Civic Intelligence

Hugh Chatham Memorial Hospital Inc

EIN 56-0642846 • 501(c)3 • Elkin, NC

Profile

To consistenly deliver exceptional quality and service by demonstrating the values of service, teamwork, accountability, respect, and safe care.

180 Parkwood DrElkin, NC 28621

www.hughchatham.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

30th percentile

0.26x

Higher debt load relative to assets than 30% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

54th percentile

0.42x

Higher debt load relative to revenue than 54% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Net Margin

9th percentile

-23%

Higher net margin than 9% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

53rd percentile

$1,199,713

Higher top officer pay than 53% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

NTEE E • $100M-$250M nonprofits • Source year 2024

Asset Growth

8th percentile

-9.8%

Faster asset growth than 8% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

5th percentile

-12%

Faster revenue growth than 5% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$221,645,326

Down $24,130,735 (-9.8%) from 2023

Liabilities

Down

$57,989,739

Down $13,454,536 (-19%) from 2023

Net Assets

Down

$163,655,587

Down $10,676,199 (-6.1%) from 2023

Revenue

Down

$139,460,394

Down $18,887,543 (-12%) from 2023

Expenses

Up

$171,234,558

Up $11,642,598 (+7.3%) from 2023

Net Income

Down

-$31,774,164

Down $30,530,141 (-2454%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2010: $187,391,793Liabilities 2010: $96,629,680Net Assets 2010: $90,762,1132010Assets 2011: $188,383,176Liabilities 2011: $99,702,548Net Assets 2011: $88,680,6282011Assets 2012: $200,822,149Liabilities 2012: $99,710,683Net Assets 2012: $101,111,4662012Assets 2013: $202,771,204Liabilities 2013: $92,447,047Net Assets 2013: $110,324,1572013Assets 2014: $208,018,399Liabilities 2014: $88,302,120Net Assets 2014: $119,716,2792014Assets 2015: $211,923,747Liabilities 2015: $90,698,008Net Assets 2015: $121,225,7392015Assets 2016: $216,831,875Liabilities 2016: $91,384,923Net Assets 2016: $125,446,9522016Assets 2017: $233,899,728Liabilities 2017: $85,557,057Net Assets 2017: $148,342,6712017Assets 2018: $240,612,785Liabilities 2018: $81,091,917Net Assets 2018: $159,520,8682018Assets 2019: $239,305,498Liabilities 2019: $79,989,360Net Assets 2019: $159,316,1382019Assets 2020: $259,644,895Liabilities 2020: $87,437,634Net Assets 2020: $172,207,2612020Assets 2021: $281,613,706Liabilities 2021: $75,713,171Net Assets 2021: $205,900,5352021Assets 2022: $255,924,917Liabilities 2022: $76,467,441Net Assets 2022: $179,457,4762022Assets 2023: $245,776,061Liabilities 2023: $71,444,275Net Assets 2023: $174,331,7862023Assets 2024: $221,645,326Liabilities 2024: $57,989,739Net Assets 2024: $163,655,5872024

Highlighted filing

2024

Assets$221,645,326
Liabilities$57,989,739
Net Assets$163,655,587

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$100M$0-$100MExpenses 2010: $96,186,4062010Expenses 2011: $99,824,7472011Expenses 2012: $103,084,3852012Revenue 2013: $108,310,711Expenses 2013: $103,896,348Net Income 2013: $4,414,3632013Revenue 2014: $107,967,136Expenses 2014: $97,491,063Net Income 2014: $10,476,0732014Revenue 2015: $113,537,985Expenses 2015: $103,338,012Net Income 2015: $10,199,9732015Revenue 2016: $114,081,752Expenses 2016: $107,946,867Net Income 2016: $6,134,8852016Revenue 2017: $121,265,777Expenses 2017: $107,626,861Net Income 2017: $13,638,9162017Revenue 2018: $123,674,410Expenses 2018: $114,740,340Net Income 2018: $8,934,0702018Revenue 2019: $129,645,236Expenses 2019: $121,152,513Net Income 2019: $8,492,7232019Revenue 2020: $139,242,159Expenses 2020: $126,593,608Net Income 2020: $12,648,5512020Revenue 2021: $158,103,524Expenses 2021: $139,604,302Net Income 2021: $18,499,2222021Revenue 2022: $155,071,046Expenses 2022: $145,782,846Net Income 2022: $9,288,2002022Revenue 2023: $158,347,937Expenses 2023: $159,591,960Net Income 2023: -$1,244,0232023Revenue 2024: $139,460,394Expenses 2024: $171,234,558Net Income 2024: -$31,774,1642024

Highlighted filing

2024

Revenue$139,460,394
Expenses$171,234,558
Net Income-$31,774,164

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$222$58.0$164$139$171$31.8
2023Detailed filing. Detailed filing data is available for this year.$246$71.4$174$158$160$1.24
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$256$76.5$179$155$146$9.29
2021Detailed filing. Detailed filing data is available for this year.$282$75.7$206$158$140$18.5
2020Detailed filing. Detailed filing data is available for this year.$260$87.4$172$139$127$12.6
2019Detailed filing. Detailed filing data is available for this year.$239$80.0$159$130$121$8.49
2018Detailed filing. Detailed filing data is available for this year.$241$81.1$160$124$115$8.93
2017Detailed filing. Detailed filing data is available for this year.$234$85.6$148$121$108$13.6
2016Detailed filing. Detailed filing data is available for this year.$217$91.4$125$114$108$6.13
2015Detailed filing. Detailed filing data is available for this year.$212$90.7$121$114$103$10.2
2014Detailed filing. Detailed filing data is available for this year.$208$88.3$120$108$97.5$10.5
2013Summary only. Only limited summary data is available for this year.$203$92.4$110$108$104$4.41
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$201$99.7$101$103
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$188$99.7$88.7$99.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$187$96.6$90.8$96.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 13, 2025
Return Version
2023v6.0
Gross Receipts
$139,486,345
Mission and Program Overview

Mission

To consistenly deliver exceptional quality and service by demonstrating the values of service, teamwork, accountability, respect, and safe care.

To provide birthing and acute care services in addition to skilled nursing, retirement community, home health, and hospice services primarily to the residents of and surrounding counties to surry county, north carolina.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$141,466,443$125,172,171▼ $16,294,272
Land, Buildings, and Equipment, Net$53,128,403$49,347,458▼ $3,780,945
Accounts Receivable$23,863,023$17,531,515▼ $6,331,508
Investments Program Related$14,082,056$13,757,446▼ $324,610
Prepaid Expenses and Deferred Charges$4,612,055$3,726,547▼ $885,508
Cash and Non-Interest-Bearing Accounts$0$2,353,024▲ $2,353,024
Inventories for Sale or Use$1,108,022$1,148,503▲ $40,481
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$245,776,061$221,645,326▼ $24,130,735
Other Assets Total$7,516,059$8,608,662▲ $1,092,603
Liabilities
Tax Exempt Bond Liabilities$47,664,279$34,571,170▼ $13,093,109
Accounts Payable and Accrued Expenses$20,239,576$20,558,342▲ $318,766
Other Liabilities$3,364,242$2,719,527▼ $644,715
Deferred Revenue$176,178$140,700▼ $35,478
Total Liabilities$71,444,275$57,989,739▼ $13,454,536
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$171,106,374$160,430,175▼ $10,676,199
Net Assets With Donor Restrictions$3,225,412$3,225,412→ $0
Total Net Assets Fund Balance$174,331,786$163,655,587▼ $10,676,199
Total Liabilities and Net Assets / Fund Balance$245,776,061$221,645,326▼ $24,130,735

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$42,762,731$54,736,348$97,499,079
Equipment$-42,171$37,926,160$37,883,989
Other Land Buildings$2,437,284$8,539,051$10,976,335
Land$4,189,614-$4,189,614
Investment Program Related Org$6,960,359--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sarba KunduPhysicianFT$664,523$535,190$1,199,713
Johnathan WhitakerPhysicianFT$619,721$361,060$980,781
Dominick CarbonePhysicianFT$740,784$115,532$856,316
Marc StevensPhysicianFT$716,486$135,892$852,378
Jonathan SnyderCMOFT$593,860$122,980$716,840
Dr Murug SubbiahBoard Member/Chief of StaffFT$447,149$126,183$573,332
Paul HammesCEOFT$450,216$90,571$540,787
Mary BlackburnCNOFT$257,224$85,235$342,459
Andrew TateCPO & VP AMB Services (THRU 2/20/24)FT$258,535$29,425$287,960
Kent ThompsonCFO (thru 10/26/23)FT$220,276$52,963$273,239
Kevin MayCFOFT$165,677-$165,677

Board Members and Trustees

NameTitle
Cynthia GonzalesChairman
Ann AshmanBoard Member
Bill JohnsonBoard Member
Crystal MorphisBoard Member
David AckermanBoard Member
David ClineBoard Member
Kevin AustinBoard Member
Mark StephensBoard Member
Myra CoxBoard Member
Terry DarnellBoard Member
Elena ThomassonAsst. Secretary/Treasurer
Phil HarrisSecretary
Bob BallTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Qualivis LLCContract LaborP O BOX 674913, Dallas, TX 75267-4913$4,841,251
Nurse Anesthesia Of N C-elkinContract Labor6225 N STATE HWY 161, Irving, TX 75038$1,991,202
North Carolina Baptist HospitalMedical ServicesMEDICAL CENTER BLVD, Winston Salem, NC 27157-1191$1,056,963
Weatherby Locums INCContract LaborPO BOX 972633, Dallas, TX 75397$611,480
Cornerstone Health EnablementACO - Health Care Svcs165 KIMEL PARK DRIVE SUITE B, Winston Salem, NC 27103$354,861
Revenue and Support

Revenue Composition

Contributions and Grants
$74,498
Program Service Revenue
$133,004,746
Investment Income
$4,502,183
Other Revenue
$1,878,967
All Other Contributions
$74,498
Change in Net Assets
$-31,774,164
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$88,462,917
Salaries, Compensation, and Employee Benefits$82,436,962
Grants and Similar Amounts Paid$334,679
Total Fundraising Expense$123,233
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$54,484,749$8,380,749-$62,865,498
Fees for Services Other$33,295,238$0$0$33,295,238
Other Employee Benefits$10,413,272$1,829,405$18,329$12,261,006
Depreciation Depletion$5,065,564$898,835-$5,964,399
Other Expenses$4,739,050--$4,739,050
Payroll Taxes$3,733,971$655,985$6,572$4,396,528
Office Expenses$2,145,846$380,759-$2,526,605
Current Officers, Directors, Trustees, and Key Employees$1,002,777$1,367,306$97,665$2,467,748
Interest$1,538,193$272,937-$1,811,130
Occupancy$1,244,138$220,760-$1,464,898
Insurance$1,236,968--$1,236,968
Fees for Service Investment Mgmnt Fees-$610,808-$610,808
Advertising$503,140--$503,140
Fees for Services Accounting-$502,364-$502,364
Pension Plan Contributions$378,942$66,573$667$446,182
All Other Expenses$393,137$0$0$393,137
Grants to Domestic Orgs$334,679--$334,679
Travel$223,865--$223,865
Fees for Services Legal-$221,149-$221,149
Total Functional Expenses$155,703,695$15,407,630$123,233$171,234,558
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Hugh Chatham Wellness CenterElkin, NC501(c)(3)Operational Support$300,000
Mountain Valley Hospice & Palliative CareGloversville, NY501(c)(3)Operational Support$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$826,160
Estimated Third-party Payor Settlements$750,000
Interest Rate Swap$567,175
Physician Guarantee$322,114
Interest Payable$187,854
Resident Trust Funds$66,224
Operating Account Overdraft$0

Bond Issues

BondIssuerIssuedIssue PricePurpose
ANorth Carolina Medical Care Commission2008-09-24$45,455,000New structures, equipment

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$46,276,755-$9,910,000$435,743

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 1A

The executive committee shall be composed of the officers of the board, the immediate past chairman and one (1) or more additional members who will be nominated by the chairman for the election by the board of trustees. When the board is not in session, the executive committee shall have the power and authority of the board to transact all regular business of the corporation, subject to any prior limitations imposed by the board or by statute. The executive committee shall also annually review the performance, compensation and terms of employment of the chief executive officer and make recommendations to the board concerning compensation and terms of the employment of the chief executive officer.

Form 990, Part VI, Line 11B Review of form 990 by governing body

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, Line 12C Conflict of interest policy

Annually, all voting board members are presented with the governance policies concerning the organization's conflict of interest policy. Upon review and discussion concerning relationships with the organization, its affiliates, or amongst each other, the board members are required to complete and return the policy statement to the administration. These statements are reviewed by the board chair and are presented to the auditors during the annual audit.

Form 990, Part VI, Line 15A Process to establish compensation of top management official

The board uses mercer, who uses data to benchmark hugh chatham's compensation against similar organizations. The salaries of the top executives and other members of the administrative department are determined in the contract negotiations. A review of all salaries, top to bottom, was ultimately approved by the board of directors.

Form 990, Part VI, Line 15B Process to establish compensation of other employees

The board uses mercer, who uses data to benchmark hugh chatham's compensation against similar organizations. The salaries of the top executives and other members of the administrative department are determined in the contract negotiations. A review of all salaries, top to bottom, was ultimately approved by the board of directors.

Form 990, Part VI, Line 18 How forms are made available to the public

PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. copies can also be found online at propublica.org and causeiq.com.

Form 990, Part VI, Line 19 Required documents available to the public

Photocopies of the organization's governing documents, conflict of interest policy, and financial statements are available upon request at the organization's administrative office.

Filing and Contact Details

Filer

Filer Name
Hugh Chatham Memorial Hospital Inc
EIN
56-0642846
Phone
3365277000
Address
180 PARKWOOD DR, ELKIN, NC 28621
Doing Business As
Hugh Chatham Health

Signing Officer

Name
Paul H Hammes
Title
CEO
Signed
2025-08-13
Discuss with paid preparer
Yes

Organization Details

Formed
1930
Legal Domicile
Nc
Voting Board Members
14
Independent Board Members
13
Employees
1,235
Volunteers
17

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G Other Fees

CONTRACT SERVICES - Total Expense: 22422461, Program Service Expense: 22422461, Management and General Expenses: , Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 2728406, Program Service Expense: 2728406, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE CONTRACTS - Total Expense: 6122438, Program Service Expense: 6122438, Management and General Expenses: , Fundraising Expenses: ; CENTRALIZED BILLING - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; OTHER FEES - Total Expense: 2021933, Program Service Expense: 2021933, Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfer to affiliate - -137715; change in value of swap agreement - -1546339;

Form 990, Part XII, Line 2C Change of oversight process or selection process

The process has not changed from the prior year.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

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, 2024.

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IRS990/Desc0In 2024, Hugh Chatham Health continued their legacy of providing healthcare to all within the community. The organization's Vision, "to be the best community health system in the nation with service as our guiding principle," declares that every member of the team provides the highest level of care for every patient, at every location. Hugh Chatham makes a difference every day for local citizens and employers. The nonprofit healthcare system has recently received many prestigious awards that accentuate its commitment to excellence. * American Heart Association 2024 Get With The Guidelines: Stroke GOLD PLUS with Honor Roll Elite and Target: Type 2 Diabetes * American Heart Association 2024 Get With The Guidelines: Stroke Rural Silver * Women's Choice Award for Best in Obstetrics and Stroke Care for 2024 * Hugh Chatham Health at Home: Superior Performer for Patient Satisfaction by SHP In 2024, Hugh Chatham Health introduced Hugh Chatham Health - Family Medicine Residency, a three-year program that will allow doctoral students to complete a residency program geared towards family medicine in rural communities. This program will increase access to quality healthcare, offering a full spectrum of clinical learning experiences for new physicians, and include rotations in pediatrics, obstetrics, inpatient and outpatient family medicine, as well as select specialty opportunities. In partnership with Elkin Emergency Rescue Squad, Hugh Chatham Health began providing transport services for non-emergent patients, allowing additional room for those needing inpatient treatment and quicker discharge times for those already admitted. In 2024, the service transported over 450 patients throughout the Yadkin Valley and beyond. Hugh Chatham Health raised over $225,000 through events and fundraisers for the Hugh Chatham Health Foundation, which directly supports the needs of the community and its members. Funds were distributed to scholarships, community partnerships, new rehab equipment, and the Step-by-Step Program which allows individuals to receive cardiac or pulmonary rehab services without financial burden. Hugh Chatham continues to support local school systems by providing life-saving education and skills, scholarship opportunities, and sponsorships for HOSA organizations. Hugh Chatham leaders also participated in the high school's partnership with District C, an organization that encourages students to think critically and creatively while preparing them for the workforce. Hugh Chatham continues to provide a virtual care platform, caring for patients who are unable to attend a physical visit or are otherwise home-bound. Hugh Chatham Virtual Care allows access to providers via website or application. A complete listing of services is available on the health system's website at www.HughChatham.org. For real-time updates and stories about the people who make this health system successful, visit Hugh Chatham Health on Facebook, Instagram, Twitter and LinkedIn.
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