2015-08-14T10:20:41-05:00 2014-09-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2013-10-01 560591294 MOREHEAD MEMORIAL HOSPITAL MORE 3366276337 117 EAST KINGS HIGHWAY EDEN NC 27288 KENNETH K BOGGS VICE PRESIDENT AND CFO 3366276337 2015-08-14 1 JOHN NORMAN P01506766 7049985200 2013 2016-04-25 22:37:26Z KENNETH K BOGGS 117 EAST KINGS HIGHWAY EDEN NC 27288 100526301 0 X WWW.MOREHEAD.ORG X 1960 NC TO PROVIDE QUALITY CARE, WITH A COMMITMENT TO PATIENT SAFETY AND CLINICAL EXCELLENCE. 13 13 1081 160 0 0 586853 1271672 109028065 97670188 316790 56644 -4559417 1196037 105372291 100194541 6953 22281 0 0 56755785 48174275 0 0 0 56633925 57122686 113396663 105319242 -8024372 -5124701 77079001 71558760 61023293 62294073 16055708 9264687 X TO PROVIDE QUALITY CARE WITH A COMMITMENT TO PATIENT SAFETY AND CLINICAL EXCELLENCE. 0 0 88980270 22281 100194541 HOUSE CALLS RADIO SHOW THAT ADDRESSES HEALTH TOPICS: BROADCAST EVERYSECOND AND FORTH WEDNESDAYS ON WLOE/WMYN RADIO STATIONS. LAMAZECLASSES 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 HELPPATIENTS COPE WITH THE SIDE EFFECTS OF CANCER TREATMENT; PARKINSON'SDISEASE SUPPORT GROUP; SPECIAL YOUNG ADULTS - A NIGHT FOR ADULTS AGES18-45 WITH MILD OR MODERATE DEVELOPMENTAL DISABILITIES TO MEET NEWFRIENDS, PLAY GAMES, AND PARTICIPATE IN OTHER SOCIAL ACTIVITIES.OCCUPATIONAL HEALTH SERVICES:PROGRAM OFFERS PHYSICAL EXAMINATIONS, DRUG SCREENING PROGRAMS, WELLNESSPROGRAMS, WORKERS' COMPENSATION MANAGEMENT, REHABILITATION SERVICES,AND ERGONOMIC ASSESSMENTS TO THE BUSINES COMMUNITY TO PROMOTE HEALTHYWORK AND LIFESTYLES.COMMUNITY EVENTS:PARTICIPATE IN COMMUNITY EVENTS EACH YEAR, PROVIDING EDUCATION AND MATERIALS. THESE INCLUDE: HEALTHY KIDS DAY AT THE YMCA, SENIOR GAMESHEALTH FAIR, CHURCH AND CIVIC ORGANIZATION HEALTH FAIRS AS REQUESTED,MOREHEAD HIGH SCHOOL HEALTH FAIR, CITY OF EDEN HEALTH FAIR, KARASTANCARPET HEALTH FAIR, BLOOD PRESSURE AND DIABETES SCREENINGS AT COMMUNITYFESTIVALS, INCLUDING RIVERFEST AND MADISON HERITAGE DAY.OTHER:WORK WITH THE SCHOOL SYSTEM AND COUNTY NUTRITION SERVICES TO PROVIDEEDUCATION PROGRAMS ON HEALTHY LIVING. PROVIDE A WORKSITE WELLNESS PROGRAM THAT TOUCHES 800+ EMPLOYEES EACH YEAR. PROVIDE A HEALTH SCREENING AND HEALTH INFORMATION EACH YEAR TO OVER 65 VOLUNTEERS. FREE COLON CANCER SCREENING WAS OFFERED. A CANCER CENTER NEWSLETTER IS MAILED TO RESIDENTS 50+ YEARS OF AGE IN OUR SERVICE AREA THREE TIMES A YEAR. WE PARTNER WITH THE HEALTHY CAROLINIANS AND HAVE REPRESENTATIVES ON THEIR THREE WORK GROUPS -- MATERNAL & CHILD HEALTH, PHYSICAL ACTIVITY & NUTRITION, AND ACCESS TO HEALTH CARE. OUR CHAPLAINCY SERVICES DEPARTMENT OFFERS A BEREAVEMENT GROUP AND LIVING WILL CLASSES. WE ARE A MEMBER CHAPTER/PARTICIPANT WITH THE SUSAN KOMEN FOUNDATION, WHICH WILL PROVIDE ACCESS TO INFORMATION AND FUNDING FOR BREAST CANCER. THROUGH PARTNERSHIPS WE RECEIVED OVER $45,000 TO PROVIDE FREE SCREENING AND DIAGNOSTIC MAMMOGRAMS. 88980270 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 35 0 1081 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 SCOTT BARHAM CHAIRPERSON 10.00 X X 0 0 0 JAMES BURNETTE VICE CHAIRPERSON 10.00 X X 0 0 0 JUDY ROUSE SECRETARY/TREASURER 10.00 X X 0 0 0 DEL BOOTHE TRUSTEE 1.00 X 0 0 0 JOHN DABBS TRUSTEE 1.00 X 0 0 0 JEFF PARRIS TRUSTEE 1.00 X 0 0 0 GLENN MARTIN TRUSTEE 1.00 X 0 0 0 ROBERT L CROUCH TRUSTEE 1.00 X 0 0 0 EUGENE RUSSELL TRUSTEE 1.00 X 0 0 0 MARK COLLINS TRUSTEE 1.00 X 0 0 0 MOHAMMAD ANWAR MD TRUSTEE AND PHYSICIAN 60.00 X 291172 0 25593 EWAIN WILSON MD TRUSTEE, ENT PHYSICIAN 60.00 X 373478 0 30779 HOWARD N AINSLEY PRESIDENT AND CEO 60.00 X 0 0 0 KENNETH K BOGGS VICE PRESIDENT AND CFO 60.00 X 0 0 0 ROBERT HETRICK VICE PRESIDENT AND CFO 60.00 X 82803 0 20298 THOMAS STEVENS VICE PRESIDENT HUMAN RESOURCES 60.00 X 123431 0 24719 TAMARA HUNT VICE PRESIDENT PHYSICIAN MANAGEMENT 60.00 X 131006 0 7250 SUSAN NETHERLAND VICE PRESIDENT QUALITY 60.00 X 103491 0 25576 MARTHA BARHAM VICE PRESIDENT NURSING 60.00 X 153109 0 7601 LUCINDA BRADLEY INTERIM PRESIDENT AND CEO 60.00 X 65198 0 16821 JAMES PARSONS MD CHIEF OF STAFF 60.00 X 265029 0 25083 CHRISTOPHER BENSON MD GASTROENTEROLOGIST 40.00 X 609604 0 0 STEVEN CASE MD ORTHOPEDIST 40.00 X 485253 0 0 ROBERT AH MD EMERGENCY DEPT PHYSICIAN 40.00 X 410685 0 0 MARC DEMASON MD GENERAL SURGEON 40.00 X 368242 0 0 CHRISTOPHER POLLINA MD EMERGENCY DEPT PHYSICIAN 40.00 X 403838 0 0 W CARL MARTIN PRESIDENT AND CEO 60.00 X 139334 0 35030 4005673 0 218750 55 1 1 0 QHR 105 CONTINENTAL PLACE BRENTWOOD TN 37027 MANAGEMENT SERVICES 1000141 HEALTHGRAM INC PO BOX 11088 CHARLOTTE NC 28220 TPA FOR HEALTH INSURANCE 863505 LABORATORY CORP OF AMERICA PO BOX 12140 BURLINGTON NC 272162190 LAB SERVICES 534321 CONE HEALTH CANCER CENTER ELM STREET GREENSBORO NC 27401 PHYSICIANS FOR CANCER CENTER 414600 ARAMARK CORPORATION 24863 NETWORK PLACE CHICAGO IL 606731248 ENVIRONMENTAL, FOOD, AND PLANT OPERATION 413716 26 471072 705211 95389 7615 1271672 NET PATIENT REVENUE 621110 96176856 96176856 1493332 1493332 97670188 61040 61040 -4396 -4396 1527797 331760 1196037 1196037 1196037 100194541 97670188 0 1252681 X 22281 22281 1772707 1007303 765404 36888693 28681514 8207179 628224 482425 145799 6580381 5053198 1527183 2304270 1769492 534778 307977 307977 82623 82623 12851948 11516894 1335054 106029 106029 693865 442793 251072 2057007 1166866 890141 1552634 1429975 122659 22666 17629 5037 182023 178843 3180 1814095 1814095 4047289 4047289 901724 901724 PROVISION FOR BAD DEBT 18651358 18651358 PROGRAM SUPPLIES 9507459 9507459 OTHER MISC EXPENSES 2552379 391493 2160886 PHARMACEUTICALS 1765276 1765276 26334 26334 105319242 88980270 16338972 0 7660689 5469540 13719465 11850530 1344731 1000220 2707781 2808117 108167136 70449667 39653456 37717469 7934191 8754862 4058688 3958022 77079001 71558760 9217623 11115366 41386239 39538981 10419431 11639726 61023293 62294073 X 15980708 9264687 75000 0 16055708 9264687 77079001 71558760 X -5124701 -1666320 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 795709 795709 55385798 26671050 28714748 850385 497060 353325 50019078 42440763 7578315 1116166 840794 275372 37717469 INVESTMENTS 8754862 F 8754862 OTHER RECEIVABLES 1844687 THIRD PARTY SETTLEMENTS 9525 INVESTMENT IN PROPERTY 2103810 3958022 MINIMUM PENSION LIABILITY 11149379 THIRD PARTY PAYABLES 490347 11639726 X 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, 2014 OR 2013. 1 1 1 X 1 X 1 1 0 1 1 3452507 3452507 0.03980 12942434 12324790 617644 0.00710 16394941 12324790 4070151 0.04690 1159221 1464110 -304889 0.00000 4587528 7272322 -2684794 0.00000 5746749 8736432 -2989683 22141690 21061222 1080468 0.04690 1 6873030 16170213 15275321 894892 X 1 1 1 1 MOREHEAD MEMORIAL HOSPITAL 117 EAST KINGS HIGHWAY EDEN NC 27288 X X X MOREHEAD MEMORIAL HOSPITAL 1 1 X X X X X X X X X 1 1 1 X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X X 1 1 X X X X 1 X 0 0 MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 3: 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 4: ANNIE PENN HOSPITAL MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 7: 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%. MOREHEAD MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D: UNINSURED PATIENTS WERE BILLED IDENTICALLY TO INSURED PATIENTS. 5 MOREHEAD NURSING CENTER 117 E KINGS HIGHWAY EDEN NC 27288 SKILLED NURSING FACILITY SMITH MCMICHAEL CANCER CENTER VAN BUREN ROAD EDEN NC 27288 CHEMOTHERAPY AND RADIATION THERAPY FOR CANCER PATIENTS OUTPATIENT DIAGNOSTIC IMAGING PIERCE STREET EXTENSION EDEN NC 27288 DIAGNOSTIC IMAGING, ULTRASOUND, MAMMOGRAPHY PHYSICAL REHABILITATION VAN BUREN ROAD EDEN NC 27288 PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY WOUND CARE CENTER PIERCE STREET EXTENSION EDEN NC 27288 WOUND CARE - DEBRIDEMENT, HYPERBARIC CHAMBER TREATMENT 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 18,651,361. 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 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: VISIT HTTP://WWW.CO.ROCKINGHAM.NC.US/PVIEW.ASPX?ID=699&CATID=28 FOR SPECIFIC POPULATION DATA. 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 0 SCHOLARSHIPS 5 22281 X X X 0 1 0 0 0 0 0 0 0 MOHAMMAD ANWAR MD TRUSTEE AND PHYSICIAN 291172 0 0 0 0 0 0 0 25593 0 316765 0 0 0 EWAIN WILSON MD TRUSTEE, ENT PHYSICIAN 373478 0 0 0 0 0 0 0 30779 0 404257 0 0 0 MARTHA BARHAM VICE PRESIDENT NURSING 153109 0 0 0 0 0 0 0 7601 0 160710 0 0 0 JAMES PARSONS MD CHIEF OF STAFF 265029 0 0 0 0 0 0 0 25083 0 290112 0 0 0 CHRISTOPHER BENSON MD GASTROENTEROLOGIST 583945 0 0 0 25659 0 0 0 0 0 609604 0 0 0 STEVEN CASE MD ORTHOPEDIST 470889 0 0 0 14364 0 0 0 0 0 485253 0 0 0 ROBERT AH MD EMERGENCY DEPT PHYSICIAN 410685 0 0 0 0 0 0 0 0 0 410685 0 0 0 MARC DEMASON MD GENERAL SURGEON 358334 0 0 0 9908 0 0 0 0 0 368242 0 0 0 CHRISTOPHER POLLINA MD EMERGENCY DEPT PHYSICIAN 379914 0 0 0 23924 0 0 0 0 0 403838 0 0 0 W CARL MARTIN PRESIDENT AND CEO 139334 0 0 0 0 0 0 0 35030 0 174364 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 11,516,894. MANAGEMENT AND GENERAL EXPENSES 1,335,054. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,851,948. FORM 990, PART XI, LINE 9: CHANGE IN MINIMUM PENSION LIABILITY -1,591,320. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS -75,000. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. MOREHEAD HOSPITAL FOUNDATION INC 117 EAST KINGS HIGHWAY EDEN NC 27288 561994697 FUNDRAISING NC 501(C)(3) LINE 3 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 0 MOREHEAD HOSPITAL FOUNDATION R 214658 CASH CONTRIBUTIONS MOREHEAD MEMORIAL HOSPITAL AUXILIARY R 56852 CASH CONTRIBUTIONS