2012-08-15T09:44:51-05:00 2011-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-10-01 560619367 RUTHERFORD HOSPITAL INC RUTH 8282865000 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 CINDY BUCK 2012-08-15 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z RUTHERFORD REGIONAL HEALTH SYSTEM CINDY BUCK 288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139 145701808 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 14 984 329 233048 -158615 51486 84050 95454996 94250107 2955048 479486 168617 98461530 94982260 7586 1225 0 45524628 48739454 0 0 50182250 51357598 95714464 100098277 2747066 -5116017 99800759 99630976 22097538 27544695 77703221 72086281 X RUTHERFORD HOSPITAL'S MISSION IS TO COMPASSIONATELY IMPROVE THE HEALTH AND WELL-BEING OF OUR PATIENTS. true false 47897056 49508327 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 2011, THERE WERE 49,520 OUTPATIENT VISITS. 31728534 32795892 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 2011, 5,310 PATIENTS RECEIVED INPATIENT SERVICES. 12408105 9469427 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. 1161547 1225 2243413 93195242 true true false true 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 117 0 true 984 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 J THOMAS DAVIS 1.0 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 40.0 X 749087 0 0 TERRY HINES 1.0 X 0 0 0 JERALD DELAGARZA MD 1.0 X 0 0 0 BETH MILLER 1.0 X 0 0 0 DAVID BIXLER 40.0 X 0 0 0 MARY K MILLINGTON 40.0 X 160875 0 663 DEAN R BACKSTROM 40.0 X 223941 0 2489 CHARLES BOND 40.0 X 729226 0 3515 MICHAEL ROBERTS 40.0 X 720598 0 3515 GREGG ALLEN DRABEK 40.0 X 463879 0 3515 JAMES L KIRKPATRICK 40.0 X 378922 0 2986 WILLIAM C HADEN 40.0 X 358898 0 2490 3785426 0 19173 36 false true false HOSPITAL MEDICINE ASSOC LLC HOSPITALIST 1807453 QUORUM HOSPITAL MGMT 820206 SODEXO NUTRITION & EVS MGMT 783344 MICHAEL S WHEELER MEDICAL DIRECTOR 749087 MISSION MEDICAL ASSOC INC CARDIOLOGIST SVS 517499 12 72115 11935 84050 NET PATIENT SERVICE REVENUE 621110 76960493 76960493 LABORATORY CLIENT REVENUE 621500 13997998 13774546 223452 PATHOLOGY CLIENT REVENUE 621110 2197374 2189934 7440 CAFETERIA & VENDING REVENUE 722210 474735 472579 2156 OTHER REVENUE 900099 619507 619507 94250107 1147539 1147539 0 0 111210 12245 98965 98965 98965 49920876 35848 50382446 242331 -461570 -206483 -668053 -668053 0 0 152178 82526 69652 69652 0 94982260 94017059 233048 648103 1225 1225 0 0 0 1137055 975517 161538 0 39006853 37179530 1827323 0 6219934 5946702 273232 2375612 2260769 114843 628466 628466 365783 365783 126283 126283 0 0 265266 265266 8295079 7877528 417551 304894 304108 786 2736934 2474341 262593 621008 536133 84875 0 2181362 2157455 23907 307343 275801 31542 0 23654 23654 345507 49111 296396 0 5419844 5061431 358413 603928 138 603790 BAD DEBT 16642721 16642721 MEDICAL SUPPLIES & DRUGS 9924563 9924563 REPAIRS & MAINTENANCE 2207181 1374060 833121 LICENSES, DUES & SUBS 192399 64918 127481 RECRUITING & RETENTION 131731 42064 89667 33652 23473 10179 100098277 93195242 6903035 0 3400 3900 6790151 2049175 11146959 13363299 2071898 1788160 930414 1053533 122610045 75403319 42740328 47206726 34459783 32432260 599042 599042 1058784 1134881 99800759 99630976 8971104 9305153 2990 8140000 15030386 979797 806566 4006637 2399600 22097538 27544695 X 77703221 72086281 77703221 72086281 99800759 99630976 X -5116017 -500923 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 8400 8400 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I THE ORGANIZATION PAYS DUES TO THE NORTH CAROLINA HOSPITAL ASSOCIATION, OF WHICH $7,095 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES AND TO AHA OF WHICH $967 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. IN ADDITION, THE ORGANIZATION PAYS DUES TO THE ASSOCIATION FOR HOME AND HOSPICE CARE, OF WHICH $338 IS ATTRIBUTABLE TO LOBBYING. X 1 1 0 0 1 false 0 1528211 1528211 59581383 31167987 28413396 55845404 43096182 12749222 5655047 1139150 4515897 47206726 0 EST AMT DUE TO 3RD PTY PYR 2399600 2399600 94982260 100098277 -5116017 -517510 16587 -500923 -5616940 94310842 -517510 -248679 -766189 95077031 -94771 -94771 94982260 99927782 94771 94771 99833011 265266 265266 100098277 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 BULDING 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. RECONCILING ITEMS SCHEDULE D, PART XI, QUESTION 8 133,243 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ( 116,656) LOSS ON REFUNDING OF DEBT ----------- 16,587 SCHEDULE D, PART XII, LINE 2D 133,243 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ( 116,656) LOSS ON REFUNDING OF DEBT ( 265,266) INVESTMENT FEES ----------- ( 248,679) SCHEDULE D, PART XII, QUESTION 4B AND PART XIII, QUESTION 2D 82,526 COST OF GOODS SOLD 12,245 RENTAL EXPENSES ---------- 94,771 SCHEDULE D, PART XIII, QUESTION 4B 265,266 INVESTMENT FEES true true X true X 120. true X true true true false true true 2375846 0 2375846 0.02850 16231258 9281014 6950244 0.08330 0 0 0 0.00000 18607104 9281014 9326090 0.11180 558400 119726 438674 0.00530 245033 5470 239563 0.00290 17244609 15161472 2083137 0.02500 0 0 0 0.00000 1225 0 1225 0.00000 18049267 15286668 2762599 0.03320 36656371 24567682 12088689 0.14500 true 5150467 1066147 37998513 37059714 938799 X true true 1 1 RUTHERFORD HOSPITAL INC

288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139

X X RUTHERFORD HOSPITAL INC 1 10 CAROLINA COMMUNITY CARE

212 ALLENDALE DRIVE FOREST CITY NC 28043

GENERAL MEDICAL & SURGICAL RUTHERFORD ORTHOPEDICS

139 DR HENRY NORRIS DRIVE RUTHERFORDTON NC 28139

GENERAL MEDICAL & SURGICAL RUTHERFORD SURGICAL ASSOCIATES

330 NC 108 HIGHWAY RUTHERFORDTON NC 28139

GENERAL MEDICAL & SURGICAL RUTHERFORD EAST MEDICAL SERVICES

605 NC 120 HIGHWAY MOORESBORO NC 28114

GENERAL MEDICAL & SURGICAL INSIGHTS

317 S OAK STREET SPINDALE NC 28160

GENERAL MEDICAL & SURGICAL ENGLAND & GODFREY

124 GROCE STREET FOREST CITY NC 28043

GENERAL MEDICAL & SURGICAL JAMES MEDICAL CLINIC

1269 US HIGHWAY 221-A FOREST CITY NC 28043

GENERAL MEDICAL & SURGICAL RUTHERFORD PLASTIC SURGERY & SPA

128 DR HENRY NORRIS DRIVE RUTHERFORDTON NC 28139

GENERAL MEDICAL & SURGICAL ONESOURCE REHAB

2270 US HIGHWAY 74 BYPASS 341 FOREST CITY NC 28043

GENERAL MEDICAL & SURGICAL RUTHERFORD ANESTHESIOLOGY

288 SOUTH RIDGECREST AVENUE RUTHERFORDTON NC 28139

GENERAL MEDICAL & SURGICAL 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 ($100,098,277) WAS REDUCED BY BAD DEBT EXPENSE ($16,642,721). 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. THE COSTS ASSOCIATED WITH PHYSICIAN PRACTICES, INCLUDING RURAL HEALTH CLINICS INCLUDED NET COMMUNITY BENEFIT EXPENSE OF $1,385,301. 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: ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS ARE COMPUTED BASED ON HISTORICAL COLLECTION EXPERIENCE AND A REVIEW OF THE CURRENT STATUS OF EXISTING RECEIVABLES. THE HOSPITAL GRANTS CREDIT TO PATIENTS WITHOUT COLLATERAL, SUBSTANTIALLY ALL OF WHOM ARE FROM THE SURROUNDING AREA. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION C, 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. 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. 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 2011. 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, 123 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 2011. 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, 106 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 1,165 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 215 ADULT VOLUNTEERS VOLUNTEERED 22,239 HOURS AND A TOTAL OF 100 TEEN VOLUNTEERS VOLUNTEERED 3,028 HOURS WITH A COMBINED TOTAL OF 25,267 SERVICE HOURS FOR THE YEAR. THE ACCUMULATED HOURS OF SERVICE TO RUTHERFORD HOSPITAL, SINCE THE FOUNDING OF THE AUXILIARY 46 YEARS AGO, IS 822,337 HOURS AND THE ACCUMULATED DONATION IS $2,782,656. 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. false false false false false false false false false MICHAEL S WHEELER MD 749087 0 0 0 0 0 0 0 0 0 749087 0 0 0 MARY K MILLINGTON 160875 0 0 0 0 0 0 0 663 0 161538 0 0 0 DEAN R BACKSTROM 223941 0 0 0 0 0 0 0 2489 0 226430 0 0 0 CHARLES BOND 712726 0 0 0 16500 0 0 0 3515 0 732741 0 0 0 MICHAEL ROBERTS 704098 0 0 0 16500 0 0 0 3515 0 724113 0 0 0 GREGG ALLEN DRABEK 428332 0 12089 0 23458 0 0 0 3515 0 467394 0 0 0 JAMES L KIRKPATRICK 346809 0 0 0 32113 0 0 0 2986 0 381908 0 0 0 WILLIAM C HADEN 315207 0 0 0 43691 0 0 0 2490 0 361388 0 0 0 CEO COMPENSATION DETERMINATION SCHEDULE J, PART I, LINE 3 QUORUM, AN UNRELATED MANAGEMENT COMPANY, PROVIDES COMPENSATION TO THE CEO. THE COMPENSATION DETERMINATION IS ADMINISTERED BY THE COMPENSATION SUBCOMMITTEE OF THE PCQ COMMITTEE OF THE BOARD. IT USES COMPARABLE DATA TO DETERMINE CEO COMPENSATION, WHICH IS THEN APPROVED BY THE RUTHERFORD HOSPITAL BOARD OF DIRECTORS. QUOROM USES THE FOLLOWING ITEMS WHEN REVIEWING CEO COMPENSATION: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEE NARRATIVE ON SCHEDULE O FOR QUESTION 15A ON PART VI, SECTION B FOR MORE DETAILS. NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2010-12-16 22160000 SEE PART V false false false 22160000 8140000 252250 6638137 7129613 true false false true false false false false false 0.00000 0.00000 0.00000 false false true false false false false 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. SIGNIFICANT NEW PROGRAM SERVICES FORM 990, PART III, QUESTION 2 THE ORGANIZATION OPENED A PEDIATRIC PRACTICE WITH ONE PROVIDER AND ACQUIRED ONE FAMILY PRACTICE WITH ONE PROVIDER. 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 2011, 743 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. SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, SECTION A, QUESTION 4 THE PREVIOUS HOSPITAL BYLAWS EXPRESSLY CONTEMPLATED THAT THE RHI BOARD OF TRUSTEES WAS TO MEET ONLY INFREQUENTLY (AS LITTLE AS ONCE A YEAR), AND THAT IT WAS THE RESPONSIBILITY OF THE BOARD'S EXECUTIVE COMMITTEE TO MAINTAIN OVERSIGHT OF THE ORGANIZATION AND TO MAKE OPERATIONAL DECISIONS UNDER DELEGATED AUTHORITY FROM THE BOARD. OVER TIME, THE BOARD BEGAN MEETING MORE FREQUENTLY (NOW MEETING ON A REGULAR SCHEDULE AT LEAST MONTHLY), TOOK ON PROVIDING THESE OVERSIGHT AND DECISION MAKING ACTIVITIES DIRECTLY. AT THE SAME TIME, THE EXECUTIVE COMMITTEE ASSUMED THE LESSER ROLE OF REVIEWING AND VETTING CERTAIN ISSUES AT THE REQUEST OF ADMINISTRATIVE STAFF PRIOR TO THE PRESENTATION OF THOSE ISSUES TO THE FULL BOARD FOR CONSIDERATION AND DISPOSITION. BY DOING SO, THE EXECUTIVE COMMITTEE NOW RETAINS LITTLE ACTUAL AUTHORITY FOR ITSELF OVER DECISIONS DIRECTLY EFFECTING OPERATIONS. THE BYLAWS WERE AMENDED TO REFLECT THIS REALITY. 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 PROVIDES 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 AND OTHER LEADERS USING THE IRS MODEL. THE COMMITTEE SHALL REVIEW PROPOSALS FOR THE COMPENSATION OF THE CEO ANNUALLY FOR THE FOLLOWING YEAR. REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION FORM 990, PART VI, SECTION B, QUESTION 15B THE ORGANIZATION HAS A REBUTTABLE PRESUMPTION POLICY ADMINISTERED BY THE PCQ COMMITTEE OF THE BOARD THAT COVERS THE REVIEW AND APPROVAL OF THE CEO AND OTHER LEADERS USING THE IRS MODEL. 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 FORM 990, PART VII THE ORGANIZATION'S CEO WAS COMPENSATED BY AN UNRELATED MANAGEMENT COMPANY FOR HIS SERVICES PERFORMED FOR THE ORGANIZATION. 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. RELATED HOURS FORM 990, PART VII THE FOLLOWING BOARD MEMBERS AND OFFICERS 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, MD MICHAEL S WHEELER, MD DAVID BIXLER IN ADDITION, DAVID BIXLER, CEO, IS AN EX-OFFICIO MEMBER OF THE BOARD OF TRUSTEES FOR RUTHERFORD HOSPITAL FOUNDATION, A RELATED ORGANIZATION, FOR AN AVERAGE OF 1 HOUR PER WEEK. MARY K MILLINGTON SERVES AS VP/CFO FOR RUTHERFORD HOSPITAL FOUNDATION AND SERVES AN AVERAGE OF 40 HOURS PER WEEK BETWEEN THE TWO ORGANIZATIONS. MICHAEL ROBERTS, MD, HIGHEST COMPENSATED EMPLOYEE, IS ALSO ON THE BOARD OF RUTHERFORD HOSPITAL FOUNDATION, AND WORKS APPROXIMATELY 1 HOUR PER WEEK FOR THAT ORGANIZATION. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 $( 517,510) NET UNREALIZED LOSS 133,243 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ( 116,656) LOSS ON REFUNDING OF DEBT ----------- $( 500,923) RUTHERFORD HOSPITAL FOUNDATION INC 288 S RIDGECREST AVENUE RUTHERFORDTON NC 28139 561968736 SUPPORT NC 501(C)(3) 11A I NA false false true false false false false false false false false false true true false false false false RUTHERFORD HOSPITAL FOUNDATION INC C 72115 RUTHERFORD HOSPITAL FOUNDATION INC N 61240