2014-08-15T08:56:02-05:00 2013-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-10-01 560619367 RUTHERFORD HOSPITAL INC % CINDY BUCK RUTH 8282865000 288 SOUTH RIDGECREST AVENUE Suite RUTHERFORDTON NC 28139 CINDY BUCK 8282865000 2014-08-12 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z RUTHERFORD REGIONAL HEALTH SYSTEM CINDY BUCK 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 151756469 false X WWW.RUTHERFORDHOSP.ORG X 1906 NC RUTHERFORD HOSPITAL IS A GENERAL ACUTE CARE HOSPITAL THAT PROVIDES TRADITIONAL PATIENT CARE TO RESIDENTS OF ITS SERVICE AREA, REGARDLESS OF ABILITY TO PAY. 14 13 1042 280 3949 235920 15000 102899727 101196134 992349 1382373 161597 169181 104289593 102762688 0 0 0 0 49096079 51074418 0 0 0 58829381 55181745 107925460 106256163 -3635867 -3493475 100969747 99550236 34418765 34939277 66550982 64610959 X RUTHERFORD HOSPITAL'S MISSION IS TO COMPASSIONATELY IMPROVE THE HEALTH AND WELL-BEING OF OUR PATIENTS. false false 42209849 48936884 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. 29876957 35124820 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. 19511972 15116291 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. 1219308 2014190 92818086 true true false true false false true false false false true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true true false false true 121 0 true 1042 true true true false false false false false false false false false X 14 13 false false false false false false false true true false false true true true true true true true true false X CINDY BUCK 8282865202 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 X JOSEPH L CARSON JR 1.0 0.0 X 0 0 DIANE HAMRICK 1.0 X X 0 0 E THOMAS HARDIN 1.0 0.0 X X 0 0 MATT BRIGHT 1.0 0.0 X X 0 0 PAUL DECK 1.0 0.0 X 0 0 DAVID EAKER 1.0 0.0 X 0 0 J LARRY HARRILL 1.0 0.0 X 0 0 LEE HARRILL 1.0 0.0 X 0 0 THOMAS J JASKI MD 1.0 1.0 X 0 0 MICHAEL S WHEELER MD 1.0 0.0 X 188988 0 0 TERRY HINES 1.0 0.0 X X 0 0 BETH MILLER 1.0 0.0 X 0 0 LUTHER PERSON MD 1.0 0.0 X 0 0 BOBBY ENGLAND MD 1.0 0.0 X 0 0 CINDY BUCK 40.0 1.0 X 179622 0 383 MICHAEL ROBERTS 40.0 1.0 X 679178 0 3723 CHARLES DANA BOND 40.0 0.0 X 678213 0 3723 GREGG ALLEN DRABEK 40.0 0.0 X 540422 0 3748 WILLIAM KIRKPATRICK 40.0 0.0 X 432279 0 3748 DOUGLAS FREELS 40.0 0.0 X 532503 0 3184 JAMES EDWARD LEE 40.0 0.0 X 482166 0 4685 3713371 0 23194 41 false true false 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 17 15000 15000 NET PATIENT SERVICE REVENUE 621110 98157154 98157154 EHR REVENUE 621110 2074451 2074451 CAFETERIA & VENDING REVENUE 722514 524387 520438 3949 OTHER REVENUE 900099 440142 440142 101196134 1137725 1137725 0 0 104506 11509 92997 0 92997 92997 49146401 19869 48888130 33492 258271 -13623 244648 244648 0 0 136834 60650 76184 76184 0 102762688 101192185 3949 1551554 0 0 0 0 1051894 871889 180005 0 62450 62450 39005010 36984055 2020955 0 8180266 6173442 2006824 2774798 2094282 680516 1482652 1482652 334825 334825 170205 170205 0 0 323512 323512 8144043 7181320 962723 392035 391929 106 4633922 2638501 1995421 553052 508583 44469 0 2605832 2596925 8907 318639 294479 24160 0 37976 37976 615980 481335 134645 0 6515327 5091161 1424166 455897 455897 BAD DEBT 15699913 15699913 MEDICAL SUPPLIES & DRUGS 9819059 9819059 REPAIRS & MAINTENANCE 2728540 1747575 980965 LICENSES, DUES, SUBSCRIPTIONS 194415 80965 113450 155921 124697 31224 106256163 92818086 13438077 0 4260 4485 3792065 3343611 0 0 11220632 11074203 0 0 0 0 0 0 1746370 1911602 881819 1116460 133484619 87495159 48277301 45989460 31299317 30765925 0 0 0 0 599042 599042 3148941 4745448 100969747 99550236 9419397 9100752 0 0 0 0 19234551 21258530 0 0 0 0 622650 958569 0 0 5142167 3621426 34418765 34939277 X 66550982 64610959 0 0 0 0 66550982 64610959 100969747 99550236 X -3493475 1180038 373414 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X false false false false false false false false false true 8142 8142 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION PAYS DUES TO THE NORTH CAROLINA HOSPITAL ASSOCIATION, OF WHICH 27.14%, or $8,142 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. X 1 1 1 false false false 1528211 1528211 62364455 38796105 23568350 540946 540946 66466923 47404385 19062538 2584084 1294669 1289415 45989460 0 EST AMT DUE TO 3RD PTY PYR 1416060 EST INSURANCE LIABILITY 1397613 INTEREST RATE SWAP AGREEMENT 807753 3621426 88329380 1180038 -15685505 -14505467 102834847 -72159 -72159 102762688 90304897 72159 72159 90232738 323512 15699913 16023425 106256163 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 true true X true X 120. true X true true true false true true 1611799 1611799 0.01780 17336191 17976633 -640442 18947990 17976633 971357 0.01780 1032839 248089 784750 0.00870 11098494 6985092 4113402 0.04540 12131333 7233181 4898152 0.05410 31079323 25209814 5869509 0.07190 true 15699913 3187082 40663527 42416473 -1752946 X true true 1 1 RUTHERFORD HOSPITAL INC

288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139

X X X PSYCHOLOGICAL INPATIENT RUTHERFORD HOSPITAL INC 1 true X X X X X X X X X 12 true true true X X X X X X X X false false true true 120. true 250. true X X X X X X X true true X X X X true false X X X X true X false false 13 CAROLINA HOME CARE

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288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139

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FAMILY GENERAL MEDICINE RUTHERFORD CHILDREN'S CARE

288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139

PEDIATRIC SERVICES CHASE FAMILY CARE

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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

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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 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. X true true X X X false false false false false false false false false MICHAEL S WHEELER MD 188988 0 0 0 0 0 0 0 0 0 188988 0 0 0 CHARLES DANA BOND 661673 0 0 0 16540 0 0 0 3723 0 681936 0 0 0 MICHAEL ROBERTS 662638 0 0 0 16540 0 0 0 3723 0 682901 0 0 0 GREGG ALLEN DRABEK 307074 0 233308 0 40 0 0 0 3748 0 544170 0 0 0 WILLIAM KIRKPATRICK 373008 0 0 0 59271 0 0 0 3748 0 436027 0 0 0 CINDY BUCK 179582 0 0 0 40 0 0 0 383 0 180005 0 0 0 DOUGLAS FREELS 446468 0 55136 0 30899 0 0 0 3184 0 535687 0 0 0 JAMES EDWARD LEE 300666 0 181460 0 40 0 0 0 4685 0 486851 0 0 0 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2010-12-16 22160000 SEE PART V false false false A 0 0 22160000 0 0 8140000 252250 0 0 13765288 2462 0 true false false true A false false false false 0 false false false true A false true false false true false 0 false 0 false false A true PURPOSE SCHEDULE K, PART I, LINE A, COLUMN F 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. WILLIAM DEAN BUCK SPOUSE OF CEO 62450 SALARY false 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 RUTHERFORD HOSPITAL FOUNDATION INC 288 S RIDGECREST AVENUE RUTHERFORDTON NC 28139 561968736 SUPPORT NC 501(C)(3) 11A I RUTH HOSP true false false false false false false false false false false false false false true true false false false true RUTHERFORD HOSPITAL FOUNDATION INC O 56268 2012 W-2 BOX 5 RUTHERFORD HOSPITAL FOUNDATION INC S 95546 FMV