2025-09-24T14:02:29-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-10-01 560603898 HARNETT HEALTH SYSTEM INC HARN 9108921000 PO BOX 1706 DUNN NC 28335 BRET JOHNSON CFO 9108921000 2025-09-24 1 1 KURT BENNION CPA P01469618 4252506100 2025-09-23 2024 2025-03-06 01:10:19Z BETSY JOHNSON REGIONAL HOSPITAL BRET JOHNSON PO BOX 1706 DUNN NC 28335 37820930 0 X WWW.MYHARNETTHEALTH.ORG X 1937 NC HARNETT HEALTH IS COMMITTED TO PROVIDING QUALITY HEALTHCARE TO THE RESIDENTS OF HARNETT COUNTY AND SURROUNDING COMMUNITIES. WE ARE A PRIVATE, NOT-FOR-PROFIT HEALTHCARE ORGANIZATION BASED IN HARNETT COUNTY, N.C. 21 21 0 21 0 0 48253 0 140212749 37766767 176157 16492 46304 23627 140483463 37806886 0 0 0 0 81056647 19082688 0 0 0 55069674 14954709 136126321 34037397 4357142 3769489 166190676 177657151 149393973 157090959 16796703 20566192 HARNETT HEALTH IS DEDICATED TO PROVIDING QUALITY AND PERSONALIZED CARE WITH RESPECT AND COMPASSION AND ARE COMMITTED TO MAKING A DIFFERENCE THROUGHOUT OUR COMMUNITIES WITH SERVICE EXCELLENCE. 0 0 31172689 0 37766767 AS PART OF MEETING HEALTH CARE NEEDS OF THE SERVICE AREA, HHS, INC. ADMITTED 5,135 PATIENTS, PROVIDING 23,739 PATIENT DAYS OF CARE, HAD 51,128 EMERGENCY ROOM VISITS AND HAD OVER 55,000 OUTPATIENT VISITS FOR OTHER SERVICES. 31172689 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 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 1 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X BRET JOHNSON 9106154829 PO BOX 2000 FAYETTEVILLE NC 283022000 MICHAEL NAGOWSKI CEO 1.00 54.00 X 0 1751758 26851 DANIEL WEATHERLY COO 1.00 54.00 X 0 991567 25009 BRET JOHNSON CFO - CFVH 1.00 54.00 X 0 804547 23349 RAID ABO KAMIL PHYSICIAN 40.00 0.00 X 723254 0 25649 MADHURI VITHALA PHYSICIAN 40.00 0.00 X 703279 0 17248 PHILIP WOOD JR CIO 1.00 54.00 X 0 606948 25025 DEBORAH MARSHBURN CNO 1.00 54.00 X 0 495612 22526 ANNA KALIKA PHYSICIAN 40.00 0.00 X 457067 0 15350 MICHEL HUDSON PHYSICIAN 40.00 0.00 X 439083 0 26887 CORY HESS VP 55.00 0.00 X 0 422170 24915 PEGGY ROBINSON PHYSICIAN 40.00 0.00 X 416503 0 24486 SANJAY SHAH MD CHAIR 4.00 0.00 X X 0 0 0 JIMMY KEEFE VICE CHAIR 2.00 0.00 X X 0 0 0 ERNEST JONES SECRETARY 2.00 0.00 X X 0 0 0 GLENN ADAMS BOARD MEMBER 2.00 0.00 X 0 0 0 AFUA ARHIM BOARD MEMBER 2.00 0.00 X 0 0 0 RYAN AUL BOARD MEMBER 2.00 0.00 X 0 0 0 MICHAEL BOOSE BOARD MEMBER 2.00 0.00 X 0 0 0 TERRILL BROWN BOARD MEMBER 2.00 0.00 X 0 0 0 CHUCK CHIMA BOARD MEMBER 2.00 0.00 X 0 0 0 JEANNETTE COUNCIL BOARD MEMBER 2.00 0.00 X 0 0 0 MARSHALL FAIRCLOTH BOARD MEMBER 2.00 0.00 X 0 0 0 KELVIN FARMER BOARD MEMBER 2.00 0.00 X 0 0 0 GIRUM FEYISSA MD BOARD MEMBER 2.00 0.00 X 0 0 0 CLARENCE GRIER BOARD MEMBER 2.00 0.00 X 0 0 0 MICHAEL JONES MD BOARD MEMBER 2.00 0.00 X 0 0 0 VERONICA JONES BOARD MEMBER 2.00 0.00 X 0 0 0 LARRY LANCASTER BOARD MEMBER 2.00 0.00 X 0 0 0 SHANNON MATTHEWS BOARD MEMBER 2.00 0.00 X 0 0 0 TONI STEWART BOARD MEMBER 2.00 0.00 X 0 0 0 PAMELA STORY BOARD MEMBER 2.00 0.00 X 0 0 0 MYRON STRICKLAND BOARD MEMBER 2.00 0.00 X 0 0 0 2739186 5072602 257295 5 0 1 0 0 NET PATIENT SERVICE RE 621400 36718656 36718656 NON-PATIENT REVENUE 900099 1048111 1048111 37766767 16492 16492 37671 14044 23627 23627 23627 37806886 37766767 0 40119 X 447087 380023 67064 16592394 14103535 2488859 389 389 1021033 865517 155516 1021785 868516 153269 7009869 7009869 531541 531541 32853 32853 356019 356019 2503256 2503256 MEDICAL SUPPLIES 4521171 4521171 34037397 31172689 2864708 0 19617648 20255485 13773 25028632 29288500 2676901 2757484 826277 1634469 208858015 108804184 95533744 100053831 5841333 2845799 16652368 20821583 166190676 177657151 18203884 14912068 1449282 1560647 67078555 59785423 62662252 80832821 149393973 157090959 X 10955370 17720393 5841333 2845799 16796703 20566192 166190676 177657151 3769489 0 X X 0 1 X 1 0 X 9063451 9063451 124691371 53959918 70731453 90600 10570 80030 73704875 54324962 19379913 1307718 508734 798984 100053831 PREPAID PENSION COSTS 1371912 UNAMORTIZED LOSS ON EXTINGUISHMENT OF DEBT 683082 PENSION RELATED DEFERRED OUTFLOW 3010659 RIGHT OF USE ASSETS, NET 9710203 NEW MARKET TAX CREDIT LOAN 6045727 20821583 DEFERRED INFLOWS OF RESOURCES (PENSION RELATED) 1248314 LEASE LIABILITY 6779658 INTERCOMPANY 63776908 HASP LIABILITY 5519670 HEALTH INSURANCE IBNR 1357000 MEDICAID DSH 2151271 80832821 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 COMBINED FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. 1 1 X 1 X 1 X 1 1 0 0 7785828 7785828 0.22870 6737480 3986340 2751140 0.08080 3761 3678 83 0.00000 14527069 3990018 10537051 0.30950 1839640 1350982 488658 0.01440 1839640 1350982 488658 0.01440 16366709 5341000 11025709 0.32390 1 3102330 4722314 4475677 246637 X 1 1 2 1 BETSY JOHNSON REGIONAL HOSPITAL 800 TILGHMAN DRIVE DUNN NC 28835 X X X DISPROPORTIONATE SHARE HOSPITAL 2 CENTRAL HARNETT HOSPITAL 215 BRIGHTWATER DRIVE LILLINGTON NC 27546 X X X BETSY JOHNSON REGIONAL HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, LINE 7D X X 1 22 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X X X X X 1 X 0 X X X X 1 X 0 0 CENTRAL HARNETT HOSPITAL 2 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, LINE 7D X X 1 22 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X WWW.CAPEFEARVALLEY.COM/FINANCIAL-ASSISTANCE-AND-FINANCING X X X X X 1 X 0 X X X X 1 X 0 0 BETSY JOHNSON REGIONAL HOSPITAL PART V, SECTION B, LINE 5: HARNETT HEALTH SYSTEM WAS AN INTEGRAL PART OF THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) ESTABLISHED TO ANALYZE THE COMMUNITY HEALTH NEEDS OF HARNETT COUNTY. THE CHAT REVIEWED THE PRIMARY AND SECONDARY DATA AND DISCUSSED COMMUNITY HEALTH NEEDS THAT THE HARNETT HEALTH SYSTEM MAY ADDRESS.THE CHAT PARTICIPANTS INCLUDED REPRESENTATIVES FROM HARNETT HEALTH SYSTEM, HARNETT COUNTY HEALTH DEPARTMENT, CAPE FEAR VALLEY HEALTH SYSTEM, THE HEALTHY HARNETT COALITION, AND THE DEPARTMENT OF PUBLIC HEALTH AT CAMPBELL UNIVERSITY. ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS AND IDENTIFIED THE TOP HEALTH CONCERNS IN HARNETT COUNTY. THOSE INDIVIDUALS REPRESENTING DIVERSE GROUPS IN HARNETT COUNTY WERE CHOSEN TO PARTICIPATE IN THE CHAT BECAUSE OF THEIR INSIGHTS INTO THE COMMUNITY'S HEALTH NEEDS.THE COMMUNITY HEALTH SURVEY FOR HARNETT COUNTY WAS CONDUCTED IN SPRING-SUMMER 2022. A TOTAL OF 568 INDIVIDUALS WERE SURVEYED. AFTER DATA CLEANING (INCLUDING LISTWISE DELETION OF INCOMPLETE SURVEY RESPONSES), THE FINAL DATASET INCLUDED 469 RESPONSES. SURVEYS WERE COLLECTED USING A COMBINATION OF HOUSEHOLD CANVASSING USING ADDRESSES RANDOMLY SELECTED AND ONLINE, SELF-ADMINISTERED CONVENIENCE SAMPLING. MUCH OF THE DATA LOSS FROM THE CLEANING PROCESS IS ATTRIBUTED TO SURVEYS STARTED BY NON-RESIDENTS AND IN WHICH PARTICIPANTS COMPLETED LESS THAN 5% OF THE ONLINE SURVEY.WITH THE COMMUNITY HEALTH SURVEY, THERE WAS A SUBSTANTIAL UNDERREPRESENTATION OF THE AFRICAN AMERICAN COMMUNITY. A COMMUNITY HEALTH FORUM TOOK PLACE AT AN AME ZION CHURCH WITHIN THE COUNTY AND DR. DAVID TILLMAN FROM CAMPBELL UNIVERSITY FACILITATED THE SESSION WITH 23 PARTICIPANTS. THE QUALITATIVE DATA FROM THE FORUM WAS INCORPORATED INTO THE INTERPRETATION OF SURVEY DATA AND THE PRIORITIZATION OF COMMUNITY HEALTH NEEDS. CENTRAL HARNETT HOSPITAL PART V, SECTION B, LINE 5: THE ASSESSMENT PROCESS INCLUDED DATA COLLECTION FROM PRIMARY AND SECONDARY SOURCES. VALUABLE INPUT FROM COMMUNITY SURVEY RESPONDENTS PROVIDED PRIMARY DATA FOR THE ASSESSMENT. SECONDARY DATA SOURCES INCLUDED THE 2020 U.S. CENSUS DATA, THE NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS, AND COUNTY-LEVEL DATA FROM HARNETT HEALTH SYSTEM AND HARNETT COUNTY DEPARTMENT OF HEALTH. HARNETT HEALTH SYSTEM WAS AN INTEGRAL PART OF THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) ESTABLISHED TO ANALYZE THE COMMUNITY HEALTH NEEDS OF HARNETT COUNTY. THE CHAT REVIEWED THE PRIMARY AND SECONDARY DATA AND DISCUSSED COMMUNITY HEALTH NEEDS THAT THE HARNETT HEALTH SYSTEM MAY ADDRESS.THE CHAT PARTICIPANTS INCLUDED REPRESENTATIVES FROM HARNETT HEALTH SYSTEM, HARNETT COUNTY HEALTH DEPARTMENT, CAPE FEAR VALLEY HEALTH SYSTEM, THE HEALTHY HARNETT COALITION, AND THE DEPARTMENT OF PUBLIC HEALTH AT CAMPBELL UNIVERSITY. ATTENDEES PROVIDED INPUT REGARDING COMMUNITY HEALTH STRENGTHS AND CONCERNS AND IDENTIFIED THE TOP HEALTH CONCERNS IN HARNETT COUNTY. THOSE INDIVIDUALS REPRESENTING DIVERSE GROUPS IN HARNETT COUNTY WERE CHOSEN TO PARTICIPATE IN THE CHAT BECAUSE OF THEIR INSIGHTS INTO THE COMMUNITY'S HEALTH NEEDS.THE COMMUNITY HEALTH SURVEY FOR HARNETT COUNTY WAS CONDUCTED IN SPRING-SUMMER 2022. A TOTAL OF 568 INDIVIDUALS WERE SURVEYED. AFTER DATA CLEANING (INCLUDING LISTWISE DELETION OF INCOMPLETE SURVEY RESPONSES), THE FINAL DATASET INCLUDED 469 RESPONSES. SURVEYS WERE COLLECTED USING A COMBINATION OF HOUSEHOLD CANVASSING USING ADDRESSES RANDOMLY SELECTED AND ONLINE, SELF-ADMINISTERED CONVENIENCE SAMPLING. MUCH OF THE DATA LOSS FROM THE CLEANING PROCESS IS ATTRIBUTED TO SURVEYS STARTED BY NON-RESIDENTS AND IN WHICH PARTICIPANTS COMPLETED LESS THAN 5% OF THE ONLINE SURVEY.WITH THE COMMUNITY HEALTH SURVEY, THERE WAS A SUBSTANTIAL UNDERREPRESENTATION OF THE AFRICAN AMERICAN COMMUNITY. A COMMUNITY HEALTH FORUM TOOK PLACE AT AN AME ZION CHURCH WITHIN THE COUNTY AND DR. DAVID TILLMAN FROM CAMPBELL UNIVERSITY FACILITATED THE SESSION WITH 23 PARTICIPANTS. THE QUALITATIVE DATA FROM THE FORUM WAS INCORPORATED INTO THE INTERPRETATION OF SURVEY DATA AND THE PRIORITIZATION OF COMMUNITY HEALTH NEEDS. BETSY JOHNSON REGIONAL HOSPITAL PART V, SECTION B, LINE 6A: CENTRAL HARNETT HOSPITAL, BETSY JOHNSON REGIONAL HOSPITAL, AND CAPE FEAR VALLEY HEALTH SYSTEM WORKED TOGETHER TO CONDUCT THE CHNA. CENTRAL HARNETT HOSPITAL PART V, SECTION B, LINE 6A: CENTRAL HARNETT HOSPITAL, BETSY JOHNSON REGIONAL HOSPITAL, AND CAPE FEAR VALLEY HEALTH SYSTEM WORKED TOGETHER TO CONDUCT THE CHNA. BETSY JOHNSON REGIONAL HOSPITAL PART V, SECTION B, LINE 6B: HARNETT COUNTY HEALTH DEPARTMENTHEALTHY HARNETT COALITIONDEPARTMENT OF PUBLIC HEALTH AT CAMPBELL UNIVERSITY CENTRAL HARNETT HOSPITAL PART V, SECTION B, LINE 6B: HARNETT COUNTY HEALTH DEPARTMENT,HEALTH HARNETT COALITIONDEPARTMENT OF PUBLIC HEALTH AT CAMPBELL UNIVERSITY BETSY JOHNSON REGIONAL HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ONLINE AT CAPEFEARVALLEY.COM/LOCATIONS/CAPE-FEAR-VALLEY-BETSY-JOHNSON-HOSPITAL.THE HOSPITAL ALSO MADE THE CHNA REPORT AVAILABLE IN PRINT AT THE HEALTH DEPARTMENT. CENTRAL HARNETT HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS AVAILABLE ONLINE AT CAPEFEARVALLEY.COM/LOCATIONS/CAPE-FEAR-VALLEY-CENTRAL-HARNETT-HOSPITAL. BETSY JOHNSON REGIONAL HOSPITAL PART V, SECTION B, LINE 11: CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED IN COLLABORATION WITH HEALTHENC AND THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AS PART OF A REGIONAL PARTNERSHIP INVOLVING 22 HOSPITALS AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA, INCLUDING THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES. COMMUNITY HEALTH ASSESSMENT TEAMS (CHAT) WERE DEVELOPED IN EACH OF THE RESPECTIVE COUNTIES. THE CHAT CONSISTED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND THOSE WORKING IN PUBLIC HEALTH. THE CHATS WERE INSTRUMENTAL IN THE DISTRIBUTION OF OUR SURVEYS IN THE COMMUNITY IN ELECTRONIC AND PAPER FORMAT. UTILIZING THE SURVEYS (PRIMARY DATA) AND DATA FROM THE STATE PLUS FEDERAL SOURCES (SECONDARY DATA), AND CHAT LED FOCUSED GROUPS ASSISTED HEALTHENC IN CREATING A COMPREHENSIVE REPORT FOR EACH OF THE FOUR COUNTIES CAPE FEAR VALLEY HAS A HOSPITAL. THERE WERE A FEW CONTINUOUS THEMES DESPITE THE GEOGRAPHICAL DIFFERENCES IN THE COUNTIES. WORKING WITH THE RESPECTIVE HEALTH DEPARTMENTS IN EACH COUNTY, CAPE FEAR VALLEY HEALTH SYSTEM IDENTIFIED SUBSTANCE ABUSE/MENTAL HEALTH, ACCESS TO HEALTH SERVICES, AND CHRONIC DISEASE MANAGEMENT AS THE AREAS THAT NEEDED TO BE ADDRESSED. THESE AREAS ARE ALL AMONG THE MOST MENTIONED AREAS AMONGST OUR SURVEY RESPONDENTS AND FOCUS GROUP ATTENDEES. THE PRIORITIES AND HEALTH NEEDS IDENTIFIED WERE STRATEGICALLY ADDRESSED THROUGH TARGETED INITIATIVES AND PROGRAMMING DURING FISCAL YEAR 2024 (10/01/2023 - 09/30/2024).EARLY INTERVENTION AND CHRONIC DISEASE MANAGEMENT:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) CONTINUED ITS COMMITMENT TO PROMOTING EARLY INTERVENTION AND SUPPORTING THE LONG-TERM MANAGEMENT OF CHRONIC CONDITIONS THROUGH ROBUST COMMUNITY OUTREACH AND EDUCATION INITIATIVES IN FY 2024. THESE EFFORTS REACHED ACROSS OUR SERVICE REGION AND IMPACTED HUNDREDS OF THOUSANDS OF LIVES.EXTENSIVE COMMUNITY ENGAGEMENTIN FISCAL YEAR 2024, MORE THAN 190 COMMUNITY EVENTS WERE HOSTED, AIMED AT EMPOWERING THE COMMUNITY WITH VITAL KNOWLEDGE ABOUT CHRONIC DISEASE MANAGEMENT, PREVENTATIVE HEALTH PRACTICES, AND GENERAL HEALTH EDUCATION. THESE EVENTS SUCCESSFULLY ENGAGED OVER 444,000 INDIVIDUALS ACROSS THE REGION. OVER 3,400 INDIVIDUALS PARTICIPATED IN SYSTEM-WIDE BLOOD DRIVES, WHICH NOT ONLY SUPPORTED THE LOCAL BLOOD SUPPLY BUT ALSO SERVED AS EDUCATIONAL TOUCHPOINTS. COMMUNITY MEMBERS WERE INFORMED ABOUT THE IMPORTANCE OF BLOOD DONATION, SAFE NEEDLE DISPOSAL, AND RECOGNIZING CRITICAL SIGNS OF BLOOD LOSS THAT REQUIRE MEDICAL INTERVENTION.CAPE FEAR VALLEY HEALTH MADE SIGNIFICANT STRIDES IN SPREADING LIFE-SAVING KNOWLEDGE THROUGH RECURRING OUTREACH PROGRAMS:- HANDS-ONLY CPR, AED TRAINING, EARLY HEART ATTACK CARE (EHAC) EDUCATION, AND BLOOD PRESSURE SCREENINGS WERE INTEGRATED INTO MANY OUTREACH EVENTS.- DURING BREAST CANCER AWARENESS EVENTS, OVER 23,200 COMMUNITY MEMBERS RECEIVED BREAST CARE EDUCATION, INCLUDING EARLY DETECTION STRATEGIES. THROUGH THE GENEROSITY OF THE FRIENDS OF THE CANCER CENTER, 144 COMMUNITY MEMBERS RECEIVED FREE MAMMOGRAMS.MORE THAN 180 COMMUNITY MEMBERS ATTENDED DEDICATED SESSIONS ON SLEEP APNEA AWARENESS, LEARNING HOW TO RECOGNIZE SYMPTOMS AND WHERE TO SEEK CARE FURTHER SUPPORTING EARLY DETECTION AND TREATMENT OF POTENTIALLY LIFE-THREATENING SLEEP DISORDERS.CAPE FEAR VALLEY HEALTH'S RADIO SHOW "MAKING ROUNDS LIVE" BROUGHT EXPERT-LED HEALTH EDUCATION DIRECTLY TO THE PUBLIC. IN FY 2024, OVER 89,500 PARTICIPANTS JOINED IN TO LISTEN OR WATCH THESE SESSIONS, COVERING VITAL TOPICS SUCH AS:- HEART HEALTH- NUTRITION AND EXERCISE- THE OPIOID CRISIS- CHRONIC DISEASE PREVENTION AND MANAGEMENT- CANCER EARLY DETECTION- STROKE AND HEART ATTACK WARNING SIGNS- PALLIATIVE CARE- SEXUAL ASSAULT AWARENESS- KIDNEY HEALTH- MATERNAL CARE AND COLORECTAL CANCER SCREENINGIN SUPPORT OF EARLY INTERVENTION, CAPE FEAR VALLEY HEALTH PROVIDED OVER 400 FREE HEALTH SCREENINGS, INCLUDING LUNG CANCER SCREENINGS AND GENERAL WELLNESS ASSESSMENTS. IN ADDITION, MORE THAN 24,400 FLU VACCINATIONS WERE ADMINISTERED THROUGHOUT THE REGION TO HELP PREVENT ILLNESS AND PROTECT THE COMMUNITY, ESPECIALLY THOSE WITH CHRONIC HEALTH CONDITIONS.OUTREACH SURROUNDING THE CUMBERLAND COUNTY MEDICATION ACCESS PROGRAM (CCMAP) REACHED MORE THAN 350,000 INDIVIDUALS IN CUMBERLAND, HOKE, HARNETT, AND SAMPSON COUNTIES. CCMAP CONTINUES TO BRIDGE THE GAP FOR UNDERSERVED POPULATIONS BY PROVIDING FREE OR LOW-COST MEDICATIONS THROUGH LICENSED NON-PROFIT PHARMACIES ENABLING IMPROVED OUTCOMES FOR THOSE MANAGING CHRONIC DISEASES.CAPE FEAR VALLEY HEALTH MAINTAINED ITS PARTNERSHIP WITH NC MEDASSIST, HELPING ELIMINATE ACCESS BARRIERS FOR HOMEBOUND PATIENTS. THROUGH THEIR OVER THE COUNTER MEDICINE PROGRAM, RESIDENTS COULD REQUEST ESSENTIAL MEDICATIONS SUCH AS ALLERGY RELIEF, COLD REMEDIES, PAIN MANAGEMENT, VITAMINS, AND CHILDREN'S MEDICINE WITHOUT NEEDING TO ATTEND MOBILE FREE PHARMACY EVENTS IN PERSON.THESE EFFORTS REFLECT CAPE FEAR VALLEY HEALTH'S ONGOING MISSION TO IMPROVE POPULATION HEALTH THROUGH ACCESSIBLE CARE, EDUCATION, AND PREVENTION. BY EMPOWERING INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH WHETHER THROUGH LEARNING CPR, UNDERSTANDING CHRONIC DISEASE WARNING SIGNS, OR ACCESSING MEDICATIONS CAPE FEAR VALLEY CONTINUES TO BUILD A HEALTHIER, MORE INFORMED COMMUNITY.ENHANCING ACCESS TO CARE & STRENGTHENING THE PROVIDER PIPELINE:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) REMAINS STEADFAST IN ITS MISSION TO IMPROVE ACCESS TO HIGH-QUALITY, COORDINATED HEALTH SERVICES ACROSS SOUTHEASTERN NORTH CAROLINA. THROUGHOUT FY24, THE HEALTH SYSTEM ADVANCED MULTIPLE STRATEGIC INITIATIVES AIMED AT STRENGTHENING THE PROVIDER WORKFORCE, INCREASING CARE AVAILABILITY IN UNDERSERVED AREAS, ENHANCING BEHAVIORAL HEALTH CAPACITY, AND LEVERAGING TECHNOLOGY TO IMPROVE PATIENT OUTCOMES.TO MEET THE GROWING DEMAND FOR CARE, CFVHS PRIORITIZED RECRUITMENT AND WORKFORCE DEVELOPMENT. THROUGH A COMPREHENSIVE PHYSICIAN NEEDS ASSESSMENT, COMPLETED IN PARTNERSHIP WITH 3D CONSULTING IN 2022, THE SYSTEM IDENTIFIED SPECIALTY-SPECIFIC NEEDS ACROSS EACH COUNTY IN ITS SERVICE AREA. THROUGHOUT FY24, CFVHS REMAINED COMMITTED TO IMPROVING ACCESS TO HIGH-QUALITY CARE BY ACTIVELY RECRUITING AND RETAINING BOTH GENERAL AND SPECIALIZED PROVIDERS TO SERVE THE NEEDS OF OUR COMMUNITY. AS A RESULT:- 60 FULL-TIME AND 25 PART-TIME PROVIDERS WERE HIRED, INCLUDING HOSPITALISTS (21), EMERGENCY MEDICINE (16), OB/GYN (9), PEDIATRICS (8), ORTHOPEDICS (6), AND 25 OTHERS ACROSS 15+ SPECIALTIES.THIS GROWTH ENSURES TIMELY ACCESS TO BOTH PRIMARY AND SPECIALTY CARE, HELPING REDUCE WAIT TIMES AND IMPROVE CARE CONTINUITY.IN PARALLEL, CFVHS CONTINUED TO INVEST IN ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH NOW SUPPORT OVER 290 RESIDENTS ACROSS 14 SPECIALTIESFROM INTERNAL MEDICINE AND PSYCHIATRY TO EMERGENCY MEDICINE AND ORTHOPEDICS. THE SYSTEM ALSO HOSTS 13 FELLOWS ACROSS CARDIOLOGY, ADOLESCENT PSYCHIATRY, AND PULMONARY/CRITICAL CARE (STARTING JULY 2025). THESE PROGRAMS SERVE AS A LONG-TERM PIPELINE TO ADDRESS REGIONAL PHYSICIAN SHORTAGES.THE METHODIST UNIVERSITY CAPE FEAR VALLEY HEALTH SCHOOL OF MEDICINE MARKED A HISTORIC MILESTONE IN SEPTEMBER 2024 WITH A GROUNDBREAKING CEREMONY FOR ITS NEW MEDICAL SCHOOL BUILDING, FUNDED IN PART BY AN $8 MILLION GRANT FROM THE GOLDEN LEAF FOUNDATION. ONCE OPERATIONAL, THE SCHOOL WILL GRADUATE OVER 100 PHYSICIANS ANNUALLY HELPING ADDRESS CRITICAL PROVIDER SHORTAGES ACROSS RURAL AND UNDERSERVED COMMUNITIES.WITH THE FULL IMPLEMENTATION OF EPIC AT HARNETT HEALTH, CFVHS NOW OPERATES ON A UNIFIED ELECTRONIC HEALTH RECORD PLATFORM. THIS SEAMLESS INTEGRATION:- ENHANCES REAL-TIME DATA SHARING ACROSS FACILITIES- REDUCES DUPLICATIVE DOCUMENTATION- IMPROVES CARE TRANSITIONS- SUPPORTS INFORMED CLINICAL DECISION-MAKINGTHE RESULT IS SAFER, FASTER, AND MORE COORDINATED CARE, REGARDLESS OF LOCATION. CFVHS INVESTED SIGNIFICANTLY IN EXPANDING ITS PHYSICAL FOOTPRINT TO ACCOMMODATE RISING DEMAND:- THE VALLEY PAVILION EXPANSION ADDED TWO ROOFTOP HELIPADS, ENABLING CRITICALLY ILL PATIENTS TO BE TRANSPORTED DIRECTLY TO THE ED, HEART CENTER, ICU, OR OPERATING ROOM IMPROVING CARE TIMELINES AND SUPPORTING INTER-HOSPITAL TRANSFERS.- 10 NEW AMBULATORY CLINICS OPENED ACROSS THE REGION, THREE OF WHICH ARE IN RURAL AREAS. THESE CLINICS EXPANDED SERVICES IN ORTHOPEDICS, OB/GYN, PEDIATRICS, INTERVENTIONAL PAIN, AND PODIATRY, DRIVING A 19% INCREASE IN PHYSICIAN VISITS SYSTEM-WIDE.INCREASED UTILIZATION DEMONSTRATED ENHANCED ACCESS TO SERVICES THROUGHOUT THE COMMUNITIES WE SERVE.- 3% INCREASE IN INPATIENT DISCHARGES- 1% INCREASE IN EMERGENCY DEPARTMENT VISITS- 11% INCREASE IN INTERVENTIONAL RADIOLOGY VOLUMES DUE TO THE ADDITION OF THREE NEW IR PHYSICIANS CENTRAL HARNETT HOSPITAL PART V, SECTION B, LINE 11: CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) COMPLETED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DEVELOPED IN COLLABORATION WITH HEALTHENC AND THE CONDUENT HEALTHY COMMUNITIES INSTITUTE, AS PART OF A REGIONAL PARTNERSHIP INVOLVING 22 HOSPITALS AND 21 HEALTH DEPARTMENTS ACROSS EASTERN NORTH CAROLINA, INCLUDING THE HEALTH DEPARTMENTS OF BLADEN, CUMBERLAND, HOKE, AND HARNETT COUNTIES. COMMUNITY HEALTH ASSESSMENT TEAMS (CHAT) WERE DEVELOPED IN EACH OF THE RESPECTIVE COUNTIES. THE CHAT CONSISTED OF COMMUNITY MEMBERS, STAKEHOLDERS, AND THOSE WORKING IN PUBLIC HEALTH. THE CHATS WERE INSTRUMENTAL IN THE DISTRIBUTION OF OUR SURVEYS IN THE COMMUNITY IN ELECTRONIC AND PAPER FORMAT. UTILIZING THE SURVEYS (PRIMARY DATA) AND DATA FROM THE STATE PLUS FEDERAL SOURCES (SECONDARY DATA), AND CHAT LED FOCUSED GROUPS ASSISTED HEALTHENC IN CREATING A COMPREHENSIVE REPORT FOR EACH OF THE FOUR COUNTIES CAPE FEAR VALLEY HAS A HOSPITAL. THERE WERE A FEW CONTINUOUS THEMES DESPITE THE GEOGRAPHICAL DIFFERENCES IN THE COUNTIES. WORKING WITH THE RESPECTIVE HEALTH DEPARTMENTS IN EACH COUNTY, CAPE FEAR VALLEY HEALTH SYSTEM IDENTIFIED SUBSTANCE ABUSE/MENTAL HEALTH, ACCESS TO HEALTH SERVICES, AND CHRONIC DISEASE MANAGEMENT AS THE AREAS THAT NEEDED TO BE ADDRESSED. THESE AREAS ARE ALL AMONG THE MOST MENTIONED AREAS AMONGST OUR SURVEY RESPONDENTS AND FOCUS GROUP ATTENDEES. THE PRIORITIES AND HEALTH NEEDS IDENTIFIED WERE STRATEGICALLY ADDRESSED THROUGH TARGETED INITIATIVES AND PROGRAMMING DURING FISCAL YEAR 2024 (10/01/2023 - 09/30/2024).EARLY INTERVENTION AND CHRONIC DISEASE MANAGEMENT:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) CONTINUED ITS COMMITMENT TO PROMOTING EARLY INTERVENTION AND SUPPORTING THE LONG-TERM MANAGEMENT OF CHRONIC CONDITIONS THROUGH ROBUST COMMUNITY OUTREACH AND EDUCATION INITIATIVES IN FY 2024. THESE EFFORTS REACHED ACROSS OUR SERVICE REGION AND IMPACTED HUNDREDS OF THOUSANDS OF LIVES.EXTENSIVE COMMUNITY ENGAGEMENTIN FISCAL YEAR 2024, MORE THAN 190 COMMUNITY EVENTS WERE HOSTED, AIMED AT EMPOWERING THE COMMUNITY WITH VITAL KNOWLEDGE ABOUT CHRONIC DISEASE MANAGEMENT, PREVENTATIVE HEALTH PRACTICES, AND GENERAL HEALTH EDUCATION. THESE EVENTS SUCCESSFULLY ENGAGED OVER 444,000 INDIVIDUALS ACROSS THE REGION. OVER 3,400 INDIVIDUALS PARTICIPATED IN SYSTEM-WIDE BLOOD DRIVES, WHICH NOT ONLY SUPPORTED THE LOCAL BLOOD SUPPLY BUT ALSO SERVED AS EDUCATIONAL TOUCHPOINTS. COMMUNITY MEMBERS WERE INFORMED ABOUT THE IMPORTANCE OF BLOOD DONATION, SAFE NEEDLE DISPOSAL, AND RECOGNIZING CRITICAL SIGNS OF BLOOD LOSS THAT REQUIRE MEDICAL INTERVENTION.CAPE FEAR VALLEY HEALTH MADE SIGNIFICANT STRIDES IN SPREADING LIFE-SAVING KNOWLEDGE THROUGH RECURRING OUTREACH PROGRAMS:- HANDS-ONLY CPR, AED TRAINING, EARLY HEART ATTACK CARE (EHAC) EDUCATION, AND BLOOD PRESSURE SCREENINGS WERE INTEGRATED INTO MANY OUTREACH EVENTS.- DURING BREAST CANCER AWARENESS EVENTS, OVER 23,200 COMMUNITY MEMBERS RECEIVED BREAST CARE EDUCATION, INCLUDING EARLY DETECTION STRATEGIES. THROUGH THE GENEROSITY OF THE FRIENDS OF THE CANCER CENTER, 144 COMMUNITY MEMBERS RECEIVED FREE MAMMOGRAMS.MORE THAN 180 COMMUNITY MEMBERS ATTENDED DEDICATED SESSIONS ON SLEEP APNEA AWARENESS, LEARNING HOW TO RECOGNIZE SYMPTOMS AND WHERE TO SEEK CARE FURTHER SUPPORTING EARLY DETECTION AND TREATMENT OF POTENTIALLY LIFE-THREATENING SLEEP DISORDERS.CAPE FEAR VALLEY HEALTH'S RADIO SHOW "MAKING ROUNDS LIVE" BROUGHT EXPERT-LED HEALTH EDUCATION DIRECTLY TO THE PUBLIC. IN FY 2024, OVER 89,500 PARTICIPANTS JOINED IN TO LISTEN OR WATCH THESE SESSIONS, COVERING VITAL TOPICS SUCH AS:- HEART HEALTH- NUTRITION AND EXERCISE- THE OPIOID CRISIS- CHRONIC DISEASE PREVENTION AND MANAGEMENT- CANCER EARLY DETECTION- STROKE AND HEART ATTACK WARNING SIGNS- PALLIATIVE CARE- SEXUAL ASSAULT AWARENESS- KIDNEY HEALTH- MATERNAL CARE AND COLORECTAL CANCER SCREENINGIN SUPPORT OF EARLY INTERVENTION, CAPE FEAR VALLEY HEALTH PROVIDED OVER 400 FREE HEALTH SCREENINGS, INCLUDING LUNG CANCER SCREENINGS AND GENERAL WELLNESS ASSESSMENTS. IN ADDITION, MORE THAN 24,400 FLU VACCINATIONS WERE ADMINISTERED THROUGHOUT THE REGION TO HELP PREVENT ILLNESS AND PROTECT THE COMMUNITY, ESPECIALLY THOSE WITH CHRONIC HEALTH CONDITIONS.OUTREACH SURROUNDING THE CUMBERLAND COUNTY MEDICATION ACCESS PROGRAM (CCMAP) REACHED MORE THAN 350,000 INDIVIDUALS IN CUMBERLAND, HOKE, HARNETT, AND SAMPSON COUNTIES. CCMAP CONTINUES TO BRIDGE THE GAP FOR UNDERSERVED POPULATIONS BY PROVIDING FREE OR LOW-COST MEDICATIONS THROUGH LICENSED NON-PROFIT PHARMACIES ENABLING IMPROVED OUTCOMES FOR THOSE MANAGING CHRONIC DISEASES.CAPE FEAR VALLEY HEALTH MAINTAINED ITS PARTNERSHIP WITH NC MEDASSIST, HELPING ELIMINATE ACCESS BARRIERS FOR HOMEBOUND PATIENTS. THROUGH THEIR OVER THE COUNTER MEDICINE PROGRAM, RESIDENTS COULD REQUEST ESSENTIAL MEDICATIONS SUCH AS ALLERGY RELIEF, COLD REMEDIES, PAIN MANAGEMENT, VITAMINS, AND CHILDREN'S MEDICINE WITHOUT NEEDING TO ATTEND MOBILE FREE PHARMACY EVENTS IN PERSON.THESE EFFORTS REFLECT CAPE FEAR VALLEY HEALTH'S ONGOING MISSION TO IMPROVE POPULATION HEALTH THROUGH ACCESSIBLE CARE, EDUCATION, AND PREVENTION. BY EMPOWERING INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH WHETHER THROUGH LEARNING CPR, UNDERSTANDING CHRONIC DISEASE WARNING SIGNS, OR ACCESSING MEDICATIONS CAPE FEAR VALLEY CONTINUES TO BUILD A HEALTHIER, MORE INFORMED COMMUNITY.ENHANCING ACCESS TO CARE & STRENGTHENING THE PROVIDER PIPELINE:CAPE FEAR VALLEY HEALTH SYSTEM (CFVHS) REMAINS STEADFAST IN ITS MISSION TO IMPROVE ACCESS TO HIGH-QUALITY, COORDINATED HEALTH SERVICES ACROSS SOUTHEASTERN NORTH CAROLINA. THROUGHOUT FY24, THE HEALTH SYSTEM ADVANCED MULTIPLE STRATEGIC INITIATIVES AIMED AT STRENGTHENING THE PROVIDER WORKFORCE, INCREASING CARE AVAILABILITY IN UNDERSERVED AREAS, ENHANCING BEHAVIORAL HEALTH CAPACITY, AND LEVERAGING TECHNOLOGY TO IMPROVE PATIENT OUTCOMES.TO MEET THE GROWING DEMAND FOR CARE, CFVHS PRIORITIZED RECRUITMENT AND WORKFORCE DEVELOPMENT. THROUGH A COMPREHENSIVE PHYSICIAN NEEDS ASSESSMENT, COMPLETED IN PARTNERSHIP WITH 3D CONSULTING IN 2022, THE SYSTEM IDENTIFIED SPECIALTY-SPECIFIC NEEDS ACROSS EACH COUNTY IN ITS SERVICE AREA. THROUGHOUT FY24, CFVHS REMAINED COMMITTED TO IMPROVING ACCESS TO HIGH-QUALITY CARE BY ACTIVELY RECRUITING AND RETAINING BOTH GENERAL AND SPECIALIZED PROVIDERS TO SERVE THE NEEDS OF OUR COMMUNITY. AS A RESULT:- 60 FULL-TIME AND 25 PART-TIME PROVIDERS WERE HIRED, INCLUDING HOSPITALISTS (21), EMERGENCY MEDICINE (16), OB/GYN (9), PEDIATRICS (8), ORTHOPEDICS (6), AND 25 OTHERS ACROSS 15+ SPECIALTIES.THIS GROWTH ENSURES TIMELY ACCESS TO BOTH PRIMARY AND SPECIALTY CARE, HELPING REDUCE WAIT TIMES AND IMPROVE CARE CONTINUITY.IN PARALLEL, CFVHS CONTINUED TO INVEST IN ITS GRADUATE MEDICAL EDUCATION PROGRAMS, WHICH NOW SUPPORT OVER 290 RESIDENTS ACROSS 14 SPECIALTIESFROM INTERNAL MEDICINE AND PSYCHIATRY TO EMERGENCY MEDICINE AND ORTHOPEDICS. THE SYSTEM ALSO HOSTS 13 FELLOWS ACROSS CARDIOLOGY, ADOLESCENT PSYCHIATRY, AND PULMONARY/CRITICAL CARE (STARTING JULY 2025). THESE PROGRAMS SERVE AS A LONG-TERM PIPELINE TO ADDRESS REGIONAL PHYSICIAN SHORTAGES.THE METHODIST UNIVERSITY CAPE FEAR VALLEY HEALTH SCHOOL OF MEDICINE MARKED A HISTORIC MILESTONE IN SEPTEMBER 2024 WITH A GROUNDBREAKING CEREMONY FOR ITS NEW MEDICAL SCHOOL BUILDING, FUNDED IN PART BY AN $8 MILLION GRANT FROM THE GOLDEN LEAF FOUNDATION. ONCE OPERATIONAL, THE SCHOOL WILL GRADUATE OVER 100 PHYSICIANS ANNUALLY HELPING ADDRESS CRITICAL PROVIDER SHORTAGES ACROSS RURAL AND UNDERSERVED COMMUNITIES.WITH THE FULL IMPLEMENTATION OF EPIC AT HARNETT HEALTH, CFVHS NOW OPERATES ON A UNIFIED ELECTRONIC HEALTH RECORD PLATFORM. THIS SEAMLESS INTEGRATION:- ENHANCES REAL-TIME DATA SHARING ACROSS FACILITIES- REDUCES DUPLICATIVE DOCUMENTATION- IMPROVES CARE TRANSITIONS- SUPPORTS INFORMED CLINICAL DECISION-MAKINGTHE RESULT IS SAFER, FASTER, AND MORE COORDINATED CARE, REGARDLESS OF LOCATION. CFVHS INVESTED SIGNIFICANTLY IN EXPANDING ITS PHYSICAL FOOTPRINT TO ACCOMMODATE RISING DEMAND:- THE VALLEY PAVILION EXPANSION ADDED TWO ROOFTOP HELIPADS, ENABLING CRITICALLY ILL PATIENTS TO BE TRANSPORTED DIRECTLY TO THE ED, HEART CENTER, ICU, OR OPERATING ROOM IMPROVING CARE TIMELINES AND SUPPORTING INTER-HOSPITAL TRANSFERS.- 10 NEW AMBULATORY CLINICS OPENED ACROSS THE REGION, THREE OF WHICH ARE IN RURAL AREAS. THESE CLINICS EXPANDED SERVICES IN ORTHOPEDICS, OB/GYN, PEDIATRICS, INTERVENTIONAL PAIN, AND PODIATRY, DRIVING A 19% INCREASE IN PHYSICIAN VISITS SYSTEM-WIDE.INCREASED UTILIZATION DEMONSTRATED ENHANCED ACCESS TO SERVICES THROUGHOUT THE COMMUNITIES WE SERVE.- 3% INCREASE IN INPATIENT DISCHARGES- 1% INCREASE IN EMERGENCY DEPARTMENT VISITS- 11% INCREASE IN INTERVENTIONAL RADIOLOGY VOLUMES DUE TO THE ADDITION OF THREE NEW IR PHYSICIANS 10 1 - HARNETT HEALTH ANGIER MEDICAL SERVICES 185 RAWLS ROAD ANGIER NC 27501 PRIMARY CARE PROVIDER 2 - HARNETT HEALTH LILLINGTON MEDICAL SERVIC 7 EAST DUNCAN STREET LILLINGTON NC 27546 PRIMARY CARE PROVIDER 3 - HARNETT HEALTH DUNN MEDICAL SERVICES 803 TILGHMAN DRIVE STE 100 DUNN NC 28334 PRIMARY CARE PROVIDER 4 - HARNETT HEALTH HARNETT OBGYN 805-C TILGHMAN DRIVE DUNN NC 28334 OBSTETRICS/GYNECOLOGY SERVICES 5 - HARNETT HEALTH PREMIER PEDIATRICS 802 TILGHMAN DRIVE DUNN NC 28334 PRIMARY CARE PROVIDER 6 - COATS MEDICAL SERVICES 25 N JOHNSON STREET COATS NC 27521 PRIMARY CARE PROVIDER 7 - HARNETT HEALTH ORTHO & SPORTS MED 716 10TH ST LILLINGTON NC 27546 ORTHOPAEDIC & SPORTS MEDICINE 8 - BUFFALO LAKES MEDICAL SERVICES 1619 BUFFALO LAKE RD SANFORD NC 27332 PRIMARY CARE PROVIDER 9 - PREMIER PEDIATRICS 716 10TH ST LILLINGTON NC 27546 PEDRIATICS 10 - HARNETT HEALTH EAR NOSE & THROAT 805 TILGHMAN DRIVE DUNN NC 28334 ENT PROVIDER PART I, LINE 3C: INCOME LEVEL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS PART I, LINE 7: HARNETT HEALTH USED THE COST-TO-CHARGE RATIO, ESTABLISHED FROM ITS COST REPORTS FILED, TO REPORT FINANIAL ASSISTANCE SHOWN IN PART I AND PART III OF SCHEDULE H. PART III, LINE 2: COST-TO-CHARGE RATIO APPLIED AGAINST BAD DEBT CHARGES FROM UN-DISCOUNTED SELF-PAY PATIENTS. PART III, LINE 3: SEE NOTE FOR SCHEDULE H, PART III, LINE 4 PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT. BAD DEBT IS PRESENTED AT GROSS CHARGES. PER THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS, THE ORGANIZATION ESTIMATES THAT SOME PORTION OF ITS BAD DEBT MAY QUALIFY FOR FINANCIAL ASSISTANCE DUE TO THE FACT THAT THE HOSPITAL DOES NOT HAVE 24 HOUR COVERAGE IN THE ED FOR FINANCIAL ASSISTANCE. ALSO, SOME PATIENTS TREATED REFUSE TO MEET AND DISCUSS FINANCIAL ASSISTANCE OPTIONS. THE ANDI REPORT WAS USED TO CALCULATE THE AMOUNT OF BAD DEBT THAT QUALIFIES FOR FINANCIAL ASSISTANCE. ANOTHER FACTOR CONTRIBUTING TO THE ESTIMATE OF BAD DEBT THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE IS THAT WE DO NOT VISIT OUR INSURED INPATIENTS THAT MAY HAVE HIGH DEDUCTIBLES OR CO-INSURANCES. IN FUTURE YEARS, THE ORGANIZATION PLANS TO IMPROVE CONSULTATION SESSIONS TO INLCUDE INSURED PATIENTS WITH POTENTIALLY HIGH DEDUCTIBLES OR CO-PAYMENTS. PART III, LINE 8: THE DECEMBER 31, 2024 MEDICARE COST REPORT WAS USED TO CALCULATE TOTAL MEDICARE REVENUE AND MEDICARE ALLOWABLE COSTS OF CARE. PART III, LINE 9B: ALL PATIENTS RECEIVE LETTERS AND/OR STATEMENTS REGARDING THEIR ACCOUNTS AND THEY ARE GIVEN 120 DAYS FROM THE BILL DATE TO MAKE SATISFACTORY PAYMENT ARRANGEMENTS OR TO APPLY FOR FINANCIAL ASSISTANCE BEFORE THE ACCOUNT GOES TO BAD DEBT STATUS. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE MUST COMPLY WITH THE REQUIREMENTS OF THE APPLICATION TO AVOID THE ACCOUNT GOING INTO BAD DEBT STATUS. PATIENTS APPLYING FOR AID ARE PLACED IN A HOLD STATUS BY THE PALS TEAM TO AVOID COLLECTIONS. PATIENTS WHO HAVE MADE AN EFFORT TO COMPLETE AN APPLICATION OR WHO MAY NOT HAVE HAD AN OPPORTUNITY TO DISCUSS THEIR FINANCIAL SITUATION AND THEIR ACCOUNT GOES TO A COLLECTION STATUS ARE EVALUATED ON A CASE BY CASE BASIS TO DETERMINE IF THE ACCOUNT IS REMOVED FROM COLLECTIONS AND FINANCIAL ASSISTANCE IS PROVIDED. PART VI, LINE 2: BASED ON THE DATA FROM THE HARNETT COUNTY NEEDS ASSESSMENT WE REVIEW WHAT KEY ISSUES ARE ALIGNED WITH OUR MISSION. FROM THERE, WE DEVELOP PLANS ON WHICH STRATEGIES WILL HAVE THE MOST IMPACT ON OUR COMMUNITY. PART VI, LINE 3: THE HOSPITAL SYSTEM OFFERS FINANCIAL ASSISTANCE TO ANYONE BASED ON NEED AND ABILITY TO PAY. OUR PATIENT ACCOUNT LIAISONS WILL ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE AND ANY OTHER FUNDING SOURCES THAT MAY BE AVAILABLE. PRE-SCREENING MAYBE CONDUCTED AT PRE-ADMISSION OR POINT OF SERVICE FOR ALL UNISURED OR UNDERINSURED PATIENTS THAT CAN NOT MEET THE DEPOSIT REQUIREMENTS; HOWEVER, ALL EMERGENT SERVICES ARE PROVIDED WITHOUT REGARD TO THE ABLITY TO PAY OR NOT. PART VI, LINE 4: HARNETT HEALTH SYSTEM, INC. IS LOCATED IN THE SOUTHEASTERN/MIDDLE SECTION OF HARNETT COUNTY NORTH CAROLINA. AS A RURAL HOSPITAL, WE ARE A KEY COMPONENT OF OUR STATE'S HEALTH CARE SAFETY NET BY TREATING EVERYONE WHO COMES THROUGH OUR DOORS. OUR PATIENT VOLUMES EXEMPLIFY OUR COMMITTMENT: MEDICARE 47.2%, MEDICAID 19.6%, COMMERCIAL/MANAGED CARE 23.9%, SELF PAY 5.4%, TRICARE AND ALL OTHER 3.9%. THE HOSPITAL'S SERVICE AREA INCLUDED HARNETT AND A PORTION OF THREE NEIGHBORING COUNTIES, CUMBERLAND, JOHNSTON AND SAMPSON. AGRICULTURE AND CONSTRUCTION ARE THE LEADING INDUSTRIES OF OUR ECONOMIC STRUCTURE. THE TOP LARGEST EMPLOYER IN HARNETT COUNTY IS THE PUBLIC SCHOOL SYSTEM. PART VI, LINE 5: THE ROLE OF HARNETT HEALTH SYSTEM PLAYS IN THE COMMUNITY IS TO CARE FOR AND HEAL THE SICK AND INJURED, BUT EQUALLY IMPORTANT IS EDUCATING OUR COMMUNITY THE IMPORTANCE OF GOOD HEALTH AND WAYS TO IMPROVE THEIR LIFESTYLES. WE DEFINE OUR OBLIGATION BY HOLDING COMMUNITY EDUCATION AND WELLNESS CLASSES, PARTICIPATING IN ANNUAL COMMUNITY EVENTS, AND EDUCATING HIGH SCHOOL STUDENT ON THE MANY AREA OF EMPLOYMENT IN THE HEALTHCARE FIELD. PART VI, LINE 6: THE ORGANIZATION IS OWNED BY CAPE FEAR VALLEY HEALTH SYSTEM. THE SYSTEMS WORK TOGETHER TO PROVIDE QUALITY CARE TO THE SURROUNDING COMMUNITIES. PART VI, LINE 7, REPORTS FILED WITH STATES NC 0 0 0 0 0 0 0 0 0 MICHAEL NAGOWSKI CEO 0 1199200 0 549946 0 2612 0 15350 0 11501 0 1778609 0 0 DANIEL WEATHERLY COO 0 684441 0 306501 0 625 0 15350 0 9659 0 1016576 0 0 BRET JOHNSON CFO - CFVH 0 610684 0 175770 0 18093 0 15350 0 7999 0 827896 0 0 RAID ABO KAMIL PHYSICIAN 238462 0 132866 0 351926 0 12303 0 13346 0 748903 0 0 0 MADHURI VITHALA PHYSICIAN 436500 0 221357 0 45422 0 15350 0 1898 0 720527 0 0 0 PHILIP WOOD JR CIO 0 455481 0 141980 0 9487 0 15350 0 9675 0 631973 0 0 DEBORAH MARSHBURN CNO 0 386789 0 105247 0 3576 0 15350 0 7176 0 518138 0 0 ANNA KALIKA PHYSICIAN 365000 0 30000 0 62067 0 15350 0 0 0 472417 0 0 0 MICHEL HUDSON PHYSICIAN 391213 0 30000 0 17870 0 15350 0 11537 0 465970 0 0 0 CORY HESS VP 0 367710 0 54460 0 0 0 15350 0 9565 0 447085 0 0 PEGGY ROBINSON PHYSICIAN 316051 0 0 0 100452 0 15350 0 9136 0 440989 0 0 0 PART I, LINE 3 EXECUTIVE SALARIES ARE DETERMINED BY A MARKET ANALYSIS INVOLVING COMPARABILITY DATA, INDUSTRY STANDARDS, AND LOCAL ECONOMICS. THE CEO'S SALARY IS A CONDITION OF THE MANAGEMENT AGREEMENT BETWEEN THE BOARD OF DIRECTORS AT CAPE FEAR VALLEY MEDICAL CENTER, A RELATED EXEMPT ORGANIZATION.. THE BOARD HAS INDIRECT APPROVAL OVER THE COMPENSATION PAID TO THE CEO THROUGH THIS AGREEMENT, AND HAS APPROVAL OVER ANY ADDITIONAL AMOUNTS AND INCREASES. CAPE FEAR PREPARES A COMPENSATION STUDY FOR OFFICERS AND KEY EMPLOYEES EXCLUDING THE CEO AND MAKES THE RECOMMENDATIONS TO THE CEO OF HARNETT HEALTH SYSTEM. THOSE RECOMMENDATIONS, INCLUDING ANY AMOUNTS ALLOCATED FOR RAISES AND INCENTIVES, ARE INCLUDED IN THE ANNUAL BUDGET PROCESS WHICH IS APPROVED BY THE FINANCE COMMITIEE OF THE BOARD. FORM 990, PART V, LINE 2A: ALL 1099S AND W-2S ARE FILED BY CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. (EIN 56-0845796), A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, THE VICE CHAIR, THE SECRETARY AND THE TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE HOSPITAL DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF TRUSTEES, AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REPORTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 3 CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. OWNS HARNETT HEALTH SYSTEM AND HAS RESERVED POWERS AS NOTED IN EXHIBIT A OF THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A THE CUMBERLAND COUNTY BOARD OF COMMISSIONERS, WHICH IS A GOVERNMENTAL UNIT, APPOINTS THE MAJORITY OF THE CUMBERLAND COUNTY HOSPITAL SYSTEM. THE BOARD OF TRUSTEES OF CUMBERLAND COUNTY HOSPITAL SYSTEM IS COMPRISED OF SEVEN TRUSTEES WHO ARE THE SEVEN MEMBERS OF THE BOARD OF COMMISSIONERS. THE BOARD OF TRUSTEES WILL ALSO HAVE EIGHT AT LARGE TRUSTEES WHO ARE APPOINTED BY THE BOARD OF COMMISSIONERS. THE REMAINING FIVE AT LARGE MEMBERS ARE APPOINTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B APPOINTED BOARD MEMBERS ARE APPROVED BY COUNTY COMMISSIONERS. FORM 990, PART VI, SECTION B, LINE 11B PRINTED COPIES ARE MADE AVAILABLE TO THE BOARD OF TRUSTEES AT THE ADMINISTRATIVE OFFICE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ANNUALLY FILE A DISCLOSURE STATEMENT WITH THE SECRETARY OF THE BOARD AT THE TIME OF THE PERSON'S INITIAL APPOINTMENT AS A TRUSTEE OR COMMITTEE MEMBER AND THEREAFTER. THE STATEMENT SHALL BE ON A FORM APPROVED BY THE BOARD AND A COPY OF EACH STATEMENT SHALL BE PROVIDED TO THE CHAIR OF THE BOARD AND THE HOSPITAL'S GENERAL COUNCIL FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE SALARIES ARE DETERMINED BY A MARKET ANALYSIS INVOLVING COMPARABILITY DATA, INDUSTRY STANDARDS, AND LOCAL ECONOMICS. THE CEO'S SALARY IS A CONDITION OF THE MANAGEMENT AGREEMENT BETWEEN THE BOARD OF DIRECTORS AND CAPE FEAR (SEE THE RESPONSE TO LINE 3 ABOVE). THE BOARD HAS INDIRECT APPROVAL OVER THE COMPENSATION PAID TO THE CEO THROUGH THIS AGREEMENT, AND HAS APPROVAL OVER ANY ADDITIONAL AMOUNTS AND INCREASES. CAPE FEAR PREPARES A COMPENSATION STUDY FOR OFFICERS AND KEY EMPLOYEES EXCLUDING THE CEO AND MAKES THE RECOMMENDATIONS TO THE CEO OF HARNETT HEALTH SYSTEM. THOSE RECOMMENDATIONS, INCLUDING ANY AMOUNTS ALLOCATED FOR RAISES AND INCENTIVES, ARE INCLUDED IN THE ANNUAL BUDGET PROCESS WHICH IS APPROVED BY THE FINANCE COMMITIEE OF THE BOARD. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. 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 ORGANIZATION'S ADMINISTRATIVE OFFICE. FINANCIAL STATEMENTS ARE UPLOADED TO EMMA. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,604,715. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,604,715. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 428,051. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 428,051. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,686,794. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,686,794. OTHER SERVICES: PROGRAM SERVICE EXPENSES 2,290,309. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,290,309. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. ANGIER MEDICAL SERVICES LLC 185 RAWLS RD ANGIER NC 27501 270906936 PRIMARY CARE PROVIDER NC 409695 833074 HARNETT HEALTH SYSTEM COATS MEDICAL SERVICES LLC 25 JOHNSON ST N COATS NC 27521 462540799 PRIMARY CARE PROVIDER NC 240874 184995 HARNETT HEALTH SYSTEM DUNN MEDICAL SERVICES LLC 803 TILGHMAN DR 100 DUNN NC 28334 273320115 PRIMARY CARE PROVIDER NC 347057 199453 HARNETT HEALTH SYSTEM HARNETT OBGYN LLC 805-C TILGHMAN DR DUNN NC 28334 273320275 OBSTETRICS/GYNECOLOGY SERVICES NC 171115 140359 HARNETT HEALTH SYSTEM LILLINGTON MEDICAL SERVICES LLC 7 EAST DUNCAN STREET LILLINGTON NC 27546 272944176 INTERNAL MEDICINE, INFECTIOUS DISEASE, AND GYNECOLOGY NC 284257 277221 HARNETT HEALTH SYSTEM HARNETT HEALTH SYSTEM FOUNDATION 800 TILGHMAN DRIVE DUNN NC 28334 201929953 FUNDRAISING NC 501(C)(3) LINE 7 CCHS 0 CUMBERLAND COUNTY HOSPITAL SYSTEM INC PO BOX 2000 FAYETTEVILLE NC 28302 560845796 HOSPITAL NC 501(C)(3) LINE 3 N/A 0 CAPE FEAR VALLEY MEDICAL FOUNDATION INC PO BOX 87526 FAYETTEVILLE NC 28304 561947017 FUNDRAISING NC 501(C)(3) LINE 7 CCHS 0 THE BLADEN COUNTY HOSPITAL FOUNDATION INC PO BOX 398 ELIZABETHTOWN NC 28337 561833893 FUNDRAISING NC 501(C)(3) LINE 7 CCHS 0 HIGHSMITH-RAINEY MED ARTS CENTER ASSOC PO BOX 2000 FAYETTEVILLE NC 28302 561747424 RENTAL ASSOC. NC N/A C 0 CUMBERLAND HEALTH PARTNER INC (INACTIVE) PO BOX 2000 FAYETTEVILLE NC 28302 562043978 BEHAVIORAL HEALTH NC N/A C 0 CAPE FEAR INSURANCE LTD PO BOX 30600 SMB WEST BAY ROAD GRAND CAYMAN CJ 980449284 INSURANCE CJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0