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Chatham Hospital Inc

Chatham Hospital Inc
475 Progress Blvd
Siler City, NC 27344
Bed count68Medicare provider number341311Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 560611546
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
6.25%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

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$ 54,626,075
      Total amount spent on community benefits
      as % of operating expenses
      $ 3,412,575
      6.25 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 3,166,558
        5.80 %
        Medicaid
        as % of operating expenses
        $ 0
        0 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 239,582
        0.44 %
        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 expenses
        Note: 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
        $ 6,435
        0.01 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?Not available
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 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
        $ 7,711,389
        14.12 %
        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
        $ 0
        0 %
    • 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 agencyNot 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

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • 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 $ 46243681 including grants of $ 6435) (Revenue $ 51680405)
      CHATHAM HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL LOCATED IN SILER CITY, NC THAT IS PART OF THE UNC HEALTH SYSTEM. WITH A LONG HISTORY OF PROVIDING HIGH QUALITY HEALTH CARE TO THE RESIDENTS OF CHATHAM AND SURROUNDING COUNTIES, CHATHAM HOSPITAL HAS RECEIVED MULTIPLE FIVE-STAR RATINGS FOR PATIENT EXPERIENCE FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES. THE HOSPITAL, ACCREDITED BY THE JOINT COMMISSION, PROVIDES SURGICAL, MEDICAL, PEDIATRIC, MATERNITY AND EMERGENCY SERVICES. COMMUNITY BASED OUTPATIENT SERVICES IN THE AREA OF DIABETES EDUCATION, LABORATORY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, IMAGING, CARDIAC REHABILITATION AND PULMONARY REHABILITATION ARE ALSO OFFERED. AS A CRITICAL ACCESS HOSPITAL, CHATHAM HOSPITAL IS ABLE TO UTILIZE BEDS, TO NOT ONLY MEET THE NEEDS OF ACUTE PATIENT CARE, BUT TO ALSO PROVIDE POST-ACUTE CARE TO PATIENTS WHO NO LONGER REQUIRE ACUTE MEDICAL CARE, BUT NEED ADDITIONAL TIME AND CARE FOR STRENGTHENING AND RECOVERY BEFORE RETURNING HOME. THE 10-BED EMERGENCY DEPARTMENT PROVIDES FULL-SERVICE AROUND THE CLOCK CARE TO MORE THAN 1,200 ADULTS AND CHILDREN EACH MONTH. UNC HEALTH BASES A HELICOPTER FOR TRANSPORT ON THE GROUNDS OF CHATHAM HOSPITAL. IN SEPTEMBER 2020, CHATHAM HOSPITAL OPENED A $2.6 MILLION MATERNITY CARE CENTER. THE CHATHAM HOSPITAL MATERNITY CARE CENTER IS CLOSE TO HOME AND PROVIDES COMPASSIONATE AND EXPERT CARE FOR MOTHERS AND THEIR NEWBORNS. THE OPENING IS THE FIRST TIME SINCE 1992 THAT CHATHAM HOSPITAL HAS OFFERED MATERNITY SERVICES. DESPITE MANY RURAL HEALTHCARE FACILITIES CLOSING MATERNITY CARE WARDS ACROSS THE NATION, CHATHAM HOSPITAL'S VENTURE IS PART OF UNC HEALTH'S RURAL CARE INITIATIVE. THIS SYSTEM INITIATIVE IS DESIGNED TO BRING MUCH NEEDED SERVICES TO WHERE PATIENTS LIVE.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      PART V, SECTION B, LINE 5
      FOR THIS ASSESSMENT, THE CHATHAM COUNTY COMMUNITY SURVEY (CCCS) WAS IMPLEMENTED TO TAKE INTO ACCOUNT INPUT FROM A BROAD REPRESENTATION. THE CCCS WAS CONDUCTED USING THE COMMUNITY ASSESSMENT (CA) COHORT, WHICH WAS INITIATED IN 2018 THROUGH A STRUCTURED PROTOCOL APPROVED BY CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT (CCPHD) AND THE SCIENTIFIC ADVISORY COMMITTEE (SAC). THE CCCS WAS AN OPPORTUNITY TO REVISIT THE ORIGINAL SAMPLING SCHEME AND MODIFY THE SAMPLING SCHEME TO REFLECT RECENT CHANGES IN THE CHATHAM COUNTY POPULATION USING THE MOST CURRENT DATA AVAILABLE FROM THE U.S. CENSUS BUREAU. ADDITIONALLY, CCPHD WANTED TO EXPAND THE COHORT TO REPLACE THOSE LOST TO FOLLOW-UP AND TO RECRUIT MORE PARTICIPANTS FOR BETTER REPRESENTATION FROM BLACK/AFRICAN AMERICAN AND HISPANIC/LATINX COMMUNITY MEMBERS. THE SAMPLING METHODOLOGY WAS MODIFIED FIRST TO ACCOUNT FOR CHANGES IN THE MEDIAN HOUSEHOLD INCOME ACROSS CENSUS BLOCK GROUPS. USING THIS DATA, THE CENSUS BLOCKS WERE GROUPED INTO THREE CATEGORIES, LOW, MEDIUM AND HIGH INCOMES, REPRESENTING THE PERCENTILES OF THE MEDIAN HOUSEHOLD INCOME DISTRIBUTION ACROSS CENSUS BLOCKS. TO ENSURE AN EVEN NUMBER OF CENSUS BLOCKS IN EACH STRATUM AND TO EXPAND THE CA COHORT, ADDITIONAL CENSUS BLOCKS WERE SELECTED FOR A TOTAL OF 76 CENSUS BLOCKS INCLUDED IN THE CA COHORT SAMPLING. THE ADDITIONAL BLOCKS WERE SELECTED WITH PROBABILITY PROPORTIONATE TO THE BLACK AND HISPANIC OR LATINO POPULATION. FOR EACH NEWLY SAMPLED CENSUS BLOCK 7 HOUSEHOLDS RANDOMLY SAMPLED FROM RESIDENTIAL ADDRESS DATA, AND FOR THE ORiGINALLY SAMPLED BLOCKS WITH EXISTING COHORT MEMBERS, REPLACEMENT HOUSEHOLDS WERE RANDOMLY SAMPLED AND ADDED AS NECESSARY WiTHIN EACH BLOCK TO OBTAIN A TOTAL OF 7 HOUSEHOLDS IN EACH BLOCK. IN FALL 2021, GIVEN A SURGE IN COVID-19 AND ELEVATED COMMUNITY TRANSMISSION, THE DECISION WAS MADE TO FOREGO IN-PERSON DATA COLLECTION AND REACH OUT TO COHORT MEMBERS THROUGH MAIL, PHONE, AND EMAIL. TO ACCOUNT FOR THE ANTICIPATED LOW RESPONSE RATE WITH THE ABSENCE OF IN-PERSON SURVEYING, EACH OF THE CLUSTERS WERE OVERSAMPLED BY FOUR TIME THE ORIGINAL SELECTION, WITH AN OVERSAMPLING FROM 7 TO 28 HOUSEHOLDS. FOR SELECTED CLUSTERS WITH LESS THAN 28 HOUSEHOLDS, ALL WERE SELECTED AS PART OF THE OVERSAMPLE. WITH THE OVERSAMPLING, THE TOTAL OF 1,860 HOUSEHOLDS WERE SAMPLED. IN ADDITION TO THE COHORT SURVEY, A SHORT SUPPLEMENTAL SURVEY WAS OFFERED TO ALL MEMBERS OF THE CHATHAM COUNTY COMMUNITY AS AN OPPORTUNITY FOR THOSE NOT SELECTED AS PART OF THE SAMPLE TO PARTICIPATE AND SHARE THOUGHTS ABOUT THEIR EXPERIENCES WITH HEALTH AND WELL-BEING IN CHATHAM COUNTY. OVERALL, 207 RESPONSES WERE COLLECTED FROM OCTOBER TO DECEMBER 2021.
      PART V, SECTION B, LINE 6B
      THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: CHATHAM COUNTY PUBLIC HEALTH DEPARTMENT AND CHATHAM HEALTH ALLIANCE.
      PART V, SECTION B, LINE 7A
      HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT
      PART V, SECTION B, LINE 10A
      HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/ABOUT-US/COMUNITY-HEALTH-NEEDS-ASSESSEM ENT
      PART V, SECTION B, LINE 11
      "THE HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE HEALTH PRIORITIES: MENTAL HEALTH SEVERAL KEY MENTAL HEALTH INDICATORS WORSENED IN RESULTS FROM THE 2018 CHATHAM COUNTY COMMUNITY SURVEY TO THE 2021 CHATHAM COUNTY COMMUNITY SURVEY, INCLUDING THE PERCENTAGE OF RESIDENTS REPORTING ""HIGH"" DAY-TO-DAY STRESS LEVELS (9.1% TO 10.7%), ""FAIR""POOR"" SELF-REPORTED MENTAL HEALTH (7.4% TO 11.3%), AND EVER HAVING ANXIETY OR DEPRESSION (20.1% TO 33.3%). YOUTH RISK BEHAVIOR SURVEY RESULTS FROM 2019 ALSO INDICATED THAT YOUTH IN CHATHAM COUNTY ARE EXPERIENCING HIGH LEVELS OF DEPRESSION AND OTHER MENTAL HEALTH STRESSES. WOMEN AND RESIDENTS OF COLOR WERE DISPROPORTIONATELY AFFECTED. SUBSTANCE USE AND ACCESS TO SERVICES WERE ALSO CONCERNS, PARTICULARLY THE SHARP INCREASE IN UNINTENTIONAL OVERDOSE DEATH RATES IN RECENT YEARS. TRANSPORTATION ISSUES WITH TRANSPORTATION CAN LIMIT ACCESSS TO MANY SERVICES, ACTIVITIES, AND OPPORTUNITIES, SUCH AS WORK, PHYSICAL ACTIVITY, HEALTHY FOOD STORES, AND HEALTH CARE. IN MANY PARTS OF THE COUNTY, ACCESS TO A VEHICLE IS CRUCIAL; ADDITIONALLY, CHATHAM COUNTY HAS JUST ONE PUBLIC TRANSPORTATION SERVICE, WHICH MANY RESIDENTS REPORTED NOT KNOWING ABOUT OR FELT WAS NOT CONVENIENT FOR THEIR NEEDS. SIDEWALKS WERE A COMMON TOPIC OF CONCERN IN THE 2021 CHATHAM COUNTY COMMUNITY SURVEY, WITH 16% OF ADULTS SAYING THERE WERE NO SIDEWALKS WHERE THEY NEEDED TO WALK, INCLUDING 26% OF HISPANIC/LATINX ADULTS. EMPLOYMENT EMPLOYMENT IS A CROSS-CUTTING ISSUE THAT IS INTERTWINED WITH MANY OTHER HEALTH PRIORITIES. WHILE CHATHAM COUNTY HAS A RELATIVELY LOW UNEMPLOYMENT RATE (3.6% AS OF MARCH 2022), MORE THAN HALF OF CHATHAM COUNTY WORKERS WORK OUTSIDE OF THE COUNTY (55.6%), ACCORDING TO THE U.S. CENSUS. AVERAGE WEEKLY WAGE IN THE COUNTY IS $839, COMPARED TO THE STATE AVERAGE OF $1,111, AS OF Q3 2021. THERE ARE ALSO STARK DISPARITIES IN MEDIAN HOUSEHOLD INCOME WITHIN THE COUNTY, WITH WHITE, NON-HISPANIC/LATINX RESIDENTS MAKING 1.6 TO 2.7 MORE PER YEAR THAN OTHER DEMOGRAPHIC GROUPS, ACCORDING TO THE U.S. CENSUS. LOSS OF EMPLOYMENT OR SWITCHING JOBS WAS ALSO A FACTOR FOR MANY WHO REPORTED NOT HAVING HEALTH INSURANCE IN THE 2021 CHATHAM COUNTY COMMUNITY SURVEY. UNC HEALTH CHATHAM'S STRATEGIC PLAN TO ADDRESS THE IDENTIFIED HEALTH PRIORITIES: 1. UNC HEALTH CHATHAM CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE STEERING COMMITTEE. 2. UNC HEALTH CHATHAM CNO/COO WILL CONTINUE AS A MEMBER OF THE CHATHAM HEALTH ALLIANCE. 3. UNC HEALTH CHATHAM WILL HAVE REPRESENTATION ON EACH HEALTH ALLIANCE SUBCOMMITTEES AND ACTIVELY WORK TO ADDRESS THE THREE MAIN HEALTH PRIORITIES OF MENTAL HEALTH, TRANSPORTATION, AND EMPLOYMENT. 4. UNC HEALTH CHATHAM WILL WORK CLOSELY WITH UNC PHYSICIAN'S NETWORK TO INCREASE OUTPATIENT BEHAVIORAL HEALTH ACCESS. 5. UNC HEALTH CHATHAM WILL CONTINUE PROVIDING TELE PSYCHIATRY PROGRAM IN THE EMERGENCY DEPARTMENT THROUGH UNCMC EMERGENCY DEPARTMENT PSYCHIATRIC PROVIDERS. 6. UNC HEALTH CHATHAM WILL CONTINUE TO PROVIDE THE CHARITY CARE PROGRAM. 7. UNC HEALTH CHATHAM WILL CONTINUE GROWING AND DEVELOPING OUTPATIENT PROGRAMS INCLUDING, BUT NOT LIMITED TO, IMAGING, CARDIOPULMONARY, MATERNAL CARE, AND SURGICAL SERVICES ACCESS. 8. UNC HEALTH CHATHAM WILL CONTINUE TO COLLABORATE WITH CHATHAM COUNTY HEALTH DEPARTMENT ON COMMUNITY HEALTH NEEDS INCLUDING, BUT NOT LIMITED TO, DIABETES AND ON-GOING COVID PANDEMIC RESPONSE. 9. UNC HEALTH CHATHAM WILL CONTINUE TO COLLABORATE WITH UNC PHYSICIANS NETWORK ON PRIMARY AND SPECIALTY CARE SERVICES FOR CHATHAM COUNTY. THIS THREE-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STRATEGIC IMPLEMENTATION PLAN (SIP) WAS PRESENTED AND ADOPTED BY THE CHATHAM HOSPITAL BOARD OF DIRECTORS ON NOVEMBER 7, 2022 WITH THE VISION THAT UNC HEALTH CHATHAM WILL USE THE PLAN AS A ROAD MAP TO TRACK AND ASSESS PROGRESS TOWARDS MEETING THE COMMUNITY HEALTH GOALS. CHATHAM CHNA TASK FORCE WILL MAKE ADJUSTMENTS ALONG THE WAY ENABLING COLLABORATION WITH COMMUNITY PARTNERS WHILE RESPONDING TO LOCAL CONDITIONS AND CHANGES IN COMMUNITY PRIORITIES AND LEADERSHIP. UNC HEALTH CHATHAM WILL EVALUATE PROGRESS AT THE END OF EACH CALENDAR YEAR AND MODIFY THE PLAN ACCORDINGLY. THE REMAINING TOP HEALTH ISSUES THAT CHATHAM HOSPITAL WILL NOT BE ADDRESSING INCLUDE THE FOLLOWING: ACTIVITIES FOR YOUTH, CHILDCARE, BUILT ENVIRONMENT, HEALTHCARE ACCESS, HEALTHY AGING, HEALTHY FOOD SYSTEMS, AND SUBSTANCE USE SUPPORT/TREATMENT. WHILE CHATHAM HOSPITAL RECOGNIZES THESE HEALTH NEEDS, THEIR RESOURCES ARE BETTER USED IN ADDRESSING THE TOP THREE HEALTH PRIORITIES LISTED ABOVE."
      PART V, SECTION B, LINES 15e
      PROVIDED SEVERAL WAYS TO RETURN THE COMPLETED APPLICATION, SUCH AS, IN THE ENVELOPE PROVIDED, UPLOAD TO PROVIDED WEBSITE AND FAX NUMBER.
      PART V, SECTION B, LINES 16A-C
      HTTPS://WWW.CHATHAMHOSPITAL.ORG/CH/PATIENTS-VISITORS/BILLING
      PART V, SECTION B, LINE 20D
      TO ASSIST PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, BUT CIRCUMSTANCES PREVENT COMPLETION OF A FULL APPLICATION, A PRESUMPTIVE DETERMINATION MAY BE UTILIZED.
      Supplemental Information
      Schedule H (Form 990) Part VI
      PART I, LINE 7, COLUMN (F)
      THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $7,711,389.
      PART III, LINE 2
      THE ORGANIZATION'S BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND FORM 990 PART IX. THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED TO THE GROSS BAD DEBT CHARGES FOR THE YEAR.
      PART III, LINE 3
      THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
      PART III, LINE 4
      NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS.
      PART III, LINE 8
      AS A CRITICAL ACCESS HOSPITAL, THE DIFFERENCE BETWEEN REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COST IS THE AMOUNT DUE FROM THE PATIENTS IN THE FORM OF CO-PAYMENTS, CO-INSURANCE AND DEDUCTIBLES. THE PATIENT AMOUNTS THAT ARE NOT COLLECTED END UP AS BAD DEBTS WHICH ARE PARTIALLY RECOVERABLE ON FUTURE COST REPORTS.
      PART III, LINE 9B
      POLICY DOES CONTAIN PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE.
      PART VI, LINE 2
      LESS THAN 20% OF OUR COUNTY'S RESIDENTS LIVE IN INCORPORATED TOWNS. THE COUNTY HAS ABOUT 93.1 RESIDENTS PER SQUARE MILE, WHICH REFLECTS ITS GENERALLY RURAL NATURE. A CRITICAL ACCESS HOSPITAL IS ESSENTIAL FOR A RURAL COMMUNITY SUCH AS THIS. CHATHAM HOSPITAL ADDRESSES THE COMMUNITY'S EMERGENCY HEALTH NEEDS BY PROVIDING AROUND-THE-CLOCK EMERGENCY SERVICES TO MORE THAN 1,000 PATIENTS EACH MONTH. OUR 5,500-SQUARE FOOT EMERGENCY ROOM IS NEWLY RENOVATED AND EQUIPPED WITH THE ADVANCED DIAGNOSTIC AND MONITORING EQUIPMENT REQUIRED TO DELIVER EXCELLENT CARE. CHATHAM HOSPITAL STRIVES TO IMPROVE EMERGENCY CARE FOR KIDS BY INCREASING MEDICATION SAFETY. ALSO, THE HOSPITAL HAS A DIABETES SELF MANAGEMENT PROGRAM FOR INDIVIDUALS WITH DIABETES WITHIN THE COMMUNITY.
      PART VI, LINE 3
      NOTICES OF PATIENT FINANCIAL PROGRAMS ARE POSTED IN SERVICE AREAS, AND BROCHURES ARE AVAILABLE DESCRIBING THE PROGRAMS AND PHONE NUMBERS FOR QUESTIONS OR TO REQUEST APPLICATIONS. FINANCIAL COUNSELORS ARE LOCATED IN SERVICE AREAS FOR DISCUSSIONS REGARDING FUNDING SOURCES, INCLUDING CHARITY CARE, AND SELF PAY PATIENT ACCOUNTS ARE AUTOMATICALLY ROUTED TO MEDICAID ASSISTANCE COUNSELORS FOR REVIEW OF ELIGIBILITY POTENTIAL FOR MEDICAID. REGISTRATION COVERS THE CHARITY PROGRAM WITH PATIENTS DURING REGISTRATION AND GIVES CHARITY APPLICATIONS TO THOSE WHO DON'T HAVE INSURANCE OR WHO MEET CERTAIN CRITERIA. REGISTRATION ALSO INFORMS PATIENTS THAT PATIENT FINANCIAL SERVICES IS AVAILABLE TO PATIENTS WHO WISH TO DISCUSS PAYMENT OPTIONS.
      PART VI, LINE 4
      POPULATION INFORMATION: CHATHAM COUNTY'S POPULATION INCREASED TO OVER 76,000 AS OF APRIL 1, 2020, AN INCREASE OF MORE THAN 20% FROM THE 2010 CENSUS. CHATHAM COUNTY IS THE 36TH LARGEST COUNTY IN NORTH CAROLINA BY POPULATION BUT HAD THE 7TH HIGHEST RATE OF POPULATION GROWTH OF ALL COUNTIES BETWEEN 2010 AND 2020. CHATHAM IS A PREDOMINATELY RURAL COUNTY WITH A POPULATION DENSITY OF 93.1 PERSONS PER SQUARE MILE, LESS THAN HALF OF THE POPULATION DENSITY OF THE STATE AS A WHOLE. SIXTY-SIX PERCENT OF THE POPULATION LIVED IN RURAL AREAS, WHICH MADE UP 97.5% OF THE COUNTY'S TOTAL AREA. ETHNIC/RACIAL DIVERSITY: FIFTY-TWO PERCENT OF COUNTY RESIDENTS ARE FEMALE. THE POPULATION IS 82.2% WHITE, 12.4% BLACK/AFRICAN-AMERICAN, 12.1% HISPANIC/ LATINX, 2.2% ASIAN, 1.2% AMERICAN INDIAN OR ALASKA NATIVE. APPROXIMATELY 14% OF THE COUNTY'S RESIDENTS 5 YEARS OF AGE AND OLDER LIVE IN A HOME WHERE A LANGUAGE OTHER THAN ENGLISH IS SPOKEN. AGE: CHATHAM COUNTY HAS A RELATIVELY HIGH PROPORTION OF RESIDENTS AGED SIXTY-FIVE AND OLDER; APPROXIMATELY 25% OF RESIDENTS ARE SIXTY-FIVE AND OLDER, COMPARED TO AROUNd 16% OF THE STATE AND COUNTY POPULATIONS, RESPECTIVELY. AROUND 20% OF RESIDENTS ARE UNDER EIGHTEEN, INCLUDING 4.9% UNDER THE AGE OF FIVE. INCOME AND POVERTY: THE COUNTY'S MEDIAN HOUSEHOLD INCOME, ADJUSTED FOR INFLATION, WAS $69,799 IN 2020, SLIGHTLY HIGHER THAN THE NORTH CAROLINA MEDIAN INCOME OF $56,642. THE MEDIAN HOUSEHOLD INCOME FOR WHITE, NON-HISPANIC INDIVIDUALS, $81,165, WAS NEARLY TWICE FOR BLACK/AFRICAN AMERICAN INDIVIDUALS, $41,498, AND MORE THAT 60% HIGHER THAN THAT OF HISPANIC/LATINX INDIVIDUALS, $50,461.
      PART VI, LINE 5
      CHATHAM HOSPITAL STRIVES TO FURTHER ITS EXEMPT PURPOSES BY PARTNERING IN THE COMMUNITY TO ASSESS HEALTH NEEDS AND TO HELP DEVELOP STRATEGIES TO FULFILL THOSE NEEDS. CHATHAM HOSPITAL IS WELL ENGAGED IN THE COMMUNITY THROUGH JOINT EFFORTS WITH OTHER ORGANIZATIONS, COMMUNITY OUTREACH THROUGH EDUCATION AND HEALTH FAIRS, DIRECTLY CONTRIBUTING TO FUNDRAISING EFFORTS, WORKING TO QUALIFY PATIENTS FOR EITHER INSURANCE OR CHARITY CARE AND IF NOT, PROVIDING DISCOUNTS TO HEALTH SERVICES.
      PART VI, LINE 6
      CHATHAM HOSPITAL AND UNC HEALTH CARE ARE PARTNERING TO BRING NATIONALLY-RECOGNIZED HEALTH CARE TO CHATHAM COUNTY. OUR PARTNERSHIP MEANS YOU'LL CONTINUE TO HAVE ACCESS TO ADVANCED HEALTH CARE CLOSE TO HOME, WITH THE PERSONAL TOUCH YOU'VE COME TO EXPECT FROM US.