Caldwell Memorial Hospital Inc

What it reported doing in 2024

Caldwell Memorial Health, Inc. d/b/a UNC Health Caldwell is a component unit of the University of North Carolina Health Care System (UNCHCS). UNC Health Caldwell is a 5013 corporation whose sole corporate member is UNCHCS. Caldwell's mission is "to provide safe, effective, and compassionate care and to promote healthy lifestyles to our community." More broadly UNC Health's mission is "To improve the health and well-being of North Carolinians and others we serve." Our system values are One Great Team, Carolina Care, Leading the Way and It Starts with Me. In fulfilling this mission, Caldwell Memorial Health, Inc. provides medically necessary care to all individuals regardless of their ability to pay and reinvests resources to address unmet health needs, particularly in a rural and medically underserved region. Since opening in 1951, Caldwell Memorial Hospital, Inc. has continued to grow and change to better meet the needs of our community. Anchored by a 137 bed, acute care facility, Caldwell has a 74-year history of providing excellent health services to the residents and visitors of Caldwell and surrounding counties. Caldwell provides comprehensive care and services throughout Caldwell County and the surrounding region. Locations include: 1. The main campus which includes a 110-bed acute care hospital, 27 inpatient bed psychiatric unit and outpatient clinic, outpatient diagnostic services, 24/7 fully staffed emergency room, heart catheterization lab and inpatient and outpatient surgical services. 2. The Hancock Center incorporating outpatient procedures, dialysis access and pain management. 3. The Quest4Life Wellness Center (adjacent to the Hancock Center), a state-of-the-art fitness center open to the public on a membership basis. In addition, outpatient physical and occupational therapy, a cardiac & pulmonary rehab program, metabolic clinic and aesthetic services are housed within the Quest4Life Wellness Center. 4. Hospital primary care and specialty clinics throughout the region (including Caldwell, Catawba and Watauga counties) consisting of more than 70 providers (physicians and mid-level providers) Services include general and family practice, internal medicine, pediatrics, medical oncology, gynecology, cardiovascular, orthopedics, spine surgery, podiatry, pulmonology, gastroenterology, urology, general surgery, urgent care and diagnostic services. As the only acute care hospital in Caldwell County, Caldwell Memorial Hospital serves as a critical access point for emergency, inpatient, behavioral health, and specialty services for a largely rural population. Current Year Accomplishments During the year ended June 30, 2025, Caldwell continued work on the Capstone II project. This $33 million project will modernize four areas in the Hospital and create additional space to accommodate future growth. Departments included are the Cath Lab, clinical laboratory, food services including the cafeteria and new inpatient pharmacy space. The Cath Lab is currently unable to accommodate new equipment needed to replace the near end of life current system. The new addition will have more space, new equipment, a second Cath lab and additional recovery spaces. Inclusion of the clinical laboratory allows for upgrades in the infrastructure to power new equipment with higher capacity to handle the current volume in addition to capacity for growth. The current food services department has not been fully renovated since original construction and will greatly benefit from enhanced space. It will allow for increased efficiency, lower energy usage and improvement in food options. The new cafeteria will provide additional seating for employees and visitors, replacing a space that has little space for sitting and relaxing. The inpatient pharmacy is not optimally sized for current volume, and the expansion will not only provide additional space but will enhance efficiency. Groundbreaking occurred in the fall of 2024 and has continued with the expected

Financial Efficiency

• Mission deployment rate: 78.4%; rating input score 78
• Program expense ratio: 85.4%; rating input score 85
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 83.3%; rating input score 83; 31st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 8.2%; rating input score 68; 68th percentile among comparable filings
• Total-asset coverage ratio: 0.8; rating input score 32; 32nd percentile among comparable filings
• Liabilities to assets ratio: 0.39; rating input score 46; 46th percentile among comparable filings
• Officer compensation ratio: 3%; rating input score 38; 38th percentile among comparable filings

Growth

• Program expense growth: 6.1% per year; rating input score 100; 50th percentile among comparable filings
• Revenue growth: 5.2% per year; rating input score 100; 45th percentile among comparable filings
• Asset growth: 7.7% per year; rating input score 100; 56th percentile among comparable filings