FIRST HEALTH OF THE CAROLINAS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: FIRST HEALTH OF THE CAROLINAS INC (EIN 56-1936354)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201202289349300800
Schema version: 2010v3.4
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 I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T07:31:22-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1
City	ASHEVILLE	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	561936354	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FIRSTHEALTH OF THE CAROLINAS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FIRS	NameControl
Phone	9107151000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 MEMORIAL DRIVE	AddressLine1
City	PINEHURST	City
State	NC	State
ZIP Code	28374	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LYNN DEJACO	Name
Title	CFO	Title
Phone	9107151000	Phone
Date Signed	2012-08-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	AMY BIBBY	Name
Phone	8282542254	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	CHARLES T FROCK	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	155 MEMORIAL DRIVE	AddressLine1
City	PINEHURST	City
State	NC	State
ZIP Code	28374	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	494731389	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FIRSTHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	TO SERVICE THE COMMUNITY'S TOTAL HEALTH CARE NEEDS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	19	NbrIndependentVotingMembers
Total Nbr Employees	4538	TotalNbrEmployees
Total Nbr Volunteers	883	TotalNbrVolunteers
Total Gross UBI	878338	TotalGrossUBI
Net Unrelated Business Txbl Income	-89019	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3247673	ContributionsGrantsPriorYear
Contributions Grants Current Year	5100727	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	461163936	ProgramServiceRevenuePriorYear
Program Service Revenue CY	466091070	ProgramServiceRevenueCY
Investment Income Prior Year	-4549326	InvestmentIncomePriorYear
Investment Income Current Year	10454938	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6641791	OtherRevenuePriorYear
Other Revenue Current Year	11307103	OtherRevenueCurrentYear
Total Revenue Prior Year	466504074	TotalRevenuePriorYear
Total Revenue Current Year	492953838	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	223109	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	211225	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	201947848	SalariesEtcPriorYear
Salaries Etc Current Year	213539178	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	70997	TotalFundrsngExpCurrentYear
Other Expense Prior Year	248212943	OtherExpensePriorYear
Other Expenses Current Year	248760158	OtherExpensesCurrentYear
Total Expenses Prior Year	450383900	TotalExpensesPriorYear
Total Expenses Current Year	462510561	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16120174	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	30443277	RevenuesLessExpensesCY
Total Assets BOY	808656420	TotalAssetsBOY
Total Assets EOY	807891417	TotalAssetsEOY
Total Liabilities BOY	358418002	TotalLiabilitiesBOY
Total Liabilities EOY	336984262	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	450238418	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	470907155	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	FIRSTHEALTH OF THE CAROLINAS, INC. (FIRSTHEALTH) IS A COMPREHENSIVE HEALTH CARE CENTER ORGANIZED AND OPERATED TO SERVICE THE COMMUNITY'S TOTAL HEALTH CARE NEEDS. FIRSTHEALTH PROVIDES NEEDED MEDICAL CARE TO THE COMMUNITY REGARDLESS OF A PERSON'S ABILITY TO PAY. A VARIETY OF HEALTH CARE SERVICES ARE OFFERED IN SUPPORT OF THE ORGANIZATION'S CHARITABLE MISSION AS A COMMUNITY-BASED HEALTH CARE SYSTEM.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	335024525	Expense
Grants	211225	Grants
Revenue	465251616	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	335024525	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	736	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4538	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	19	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	LYNN DEJACO CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9107151568	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	155 MEMORIAL DRIVE	AddressLine1
City	PINEHURST	City
State	NC	State
ZIP Code	28374	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ALEX BOWNESS
CHAIR	2.00	X	X	0	0	0
JULIAN KING
VICE CHAIR	2.00	X	X	0	0	0
JOHN MAY
SECRETARY	2.00	X	X	0	0	0
EDWARD BARNES
TREASURER	2.00	X	X	0	0	0
ROBERT BAHNER MD
BOARD MEMBER	1.00	X		0	0	0
DAVID BRUTON MD
BOARD MEMBER	1.00	X		0	0	0
JAMES BULTHUIS
BOARD MEMBER	1.00	X		0	0	0
DAVID COWHERD MD
BOARD MEMBER	1.00	X		0	0	0
JOHN ELLIS MD
BOARD MEMBER	1.00	X		0	0	0
WALTER FASOLAK MD
BOARD MEMBER	1.00	X		0	0	0
ANNA HOLLERS
BOARD MEMBER	1.00	X		0	0	0
KENNETH C MITCHELL MD
BOARD MEMBER	1.00	X		0	0	0
DR SUSAN PURSER
BOARD MEMBER	1.00	X		0	0	0
BRUCE SOLOMON DO
BOARD MEMBER	1.00	X		0	0	0
JOHN STEVENSON MD
BOARD MEMBER	1.00	X		0	0	0
WILLIAM STEWART MD
BOARD MEMBER	1.00	X		0	0	0
ROBERT TWEED
BOARD MEMBER	1.00	X		0	0	0
DAVID WORONOFF
BOARD MEMBER	1.00	X		0	0	0
CHARLES T FROCK
CEO/BOARD MEMBER	50.00	X	X	6444466	0	11856
DAVID BURNS
BOARD MEMBER	1.00	X		0	0	0
LYNN DEJACO
SENIOR VP/CFO	50.00		X	485472	0	23977
DANIEL BIEDIGER
VP HUMAN RESOURCES	50.00		X	275761	0	24227
GEORGE BUSSEY MD
SENIOR VP/CMO	50.00		X	454857	0	639
JEFFREY CASEY
VP FINANCE	50.00		X	318226	0	22498
DAVID DILLEHUNT
VP/CIO	50.00		X	321028	0	18408
VIVIAN HARRINGTON
VP COMMUNITY SERVICES	50.00		X	195956	0	21678
KERRY HENSLEY
PRESIDENT MMH	50.00		X	209976	0	5366
JOHN JACKSON
PRESIDENT RMH	50.00		X	313709	0	22353
STUART VOELPEL
SR. VP/COO MRH	50.00		X	495456	0	5687
LINDA WALLACE
VP/CNO	50.00		X	278954	0	3299
CYNTHIA MCDONALD
VP QUALITY	50.00		X	225825	0	11332
JOHN KRAHNERT MD
CARDIAC SURGEON	50.00			563376	0	20794	X
ANDY KISER
CARDIAC SURGEON	50.00			644403	0	0	X
DANIEL BARNES MD
HOSPITALIST	50.00			355660	0	20794	X
PETER ELLMAN MD
CARDIAC SURGEON	50.00			415839	0	17194	X
BOHDAN KOPYNEC MD
FAMILY PRACTICE	50.00			332821	0	22123	X
STEPHEN SZABO MD
EX-OFFICIO BOARD MEMBER	1.00			0	0	0		X
CAROLYN HELMS
EX-OFFICIO BOARD MEMBER	1.00			0	0	0		X
DAVID THORNTON MD
EX-OFFICIO BOARD MEMBER	1.00			0	0	0		X
ROBERT BOONE
VP OPERATIONS	50.00			27729	0	0		X
JOHN STREITMAN MD
KEY EMPLOYEE	50.00			297183	0	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	12628968	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	252225	TotalOtherCompensation
Number Individuals GT100 K	202	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
GMK OF NORTH CAROLINA PC
4340 SWINNEA ROAD	MEMPHIS	TN	38118	ARCHITECT AND CONSTRUCTION MANAGEMENT SE	5235223
BRASFIELD AND GORRIE
3700 GLENWOOD AVE STE 300	RALIGH	NC	27612	CONSTRUCTION MANAGEMENT SERVICES	4733468
MCKESSON
5995 WINDWARD PARKWAY	ALPHARETTA	GA	30005	MAINTENANCE FEES, MEDICAL SUPPLIES	4203711
PINEHURST MEDICAL CLINIC
205 PAGE ROAD	PINEHURST	NC	28374	MEDICAL ONCOLOGY PHYSICIAN SERVICES	3674284
TEXICAN HORIZON ENERGY
PO BOX 2392	HOUSTON	TX	77252	NATURAL GAS SUPPLIER	1026826

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	49	NumberOfContractorsGT100K
Related Organizations	681891	RelatedOrganizations
Government Grants	2199669	GovernmentGrants
All Other Contributions	2219167	AllOtherContributions
Total Contributions	5100727	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE	621110	432257997	432257997
OTHER OPERATING REVENU	621110	23086937	22427870	659067
HEALTH AND FITNESS	713940	5496861	5133446	363415
EMS REVENUE	621110	5249275	5249275

Field	Value	IRS element (for citing)
Total Program Service Revenue	466091070	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7926414	TotalRevenueColumn
Exclusion	$7,926,414	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	30070	TotalRevenueColumn
Exclusion	$30,070	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2191277	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1379717	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	811560	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	811560	TotalRevenueColumn
Unrelated Business Revenue	-153269	UnrelatedBusinessRevenue
Exclusion	$964,829	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2259486	Securities
Other	238968	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2259486	Securities
Other	238968	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2498454	TotalRevenueColumn
Exclusion	$2,498,454	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	580862	GrossSalesOfInventory
Cost Of Goods Sold	397834	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	183028	TotalRevenueColumn
Related Or Exempt Function Income	183028	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
MISCELLANEOUS	621110	7615193	$7,615,193
FOOD SERVICE	722210	2697322	$2,688,197	9125

Field	Value	IRS element (for citing)
Total Other Revenue	10312515	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	492953838	TotalRevenueColumn
Related Or Exempt Function Income	465251616	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	878338	UnrelatedBusinessRevenue
Exclusion	$21,723,157	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	183225	Total
Program Services	183225	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	28000	Total
Program Services	28000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	10218831	Total
Management And General	10218831	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	146596940	Total
Program Services	124100199	ProgramServices
Management And General	22496741	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	43282526	Total
Program Services	34252742	ProgramServices
Management And General	9029784	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13440881	Total
Program Services	10636788	ProgramServices
Management And General	2804093	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	361758	Total
Program Services	361758	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	746211	Total
Management And General	746211	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	235714	Total
Program Services	13170	ProgramServices
Management And General	222544	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	39287	Total
Management And General	39287	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	702784	Total
Management And General	702784	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	50744786	Total
Program Services	26305543	ProgramServices
Management And General	24439083	ManagementAndGeneral
Fundraising	160	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1923446	Total
Program Services	505279	ProgramServices
Management And General	1418167	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	96926964	Total
Program Services	89921094	ProgramServices
Management And General	7005870	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	92619	Total
Program Services	86251	ProgramServices
Management And General	6368	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11033204	Total
Program Services	2504497	ProgramServices
Management And General	8516750	ManagementAndGeneral
Fundraising	11957	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1779999	Total
Program Services	1335520	ProgramServices
Management And General	444479	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	946314	Total
Program Services	56147	ProgramServices
Management And General	890167	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6416747	Total
Management And General	6416747	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	29498748	Total
Program Services	2126028	ProgramServices
Management And General	27319679	ManagementAndGeneral
Fundraising	53041	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4589782	Total
Program Services	204967	ProgramServices
Management And General	4384815	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	41894395	41894395
MISCELLANEOUS	827400	508922	312639	5839

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	462510561	Total
Program Services	335024525	ProgramServices
Management And General	127415039	ManagementAndGeneral
Fundraising	70997	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	29555070	BOY
EOY	22227988	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	15117010	BOY
EOY	6142392	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	61312708	BOY
EOY	60107457	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	41603	BOY
EOY	32907	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7586483	BOY
EOY	7257348	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4353275	BOY
EOY	4438676	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	683699022	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	371351221	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	284286815	BOY
EOY	312347801	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	360915301	BOY
EOY	361522582	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4884511	BOY
EOY	99000	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	3342321	BOY
EOY	8771478	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	37261323	BOY
EOY	24943788	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	808656420	BOY
EOY	807891417	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	63733810	BOY
EOY	57578016	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	276998	BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	244008041	BOY
EOY	239730453	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1239923	BOY
EOY	1160186	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	49159230	BOY
EOY	38515607	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	358418002	BOY
EOY	336984262	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	448089418	BOY
EOY	468758155	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2149000	BOY
EOY	2149000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	450238418	BOY
EOY	470907155	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	808656420	BOY
EOY	807891417	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	30443277	ReconcilationRevenueExpenses
Reconcilation Other Changes	-9774540	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	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

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	56583	CurrentYearMinus3
Current Year Minus2	41734	CurrentYearMinus2
Current Year Minus1	38367	CurrentYearMinus1
Current Year	39287	CurrentYear
Total	175971	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year Minus3	42583	CurrentYearMinus3
Current Year Minus2	10500	CurrentYearMinus2
Current Year Minus1	70000	CurrentYearMinus1
Current Year	67100	CurrentYear
Total	190183	Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	LOBBYING EXPENSES - PORTION OF AHA (24.60) AND NCHA (23.46%) ASSOCIATION DUES ALLOCATED FOR LOBBYING PURPOSES. GRASSROOTS LOBBYING - FIRSTHEALTH OF THE CAROLINA, INC ("FIRSTHEATH") WORKS WITH THE NATIONAL AND STATE ASSOCIATION TO MAINTAIN AND STRENGTHEN RELATIONSHIPS WITH LEGISLATORS AND POLICYMAKERS AT THE NATIONAL, STATE, AND LOCAL LEVELS. THE OBJECTIVE IS TO ENSURE THAT FIRSTHEALTH'S EXPERIENCE AND EXPERTISE IS CONSISTENTLY AND CONTINUALLY HEARD SO THAT HEALTH LEGISLATION, REGULATION, AND POLICIES SUPPORT THE ORGANIZATION'S ABILITY TO FULFILL ITS MISSION - "TO CARE FOR PEOPLE."	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7613452	OtherCostOrOtherBasis
Book Value	7613452	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	373972884	OtherCostOrOtherBasis
Depreciation	210925262	Depreciation
Book Value	163047622	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13578784	OtherCostOrOtherBasis
Depreciation	7578112	Depreciation
Book Value	6000672	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	271000968	OtherCostOrOtherBasis
Depreciation	152847847	Depreciation
Book Value	118153121	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17532934	OtherCostOrOtherBasis
Book Value	17532934	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	312347801	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
THIRD PARTY PAYABLES	$13,552,740
DUE TO AFFILIATES	$4,131,276
PROFESSIONAL LIABILITY RESERVE	$7,635,326
SWAP TRANSACTION	$13,196,265

Field	Value	IRS element (for citing)
Total Of Amounts	38515607	TotalOfAmounts
Total Revenue	492953838	TotalRevenue
Total Expenses	462510561	TotalExpenses
Excess Or Deficit For Year	30443277	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-10209891	NetUnrealizedGLOnInvestments
Other	$435,351	OtherAmount
Total Adjustments	-9774540	TotalAdjustments
Excess Or Deficit Per FS	20668737	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	FIRSTHEALTH OF THE CAROLINA, INC. IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE TAXES. FIRSTHEALTH ADOPTED THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAS HAD NO SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		LOSS ON SWAP MARKET ADJUSTMENT 984,746. LOSS ON ADVANCED REFUDNING -549,395.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	360.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12779011	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4440156	DirectOffsettingRevenue
Net Community Benefit Expense	8338855	NetCommunityBenefitExpense
Percent Of Total Expense	0.01980	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13210966	TotalCommunityBenefitExpense
Net Community Benefit Expense	13210966	NetCommunityBenefitExpense
Percent Of Total Expense	0.03140	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25989977	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4440156	DirectOffsettingRevenue
Net Community Benefit Expense	21549821	NetCommunityBenefitExpense
Percent Of Total Expense	0.05120	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2679034	TotalCommunityBenefitExpense
Net Community Benefit Expense	2679034	NetCommunityBenefitExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	855304	TotalCommunityBenefitExpense
Net Community Benefit Expense	855304	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	253777	TotalCommunityBenefitExpense
Net Community Benefit Expense	253777	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	519434	TotalCommunityBenefitExpense
Net Community Benefit Expense	519434	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4307549	TotalCommunityBenefitExpense
Net Community Benefit Expense	4307549	NetCommunityBenefitExpense
Percent Of Total Expense	0.01020	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30297526	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4440156	DirectOffsettingRevenue
Net Community Benefit Expense	25857370	NetCommunityBenefitExpense
Percent Of Total Expense	0.06140	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	209	TotalCommunityBuildingExpense
Net Community Building Expense	209	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	9591	TotalCommunityBuildingExpense
Net Community Building Expense	9591	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	834	TotalCommunityBuildingExpense
Net Community Building Expense	834	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	2055	TotalCommunityBuildingExpense
Net Community Building Expense	2055	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	59109	TotalCommunityBuildingExpense
Net Community Building Expense	59109	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	71798	TotalCommunityBuildingExpense
Net Community Building Expense	71798	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$11,387,828	BadDebtExpenseAmount
Amount Reimbursed By Medicare	151643467	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	160056443	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8412976	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 FIRST IMAGING OF THE CAROLINAS LLC
MOBILE IMAGING SERVICES	0.50000	0.50000
2 SURGERY CENTER OF PINEHURST LLC
AMBULATORY SURGERY CENTER	0.40000	0.52000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital
FIRSTHEALTH MOORE REGIONAL HOSPITAL
1	155 MEMORIAL DRIVE PO BOX 3000	PINEHURST	NC	28374	X	X	X
FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL
2	520 ALLEN STREET PO BOX 486	TROY	NC	37371	X	X	X	X
FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL
3	925 LONG DRIVE	ROCKINGHAM	NC	28379	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NA FOR 2010	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2010 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
PART I, L7 COL(F): TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $41,894,395 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
PART II: FIRSTHEALTH OF THE CAROLINAS WORKS WITH THE COMMUNITIES WE SERVE TO CREATE OPPORTUNITIES TO IMPROVE THE PHYSICAL ENVIRONMENT FOR BETTER HEALTH. FIRSTHEALTH PERSONNEL WORK IN COLLABORATION WITH VARIOUS COMMUNITY GROUPS AND CIVIC ORGANIZATIONS TO PROMOTE THE HEALTH AND WELLNESS OF OUR REGION AND THE LOCAL COMMUNITIES WE SERVE. FIRSTHEALTH ACCOMPLISHES THESE GOALS BY OBTAINING PUBLIC AND PRIVATE GRANTS TO INCREASE ACCESS TO WALKING TRAILS AND SIDEWALKS, BUILDING COMMUNITY GARDENS, PROMOTING HEALTH AND WELLNESS THROUGH LOCAL BUSINESSES, SCHOOLS, AND THE CHAMBER OF COMMERCE, AND FACILITATING OF AND PARTICIPATING ON COMMUNITY-BASED COMMITTEES CONSISTING OF KEY LEADERS IN THE HEALTH FIELD TO HELP CREATE A HEALTHIER COMMUNITY AND REGION.
PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE 2010 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF LINE PART III, LINE 2
PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT.
PART VI, LINE 2: FIRSTHEALTH OF THE CAROLINAS CONDUCTS A PERIODIC COMMUNITY TELEPHONE SURVEY (EVERY 3 -4 YEARS) TO ASSESS THE HEALTH CONDITION OF THE POPULATION OF OUR PRIMARY SERVICE AREA (MOORE, MONTGOMERY, RICHMOND, AND HOKE COUNTIES) AS WELL AS SCOTLAND AND ROBESON COUNTIES, AND TRACKS THIS INFORMATION OVER TIME. THE FIRST SURVEY WAS CONDUCTED IN 1999. THE SURVEY AND ANALYSIS OF DATA IS CONDUCTED BY PRC ASSOCIATES. ADDITIONALLY, FIRSTHEALH OF THE CAROLINAS CONVENES 2010 VISION GROUPS THROUGHOUT OUR PRIMARY SERVICE AREA TO OBTAIN AN "ON THE GROUND PERSPECTIVE" OF THE POPULATION'S HEALTH STATUS AND DEVELOP ACTION PLAN TO ADDRESS IDENTIFIED HEALTH ISSUES. THE GROUPS CONSIST OF KEY COMMUNITY HEALTH LEADERS IN EACH COUNTY.
PART VI, LINE 3: ANYONE WHO VISITS A FIRSTHEALTH HOSPITAL FOR MEDICAL CARE IS TREATED REGARDLESS OF HIS/HER ABILITY TO PAY. ALTHOUGH AN EFFORT IS MADE TO COLLECT A PORTION OF THE BILL ON ADMISSION OR AT DISCHARGE, THE FIRSTHEALTH STAFF IS TRAINED TO IDENTIFY THOSE WHO MAY NEED FINANCIAL ASSISTANCE. FOR SOME, THIS COULD SIMPLY INVOLVE ESTABLISHING A PAYMENT PLAN THAT FITS WITH THE FAMILY BUDGET. FOR OTHERS, THE HELP IS MORE COMPLEX. WHEN PATIENTS ARE UNABLE TO HELP WITH MEDICAL EXPENSES, FINANCIAL COUNSELORS MEET WITH THEM ONE ON ONE TO IDENTIFY ANY PROGRAM FOR WHICH THEY MIGHT QUALIFY. THESE INCLUDE MEDICAID, VOCATIONAL REHABILITATION AND NORTH CAROLINA PURCHASE OF CASE SERVICES. WHEN NECESSARY, THE HOSPITAL ITSELF ABSORBS SOME OR ALL OF THE COST OF CASE FOR THOSE THAT MEET DESIGNATED CRITERIA. THE AMOUNT OF ASSISTANCE DEPENDS ON FAMILY INCOME. PATIENTS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR 100% FINANCIAL ASSISTANCE FOR THE FIRSTHEALTH FINANCIAL ASSISTANCE PROGRAM. PATIENTS WHOSE INCOME EXCEEDS 200% MAY STILL QUALIFY FOR ASSISTANCE DEPENDING ON THEIR INDIVIDUAL FINANCIAL CIRCUMSTANCES. INFORMATION ABOUT FEDERAL, STATE, AND LOCAL PROGRAMS, AS WELL AS FIRSTHEALTH'S FINANCIAL AID PROGRAM IS OFFERED TO ALL PATIENTS IN THE FIRSTHEALTH OF THE CAROLINAS PATIENT HANDBOOK AND CAN BE FOUND ON OUR CORPORATE WEBSITE, WWW.FIRSTHEALTH.ORG.
PART VI, LINE 4: FIRSTHEALTH OF THE CAROLINAS OWNS AND OPERATES A HEALTH CARE DELIVERY SYSTEM THAT PROVIDES HEALTH CARE SERVICES TO PATIENTS THROUGHOUT A 15-COUNTY SERVICE AREA IN SOUTH-CENTRAL NORTH CAROLINA AND NORTHWEST SOUTH CAROLINA. FIRSTHEALTH OF THE CAROLINAS OPERATES THREE ACUTE CARE HOSPITALS IN THIS SERVICE AREA. FIRSTHEALTH DRAWS APPROXIMATELY 67.0% OF ITS PATIENTS FROM MOORE, MONTGOMERY, AND RICHMOND COUNTIES, NORTH CAROLINA AND APPROXIMATELY 11.0% OF ITS PATIENTS FROM THE TWO SURROUNDING COUNTIES OF HOKE AND SCOTLAND. THESE FIVE COUNTIES COLLECTIVELY COMPRISE OF FIRSTHEALTH'S PRIMARY SERVICE AREA. FIRSTHEALTH'S PRIMARY SERVICE AREA REPRESENTS A POPULATION BASE OF APPROXIMATELY 247,168. THE POPULATION BASE OF FIRSTHEALTH'S TOTAL SERVICE AREA IS APPROXIMATELY 1,250,824.
PART VI, LINE 6: FIRSTHEALTH OF THE CAROLINAS ALSO FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS OF THE COMMUNITY. IN ADDITION, A MAJORITY OF FIRSTHEALTH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN FIRSTHEALTH'S PRIMARY SERVICE AREA WHO ARE INDEPENDENT MEMBERS OF THE COMMUNITY.
NC	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant
COUNTY OF MOORE
PO BOX 905	CARTHAGE	NC	28374	566000322	501(C)(3)	45635	FMV	SUPPORT HEALTH & WELLNESS PROGRAMS
SANDHILLS COMMUNITY COLLEGE FOUNDATION
2200 AIRPORT ORAD	PINEHURST	NC	28374	560946799	501(C)(3)	50000	FMV	SUPPORT HEALTH EDUCATION PROGRAMS
MOORE COUNTY FREE CLINIC
211 TRIMBLE PLANT RD	SOUTHERN PINES	NC	28387	010781234	501(C)(3)	45000	FMV	GENERAL SUPPORT
VILLAGE OF PINEHURST
395 MAGNOLIA RD	PINEHURST	NC	28374	561211319	501(C)(3)	27480	FMV	SUPPORT HEALTH & WELLNESS PROGRAMS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIP PAYMENTS TO HEALTH CHOICE ELIGABLE CHILDREN FOR PROGRAM ENROLLMENT FEES	TypeOfGrant
Number Of Recipients	618	NumberOfRecipients
Amount Of Cash Grant	28000	AmountOfCashGrant
Method Of Valuation	FMV	MethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: FIRSTHEALTH OF THE CAROLINAS, INC..("FIRSTHEALTH") SUPPORTS VARIOUS COMMUNITY-BASED TAX-EXEMPT ORGANIZATIONS AND LOCAL GOVERNMENTAL UNITS THROUGH CASH DONATIONS. FIRSTHEALTH DOES NOT RESTRICT THE USE OF THESE DONATIONS AND SUPPORT PAYMENTS. THE RECEIVING EXEMPT ORGANIZATIONS OR GOVERNMENTAL UNITS MAY USE THE DONATION/SUPPORT PAYMENT AT WILL TO FURTHER THEIR EXEMPT PURPOSES.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	1	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

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
CHARLES T FROCK
471266	0	343672	0	5629528	0	0	0	11856	0	6456322	0	5389394	0
LYNN DEJACO
347201	0	82864	0	55407	0	12740	0	11237	0	509449	0	0	0
DANIEL BIEDIGER
188596	0	50208	0	36957	0	13720	0	10507	0	299988	0	0	0
GEORGE BUSSEY MD
347849	0	86589	0	20419	0	0	0	639	0	455496	0	0	0
JEFFREY CASEY
224080	0	58136	0	36010	0	11760	0	10738	0	340724	0	0	0
DAVID DILLEHUNT
228103	0	57980	0	34945	0	11760	0	6648	0	339436	0	0	0
VIVIAN HARRINGTON
145714	0	35397	0	14845	0	11495	0	10183	0	217634	0	0	0
KERRY HENSLEY
145399	0	38276	0	26301	0	0	0	5366	0	215342	0	0	0
JOHN JACKSON
208634	0	96244	0	8831	0	11760	0	10593	0	336062	0	0	0
STUART VOELPEL
340833	0	87958	0	66665	0	0	0	5687	0	501143	0	0	0
LINDA WALLACE
214530	0	50936	0	13488	0	0	0	3299	0	282253	0	0	0
CYNTHIA MCDONALD
170502	0	40876	0	14447	0	10528	0	804	0	237157	0	0	0
JOHN KRAHNERT MD
482941	0	61919	0	18516	0	9800	0	10994	0	584170	0	0	0
ANDY KISER
529113	0	100297	0	14993	0	0	0	0	0	644403	0	0	0
DANIEL BARNES MD
217791	0	130016	0	7853	0	9800	0	10994	0	376454	0	0	0
PETER ELLMAN MD
380945	0	34497	0	397	0	6200	0	10994	0	433033	0	0	0
BOHDAN KOPYNEC MD
214050	0	117718	0	1053	0	11760	0	10363	0	354944	0	0	0
JOHN STREITMAN MD
240249	0	50298	0	6636	0	0	0	0	0	297183	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

THE ORGANIZATION'S CEO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE AMOUNT OF THE PAYOUT WAS $5.55 MILLION TO THE CORPORATE CEO UNDER THE BOARD-APPROVED CEO SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ESTABLISHED IN 1998. OF THIS TOTAL, $5.389 MILLION HAD BEEN REPORTED IN THE ANNUAL EXECUTIVE COMPENSATION IN THE PRIOR TAX YEARS THAT THE ACTUARIALLY-CALCULATED FUNDING LIABILITY WAS DETERMINED. $167,250 OF THE PAYOUT WAS BOOKED BY FIRSTHEALTH DURING FISCAL 2011 AND IS REPORTED ON THIS TAX RETURN.

PART I, LINE 5

PHYSICIANS ARE PAID UNDER A PRODUCTIVITY-BASED COMPENSATION MODEL, WHICH TIES TOTAL COMPENSATION TO A RELATIVE VALUE UNIT (RVU). AN RVU IS A DOLLAR AMOUNT ASSIGNED TO EACH PATIENT ENCOUNTER OR MEDICAL TEST/PROCEDURE PERFORMED.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	2010-01-06	29535000	SERIES 2010 - REFUND ISSUE DATED 12/9/08	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	2009-12-09	40830000	SERIES 2009D - REFUND ISSUE DATED 4/15/109; NEW HEART INSTITUTE	0	0	0
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	2009-12-09	54734475	SERIES 2009C - REFUND ISSUES DATED 4/15/19, 12/9/08, 5/1/02	0	0	0	65821DDT5
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	2009-04-15	45505000	SERIES 2009A - CONSTRUCTION OF NEW HEART INSTITUTE	0	0	0	65821DCT6

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Amount RetiredAmountRetired
29535000	135000	1	1	1
40938198	190000	1	0	1	25244123	8401072
54747321	784475	1	0	1	3021876	1018286	3270000
45726447	910100	0	0	1	32271489	8726052

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	0.01800	0.00100	0.01900	1
0	0	1				1
1	1	1	0.10000	0.00100	0.10100	1
0	0	1				1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
CITIGROUP FINANCIAL
0	1	1	18.000000000000	0	0	0	0	0
(no name)
0	1	0				0	0	0
(no name)
0	0	0				0	0	0
(no name)
0	0	0				0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K SUPPLENTAL INFORMATION	Identifier
Explanation	PART I, BOND B, COLUMN F: REISSUANCE OF 29,400,000 OF BOND PROCEEDS ORIGINALLY ISSUED ON 2/27/2002; AND ISSUANCE OF 20,600,000 OF NEW MONEY FOR VARIOUS CAPITAL PROJECTS, PART II, LINE 14, COLUMN B: THE REISSUANCE OF THE 2/27/2002 ISSUE WAS DEEMED A CURRENT REFUNDING FOR TAX PURPOSES. PART II, LINE 1, COLUMN A: 28,900,000 OF THE 2008 B ORIGINAL PRINCIPAL AMOUNT WAS REFUNDED BY ISSUE DATED 12/9/2009; THIS REPRESENTED THE ENTIRE OUTSTANDING AMOUNT OF THE 2008 B AS OF THE DATE OF REFUNDING; 29,400,000 OF THE 2008A ORIGINAL PRINCIPAL AMOUNT WAS REFUNDED BY ISSUE DATED 1/6/2010. ONLY THE A PORTION OF THE ISSUE REMAINS OUTSTANDING AS OF 9/30/2011.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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
CUSIP Number	65821DBZ3	CUSIPNumber
Date Issued	2008-12-09	DateIssued
Issue Price	106845000	IssuePrice
Description Of Purpose	SERIES 2008A & 2008B - REFUND ISSUES DATED 4/9/03 AND 2/20/98	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	930000	AmountRetired
Total Proceeds	106845000	TotalProceeds
Issuance Costs From Proceeds	1037629	IssuanceCostsFromProceeds
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.01800	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00100	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.01900	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	1	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

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

Field	Value	IRS element (for citing)
Term Of Hedge	14.000000000000	TermOfHedge
Superintegrated Hedge	0	SuperintegratedHedge
Hedge Terminated	0	HedgeTerminated
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	JOHN STREITMAN MD	NamePerson
Purpose Of Loan	ADVANCE	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$103,580	OriginalPrincipalAmount
Balance Due	32907	BalanceDue
Default	0	Default
Approved By Board	0	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	32907	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11	FIRSTHEALTH'S FORM 990 WAS INITIALLY REVIEWED BY QUALIFIED MEMBERS OF ADMINISTRATION, INCLUDING THE CORPORATE CEO AND CFO, AND COMPLIANCE DEPARTMENTS. THE ENTIRE RETURN WAS REVIEWED BY THE COMPENSATION AND CORPORATE FINANCE/AUDIT/COMPLIANCE COMMITTEES OF THE FIRSTHEALTH BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FIRSTHEALTH'S INDEPENDENT TAX PREPARER, DIXON HUGHES GOODMAN, LLP, ALSO CONDUCTED A REVIEW OF THE RETURN DURING THEIR PREPARATION PROCESS. ONCE THE RETURN IS SUCCESSFULLY E-FILED WITH THE IRS, A COPY OF THE RETURN IS MADE AVAILABLE TO ALL MEMBERS OF THE FIRSTHEALTH BOARD OF DIRECTORS. IN ADDITION TO THE POSTING OF THE FIRSTHEALTH RETURN ON GUIDESTAR, A PUBLIC INSPECTION COPY OF THE FORM 990 IS MADE AVAILABLE FOR REVIEW.
	FIRSTHEALTH STRIVES TO MAINTAIN THE HIGHEST ETHICAL STANDARDS AND HAS ADOPTED A CONFLICT OF INTEREST/DUALITY OF INTEREST POLICY THAT APPLIES TO ANY DIRECTOR, TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE, OR ANY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST OR DUALITY OF INTEREST WITH ANY ORGANIZATION SEEKING TO DO BUSINESS WITH OR IS IN AN ACTUAL OR POTENTIAL ADVERSARIAL RELATIONSHIP WITH FIRSTHEALTH. ANY COVERED INDIVIDUAL WITH AN ACTUAL OR POSSIBLE CONFLICT MUST DISCLOSE THE EXISTENCE OF THE CONFLICT TO THE DIRECTORS, TRUSTEES AND MEMBERS OF BOARD COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION, ARRANGEMENT OR ISSUE. EACH TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE WITH BOARD-DELEGATED POWERS COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT, AND ALL REPORTED CONFLICTS ARE REPORTED TO AND REVIEWED BY THE FIRSTHEALTH BOARD OF DIRECTORS. ALL MANAGEMENT EMPLOYEES ALSO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS, WHICH ARE SUMMARIZED AND REVIEWED WITH SENIOR MANAGEMENT.	FORM 990, PART VI, SECTION B, LINE 12C
	FIRSTHEALTH'S BOARD OF DIRECTORS DETERMINES COMPENSATION FOR THE CEO THROUGH ITS COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE IS COMPOSED OF BOARD MEMBERS WHO ARE INDEPENDENT OF FIRSTHEALTH MANAGEMENT, HAVE NO PERSONAL INTEREST IN THE COMPENSATION ARRANGEMENTS, ARE NOT RELATED TO OR UNDER THE CONTROL OF ANY INDIVIDUAL WHOSE COMPENSATION ARRANGEMENT IS BEING REVIEWED, HAVE NO MATERIAL BUSINESS RELATIONSHIP WITH FIRSTHEALTH, AND ARE NOT PAID FOR THEIR SERVICES AS A BOARD MEMBER. THE COMMITTEE RETAINS AN INDEPENDENT CONSULTANT TO CONDUCT PERIODIC COMPENSATION ANALYSES TO HELP ENSURE FIRSTHEALTH'S COMPENSATION PRACTICES AND COMPENSATION LEVELS ARE REASONABLE. THIS CONSULTANT PROVIDES ONLY ADVISORY SERVICES RELATED TO COMPENSATION MATTERS TO FIRSTHEALTH. TO ATTRACT AND RETAIN THE HIGHEST CALIBER OF HEALTHCARE PROFESSIONALS NEEDED TO SUSTAIN THE QUALITY OF THE HEALTHCARE FIRSTHEALTH PROVIDES TO THE COMMUNITIES THAT IT SERVES, COMPENSATION MUST BE COMPETITIVE WITH THAT PROVIDED BY OTHER COMPETING ORGANIZATIONS IN THE AREA JOB MARKET. WHEN EXECUTIVE POSITIONS ARE FILLED, FIRSTHEALTH TYPICALLY CONDUCTS NATIONAL SEARCHES. FIRSTHEALTH BENCHMARKS AGAINST ORGANIZATIONS OF COMPARABLE SIZE AND MISSION, ACROSS THE REGION AND THE NATION. MARKET DATA IS ASSEMBLED FOR ALL ELEMENTS OF EXECUTIVE COMPENSATION (I.E. CASH COMPENSATION, BENEFITS AND PERQUISITES). COMPENSATION LEVELS REFLECT THE SCOPE OF THE CEO'S RESPONSIBILITIES, EDUCATIONAL BACKGROUND, EXPERIENCE AND INDUSTRY STANDING, AS WELL AS INDIVIDUAL AND ORGANIZATION PERFORMANCE. THE MOST RECENT REVIEW WAS PERFORMED DURING FISCAL YEAR 2011. A SIMILAR PROCESS TO THAT FOR THE CEO IS AFFECTED FOR DETERMINING THE COMPENSATION OF THE OTHER CORPORATE OFFICERS OR KEY EMPLOYEES OF FIRSTHEALTH (I.E. USE OF INDEPENDENT CONSULTANT, COMPARABLE INDUSTRY DATA, ETC.). THE COMMITTEE REVIEWS AND APPROVES THE CEO'S PERFORMANCE ASSESSMENTS AND COMPENSATION RECOMMENDATIONS FOR OTHER CORPORATE OFFICERS AND KEY EMPLOYEES. ALL COMPENSATION DECISIONS ARE MADE IN A MANNER THAT IS CONSISTENT WITH FIRSTHEALTH'S BOARD-APPROVED COMPENSATION PHILOSOPHY. THE MOST RECENT YEAR REVIEW WAS PERFORMED DURING FISCAL YEAR 2011.	FORM 990, PART VI, SECTION B, LINE 15
	THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG.	FORM 990, PART VI, SECTION C, LINE 18
	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, QUARTERLY AND ANNUAL FINANCIAL STATEMENTS ARE POSTED TO THE DIGITAL ASSURANCE CERTIFICATION (DAC) WEBSITE.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED LOSSES ON INVESTMENTS: -10,209,891. LOSS ON SWAP MARKET ADJUSTMENT 984,746. LOSS ON ADVANCED REFUDNING -549,395. TOTAL TO FORM 990, PART XI, LINE 5: -9,774,540.	FORM 990, PART XI, LINE 5:
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FIRSTHEALTH OF THE CAROLINAS, INC. ("FIRSTHEALTH") PROVIDES A COMPREHENSIVE COMMUNITY BENEFITS PROGRAM IN ITS PRIMARY AND SECONDARY SERVICE AREAS. FIRSTHEALTH PLAYS A PIVOTAL ROLE IN DELIVERING HEALTH CARE IN THE MID-CAROLINAS AND IS BOTH THE INFRASTRUCTURE AND SAFETY NET FOR HEALTH CARE IN ITS COMMUNITIES. HOSPITAL CARE IS THE CORNERSTONE OF HEALTH CARE IN MOST COMMUNITIES, BUT FIRSTHEALTH GOES BEYOND THE WALLS OF ITS THREE HOSPITALS (FIRSTHEALTH MOORE REGIONAL HOSPITAL, FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL AND FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL) TO ENHANCE THE HEALTH AND WELLNESS OF THE RESIDENTS OF ITS SERVICE AREAS. FIRSTHEALTH PROVIDES LOW-COST AND, IN MANY CASES, FREE PROGRAMS TO OUR MOST VULNERABLE PATIENT POPULATIONS. ONE OF FIRSTHEALTH'S MOST IMPORTANT FINANCIAL CONTRIBUTIONS IS BRIDGING THE GAP CREATED BY UNDERPAYMENTS FROM MEDICARE AND MEDICAID AND OTHER GOVERNMENT PROGRAMS, WHILE CONTINUING TO PROVIDE ACCESS TO FREE OR LOW COST HEALTH SCREENINGS AND DIAGNOSTIC SERVICES, AS WELL AS HEALTH/WELLNESS EDUCATIONAL PROGRAMS IN THE COMMUNITIES FIRSTHEALTH SERVES. FREE AND DISCOUNTED CHARITY CARE TO ELIGIBLE PATIENTS SERVED ANYONE WHO VISITS A FIRSTHEALTH HOSPITAL FOR MEDICAL CARE IS TREATED REGARDLESS OF HIS OR HER ABILITY TO PAY FOR THE TREATMENT PROVIDED. WHEN PATIENTS ARE UNABLE TO HELP WITH THEIR MEDICAL EXPENSES, FIRSTHEALTH ABSORBS SOME OR ALL OF THE COST OF CARE FOR THOSE THAT MEET DESIGNATED FINANCIAL CRITERIA, DEPENDING ON FAMILY INCOME. PATIENTS WITH FAMILY INCOMES AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY GUIDELINE QUALIFY FOR 100 PERCENT FINANCIAL ASSISTANCE UNDER FIRSTHEALTH'S FINANCIAL ASSISTANCE PROGRAM. FIRSTHEALTH'S NET COSTS OF FREE CARE (TREATING PATIENTS THAT QUALIFIED FOR 100% FINANCIAL ASSISTANCE) WERE $8,338,855 IN FISCAL 2011. THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, FIRSTHEALTH ALSO OFFERS VARYING LEVELS OF DISCOUNTED CARE TO PATIENTS WHO ARE POOR AND/OR MEET CERTAIN INCOME GUIDELINES. PATIENTS WITH FAMILY INCOMES BETWEEN 201 AND 360 PERCENT OF THE FEDERAL POVERTY GUIDELINE QUALIFY FOR DISCOUNTS AGAINST FIRSTHEALTH'S LIST PRICE FOR SERVICES RENDERED. FIRSTHEALTH HAS ALSO EXPERIENCED AN UPWARD TRENDING IN BAD DEBT EXPENSE, AS THE NUMBER OF PATIENTS WHO HAVE BEEN DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES PROVIDED BUT ARE UNWILLING/FINANCIALLY UNABLE TO SETTLE THE CLAIM CONTINUES TO INCREASE. FIRSTHEALTH CONTINUES TO PROVIDE ALL NECESSARY HEALTHCARE SERVICES TO THIS PATIENT POPULATION. IN FISCAL 2011, THE COST TO FIRSTHEALTH FOR THESE SERVICES WAS $11,387,828. FIRSTHEALTH'S FINANCIAL COUNSELORS WORK CLOSELY WITH PATIENTS AND FAMILIES TO HELP DETERMINE ELIGIBILITY FOR ASSISTANCE OR QUALIFICATION FOR PUBLIC PROGRAMS. FIRSTHEALTH REQUESTS THAT PATIENTS PROVIDE APPROPRIATE DOCUMENTATION, SUCH AS TAX RETURNS, CURRENT PAY STUBS, OR OTHER RELEVANT INFORMATION, THAT IS USED TO DEMONSTRATE FINANCIAL NEED. FIRSTHEALTH ALSO OFFERS EXTENDED PAYMENT PLANS THAT WILL VARY IN LENGTH, DEPENDING ON THE BALANCE OF THE PATIENT'S ACCOUNT. FIRSTHEALTH ASSISTS PATIENTS WITH FINDING AVAILABLE GOVERNMENTAL PROGRAMS THAT MATCH PATIENTS' NEEDS, SUCH AS MEDICAID, VOCATIONAL REHABILITATION, CRIME VICTIM ASSISTANCE, ETC. FIRSTHEALTH ALSO POSTS DETAILED INFORMATION ABOUT ITS FINANCIAL ASSISTANCE PROGRAM ON ITS WEBSITE (WWW.FIRSTHEALTH.ORG) SO THE PUBLIC CAN BE AWARE OF ITS AVAILABILITY. MEDICAID SHORTFALL FIRSTHEALTH PROVIDES MEDICAID SERVICES IN ITS THREE HOSPITALS, AS WELL AS THROUGH ITS HOME CARE, HOSPICE, AND DENTAL CARE PROGRAMS IN ITS PRIMARY AND SECONDARY SERVICE AREAS. THE MEDICAID PROGRAM, WHICH PROVIDES HEALTH CARE COVERAGE FOR LOW-INCOME FAMILIES AND INDIVIDUALS, IS FUNDED BY THE STATE AND FEDERAL GOVERNMENTS. IN NORTH CAROLINA, AS IN MANY STATES, MEDICAID PAYMENTS ARE WELL BELOW THE PROVIDER'S ACTUAL COST OF TREATING MEDICAID PATIENTS AND THE REIMBURSEMENT LEVEL IS PREDICTED TO DECLINE AS FINANCIAL PRESSURES ON THE FEDERAL AND STATE GOVERNMENT OPERATING BUDGETS MOUNT. IN FISCAL 2011, FIRSTHEALTH'S UNPAID COSTS FROM MEDICAID TOTALED $13,210,966. MEDICARE SHORTFALL FIRSTHEALTH PROVIDES SERVICES TO MEDICARE BENEFICIARIES IN ITS THREE HOSPITALS. IN ADDITION, MEDICARE BENEFICIARIES ARE SERVED BY FIRSTHEALTH'S HOME CARE AND HOSPICE AND PALLIATIVE CARE PROGRAMS. THE MEDICARE SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE ACTUAL COST OF CARE RENDERED AND THE REIMBURSEMENT RECEIVED FOR DELIVERING THAT CARE TO PATIENTS. THE COST OF DELIVERING CARE INCLUDES, BUT IS NOT LIMITED TO, PERSONNEL COSTS, TECHNOLOGY, SUPPLIES, PHARMACEUTICALS, MEDICAL DEVICES, FACILITY OPERATING COSTS, ETC. FIRSTHEALTH'S FINANCIAL SHORTFALL FROM PROVIDING THESE MEDICARE SERVICES IN FISCAL 2011 WAS $8,412,976. SUBSIDIZED MEDICALLY ESSENTIAL SERVICES AS A RURAL HEALTH CARE PROVIDER, FIRSTHEALTH IS MANY TIMES THE PROVIDER OF LAST RESORT FOR OUR PATIENTS. IN ORDER TO OFFER A FULL-SPECTRUM OF HEALTH CARE SERVICES, FIRSTHEALTH PROVIDES SERVICES AND PROGRAMS THAT YIELD NEGATIVE OPERATING MARGINS. HOWEVER, BECAUSE THESE SERVICES ARE ESSENTIAL TO THE OVERALL HEALTH OF THE COMMUNITIES SERVED, FIRSTHEALTH CONTINUES TO PROVIDE THEM. SUBSIDIZED MEDICALLY NECESSARY HOSPITAL SERVICES PROVIDED BY FIRSTHEALTH INCLUDE, BUT ARE NOT LIMITED TO: INPATIENT PSYCHIATRY UNIT AND OUTPATIENT MENTAL HEALTH SERVICES; INPATIENT PHYSICAL REHABILITATION UNIT; NEONATAL INTENSIVE CARE UNIT; EMERGENCY DEPARTMENTS (APPROXIMATELY 104,340 PATIENT ENCOUNTERS); WOMEN'S AND CHILDREN'S SERVICES; INPATIENT MEDICAL AND RADIATION ONCOLOGY SERVICES; RENAL DIALYSIS SERVICES; DIABETES CARE; AND A NUMBER OF OTHER OUTPATIENT SERVICES. IN ADDITION, FIRSTHEALTH OF THE CAROLINAS, INC., THROUGH ITS REGIONAL EMERGENCY MEDICAL SERVICES BUSINESS LINE, PROVIDED 18,653 EMERGENCY TRANSPORTS TO RESIDENTS OF THREE NORTH CAROLINA AND ONE SOUTH CAROLINA COUNTIES. IN FISCAL 2011, FIRSTHEALTH RECEIVED $5,249,275 OF OPERATING SUBSIDIES FROM THESE COUNTIES TO OFFSET THE UNREIMBURSED OPERATING COSTS OF PROVIDING THESE ESSENTIAL TRANSPORT SERVICES. FIRSTHEALTH COMMUNITY HEALTH SERVICES MOBILE HEALTH SERVICES FIRSTHEALTH MOBILE HEALTH SERVICES PROVIDES THE FIRSTHEALTH-SERVED COMMUNITIES WITH CONVENIENT ACCESS TO PREVENTIVE HEALTH SCREENINGS AND HEALTH/WELLNESS EDUCATION PROGRAMS/EVENTS AT NO OR LOW COST. SCREENINGS OFFERED INCLUDE: OSTEOPOROSIS, CHOLESTEROL, BLOOD PRESSURE, BLOOD SUGAR, PROSTATE CANCER (PSA) BLOOD DRAW, VASCULAR SCREENINGS FOR ABDOMINAL AORTIC ANEURYSM, CORONARY ARTERY DISEASE, AND PERIPHERAL VASCULAR DISEASE. NINETY-ONE PERCENT OF THOSE WITH ABNORMAL RESULTS WERE REFERRED FOR FURTHER LIFE-SAVING TESTING. IN ADDITION, MOBILE HEALTH SERVICES STAFF PROVIDED 24 EDUCATION EVENTS TO THE RESIDENTS OF THE COMMUNITIES SERVED. ALL MOBILE HEALTH SCREENINGS ARE PROVIDED AT A REDUCED RATE, AND FINANCIAL ASSISTANCE FOR SCREENINGS IS AVAILABLE WHEN APPROPRIATE, BASED ON INCOME. IN FISCAL 2011 FIRSTHEALTH MOBILE HEALTH SERVICES PROVIDED SERVICES TO 2,047 PEOPLE. FIRSTHEALTH PROVIDED $105,168 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE MOBILE HEALTH SERVICES PROGRAM IN FISCAL 2011. TOBACCO CESSATION FIRSTHEALTH OFFERED TOBACCO CESSATION PROGRAMS THROUGHOUT ITS SERVICE AREA. A TOBACCO USE PREVENTION AND CESSATION INITIATIVE PROVIDED PREVENTIVE SERVICES THROUGH SCHOOL SYSTEMS AND CESSATION SERVICES THROUGH PROVIDER OFFICES AND OCCUPATIONAL SITES. FIRSTHEALTH SPONSORED THE TOBACCO REALITY UNFILTERED (TRU) PROGRAM THROUGH SUPPORT OF SCHOOL TEENS AGAINST TOBACCO USE (TATU) GROUPS. TATU RECRUITED TEENAGERS TO TEACH YOUNGER CHILDREN ABOUT THE HAZARDS OF TOBACCO USE. FIRSTHEALTH OF THE CAROLINAS WAS AWARDED FUNDING FROM THE NORTH CAROLINA HEALTH AND WELLNESS TRUST FUND (HWTF) TO DEVELOP THE SANDHILLS REGION COMMUNITY COLLEGE TOBACCO-FREE TASK FORCE. THE OVERALL SIX MONTH CUMULATIVE PROGRAM QUIT RATE AS FOR FISCAL 2011 WAS 36%. TATU RECRUITED TEENAGERS TO TEACH YOUNGER CHILDREN ABOUT THE HAZARDS OF TOBACCO. IN FISCAL 2011, 55 TEENS WERE TRAINED AND 156 ADVOCACY ACTIVITIES WERE CONDUCTED TO PROMOTE PREVENTION OF TOBACCO USE. THIS GROUP WAS DESIGNED TO COORDINATE TOBACCO USE PREVENTION AWARENESS ACTIVITIES, PROMOTE CESSATION SERVICES AND CONDUCT GRASSROOTS POLICY ADVOCACY FOR TOBACCO-FREE CAMPUS ENVIRONMENTS. FIRSTHEALTH CONTRIBUTED $20,750 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE TOBACCO CESSATION PROGRAMS IN FISCAL 2011.	FORM 990, PAGE 2, PART III
	SCHOOL HEALTH PROGRAM THROUGH A PARTNERSHIP WITH MOORE COUNTY SCHOOLS AND THE NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE FIRSTHEALTH SCHOOL HEALTH PROGRAM PROVIDES SCHOOL-BASED NURSES TO 24 SCHOOLS IN MOORE COUNTY. THE PROGRAM HAS RECEIVED BOTH STATE AND NATIONAL RECOGNITION AS A BEST PRACTICE STANDARD AS IT CONTRIBUTES TO THE ACADEMIC SUCCESS AND ADVANCEMENT OF THE WELL BEING AND THE LIFELONG ACHIEVEMENT OF THE SCHOOL-AGED CHILD. SPECIALLY TRAINED NURSES HELP OVER 12,330 SCHOOL CHILDREN EACH YEAR. NURSES PROMOTE HEALTH AND SAFETY, INTERVENE WITH ACTUAL AND POTENTIAL HEALTH PROBLEMS AND PROVIDE CASE MANAGEMENT AND OTHER SERVICES. IN ADDITION TO THE NURSES IN THE SCHOOLS, FIRSTHEALTH ALSO OFFERS ON-SITE MEDICAL CARE AT TWO LOCATIONS IN MONTGOMERY COUNTY. HUNDREDS OF SCHOOL CHILDREN IN MONTGOMERY COUNTY HAVE ACCESS TO MEDICAL CARE ON THE SCHOOL CAMPUS OR JUST STEPS AWAY FROM THE CLASSROOM DOOR. THE TWO SCHOOL HEALTH CENTERS PROVIDE ON-SITE MEDICAL CARE THAT IS SENSIBLE, CONVENIENT, VALUABLE AND OPEN TO ANY CHILD IN THE MONTGOMERY COUNTY SCHOOL SYSTEM. THE CENTERS PROVIDE PHYSICAL, MENTAL, NUTRITIONAL, AND HEALTH AND WELLNESS INTERVENTIONS THAT ARE AVAILABLE TO ALL CHILDREN EVEN IN THE MOST RURAL SECTIONS OF THE COUNTY. A PATIENT SERVICE REPRESENTATIVE, ON-SITE REGISTERED NURSE AND A FAMILY NURSE PRACTITIONER PROVIDE CARE FOR THOUSANDS OF CHILDREN EACH YEAR. MEDICAL PROFESSIONALS STAFFING THESE CENTERS PROVIDE HEALTH, WELLNESS, LEARNING AND EASY ACCESS TO CARE FOR CHILDREN WORKING TOGETHER TO MEET FIRSTHEALTH'S CORE PURPOSE- TO CARE FOR PEOPLE-AS A HOSPITAL WITHOUT WALLS. FIRSTHEALTH PROVIDED $343,387 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE SCHOOL HEALTH NURSE PROGRAM AND THE SCHOOL BASED CENTERS IN FISCAL 2011. FIRSTHEALTH MEDICATION ASSISTANCE PROGRAM FIRSTHEALTH CARES HELPS LOW-INCOME INDIVIDUALS OBTAIN FREE OR LOW-COST PRESCRIPTION MEDICATIONS. PATIENTS ARE ELIGIBLE BASED ON MEDICATION NEEDS, LACK OF INSURANCE OR INELIGIBILITY FOR PRESCRIPTION DRUG COVERAGE AND INDIVIDUAL PHARMACEUTICAL COMPANY PROGRAM GUIDELINES. THESE MEDICATIONS ARE FOR CHRONIC DISEASE CONDITIONS SUCH AS ASTHMA, BRONCHITIS, CONGESTIVE HEART FAILURE, COPD, DIABETES, EMPHYSEMA, HYPERTENSION AND HIGH CHOLESTEROL. AN ON-STAFF PHARMACIST MAKES SURE EACH PATIENT'S MEDICATIONS CAN SAFELY BE TAKEN TOGETHER, ARE RIGHT FOR THE PATIENT'S CONDITION, THAT MEDICATIONS ARE NOT UNNECESSARY OR DUPLICATIONS, AND ADVISES IF LESS EXPENSIVE OPTIONS ARE AVAILABLE. THE MEDICATION ASSISTANCE SERVICE IS FREE OF CHARGE. FOR FISCAL 2011, 1,204 PATIENTS WERE SERVED, WITH 7,171 MEDICATIONS RECEIVED, AT AN AVERAGE WHOLESALE PRICE OF $4,178,691 IF THE PATIENTS HAD TO PURCHASE THESE MEDICATIONS. FIRSTHEALTH PROVIDED $4,834 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF FIRSTHEALTH CARES IN FISCAL 2011. DENTAL CARE CENTERS FIRSTHEALTH OPERATES THREE DENTAL CARE CENTERS IN SOUTHERN PINES (MOORE COUNTY), TROY (MONTGOMERY COUNTY) AND RAEFORD (HOKE COUNTY), NORTH CAROLINAS. EACH DENTAL CARE CENTER PROVIDES COMPREHENSIVE DENTAL CARE SERVICES TO MEDICAID AND HEALTHCHOICE-ELIGIBLE CHILDREN UP TO AGE 18. SINCE FEW DENTISTS IN THESE COUNTIES PARTICIPATE IN MEDICAID'S DENTAL PROGRAM, THE FIRSTHEALTH DENTAL CARE CENTERS PROVIDES A TREMENDOUS UNMET NEED IN THE REGION. WHEN THE DENTAL CARE CENTERS OPENED IN 1997, NEARLY HALF OF THE CHILDREN OF LOW-INCOME FAMILIES IN FIRSTHEALTH'S SERVICE AREA WERE GETTING LITTLE TO NO DENTAL CARE SERVICES. IN FISCAL 2011, FIRSTHEALTH'S DENTAL CARE SERVICES PROVIDED 14,804 DENTAL CARE VISITS FOR 4,792 ELIGIBLE CHILDREN RESIDING IN THE THREE COUNTIES SERVED. SECURING AFFORDABLE HEALTH COVERAGE SERVICES TECHNICAL, FINANCIAL AND OTHER ASSISTANCE IS PROVIDED TO UNINSURED PATIENTS TOWARD SECURING HEALTH CARE COVERAGE THROUGH MEDICAID, HEALTH CHOICE AND OTHER COVERAGE PROGRAMS. DURING FISCAL 2011, FIRSTHEALTH ASSISTED 618 CHILDREN WITH SCHOLARSHIPS TO PAY HEALTH CHOICE ENROLLMENT FEES. FIRSTHEALTH CONTINUES TO SPONSOR FIRSTPLAN, A SUBSIDIZED HEALTH INSURANCE PRODUCT FOR SMALL BUSINESSES OFFERING COVERAGE FOR PREVIOUSLY UNINSURED EMPLOYEES. FIRSTHEALTH PROVIDED $201,290 IN FINANCIAL SUBSIDIES TO COVER PREMIUMS PAID BY THE SMALL BUSINESSES PARTICIPATING IN THE FIRSTPLAN PROGRAM IN FISCAL 2011. DIABETES SELF-MANAGEMENT PROGRAM THE FIRSTHEALTH DIABETES SELF-MANAGEMENT PROGRAM, AN AMERICAN DIABETES ASSOCIATION ACCREDITED PROGRAM, ASSISTED PEOPLE WITH OR AT RISK FOR DIABETES AND HELPED THEM GAIN THE KNOWLEDGE AND SKILLS NEEDED TO SELF-MANAGE THE DISEASE AND RELATED CONDITIONS. THIS ASSISTANCE INCLUDED DIABETES SELF-MANAGEMENT EDUCATION (INDIVIDUAL AND GROUP SETTING), MEDICAL NUTRITION THERAPY, HEALTH CARE PROFESSIONAL EDUCATION, DISEASE MANAGEMENT, TELEPHONE CARE MANAGEMENT, COMMUNITY OUTREACH AND CASE MANAGEMENT SERVICES. APPROXIMATELY 1,400 DIABETICS RECEIVED ASSISTANCE THROUGH THIS PROGRAM IN FISCAL 2011. FIRSTHEALTH PROVIDED $4,380 IN FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE DIABETES & NUTRITION COUNSELING CENTER IN FISCAL 2011. HEALTHY LIVING IN THE MID-CAROLINAS PROGRAM UNDER A SEVEN-YEAR GRANT FROM THE KATE B. REYNOLDS CHARITABLE TRUST, FIRSTHEALTH PROVIDED EVIDENCE-BASED LIFESTYLE BEHAVIOR CHANGE CLASSES THROUGH THE PEOPLE LIVING ACTIVE YEAR-ROUND (PLAY) AND THE HAPPY KITCHEN (THK) PROGRAMS. 175 LOW-INCOME INDIVIDUALS (FAMILY INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL) ENROLLED IN THE PLAY PROGRAM AND 336 ENROLLED IN THE THK PROGRAM IN FISCAL 2011. FIRSTHEALTH PROVIDED $32,921 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE HEALTH LIVING INITIATIVES IN FISCAL 2011. SUPPORT IN THE COMMUNITY FIRSTHEALTH EMPLOYEES IDENTIFY LOCAL NEEDS AND RECOMMEND IN-KIND AND FINANCIAL SUPPORT TO ORGANIZATIONS IN NEED. DURING FISCAL 2011, FIRSTHEALTH SUPPORTED HEALTH EDUCATION EVENTS, DISTRIBUTED EQUIPMENT AND PROMOTED COMMUNITY-BASED HEALTH INITIATIVES. FIRSTHEALTH ALSO PROVIDED MEALS FOR OVER 50 COMMUNITY MEETINGS AND EVENTS. THOUGH THESE INITIATIVES, FIRSTHEALTH SERVED 44,234 PEOPLE AT A COST OF $252,081 FOR FISCAL 2011. VOLUNTEER EFFORTS BY FIRSTHEALTH EMPLOYEES FIRSTHEALTH PROVIDED ALMOST 1,100 HOURS OF ASSISTANCE TO THE COMMUNITY IN THE AREAS OF LEADERSHIP, PLANNING, RESOURCE IDENTIFICATION, TIME MANAGEMENT AND INFORMATION SYSTEMS ON A LOW OR NO-COST BASIS. FIRSTHEALTH PARTICIPATED IN AND PROVIDED ADMINISTRATIVE SUPPORT TO COUNTY-BASED MULTI-AGENCY GROUPS INCLUDING MOOREHEALTH, MONTGOMERY COMMUNITY RESOURCE TEAM, RICHMOND HEALTHY CAROLINIANS, AND HEALTHY HOKE. LOCAL SAFE KIDS COALITIONS WERE ALSO SUPPORTED IN MONTGOMERY, MOORE AND RICHMOND COUNTIES AS PART OF THE STATEWIDE INITIATIVE TO REDUCE CHILDHOOD INJURIES. THESE GROUPS HOSTED EVENTS SUCH AS BIKE RODEOS AND CAR SEAT SAFETY CHECKS. FAMILY ASSISTANCE FIRSTHEALTH'S PASTORAL CARE SERVICES PROVIDED FREE MEALS FOR MORE THAN 758 FAMILY MEMBERS STAYING WITH LOVED ONES IN THE HOSPITAL WHO COULD NOT AFFORD MEALS AND HOUSING. THE COST TO FIRSTHEALTH FOR FREE MEALS PROVIDED IN FISCAL 2011 TOTALED $9,068, WITH AN ADDITIONAL $8,097 PAID TO AREA HOTELS FOR TEMPORARY HOUSING PROVIDED TO 126 FAMILY MEMBERS. MOORE AND MONTGOMERY COUNTIES - FREE CARE CLINIC THE MOORE FREE CARE CLINIC (MFCC) IS A PRIVATE, VOLUNTEER-BASED, NON-PROFIT ORGANIZATION THAT PROVIDES PRIMARY HEALTH CARE SERVICES AT NO COST TO THE LIMITED-INCOME RESIDENTS OF MOORE COUNTY THAT LACK HEALTH CARE INSURANCE COVERAGE. FIRSTHEALTH PROVIDED DIRECT FINANCIAL SUPPORT TOTALING $45,000 IN FISCAL 2011 TO MFCC IN SUPPORT OF ITS MISSION. PATIENTS OF MFCC THAT REQUIRED INPATIENT/OUTPATIENT ACUTE CARE SERVICES WERE REFERRED TO FIRSTHEALTH MOORE REGIONAL HOSPITAL FOR CARE, GENERATING A TOTAL OF 1,689 PATIENT ENCOUNTERS IN FISCAL 2011. THE $724,148 COST OF PROVIDING THESE SERVICES IN FISCAL 2011 WAS ABSORBED BY FIRSTHEALTH. FIRSTHEALTH ALSO PROVIDED PHYSICIANS, NURSES AND PHYSICAL THERAPISTS TO MFCC, AND FIRSTHEALTH ABSORBED ANY ADDED COSTS ASSOCIATED WITH PROVIDING THIS COVERAGE.
	THE MONTGOMERY COUNTY FREE CLINIC (MCFC), INCORPORATED IN NOVEMBER 2009, PROVIDES PRIMARY HEALTH CARE SERVICES AT NO COST TO THE LIMITED-INCOME RESIDENTS OF MONTGOMERY COUNTY THAT LACK HEALTH CARE INSURANCE COVERAGE. PATIENTS OF MCFC THAT REQUIRED INPATIENT/OUTPATIENT ACUTE CARE SERVICES WERE REFERRED TO FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL FOR CARE, GENERATING A TOTAL OF 340 PATIENT ENCOUNTERS IN FISCAL 2011. THE $89,600 COST OF PROVIDING THESE SERVICES IN FISCAL 2011 WAS ABSORBED BY FIRSTHEALTH. IN ADDITION, FIRSTHEALTH PROVIDED OFFICE SPACE TO MCFC AT 104 PROFESSIONAL DRIVE, BISCOE, NC. MCFC PAID $1 PER YEAR IN RENT FOR THE SPACE. FIRSTHEALTH ABSORBED A TOTAL OF $9,793 IN OPERATING COSTS ON THE MCFC BUILDING IN FISCAL 2011. MEDICAL STAFF DEVELOPMENT / PHYSICIAN RECRUITMENT ASSISTANCE FIRSTHEALTH PROVIDES FINANCIAL ASSISTANCE TO AREA PHYSICIAN PRACTICES AND INDIVIDUAL PHYSICIANS FOR THE RECRUITMENT OF PHYSICIANS TO PRACTICE IN THE GEOGRAPHIC AREAS SERVED BY THE THREE FIRSTHEALTH HOSPITALS. UNDER FIRSTHEALTH'S MEDICAL STAFF DEVELOPMENT PLAN, RECRUITMENT ASSISTANCE IS APPROPRIATE TO: (1) ADD PHYSICIANS IN AN UNDER-SERVED GEOGRAPHIC LOCATION; (2) ADD OR ENHANCE A SERVICE OF THE HOSPITAL OR COMMUNITY; OR (3) INCREASE PHYSICIAN COVERAGE WHERE THERE IS AN EXISTING SHORTAGE. DURING FISCAL 2011, FIRSTHEALTH PARTICIPATED IN A SEARCH FOR AN OB/GYN IN MOORE COUNTY. FIRSTHEALTH ALSO FORGAVE APPROXIMATELY $91,208 IN PAYMENTS MADE IN PRIOR YEARS TOWARD THE RECRUITMENT OF A PEDIATRICIAN AND PSYCHIATRIST IN MOORE COUNTY. IN ADDITION TO RECRUITMENT ASSISTANCE PROVIDED TO THE AREA PHYSICIAN PRACTICES, FIRSTHEALTH ALSO RECRUITED A TOTAL OF TEN PHYSICIANS AND MID-LEVEL PRACTITIONERS TO ITS HOSPITALIST PROGRAMS AT THE THREE FIRSTHEALTH HOSPITALS IN FISCAL 2011.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	155 MEMORIAL DRIVE	AddressLine1
City	PINEHURST	City
State	NC	State
ZIP Code	28374	ZIPCode

Field	Value	IRS element (for citing)
EIN	561936354	EIN
Primary Activities	CAPTIVE INSURANCE	PrimaryActivities
Legal Domicile State	SC	LegalDomicileState
Total Income	1936000	TotalIncome
EOY Assets	21937409	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FIRSTHEALTH OF THE CAROLINAS INC	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
FOUNDATION OF FIRSTHEALTH INC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	510191937	FUNDRAISING	NC	501(C)(3)	LINE 11A, I	FIRSTHEALTH OF THE CAROLINAS INC	1
MONTGOMERY COUNTY PRIMARY CARE CORPORATION
155 MEMORIAL DRIVE	PINEHURST	NC	28374	582069393	HEALTHCARE SERVICES	NC	501(C)(3)	LINE 9	FIRSTHEALTH OF THE CAROLINAS INC	1

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
FIRSTIMAGING OF THE CAROLINAS LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	300313534	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	456124	346087	0	0	0.50000
SURGERY CENTER OF PINEHURST LLC
10 FIRSTVILLAGE DRIVE	PINEHURST	NC	28374	680561185	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	1312352	891304	0	1	0.40000
FIRSTHEALTH-UNCHCS LLC (DBA SANFORD HEMATOLOGY & ONCOLOGY)
155 MEMORIAL DRIVE	PINEHURST	NC	28374	262568199	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	227017	643226	0	0	0.50000
FIRSTCAROLINACARE INSURANCE SERVICES LLC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	261708544	INSURANCE SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	787	30726	0	0	0.51000
SURGERY CENTER OF PINEHURST PROPERTIES LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	680561188	REAL ESTATE	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	426253	4070420	0	1	0.92550
CARDIOVASCULAR CENTER OF SCOTLAND COUNTY LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	262335801	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	-49386	1646456	0	0	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
FIRSTHEALTH PROFESSIONAL SERVICES INC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	561885149	HEALTHCARE SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	C	18000	442000	1.00000
FIRSTCAROLINACARE INSURANCE COMPANY INC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	331160597	INSURANCE COMPANY	NC	FIRSTHEALTH OF THE CAROLINAS INC	C	349000	19326000	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
FIRSTIMAGING OF THE CAROLINAS LLC
R	365140
SURGERY CENTER OF PINEHURST LLC
R	1413428
SURGERY CENTER OF PINEHURST PROPERTIES LLC
R	469385
FOUNDATION OF FIRSTHEALTH INC
C	5391695
FOUNDATION OF FIRSTHEALTH INC
O	2009538
FOUNDATION OF FIRSTHEALTH INC
I	46824
FOUNDATION OF FIRSTHEALTH INC
P	2614499
MONTGOMERY COUNTY PRIMARY CARE CORPORATION
O	11170000
MONTGOMERY COUNTY PRIMARY CARE CORPORATION
P	8524667
FIRSTCAROLINACARE INSURANCE COMPANY INC
I	66909
FIRSTCAROLINACARE INSURANCE COMPANY INC
K	336000
FIRSTCAROLINACARE INSURANCE COMPANY INC
L	1872936
FIRSTCAROLINACARE INSURANCE COMPANY INC
O	25399605
FIRSTCAROLINACARE INSURANCE COMPANY INC
P	13506731