FIRST HEALTH OF THE CAROLINAS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FIRST HEALTH OF THE CAROLINAS INC (EIN 56-1936354)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201802269349301690
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-14T13:49:35-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561936354 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRSTHEALTH OF THE CAROLINAS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FIRS | BusinessNameControlTxt |
| Phone | 9107151000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 MEMORIAL DRIVE | AddressLine1Txt |
| City | PINEHURST | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28374 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN DEJACO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9107151000 | PhoneNum |
| Signature | 2018-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID J KILARSKI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 MEMORIAL DRIVE | AddressLine1Txt |
| City | PINEHURST | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28374 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $799,422,065 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FIRSTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO SERVICE THE COMMUNITY'S TOTAL HEALTH CARE NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 5576 | TotalEmployeeCnt |
| Total Volunteers | 977 | TotalVolunteersCnt |
| Total Gross UBI | $1,697,364 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,162,507 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,320,908 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $648,026,501 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $746,951,182 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,546,168 | PYInvestmentIncomeAmt |
| CY Investment Income | $38,876,805 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,713,924 | PYOtherRevenueAmt |
| CY Other Revenue | $8,291,642 | CYOtherRevenueAmt |
| PY Total Revenue | $686,449,100 | PYTotalRevenueAmt |
| CY Total Revenue | $797,440,537 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $292,225 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $296,365 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $278,841,425 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $305,540,017 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $332,286,906 | PYOtherExpensesAmt |
| CY Other Expenses | $426,295,467 | CYOtherExpensesAmt |
| PY Total Expenses | $611,420,556 | PYTotalExpensesAmt |
| CY Total Expenses | $732,131,849 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $75,028,544 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $65,308,688 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $979,690,001 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,035,703,468 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $300,735,807 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $290,722,068 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $678,954,194 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $744,981,400 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FIRSTHEALTH OF THE CAROLINAS, INC. (FIRSTHEALTH) IS A COMPREHENSIVE HEALTH CARE CENTER ORGANIZED AND OPERATED TO SERVICE THE COMMUNITY'S TOTAL HEALTH CARE NEEDS. FIRSTHEALTH PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF A PERSON'S ABILITY TO PAY. A VARIETY OF HEALTH CARE SERVICES ARE OFFERED IN SUPPORT OF THE ORGANIZATION'S CHARITABLE MISSION AS A COMMUNITY-BASED HEALTH CARE SYSTEM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $580,453,261 | ExpenseAmt |
| Grant | $296,365 | GrantAmt |
| Revenue | $745,123,777 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | See Schedule O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | See Schedule O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $580,453,261 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 931 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5576 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYNN DEJACO CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9107151568 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 MEMORIAL DRIVE | AddressLine1Txt |
| City | PINEHURST | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28374 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CAROLYN HELMS | ||||||||
| CHAIR | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHERWOOD BLACKWOOD | ||||||||
| VICE CHAIR/SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIMMY PRESLAR | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HEW FELTON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY KAESER | ||||||||
| BOARD MEMBER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TOM PASHLEY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID COWHERD MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ELLIS MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIAN KING | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TRACY LEINBACH | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RUSTI WELCH | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN MCMURRAY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT TWEED | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM STEWART MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELLEN WILLARD MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VAN SLAUGHTER MD | ||||||||
| BOARD MEMBER, PHYSICIAN | 50.00 | Yes (X) | $450,369 | $0 | $22,634 | |||
| RAY WASHINGTON MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GARY VONCANNON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID KILARSKI | ||||||||
| CEO/PRESIDENT | 48.00 | 2.00 | Yes (X) | Yes (X) | $1,150,283 | $0 | $148,528 | |
| DANIEL BARNES DO | ||||||||
| PRESIDENT PHYSICIANS GROUP | 50.00 | Yes (X) | $566,312 | $0 | $24,128 | |||
| ELIZABETH WALKER | ||||||||
| PRESIDENT MMH | 50.00 | Yes (X) | $264,042 | $0 | $21,935 | |||
| JOHN JACKSON | ||||||||
| PRESIDENT RMH | 50.00 | Yes (X) | $326,186 | $0 | $23,201 | |||
| DANIEL BIEDIGER | ||||||||
| VP HUMAN RESOURCES | 50.00 | Yes (X) | $354,907 | $0 | $27,537 | |||
| JOHN KRAHNERT MD | ||||||||
| SENIOR VP/CMO | 50.00 | Yes (X) | $685,302 | $0 | $24,200 | |||
| JEFFREY CASEY | ||||||||
| VP FINANCE | 50.00 | Yes (X) | $447,131 | $0 | $26,232 | |||
| DAVID DILLEHUNT | ||||||||
| VP/CIO | 50.00 | Yes (X) | $428,703 | $0 | $19,895 | |||
| LYNN DEJACO | ||||||||
| SENIOR VP/CFO | 49.00 | 2.00 | Yes (X) | $651,634 | $0 | $26,288 | ||
| CYNTHIA MCNEILL-MCDONALD | ||||||||
| VP QUALITY | 50.00 | Yes (X) | $305,685 | $0 | $22,475 | |||
| SUSAN BEATY | ||||||||
| PRESIDENT MRH HOKE CAMPUS | 50.00 | Yes (X) | $225,571 | $0 | $18,815 | |||
| BRIAN CANFIELD | ||||||||
| SENIOR VP/COO | 50.00 | Yes (X) | $454,484 | $0 | $10,752 | |||
| KAREN ROBEANO | ||||||||
| VP CNO | 49.00 | 1.00 | Yes (X) | $321,112 | $0 | $10,319 | ||
| AMY GRAHAM | ||||||||
| VP STRATEGY & INNOVATION | 50.00 | Yes (X) | $308,140 | $0 | $26,334 | |||
| WILLIAM HARRIS MD | ||||||||
| PHYSICIAN | 50.00 | $651,972 | $0 | $23,048 | Yes (X) | |||
| MARK LANDERS MD | ||||||||
| PHYSICIAN | 50.00 | $957,552 | $0 | $23,048 | Yes (X) | |||
| STEVEN FILBY MD | ||||||||
| PHYSICIAN | 50.00 | $748,640 | $0 | $23,048 | Yes (X) | |||
| PETER DUFFY MD | ||||||||
| PHYSICIAN | 50.00 | $678,047 | $0 | $23,048 | Yes (X) | |||
| ARTHUR EDGERTON MD | ||||||||
| PHYSICIAN | 50.00 | $638,285 | $0 | $23,120 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,614,357 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $568,585 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 352 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SOUTHERN PINES WOMEN'S HEALTH CENTER | |||||
| 145 APPLECROSS ROAD | SOUTHERN PINES | NC | 28388 | OB/GYN PRACTICE MANAGMENET & PROFESSIONA | $6,113,305 |
| PINEHURST SURGICAL CLINIC | |||||
| 5 FIRSTVILLAGE DRIVE | PINEHURST | NC | 28374 | PHYSICIAN SERVICES AND RECRUITMENT | $5,895,955 |
| MCKESSON | |||||
| 5995 WINDWARD PARKWAY | ALPHARETTA | GA | 30005 | MAINTENANCE FEES, MEDICAL SUPPLIES | $4,180,928 |
| PINEHURST MEDICAL CLINIC | |||||
| 205 PAGE ROAD | PINEHURST | NC | 28374 | MEDICAL ONCOLOGY PHYSICIAN SERVICES | $4,103,884 |
| APEX BENEFITS SERVICES LLC | |||||
| PO BOX 3630 | AKRON | OH | 56948 | TPA SERVICES | $2,780,193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 76 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,306,354 | RelatedOrganizationsAmt |
| Government Grants | $171,903 | GovernmentGrantsAmt |
| All Other Contributions | $842,651 | AllOtherContributionsAmt |
| Total Contributions | $3,320,908 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $720,896,574 | $720,896,574 | |
| OTHER OPERATING REVENUE | 621110 | $10,008,716 | $8,644,530 | $1,364,186 |
| HEALTH AND FITNESS | 713940 | $5,859,548 | $5,464,597 | $394,951 |
| EMS REVENUE | 621110 | $5,184,175 | $5,184,175 | |
| PHARMACY INCOME | 621110 | $5,002,169 | $5,002,169 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $746,951,182 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,307,752 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $17,279 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,290,473 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,461,226 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,349,567 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $111,659 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,659 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$79,052 | UnrelatedBusinessRevenueAmt |
| Exclusion | $190,711 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,033,557 | SecuritiesAmt |
| Other | $8,535,496 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,033,557 | SecuritiesAmt |
| Other | $8,535,496 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,569,053 | TotalRevenueColumnAmt |
| Exclusion | $9,569,053 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $563,693 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $631,961 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$68,268 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$68,268 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| FOOD SERVICE | 722210 | $3,333,760 | $3,333,760 |
| DISCOUNTS AND REBATES | 900099 | $2,854,609 | $2,854,609 |
| LAUNDRY | 812300 | $2,059,882 | $2,059,882 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,248,251 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $797,440,537 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $745,123,777 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,697,364 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,298,488 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,615 | TotalAmt |
| Program Services | $288,615 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,750 | TotalAmt |
| Program Services | $7,750 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,393,134 | TotalAmt |
| Management And General | $7,393,134 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,595,962 | TotalAmt |
| Program Services | $188,153,501 | ProgramServicesAmt |
| Management And General | $49,442,461 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,171,952 | TotalAmt |
| Program Services | $7,044,129 | ProgramServicesAmt |
| Management And General | $2,127,823 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,252,100 | TotalAmt |
| Program Services | $25,537,867 | ProgramServicesAmt |
| Management And General | $7,714,233 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,126,869 | TotalAmt |
| Program Services | $13,921,574 | ProgramServicesAmt |
| Management And General | $4,205,295 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,106,321 | TotalAmt |
| Program Services | $704,002 | ProgramServicesAmt |
| Management And General | $1,402,319 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,291 | TotalAmt |
| Management And General | $529,291 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,650 | TotalAmt |
| Management And General | $180,650 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,563 | TotalAmt |
| Management And General | $178,563 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,321,057 | TotalAmt |
| Program Services | $77,081,348 | ProgramServicesAmt |
| Management And General | $27,239,709 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,375 | TotalAmt |
| Program Services | $40,431 | ProgramServicesAmt |
| Management And General | $317,944 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,799,082 | TotalAmt |
| Program Services | $18,586,897 | ProgramServicesAmt |
| Management And General | $9,212,185 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,279 | TotalAmt |
| Program Services | $165,279 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,883,496 | TotalAmt |
| Program Services | $3,592,203 | ProgramServicesAmt |
| Management And General | $7,291,293 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,445,661 | TotalAmt |
| Program Services | $1,085,802 | ProgramServicesAmt |
| Management And General | $359,859 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,570 | TotalAmt |
| Program Services | $86,589 | ProgramServicesAmt |
| Management And General | $82,981 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,916,017 | TotalAmt |
| Program Services | $4,916,017 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,281,106 | TotalAmt |
| Program Services | $2,609,458 | ProgramServicesAmt |
| Management And General | $26,671,648 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,516,916 | TotalAmt |
| Program Services | $230,489 | ProgramServicesAmt |
| Management And General | $3,286,427 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $125,452,444 | $125,452,444 | |
| BAD DEBT | $96,186,006 | $96,186,006 | |
| GAP ASSESSMENT | $13,597,620 | $13,597,620 | |
| DIETARY EXPENSE | $4,029,296 | $499,992 | $3,529,304 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,717 | TotalAmt |
| Program Services | $665,248 | ProgramServicesAmt |
| Management And General | $513,469 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,131,849 | TotalAmt |
| Program Services | $580,453,261 | ProgramServicesAmt |
| Management And General | $151,678,588 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,973,756 | BOYAmt |
| EOY | $21,203,163 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,163,894 | BOYAmt |
| EOY | $95,473,668 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,783,179 | BOYAmt |
| EOY | $13,039,385 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,157,800 | BOYAmt |
| EOY | $5,732,460 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $904,078,073 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $525,308,710 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,956,297 | BOYAmt |
| EOY | $378,769,363 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $521,217,770 | BOYAmt |
| EOY | $498,329,059 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,000 | BOYAmt |
| EOY | $99,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,074,396 | BOYAmt |
| EOY | $10,246,827 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,263,909 | BOYAmt |
| EOY | $12,810,543 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $979,690,001 | BOYAmt |
| EOY | $1,035,703,468 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,868,741 | BOYAmt |
| EOY | $70,763,560 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,848,715 | BOYAmt |
| EOY | $205,915,790 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $703,560 | BOYAmt |
| EOY | $567,835 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,314,791 | BOYAmt |
| EOY | $13,474,883 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,735,807 | BOYAmt |
| EOY | $290,722,068 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $611,951,667 | BOYAmt |
| EOY | $742,768,313 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,002,527 | BOYAmt |
| EOY | $2,213,087 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,954,194 | BOYAmt |
| EOY | $744,981,400 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $979,690,001 | BOYAmt |
| EOY | $1,035,703,468 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $65,308,688 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,765,408 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$18,046,890 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $46,168 | CurrentYearMinus3Amt |
| Current Year Minus2 | $42,125 | CurrentYearMinus2Amt |
| Current Year Minus1 | $38,193 | CurrentYearMinus1Amt |
| Current Year | $45,213 | CurrentYearAmt |
| Total | $171,699 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $55,004 | CurrentYearMinus3Amt |
| Current Year Minus2 | $49,333 | CurrentYearMinus2Amt |
| Current Year Minus1 | $49,792 | CurrentYearMinus1Amt |
| Current Year | $54,504 | CurrentYearAmt |
| Total | $208,633 | TotalAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,733,811 | OtherCostOrOtherBasisAmt |
| Book Value | $12,733,811 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $456,021,625 | OtherCostOrOtherBasisAmt |
| Depreciation | $210,695,402 | DepreciationAmt |
| Book Value | $245,326,223 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $419,466 | OtherCostOrOtherBasisAmt |
| Depreciation | $179,059 | DepreciationAmt |
| Book Value | $240,407 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $398,382,340 | OtherCostOrOtherBasisAmt |
| Depreciation | $302,328,473 | DepreciationAmt |
| Book Value | $96,053,867 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,520,831 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,105,776 | DepreciationAmt |
| Book Value | $24,415,055 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $378,769,363 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROFESSIONAL LIABILITY RESERVE | Desc |
| Amt | $13,474,883 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,474,883 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | FIRSTHEALTH OF THE CAROLINA, INC. IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE TAXES. FIRSTHEALTH ADOPTED THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAS HAD NO SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 360.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,948,896 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,667,829 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,281,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,936,163 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,757,269 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,178,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03960 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,885,059 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,425,098 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,459,961 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05260 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,943,876 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $237,927 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,705,949 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,517,722 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,517,722 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $425,807 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $425,807 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $471,306 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $471,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,358,711 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $237,927 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,120,784 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,243,770 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,663,025 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,580,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06070 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,244 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,244 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,438 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $183,918 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $183,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $204,600 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $204,600 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $22,694,945 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $162,710,874 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $185,836,746 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,125,872 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 FIRST IMAGING OF THE CAROLINAS LLC | ||
| MOBILE IMAGING SERVICES | 0.50000 | 0.50000 |
| 2 SURGERY CENTER OF PINEHURST LLC | ||
| AMBULATORY SURGERY CENTER | 0.40000 | 0.40000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|
| FIRSTHEALTH MOORE REGIONAL HOSPITAL | |||||||||
| 1 | 155 MEMORIAL DRIVE PO BOX 3000 | PINEHURST | NC | 28374 | Yes (X) | Yes (X) | Yes (X) | A | |
| FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL | |||||||||
| 2 | 520 ALLEN STREET PO BOX 486 | TROY | NC | 37371 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL RICHMOND CAMPUS | |||||||||
| 3 | 925 LONG DRIVE | ROCKINGHAM | NC | 28379 | Yes (X) | Yes (X) | Yes (X) | A | |
| FIRSTHEALTH MOORE REGIONAL HOSPITAL HOKE | |||||||||
| 4 | 6408 FAYETTEVILLE ROAD | RAEFORD | NC | 28376 | Yes (X) | Yes (X) | Yes (X) | A | |
| SANDHILLS REGIONAL MEDICAL CENTER | |||||||||
| 5 | 1000 W HAMLET AVENUE | HAMLET | NC | 28345 | Yes (X) | Yes (X) | Yes (X) | A | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Facility Reporting Group - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE DISCLOSURE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE DISCLOSURE | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 360.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE DISCLOSURE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE DISCLOSURE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE DISCLOSURE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: FIRSTHEALTH MOORE REGIONAL HOSPITAL, - Facility 2: FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL, - Facility 3: FIRSTHEALTH MOORE REGIONAL HOSPITAL RICHMOND C, - Facility 4: FIRSTHEALTH MOORE REGIONAL HOSPITAL HOKE, - Facility 5: SANDHILLS REGIONAL MEDICAL CENTER |
| Group A-Facility 1 -- FIRSTHEALTH MOORE REGIONAL HOSPITAL Part V, Section B, line 5: | FIRSTHEALTH OF THE CAROLINAS HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS. THESE SURVEYS ARE CONDUCTED VIA RANDOM-DIGIT DIAL PHONE CALLS WITH QUESTIONS THAT MIRROR THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AT THE STATE AND NATIONAL LEVELS. FIRSTHEALTH CONTRACTS WITH PROFESSIONAL RESEARCH CONSULTANTS FOR THIS SURVEY. IN ADDITION, TO THE COMMUNITY HEALTH DATA COLLECTION, FIRSTHEALTH REALIZED THE NEED TO FORMALLY MEASURE COMMUNITY HEALTH INDICATOR GOALS AS PART OF THE FIRST-IN-HEALTH 2020 VISION. AS SUCH, THE SYSTEM IN PARTNERSHIP WITH WAKE FOREST UNIVERSITY DEVELOPED A PROCESS FOR TRACKING AND MONITORING THE FIRST-IN-HEALTH GOALS THROUGH THE DESIGNATION OF NINE HEALTH CATEGORIES AND 58 HEALTH INDICATORS. |
| Group A-Facility 2 -- FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL Part V, Section B, line 5: | FIRSTHEALTH OF THE CAROLINAS HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS. THESE SURVEYS ARE CONDUCTED VIA RANDOM-DIGIT DIAL PHONE CALLS WITH QUESTIONS THAT MIRROR THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AT THE STATE AND NATIONAL LEVELS. FIRSTHEALTH CONTRACTS WITH PROFESSIONAL RESEARCH CONSULTANTS FOR THIS SURVEY. IN ADDITION, TO THE COMMUNITY HEALTH DATA COLLECTION, FIRSTHEALTH REALIZED THE NEED TO FORMALLY MEASURE COMMUNITY HEALTH INDICATOR GOALS AS PART OF THE FIRST-IN-HEALTH 2020 VISION. AS SUCH, THE SYSTEM IN PARTNERSHIP WITH WAKE FOREST UNIVERSITY DEVELOPED A PROCESS FOR TRACKING AND MONITORING THE FIRST-IN-HEALTH GOALS THROUGH THE DESIGNATION OF NINE HEALTH CATEGORIES AND 58 HEALTH INDICATORS. |
| Group A-Facility 3 -- FIRSTHEALTH MOORE REGIONAL HOSPITAL RICH Part V, Section B, line 5: | FIRSTHEALTH OF THE CAROLINAS HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS. THESE SURVEYS ARE CONDUCTED VIA RANDOM-DIGIT DIAL PHONE CALLS WITH QUESTIONS THAT MIRROR THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AT THE STATE AND NATIONAL LEVELS. FIRSTHEALTH CONTRACTS WITH PROFESSIONAL RESEARCH CONSULTANTS FOR THIS SURVEY. IN ADDITION, TO THE COMMUNITY HEALTH DATA COLLECTION, FIRSTHEALTH REALIZED THE NEED TO FORMALLY MEASURE COMMUNITY HEALTH INDICATOR GOALS AS PART OF THE FIRST-IN-HEALTH 2020 VISION. AS SUCH, THE SYSTEM IN PARTNERSHIP WITH WAKE FOREST UNIVERSITY DEVELOPED A PROCESS FOR TRACKING AND MONITORING THE FIRST-IN-HEALTH GOALS THROUGH THE DESIGNATION OF NINE HEALTH CATEGORIES AND 58 HEALTH INDICATORS. |
| Group A-Facility 4 -- FIRSTHEALTH MOORE REGIONAL HOSPITAL HOKE Part V, Section B, line 5: | FIRSTHEALTH OF THE CAROLINAS HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS. THESE SURVEYS ARE CONDUCTED VIA RANDOM-DIGIT DIAL PHONE CALLS WITH QUESTIONS THAT MIRROR THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AT THE STATE AND NATIONAL LEVELS. FIRSTHEALTH CONTRACTS WITH PROFESSIONAL RESEARCH CONSULTANTS FOR THIS SURVEY. IN ADDITION, TO THE COMMUNITY HEALTH DATA COLLECTION, FIRSTHEALTH REALIZED THE NEED TO FORMALLY MEASURE COMMUNITY HEALTH INDICATOR GOALS AS PART OF THE FIRST-IN-HEALTH 2020 VISION. AS SUCH, THE SYSTEM IN PARTNERSHIP WITH WAKE FOREST UNIVERSITY DEVELOPED A PROCESS FOR TRACKING AND MONITORING THE FIRST-IN-HEALTH GOALS THROUGH THE DESIGNATION OF NINE HEALTH CATEGORIES AND 58 HEALTH INDICATORS. |
| PART V, SECTION B, LINE 7A: | - https://www.firsthealth.org/media/4456/mmhchna2017final.pdf- https://www.firsthealth.org/media/4457/rmhchna2017final.pdf- https://www.firsthealth.org/media/4454/mrhchna2016final.pdf |
| PART V, SECTION B, LINE 10A: | - https://www.firsthealth.org/media/4459/firsthealth-montgomery-memorial- hospital-implementation-plan-final.pdf- https://www.firsthealth.org/media/4460/firsthealth-richmond-memorial-h ospital-implementation-plan-2016-final.pdf- https://www.firsthealth.org/media/4458/firsthealth-moore-regional-hospital-implementation-plan-final.pdf |
| PART V, SECTION B, LINE 16A: | https://www.firsthealth.org/policies-and-terms/financial-assistance#5 |
| PART V, SECTION B, LINE 16B: | https://www.firsthealth.org/media/2974/application-for-financial-assistance.pdf |
| PART V, SECTION B, LINE 16C: | https://www.firsthealth.org/policies-and-terms/financial-assistance |
| PART V, SECTION B, LINE 22: | If a patient is unable to pay, financial counselors are available to help identify programs they may qualify for, including Medicaid, Vocational Rehabilitation and North Carolina Purchase of Care Services. Criteria to qualify for federal or state programs are based on specific guidelines for the program. In the event a patient does not qualify for any type of government assistance program, they may qualify for aid through FirstHealth's Financial Assistance Program.The amount of assistance is based on a percentage of the most recent federal poverty guidelines published by the Department of Health and Human Services, available on-line at https://aspe.hhs.gov/poverty-guidelines, as well as the guidelines established by FirstHealth of the Carolinas, Inc. The financial aid percentage discount considers the "amount generally billed" by FirstHealth of the Carolinas, Inc. The amount is calculated on an annual basis by the Vice President of Finance and Support Services, and is updated in conjunction with changes to the federal poverty guidelines. The "amount generally billed" is an estimate based on a historical review of FirstHealth's overall estimate of Net Revenue divided by Total Charges. This amount will also be the financial aid percentage used in the third tier of the federal poverty guidelines to ensure any patient that qualifies for financial assistance under FirstHealth's Financial Assistance Program will only be responsible for the amount generally billed to the entire patient population. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | THE ORGANIZATION USED WORKSHEET 2 OF THE 2016 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. |
| Part I, Ln 7 Col(f): | TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $96,186,006 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F). |
| Part II, Community Building Activities: | FIRSTHEALTH OF THE CAROLINAS WORKS WITH THE COMMUNITIES WE SERVE TO CREATE OPPORTUNITIES TO IMPROVE THE PHYSICAL ENVIRONMENT FOR BETTER HEALTH. FIRSTHEALTH PERSONNEL WORK IN COLLABORATION WITH VARIOUS COMMUNITY GROUPS AND CIVIC ORGANIZATIONS TO PROMOTE THE HEALTH AND WELLNESS OF OUR REGION AND THE LOCAL COMMUNITIES WE SERVE. FIRSTHEALTH ACCOMPLISHES THESE GOALS BY OBTAINING PUBLIC AND PRIVATE GRANTS TO INCREASE ACCESS TO WALKING TRAILS AND SIDEWALKS, BUILDING COMMUNITY GARDENS, PROMOTING HEALTH AND WELLNESS THROUGH LOCAL BUSINESSES, SCHOOLS, AND THE CHAMBER OF COMMERCE, AND FACILITATING OF AND PARTICIPATING ON COMMUNITY-BASED COMMITTEES CONSISTING OF KEY LEADERS IN THE HEALTH FIELD TO HELP CREATE A HEALTHIER COMMUNITY AND REGION. |
| Part III, Line 4: | THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE 2016 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF LINE PART III, LINE 2 |
| Part III, Line 8: | THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. |
| Part VI, Line 2: | FIRSTHEALTH OF THE CAROLINAS CONDUCTS A PERIODIC COMMUNITY TELEPHONE SURVEY (EVERY 3 -4 YEARS) TO ASSESS THE HEALTH CONDITION OF THE POPULATION OF OUR PRIMARY SERVICE AREA (MOORE, MONTGOMERY, RICHMOND, AND HOKE COUNTIES) AS WELL AS SCOTLAND AND ROBESON COUNTIES, AND TRACKS THIS INFORMATION OVER TIME. THE FIRST SURVEY WAS CONDUCTED IN 1999 AND THE MOST RECENT SURVEY WAS CONDUCTED IN 2015. THE SURVEY AND ANALYSIS OF DATA IS CONDUCTED BY PRC ASSOCIATES. ADDITIONALLY, FIRSTHEALH OF THE CAROLINAS CONVENES COMMUNITY VISION GROUPS THROUGHOUT OUR PRIMARY SERVICE AREA TO OBTAIN AN "ON THE GROUND PERSPECTIVE" OF THE POPULATION'S HEALTH STATUS AND DEVELOP ACTION PLAN TO ADDRESS IDENTIFIED HEALTH ISSUES. THE GROUPS CONSIST OF KEY COMMUNITY HEALTH LEADERS IN EACH COUNTY. |
| Part VI, Line 3: | ANYONE WHO VISITS A FIRSTHEALTH HOSPITAL FOR MEDICAL CARE IS TREATED REGARDLESS OF HIS/HER ABILITY TO PAY. ALTHOUGH AN EFFORT IS MADE TO COLLECT A PORTION OF THE BILL ON ADMISSION OR AT DISCHARGE, THE FIRSTHEALTH STAFF IS TRAINED TO IDENTIFY THOSE WHO MAY NEED FINANCIAL ASSISTANCE. FOR SOME, THIS COULD SIMPLY INVOLVE ESTABLISHING A PAYMENT PLAN THAT FITS WITH THE FAMILY BUDGET. FOR OTHERS, THE HELP IS MORE COMPLEX. WHEN PATIENTS ARE UNABLE TO HELP WITH MEDICAL EXPENSES, FINANCIAL COUNSELORS MEET WITH THEM ONE ON ONE TO IDENTIFY ANY PROGRAM FOR WHICH THEY MIGHT QUALIFY. THESE INCLUDE MEDICAID, VOCATIONAL REHABILITATION AND NORTH CAROLINA PURCHASE OF CASE SERVICES. WHEN NECESSARY, THE HOSPITAL ITSELF ABSORBS SOME OR ALL OF THE COST OF CASE FOR THOSE THAT MEET DESIGNATED CRITERIA. THE AMOUNT OF ASSISTANCE DEPENDS ON FAMILY INCOME. PATIENTS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR 100% FINANCIAL ASSISTANCE FOR THE FIRSTHEALTH FINANCIAL ASSISTANCE PROGRAM. PATIENTS WHOSE INCOME EXCEEDS 200% MAY STILL QUALIFY FOR ASSISTANCE DEPENDING ON THEIR INDIVIDUAL FINANCIAL CIRCUMSTANCES. INFORMATION ABOUT FEDERAL, STATE, AND LOCAL PROGRAMS, AS WELL AS FIRSTHEALTH'S FINANCIAL AID PROGRAM IS OFFERED TO ALL PATIENTS IN THE FIRSTHEALTH OF THE CAROLINAS PATIENT HANDBOOK AND CAN BE FOUND ON OUR CORPORATE WEBSITE, WWW.FIRSTHEALTH.ORG. |
| Part VI, Line 4: | FIRSTHEALTH OF THE CAROLINAS OWNS AND OPERATES A HEALTH CARE DELIVERY SYSTEM THAT PROVIDES HEALTH CARE SERVICES TO PATIENTS THROUGHOUT A 15-COUNTY SERVICE AREA IN SOUTH-CENTRAL NORTH CAROLINA AND NORTHWEST SOUTH CAROLINA. FIRSTHEALTH OF THE CAROLINAS OPERATES FIVE ACUTE CARE HOSPITALS IN THIS SERVICE AREA. FIRSTHEALTH DRAWS APPROXIMATELY 65.4% OF ITS PATIENTS FROM MOORE, MONTGOMERY AND RICHMOND COUNTIES IN NORTH CAROLINA AND APPROXIMATELY 18.2% OF ITS PATIENTS FROM THE THREE SURROUNDING COUNTIES OF HOKE, LEE AND SCOTLAND. THESE SIX COUNTIES COLLECTIVELY COMPRISE FIRSTHEALTH'S PRIMARY SERVICE AREA. FIRSTHEALTH'S PRIMARY SERVICE AREA REFLECTS A POPULATION BASE OF APPROXIMATELY 314,679. THE POPULATION BASE OF FIRSTHEALTH'S TOTAL SERVICE AREA IS APPROXIMATELY 1,272,745. |
| Part VI, Line 5: | FIRSTHEALTH OF THE CAROLINAS ALSO FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS OF THE COMMUNITY. IN ADDITION, A MAJORITY OF FIRSTHEALTH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN FIRSTHEALTH'S PRIMARY SERVICE AREA WHO ARE INDEPENDENT MEMBERS OF THE COMMUNITY. |
| Part VI, Line 7, Reports Filed With States | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| COUNTY OF MOORE | ||||||||
| PO BOX 905 | CARTHAGE | NC | 28374 | 566000322 | 501(C)(3) | $45,635 | FMV | SUPPORT HEALTH & WELLNESS PROGRAMS |
| SANDHILLS COMMUNITY COLLEGE FOUNDATION | ||||||||
| 2200 AIRPORT ORAD | PINEHURST | NC | 28374 | 560946799 | 501(C)(3) | $50,000 | FMV | SUPPORT HEALTH EDUCATION PROGRAMS |
| MOORE COUNTY FREE CLINIC | ||||||||
| 211 TRIMBLE PLANT RD | SOUTHERN PINES | NC | 28387 | 010781234 | 501(C)(3) | $100,000 | FMV | GENERAL SUPPORT |
| VILLAGE OF PINEHURST | ||||||||
| 395 MAGNOLIA RD | PINEHURST | NC | 28374 | 561211319 | 501(C)(3) | $27,480 | FMV | SUPPORT HEALTH & WELLNESS PROGRAMS |
| NC PHYSICIANS HEALTH PROGRAM | ||||||||
| 220 HORIZON DR 201 | RALEIGH | NC | 27615 | 561846599 | 501(C)(3) | $5,500 | FMV | GENERAL SUPPORT |
| MOORE COUNTY SCHOOL | ||||||||
| PO BOX 1180 | CARTHAGE | NC | 28327 | 566001078 | 501(C)(3) | $60,000 | FMV | SUPPORT SCHOOL NURSE PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIP PAYMENTS TO HEALTH CHOICE ELIGABLE CHILDREN FOR PROGRAM ENROLLMENT FEES | GrantTypeTxt |
| Recipient | 107 | RecipientCnt |
| Cash Grant | $7,750 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | FIRSTHEALTH OF THE CAROLINAS, INC.("FIRSTHEALTH") SUPPORTS VARIOUS COMMUNITY-BASED TAX-EXEMPT ORGANIZATIONS AND LOCAL GOVERNMENTAL UNITS THROUGH CASH DONATIONS. FIRSTHEALTH DOES NOT RESTRICT THE USE OF THESE DONATIONS AND SUPPORT PAYMENTS. THE RECEIVING EXEMPT ORGANIZATIONS OR GOVERNMENTAL UNITS MAY USE THE DONATION/SUPPORT PAYMENT AT WILL TO FURTHER THEIR EXEMPT PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VAN SLAUGHTER MD | ||||||||||||||
| BOARD MEMBER, PHYSICIAN | $225,534 | $0 | $190,599 | $0 | $34,236 | $0 | $9,180 | $0 | $13,454 | $0 | $473,003 | $0 | $0 | $0 |
| DAVID KILARSKI | ||||||||||||||
| CEO/PRESIDENT | $686,253 | $0 | $0 | $0 | $464,030 | $0 | $134,588 | $0 | $13,940 | $0 | $1,298,811 | $0 | $428,884 | $0 |
| DANIEL BARNES DO | ||||||||||||||
| PRESIDENT PHYSICIANS GROUP | $397,551 | $0 | $135,026 | $0 | $33,735 | $0 | $10,260 | $0 | $13,868 | $0 | $590,440 | $0 | $0 | $0 |
| ELIZABETH WALKER | ||||||||||||||
| PRESIDENT MMH | $171,028 | $0 | $62,053 | $0 | $30,961 | $0 | $13,498 | $0 | $8,437 | $0 | $285,977 | $0 | $0 | $0 |
| JOHN JACKSON | ||||||||||||||
| PRESIDENT RMH | $214,037 | $0 | $77,695 | $0 | $34,454 | $0 | $12,420 | $0 | $10,781 | $0 | $349,387 | $0 | $0 | $0 |
| DANIEL BIEDIGER | ||||||||||||||
| VP HUMAN RESOURCES | $231,237 | $0 | $84,782 | $0 | $38,888 | $0 | $13,500 | $0 | $14,037 | $0 | $382,444 | $0 | $0 | $0 |
| JOHN KRAHNERT MD | ||||||||||||||
| SENIOR VP/CMO | $488,778 | $0 | $164,756 | $0 | $31,768 | $0 | $10,260 | $0 | $13,940 | $0 | $709,502 | $0 | $0 | $0 |
| JEFFREY CASEY | ||||||||||||||
| VP FINANCE | $300,364 | $0 | $107,105 | $0 | $39,662 | $0 | $12,420 | $0 | $13,812 | $0 | $473,363 | $0 | $0 | $0 |
| DAVID DILLEHUNT | ||||||||||||||
| VP/CIO | $292,103 | $0 | $100,509 | $0 | $36,091 | $0 | $11,340 | $0 | $8,555 | $0 | $448,598 | $0 | $0 | $0 |
| LYNN DEJACO | ||||||||||||||
| SENIOR VP/CFO | $451,591 | $0 | $155,273 | $0 | $44,770 | $0 | $12,420 | $0 | $13,868 | $0 | $677,922 | $0 | $0 | $0 |
| CYNTHIA MCNEILL-MCDONALD | ||||||||||||||
| VP QUALITY | $212,392 | $0 | $72,699 | $0 | $20,594 | $0 | $11,202 | $0 | $11,273 | $0 | $328,160 | $0 | $0 | $0 |
| SUSAN BEATY | ||||||||||||||
| PRESIDENT MRH HOKE CAMPUS | $146,358 | $0 | $53,974 | $0 | $25,239 | $0 | $10,727 | $0 | $8,088 | $0 | $244,386 | $0 | $0 | $0 |
| BRIAN CANFIELD | ||||||||||||||
| SENIOR VP/COO | $314,676 | $0 | $106,916 | $0 | $32,892 | $0 | $9,180 | $0 | $1,572 | $0 | $465,236 | $0 | $0 | $0 |
| KAREN ROBEANO | ||||||||||||||
| VP CNO | $218,923 | $0 | $76,637 | $0 | $25,552 | $0 | $9,180 | $0 | $1,139 | $0 | $331,431 | $0 | $0 | $0 |
| AMY GRAHAM | ||||||||||||||
| VP STRATEGY & INNOVATION | $208,446 | $0 | $74,763 | $0 | $24,931 | $0 | $12,420 | $0 | $13,914 | $0 | $334,474 | $0 | $0 | $0 |
| WILLIAM HARRIS MD | ||||||||||||||
| PHYSICIAN | $503,992 | $0 | $126,785 | $0 | $21,195 | $0 | $9,180 | $0 | $13,868 | $0 | $675,020 | $0 | $0 | $0 |
| MARK LANDERS MD | ||||||||||||||
| PHYSICIAN | $500,665 | $0 | $423,063 | $0 | $33,824 | $0 | $9,180 | $0 | $13,868 | $0 | $980,600 | $0 | $0 | $0 |
| STEVEN FILBY MD | ||||||||||||||
| PHYSICIAN | $526,399 | $0 | $195,463 | $0 | $26,778 | $0 | $9,180 | $0 | $13,868 | $0 | $771,688 | $0 | $0 | $0 |
| PETER DUFFY MD | ||||||||||||||
| PHYSICIAN | $489,177 | $0 | $154,464 | $0 | $34,406 | $0 | $9,180 | $0 | $13,868 | $0 | $701,095 | $0 | $0 | $0 |
| ARTHUR EDGERTON MD | ||||||||||||||
| PHYSICIAN | $509,559 | $0 | $92,768 | $0 | $35,958 | $0 | $9,180 | $0 | $13,940 | $0 | $661,405 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | THE ORGANIZATION'S CEO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE AMOUNT OF DEFERRED COMPENSATION ACCRUED DURING THE FISCAL YEAR FOR THE PLAN WAS $125,408. |
| Part I, Line 5 | PHYSICIANS ARE PAID UNDER A PRODUCTIVITY-BASED COMPENSATION MODEL, WHICH TIES TOTAL COMPENSATION TO A RELATIVE VALUE UNIT (RVU). AN RVU IS A DOLLAR AMOUNT ASSIGNED TO EACH PATIENT ENCOUNTER OR MEDICAL TEST/PROCEDURE PERFORMED. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | 65821DDT5 | 2009-12-09 | $54,500,000 | SERIES 2009C - REFUND ISSUES DATED 4/15/09, 12/9/08, 5/1/02 | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | 65821DRJ3 | 2012-04-24 | $45,610,000 | SERIES 2012A - REFUND ISSUE DATED 4/15/09 | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| C | 521309402 | 65821DBZ3 | 2008-12-09 | $75,015,000 | SERIES 2008A - REFUND ISSUE DATED 2/20/98 | 0 | 0 | 0 |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| D | 521309402 | 2014-07-01 | $18,160,000 | SERIES 2014A - REFUND PORTION OF ISSUE DATES 12/9/09 | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $27,120,000 | $17,530,000 | $54,747,355 | $784,475 | $3,089,578 | $950,609 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $480,000 | $45,610,002 | $720,770 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| C | $8,385,000 | $29,400,000 | $75,015,002 | $728,510 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| D | $18,160,002 | $193,083 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0.10000 | 0.00100 | 0.10100 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||||
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0.01800 | 0.00100 | 0.01900 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
| CITIGROUP FINANCIAL | ||||||||||||
| C | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | 14.000000000000 | 0 | 0 | |||
| (no name) | ||||||||||||
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K Supplental Information | FormAndLineReferenceDesc |
| Explanation | Part I, Bond B, Column f: Reissuance of 29,400,000 of bond proceeds originally issued on 2/27/2002; and issuance of 20,600,000 of new money for various capital projects, Part II, Line 14, Column B: The reissuance of the 2/27/2002 issue was deemed a current refunding for tax purposes. Part II, Line 1, Column A: 29,400,000 of the 2008A original principal amount was refunded by issue dated 1/6/2010. Only the A portion of the issue remains outstanding as of fiscal year 2013. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| A | 521309402 | 2017-08-03 | $38,090,000 | SERIES 2017A - REFUND PORTION OF ISSUE DATES 3/4/12 | 0 | 0 | 0 | |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| B | 521309402 | 2017-08-24 | $29,630,000 | SERIES 2017B - REFUND PORTION OF ISSUE DATES 1/6/10 | 0 | 0 | 0 | |
| NORTH CAROLINA MEDICAL CARE COMMISSION | ||||||||
| C | 521309402 | 2017-09-13 | $28,590,000 | SERIES 2017D - REFUND PORTIO OF ISSUE DATE 10/3/12 | 0 | 0 | 0 | 65821DVR9 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $40,830,000 | $38,090,000 | $132,993 | $37,957,007 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $29,535,000 | $29,630,000 | $95,000 | $29,535,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
| C | $28,435,000 | $28,590,000 | $155,000 | $28,435,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | 0.02100 | 0.02100 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III | FirstHealth of the Carolinas, Inc. ("FirstHealth") provides a comprehensive community benefits program in its primary and secondary service areas. FirstHealth plays a pivotal role in delivering health care in the mid-Carolinas and is both the infrastructure and safety net for health care in its communities. Hospital care is the cornerstone of health care in most communities, but FirstHealth goes beyond the walls of its five hospitals (FirstHealth Moore Regional Hospital, FirstHealth Moore Regional Hospital Richmond Campus, FirstHealth Moore Regional Hospital Hoke Campus, FirstHealth Montgomery Memorial Hospital and Sandhills Regional Medical Center) to enhance the health and wellness of the residents of its service areas. FirstHealth provides low-cost and, in many cases, free programs to our most vulnerable patient populations. One of FirstHealth's most important financial contributions is bridging the gap created by underpayments from Medicare and Medicaid and other government programs, while continuing to provide access to free or low cost health screenings and diagnostic services, as well as health/wellness educational programs in the communities FirstHealth serves. Free and Discounted Charity Care to Eligible Patients Served Anyone who visits a FirstHealth hospital for medical care is treated regardless of his or her ability to pay for the treatment provided. When patients are unable to help with their medical expenses, FirstHealth absorbs some or all of the cost of care for those that meet designated financial criteria, depending on family income. Patients with family incomes at or below 200 percent of the federal poverty guideline qualify for 100 percent financial assistance under FirstHealth's Financial Assistance Program. FirstHealth's net costs of free care (treating patients that qualified for 100% financial assistance) were $8,281,067 in fiscal 2017. Through its Financial Assistance Program, FirstHealth also offers varying levels of discounted care to patients who are poor and/or meet certain income guidelines. Patients with family incomes between 201 and 360 percent of the federal poverty guideline qualify for discounts against FirstHealth's list price for services rendered. FirstHealth has also experienced an upward trending in bad debt expense, as the number of patients who have been determined to have the financial capacity to pay for healthcare services provided but are unwilling/financially unable to settle the claim continues to increase. FirstHealth continues to provide all necessary healthcare services to this patient population. In fiscal 2017, the cost to FirstHealth for these services was $22,694,945. FirstHealth's Financial Counselors work closely with patients and families to help determine eligibility for assistance or qualification for public programs. FirstHealth requests that patients provide appropriate documentation, such as tax returns, current pay stubs, or other relevant information, that is used to demonstrate financial need. FirstHealth also offers interest-free extended payment plans that will vary in length, depending on the balance of the patient's account. FirstHealth assists patients with finding available governmental programs that match patients' needs, such as Medicaid, Vocational Rehabilitation, Crime Victim Assistance, etc. FirstHealth also posts detailed information about its Financial Assistance Program on its website (www.firsthealth.org) so the public can be aware of its availability. Medicaid Shortfall FirstHealth provides Medicaid services in its five hospitals, as well as through its home care, hospice and palliative care, dental care, and other health care services in its primary and secondary service areas. Approximately 11.8% of FirstHealth's fiscal 2017 net patient revenue for acute care services came from the Medicaid program. The Medicaid program, which provides health care coverage for low-income families and individuals, is funded by the state and federal governments. In North Carolina, as in many states, Medicaid payments are well below the provider's actual cost of treating Medicaid patients and the reimbursement level is predicted to decline as financial pressures on the federal and state government operating budgets mount. In fiscal 2017, FirstHealth's unpaid costs from Medicaid totaled $25,178,894. Medicare Shortfall FirstHealth provides services to Medicare beneficiaries in its five hospitals. In addition, Medicare beneficiaries are served by FirstHealth's home care, hospice and palliative care and other health care programs and services. The Medicare shortfall represents the difference between the actual cost of care rendered and the reimbursement received for delivering that care to patients. Approximately 57.2% of FirstHealth's fiscal 2017 net patient revenue for acute care services came from the Medicare program. The cost of delivering care includes, but is not limited to, personnel costs, technology, supplies, pharmaceuticals, medical devices, facility operating costs, etc. FirstHealth's financial shortfall from providing these Medicare services in fiscal 2017 was $23,125,872. Subsidized Medically Essential Services As a rural health care provider, FirstHealth is many times the provider of last resort for our patients. In order to offer a full-spectrum of health care services, FirstHealth provides services and programs that yield negative operating margins. However, because these services are essential to the overall health of the communities served, FirstHealth continues to provide them. Subsidized medically necessary hospital services provided by FirstHealth include, but are not limited to: inpatient psychiatry unit and outpatient mental health services; inpatient physical rehabilitation unit; neonatal intensive care unit; emergency departments (approximately 140,141 patient encounters in fiscal 2017); women's and children's services; inpatient medical and radiation oncology services; renal dialysis services; diabetes care; and a number of other outpatient services. In addition, FirstHealth of the Carolinas, Inc., through its Regional Emergency Medical Services business line, provided 16,215 emergency transports to residents of three North Carolina counties in fiscal 2017. FirstHealth received $5,170,642 of fiscal 2017 operating subsidies from these counties to offset the unreimbursed operating costs of providing these essential transport services. |
| Form 990, Part III, Line 4b | Behavior Change Programs Tobacco Cessation, Physical Activity, and Nutrition Thanks to many years of grant support and a desire to affect population health through health promotion/disease prevention programs, FirstHealth has developed a cohesive initiative to promote healthier lifestyles in our region. The initiative focuses on providing tobacco cessation services using the highly successful FirstQuit program and evidence based behavior change programs focused on physical activity and nutrition ("Healthy Kitchen and "People Living Active Year-round") into our local communities. These programs are offered in a community setting. Additionally, the health education specialists are piloting telehealth coaching in primary practice clinics to provide one-on-one health and behavioral health coaching to patients struggling to manage their chronic disease. FirstQuit, an outpatient and inpatient program, includes a combination of counseling and nicotine replacement therapies to assist residents in the service area to quit tobacco use. The program also includes the FirstQuitY program, a teen tobacco cessation-focused program. For the adult cessation program, 382 people enrolled in the program. The primary emphasis of the program was to target the region's low-income population and nearly 84% of participants in the FirstQuit program lived at or below 200 percent of the Federal Poverty Level. The conservative quit rate for the low-income population group was 20%. For the nutrition and physical activity programs, these initiatives targeted low-income and underserved populations in the primary hospital service area. Between People Living Active Year-Round and The Happy Kitchen, 16 classes were taught. In total, $105,593 of financial subsidies was provided by FirstHealth to implement all three programs in fiscal year 2017. School Health Programs FirstHealth offered on-site medical care at two locations in the Montgomery County Schools. Hundreds of school children in Montgomery County had access to medical care on the school campus or just steps away from the classroom door. The School Health Centers provided on-site medical care that was sensible, convenient, valuable, and open to any child in the Montgomery County School System. The Centers provided physical, mental, nutritional, and health and wellness interventions that are available to all children even in the most rural sections of the county. A patient service representative, on-site registered nurse and a family nurse practitioner provided care in these school settings. Medical professionals staffing these centers provided health, wellness, learning and easy access to care for children working together to meet FirstHealth's core purpose to care for people as a hospital without walls. In addition, the clinics identified high risk indicators such as childhood obesity, and work toward their correction. In addition, FirstHealth provided $60,000 to the Moore County Schools to offset the unfunded operating costs of the County's school health nurse program in fiscal 2017. FirstHealth Medication Assistance Program FirstHealth Cares assisted low-income individuals in Moore and Montgomery counties in securing free or low-cost prescription medications through pharmaceutical companies' indigent care programs. Financially needy adults were eligible for assistance based on medication needs, lack of eligibility for prescription drug coverage, and individual pharmaceutical company program guidelines (typically less than 150 % to 200% of Federal Poverty Level). On average, 1,603 individuals were assisted per quarter with obtaining prescription medications. 88% of medication requests were filled, resulting in an Average Wholesale Value of over $10.7 million in medications dispensed in fiscal year 2017. Dental Care Centers FirstHealth operates three Dental Care Centers in Southern Pines (Moore County), Troy (Montgomery County) and Raeford (Hoke County), North Carolinas. Each Dental Care Center provides comprehensive dental care services to Medicaid and HealthChoice-eligible children and young adults up to age 21. Since few dentists in these counties participate in Medicaid's Dental program, the FirstHealth Dental Care Centers provides a tremendous unmet need in the region. When the Dental Care Centers opened in 1997, nearly half of the children of low-income families in FirstHealth's service area were getting little to no dental care services. In fiscal 2017, FirstHealth's Dental Care Services provided 10,823 dental care visits to 4,653 children and young adults residing in the three counties served. FIRST HEALTH PROVIDED $282,990 IN FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE DENTAL CARE CENTERS IN FISCAL YEAR 2017. Securing Affordable Health Coverage Services Technical, financial and other assistance was provided to uninsured patients toward securing health care coverage through Medicaid, Health Choice and other coverage programs. During fiscal 2016, FirstHealth assisted 190 children with scholarships to pay Health Choice enrollment fees, at a cost of $7,750 to FirstHealth. Diabetes & Nutrition Education Center This group of clinical professionals provided services for both diabetes education and outpatient nutrition, serving all ages. Both programs helped educate patients on how to better manage their diabetes diagnosis and/or make dietary and lifestyle changes to reduce health risk. Services were provided in Moore, Richmond, Montgomery and Hoke counties. Additionally, services were offered via telehealth to improve access to education. In recognition of the innovative approach for reaching and treating diabetics, FirstHealth was recognized in recent years with two national awards, the Jackson Health Care Award and the American Hospital Association NOVA award. Task Force Support and Policy Work FirstHealth Community Health Services supported county-based, disease-specific and grassroots task forces to collaborate on needs identification, resource acquisition and program implementation. Groups supported include MooreHealth, Safe Kids Mid-Carolinas Region, Drug Free Moore County, Moore County Drug Prevention Task Force, Health Choice Coalitions and Domestic Violence Task Force. Through work on task forces and those referenced below under "Corporate Initiatives," relationships and partnerships were built to promote healthy lifestyle policy at the local and state level. Corporate Initiatives FirstFit is the FirstHealth corporate worksite wellness program coordinated by FCHS. This is a Board directed program that is multifaceted and multi-disciplinary. The targeted area of wellness through healthy eating and physical activity was promoted through education, policy changes and opportunities provided by the FirstFit Committee. 2020 Vision "First in Health" Community Groups were established in Moore, Montgomery, Richmond and Hoke counties with the ongoing agenda of improving the health of the community. FHCS created this concept in each county through the development and facilitation of these community groups comprised of professional and lay leaders. Efforts were targeted at health issues specific to each county as supported by a database of health indicators that was/is updated locally by FCHS every three years. |
| Form 990, Part III, Line 4c | Support in the Community Cash and In-Kind Contributions During fiscal 2017, FirstHealth supported health education events, distributed equipment and promoted community-based health initiatives. FirstHealth also provided meals for over 50 community meetings and events. Though these initiatives, FirstHealth served an estimated 99,000 people at a cost of $472,544. Workforce Development and Community Building Activities FirstHealth provided 134 hours of assistance to the community in the areas of leadership, planning, resource identification, time management, community physician recruitment and information systems on a low or no-cost basis. FirstHealth participated in and provided administrative support to county-based multi-agency groups including MooreHealth, Montgomery Community Resource Team, Richmond Healthy Carolinians, and Healthy Hoke. Local SAFE KIDS Coalitions were also supported in Montgomery, Moore and Richmond counties as part of the statewide initiative to reduce childhood injuries. These groups hosted events such as bike rodeos and car seat safety checks. Through these initiatives, FirstHealth served an estimated 5,600 people at a cost of $204,600 in fiscal 2017. Family Assistance FirstHealth's Pastoral Care Services provided 716 free meals to family members staying with loved ones in the hospital who could not afford meals. The cost to FirstHealth for free meals provided in fiscal 2017 totaled $4,728. In April 2012, the Foundation of FirstHealth, Inc. opened the Clara McLean Hospitality House ("Clara's House") on the FirstHealth Moore Regional Hospital campus in Pinehurst. Clara's House offers twelve (12) overnight guest rooms and two day-visit rooms, as well as other support services, to out-of-town patients and their families (priority given to patients and families who live at least 30 miles from Pinehurst) while they are receiving treatment at FirstHealth Moore Regional Hospital, the Surgery Center of Pinehurst or the FirstHealth Hospice House inpatient facility. Guest fees for a single or double room in Clara's House are $35 per night, a suite is $70 per night and a day room is $20. During fiscal 2017, Clara's House provided a total of 2,904 room nights to 1,788 house guests. The guests came to Pinehurst from 44 counties within North Carolina, 12 other states and from Canada. Moore Free and Charitable Clinic The Moore Free and Charitable Clinic (MFCC) is a private, volunteer-based, non-profit organization that provides primary health care services at no cost to the limited-income residents of Moore County that lack health care insurance coverage. FirstHealth provided direct financial support totaling $100,000 in fiscal 2017 to MFCC in furtherance of its mission. Patients of MFCC that required inpatient/outpatient acute care services were referred to FirstHealth Moore Regional Hospital for care, generating a total of 3,131 patient encounters in fiscal 2017. The $1,517,722 cost of providing these services in fiscal 2017 was absorbed by FirstHealth. FirstHealth also provided physicians, nurses and physical therapists to MFCC, and FirstHealth absorbed any added costs associated with providing this coverage. Medical Staff Development / Physician Recruitment Assistance FirstHealth provides financial assistance to area physician practices and individual physicians for the recruitment of physicians to practice in the geographic areas served by the five FirstHealth hospitals. Under FirstHealth's Medical Staff Development Plan, recruitment assistance is appropriate to: (1) add physicians in an under-served geographic location; (2) add or enhance a service of the hospital or community; or (3) increase physician coverage where there is an existing shortage. During fiscal 2017, FirstHealth participated in searches for specialists in behavioral services, cardiology, convenient care, cardiovascular thoracic surgery, dental clinics, gynecologic oncology, neurosurgery, occupational health, perfusionists and primary care. FirstHealth also forgave approximately $268,342 in payments made in prior years toward the recruitment of specialists to practices in FirstHealth's primary service area (Moore, Montgomery, Richmond, Hoke, Lee and Scotland counties). In addition to recruitment assistance provided to the area physician practices, FirstHealth also recruited a total of nineteen (19) physicians and mid-level practitioners as well as thirteen (13) contract providers to its hospitalist programs at the five FirstHealth hospitals in fiscal 2017. Research and Clinical Trials Initiatives FirstHealth Moore Regional Hospital, drawing on its state of the art radiation oncology and medical oncology services, has initiated a number of research and clinical trials with staff physicians. At any point in time, there are 30-35 trials open. The trials cover a variety of cancer types including but not limited to lung, breast, kidney, colon, prostate, and gynecologic. Additionally, several cancer prevention and quality of life studies begun during fiscal year 2016 continued into fiscal year 2017. The particular trials were chosen to match the population of cancer patients seen through the FirstHealth Cancer Center and provide them with the best research treatment opportunities. Providing clinical trials for cancer care is a requirement for the FirstHealth Cancer Center to obtain its ACOS Comprehensive Cancer Center designation. Outside of oncology, there were trials open in cardiology, ENT, and pulmonology. FirstHealth provided $425,807 in financial subsidies to offset the unfunded operating costs of the research and clinical trials initiatives in fiscal year 2017. FirstHealth Hospice & Palliative Care FirstHealth Hospice & Palliative Care is dedicated to providing compassionate, quality care for persons with life-limiting illnesses as well as support to their families. Although cancer is a common diagnosis among hospice patients, many patients have other end-stage illnesses, including heart disease, pulmonary disease, renal disease, liver disease, neurological disorders, Alzheimer's, AIDS and adult failure to thrive syndrome. FirstHealth Hospice & Palliative Care is also the home of the FirstHealth Grief Resource & Counseling Center, which provides services to the public at no cost. The Center is an integral component of the 11-bed inpatient Hospice House campus located in Pinehurst, NC. These services are for those who have suffered a loss due to deaths, who are dealing with a life-altering illness or who are facing the death of a loved one. Master's-prepared counselors offer counseling and assessments as well as numerous support groups that address loss. Training programs for businesses, schools and organizations are also available. During fiscal year 2017, FirstHealth Hospice & Palliative Care maintained an average daily census of 148 patients in service. |
| Form 990, Part VI, Section B, line 11b | FirstHealth's Form 990 is initially reviewed by qualified members of Administration, including the corporate CEO and CFO, and Compliance departments. The entire return is reviewed by the Board's Compensation Committee and the FirstHealth Board of Directors prior to filing with the IRS. FirstHealth's independent tax preparer, Dixon Hughes Goodman, LLP, also conducts a review of the return during their preparation process. Once the return is successfully e-filed with the IRS, a copy of the return is made available to all members of the FirstHealth Board of Directors. In addition to the posting of the FirstHealth return on GuideStar, a public inspection copy of the Form 990 is made available for review. |
| Form 990, Part VI, Section B, line 12c | FIRSTHEALTH STRIVES TO MAINTAIN THE HIGHEST ETHICAL STANDARDS AND HAS ADOPTED A CONFLICT OF INTEREST/DUALITY OF INTEREST POLICY THAT APPLIES TO ANY DIRECTOR, TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE, OR ANY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST OR DUALITY OF INTEREST WITH ANY ORGANIZATION SEEKING TO DO BUSINESS WITH OR IS IN AN ACTUAL OR POTENTIAL ADVERSARIAL RELATIONSHIP WITH FIRSTHEALTH. ANY COVERED INDIVIDUAL WITH AN ACTUAL OR POSSIBLE CONFLICT MUST DISCLOSE THE EXISTENCE OF THE CONFLICT TO THE DIRECTORS, TRUSTEES AND MEMBERS OF BOARD COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION, ARRANGEMENT OR ISSUE. EACH TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE WITH BOARD-DELEGATED POWERS COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT, AND ALL REPORTED CONFLICTS ARE REPORTED TO AND REVIEWED BY THE FIRSTHEALTH BOARD OF DIRECTORS. ALL MANAGEMENT EMPLOYEES ALSO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS, WHICH ARE SUMMARIZED AND REVIEWED WITH SENIOR MANAGEMENT. |
| Form 990, Part VI, Section B, line 15 | FirstHealth's Board of Directors determines compensation for the CEO through its Compensation Committee ("Committee"). The Committee is composed of Board members who are independent of FirstHealth management, have no personal interest in the compensation arrangements, are not related to or under the control of any individual whose compensation arrangement is being reviewed, have no material business relationship with FirstHealth, and are not paid for their services as a Board member. The Committee retains an independent consultant to conduct periodic compensation analyses to help ensure FirstHealth's compensation practices and compensation levels are reasonable. This consultant provides only advisory services related to compensation matters to FirstHealth. To attract and retain the highest caliber of healthcare professionals needed to sustain the quality of the healthcare FirstHealth provides to the communities that it serves, compensation must be competitive with that provided by other competing organizations in the area job market. When executive positions are filled, FirstHealth typically conducts national searches. FirstHealth benchmarks against organizations of comparable size and mission, across the region and the nation. Market data is assembled for all elements of executive compensation (i.e. cash compensation, benefits and perquisites). Compensation levels reflect the scope of the CEO's responsibilities, educational background, experience and industry standing, as well as individual and organization performance. The most recent review was performed during fiscal year 2017. A similar process to that for the CEO is affected for determining the compensation of the other corporate officers or key employees of FirstHealth (i.e. use of independent consultant, comparable industry data, etc.). The Committee reviews and approves the CEO's performance assessments and compensation recommendations for other corporate officer and key employees. All compensation decisions are made in a manner that is consistent with FirstHealth's Board-approved compensation philosophy. The most recent year review was performed during fiscal year 2017. |
| Form 990, Part VI, Section C, line 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. In addition, quarterly and annual financial statements are posted to the Digital Assurance Certification (DAC) website and filed with the North Carolina Medical Care Commission in accordance with existing debt covenants. |
| Form 990, Part IX, line 11g | PROFESSIONAL FEES: Program service expenses 36,256,242. Management and general expenses 828,344. Fundraising expenses 0. Total expenses 37,084,586. CONTRACT LABOR: Program service expenses 13,687,132. Management and general expenses 2,681,631. Fundraising expenses 0. Total expenses 16,368,763. CONSULTANT FEES: Program service expenses 155,832. Management and general expenses 855,388. Fundraising expenses 0. Total expenses 1,011,220. PURCHASED SERVICES: Program service expenses 26,982,142. Management and general expenses 22,874,346. Fundraising expenses 0. Total expenses 49,856,488. |
| Form 990, Part XI, line 9: | GAIN ON SWAP MARKET ADJUSTMENT 4,283,945. GAIN ON ADVANCED REFUDNING -331,835. TRANSFER OF EQUITY -21,999,000. |
| Form 990, Part XII, Line 2c: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| FIRSTHEALTH PHYSICIANS GROUP LLC | |||||||||
| 155 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 463774942 | MEDICAL SERVICES | NC | -$20,557,000 | $9,863,000 | fIRSTHEALTH OF THE CAROLINAS INC |
| STARFIRST LLC | |||||||||
| 155 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 561936354 | CAPTIVE INSURANCE | SC | $4,389,000 | $32,220,000 | FIRSTHEALTH OF THE CAROLINAS INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION OF FIRSTHEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 MEMORIAL DRIVE | AddressLine1Txt |
| City | PINEHURST | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28374 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510191937 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRSTHEALTH OF THE CAROLINAS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRSTIMAGING OF THE CAROLINAS LLC | |||||||||||||
| 155 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 300313534 | MEDICAL SERVICES | NC | FIRSTHEALTH OF THE CAROLINAS INC | RELATED | $531,088 | $429,575 | 0 | 0 | 0.50000 |
| SURGERY CENTER OF PINEHURST LLC | |||||||||||||
| 10 FIRSTVILLAGE DRIVE | PINEHURST | NC | 28374 | 680561185 | MEDICAL SERVICES | NC | FIRSTHEALTH OF THE CAROLINAS INC | RELATED | $1,186,942 | $297,946 | 0 | Yes (1) | 0.40000 |
| FIRSTCAROLINACARE INSURANCE SERVICES LLC | |||||||||||||
| 42 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 261708544 | INSURANCE SERVICES | NC | FIRSTHEALTH OF THE CAROLINAS INC | RELATED | $199 | $35,112 | 0 | 0 | 0.51000 |
| SURGERY CENTER OF PINEHURST PROPERTIES LLC | |||||||||||||
| 155 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 680561188 | REAL ESTATE | NC | FIRSTHEALTH OF THE CAROLINAS INC | RELATED | $460,680 | $3,427,330 | 0 | Yes (1) | 0.92550 |
| CARDIOVASCULAR CENTER OF SCOTLAND COUNTY LLC | |||||||||||||
| 155 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 262335801 | MEDICAL SERVICES | NC | FIRSTHEALTH OF THE CAROLINAS INC | RELATED | $153,503 | $1,181,365 | 0 | 0 | 0.50000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FIRSTHEALTH PROFESSIONAL SERVICES INC | ||||||||||||
| 155 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 561885149 | HEALTHCARE SERVICES | NC | FIRSTHEALTH OF THE CAROLINAS INC | C | -$2,000 | -$22,000 | 1.00000 | Yes (1) |
| FIRSTCAROLINACARE INSURANCE COMPANY INC | ||||||||||||
| 42 MEMORIAL DRIVE | PINEHURST | NC | 28374 | 331160597 | INSURANCE COMPANY | NC | FIRSTHEALTH OF THE CAROLINAS INC | C | -$11,443,000 | $50,850,000 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| FIRSTIMAGING OF THE CAROLINAS LLC | |
| S | $496,916 |
| SURGERY CENTER OF PINEHURST LLC | |
| S | $1,212,000 |
| SURGERY CENTER OF PINEHURST PROPERTIES LLC | |
| S | $564,412 |
| FOUNDATION OF FIRSTHEALTH INC | |
| C | $2,306,354 |
| FOUNDATION OF FIRSTHEALTH INC | |
| P | $2,225,583 |
| FOUNDATION OF FIRSTHEALTH INC | |
| J | $50,412 |
| FOUNDATION OF FIRSTHEALTH INC | |
| Q | $1,997,699 |
| FIRSTCAROLINACARE INSURANCE COMPANY INC | |
| J | $792,418 |
| FIRSTCAROLINACARE INSURANCE COMPANY INC | |
| L | $336,000 |
| FIRSTCAROLINACARE INSURANCE COMPANY INC | |
| M | $2,008,152 |
| FIRSTCAROLINACARE INSURANCE COMPANY INC | |
| P | $37,145,615 |
| FIRSTCAROLINACARE INSURANCE COMPANY INC | |
| Q | $48,576,194 |
| FIRSTCAROLINACARE INSURANCE COMPANY INC | |
| B | $12,000,000 |
| CARDIOVASCULAR CENTER SCOTLAND COUNTY LLC | |
| S | $300,000 |
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