE PREPARED IN BOTH ENGLISH AND SPANISH. A LISTING OF POSSIBLE AGENCIES THAT SHOULD BE INCLUDED IN THE DISSEMINATION OF SURVEYS WAS DEVELOPED. THESE SITES INCLUDED, BUT WERE NOT LIMITED TO: - COLUMBUS REGIONAL HEALTHCARE STAFF- COLUMBUS COUNTY AND WHITEVILLE CITY SCHOOLS- SOUTHEASTERN COMMUNITY COLLEGE FACULTY, STAFF AND STUDENTS- LOCAL PUBLIC LIBRARIES- PHYSICIAN OFFICES- BEHAVIORAL HEALTH CENTERS- DEPARTMENT OF AGING SITES- CIVIC GROUPS SUCH AS ROTARY AND COLUMBUS CHILDREN, YOUTH AND FAMILIES- HISPANIC OUTREACH PROGRAMS- WACCAMAW SIOUAN DEVELOPMENT OFFICE- ALL LAW ENFORCEMENT AGENCIES- COLUMBUS COUNTY GOVERNMENT- LOCAL TOWN AND CITY GOVERNMENTS- FAITH BASED ORGANIZATIONS- COLUMBUS COUNTY CHAMBER AND TOURISM- INTERNATIONAL PAPER- COLUMBUS COUNTY JOBS FOUNDATION- PRIVATE MEDICAL PRACTICES AND CLINICS- LOCAL CHAMBERS OF COMMERCE (CHADBOURN, TABOR CITY AND FAIR BLUFF.- MINORITY OWNED BARBER SHOPS AND SALONSOUR INTENT WAS TO DISTRIBUTE SURVEYS THROUGHOUT THE COUNTY AND UTILIZE THOSE LISTED ABOVE TO OBTAIN RESPONSES THAT REFLECT THE ENTIRE COMMUNITY. WHITEVILLE, BEING THE LARGEST TOWNSHIP IN THE COUNTY, WAS EXPECTED TO HAVE THE GREATEST RETURN AND THAT WAS REFLECTED IN OUR RESPONSE RATE. AN EFFORT WAS MADE TO REACH UNDERSERVED AREAS OF THE COUNTY AND MEMBERS OF THE COMMITTEE WERE ASKED TO REACH OUT TO IDENTIFY INDIVIDUALS IN THESE AREAS. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY DEVELOPED FOR THIS ASSESSMENT CYCLE WAS UTILIZED IN ADDITION TO A SURVEY COMPLETED IN THE SUMMER OF 2022 TO ASSESS OPIOID, SUBSTANCE ABUSE AND MISUSE IN COLUMBUS COUNTY. THE OPIOID/SUBSTANCE ABUSE SURVEY WAS IMPLEMENTED THROUGH A JOINT EFFORT BY THE COLUMBUS COUNTY REGIONAL HOSPITAL AND COLUMBUS COUNTY GOVERNMENT. A TASK FORCE APPOINTED BY ADDICTION CONSULTANT TRAINING, LLC FROM CHAPEL HILLAND APPROVED BY THE COLUMBUS COUNTY BOARD OF COMMISSIONERS WILL OVERSEE THE SETTLEMENT FUNDING DESIGNATED FOR OUR COUNTY THROUGH THE BIG PHARMA SETTLEMENT. THIS SURVEY, INCLUDED AS A LINK IN THIS DOCUMENT, AND QUESTIONS/COMMENTS GATHERED DURING THIS PROCESS TEND TO VALIDATE ISSUES IDENTIFIED WITH THE CHNA. ALSO INCLUDED AS A LINK IN THIS DOCUMENT IS THE COMMUNITY RECREATION NEEDS ASSESSMENT, A STUDY CONDUCTED BY THE COLUMBUS COUNTY PARKS AND RECREATION TO RESEARCH STATUS OF ACCESS TO HEALTH AND RECREATION FACILITIES FOR RESIDENTS IN OUR COUNTY. THESEDOCUMENTS VALIDATE MANY OF THE FINDINGS IDENTIFIED THROUGHOUT OUR SURVEY.
COLUMBUS REGIONAL HEALTHCARE SYSTEM PART V, SECTION B, LINE 6B: COLUMBUS REGIONAL, COLUMBUS COUNTY HEALTH DEPARTMENT, COLUMBUS COUNTY PARTNERSHIP FOR CHILDREN, COL CO COOPERATIVE EXTENSION, WACCAMAW-SIOUAN TRIBE, LOWER CAPE FEAR
COLUMBUS REGIONAL HEALTHCARE SYSTEM PART V, SECTION B, LINE 11: COLUMBUS REGIONAL HEALTHCARE SYSTEM IS ADDRESSING THE FOLLOWING SIGNIFICANT NEEDS THAT WERE IDENTIFIED IN THE MOST RECENT CHNA:-HEART DISEASE AND STROKE: COMMUNITY EDUCATION, CODE STROKE INITIATIVE, EXPANDED RELATIONSHIP WITH CAPE FEAR HEART ASSOCIATES, CARE TRANSITIONS PROGRAM, AND PARTNERSHIP WITH THE COLUMBUS COUNTY FARMERS MARKET-CANCER: INCREASING EDUCATION TO THE COMMUNITY AND IMPLEMENTING CANCER SCREENING PROGRAMS INTO CURRENT COMMUNITY BENEFIT RELATED ACTIVITIES THROUGH THE DONAYRE CARE CENTER AND PARTNERSHIP WITH LEVINE CANCER INSTITUTE.-DIABETES: INCREASING EDUCATION AND PARTICIPATING IN AND OFFERING COMMUNITY EVENTS TO PROVIDE FREE SCRENINGS FOR PATIENTS AT RISK FOR THIS CHRONIC DISEASE WHILE OFFERING RESOURCES FOR MANAGEMENT AND TREATMENT OPTIONS.
SCHEDULE H, PART V SECTION B, LINES 7A AND 10A: WEBSITE ADDRESS FOR COMMUNITY HEALTH NEEDS ASSESSMENT ANDIMPLEMENTATION STRATEGY:HTTP://WWW.CRHEALTHCARE.ORG/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V SECTION B, LINES 16A, 16B, AND 16C: FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY, AND APPLICATION:HTTP://WWW.CRHEALTHCARE.ORG/PATIENTS-VISITORS/CRHS-FINANCIAL-ASSISTANCE/
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Supplemental Information
PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
PART I, LN 7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBTEXPENSE OF $23,798,063 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTINGPERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
PART III, LINE 3: THE ORGANIZATION MULTIPLIED BAD DEBT EXPENSE BY THE COST TO CHARGE RATIO.
PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BADDEBT EXPENSE.
PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT.
PART VI, LINE 2: CRHS COMPLETES A NEEDS ASSESSMENT EVERY THREE YEARS.
PART VI, LINE 3: A PATIENT PRESENTED AS SELF PAY IS ASKED TO SPEAK WITH A FINANCIAL COUNSELOR OR THE CONTRACTED MEDICAID ELIGIBILITY SPECIALIST WHO WILL EVALUATE FOR MEDICAID ELIGIBILITY. IF NOT ELIGIBLE FOR MEDICAID, CHARITY CARE GUIDELINES ARE REVIEWED WITH PATIENT AND PROCESSED AS NEEDED.
PART VI, LINE 4: THE PERIODIC COMMUNITY NEEDS ASSESSMENT PERFORMED TAKES INTO ACCOUNT GEOGRAPHIC AND DEMOGRAPHIC DATA FOCUSED ON CONSTITUENCY IN COLUMBUS COUNTY AND THE SURROUNDING APPLLICABLE COUNTIES IN THE REGION. DATA PARTS INCLUDE AGE, GENDER, MIGRATION TRENDS, THE ECONOMIC ENVIRONMENT, ETC.
PART VI, LINE 5: THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THECOMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR MOST OF ITS DEPARTMENTS. THE SURPLUS OF FUNDS, IF ANY, ARE USED TO PURCHASE MEDICAL EQUIPMENT AND IMPROVING PATIENT CARE. THE ORGANIZATION'S BOARD IS COMPRISED OF MOSTLY UNRELATED, LOCAL RESIDENTS TO ENSURE THAT THE VOICE OF COMMUNITY IS HEARD.
