2013-08-15T15:49:58-05:00 2012-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2011-10-01 560619367 RUTHERFORD HOSPITAL INC % CINDY BUCK RUTH 8282865000 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 CINDY BUCK 8282865000 2013-08-13 true Brian D Todd 4178658701 2011 2016-02-24 21:20:13Z RUTHERFORD REGIONAL HEALTH SYSTEM CINDY BUCK 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 153400167 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. 15 14 993 190 143927 -68687 84050 235920 94250107 102899727 479486 992349 168617 161597 94982260 104289593 1225 0 0 0 48739454 49096079 0 0 0 51357598 58829381 100098277 107925460 -5116017 -3635867 99630976 100969747 27544695 34418765 72086281 66550982 X RUTHERFORD HOSPITAL'S MISSION IS TO COMPASSIONATELY IMPROVE THE HEALTH AND WELL-BEING OF OUR PATIENTS. false false 46582898 44789464 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 2012, THERE WERE 48,933 OUTPATIENT VISITS AND 37,822 EMERGENCY DEPARTMENT VISITS. 30039098 36124476 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 2012, 5,293 PATIENTS RECEIVED INPATIENT SERVICES. 21181677 19051964 RUTHERFORD REGIONAL HAS TEN 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. 1434560 2789896 99238233 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 false false false false false false false true true true false false true 127 0 true 993 true true true false false false false false false false false false X 15 14 false true true false false false false true true false false true true true true true true false true false X CINDY BUCK 8282865202 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 X JOSEPH L CARSON JR 1.0 X X 0 0 0 DIANE HAMRICK 1.0 X X 0 0 0 E THOMAS HARDIN 1.0 X X 0 0 0 MATT BRIGHT 1.0 X X 0 0 0 PAUL DECK 1.0 X 0 0 0 DAVID EAKER 1.0 X 0 0 0 J LARRY HARRILL 1.0 X 0 0 0 LEE HARRILL 1.0 X 0 0 0 THOMAS J JASKI MD 1.0 X 0 0 0 MYRA JOHNSON 1.0 X 0 0 0 MICHAEL S WHEELER MD 1.0 X 625458 0 0 TERRY HINES 1.0 X 0 0 0 BETH MILLER 1.0 X 0 0 0 LUTHER PERSON MD 1.0 X 0 0 0 BOBBY ENGLAND MD 1.0 X 0 0 0 DAVID BIXLER 40.0 X 0 0 0 CINDY BUCK 40.0 X 39975 0 86 DEAN R BACKSTROM 40.0 X 229915 0 2564 CHARLES BOND 40.0 X 733547 0 3515 MICHAEL ROBERTS 40.0 X 791343 0 3515 GREGG ALLEN DRABEK 40.0 X 544993 0 3621 DOUGLAS B FREELS 40.0 X 529257 0 4278 WILLIAM C HADEN 40.0 X 432510 0 2564 3926998 0 20143 40 false true false HOSPITAL MEDICINE ASSOCIATES HOSPITALISTS 1438434 QUORUM HEALTH RESOURCESQHR MANAGEMENT SERVICES 1083701 MICHAEL S WHEELER MD LAB MEDICAL DIRECTOR 652458 SODEXO MANAGEMENT SERVICES 369312 ALLIED BARTON SECURITY SVCS SECURITY SERVICES 224700 16 235920 235920 NET PATIENT SERVICE REVENUE 621110 85618226 85618226 LABORATORY CLIENT REVENUE 621500 13592226 13472594 119632 PATHOLOGY CLIENT REVENUE 621110 2157722 2152597 5125 CAFETERIA & VENDING REVENUE 722410 506998 506052 946 OTHER REVENUE 900099 1024555 1006331 18224 102899727 874649 874649 0 0 100284 12537 87747 87747 87747 49146401 500 49028842 359 117559 141 117700 117700 0 0 142686 68836 73850 73850 0 104289593 102755800 143927 1153946 0 0 0 0 897998 857937 40061 0 0 38941940 37049605 1892335 0 6518111 4829298 1688813 2738030 2028871 709159 400338 400338 214346 214346 35540 35540 0 0 166308 166308 8638469 7680980 957489 396855 392973 3882 2705013 2333190 371823 606831 527086 79745 0 2733254 2720870 12384 302357 285762 16595 0 24945 24945 316904 265398 51506 0 5867350 4913731 953619 690709 578448 112261 BAD DEBT 20466731 20466731 MEDICAL SUPPLIES & DRUGS 12278532 12278532 REPAIRS & MAINTENANCE 2546933 1694294 852639 RECRUITING 225179 220632 4547 212787 88950 123837 107925460 99238233 8687227 0 3900 4260 2049175 3792065 0 0 13363299 11220632 0 0 0 0 0 0 1788160 1746370 1053533 881819 129477057 81199756 47206726 48277301 32432260 31299317 0 0 0 0 599042 599042 1134881 3148941 99630976 100969747 9305153 9419397 0 0 2990 0 15030386 19234551 0 0 0 0 806566 622650 0 0 2399600 5142167 27544695 34418765 X 72086281 66550982 0 0 0 0 72086281 66550982 99630976 100969747 X -3635867 -1899432 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X false false false false false false false false false true 8379 8379 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION PAYS DUES TO THE NORTH CAROLINA HOSPITAL ASSOCIATION, OF WHICH $8,074 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES AND TO AHA OF WHICH $305 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. X 1 1 0 1 false 0 false false 1528211 1528211 66369807 36138081 30231726 681069 0 681069 58244680 43846309 14398371 2653290 1215366 1437924 48277301 0 EST AMT DUE TO 3RD PTY PYR 2912472 EST INSURANCE LIABILITY 1144074 INTEREST RATE SWAP AGREEMENT 1085621 5142167 104289593 107925460 -3635867 3646938 -340397 3306541 -329326 87044468 3646938 -20973436 -17326498 104370966 -81373 -81373 104289593 87373794 81373 81373 87292421 166308 20466731 20633039 107925460 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 CHANGES IN NET ASSETS SCHEDULE D, PART XI, LINE 8 $ (340,397) CHANGE IN FV OF INTEREST RATE SWAP OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XII, LINE 2D $ (20,466,731) BAD DEBT EXPENSE (340,397) CHANGE IN FV OF INTEREST RATE SWAP (166,308) INVESTMENT FEES --------------- $ (20,973,436) OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B $ (68,836) COST OF GOODS SOLD (12,537) RENTAL EXPENSE ------------ $ (81,373) OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25 SCHEDULE D, PART XIII, LINE 2D $ 68,836 COST OF GOODS SOLD 12,537 RENTAL EXPENSE ----------- $ 81,373 OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XIII, LINE 4B $ 20,466,731 BAD DEBT EXPENSE true true X true X 120. true X true true true false true true 1660240 1660240 0.01900 18117495 16495301 1622194 0.01850 19777735 16495301 3282434 0.03750 1003450 289486 713963 0.00820 11546750 10665497 881253 0.01010 12550200 10954983 1595216 0.01830 32327935 27450284 4877650 0.05580 true 6901383 1428586 36750991 39041270 -2290279 true true 1 1 RUTHERFORD HOSPITAL INC

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288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139

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288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139

PEDIATRIC 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 ($107,925,460) WAS REDUCED BY BAD DEBT EXPENSE ($20,466,731). COST TO CHARGE RATIO 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 AND 3. FOR IRS WORKSHEET 6 CALCULATING SUBSIDIZED SERVICES, THE ORGANIZATION USED A COST ACCOUNTING SYSTEM USING DIRECTLY ALLOCABLE DEDUCTIONS FOR THE CALCULATION OF ONE GROUP OF SUBSIDIZED SERVICES AND USED THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 FOR THE CALCULATION OF ANOTHER GROUP OF SUBSIDIZED SERVICES. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, QUESTION 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 EVALUATIONG 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 UNCOLLECTABLE 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 THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTABLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS 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 HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNT FOR SELF-PAY PATIENTS INCREASED FROM 81% OF SELF PAY ACCOUNTS RECEIVABLE AT 9-30-11 TO 87% OF SELF PAY ACCOUNTS RECEIVABLE AT 9-30-12. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B, QUESTION 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, QUESTION 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. INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE SCHEDULE H, PART V, SECTION B, LINE 19D 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 SCHEDULE H, PART VI, QUESTION 2 THE ORGANIZATION USES A NEEDS ASSESSMENT CONDUCTED BY THE UNITED WAY OF RUTHERFORD COUNTY (UWRC) IN 2008 TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. TO CONDUCT THIS ASSESSMENT, THE UWRC AND THE RUTHERFORD HEALTH DEPARTMENT, IN COLLABORATION WITH THE COMMUNITY HEALTH COUNCIL (OF WHICH RUTHERFORD HOSPITAL, INC. WAS A FOUNDING MEMBER AND CONTINUES AS ITS PRIMARY SPONSOR), WORKED TOGETHER AND COMPILED LEADERS IN VARIOUS FIELDS FROM THE COMMUNITY AS MEMBERS OF A STEERING COMMITTEE. THE COMMITTEE REVIEWED SEVERAL NEEDS ASSESSMENTS CONDUCTED BY OTHER COMMUNITIES IN NORTH CAROLINA AND OTHER STATES AND USED "COMPASS", A NEEDS ASSESSMENT GUIDE CREATED BY THE UNITED WAY OF AMERICA, WHICH PROVIDED A BASIC FRAMEWORK FOR THE ASSESSMENT. THE COMMITTEE SURVEYED THE GENERAL PUBLIC, SURVEYED SERVICE PROVIDERS (INCLUDING RUTHERFORD HOSPITAL), AND CONDUCTED FOCUS GROUPS. NEEDS IDENTIFIED IN THIS ASSESSMENT WERE UNEMPLOYMENT/LACK OF JOBS, FOLLOWED BY SUBSTANCE ABUSE, AND ACCESS TO AFFORDABLE MEDICAL CARE. TEEN PREGNANCY, CRIME, AND OBESITY WERE ALSO IDENTIFIED AS ISSUES IN SOME CATEGORIES. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI, QUESTION 3 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 SCHEDULE H, PART VI, QUESTION 4 RUTHERFORD COUNTY, NORTH CAROLINA IS LOCATED AT THE BASE OF THE BLUE RIDGE MOUNTAINS AND IS CENTERED BETWEEN ASHEVILLE AND CHARLOTTE. IT IS DESIGNATED AS RURAL BY HRSA RURAL HEALTH POLICY. THE COUNTY IS COMPRISED OF EIGHT MUNICIPALITIES: BOSTIC, CHIMNEY ROCK, ELLENBORO, FOREST CITY, RUTHERFORDTON, RUTH, SPINDALE AND LAKE LURE. RUTHERFORD COUNTY IS 563 SQ. MILES, THE COUNTY SEAT IS RUTHERFORDTON. ONE MUNICIPALITY, FOREST CITY, IS CONSIDERED A MICROPOLITAN STATISTICAL AREA; HOWEVER, IT DOES NOT HAVE A METROPOLITAN STATISTICAL AREA DESIGNATION (AS DESIGNATED BY OMB BULLETIN FOR FY04 B04-03). 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%. FOR EMPLOYMENT OPPORTUNITIES CALL THE N.C. EMPLOYMENT SECURITY COMMISSION AT (828) 246-9841 OR CONTACT THE CHAMBER AND ASK FOR A LISTING OF TEMPORARY AGENCIES. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, QUESTION 5 COMMUNITY BENEFIT IS COLLABORATION WITH A COMMUNITY TO BENEFIT ITS RESIDENTS - PARTICULARLY THOSE BELOW THE POVERTY LEVEL, MINORITIES AND UNDERSERVED GROUPS - BY IMPROVING THEIR HEALTHCARE STATUS AND QUALITY OF LIFE. AS A NOT-FOR-PROFIT HOSPITAL, RHI EMBRACES ITS ROLE AS THE HEALTHCARE PROVIDER OF CHOICE FOR THE COMMUNITY. RUTHERFORD HOSPITAL HOSTED A SERIES OF SEVEN RUTHERFORD REGIONAL CONNECTS EVENTS IN 2012. RUTHERFORD REGIONAL CONNECTS EVENTS WERE HELD IN THE FOLLOWING LOCATIONS: FOREST CITY - DUNBAR ELEMENTARY, LAKE LURE TOWN HALL, R-S CENTRAL HIGH SCHOOL, ELLENBORO ELEMENTARY, CLIFFSIDE ELEMENTARY AND SUNSHINE ELEMENTARY. EVENTS WERE SCHEDULED FOR EITHER A MORNING OR EVENING. EACH EVENT INCLUDED FREE CHOLESTEROL, GLUCOSE, BLOOD PRESSURE AND BODY MASS INDEX (BMI) SCREENINGS. EXHIBITS PROVIDED INFORMATION ON THE CHANGES AT RUTHERFORD REGIONAL HOSPITAL, AND PARTICIPANTS HAD THE OPPORTUNITY TO VISIT WITH DEPARTMENT REPRESENTATIVES AND RRHS PRESIDENT AND CEO DAVE BIXLER TO ASK QUESTIONS. DURING THE RUTHERFORD REGIONAL CONNECTS EVENTS, SCREENINGS WERE GIVEN FREE OF CHARGE. THOSE WHO VISITED BOOTHS AT THE EVENTS LEARNED ABOUT THE MANY PROGRAMS OFFERED THROUGH THE ORGANIZATION. SIXTY INDUSTRIES ENROLLED IN THE WELLNESSWORKS PROGRAM, RUTHERFORD HOSPITAL'S EMPLOYER HEALTH PROGRAM, IN 2012. DESIGNED TO HELP PROVIDE ONGOING COMMUNICATION AND EASY ACCESS TO HEALTHCARE SERVICES TO EMPLOYERS AND THEIR EMPLOYEES, THE FOUR BASIC COMPONENTS THAT MAKE UP THE WELLNESSWORKS PROGRAM ARE OCCUPATIONAL HEALTH SERVICES, WORKER'S COMPENSATION SERVICES, PREVENTATIVE HEALTH/WELLNESS SERVICES AND GROUP HEALTH SERVICES. THERE IS NO COST ASSOCIATED WITH ENROLLING IN THE PROGRAM. IN JULY 2011, THE RUTHERFORD REGIONAL CANCER OUTREACH PROGRAM LAUNCHED A 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 DURING SEVERAL FUNDRAISING EFFORTS, THE GIFT SHOP, BABY PHOTO PROGRAM, VENDING MACHINES AND EVENTS SUCH AS THE $5 JEWELRY, BOOK AND UNIFORM SALES. THE AUXILIARY'S SERVICE AREAS INCLUDE FRONT DESK, GIFT SHOP, INTENSIVE CARE WAITING, MESSENGER, OUTPATIENT SERVICES AND SURGERY WAITING. VOLUNTEERS ALSO SERVE IN THE PET THERAPY PROGRAM, AS CLERICAL ASSISTANTS IN MEDICAL RECORDS, AS CARETAKERS OF ST. LUKE'S CHAPEL, AS CLOWNS WITH THE TOY CHEST, AT THE CANCER RESOURCE CENTER MAKING TRAY FAVORS FOR PATIENT FOOD TRAYS, WITH THE EDUCATION DEPARTMENT FOR COMMUNITY SCREENINGS, AND AS TEEN VOLUNTEERS. IN JUNE, 39 TEEN VOLUNTEERS ATTENDED ORIENTATION, AND FOR THE NEXT EIGHT WEEKS THEY VOLUNTEERED IN 17 DIFFERENT DEPARTMENTS AT THE HOSPITAL, ALLOWING MANY ADULT VOLUNTEERS TO TAKE TIME OFF. THE TOY CHEST COMMITTEE MADE A TOTAL OF 1,054 ITEMS, WHICH INCLUDED STUFFED ANIMALS, "PATIENT PALS" FOR PEDIATRIC PATIENTS, PILLOWS FOR MASTECTOMY PATIENTS AND BABY CAPS FOR INFANTS AS A REMINDER TO PARENTS OF THE DANGERS OF CHILD ABUSE. DONATIONS WERE MADE TO LIFELINE DURING THE YEAR IN MEMORY AUXILIARY MEMBERS WHO PASSED AWAY. A TOTAL OF 194 ADULT VOLUNTEERS VOLUNTEERED 21,364 HOURS AND A TOTAL OF 78 TEEN VOLUNTEERS VOLUNTEERED 2,366 HOURS WITH A COMBINED TOTAL OF 23,730 SERVICE HOURS FOR THE YEAR. THE ACCUMULATED HOURS OF SERVICE TO RUTHERFORD HOSPITAL, SINCE THE FOUNDING OF THE AUXILIARY 47 YEARS AGO, IS 846,067 HOURS AND THE ACCUMULATED DONATION IS $2,992,030.56. 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 SCHEDULE H, PART VI, QUESTION 6 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 false false false false false false false false false MICHAEL S WHEELER MD 625458 0 0 0 0 0 0 0 0 0 625458 0 0 0 DEAN R BACKSTROM 218078 0 11837 0 0 0 0 0 2564 0 232479 0 0 0 CHARLES BOND 690264 0 26783 0 16500 0 0 0 3515 0 737062 0 0 0 MICHAEL ROBERTS 747111 0 27732 0 16500 0 0 0 3515 0 794858 0 0 0 GREGG ALLEN DRABEK 544993 0 0 0 0 0 0 0 3621 0 548614 0 0 0 DOUGLAS B FREELS 495891 0 0 0 33366 0 0 0 4278 0 533535 0 0 0 WILLIAM C HADEN 420421 0 12089 0 0 0 0 0 2564 0 435074 0 0 0 HOUSING ALLOWANCES SCHEDULE J, PART I, LINE 1A DOUGLAS B FREELS RECEIVED A HOUSING ALLOWANCE DURING THE YEAR INCLUDING $4,800 FOR HOUSING RENTAL AND $8,562 FOR CLOSING COSTS ON A NEW HOME. THESE WERE INCLUDED AS PART OF TAXABLE COMPENSATION. CEO COMPENSATION DETERMINATION SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CEO WAS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY FOR HIS SERVICES PERFORMED FOR THE ORGANIZATION. THE MANAGEMENT COMPANY CONTRACT TERMINATED IN JUNE 2012 AND SERVICES HAVE CEASED, INCLUDING THE SERVICES OF THE CEO, WHICH WERE RELINQUISHED IN APRIL 2012. AT THIS TIME, CINDY BUCK, WHO WAS THE VP/CFO, BECAME INTERIM CEO UNTIL SHE WAS APPOINTED AS CEO IN SEPTEMBER 2012. UNDER THE REBUTTABLE PRESUMPTION POLICY DESCRIBED IN THE NARRATIVE FOR FORM 990, PART VI, SECTION B, QUESTION 15A LOCATED ON SCHEDULE O, A COMPENSATION SURVEY AND BOARD APPROVAL ARE USED. CINDY WILL BE SUBJECT TO THIS REVIEW IN FY2012. NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2010-12-16 22160000 SEE PART V false false false 0 0 22160000 0 0 8140000 252250 0 0 11591309 2462 2173979 true false false true false false false false 0 true false true false 0 false 0 false false X 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. ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES FORM 990, PART I, QUESTION 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, QUESTION 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 2012, 805 PATIENTS RECEIVED BEHAVIORAL HEALTH SERVICES. ADDITIONALLY, THE ORGANIZATION PROVIDES GRANTS TO ORGANIZATIONS IN THE COMMUNITY. DELEGATION OF CONTROL TO A MANAGEMENT COMPANY FORM 990, PART VI, SECTION A, QUESTION 3 THE ORGANIZATION USES A MANAGEMENT COMPANY, QUORUM, TO DELEGATE DAY TO DAY MANAGEMENT FUNCTIONS. ADDITIONALLY, THE CEO IS COMPENSATED THROUGH THE MANAGEMENT COMPANY. PAYMENTS TO QUORUM ARE REPORTED ON FORM 990, PART X, LINE 11A. THIS CONTRACT TERMINATED IN JUNE 2012 AND SERVICES HAVE CEASED. SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, SECTION A, QUESTION 4 DUE TO THE DISCONTINUANCE OF THE SERVICES OF THE MANAGEMENT COMPANY, A REPRESENTATIVE OF QUORUM HEALTH RESOURCES IS NO LONGER REQUIRED TO ATTEND BOARD MEETINGS OR TO BE A MEMBER OF THE EXECUTIVE COMMITTEE. PROCESS TO REVIEW THE FORM 990 FORM 990, PART VI, SECTION B, QUESTION 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. PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, QUESTION 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, QUESTION 15A THE ORGANIZATION'S MANAGEMENT COMPANY PROVIDED COMPARATIVE DATA AND INDUSTRY AND MARKET STANDARDS FROM A COMPENSATION REVIEW PERFORMED USING NC HOSPITAL ASSOCIATION DATA FOR THE CEO COMPENSATION. THE ORGANIZATION HAS A REBUTTABLE PRESUMPTION POLICY ADMINISTERED BY THE PCQ COMMITTEE OF THE BOARD THAT COVERS THE REVIEW AND THE APPROVAL OF THE CEO USING THE IRS MODEL. THE COMMITTEE SHALL REVIEW PROPOSALS FOR THE COMPENSATION OF THE CEO ANNUALLY FOR THE FOLLOWING YEAR. THE CURRENT CEO WILL BE SUBJECT TO THE REVIEW POLICY IN FY2012. REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION FORM 990, PART VI, SECTION B, QUESTION 15B THE ORGANIZATION HAS A REBUTTABLE PRESUMPTION POLICY, UPDATED IN MARCH 2012, 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. CEO COMPENSATION & CEO CHANGE FORM 990, PART VII THE ORGANIZATION'S CEO WAS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY FOR HIS SERVICES PERFORMED FOR THE ORGANIZATION. THE MANAGEMENT COMPANY CONTRACT TERMINATED IN JUNE 2012 AND SERVICES HAVE CEASED, INCLUDING THE SERVICES OF THE CEO, WHICH WERE RELINQUISHED IN APRIL 2012. AT THIS TIME, CINDY BUCK, WHO WAS THE VP/CFO, BECAME INTERIM CEO UNTIL SHE WAS APPOINTED AS CEO IN SEPTEMBER 2012. TRUSTEE COMPENSATION FORM 990, PART VII 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. NO MEMBERS OF THE BOARD RECEIVE COMPENSATION FOR THEIR SERVICES AS TRUSTEES OF THE BOARD. RELATED HOURS FORM 990, PART VII THE FOLLOWING BOARD MEMBERS, OFFICERS, AND HIGHEST COMPENSATED EMPLOYEES SERVE ON THE BOARD OF RUTHERFORD HOSPITAL FOUNDATION, A RELATED ORGANIZATION, FOR AN AVERAGE OF ONE HOUR OF SERVICE PER WEEK: DIANE HAMRICK THOMAS J JASKI, M.D. DAVID BIXLER MICHAEL ROBERTS, M.D. CINDY BUCK IN ADDITION, DAVID BIXLER, CEO, SERVED AS CEO FOR RUTHERFORD HOSPITAL FOUNDATION, A RELATED ORGANIZATION, FOR AN AVERAGE OF 40 HOURS PER WEEK BETWEEN THE TWO ORGANIZATIONS THROUGH 04/06/2012. CINDY BUCK SERVED AS VP/CFO UNTIL APRIL 2012, INTERIM CEO UNTIL SEPTEMBER 2012, AND CEO BEGINNING SEPTEMBER 2012 FOR RUTHERFORD HOSPITAL FOUNDATION AND SERVES AN AVERAGE OF 40 HOURS PER WEEK BETWEEN THE TWO ORGANIZATIONS. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 $ (5,185,633) PRIOR PERIOD ADJUSTMENT 3,646,938 UNREALIZED GAINS (340,397) CHANGE IN FV OF INTEREST RATE SWAP (20,340) TRANSFER TO FOUNDATION -------------- $ (1,899,432) RUTHERFORD HOSPITAL FOUNDATION INC 288 S RIDGECREST AVENUE RUTHERFORDTON NC 28139 561968736 SUPPORT NC 501(C)(3) 11A I NA true false false true false false false false false false false false false true true false false true false RUTHERFORD HOSPITAL FOUNDATION INC C 235920 FMV RUTHERFORD HOSPITAL FOUNDATION INC N 57604 2011 W-2 BOX 5