2020-05-07T16:46:38-05:00 2019-06-30 BDO USA LLP 421 Fayetteville Street Suite 300 Raleigh NC 27601 990 2018-07-01 823745228 UNC Rockingham Health Care Inc % LATONYA BROWN UNCR 3366239711 117 East Kings Highway Eden NC 27288 LATONYA BROWN CFO 9849742081 2020-04-24 true Sandra L Feinsmith P01064157 9192781936 2020-05-07 38.132.154.29 69472520201285000002 2020-05-07 P 4AD384E69E7C00D6BB0B5DFE38925B32586D23BF F1629F6A3F74945AEE6FE2E323340EE9C36B3F52 2018 2020-11-19 02:30:22Z Steve Eblin 117 East Kings Highway Eden NC 27288 77977460 false X www.uncrockingham.org X 2017 NC To provide quality care, with a commitment to patient safety and clinical excellence. 15 12 654 101 0 0 10001722 11140367 39831511 64789821 18666 1066984 658304 898562 50510203 77895734 0 782924 0 0 20008236 31374093 0 0 0 21830469 44439055 41838705 76596072 8671498 1299662 33499029 44186316 11327531 20715156 22171498 23471160 X To provide quality care, with a commitment to patient safety and clinical excellence. false false 67409820 782924 65208395 UNC Rockingham Health Care, Inc. is a nonprofit, 108 bed community hospital preserving excellent, compassionate and trusted care where it is needed most, close to home. As a cornerstone in Eden, NC and a major employer, the hospital serves people throughout Rockingham County and in neighboring Southern Virginia areas. In addition to inpatient, outpatient, surgical and emergency care, the hospital offers diagnostic and treatment services, provides screenings and tests and leads wellness initiatives. Our strong community ties motivate us to raise our standards every day, assuring that we provide trusted care, close to home. HIGHLIGHTS - a state of the art birthing center where mothers labor in well-appointed, home-like comfort, - an on-campus, 121 bed long term care facility offering skilled nursing and rehabilitation, - a wound care center with the area's only hyperbaric chambers offering state of the art care for difficult to heal wounds, - an occupational health center that supports local industries and businesses with wellness and injury and worker's compensation management, - an on-site cancer center making it possible for patients to receive treatment in the comfort of their community, - an urgent care center, Morehead West, in Mayodan, NC, - more than 15 service areas and clinics round out our delivery of community based health and wellness, - we have an active medical staff of 28, consulting staff of 14, courtesy staff of 41, contingent staff of 121, dental staff of 1, honorary staff of 3 and an allied health professional staff of 45, - modern equipment & procedures: electronic medical records system, CT, MRI, Lithotripsy, Vascular Laboratory, Laser Surgery, Angiography, Digital Mammography, Stereotactic Breast Biopsy procedures, - 108 beds including 81 Med-Surg, 9 Intensive Care, 12 Birthing Center (LDRP) 67409820 true true false true false false false false false false true false false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 35 0 true 654 true false false false false false false false false false false false false X 15 12 false false false false true true true true true false false true true true true true true true true false X LATONYA BROWN 3366239711 117 EAST KINGS HIGHWAY Eden NC 27288 X R Scott Barham Director 2.0 0.0 X 0 0 0 Candace A Bradley Director 2.0 0.0 X 172438 0 13565 James C Burnette Director/Secretary & Treasurer 5.0 0.0 X X 0 0 0 John R Dabbs DC Director 2.0 0.0 X 0 0 0 Chris Ellington Director 2.0 58.0 X 0 1148254 173340 William T Flynt Director 2.0 0.0 X 0 0 0 Tony Lindsey MD Director 2.0 58.0 X 0 0 0 William J McLeod MD Director 2.0 0.0 X 0 234862 15593 Jeffrey Parris Director/Vice Chairman 5.0 0.0 X X 0 0 0 A Reece Pyrtle Director 2.0 0.0 X 0 0 0 Judy G Rouse Director 2.0 0.0 X 0 0 0 W Eugene Russell Director/Chairman 5.0 0.0 X X 0 0 0 Micky S Silvers Director 2.0 0.0 X 0 0 0 Casey G Vincent Director 2.0 0.0 X 0 0 0 Dana Weston Director/President 60.0 0.0 X X 0 215813 26936 Latonya Brown VP/Finance & CFO 60.0 0.0 X 97264 0 4403 JoAnn Smith VP/Patient Care & CNO 60.0 0.0 X 106887 0 7334 James Parsons Physician 60.0 0.0 X 163681 0 13650 Ralph Greene III Physician 60.0 0.0 X 137481 0 8633 Mohammad Anwar Physician 60.0 0.0 X 127790 0 12328 Jane Bowman Physician 60.0 0.0 X 126248 0 14015 Christi Sorrells Physician 60.0 0.0 X 119110 0 7596 1050899 1598929 297393 9 false true false Morrison Healthcare 400 Northridge Road Suite 600 ATLANTA GA 30350 Cafeteria Management 1363660 Legacy Healthcare Services 3001 Spring Forest Road RALEIGH NC 27616 Phys. Therapy Staff 1082845 LabCorp 1447 York Court BURLINGTON NC 27215 Laboratory 846315 Western Healthcare LLC 13155 Noel Road Suite 200 DALLAS TX 75240 Staffing 255441 Dry Tech Commercial Roofing 310 Ostwalt Amity Road TROUTMAN NC 28166 Roofing 195539 6 10613235 435898 91234 11140367 PATIENT SERVICE REVENUE 524113 64789022 64789022 OTHER REVENUE 621110 799 799 64789821 1066984 1066984 0 0 560915 81726 479189 0 479189 479189 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 419373 419373 419373 77895734 65208395 1546972 782924 782924 0 0 0 622570 622570 0 24258410 22075153 2183257 562446 511826 50620 4252256 3869553 382703 1678411 1527354 151057 0 16408 16408 0 8437 8437 0 0 9581546 8719207 862339 242966 221099 21867 472641 430103 42538 197801 179999 17802 0 1459021 1327709 131312 40678 37017 3661 0 403 403 240 218 22 0 1014940 923595 91345 418809 381116 37693 BAD DEBT EXPENSE 14023760 14023760 PATIENT CARE SUPPLIES & SVCS 11137455 11137455 MINOR EQUIPMENT SUPPLIES & SVC 335492 305298 30194 HOME OFFICE ALLOCATION 4360000 4360000 1128458 956434 172024 76596072 67409820 9186252 0 5665453 3153294 0 0 0 0 11033127 8420992 0 0 0 0 0 0 942290 829207 424033 810156 17398919 1307251 14238604 16091668 1195522 14880999 0 0 0 0 0 0 0 0 33499029 44186316 7541519 5333707 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3786012 15381449 11327531 20715156 X 22171498 23471160 0 0 0 0 22171498 23471160 33499029 44186316 1299662 X false true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 8437 8437 false Schedule C, Part II-B, Line 1i As a member of NCHA, a percentage of the membership dues are attributed to lobbying. 3221580 3221580 9843077 859634 8983443 4296940 437279 3859661 37322 10338 26984 16091668 0 DUE TO UNCHCS 10343477 DUE TO UNCPN 1437434 DUE TO UNC REX 3600538 15381449 X 53340465 -13942034 -13942034 67282499 10613235 10613235 77895734 62654038 81726 81726 62572312 14023760 14023760 76596072 PART X, LINE 2 Rockingham is exempt from federal income tax under Section 501(a) as an organization described in Section 501(c)(3) of the Internal Revenue Code. This exemption was approved by the Internal Revenue Service during the year ended June 30, 2019 and is retroactive to the date of formation. Part XI, Line 2d - Other Adjustments Bad Debt expense -14,023,760 Rental Expense 81,726 Total to Schedule D, Part XI, Line 2d -13,942,034 Part XI, Line 4b - Other adjustments Contribution from Health Care System 10,613,235 Part XII, Line 2d - Other adjustments Rental Expense 81,726 Part XII, Line 4b - Other adjustments Bad Debt Expense 14,023,760 true true X true X 250. false true true false true true 491422 491422 0.00640 10549872 6179079 4370793 0.05680 11041294 6179079 4862215 0.06320 52716 52716 0.00070 52716 52716 0.00070 11094010 6179079 4914931 0.06390 true 14023760 13425242 21618574 28503150 -6884576 X true true 1 1 UNC Rockingham Health Care Inc 117 East Kings Highway Eden NC 27288 H0072 X X X UNC Rockingham Health Care Inc 1 false true false false true X 250. 0. false true X X X true X SEE PART V X SEE PART V X SEE PART V X X X X X X true X false X X X X true X false false Part V, Section B, Line 2 UNC Health Care System (UNC HCS) acquired the assets of Morehead Memorial Hospital (Morehead) on 1/1/2018 and because Morehead was in bankruptcy trust, UNC HCS had to create a new entity, UNC Rockingham Health Care, Inc. (UNCR), to place the assets in service. UNCR received its 501(c)(3) exemption from the IRS on 10/31/2018 with an effective date of 12/6/2017, date of organization. Since UNCR was acquired by UNC HCS on 1/1/2018, UNCR (as a newly acquired Organization) has a grace period to comply with the CHNA and Implementation Plan 501(r) requirements until the last day of the second taxable year beginning after 1/1/2018. UNCR intends to conduct its first CHNA and adopt an implementation strategy during its fiscal year ending June 30, 2020. Part V, Section B, Lines 16a-c: www.uncrockingham.org/patients-guests/financial-assistance part iii, section a, line 2: The costing methodology used to determine payer costs is the ANDI methodology, which uses a facility-wide ratio of cost to charges as described in the NCHA Community Benefits Guidelines. part iii, section a, line 3: The estimate for bad debt expenses attributable to patients eligible under the Financial Assistance policy was calculated by applying the cost-to-charge ratio for the year to the gross bad debt charges attributable to uninsured patients during the year. While the costs of bad debts are present for essentially every business organization, few other than hospitals are expected to continue to provide services to those with means who have previously failed to pay. Continuation of service to patients with the means to pay but who have failed to do so is a further community benefit related to the organization's mission. Therefore, we believe that the cost of bad debts should be considered a community benefit. Part III, Section A, 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, Section A, Line 8: UNC Rockingham provides services to patients regardless of ability to pay. As a result, the Hospital has incurred losses by serving Medicare patients. The unreimbursed services the Hospital provides to the community should be considered a community benefit since the healthcare needs of the community would otherwise be unmet. Part III, Section A, Line 9b: UNC Rockingham does not subject any patients to a collection agency who has qualified for financial assistance guidelines. Part VI, Line 2: UNC Rockingham completes an annual Community Benefits report. Part VI, Line 3: UNC Rockingham displays information regarding the availability of financial assistance and charity care in its Emergency room, registration areas in the Hospital and clinics and the patient services department. A link is also provided on UNC Rockingham's website to the availability of financial assistance and its charity care policy, along with an on-line application. Part VI, Line 4: UNC Rockingham in Eden, NC serves Rockingham County, which has a population of approximately 92,000 residents. Rockingham County covers 572 square miles in the upper piedmont triad region of North Carolina and shares a state line with Virginia. Rockingham County has the lowest physician/patient ratios in the state with only 47 providers for every 10,000 residents. The North Carolina average is 76 primary care providers for every 10,000 residents. Around 16 percent of residents are uninsured compared to 15 percent at the state level. Part VI, Line 5: UNC Rockingham is operated by a community Board in addition to traditional hospital services. The Organization provides a clinical training site for medical and nursing students, pharmacists, radiology technicians, physical therapists, respiratory therapists and dietitians. Part VI, Line 6: UNC Rockingham is a subsidiary of the UNC Health Care System (UNC HCS) in Chapel Hill, North Carolina. The UNC HCS serves patients from all 100 counties, regardless of their ability to pay, providing more than $300 million a year in uncompensated care. As a part of the integrated system, UNC Rockingham strives to improve access and services in Rockingham County. UNC Rockingham caregivers work closely with their counterparts at UNC HCS to find more ways to improve care and quality, reach more uninsured patients and so much more. Part VI, Line 7: North Carolina and Virginia true Rockingham Community College PO Box 38 Wentworth NC 273750038 560812577 6954 Anatomy & Physiology Textbooks Rockingham County Schools 511 Harrington Highway Eden NC 27288 561813738 770970 COST Staffing and Support of Student Health Centers Part I, Line 2 UNC Rockingham works closely with the community groups that it supports and receives frequent updates on the work and progress. UNC Rockingham staffs and supports the Rockingham County Schools' Student Health Centers and being onsite allows them to have first hand account to monitor this support. X X X X false true false false false true true false false Candace A Bradley Director 161925 0 10100 0 413 0 4647 0 8918 0 186003 0 0 0 Chris Ellington Director 0 684185 0 231196 0 232873 0 152107 0 21233 0 1321594 0 180594 William J McLeod MD Director 0 231956 0 0 0 2906 0 5253 0 10340 0 250455 0 0 Dana Weston Director/President 0 215515 0 0 0 298 0 20989 0 5947 0 242749 0 0 James Parsons Physician 144236 0 17800 0 1645 0 4822 0 8828 0 177331 0 0 0 Schedule J, Part I, Line 4B Chris Ellington received a distribution of $180,594 from a non-qualified supplemental retirement plan funded and controlled by a related organization, UNC HCS. Schedule J, Part I, Line 6 EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN APPROVED ANNUALLY BY THE UNC HCS BOARD OF DIRECTORS. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE NET EARNINGS OF THE ORGANIZATION AND THE UNC HCS. OTHER PERFORMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PATIENT SATISFACTION, PATIENT CARE QUALITY OUTCOMES AND INNOVATIVE INITIATIVES TO IMPROVE OPERATIONS AND CARE DELIVERY. Part VI, Section A, Line 6 The Organization's sole member is the University of North Carolina Health Care System. Part VI, Section A, Line 7a The University of North Carolina Health Care System shall appoint three members of the Board of Directors. Part VI, Section A, Line 7b The Organization's Board requires prior approval of the University of North Carolina Health Care System for certain powers, including but not limited to amendments to governing documents; merger, consolidation or dissolution of the Organization; any disposition of all or substantially all of the property or assets; adoption of annual operating and capital budgets; adoption of strategic and business plans; indebtedness; certain thresholds of purchase and sale prices for real and material assets; any addition or deletion of health care services; extraordinary filings with regulatory agencies and creation of joint ventures. Part VI, Section B, Line 11b The Form 990 was prepared by an independent accounting firm and detail reviewed by Executive leadership. A copy of the Form 990 was received by the full Board for their review and any questions. If any changes, a final Form 990 was provided to the full Board prior to filing with the IRS. Part VI, Section B, Line 12C The Organization regularly and consistently monitors and enforces compliance with the Conflict of Interest policy by requiring all Board members and officers to annually complete and sign a questionnaire documenting any area of conflict of interest. The Board members are required to report and document any new areas of conflict of interest as they arise. Part VI, Section B, Line 15a The compensation of the officers of the Organization shall be fixed from time-to-time by the Board, except that the Board may delegate to any officer who has been given power to appoint subordinate officers or agents the authority to fix the salaries or other compensation of any such officers or agents appointed by him or her. Part VI, Section B, Line 15b The compensation of the officers of the Organization shall be fixed from time-to-time by the Board, except that the Board may delegate to any officer who has been given power to appoint subordinate officers or agents the authority to fix the salaries or other compensation of any such officers or agents appointed by him or her. Part VI, Section C, Line 19 PHOTOCOPIES OF THE FORM 1023 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. Part VIi, Line 1b average hours per week BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII, LINE 1B. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:9581546 UNC HEALTH CARE SYSTEM 101 MANNING DRIVE CHAPEL HILL NC 27514 562206970 HEALTHCARE NC SECTION 115 UNC HEALTH C false UNC HOSPITALS 211 FRIDAY Cntr DR STE 2029 CHAPEL HILL NC 27517 561118388 HEALTHCARE NC SECTION 115 UNC HEALTH C false CALDWELL MEMORIAL HOSPITAL PO BOX 1890 LENOIR NC 28645 560554204 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false CALDWELL MEMORIAL HOSPITAL FOUNDATION PO BOX 1890 LENOIR NC 28645 581935514 SUPPORT OF CA NC 501(C)(3) LINE 7 CALDWELL MEM false CHATHAM HOSPITAL INC PO BOX 649 SILER CITY NC 27344 560611546 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false HIGH POINT REGIONAL HEALTH 601 N ELM STREET HIGH POINT NC 27261 560532309 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false Piedmont Triad Health Services 101 Manning Dr Med Wing 2nd FL Chapel Hill NC 27514 561497163 Support of UN NC 501(C)(3) LINE 11-II UNC HEALTH C false HIGH POINT REGIONAL HEALTH FOUNDATION 601 N ELM STREET HIGH POINT NC 27261 272854711 SUPPORT OF HI NC 501(C)(3) LINE 11 I HIGH POINT R false REX HEALTHCARE INC 4420 LAKE BOONE TRAIL RALEIGH NC 27607 561509129 HEALTHCARE NC 501(C)(3) LINE 11 UNC HEALTH C false REX HOSPITAL INC 4420 LAKE BOONE TRAIL RALEIGH NC 27607 561509260 HEALTHCARE NC 501(C)(3) LINE 3 UNC HEALTH C false The Rex Healthcare Foundation Inc 4420 Lake Boone Trail Raleigh NC 27607 566052117 Support of Re NC 501(c)(3) Line 11-II UNC HEALTH C false UNC PHYSICIANS NETWORK 1600 PERIMETER PARK DR STE 22 MORRISVILLE NC 27560 271081647 HEALTHCARE NC 501(C)(3) Line 9 UNC HEALTH C false UNC PHYSICIANS NETWORK GROUP PRACTICES 1600 PERIMETER PARK DRIVE SUITE 225 MORRISVILLE NC 27560 461416986 HEALTHCARE NC NA C CORP 0 0 0.00000 false false false true false false false false false false false false false false true true true false false false