2016-08-09T09:19:28-05:00 2015-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2014-10-01 560591294 MOREHEAD MEMORIAL HOSPITAL MORE 3366276337 117 EAST KINGS HIGHWAY EDEN NC 27288 RAY OWINGS INTERIM CFO 3366276337 2016-08-03 1 JOHN NORMAN P01506766 7049985200 2016-08-03 2014 2016-12-15 16:53:06Z DANA WESTON 117 EAST KINGS HIGHWAY EDEN NC 27288 96916523 0 X WWW.MOREHEAD.ORG X 1960 NC TO PROVIDE QUALITY CARE, WITH A COMMITMENT TO PATIENT SAFETY AND CLINICAL EXCELLENCE. 13 13 895 160 0 0 1271672 922832 97670188 94610925 56644 425512 1196037 594754 100194541 96554023 22281 2221 0 0 48174275 41883563 0 0 0 57122686 54462435 105319242 96348219 -5124701 205804 71558760 67684495 62294073 64430108 9264687 3254387 TO PROVIDE QUALITY CARE WITH A COMMITMENT TO PATIENT SAFETY AND CLINICAL EXCELLENCE. 0 0 84211469 2221 93257548 HOUSE CALLS RADIO SHOW THAT ADDRESSES HEALTH TOPICS: BROADCAST EVERY SECOND AND FORTH WEDNESDAYS ON WLOE/WMYN RADIO STATIONS. LAMAZE CLASSES FOR EXPECTANT PARENTS, BREASTFEEDING CLASSES, INFANT CPR, BIG BROTHER/BIG SISTER CLASS FOR SIBLINGS, HEALTH EDUCATION LECTURES, AND DIABETES SCREENING.MONTHLY SUPPORT GROUPS:ALCOHOLICS ANONYMOUS; LOOK GOOD, FEEL BETTER - A PROGRAM TO HELP PATIENTS COPE WITH THE SIDE EFFECTS OF CANCER TREATMENT; PARKINSON'S DISEASE SUPPORT GROUP; SPECIAL YOUNG ADULTS - A NIGHT FOR ADULTS AGES 18-45 WITH MILD OR MODERATE DEVELOPMENTAL DISABILITIES TO MEET NEW" 84211469 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 21 0 1 895 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 0 X PAM BOOTH-WILSON 3366239711 117 EAST KINGS HIGHWAY EDEN NC 27288 JAMES BURNETTE CHAIRPERSON 10.00 X X 0 0 0 JUDY ROUSE VICE CHAIRPERSON 10.00 X X 0 0 0 EUGENE RUSSELL SECRETARY/TREASURER 10.00 X X 0 0 0 DEL BOOTHE TRUSTEE 2.00 X 0 0 0 JOHN DABBS TRUSTEE 2.00 X 0 0 0 JEFF PARRIS TRUSTEE 2.00 X 0 0 0 GLENN MARTIN TRUSTEE 2.00 X 0 0 0 SCOTT BARHAM TRUSTEE 2.00 X 0 0 0 ROBERT L CROUCH TRUSTEE 2.00 X 0 0 0 MARK COLLINS TRUSTEE 2.00 X 0 0 0 MOHAMMAD ANWAR MD TRUSTEE 2.00 X 191758 0 15282 EWAIN WILSON MD TRUSTEE 2.00 X 439430 0 27609 TERRY DANIEL MD CHIEF OF STAFF 2.00 X 0 0 0 HOWARD N AINSLEY PRESIDENT/CEO (OUTGOING) 60.00 X 67188 0 0 KENNETH K BOGGS VICE PRESIDENT AND CFO 60.00 X 70135 0 0 MARTHA BARHAM VICE PRESIDENT NURSING 60.00 X 177654 0 107 CHRISTOPHER BENSON MD GASTROENTEROLOGIST 40.00 X 591439 0 22617 STEVEN CASE MD ORTHOPEDIST 40.00 X 529655 0 16831 OKAFOR LEKWUWA MD EMERGENCY DEPT PHYSICIAN 40.00 X 392174 0 15349 MARC DEMASON MD GENERAL SURGEON 40.00 X 389510 0 8486 BRAD BAUER MD UROLOGIST 40.00 X 367849 0 9190 3216792 0 115471 10 0 1 0 ARAMARK CORPORATION 24863 NETWORK PLACE CHICAGO IL 606731248 ENVIRONMENTAL, FOOD, AND PLANT OPERATION 5532981 COMPHEALTH MEDICAL STAFFING 6451 NORTH FEDERAL HIGHWAY SUITE 7 FORT LAUDERDALE FL 33308 LOCUMS PHYSICIANS 968693 QHR 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SERVICES 931988 LEGACY HEALTHCARE SERVICES INC 3001 SPRING FOREST ROAD RALEIGH NC 27616 LONG-TERM CARE PHYSICAL REHAB 820716 HEALTHGRAM INC 8731 RED OAK BLVD CHARLOTTE NC 28217 TPA FOR SELF-INSURED PLANS 672351 21 99020 823182 630 315 922832 NET PATIENT REVENUE 621110 93257548 93257548 1353377 1353377 94610925 72037 72037 130824 130824 957254 362500 594754 594754 594754 222651 0 222651 222651 222651 96554023 94610925 0 1020266 X 2221 2221 1536142 872880 663262 31965950 24854007 7111943 784525 691855 92670 5593795 4933046 660749 2003151 1766535 236616 165485 165485 292639 292639 12615341 11125193 1490148 233607 206013 27594 650553 573708 76845 1960527 1728946 231581 1694177 1494058 200119 23202 20461 2741 161594 142506 19088 1756771 1756771 3910207 3448326 461881 546140 481629 64511 PROVISION FOR BAD DEBT 15695526 15695526 PROGRAM SUPPLIES 9996106 9996106 OTHER MISC EXPENSES 2872069 2533191 338878 PHARMACEUTICALS 1888491 1888491 96348219 84211469 12136750 0 5469540 3424489 11850530 12612267 1000220 964514 2808117 3695846 107221762 72885339 37717469 34336423 8754862 9334929 3958022 3316027 71558760 67684495 11115366 9074213 39538981 37833481 11639726 17522414 62294073 64430108 X 9264687 3254387 9264687 3254387 71558760 67684495 X 205804 -314 -6215790 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 21635 550495 -551086 1123216 0 710000 710000 55260372 28150250 27110122 850385 524526 325859 49363493 43349597 6013896 1037512 860966 176546 34336423 INVESTMENTS 9334929 F 9334929 MINIMUM PENSION LIABILITY 17365168 THIRD PARTY PAYABLES 157246 17522414 X PART IV, LINE 1B: CUSTODIAN OF THE MNC RESIDENT TRUST ACCOUNT. PART X, LINE 2: MOREHEAD MEMORIAL HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MOREHEAD MEMORIAL HOSPITAL 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 HAD NO SIGNIFICANT IMPACT ON THE COMBINED FINANCIAL STATEMENTS FOR THE YEARS ENDED SEPTEMBER 30, 2015 OR 2014. 1 1 X 1 X 1 X 1 1 0 1 1 724183 724183 0.00750 11416957 10760121 656836 0.00680 12141140 10760121 1381019 0.01430 1362261 1223167 139094 0.00140 4186559 9110336 -4923777 0.00000 6400 6400 0.00010 5555220 10333503 -4778283 0.00150 17696360 21093624 -3397264 0.01580 1 6307031 2018249 20830996 32203522 -11372526 X 1 1 1 1 MOREHEAD MEMORIAL HOSPITAL 117 EAST KINGS HIGHWAY EDEN NC 27288 X X X MOREHEAD MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 13 1 1 1 1 X HTTP://MOREHEAD.ORG/WP-CONTENT/UPLOADS/2015/03/CHNA_8-13.PDF X 1 13 1 HTTP://MOREHEAD.ORG/WP-CONTENT/UPLOADS/2015/03/CHNA_8-13.PDF 0 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.MOREHEAD.ORG X X X X 1 0 X X X X 1 X 0 0 MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH PERSONS WITH BROAD KNOWLEDGE OF THE OCMMUNITY, PHYSICIANS, HOSPITAL ADVISORY BOARD MEMBERS, FOUNDATION LEADERS AND BEHAVIORAL HEALTH PROFESSIONALS. PUBLIC HEALTH DEPARTMENT STAFF AND CONSULTANTS COLLATED AND ANALYZED THE PUBLIC HEALTH DATA. THE INDIVIDUALS WHO COMMITTED TO THE ASSESSMENT AND PLANNING PROCESS (CHNA TEAM) ATTENDED MONTHLY MEETINGS AS WELL AS QUARTERLY ALLIANCE MEETINGS TO ASSESS PROGRESS AND MODIFY PLANS AS NEEDED.TO FURTHER IDENTIFY HEALTH NEEDS, TEN COMMUNITY LEADERS THAT HAD RELATIONSHIPS WITH MOREHEAD MEMORIAL HOSPITAL AND/OR THE COMMUNITY WERE INTERVIEWED SO THAT THE HOSPITAL COULD LEARN FROM THEIR UNIQUE PERSPECTIVES AND INSIGHT INTO PRIORITY HEALTH CONCERNS. MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 6A: ANNIE PENN HOSPITAL MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: ROCKINGHAM COUNTY HEALTH DEPARTMENT, ROCKINGHAM COUNTY HEALTHCARE ALLIANCE MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THERE WERE SEVERAL PRIORITY NEEDS IDENTIFIED DURING THE CHNA THAT THE HOSPITAL HAS NOT ADDRESSED TO DATE.1. ORAL HEALTH -- ROCKINGHAM COUNTY CURRENTLY HAS A DENTAL TASK FORCE THAT IS ADDRESSING ORAL HEALTH NEEDS IN THE COUNTY. THE TASK FORCE IS COMPRISED OF REPRESENTATIVES FROM THE ROCKINGHAM COUNTY DENTAL SOCIETY, THE ROCKINGHAM COUNTY HEALTHCARE ALLIANCE AND THE ROCKINGHAM COUNTY SCHOOLS. THE HOSPITAL CURRENTLY SERVES PATIENTS WHO PRESENT IN THE EMERGENCY DEPARTMENT WITH ORAL HEALTH ISSUES, BUT DOES NOT YET HAVE CAPACITY OR EXPERTISE AT THE PRESENT TIME TO ADDRESS ORAL HEALTH NEEDS COMMUNITY WIDE.2. MATERNAL AND CHILD HEALTH-- THE HOSPITAL RECOGNIZES THAT OTHER AGENCIES HAVE EXPERTISE IN THIS ARE LIKE THE PREGNANCY CARE CENTER AND PARTNERSHIP FOR CHILDREN. THE ROCKINGHAM COUNTY HEALTH DEPARTMENT PROVIDES BASIC FAMILY PLANNING SERVICES AS WELL AS PREGNANCY AND STD TESTING. PREGNANT WOMEN ARE REFERRED TO ONE OF TWO PRACTICES (LOCATED IN EDEN AND REIDSVILLE) FOR PRE-NATAL CARE AND DELIVERY. THE DEPARTMENT OF PUBLIC HEALTH PROVIDES A FULL RANGE OF CARE FOR PEDIATRIC PATIENTS WHICH INCLUDES WELL CHILD EXAMS, SICK VISITS, SPORTS PHYSICALS, IMMUNIZATIONS, ASTHMA MANAGEMENT, DEVELOPMENT SCREENINGS VISION AND HEARING SCREENING, NUTRITIONAL CONSULTATION AND POST-TRAUMA CARE.3. MENTAL HEALTH -- NORTH CAROLINA'S MENTAL HEALTH SERVICES SYSTEM HAS UNDERGONE MAJOR REORGANIZATION IN THE PAST FEW YEARS CREATING BARRIERS TO MAKING SIGNIFICANT IMPACTS AT THE LOCAL LEVEL. THE HOSPITAL AND THE LOCAL MENTAL HEALTH ORGANIZATION, CENTERPOINT HUMAN SERVICES, ARE PARTICIPATING IN THE ROCKINGHAM COUNTY HEALTHCARE ALLIANCE WHERE MENTAL HEALTH ISSUES ARE BROUGHT TO THE COMMUNITY FOR CONSIDERATION. THE REIDSVILLE AREA FOUNDATION RECONVENED A COUNTYWIDE MENTAL HEALTH FOCUS GROUP IN MARCH 2013. THE GROUP, COMPOSED OF MENTAL HEALTH, HEALTHCARE, HUMAN SERVICES AND LAW ENFORCEMENT REPRESENTATIVES, WILL MOVE FORWARD EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH CARE IN ROCKINGHAM COUNTY. CURRENTLY, THE HOSPITAL TREATES PATIENTS WHO PRESENT IN THE EMERGENCY DEPARTMENT WITH MENTAL HEALTH ISSUES UNTIL OTHER APPROPRIATE LEVELS OF CARE AND SERVICES ARE PROVIDED.4. IMPROVED EDUCATION -- EFFORTS TO IMPROVE THE EDUCATION LEVEL IN THE COUNTY ARE BEING UNDERTAKEN BY THE ROCKINGHAM COUNTY SCHOOLS. THE HOSPITAL SUPPORTS THE SCHOOL BASED HEALTH CENTER AS PART OF THIS EFFORT AND IS UNABLE TO DEDICATE ADDITIONAL RESOURCES TO THIS NEED.5. ELDER CARE OPTIONS/SERVICES -- AGING, DISABILITY, AND TRANSPORTATION SERVICES IS ACTIVELY ADDRESSING THESE NEEDS IN THE COMMUNITY. ADDITIONALLY, PACE (PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY) IS EXPANDING THEIR OUTREACH TO ROCKINGHAM COUNTY AND WILL BE WORKING WITHIN THE COUNTY TO RAISE AWARENESS OF THE AVAILABLE SERVICES AND TO ASSIST ELDERLY PATIENTS IN TRANSITIONING THEIR CARE TO THE PACE PROGRAM, WHERE APPROPRIATE.6. VIOLENCE -- ADDRESSING THIS NEED IS OUTSIDE OF THE SCOPE AND EXPERTISE OF THE HOSPITAL. HELP, INC. CENTER AGAINST VIOLENCE IS ADDRESSING THIS NEED IN ROCKINGHAM COUNTY THROUGH VICTIM ADVOCACY AND CRISIS SERVICES, RESIDENTIAL SERVICES, FAMILY SUPPORT SERVICES, CHILDREN'S ADVOCACY, ELDERLY ABUSE SUPPORT PROGRAMS, PARENT RESOURCES AND COMMUNITY EDUCATION.7. HEALTH CONDITIONS (STROKE, FLUE, PNEUMONIA) -- THESE CONDITIONS ARE BEING ADDRESSED AT THE HOSPITAL CLINICAL LEVEL. THE HOSPITAL WILL CONTINUE TO MEET THESE NEEDS WITHIN THE HOSPITAL SETTING, BUT DOES NOT CURRENTLY HAVE CAPACITY TO UNDERTAKE COMMUNITY LEVEL INITIATIVES TO ADDRESS THE NEED. THE ROCKINGHAM COUNTY DEPARTMENT OF PUBLIC HEALTH PROVIDES SOME PREVENTION AND EDUCATION SERVICES AIMED AT REDUCING THE LEVEL AND SEVERITY OF HEALTH CONDITIONS AND IMPROVING THE OVERALL HEALTH OF THE POPULATION.8. UNINTENTIONAL INJURY -- ADDRESSING THE PREVENTION OF THIS NEED LIES OUTSIDE OF THE EXPERTISE OF THE HOSPITAL. THE HOSPITAL DOES ADDRESS ACUTE UNINTENTIONAL INJURY NEEDS WITHIN THE CLINICAL SETTING.9. POVERTY -- ADDRESSING ISSUES OF POVERTY ARE OUTSIDE OF THE SCOPE AND EXPERTISE OF THE HOSPITAL.10. RECREATIONAL FACILITIES -- ADDRESSING THESE FACILITY NEEDS IS OUTSIDE THE HOSPITAL'S EXPERTISE.11. TOBACCO USE -- THOUGH NOT SELECTED AS A PRIORITY AREA, THE ISSUE IS BEING ADDRESSED THROUGH THE HEALTH BEHAVIORS PRIORITY AREA WITH THE GOAL OF REDUCING THE USE OF TOBACCO PRODUCTS AMONG ADULT POPULATIONS BY 3%. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: WWW.MOREHEAD.ORG 4 PHYSICAL REHABILITION OUTPATIENT SERVICE VAN BUREN ROAD EDEN NC 27288 PHYSICAL REHAB MOREHEAD URGENT CARE WEST 6701 NC-135 MAYODAN NC 27027 URGENT CARE WRIGHT DIAGNOSTIC CENTER PIERCE STREET EXTENSION EDEN NC 27288 MAMMOGRAPHY AND ULTRASOUND MOREHEAD NURSING CENTER 205 E KINGS HIGHWAY EDEN NC 27288 SKILLED NURSING FACILITY PART I, LINE 3C: ELIGIBILITY GUIDELINESELIGIBILITY FOR ASSISTANCE IS BASED ON A PATIENT'S RESOURCES (INCOME PLUS ASSETS LIKE SAVINGS, INVESTMENTS, AND OWNED PROPERTY), FAMILY SIZE, THE AMOUNT OWED, AND THE CURRENT POVERTY GUIDELINES (PG). PART I, LINE 6A: N/A PART I, LINE 7: AMOUNTS SHOWN IN PART I, LINE 7, COLUMN C WERE COMPUTED USING THE COST-TO-CHARGE RATIO WORKSHEET (WORKSHEET 2) FROM THE IRS INSTRUCTIONS FOR SCHEDULE H. PART I, LINE 7G: N/A PART II, COMMUNITY BUILDING ACTIVITIES: OPERATE STUDENT HEALTH CENTERS IN EACH OF FOUR HIGH SCHOOLS IN ROCKINGHAM COUNTY, OPERATE PULMONARY AND CARDIAC REHABILITATION AND MAINTENANCE PROGRAMS, OCCUPATIONAL HEALTH SERVICES, DIABETES MANAGEMENT NEWSLETTER, DIABETES SCREENING, DIABETES MANAGEMENT PROGRAM, WORKSITE WELLNESS PROGRAM, FREE PROSTATE SCREENINGS. PART III, LINE 2: THE CALCULATION OF BAD DEBT EXPENSE REPRESENTS THE GROSS CHARGES WRITTEN OFF, MULTIPLIED BY THE ORGANIZATION'S COST-TO-CHARGE RATIO. MOREHEAD MEMORIAL HOSPITAL (MMH) WILL USE APPROPRIATE EFFORTS AND TECHNIQUES IN THE COLLECTION OF FINANCIAL OBLIGATIONS OWED TO IT. MMH ATTEMPTS TO WORK WITH ALL PATIENTS/GUARANTORS TO RESOLVE THEIR BILLS. THIS INCLUDES MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT/GUARANTOR IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. WHEN A PATIENT/GUARANTOR IS UNWILLING TO MEET THEIR OBLIGATION, HOWEVER, GOOD STEWARDSHIP REQUIRES THAT MMH REFER ACCOUNTS FOR OUTSIDE (BAD DEBT) COLLECTIONS. THESE BALANCES WILL BE PLACED ON THE PATIENT/GUARANTOR'S CREDIT REPORT AND REMOVED ONLY WHEN THE ACCOUNT IS PAID IN FULL OR OTHERWISE CLOSED AND RETURNED TO MMH. PART III, LINE 3: THE ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BY ISOLATING THE BAD DEBT CHARGES ATTRIBUTABLE TO SELF-PAY PATIENTS AND MULTIPLYING THOSE CHARGES BY THE ORGANIZATION'S COST-TO-CHARGE RATIO. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTED AMOUNTS THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. CHANGES IN THE VALUATION ALLOWANCE HAVE NOT BEEN MATERIAL TO THE FINANCIAL STATEMENTS.THE HOSPITAL PROVIDES SERVICES TO PATIENTS REGARDLESS OF ABILITY TO PAY. AS A RESULT, THE HOSPITAL HAS INCURRED LOSSES FROM BAD DEBT EXPENSE. THESE UNREIMBURSED SERVICES THE HOSPITAL PROVIDES TO THE COMMUNITY SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE THE HEALTHCARE NEEDS OF THE COMMUNITY WOULD OTHERWISE BE UNMET.PART III, SECTION A, LINE 2:THE AMOUNT ON LINE 2 WAS DERIVED BY TAKING THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS AND MULTIPLYING IT BY THE RATIO OF PATIENT CARE COST TO CHARGES DERIVED USING WORKSHEET 2 OF THE IRS INSTRUCTIONS FOR SCHEDULE H.PART III, SECTION A, LINE 3:THE HOSPITAL DOES NOT HAVE A PROCESS IN PLACE THAT ESTIMATES THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER A FINANCIAL ASSISTANCE POLICY. PART III, LINE 8: THE HOSPITAL PROVIDES SERVICES TO PATIENTS REGARDLESS OF ABILITY TO PAY. AS A RESULT, THE HOSPITAL HAS INCURRED LOSSES BY SERVING MEDICARE PATIENTS. THE UNREIMBURSED SERVICES THE HOSPITAL PROVIDES TO THE COMMUNITY SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE THE HEALTHCARE NEEDS OF THE COMMUNITY WOULD OTHERWISE BE UNMET.PART III, SECTION B, LINE 8:THE COST TO CHARGE RATIO AS CALCULATED BY THE MOST RECENTLY FILED COST REPORT WAS USED TO DETERMINE MEDICARE ALLOWABLE COSTS. PART III, LINE 9B: THE HOSPITAL'S FINANCIAL COUNSELOR MAKES NOTATIONS IN THE PATIENT ACCOUNTING BILLING SYSTEM RELATIVE TO CHARITY CARE APPLICATIONS THAT ARE IN PROCESS. ACCOUNTS ARE REVIEWED EVERY MONTH BY THE BUSINESS OFFICE STAFF AND IF UPON REVIEW, NOTATION IS MADE RE: CHARITY CARE APPLICATION IN PROCESS, THEN ACCOUNT IS NOT REFERRED TO OUTSIDE COLLECTION AGENCY. A STANDARD COMPUTERIZE STATEMENT IS MAILED EVERY MONTH ON ALL UNPAID ACCOUNTS EVEN ON PENDING CHARITY CASES UNTIL CASE REACHES A DETERMINATION. PART VI, LINE 2: THE HOSPITAL COMPLETES AN ANNUAL COMMUNITY BENEFITS REPORT. PART VI, LINE 3: THE PATIENT SERVICES DEPARTMENT HAS REGULAR BUSINESS HOURS. ADDITIONAL INFORMATION CAN ALSO BE FOUND ON THE FOLLOWING WEBISTE: HTTPS://WWW.MOREHEAD.ORG/PORTAL/MAIN.ASPX?TID=619&MTID=1 PART VI, LINE 4: MOREHEAD MEMORIAL HOSPITAL IN EDEN, NC IS ONE OF TWO HOSPITALS LOCATED IN ROCKINGHAM COUNTY, WHICH HAS 91,758 RESIDENTS. IT COVERS 572 SQUARE MILES IN THE UPPER PIEDMONT TRIAD REGION OF NORTH CAROLINA AND SHARES A COMMON STATE LINE WITH VIRGINIA. ROCKINGHAM COUNTY HAS ONE OF THE LOWEST PHYSICIAN/PATIENT RATIOS IN THE STATE WITH ONLY 4.7 PROVIDERS FOR EVERY 10,000 RESIDENTS. THE NORTH CAROLINA AVERAGE IS AT 7.6 PRIMARY CARE PROVIDERS PER 10,000. AROUND 16 PERCENT OF RESIDENTS ARE UNINSURED COMPARED TO 15 PERCENT AT THE STATE LEVEL. ACCORDING TO THE 2015 ROCKINGHAM COUNTY COMMUNITY HEALTH OPINION SURVEY, 11.84 PERCENT OF RESIDENTS FEEL THAT THEY HAVE A LACK OF ADEQUATE HEALTH INSURANCE. A LACK OF EDUCATION IS CONSIDERED TO BE A DETRIMENT TO HEALTH. ONLY 13 PERCENT OF THE COUNTY'S RESIDENTS HAVE A BA DEGREE OR HIGHER. MORE THAN TWENTY PERCENT HAVE NOT FINISHED HIGH SCHOOL. IN 2014 A FEDERALLY QUALIFIED HEALTH CENTER, CLARA F. GUNN MEDICAL CENTER, OPENED IN REIDSVILLE, N.C., THE CITY THAT IS HOME TO ANNIE PENN HOSPITAL, THE OTHER HOSPITAL IN ROCKINGHAM COUNTY. A RURAL HEALTH CARE CENTER OPENED IN EDEN IN 2016, WITH THE HOSPITAL PROVIDING THE LOCATION ON ITS CAMPUS. PART VI, LINE 5: THE ORGANIZATION IS OPERATED BY A COMMUNITY BOARD. IN ADDITION TO TRADITIONAL HOSPITAL SERVICES, THE ORGANIZAITON PROVIDES ACLINICAL TRAINING SITE FOR MEDICAL AND NURSING STUDENTS, PHARMACISTS, RADIOLOGY TECHS, PHYSICAL THERAPISTS, RESPIRATORY THERAPISTS, AND DIETITIANS. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES NC,VA X X X 0 1 0 0 0 0 0 0 0 MOHAMMAD ANWAR MD TRUSTEE 159380 0 0 0 32378 0 0 0 15282 0 207040 0 0 0 EWAIN WILSON MD TRUSTEE 424256 0 0 0 15174 0 0 0 27609 0 467039 0 0 0 MARTHA BARHAM VICE PRESIDENT NURSING 153880 0 0 0 23774 0 0 0 107 0 177761 0 0 0 CHRISTOPHER BENSON MD GASTROENTEROLOGIST 581249 0 0 0 10190 0 0 0 22617 0 614056 0 0 0 STEVEN CASE MD ORTHOPEDIST 506801 0 0 0 22854 0 0 0 16831 0 546486 0 0 0 OKAFOR LEKWUWA MD EMERGENCY DEPT PHYSICIAN 385304 0 0 0 6870 0 0 0 15349 0 407523 0 0 0 MARC DEMASON MD GENERAL SURGEON 370122 0 0 0 19388 0 0 0 8486 0 397996 0 0 0 BRAD BAUER MD UROLOGIST 359400 0 0 0 8449 0 0 0 9190 0 377039 0 0 0 PART I, LINE 4B MOHAMMAD ANWAR MD $17,500 CHRISTOPHER POLLINA MD $12,500 ROBERT AH MD $2,615 FORM 990, PART VI, SECTION B, LINE 11 PROVIDED ELECTRONICALLY TO OFFICERS OF THE BOARD OF TRUSTEES AND TO OTHER MEMBERS UPON REQUEST. REVIEWED IN DETAIL BY CFO AND CEO BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS ARE REQUIRED TO BE DISCLOSED ANNUALLY. A BOARD MEMBER IS RECUSED FROM VOTING WHEN A CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED ANNUALLY AGAINST COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 11,125,193. MANAGEMENT AND GENERAL EXPENSES 1,490,148. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,615,341. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -6,215,790. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MOREHEAD HOSPITAL FOUNDATION INC 117 EAST KINGS HIGHWAY EDEN NC 27288 561994697 FUNDRAISING NC 501(C)(3) LINE 7 N/A 0 MOREHEAD MEMORIAL HOSPITAL AUXILIARY 117 EAST KINGS HIGHWAY EDEN NC 27288 237334000 AUXILIARY NC 501(C)(3) LINE 3 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 1 MOREHEAD MEMORIAL HOSPITAL AUXILIARY R 66200 CASH CONTRIBUTIONS