2024-08-08T12:09:43-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 562049537 HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION INC HUGH 3365277000 180 PARKWOOD DRIVE ELKIN NC 28621 PAUL H HAMMES CEO 3365277000 2024-08-05 1 1 AMY BIBBY P00445891 8282542254 2024-07-24 2022 2024-08-08 14:25:15Z PAUL H HAMMES 180 PARKWOOD DRIVE ELKIN NC 28621 1252217 0 X WWW.HUGHCHATHAM.ORG X 1997 NC TO SUPPORT HUGH CHATHAM MEMORIAL HOSPITAL, INC. 21 20 0 35 0 0 79644 268361 0 0 255030 263905 -4899 -20690 329775 511576 121650 79883 0 0 54711 32572 0 0 39607 37763 182306 214124 294761 115651 216815 4106856 4753463 0 0 4106856 4753463 TO CONSISTENTLY DELIVER EXCEPTIONAL QUALITY AND SERVICE BY DEMONSTRATING THE VALUES OF RESPECT, INTEGRITY, INNOVATION, FISCAL RESPONSIBILITY AND ACCOUNTABILITY. TO BE AN OUTSTANDING COMMUNITY HEALTHCARE ORGANIZATION, WITH SERVICE AS OUR GUIDING PRINCIPLE. 0 0 198767 79883 THE HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION HAS ONE PURPOSE AND THAT PURPOSE IS TO ASSIST HUGH CHATHAM MEMORIAL HOSPITAL IN SEEKING NEEDED PHILANTHROPIC DOLLARS. "SHARING THE VISION" IS THE NAME THAT HAS BEEN GIVEN TO THE LARGEST CAPITAL FUNDRAISING CAMPAIGN IN THE HISTORY OF HUGH CHATHAM MEMORIAL. IT IS BASED ON THE PHILANTHROPIC HISTORY THAT HAS ALWAYS EXISTED AT THIS HOSPITAL. IT BUILDS UPON THE GENEROSITY OF MANY OF THE FAMILIES WHO PROVIDED THE LAND AND THE FUNDS REQUIRED TO ESTABLISH HUGH CHATHAM MEMORIAL HOSPITAL. IT IS THE MISSION OF THE HUGH CHATHAM MEMORIAL HOSPITAL FOUNDATION TO PROVIDE THE CULTURE OF PHILANTHROPIC SUPPORT THAT WILL SUSTAIN THE HOSPITAL FOR GENERATIONS TO COME. 198767 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 1 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 1 1 0 0 0 0 0 0 X 21 20 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NC X X AMY REDIES 3365277595 PO BOX 560 ELKIN NC 28621 FRED CHATHAM CHAIRMAN 1.00 X X 0 0 0 JIM HARRELL JR VICE CHAIRMAN 1.00 X X 0 0 0 PHYLLIS HARRIS TREASURER 1.00 X X 0 0 0 COURTNEY SNYDER SECRETARY 1.00 X X 0 0 0 GAMBILL ALDRIDGE BOARD MEMBER 1.00 X 0 0 0 FRANK BEALS BOARD MEMBER 1.00 X 0 0 0 DEBBIE BROWN BOARD MEMBER 1.00 X 0 0 0 TERESA CHATHAM BOARD MEMBER 1.00 X 0 0 0 TONY COOK BOARD MEMBER 1.00 X 0 0 0 THOMAS EIDSON BOARD MEMBER 1.00 X 0 0 0 TOM FLIPPIN BOARD MEMBER 1.00 X 0 0 0 LARRY IRWIN BOARD MEMBER 1.00 X 0 0 0 MOLLI JO JOHNSON BOARD MEMBER 1.00 X 0 0 0 JUNE MILLER BOARD MEMBER 1.00 X 0 0 0 FRANKIE PARDUE BOARD MEMBER 1.00 X 0 0 0 AL SCHRUM BOARD MEMBER 1.00 X 0 0 0 EDDIE SETTLE BOARD MEMBER 1.00 X 0 0 0 VAN SHORE BOARD MEMBER 1.00 X 0 0 0 JERRY SIDDEN BOARD MEMBER 1.00 X 0 0 0 MURUGANANTHAN SUBBIAH BOARD MEMBER 1.00 40.00 X 0 588745 78896 MICHAEL WILSON BOARD MEMBER 1.00 X 0 0 0 PAUL HAMMES CEO - HOSPITAL 1.00 40.00 X 0 542440 79931 0 1131185 158827 0 0 1 0 0 268361 268361 75218 75218 864115 675428 188687 188687 188687 44523 202476 65213 -20690 -20690 511576 0 0 243215 79883 79883 27743 6936 1387 19420 2621 655 131 1835 2208 552 110 1546 20832 20832 50733 33927 16806 110741 110741 294761 198767 56387 39607 759252 961043 4200 500 81290 109491 81290 3233913 3710630 4106856 4753463 0 0 X 3237988 3807007 868868 946456 4106856 4753463 4106856 4753463 X 216815 368032 61760 X X 0 1 X 1 0 X X 1 HUGH CHATHAM MEMORIAL HOSPITAL INC 560642846 3 1 61760 137007 1 61760 137007 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 618674 618674 618674 618674 618674 618674 618674 618674 618674 618674 1.00000 0 0 81290 81290 81290 X 985749 368032 126973 495005 490744 20832 20832 511576 339142 65213 65213 273929 20832 20832 294761 PART V, LINE 4: THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. ENDOWMENT ASSETS INCLUDE THOSE ASSETS DESIGNATED BY THE BOARD OF THE FOUNDATION WITH THE INTENT TO HOLD THE ASSETS IN PERPETUITY. UNDER THIS POLICY, AS APPROVED BY THE BOARD, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EXCEED THE PRICE AND YIELD RESULTS OF THE S&P 500 INDEX WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. THE FOUNDATION EXPECTS ITS ENDOWMENT FUNDS, OVER TIME, TO PROVIDE AN AVERAGE RATE OF RETURN ON EQUITY INVESTMENTS COMPARABLE TO THE S&P 500 AVERAGE AND A FIXED INCOME YIELD COMPARABLE TO MARKET INDICES ANNUALLY. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. PART X, LINE 2: THE HOSPITAL, FOUNDATION, AND AUXILIARY ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2023. PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER FROM AFFILIATE 61,760. SPECIAL EVENT EXPENSES 175,954. DISTRIBUTION -110,741. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 175,954. DISTRIBUTION -110,741. WINE AUCTION 141122 121675 19447 19447 GOLF TOURNAMENT 101567 80801 20766 20766 1 4310 4310 25000 246999 202476 44523 65213 65213 -20690 1 SCHOLARSHIPS 48 79883 PART I, LINE 2: THE FOUNDATION GRANTS ASSISTANCE TO ITS SUPPORTED ORGANIZATION, HUGH CHATHAM MEMORIAL HOSPITAL. 0 0 0 0 0 0 0 0 0 MURUGANANTHAN SUBBIAH BOARD MEMBER 0 419349 0 60844 0 108552 0 47500 0 31396 0 667641 0 0 PAUL HAMMES CEO - HOSPITAL 0 424855 0 109805 0 7780 0 47391 0 32540 0 622371 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION SHALL HAVE ONE CLASS OF MEMBERS ONLY, WHICH CLASS SHALL CONSIST OF ONE MEMBER, DESIGNATED AS THE "HOSPITAL." THE HOSPITAL SHALL BE THE NONPROFIT CORPORATION ORGANIZED AND PRESENTLY EXISTING PURSUANT TO THE LAWS OF THE STATE OF NORTH CAROLINA UNDER THE NAME HUGH CHATHAM MEMORIAL HOSPITAL, AND ANY SUCCESSOR TO SUCH CORPORATION RESULTING BY MERGER, CONSOLIDATION, OR CHANGE OF NAME. FORM 990, PART VI, SECTION A, LINE 7A ANNUALLY, NOT LATER THAN THE MONTH OF NOVEMBER, THE HOSPITAL SHALL ELECT MEMBERS OF THE BOARD FOR TERMS COMMENCING ON THE FIRST DAY OF JANUARY NEXT FOLLOWING SUCH ELECTION DATE AND, EXCEPT AS PROVIDED IN THE BYLAWS, CONTINUING FOR THREE YEARS AND UNTIL THEIR RESPECTIVE SUCCESSORS SHALL HAVE BEEN ELECTED AND QUALIFIED. FORM 990, PART VI, SECTION A, LINE 7B EXCEPT TO THE EXTENT EXEMPTED BY RESOLUTION OF THE HOSPITAL, ALL ACTIONS OF THE BOARD OR ITS COMMITTEE, AFTER BEING REVIEWED AND ADOPTED BY THE BOARD, SHALL BE SUBMITTED TO THE HOSPITAL FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C ALL VOTING BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS DETERMINED BY THE USE OF NORTH CAROLINA TABLE OF SALARIES FOR HOSPITALS IN OUR STATE WHICH IS PROVIDED BY THE HUMAN RESOURCES DEPARTMENT. SALARIES ARE SET BASED ON RATE AND YEARS OF EXPERIENCE IN THE JOB FOR WHICH YOU ARE APPLYING. YEARLY INCREASES ARE SET BY BOARD OF DIRECTORS FOR OVERALL EMPLOYEES WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF HUGH CHATHAM MEMORIAL HOSPITAL. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF HUGH CHATHAM MEMORIAL HOSPITAL. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM AFFILIATE 61,760. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HUGH CHATHAM MEMORIAL HOSPITAL 180 PARKWOOD DRIVE ELKIN NC 28621 560642846 HEALTHCARE NC 501(C)(3) LINE 3 N/A 0 HUGH CHATHAM MEMORIAL HOSPITAL AUXILIARY 180 PARKWOOD DRIVE ELKIN NC 28621 561199949 GIFT/THRIFT STORE NC 501(C)(3) LINE 12A, I HUGH CHATHAM MEMORIAL HOSPITAL 0 0 1 1 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 1