RHI LEGACY FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: RHI LEGACY FOUNDATION INC (EIN 56-0619367)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-15
IRS object ID: 201442279349301389
Schema version: 2012v2.3
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-15T08:56:02-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	560619367	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RUTHERFORD HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% CINDY BUCK	InCareOfName
Name Control	RUTH	NameControl
Phone	8282865000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	288 SOUTH RIDGECREST AVENUE	AddressLine1
Address Line2	Suite	AddressLine2
City	RUTHERFORDTON	City
State	NC	State
ZIP Code	28139	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	CINDY BUCK	Name
Title	CEO	Title
Phone	8282865000	Phone
Date Signed	2014-08-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brian D Todd	Name
Phone	4178658701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	RUTHERFORD REGIONAL HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CINDY BUCK	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	288 SOUTH RIDGECREST AVENUE	AddressLine1
City	RUTHERFORDTON	City
State	NC	State
ZIP Code	28139	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	151756469	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.RUTHERFORDHOSP.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1906	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	RUTHERFORD HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL THAT PROVIDES TRADITIONAL PATIENT CARE TO RESIDENTS OF ITS SERVICE AREA, REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1042	TotalNbrEmployees
Total Nbr Volunteers	280	TotalNbrVolunteers
Total Gross UBI	3949	TotalGrossUBI
Contributions Grants Prior Year	235920	ContributionsGrantsPriorYear
Contributions Grants Current Year	15000	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	102899727	ProgramServiceRevenuePriorYear
Program Service Revenue CY	101196134	ProgramServiceRevenueCY
Investment Income Prior Year	992349	InvestmentIncomePriorYear
Investment Income Current Year	1382373	InvestmentIncomeCurrentYear
Other Revenue Prior Year	161597	OtherRevenuePriorYear
Other Revenue Current Year	169181	OtherRevenueCurrentYear
Total Revenue Prior Year	104289593	TotalRevenuePriorYear
Total Revenue Current Year	102762688	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	49096079	SalariesEtcPriorYear
Salaries Etc Current Year	51074418	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	58829381	OtherExpensePriorYear
Other Expenses Current Year	55181745	OtherExpensesCurrentYear
Total Expenses Prior Year	107925460	TotalExpensesPriorYear
Total Expenses Current Year	106256163	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-3635867	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-3493475	RevenuesLessExpensesCY
Total Assets BOY	100969747	TotalAssetsBOY
Total Assets EOY	99550236	TotalAssetsEOY
Total Liabilities BOY	34418765	TotalLiabilitiesBOY
Total Liabilities EOY	34939277	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	66550982	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	64610959	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	RUTHERFORD HOSPITAL'S MISSION IS TO COMPASSIONATELY IMPROVE THE HEALTH AND WELL-BEING OF OUR PATIENTS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	42209849	Expense
Revenue	48936884	Revenue
Description	THE HOSPITAL PROVIDES OUTPATIENT SERVICES. WITH IMPROVED TECHNOLOGY, MANY LESS INVASIVE SURGICAL PROCEDURES ARE NOW BEING PERFORMED ON AN OUTPATIENT BASIS. THE HOSPITAL'S OUTPATIENT SURGERIES INCLUDE GENERAL, ONCOLOGY, ORTHOPEDIC, PLASTIC, PODIATRIC, UROLOGY, GASTROENTEROLOGY, GYNECOLOGY, OPHTHALMOLOGY, EAR, NOSE, AND THROAT SURGERY. DURING FY 2013, THERE WERE 47,889 OUTPATIENT VISITS AND 37,325 EMERGENCY DEPARTMENT VISITS. ALSO, THE HOSPITAL HAD 1368 OBSERVATION ADMISSIONS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	29876957	Expense
Revenue	35124820	Revenue
Description	THE HOSPITAL PROVIDES INPATIENT SERVICES INCLUDING SURGICAL PROCEDURES, AN INTENSIVE CARE UNIT, AND THE BIRTH PLACE. GENERAL SURGEONS PROVIDE A FULL RANGE OF CONSULTING, DIAGNOSTIC, AND TREATMENT SERVICES. THE ICU IS SPECIFICALLY DESIGNED TO PROVIDE ONGOING, INTENSIVE NURSING ATTENTION FOR THOSE WHO ARE SERIOUSLY ILL OR INJURED OR WHO SUFFER FROM COMPLEX HEALTH CONDITIONS. THE BIRTH PLACE OFFERS COMFORT, PRIVACY, PEACE OF MIND, AND FLEXIBILITY TO ITS PATIENTS, AS WELL AS EDUCATIONAL CLASSES FOR EXPECTANT FAMILIES. INPATIENT FLOORS UTILIZE HOURLY ROUNDING TO ENSURE THE PATIENT PROGRESS AND NEEDS ARE CONTINUALLY MONITORED. DURING FY 2013, 6049 PATIENTS RECEIVED INPATIENT SERVICES.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	19511972	Expense
Revenue	15116291	Revenue
Description	RUTHERFORD REGIONAL HAS TWELVE PHYSICIAN PRACTICES TO SERVE THE COMMUNITY'S SURGICAL, FAMILY PRACTICE, AND PSYCHIATRIC NEEDS. THE HOSPITAL HAS BEEN HONORED FOUR TIMES AS A THOMPSON COMPANY 100 TOP PERFORMANCE IMPROVEMENT LEADER FACILITY. EDUCATION DEPARTMENT MAKES HEALTH FAIRS, EDUCATION, AND SUPPORT AVAILABLE TO OUR COMMUNITY. SOME OF THE ACTIVITIES OFFERED INCLUDE CLASSES FOR EXPECTANT MOTHERS AND THEIR FAMILIES, SAFE SITTER COURSES, SUPPORT GROUPS FOR THOSE EXPERIENCING PARTICULAR ILLNESSES, FREEDOM FROM SMOKING CLASSES, THE LIFELINE PROGRAM, DIABETES EDUCATION, AND CPR/FIRST AID TRAINING.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1219308	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	2014190	TotalOfOtherProgramServiceRev
Total Program Service Expense	92818086	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	true	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	121	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1042	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CINDY BUCK	NamePerson
Telephone Number	8282865202	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	288 SOUTH RIDGECREST AVENUE	AddressLine1
City	RUTHERFORDTON	City
State	NC	State
ZIP Code	28139	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	OfficerOfficer	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JOSEPH L CARSON JR
TRUSTEE	1.0	0.0	X	0	0
DIANE HAMRICK
VICE CHAIRMAN	1.0		X	0	0	X
E THOMAS HARDIN
SECRETARY	1.0	0.0	X	0	0	X
MATT BRIGHT
TREASURER	1.0	0.0	X	0	0	X
PAUL DECK
TRUSTEE	1.0	0.0	X	0	0
DAVID EAKER
TRUSTEE	1.0	0.0	X	0	0
J LARRY HARRILL
TRUSTEE	1.0	0.0	X	0	0
LEE HARRILL
TRUSTEE	1.0	0.0	X	0	0
THOMAS J JASKI MD
TRUSTEE	1.0	1.0	X	0	0
MICHAEL S WHEELER MD
TRUSTEE	1.0	0.0	X	188988	0		0
TERRY HINES
CHAIRMAN	1.0	0.0	X	0	0	X
BETH MILLER
TRUSTEE	1.0	0.0	X	0	0
LUTHER PERSON MD
TRUSTEE	1.0	0.0	X	0	0
BOBBY ENGLAND MD
TRUSTEE	1.0	0.0	X	0	0
CINDY BUCK
CEO	40.0	1.0		179622	0	X	383
MICHAEL ROBERTS
CHIEF OF MEDICAL STAFF	40.0	1.0		679178	0		3723	X
CHARLES DANA BOND
PHYSICIAN	40.0	0.0		678213	0		3723		X
GREGG ALLEN DRABEK
PHYSICIAN	40.0	0.0		540422	0		3748		X
WILLIAM KIRKPATRICK
PHYSICIAN	40.0	0.0		432279	0		3748		X
DOUGLAS FREELS
PHYSICIAN	40.0	0.0		532503	0		3184		X
JAMES EDWARD LEE
PHYSICIAN	40.0	0.0		482166	0		4685		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3713371	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	23194	TotalOtherCompensation
Number Individuals GT100 K	41	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
SOUTHEASTERN PHYSICIAN ASSOC
HOSPITALISTS	1374361
ALBERT SCOTT GREENE CONTRACTOR
CONTRACTOR	672455
RUTHERFORD EMERGENCY GROUP
EMERGENCY PHYSICIANS	498654
STROUDWATER
CONSULTANT	455665
THOMAS BUILDING COMPANY LLC
CONTRACTOR	429865

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	17	NumberOfContractorsGT100K
All Other Contributions	15000	AllOtherContributions
Total Contributions	15000	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	621110	98157154	98157154
EHR REVENUE	621110	2074451	2074451
CAFETERIA & VENDING REVENUE	722514	524387	520438	3949
OTHER REVENUE	900099	440142	440142

Field	Value	IRS element (for citing)
Total Program Service Revenue	101196134	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1137725	TotalRevenueColumn
Exclusion	$1,137,725	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	104506	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	11509	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	92997	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	92997	TotalRevenueColumn
Exclusion	$92,997	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	49146401	Securities
Other	19869	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	48888130	Securities
Other	33492	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	258271	Securities
Other	-13623	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	244648	TotalRevenueColumn
Exclusion	$244,648	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	136834	GrossSalesOfInventory
Cost Of Goods Sold	60650	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	76184	TotalRevenueColumn
Exclusion	$76,184	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	102762688	TotalRevenueColumn
Related Or Exempt Function Income	101192185	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3949	UnrelatedBusinessRevenue
Exclusion	$1,551,554	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1051894	Total
Program Services	871889	ProgramServices
Management And General	180005	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	62450	Total
Management And General	62450	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	39005010	Total
Program Services	36984055	ProgramServices
Management And General	2020955	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8180266	Total
Program Services	6173442	ProgramServices
Management And General	2006824	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2774798	Total
Program Services	2094282	ProgramServices
Management And General	680516	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1482652	Total
Management And General	1482652	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	334825	Total
Management And General	334825	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	170205	Total
Management And General	170205	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	323512	Total
Management And General	323512	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	8144043	Total
Program Services	7181320	ProgramServices
Management And General	962723	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	392035	Total
Program Services	391929	ProgramServices
Management And General	106	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4633922	Total
Program Services	2638501	ProgramServices
Management And General	1995421	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	553052	Total
Program Services	508583	ProgramServices
Management And General	44469	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2605832	Total
Program Services	2596925	ProgramServices
Management And General	8907	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	318639	Total
Program Services	294479	ProgramServices
Management And General	24160	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	37976	Total
Program Services	37976	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	615980	Total
Program Services	481335	ProgramServices
Management And General	134645	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6515327	Total
Program Services	5091161	ProgramServices
Management And General	1424166	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	455897	Total
Management And General	455897	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	15699913	15699913
MEDICAL SUPPLIES & DRUGS	9819059	9819059
REPAIRS & MAINTENANCE	2728540	1747575	980965
LICENSES, DUES, SUBSCRIPTIONS	194415	80965	113450

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	155921	Total
Program Services	124697	ProgramServices
Management And General	31224	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	106256163	Total
Program Services	92818086	ProgramServices
Management And General	13438077	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4260	BOY
EOY	4485	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3792065	BOY
EOY	3343611	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11220632	BOY
EOY	11074203	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1746370	BOY
EOY	1911602	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	881819	BOY
EOY	1116460	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	133484619	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	87495159	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	48277301	BOY
EOY	45989460	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	31299317	BOY
EOY	30765925	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	599042	BOY
EOY	599042	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3148941	BOY
EOY	4745448	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	100969747	BOY
EOY	99550236	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	9419397	BOY
EOY	9100752	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	19234551	BOY
EOY	21258530	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	622650	BOY
EOY	958569	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5142167	BOY
EOY	3621426	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	34418765	BOY
EOY	34939277	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	66550982	BOY
EOY	64610959	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	66550982	BOY
EOY	64610959	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	100969747	BOY
EOY	99550236	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-3493475	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1180038	ReconciliationUnrealizedInvest
Reconcilation Other Changes	373414	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup
Limited Control Provisions Apply	X	LimitedControlProvisionsApply
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Form4720 Filed	false	Form4720Filed
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$8,142	OtherActivitiesAmount
Total Lobbying Expenditures IIB	8142	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	OTHER LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1I	ReturnReference
Explanation	THE ORGANIZATION PAYS DUES TO THE NORTH CAROLINA HOSPITAL ASSOCIATION, OF WHICH 27.14%, or $8,142 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Historic Structure	X	HistoricStructure
Total Number Of Easements	1	TotalNumberOfEasements
Nmbr Hist Struct Easements	1	NmbrHistStructEasements
Nmbr States In Which Easements Held	1	NmbrStatesInWhichEasementsHeld
Written Policy Monitoring	false	WrittenPolicyMonitoring
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1528211	OtherCostOrOtherBasis
Book Value	1528211	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	62364455	OtherCostOrOtherBasis
Depreciation	38796105	Depreciation
Book Value	23568350	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	540946	OtherCostOrOtherBasis
Book Value	540946	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66466923	OtherCostOrOtherBasis
Depreciation	47404385	Depreciation
Book Value	19062538	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2584084	OtherCostOrOtherBasis
Depreciation	1294669	Depreciation
Book Value	1289415	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	45989460	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
EST AMT DUE TO 3RD PTY PYR	$1,416,060
EST INSURANCE LIABILITY	$1,397,613
INTEREST RATE SWAP AGREEMENT	$807,753

Field	Value	IRS element (for citing)
Total Of Amounts	3621426	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	88329380	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1180038	NetUnrealizedGainsInvestments
Other Revenues	-15685505	OtherRevenues
Revenue Not Rptd F990	-14505467	RevenueNotRptdF990
Revenue Subtotal	102834847	RevenueSubtotal
Other Revenues Not Included	-72159	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-72159	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	102762688	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	90304897	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	72159	OtherExpensesIncluded
Expenses Not Rptd F990	72159	ExpensesNotRptdF990
Expenses Subtotal	90232738	ExpensesSubtotal
Investment Expenses Not Included2	323512	InvestmentExpensesNotIncluded2
Other Expenses Not Included	15699913	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	16023425	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	106256163	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CONSERVATION EASEMENT FINANCIAL REPORTING	SCHEDULE D, PART II, LINE 9	THERE IS NO REVENUE ASSOCIATED WITH THE CONSERVATION EASEMENT REPORTED IN SCHEDULE D, PART II. THE ONLY EXPENSES RELATED TO THE EASEMENT RELATES TO NORMAL COSTS OF HOLDING THE BUILDING SUCH AS UTILITIES. THE BUILDING IS SHOWN IN THE BALANCE SHEET AS PART OF FIXED ASSETS AT COST, BUT IS FULLY DEPRECIATED. THERE WAS NO NOTE REGARDING THE CONSERVATION EASEMENT IN THE AUDITED FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12	SCHEDULE D, PART XI, LINE 2D	$ 277,868 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 60,052 TRANSFER FROM FOUNDATION (323,512) INVESTMENT MANAGEMENT FEES (15,699,913) BAD DEBT EXPENSE --------------- $ (15,685,505)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1	SCHEDULE D, PART XI, LINE 4B	$ (11,509) RENTAL EXPENSE (60,650) COST OF GOODS SOLD --------------- $ (72,159)
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25	SCHEDULE D, PART XII, LINE 2D	$ 60,650 COST OF GOODS SOLD 11,509 RENTAL EXPENSE --------------- $ 72,159
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1	SCHEDULE D, PART XII, LINE 4B	$ 15,699,913 BAD DEBT EXPENSE

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	120.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent250	X	Pcent250
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1611799	TotalCommunityBenefitExpense
Net Community Benefit Expense	1611799	NetCommunityBenefitExpense
Percent Of Total Expense	0.01780	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17336191	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17976633	DirectOffsettingRevenue
Net Community Benefit Expense	-640442	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18947990	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17976633	DirectOffsettingRevenue
Net Community Benefit Expense	971357	NetCommunityBenefitExpense
Percent Of Total Expense	0.01780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1032839	TotalCommunityBenefitExpense
Direct Offsetting Revenue	248089	DirectOffsettingRevenue
Net Community Benefit Expense	784750	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11098494	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6985092	DirectOffsettingRevenue
Net Community Benefit Expense	4113402	NetCommunityBenefitExpense
Percent Of Total Expense	0.04540	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12131333	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7233181	DirectOffsettingRevenue
Net Community Benefit Expense	4898152	NetCommunityBenefitExpense
Percent Of Total Expense	0.05410	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31079323	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25209814	DirectOffsettingRevenue
Net Community Benefit Expense	5869509	NetCommunityBenefitExpense
Percent Of Total Expense	0.07190	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$15,699,913	BadDebtExpenseAmount
Amount Attributable To	3187082	AmountAttributableTo
Amount Reimbursed By Medicare	40663527	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	42416473	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1752946	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RUTHERFORD HOSPITAL INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	288 SOUTH RIDGECREST AVENUE	AddressLine1
City	RUTHERFORDTON	City
State	NC	State
ZIP Code	28139	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	PSYCHOLOGICAL INPATIENT	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RUTHERFORD HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	120.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	250.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	13	NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
CAROLINA HOME CARE
2270 HWY 74-A SUITE 345	FOREST CITY	NC	28043	HOME HEALTH
RUTHERFORD ORTHOPEDICS
139 DR HENRY NORRIS DRIVE	RUTHERFORDTON	NC	28139	ORTHOPEDIC PRACTICE
RUTHERFORD SURGICAL ASSOCIATES
330 NC 108 HIGHWAY	RUTHERFORDTON	NC	28139	SURGICAL PRACTICE
RUTHERFORD ANESTHESIOLOGY
288 SOUTH RIDGECREST AVENUE	RUTHERFORDTON	NC	28139	ANESTHESIA SERVICES
FOREST CITY FAMILY CENTER
212 ALLENDALE DRIVE	FOREST CITY	NC	28043	FAMILY GENERAL MEDICINE
RUTHERFORD CHILDREN'S CARE
288 SOUTH RIDGECREST AVENUE	RUTHERFORDTON	NC	28139	PEDIATRIC SERVICES
CHASE FAMILY CARE
1269 US HWY 74 BYPASS 341	FOREST CITY	NC	28043	GENERAL MEDICAL & SURGICAL
RUTHERFORD EAST FAMILY CARE
605 NC 120 HIGHWAY	MOORESBORO	NC	28114	FAMILY GENERAL MEDICINE
INSIGHTS PSYCHIATRIC RESOURCES
393 S OAK STREET SUITE 100	SPINDALE	NC	28160	PSYCHIATRIC SERVICES
BOILING SPRINGS FAMILY CARE
305 W COLLEGE AVE SUITE A	SHELBY	NC	28152	FAMILY GENERAL MEDICINE
THE CLINIC AT WALMART
197 PLAZA DRIVE	FOREST CITY	NC	28043	FAMILY GENERAL MEDICINE
OCCUPATIONAL MEDICINE
288 SOUTH RIDGECREST AVENUE	RUTHERFORDTON	NC	28139	PEDIATRIC SERVICES
RUTHERFORD UROLOGY
288 SOUTH RIDGECREST AVENUE	RUTHERFORDTON	NC	28139	UROLOGICAL SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PERCENT OF TOTAL EXPENSE	SCHEDULE H, PART I, QUESTION 7, COLUMN F	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $15,699,913.
COSTING METHODOLOGY	SCHEDULE H, PART I, LINE 7	THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATIONS ON IRS WORKSHEETS 1, 3 AND 6.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A, LINE 4	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE BAD DEBT REPORTED ON PART III, SECTION A, LINE 2 IS THE BAD DEBT PER THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY REPORTED ON PART III, SECTION A, LINE 3 IS COMPUTED USING US CENSUS BUREAU FIGURES FOR RUTHERFORD COUNTY, WHICH ESTIMATES 20.3% LIVING BELOW POVERTY LEVEL.
COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B, LINE 8	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
COLLECTION POLICY	SCHEDULE H, PART III, SECTION C, LINE 9B	RUTHERFORD HOSPITAL, INC., WILL RECOGNIZE PATIENTS WHO DO NOT QUALIFY UNDER THE CREDIT AND COLLECTION POLICY GUIDELINES AND PROVIDE ASSISTANCE IN OBTAINING THIRD PARTY COVERAGE OR IN QUALIFYING FOR THE MEDICAL ASSISTANCE PROGRAM AS OUTLINED IN ESTABLISHED HOSPITAL PROCEDURES. ALL PATIENTS WILL BE GIVEN THE OPPORTUNITY TO APPLY FOR THE MEDICAL ASSISTANCE PROGRAM IF THEY ARE UNABLE TO PAY FOR DESIRED MEDICAL TREATMENT. SELF-PAY ACCOUNTS WHICH REMAIN UNPAID, OR HAVE NO PAYMENT CONTRACT ESTABLISHED, WILL BE TRANSFERRED TO A BAD DEBT STATUS 60 DAYS AFTER THE ACCOUNT IS BILLED BY THE HOSPITAL'S BILLING SYSTEM. INSURANCE ACCOUNTS WILL BE TRANSFERRED TO A BAD DEBT STATUS WHEN IT IS DETERMINED BY THE FINANCIAL COUNSELOR THAT THE ACCOUNT WILL REQUIRE MORE INTENSE COLLECTION EFFORTS THAN THOSE PROVIDED BY THE HOSPITAL BUSINESS OFFICE. FOR PATIENTS COVERED BY MEDICARE, THIS TRANSFER TO A BAD DEBT STATUS WILL NOT OCCUR BEFORE 120 DAYS AFTER FINAL BILLING BY THE HOSPITAL PATIENT ACCOUNTING SYSTEM.
COMMUNITY INPUT	SCHEDULE H, PART V, SECTION B, LINE 3	IN ORDER TO LEARN ABOUT THE SPECIFIC FACTORS AFFECTING THE HEALTH AND QUALITY OF LIFE OF RESIDENTS OF WNC, THE WNC HEALTHY IMPACT DATA WORKGROUP AND CONSULTING TEAM IDENTIFIED AND TAPPED NUMEROUS SECONDARY DATA SOURCES ACCESSIBLE IN THE PUBLIC DOMAIN. FOR DATA ON THE DEMOGRAPHIC, ECONOMIC AND SOCIAL CHARACTERISTICS OF THE REGION SOURCES INCLUDED: THE US CENSUS BUREAU; LOG INTO NORTH CAROLINA (LINC); NC OFFICE OF STATE BUDGET AND MANAGEMENT; NC DEPARTMENT OF COMMERCE; EMPLOYMENT SECURITY COMMISSION OF NC; NC DEPARTMENT OF PUBLIC INSTRUCTION; NC DEPARTMENT OF JUSTICE; NC DIVISION OF MEDICAL ASSISTANCE; AND THE CECIL B. SHEPS CENTER FOR HEALTH SERVICES RESEARCH. THE WNC HEALTHY IMPACT CONSULTANT TEAM MADE EVERY EFFORT TO OBTAIN THE MOST CURRENT DATA AVAILABLE AT THE TIME THE REPORT WAS PREPARED. IT WAS NOT POSSIBLE TO CONTINUALLY UPDATE THE NARRATIVE PAST A CERTAIN DATE; IN MOST CASES THAT END-POINT WAS JUNE 30, 2012. THE PRINCIPAL SOURCE OF SECONDARY HEALTH DATA FOR THIS REPORT WAS THE NC STATE CENTER FOR HEALTH STATISTICS (NC SCHS), INCLUDING ITS COUNTY HEALTH DATA BOOKS, BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, VITAL STATISTICS UNIT, AND CANCER REGISTRY. OTHER HEALTH DATA SOURCES INCLUDED: NC DIVISION OF PUBLIC HEALTH (DPH) EPIDEMIOLOGY SECTION; NC DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES; NATIONAL CENTER FOR HEALTH STATISTICS; NC DPH NUTRITION SERVICES BRANCH; UNC HIGHWAY SAFETY RESEARCH CENTER; NC DEPARTMENT OF TRANSPORTATION; NC DETECT AND THE NC DPH ORAL HEALTH SECTION. BECAUSE IN ANY CHA IT IS INSTRUCTIVE TO RELATE LOCAL DATA TO SIMILAR DATA IN OTHER JURISDICTIONS, THROUGHOUT THIS REPORT REPRESENTATIVE COUNTY DATA IS COMPARED TO LIKE DATA DESCRIBING THE 16-COUNTY REGION AND THE STATE OF NC AS A WHOLE. WNC HEALTHY IMPACT RECEIVED APPROVAL FROM THE NC DIVISION OF PUBLIC HEALTH TO USE THIS REGIONAL COMPARISON AS "PEER" FOR THE PURPOSES OF OUR ASSESSMENTS (AND RELATED REQUIREMENTS). COUNTY DATA MAY NOT BE AVAILABLE FOR SOME OF THE DATA PARAMETERS INCLUDED IN THIS REPORT; IN THOSE CASES STATE-LEVEL DATA IS COMPARED TO US-LEVEL DATA OR OTHER STANDARDIZED MEASURES. WHERE APPROPRIATE AND AVAILABLE, TREND DATA HAS BEEN USED TO SHOW CHANGES IN INDICATORS OVER TIME. ENVIRONMENTAL DATA WAS GATHERED FROM SOURCES INCLUDING: US ENVIRONMENTAL PROTECTION AGENCY; US DEPARTMENT OF AGRICULTURE, AND NC RADON PROGRAM. IT IS IMPORTANT TO NOTE THAT THIS REPORT CONTAINS DATA RETRIEVED DIRECTLY FROM SOURCES IN THE PUBLIC DOMAIN. IN SOME CASES THE DATA IS VERY CURRENT; IN OTHER CASES, WHILE IT MAY BE THE MOST CURRENT AVAILABLE, IT MAY BE SEVERAL YEARS OLD. NOTE ALSO THAT THE NAMES OF ORGANIZATIONS, FACILITIES, GEOGRAPHIC PLACES, ETC. PRESENTED IN THE TABLES AND GRAPHS IN THIS REPORT ARE QUOTED EXACTLY AS THEY APPEAR IN THE SOURCE DATA. IN SOME CASES THESE NAMES MAY NOT BE THOSE IN CURRENT OR LOCAL USAGE; NEVERTHELESS THEY ARE USED SO READERS MAY TRACK A PARTICULAR PIECE OF INFORMATION DIRECTLY BACK TO THE SOURCE. TO SUPPLEMENT THE SECONDARY CORE DATASET, MEET ADDITIONAL STAKEHOLDER DATA NEEDS, AND HEAR FROM COMMUNITY MEMBERS ABOUT THEIR CONCERNS AND PRIORITIES, A COMMUNITY SURVEY, 2012 WNC HEALTHY IMPACT SURVEY (A.K.A. 2012 PRC COMMUNITY HEALTH SURVEY), WAS DEVELOPED AND IMPLEMENTED IN 16 COUNTIES ACROSS WESTERN NORTH CAROLINA. THE SURVEY INSTRUMENT WAS DEVELOPED BY WNC HEALTHY IMPACT'S DATA WORKGROUP, CONSULTING TEAM, AND LOCAL PARTNERS, WITH ASSISTANCE FROM PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). MANY OF THE QUESTIONS ARE DERIVED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS OTHER PUBLIC HEALTH SURVEYS; OTHER QUESTIONS WERE DEVELOPED SPECIFICALLY FOR WNC HEALTHY IMPACT TO ADDRESS PARTICULAR ISSUES OF INTEREST TO COMMUNITIES IN WESTERN NORTH CAROLINA. EACH COUNTY WAS GIVEN THE OPPORTUNITY TO INCLUDE THREE ADDITIONAL QUESTIONS OF PARTICULAR INTEREST TO THEIR COUNTY, WHICH WERE ASKED OF THEIR COUNTY'S RESIDENTS. THE GEOGRAPHIC AREA FOR THE REGIONAL SURVEY EFFORT INCLUDED 16 COUNTIES: BUNCOMBE, CHEROKEE, CLAY, GRAHAM, HAYWOOD, HENDERSON, JACKSON, MACON, MADISON, MCDOWELL, MITCHELL, POLK, RUTHERFORD, SWAIN, TRANSYLVANIA AND YANCEY COUNTIES.
CHNA CONDUCTED WITH OTHER HOSPITALS	SCHEDULE H, PART V, SECTION B, LINE 4	THE CHNA WAS DEVELOPED BY RUTHERFORD COUNTY, IN PARTNERSHIP WITH RUTHERFORD REGIONAL HOSPITAL, RUTHERFORD POLK MCDOWELL DISTRICT HEALTH DEPARTMENT, AND RUTHERFORD HEALTH COUNCIL.
IMPLEMENTATION STRATEGY	SCHEDULE H, PART V, SECTION B, LINE 6	IN RESPONSE TO THE RESULTS OF RUTHERFORD HOSPITAL'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS AVAILABLE ON THE WEBSITE AT http://www.myrutherfordregional.com/body.cfm?id=514.
ADDRESSING IDENTIFIED NEEDS	SCHEDULE H, PART V, SECTION B, LINE 7	ALTHOUGH THERE ARE MORE THAN TWO OR THREE ISSUES THAT EMERGED FROM THE ASSESSMENT, THE COMMUNITY HEALTH IMPROVEMENT PLAN WILL ADDRESS ONLY TWO OR THREE SPECIFIC AREAS FOR EACH COUNTY. ON NOVEMBER 13, 2012, THE RUTHERFORD COUNTY COMMUNITY HEALTH ASSESSMENT FORUM WAS HELD ON THE CAMPUS OF ISOTHERMAL COMMUNITY COLLEGE. FOLLOWING A PRESENTATION OF THE CHA DATA, BREAKOUT SESSIONS ENGAGED PARTICIPANTS IN CHOOSING HEALTH PRIORITIES. FACILITATORS INTRODUCED THE TOPIC AND GAVE A QUICK REVIEW ABOUT THE PROBLEM. PARTICIPANTS WERE ASKED WHAT STRENGTHS, WEAKNESSES, OPPORTUNITIES AND BARRIERS ARE ASSOCIATED WITH THE MAJOR PROBLEM. ANSWERS WERE RECORDED. NEXT, PARTICIPANTS BRAINSTORMED STRATEGIES AND INTERVENTIONS TO ADDRESS THE PROBLEM. FINALLY, EACH COMMUNITY MEMBER RANKED THEIR TOP 3 OR 4 STRATEGIES. COLOR CODED STICKERS SIGNIFIED THE RANKING ORDER.
INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE	SCHEDULE H, PART V, SECTION B, LINE 20D	OUR MEDICAL ASSISTANCE POLICY ALLOWS UP TO 120% OF FEDERAL POVERTY GUIDELINE FOR 100% REDUCTION OF BALANCE/CHARGES. THE SLIDING SCALE ALLOWS UP TO 250% OF THE FEDERAL POVERTY GUIDELINE IN ALLOWING A 30% REDUCTION OF THE BALANCE/CHARGES. ALL SELF PAY ACCOUNTS RECEIVE A 20% DISCOUNT OF CHARGES AT THE TIME OF FINAL BILLING. ALSO, IF SELF PAY BALANCE IS PAID PROMPTLY (15 DAYS FROM FINAL BILLING), PATIENT IS ENTITLED TO AND ADDITIONAL 30% DISCOUNT OF CHARGES.
NEEDS ASSESSMENT		TO MEET ADDITIONAL STAKEHOLDER DATA NEEDS, AND HEAR FROM COMMUNITY MEMBERS ABOUT THEIR CONCERNS AND PRIORITIES, A COMMUNITY SURVEY, 2012 WNC HEALTHY IMPACT SURVEY (A.K.A 2012 PRC COMMUNITY HEALTH SURVEY), WAS DEVELOPED AND IMPLEMENTED IN 16 COUNTIES ACROSS WESTERN NORTH CAROLINA. THE SURVEY INSTRUMENT WAS DEVELOPED BY WNC HEALTHY IMPACT'S DATA WORKGROUP, CONSULTING TEAM, AND LOCAL PARTNERS, WITH ASSISTANCE FROM PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). MANY OF THE QUESTIONS ARE DERIVED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS OTHER PUBLIC HEALTH SURVEYS; OTHER QUESTIONS WERE DEVELOPED SPECIFICALLY FOR WNC HEALTHY IMPACT TO ADDRESS PARTICULAR ISSUES OF INTEREST TO COMMUNITIES IN WESTERN NORTH CAROLINA. EACH COUNTY WAS GIVEN THE OPPORTUNITY TO INCLUDE THREE ADDITIONAL QUESTIONS OF PARTICULAR INTEREST TO THEIR COUNTY, WHICH WERE ASKED OF THEIR COUNTY'S RESIDENTS. THE GEOGRAPHIC AREA FOR THE REGIONAL SURVEY EFFORT INCLUDED 16 COUNTIES: BUNCOMBE, CHEROKEE, CLAY, GRAHAM, HAYWOOD, HENDERSON, JACKSON, MACON, MADISON, MCDOWELL, MITCHELL, POLK, RUTHERFORD, SWAIN, TRANSYLVANIA, AND YANCEY COUNTIES. TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY (ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS) WAS EMPLOYED. THE PRIMARY ADVANTAGES OF TELEPHONE INTERVIEWING ARE TIMELINESS, EFFICIENCY AND RANDOM SELECTION CAPABILITIES. THE SAMPLE DESIGN USED FOR THIS REGIONAL EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 3300 INDIVIDUALS AGE 18 AND OLDER IN WESTERN NORTH CAROLINA. OUR COUNTY'S SAMPLE SIZE WAS 200. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC (PRC). THE INTERVIEWS WERE CONDUCTED IN EITHER ENGLISH OR SPANISH, AS PREFERRED BY THE RESPONDENTS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		PATIENTS WITH ESTIMATED BALANCES AFTER INSURANCE ARE CONTACTED PRIOR TO VISIT. THIS ALLOWS THE ESTIMATE TO BE PROVIDED TO PATIENT, AND TO DISCUSS INSURANCE BENEFITS AND ESTIMATED BALANCES AFTER INSURANCE. THIS DOES INCLUDE ALL SELF PAY PATIENTS AS WELL. A FINANCIAL COUNSELOR MAKES THIS CALL AND EXPLAINS ALL PAYMENT OPTIONS AND OPPORTUNITIES TO APPLY FOR MEDICAL ASSISTANCE. PATIENT REPRESENTATIVES ALSO FOLLOW UP WITH ALL SELF PAY PATIENTS TO PURSUE QUALIFICATION OF PATIENT INTO SOME TYPE OF ASSISTANCE (NCMEDICAID, DISABILITY, CRIME VICTIMS, VOCATIONAL REHAB OR OTHER POSSIBLE PAYMENT SOURCE). IF NO RESOURCES ARE IDENTIFIED FROM PATIENT REPRESENTATIVES, THE REPRESENTATIVE FACILITATES GETTING A MEDICAL ASSISTANCE APPLICATION TO THE PATIENT FOR POSSIBLE QUALIFICATION. REGISTRATION EMPLOYEES HAVE MEDICAL ASSISTANCE FORMS AND ARE TO PROVIDE THESE TO PATIENTS AT TIME OF REGISTRATION. PMAB (EXTENDED BUSINESS OFFICE) STAFF ALSO HAVE MEDICAL ASSISTANCE APPLICATIONS AND ARE TO PROVIDE THESE AS NECESSARY TO PATIENTS AFTER PHONE CONTACT. THE MEDICAL ASSISTANCE POLICY IS ON THE RRHS WEBSITE FOR PUBLIC VIEWING, ALONG WITH THE APPLICATION THAT CAN BE PRINTED FOR COMPLETION FROM THE INDIVIDUAL REQUESTING ASSISTANCE.
COMMUNITY INFORMATION		RUTHERFORD COUNTY, NORTH CAROLINA IS LOCATED IN THE FOOTHILLS OF THE WESTERN REGION OF THE STATE OF SOUTH CAROLINA AND POLK, HENDERSON, BUNCOMBE, MCDOWELL, BURKE, AND CLEVELAND COUNTIES BOUND RUTHERFORD COUNTY. RUTHERFORD COUNTY'S LAND AREA COMPRISED OF VALLEYS, MOUNTAINS, AND FLAT LAND IS 564.12 SQUARE MILES, AND 2 SQUARE MILES OF WATER. THE COUNTY SEAT IS RUTHERFORDTON. THE COUNTY IS COMPRISED OF EIGHT MUNICIPALITIES: BOSTIC, CHIMNEY ROCK, ELLENBORO, FOREST CITY, RUTHERFORDTON, RUTH, SPINDALE AND LAKE LURE. ACCORDING TO THE MOST RECENT US CENSUS BUREAU DATA FROM 2010, THE TOTAL POPULATION OF RUTHERFORD COUNTY IS 67,810. OF THIS AMOUNT, 49% ARE MALE AND 51% ARE FEMALE. THE RACIAL/ETHNIC BACKGROUND OF THE POPULATION INCLUDES 87.3% WHITE, 10.3% BLACK OR AFRICAN AMERICAN, 3.7% HISPANIC OR LATINO WITH THE REMAINING AS OTHER. OF THE TOTAL POPULATION, 20.4% HAVE NOT GRADUATED FROM HIGH SCHOOL OR OBTAINED A HIGH SCHOOL EQUIVALENCY. PERSONS BELOW POVERTY LEVEL FOR 2006-2010 WERE 20.7%, WITH MEDIAN HOUSEHOLD INCOME AT $35,364. RUTHERFORD COUNTY WORKFORCE TOTALS 22,790 (2006 REPORT). IT BREAKS DOWN AS FOLLOWS: MANUFACTURING, 18.2 %; CONSTRUCTION, 5.5%; TRANSPORTATION AND UTILITIES, 21.4%; EDUCATION AND HEALTH SERVICES, 24%; PROFESSIONAL AND BUSINESS SERVICES, 9.3%; LEISURE AND HOSPITALITY, 8.4%; INFORMATION, 4%; FINANCIAL ACTIVITIES, 2%; PUBLIC ADMINISTRATION, 5.3% AND ALL OTHER, 2.08%.
PROMOTION OF COMMUNITY HEALTH		RUTHERFORD REGIONAL IN 2013 PARTICIPATED IN, SPONSORED OR CONDUCTED A NUMBER OF COMMUNITY EVENTS AIMED AT PROMOTING HEALTH AND WELLNESS FOR PEOPLE OF ALL AGES. INCLUDED WERE: -THE BABY AND CHILDRENS' FAIR IN WHICH EDUCATIONAL INFORMATION WAS DISTRIBUTED TO EXPECTANT PARENTS OR PARENTS OF NEWBORNS/TODDLERS -THE PRIME OF LIFE FESTIVAL, IN WHICH PROVIDERS AND CLINICIANS MET WITH AND SCREENED ATTENDEES WHO WERE OVER THE AGE OF 55 FOR SIGNS OF VJTPMOV DISEASE OR HIGH BLOOD PRESSURE, DIRECTING THOSE WITH ABNORMAL RESULTS TO AREA PROVIDERS -THE RUTHERFORD BUSINESS EXPO DURING WHICH LOCAL EMPLOYERS WERE EDUCATED ON DISEASE MANAGEMENT PROGRAMS AND CLINICIANS WHO ARE AVAILABLE TO CONSULT WITH EMPLOYEES DESIRING TO PURSUE HEALTHIER LIFESTYLES; AND VARIOUS COMMUNITY HEALTH FAIRS HELD THROUGHOUT THE COMMUNITY DURING WHICH RUTHERFORD REGIONAL HAD A SIGNIFICANT PRESENCE IN EDUCATING PARTICIPANTS AND DISSEMINATING INFORMATION ABOUT HEALTHY LIFESTYLES. -ALSO, RUTHERFORD REGIONAL BEGAN SPONSORING THE RUTHERFORD OUTDOOR COALITION, WHICH CONDUCTS RUNNING AND CYCLING EVENTS THROUGHOUT THE COUNTY. -RUTHERFORD REGIONAL MEDICAL CENTER'S OCCUPATIONAL MEDICINE CENTER PROVIDES A VARIETY OF COST-EFFECTIVE HEALTHCARE SERVICES TO OUR BUSINESSES AND INDUSTRIES. THE CENTER'S OBJECTIVE IS TO PROVIDE THE BEST POSSIBLE CARE TO INJURED WORKERS AND, AT THE SAME TIME, ASSIST WITH REDUCING MEDICAL EXPENSES AND TIME AWAY FROM THE JOB. IN TODAY'S CLIMATE, WORKER'S COMPENSATION CLAIMS ACCOUNT FOR A LARGE PORTION OF INDUSTRIES' MEDICAL COSTS. THE GOAL IS TO ASSIST EMPLOYERS IN AN ATTEMPT TO DECREASE THESE EXPENDITURES. THE STAFF IS ALSO AVAILABLE TO ASSIST WITH CASE MANAGEMENT. -THE RUTHERFORD REGIONAL CANCER OUTREACH PROGRAM CONTINUED ITS SUCCESSFUL NEW CANCER SUPPORT GROUP FOR ANYONE WHO HAS EVER HEARD THE WORDS "YOU HAVE CANCER". SURVIVIN' MEETS ON THE THIRD MONDAY OF EACH MONTH AT THE CANCER RESOURCE CENTER. EACH MONTH THE GROUP EXPLORES WAYS TO LIVE LIFE TO THE FULLEST AFTER A CANCER DIAGNOSIS. INFORMATION REGARDING NUTRITION, EXERCISE AND EMOTIONAL WELL-BEING IS ALSO PRESENTED. FRIENDS AND FAMILY MAY ATTEND AS WELL. -THE RUTHERFORD REGIONAL AUXILIARY RAISED MONEY THROUGH FUNDRAISING PROJECTS SUCH AS $5 JEWELRY SALES AND UNIFORM SALES, AND THROUGH THE OPERATION OF THE GIFT SHOP. THE AUXILIARY'S SERVICE AREAS INCLUDE THE FRONT DESK, GIFT SHOP, INTENSIVE CARE WAITING, MESSENGER, OUTPATIENT SERVICES AND SURGERY WAITING. VOLUNTEERS ALSO SERVE IN FOOD SERVICES, THE PET THERAPY PROGRAM, WITH THE TOY CHEST GROUP, AT THE CANCER RESOURCE CENTER AND ONESOURCE, AND AS TEEN VOLUNTEERS. IN JUNE, 50 TEEN VOLUNTEERS ATTENDED ORIENTATION, AND FOR THE NEXT SEVEN WEEKS THEY VOLUNTEERED IN 12 DIFFERENT AREAS IN THE MEDICAL CENTER, ALLOWING MANY ADULT VOLUNTEERS TAKE TIME OFF. THE TOY CHEST COMMITTEE MADE A TOTAL OF 669 ITEMS WHICH INCLUDED STUFFED ANIMALS, "PATIENT PALS" FOR PEDIATRIC PATIENTS, PILLOW AND TURBANS FOR MASTECTOMY PATIENTS AND BABY CAPS FOR NEWBORNS. DONATIONS WERE MADE LIFELINE DURING THE YEAR IN MEMORY OF AUXILIARY MEMBERS WHO PASSED AWAY. A TOTAL OF 200 ADULT VOLUNTEERS VOLUNTEERED 20,890 HOURS AND A TOTAL OF 50 TEEN VOLUNTEERS VOLUNTEERED 2,418 HOURS WITH A COMBINED TOTAL OF 23,308 SERVICE HOURS FOR THE YEAR. THE ACCUMULATED HOURS OF SERVICE TO RUTHERFORD REGIONAL, SINCE THE FOUNDING OF THE AUXILIARY 48 YEARS AGO, IS 869,375 HOURS AND THE ACCUMULATED DONATION IS $3,070,088.65. -THE SCHOOL OF CLINICAL PASTORAL EDUCATION OF RUTHERFORD REGIONAL MEDICAL CENTER IS ACCREDITED TO OFFER CPE LEVELS I & II BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION, INC. CLINICAL PASTORAL EDUCATION WILL ENABLE YOU TO INTEGRATE FAITH, EXPERIENCE AND KNOWLEDGE FOR MORE EFFECTIVE MINISTRY. CPE IS PROFESSIONAL TRAINING FOR MINISTRY DESIGNED FOR SEMINARIANS, CLERGY AND LAITY OF DIVERSE CULTURES, ETHNIC GROUPS AND FAITH TRADITIONS. THE METHOD IS LEARNING BY DOING AND REFLECTING UNDER THE DIRECTION OF A CERTIFIED ACPE SUPERVISOR; INSTRUCTED BY AN INTERDISCIPLINARY ADJUNCT FACULTY IN A SUPPORTIVE COLLEGIAL GROUP.
AFFILIATED HEALTH CARE SYSTEM		RUTHERFORD HOSPITAL IS AFFILIATED WITH RUTHERFORD HOSPITAL FOUNDATION, WHOSE PRIMARY PURPOSE IS TO PROVIDE SUPPORT FOR THE HOSPITAL. THE FOUNDATION PROVIDES SCHOLARSHIPS TO INDIVIDUALS AND GRANTS TO ORGANIZATIONS IN THE COMMUNITY, WHICH IS THE SAME COMMUNITY THAT RUTHERFORD HOSPITAL SERVES. THE MISSION OF RUTHERFORD HOSPITAL FOUNDATION IS TO "SECURE CURRENT AND FUTURE GIFTS OF SUPPORT FOR RUTHERFORD REGIONAL MEDICAL SYSTEM, ENSURING THAT ALL MEMBERS OF OUR COMMUNITY CONTINUE TO HAVE ACCESS TO A BROAD RANGE OF COMPASSIONATE, HIGH QUALITY HEALTH SERVICES." THE RUTHERFORD HOSPITAL FOUNDATION SEEKS TO GIVE ALL SEGMENTS OF THE COMMUNITY THE OPPORTUNITY TO INVEST IN THE FUTURE OF THE HOSPITAL, TO ENSURE GOOD STEWARDSHIP OF AVAILABLE RESOURCES, AND TO BE RECOGNIZED AS A SIGNIFICANT CONTRIBUTOR TO ECONOMIC GROWTH AND DEVELOPMENT OF RUTHERFORD REGIONAL HEALTH SYSTEM. RUTHERFORD HOSPITAL CONTINUES TO HAVE AN AFFILIATION WITH DUKE ONCOLOGY NETWORK. THIS AGREEMENT PROVIDES EDUCATION FOR PHYSICIANS AND NURSING STAFF, PHYSICIAN CONSULTATION AND A REVIEW AND EVALUATION OF THE CARE PROVIDED OUR CANCER PATIENTS. IN 2011, AN EXPERT IN THE FIELD OF BREAST CANCER HELPED TO CONDUCT A STUDY ABOUT OUR CARE AND PRESENTED INFORMATION RELATED TO THE STUDY AS AN EDUCATION SESSION. IT IS A GREAT OPPORTUNITY FOR RUTHERFORD REGIONAL MEDICAL CENTER TO BE ALIGNED WITH DUKE, WHICH HAS BEEN CONSISTENTLY IN THE TOP-RANKED CENTERS FOR CANCER CARE IN THE UNITED STATES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL S WHEELER MD
TRUSTEE	188988	0	0	0	0	0	0	0	0	0	188988	0	0	0
CHARLES DANA BOND
PHYSICIAN	661673	0	0	0	16540	0	0	0	3723	0	681936	0	0	0
MICHAEL ROBERTS
CHIEF OF MEDICAL STAFF	662638	0	0	0	16540	0	0	0	3723	0	682901	0	0	0
GREGG ALLEN DRABEK
PHYSICIAN	307074	0	233308	0	40	0	0	0	3748	0	544170	0	0	0
WILLIAM KIRKPATRICK
PHYSICIAN	373008	0	0	0	59271	0	0	0	3748	0	436027	0	0	0
CINDY BUCK
CEO	179582	0	0	0	40	0	0	0	383	0	180005	0	0	0
DOUGLAS FREELS
PHYSICIAN	446468	0	55136	0	30899	0	0	0	3184	0	535687	0	0	0
JAMES EDWARD LEE
PHYSICIAN	300666	0	181460	0	40	0	0	0	4685	0	486851	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
HOUSING ALLOWANCES	SCHEDULE J, PART I, LINE 1A	IN CALENDAR 2012, THERE WERE ZERO EMPLOYEES WHO RECEIVED HOUSING ALLOWANCE OR USE OF A PERSONAL RESIDENCE, IN FY 13, THE INTERIM NURSING VP RECEIVED A $4,115 HOUSING ALLOWANCE. HR DIRECTOR, ROBIN CALLAS, RECEIVED PAYMENT IN CY 12 FOR $3,500 AND FOR FY 2013 $5,565 FOR HOUSING ALLOWANCE.
CEO COMPENSATION DETERMINATION	SCHEDULE J, PART I, LINE 3	THE CEO WAS COMPENSATED DIRECTLY BY THE ORGANIZATION FOR SERVICES PERFORMED. CONSISTENT WITH THE ORGANIZATIONS REBUTTABLE PRESUMPTION POLICY, THE PROPOSED CEO COMPENSATION, ALONG WITH VARIOUS COMPARATIVE HOSPITAL CEO COMPENSATION DATA, WAS PRESENTED TO THE PERSONNEL, COMPLIANCE, AND QUALITY COMMITTEE OF THE BOARD OF TRUSTEES BY THE VICE PRESIDENT OF HUMAN RESOURCES, FOR THEIR REVIEW. THE PCQ FOUND THAT THE PROPOSED COMPENSATION WAS APPROPRIATE AND APPROVED IT AS PRESENTED.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521309402	IssuerEIN
Date Issued	2010-12-16	DateIssued
Issue Price	22160000	IssuePrice
Description Of Purpose	SEE PART V	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	22160000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	8140000	RefundingEscrow
Issuance Costs From Proceeds	252250	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	13765288	CapitalExpenditures
Other Spent Proceeds	2462	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	PURPOSE	Identifier
Return Reference	SCHEDULE K, PART I, LINE A, COLUMN F	ReturnReference
Explanation	A PORTION OF THE BONDS WERE USED TO ADVANCE REFUND THE OUTSTANDING PORTIONS OF PREVIOUSLY ISSUED REVENUE BONDS. THE REMAINING PROCEEDS WERE USED TO FINANCE THE UPGRADE AND EXPANSION OF AN INTENSIVE CARE UNIT, THE REPLACEMENT OF THE WOMEN'S CENTER ON THE HOSPITAL'S PREMISES AND THE PURCHASE OF MOBILE MAGNETIC RESONANCE IMAGING EQUIPMENT.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	WILLIAM DEAN BUCK	NamePerson

Field	Value	IRS element (for citing)
Relationship	SPOUSE OF CEO	Relationship
Amount Of Transaction	62450	AmountOfTransaction
Description Of Transaction	SALARY	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES	FORM 990, PART I, LINE 1	OUR VISION IS THAT WE WILL PROVIDE AN EXCELLENT PATIENT CARE EXPERIENCE EVERY TIME. OUR VALUES ARE TRUST, EXCELLENCE, ACCOUNTABILITY, AND MUTUAL RESPECT.
DESCRIPTION OF OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D	THE HOSPITAL PROVIDES REGIONAL TREATMENT FOR BEHAVIORAL & MENTAL HEALTH SERVICES. PROGRAMS AND SERVICES INCLUDE 24-HR NURSING CARE, MEDICATION MANAGEMENT & EDUCATION, GROUP OR RECREATIONAL THERAPY, & FAMILY EDUCATION. THE BEHAVIORAL DEPARTMENT ALSO OFFERS PSYCHIATRIC INDEPENDENT MEDICAL EVALUATIONS, CONSULTATIONS, DIAGNOSIS, & TREATMENT OF VARIOUS CONDITIONS, INCLUDING DEPRESSION, ANXIETY, AUTISM, SLEEP DISORDERS, BRAIN INJURIES, HEADACHES, & DEMENTIA, AMONG OTHERS. DURING FISCAL YEAR 2013, 749 PATIENTS RECEIVED INPATIENT BEHAVIORAL HEALTH SERVICES, WHILE 999 EMERGENCY DEPARTMENT ASSESSMENTS (472 INPATIENT AND 527 OUTPATIENT) WERE PERFORMED. ADDITIONALLY, THE ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS IN THE COMMUNITY.
PROCESS TO REVIEW THE FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE ORGANIZATION PROVIDES A COPY OF THE 990 TO EACH BOARD MEMBER VIA EMAIL, PRIOR TO FILING THE 990.
MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS AN OBLIGATION TO CONDUCT ITS BUSINESS OPERATIONS, INCLUDING THE PROVISION OF PATIENT CARE, IN AN OBJECTIVE MANNER THAT IS NOT MOTIVATED BY AN INDIVIDUALS' DESIRE FOR PERSONAL OR FINANCIAL GAIN, EITHER FOR THEMSELVES, THEIR FRIENDS, OR THEIR FAMILY MEMBERS. ESPECIALLY FOR THOSE ON THE BOARD OF TRUSTEES, EXECUTIVE COMMITTEE, KEY LEADERS OF RHI MEDICAL STAFF, EXECUTIVE AND MANAGEMENT LEADERSHIP TEAM, AND RHI STAFF DIRECTLY INVOLVED IN PROCUREMENT AND CASE MANAGEMENT SERVICES, THERE IS INCREASING REGULATORY OVERSIGHT AND ACCOMPANYING PUBLIC SCRUTINY OF SPECIFIC SITUATIONS ASSOCIATED WITH CONFLICTS OF INTEREST. THE ORGANIZATION'S COMPLIANCE OFFICER COMPLETES AN ANNUAL COMPLIANCE SURVEY TO ENSURE THAT THE CONFLICT OF INTEREST POLICY IS BEING ENFORCED EFFECTIVELY. IN ADDITION, EMPLOYEES ARE REQUIRED TO PROACTIVELY IDENTIFY SPECIFIC CONFLICTS OF INTEREST. EMPLOYEES MUST SEEK GUIDANCE AND APPROVAL FROM THEIR DEPARTMENT DIRECTOR WHEN POTENTIAL CONFLICTS OF INTEREST ARE IDENTIFIED. WHEN DEEMED NECESSARY BY THEIR DEPARTMENT DIRECTOR, EMPLOYEES MUST AVOID OR DISCONTINUE THE ACTIVITY OR INTEREST AND MAY ALSO BE REQUIRED TO TAKE CORRECTIVE ACTION IF THEIR ACTIVITY HAS HARMED RHI IN ANY WAY. VIOLATION OF THE CONFLICT OF INTEREST POLICY IS GROUNDS FOR DISCIPLINARY ACTION APPROPRIATE TO THE VIOLATION UP TO AND INCLUDING TERMINATION.
REVIEW OF CEO COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15A	THE PERSONNEL, COMPLIANCE, AND QUALITY COMMITTEE OF THE BOARD OF TRUSTEES (THE "PCQ"), ACTING AS THE COMPENSATION COMMITTEE OF THE BOARD, REVIEWS AND APPROVES THE CEO COMPENSATION ANNUALLY USING THE ORGANIZATION'S REBUTTABLE PRESUMPTION POLICY WHICH IS BASED ON THE IRS "REBUTTABLE PRESUMPTION OF REASONABLENESS" PROCEDURE. CONSISTENT WITH THAT POLICY, THE VICE PRESIDENT OF HUMAN RESOURCES PROVIDED THE PCQ WITH VARIOUS COMPARATIVE HOSPITAL CEO COMPENSATION DATA AND INDUSTRY AND MARKET STANDARDS. SPECIFICALLY, THE COMPARATIVE DATA USED DURING THIS YEAR'S ANNUAL REVIEW INCLUDED THAT FROM THE NC HOSPITAL ASSOCIATION, COMPDATA HEATLHCARE, AND NCHHRA COMPENSATION & BENEFITS SURVEY DATA FOR CEO COMPENSATION.
REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15B	THE ORGANIZATION HAS A REBUTTABLE PRESUMPTION POLICY, UPDATED IN JULY 2013, ADMINISTERED BY THE PCQ COMMITTEE OF THE BOARD THAT COVERS THE REVIEW AND APPROVAL OF THE CEO AND OTHER LEADERS, INCLUDING TRUSTEES, OFFICERS, KEY EMPLOYEES, AND OTHER HIGHLY COMPENSATED EMPLOYEES OR INDEPENDENT CONTRACTORS. FOR POLICY PURPOSES, THIS APPLIES TO ALL HIGHLY COMPENSATED OFFICERS AND KEY EMPLOYEES WITH COMPENSATION EXCEEDING A THRESHOLD OF $125,000 ANNUALLY IN TOTAL COMPENSATION. AFTER THE COMMITTEE'S INITIAL BENEFIT TRANSACTION REVIEW OF COMPENSATION FOR EACH OF THE OFFICERS AND KEY EMPLOYEES, FURTHER REVIEW WILL NOT BE NECESSARY EXCEPT FOR INSTANCES WHERE THERE HAS BEEN SIGNIFICANT CHANGES MADE IN THE SPAN OF AUTHORITY OR THE TOTAL VALUE OF THE EXISTING COMPENSATION ARRANGEMENT IS INCREASING BY MORE THAN THREE PERCENT.
DOCUMENT DISCLOSURE	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.
TRUSTEE COMPENSATION	FORM 990, PART VII	NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS TRUSTEES. MICHAEL S WHEELER, MD, A TRUSTEE, IS CONTRACTED BY THE ORGANIZATION AS A MEDICAL DIRECTOR. THE COMPENSATION REPORTED IN PART VII IS RELATED TO HIS ROLE AS MEDICAL DIRECTOR AND NOT AS A TRUSTEE OF THE BOARD.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9	$ 277,868 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 95,546 TRANSFER FROM FOUNDATION ------------- $ 373,414

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	RUTHERFORD HOSPITAL FOUNDATION INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	288 S RIDGECREST AVENUE	AddressLine1
City	RUTHERFORDTON	City
State	NC	State
ZIP Code	28139	ZIPCode

Field	Value	IRS element (for citing)
EIN	561968736	EIN
Primary Activities	SUPPORT	PrimaryActivities
Legal Domicile State	NC	LegalDomicileState
Exempt Code Section	501(C)(3)	ExemptCodeSection
Public Charity Status	11A I	PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RUTH HOSP	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Org	true	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
RUTHERFORD HOSPITAL FOUNDATION INC
O	56268	2012 W-2 BOX 5
RUTHERFORD HOSPITAL FOUNDATION INC
S	95546	FMV