FIRST HEALTH OF THE CAROLINAS INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: FIRST HEALTH OF THE CAROLINAS INC (EIN 56-1936354)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201132279349302063
Schema version: 2009v1.7
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T10:23:50-05:00	Timestamp
Tax Period End Date	2010-09-30	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	2009-10-01	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	2011-08-15	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	2009	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	479706256	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	4440	TotalNbrEmployees
Total Nbr Volunteers	955	TotalNbrVolunteers
Total Gross UBI	1222137	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2573702	ContributionsGrantsPriorYear
Contributions Grants Current Year	3247673	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	409791322	ProgramServiceRevenuePriorYear
Program Service Revenue CY	461163936	ProgramServiceRevenueCY
Investment Income Prior Year	1857278	InvestmentIncomePriorYear
Investment Income Current Year	-4549326	InvestmentIncomeCurrentYear
Other Revenue Prior Year	19683822	OtherRevenuePriorYear
Other Revenue Current Year	6641791	OtherRevenueCurrentYear
Total Revenue Prior Year	433906124	TotalRevenuePriorYear
Total Revenue Current Year	466504074	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	210615	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	223109	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	200831260	SalariesEtcPriorYear
Salaries Etc Current Year	201947848	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	219170457	OtherExpensePriorYear
Other Expenses Current Year	248212943	OtherExpensesCurrentYear
Total Expenses Prior Year	420212332	TotalExpensesPriorYear
Total Expenses Current Year	450383900	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13693792	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16120174	RevenuesLessExpensesCY
Total Assets BOY	756688991	TotalAssetsBOY
Total Assets EOY	808656420	TotalAssetsEOY
Total Liabilities BOY	344920825	TotalLiabilitiesBOY
Total Liabilities EOY	358418002	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	411768166	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	450238418	NetAssetsOrFundBalancesEOY
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	339129552	Expense
Grants	223109	Grants
Revenue	459767721	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	339129552	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
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	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	609	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4440	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
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	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 (42 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
ALEX BOWNESS
CHAIR	2.00	X	0	0	0
JULIAN KING
VICE CHAIR	2.00	X	0	0	0
JOHN MAY
SECRETARY	2.00	X	0	0	0
EDWARD BARNES
TREASURER	2.00	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
FRANCES REEVES
BOARD MEMBER	1.00	X	0	0	0
STEVEN SMITH
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	842542	0	888785	X
DAVID BURNS
BOARD MEMBER	1.00	X	0	0	0
JAMES RICE MD
EX-OFFICIO BOARD MEMBER	1.00	X	0	0	0
CAROLYN HELMS
EX-OFFICIO BOARD MEMBER	1.00	X	0	0	0
DAVID THORNTON MD
EX-OFFICIO BOARD MEMBER	1.00	X	0	0	0
LYNN DEJACO
SENIOR VP/CFO	50.00		398862	0	24004	X
DANIEL BEIDIGER
VP HUMAN RESOURCES	50.00		267059	0	22479	X
ROBERT BOONE
VP OPERATIONS	50.00		163837	0	0	X
GEORGE BUSSEY MD
SENIOR VP/CMO	50.00		411386	0	18219	X
JEFFREY CASEY
VP FINANCE	50.00		275133	0	22529	X
DAVID DILLEHUNT
VP/CIO	50.00		282630	0	17606	X
VIVIAN HARRINGTON
VP COMMUNITY SERVICES	50.00		217367	0	21638	X
KERRY HENSLEY
PRESIDENT MMH	50.00		199432	0	19146	X
JOHN JACKSON
PRESIDENT RMH	50.00		215092	0	22479	X
STUART VOELPEL
SR. VP/COO MRH	50.00		489157	0	22240	X
LINDA WALLACE
VP/CNO	50.00		267980	0	21457	X
CYNTHIA MCDONALD
VP QUALITY	50.00		196797	0	11010	X
JOHN STREITMAN MD
CARDIAC SURGEON	50.00		1087425	0	0		X
ANDY KISER MD
CARDIAC SURGEON	50.00		883184	0	0		X
JOHN KRAHNERT MD
CARDIAC SURGEON	50.00		751544	0	21893		X
JEFFREY MOORE MD
HOSPITALIST	50.00		425250	0	0		X
DANIEL BARNES MD
HOSPITALIST	50.00		327549	0	20545		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7702226	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1154030	TotalOtherCompensation
Number Individuals GT100 K	168	NumberIndividualsGT100K
Formers Listed	0	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
MCKESSON
5995 WINDWARD PARKWAY	ALPHARETTA	GA	30005	MAINTENANCE FEES, MEDICAL SUPPLIES	6061275
PINEHURST MEDICAL CLINIC
205 PAGE ROAD	PINEHURST	NC	28374	MEDICAL ONCOLOGY PHYSICIAN SERVICES	3281630
BRASFIELD AND GORRIE
3700 GLENWOOD AVE STE 300	RALIGH	NC	27612	CONSTRUCTION MANAGEMENT SERVICES	1942391
TEXICAN HORIZON ENERGY
PO BOX 2392	HOUSTON	TX	77252	NATURAL GAS SUPPLIER	1066245
SPINALGRAFT TECHNOLOGIES
4340 SWINNEA ROAD	MEMPHIS	TN	38118	BIOLOGICS AND SUPPLIES	920979

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	42	NumberOfContractorsGT100K
Related Organizations	1644796	RelatedOrganizations
Government Grants	902637	GovernmentGrants
All Other Contributions	700240	AllOtherContributions
Total Contributions	3247673	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	427416808	427416808
OTHER OPERATING REVENU	621110	22615943	21610119	1005824
EMS REVENUE	621110	5781230	5781230
HEALTH AND FITNESS	713940	5349955	4986165	363790

Field	Value	IRS element (for citing)
Total Program Service Revenue	461163936	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6225890	TotalRevenueColumn
Exclusion	$6,225,890	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	289356	TotalRevenueColumn
Exclusion	$289,356	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2257199	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1459751	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	797448	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	797448	TotalRevenueColumn
Unrelated Business Revenue	-156747	UnrelatedBusinessRevenue
Exclusion	$954,195	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	82437	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	11147009	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-11147009	Securities
Other	82437	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-11064572	TotalRevenueColumn
Exclusion	-$11,064,572	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	568821	GrossSalesOfInventory
Cost Of Goods Sold	595422	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-26601	TotalRevenueColumn
Related Or Exempt Function Income	-26601	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
MISCELLANEOUS	621110	3284153	9270	$3,274,883
FOOD SERVICE	722210	2586791		$2,586,791

Field	Value	IRS element (for citing)
Total Other Revenue	5870944	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	466504074	TotalRevenueColumn
Related Or Exempt Function Income	459767721	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1222137	UnrelatedBusinessRevenue
Exclusion	$2,266,543	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	190109	Total
Program Services	190109	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	33000	Total
Program Services	33000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5338865	Total
Management And General	5338865	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	156858474	Total
Program Services	117895718	ProgramServices
Management And General	38962756	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6402967	Total
Program Services	5428182	ProgramServices
Management And General	974785	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20941150	Total
Program Services	15398032	ProgramServices
Management And General	5543118	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12406392	Total
Program Services	9080012	ProgramServices
Management And General	3326380	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	301031	Total
Management And General	301031	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	681778	Total
Management And General	681778	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	281349	Total
Program Services	7765	ProgramServices
Management And General	273584	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	38367	Total
Management And General	38367	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	519691	Total
Program Services	5738	ProgramServices
Management And General	513953	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	44069637	Total
Program Services	20887020	ProgramServices
Management And General	23182617	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1610071	Total
Program Services	541795	ProgramServices
Management And General	1068276	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	107627972	Total
Program Services	98183639	ProgramServices
Management And General	9444333	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	423354	Total
Program Services	83580	ProgramServices
Management And General	339774	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7572989	Total
Program Services	1209962	ProgramServices
Management And General	6363027	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1969238	Total
Program Services	1041472	ProgramServices
Management And General	927766	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	6509	Total
Program Services	5942	ProgramServices
Management And General	567	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5616797	Total
Program Services	149956	ProgramServices
Management And General	5466841	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	27855103	Total
Program Services	27855103	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8419270	Total
Program Services	228366	ProgramServices
Management And General	8190904	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT	40507916	40507916
MISCELLANEOUS	711871	396245	315626

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	450383900	Total
Program Services	339129552	ProgramServices
Management And General	111254348	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	32494283	BOY
EOY	29555070	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	15117010	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	61972531	BOY
EOY	61312708	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	41603	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3601072	BOY
EOY	7586483	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6736107	BOY
EOY	4353275	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	629365089	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	345078274	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	245323919	BOY
EOY	284286815	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	365874733	BOY
EOY	360915301	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	4884511	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	3342321	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	40686346	BOY
EOY	37261323	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	756688991	BOY
EOY	808656420	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	50537141	BOY
EOY	63733810	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	276998	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	247223241	BOY
EOY	244008041	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
EOY	1239923	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	47160443	BOY
EOY	49159230	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	344920825	BOY
EOY	358418002	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	409571143	BOY
EOY	448089418	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2197023	BOY
EOY	2149000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	411768166	BOY
EOY	450238418	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	756688991	BOY
EOY	808656420	EOY

Field	Value	IRS element (for citing)
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	58684	CurrentYearMinus3
Current Year Minus2	56583	CurrentYearMinus2
Current Year Minus1	41734	CurrentYearMinus1
Current Year	38367	CurrentYear
Total	195368	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	50184	CurrentYearMinus3
Current Year Minus2	42583	CurrentYearMinus2
Current Year Minus1	10500	CurrentYearMinus1
Current Year	70000	CurrentYear
Total	173267	Total

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	LOBBYING EXPENSES - PORTION OF AHA (24.425) AND NCHA (23.25%) 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	7354709	OtherCostOrOtherBasis
Book Value	7354709	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	304263193	OtherCostOrOtherBasis
Depreciation	141497469	Depreciation
Book Value	162765724	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	340801	OtherCostOrOtherBasis
Book Value	340801	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	238001440	OtherCostOrOtherBasis
Depreciation	196336317	Depreciation
Book Value	41665123	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	79404946	OtherCostOrOtherBasis
Depreciation	7244488	Depreciation
Book Value	72160458	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	284286815	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	INVESTMENTS IN SUBSIDIARIES	Description
Book Value	4884511	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	4884511	TotalOfBookValueProgramRelated

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	29985824
OTHER RECEIVABLES	6774433
ACCRUED SWAP MARKET ADJUSTMENT	501066

Field	Value	IRS element (for citing)
Total Book Value Other Assets	37261323	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
THIRD PARTY PAYABLES	$13,401,808
DUE TO AFFILIATES	$14,752,819
PROFESSIONAL LIABILITY RESERVE	$6,925,399
SWAP TRANSACTION	$14,079,204

Field	Value	IRS element (for citing)
Total Of Amounts	49159230	TotalOfAmounts

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	10907057	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6659766	DirectOffsettingRevenue
Net Community Benefit Expense	4247291	NetCommunityBenefitExpense
Percent Of Total Expense	0.01040	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10928296	TotalCommunityBenefitExpense
Net Community Benefit Expense	10928296	NetCommunityBenefitExpense
Percent Of Total Expense	0.02670	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21835353	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6659766	DirectOffsettingRevenue
Net Community Benefit Expense	15175587	NetCommunityBenefitExpense
Percent Of Total Expense	0.03710	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2476724	TotalCommunityBenefitExpense
Net Community Benefit Expense	2476724	NetCommunityBenefitExpense
Percent Of Total Expense	0.00600	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	946410	TotalCommunityBenefitExpense
Net Community Benefit Expense	946410	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	227017	TotalCommunityBenefitExpense
Net Community Benefit Expense	227017	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	647119	TotalCommunityBenefitExpense
Net Community Benefit Expense	647119	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4297270	TotalCommunityBenefitExpense
Net Community Benefit Expense	4297270	NetCommunityBenefitExpense
Percent Of Total Expense	0.01050	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26132623	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6659766	DirectOffsettingRevenue
Net Community Benefit Expense	19472857	NetCommunityBenefitExpense
Percent Of Total Expense	0.04760	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	1066	TotalCommunityBuildingExpense
Net Community Building Expense	1066	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	313	TotalCommunityBuildingExpense
Net Community Building Expense	313	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	21383	TotalCommunityBuildingExpense
Direct Offsetting Revenue	20	DirectOffsettingRevenue
Net Community Building Expense	21363	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	2444	TotalCommunityBuildingExpense
Direct Offsetting Revenue	90	DirectOffsettingRevenue
Net Community Building Expense	2354	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	1209	TotalCommunityBuildingExpense
Net Community Building Expense	1209	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	128980	TotalCommunityBuildingExpense
Net Community Building Expense	128980	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	155395	TotalCommunityBuildingExpense
Direct Offsetting Revenue	110	DirectOffsettingRevenue
Net Community Building Expense	155285	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$13,914,469	BadDebtExpenseAmount
Amount Attributable To	2089600	AmountAttributableTo
Amount Reimbursed By Medicare	147653567	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	152127800	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4474233	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
FIRST IMAGING OF THE CAROLINAS LLC
MOBILE IMAGING SERVICES	0.50000	0.50000
SURGERY CENTER OF PINEHURST LLC
AMBULATORY SURGERY CENTER	0.40000	0.52000

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

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
155 MEMORIAL DRIVE PO BOX 3000	PINEHURST	NC	28374	X	X	X
FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL
520 ALLEN STREET PO BOX 486	TROY	NC	37371	X	X	X	X
FIRSTHEALTH RICHMOND MEMORIAL HOSPITAL
925 LONG DRIVE	ROCKINGHAM	NC	28379	X	X	X

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	Part I, Line 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2009 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.	CostingMethodUsed
Percent Of Total Expense Expln	Part I, Line 7f: TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $40,507,916 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE.WORKSHEET 2 OF THE 2009 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	BadDebtFootnote
Shortfall As Community Benefit	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.	ShortfallAsCommunityBenefit
Needs Assessment	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.	NeedsAssessment
Patient Education Assistance	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.	PatientEducationAssistance
Community Information	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 66.2% OF ITS PATIENTS FROM MOORE, MONTGOMERY, AND RICHMOND COUNTIES, NORTH CAROLINA AND APPROXIMATELY 10.5% 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 296,242. THE POPULATION BASE OF FIRSTHEALTH'S TOTAL SERVICE AREA IS APPROXIMATELY 1,204,826.	CommunityInformation
Community Building Activities	Part VI, Line 5: 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.	CommunityBuildingActivities
Other Information	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.	OtherInformation
Reports Filed With States	NC	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 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
MONTGOMERY COUNTY COMMUNITY COLLEGE
1011 PAGE ST	TROY	NC	27371	561834221	501(C)(3)	5000	FMV	SUPPORT HEALTH EDUCATION PROGRAMS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	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	673	NumberOfRecipients
Amount Of Cash Grant	33000	AmountOfCashGrant

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)
Travel For Companions	X	TravelForCompanions
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
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
465830	0	316039	0	60673	0	878090	0	10695	0	1731327	0	0	0
LYNN DEJACO
317921	0	70500	0	10441	0	13090	0	10914	0	422866	0	0	0
DANIEL BEIDIGER
182941	0	45008	0	39110	0	13090	0	9389	0	289538	0	0	0
ROBERT BOONE
160194	0	300	0	3343	0	0	0	0	0	163837	0	0	0
GEORGE BUSSEY MD
318967	0	73660	0	18759	0	11130	0	7089	0	429605	0	0	0
JEFFREY CASEY
204247	0	47906	0	22980	0	12110	0	10419	0	297662	0	0	0
DAVID DILLEHUNT
207215	0	48818	0	26597	0	11130	0	6476	0	300236	0	0	0
VIVIAN HARRINGTON
143852	0	59080	0	14435	0	12541	0	9097	0	239005	0	0	0
KERRY HENSLEY
136547	0	33255	0	29630	0	13011	0	6135	0	218578	0	0	0
JOHN JACKSON
160825	0	45637	0	8630	0	12110	0	10369	0	237571	0	0	0
STUART VOELPEL
330891	0	78861	0	79405	0	12110	0	10130	0	511397	0	0	0
LINDA WALLACE
209030	0	45664	0	13286	0	15050	0	6407	0	289437	0	0	0
CYNTHIA MCDONALD
147389	0	36844	0	12564	0	10318	0	692	0	207807	0	0	0
JOHN STREITMAN MD
594889	0	475574	0	16962	0	0	0	0	0	1087425	0	0	0
ANDY KISER MD
596749	0	269221	0	17214	0	0	0	0	0	883184	0	0	0
JOHN KRAHNERT MD
487490	0	245538	0	18516	0	10150	0	11743	0	773437	0	0	0
JEFFREY MOORE MD
219930	0	193600	0	11720	0	0	0	0	0	425250	0	0	0
DANIEL BARNES MD
218975	0	94250	0	14324	0	10104	0	10441	0	348094	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	THE CEO WAS ALLOWED TRAVEL FOR COMPANIONS. AMOUNTS IN 2009 DID NOT EXCEED $5,000 AND WERE INCLUDED IN THE CEO'S 2009 W-2 ACCORDINGLY.
Part I, Line 4b:	THE ORGANIZATION'S CEO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE AMOUNT OF DEFERRED COMPENSATION ACCRUED IN 2009 FOR THIS PLAN WAS $865,000.
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 (5 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	CUSIP NumberCUSIPNumber
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	2010-01-06	29535000	SERIES 2010 - REFUND ISSUE DATED 12/9/08	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
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	65821DDT5
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	2009-04-15	45505000	SERIES 2009A - CONSTRUCTION OF NEW HEART INSTITUTE	0	0	65821DCT6
NORTH CAROLINA MEDICAL CARE COMMISSION
521309402	2008-12-09	106845000	SERIES 2008A & 2008B - REFUND ISSUES DATED 4/9/03 AND 2/20/98	0	0	65821DBZ3

Form990 Schedule K Part II Form990ScheduleKPartII (5 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent	Capital ExpendituresCapitalExpenditures
29535000	135000	1	1	1
40924278	190000	1	1	1	19215780	14802540
54745686	784475	1	1	1	2312903	1896400
45711989	910100	0	0	1	19984764	25565969
106845000	1037629	1	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (5 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	0.01000	0.00100	0.01100	1
0	0	1				1
1	1	1	0.01800	0.00100	0.01900	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (5 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
CITIGROUP FINANCIAL
0	1	1	18.000000000000	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
CITIGROUP FINANCIAL
0	1	1	14.000000000000	0	0	0

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	41603	BalanceDue
Default	0	Default
Approved By Board	0	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	41603	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 IS INITIALLY REVIEWED BY QUALIFIED MEMBERS OF ADMINISTRATION, INCLUDING THE CORPORATE CEO AND CFO, AND COMPLIANCE DEPARTMENTS. THE ENTIRE RETURN IS 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 CONDUCTS 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.
Form 990, Part VI, Section B, line 12c	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 15	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 2010. 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 2010.
Form 990, Part VI, Section C, line 18	THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG.
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. IN ADDITION, QUARTERLY AND ANNUAL FINANCIAL STATEMENTS ARE POSTED TO THE DIGITAL ASSURANCE CERTIFICATION (DAC) WEBSITE.
Schedule K Supplental Information	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 9/30/2010.
FORM 990, PAGE 2, PART III	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 COSTS OF FREE CARE (TREATING PATIENTS THAT QUALIFIED FOR 100% FINANCIAL ASSISTANCE) WERE $10,907,057 IN FISCAL 2010. THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, FIRSTHEALTH ALSO OFFERS VARYING LEVELS OF DISCOUNTED CARE TO PATIENTS WHO ARE POOR AND/OR MEET CERTAIN INCOME CRITERIA. 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 ABLE TO SETTLE THE CLAIM CONTINUES TO INCREASE. FIRSTHEALTH CONTINUES TO PROVIDE ALL NECESSARY HEALTHCARE SERVICES TO THIS PATIENT POPULATION. IN FISCAL YEAR 2010, THE COST TO FIRSTHEALTH FOR THOSE SERVICES WAS $13,930,961. 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 2010, FIRSTHEALTH'S UNPAID COSTS FROM MEDICAID TOTALED $10,928,296. 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 2010 WAS $2,643,831. 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 105,700 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 18,130 EMERGENCY TRANSPORTS TO RESIDENTS OF THREE NORTH CAROLINA AND ONE SOUTH CAROLINA COUNTIES. IN FISCAL 2010, FIRSTHEALTH RECEIVED $5,781,230 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 FREE SCREENINGS IS AVAILABLE WHEN APPROPRIATE, BASED ON INCOME. IN FISCAL 2010 FIRSTHEALTH MOBILE HEALTH SERVICES PROVIDED SERVICES TO 2,939 PEOPLE. FIRSTHEALTH PROVIDED $113,629 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE MOBILE HEALTH SERVICES PROGRAM IN FISCAL 2010. 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 2010 WAS 33.1%. TATU RECRUITED TEENAGERS TO TEACH YOUNGER CHILDREN ABOUT THE HAZARDS OF TOBACCO. IN FISCAL 2010, 54 TEENS WERE TRAINED AND 235 PRESENTATIONS/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. USING CAMPUS-BASED PARTNERSHIPS TO EMPOWER FACULTY, STAFF AND STUDENTS, FIRSTHEALTH TARGETED 18 TO 24 YEAR-OLD STUDENTS ATTENDING MONTGOMERY COMMUNITY COLLEGE, RICHMOND COMMUNITY COLLEGE AND SANDHILLS COMMUNITY COLLEGE IN HOKE, RICHMOND, MOORE, MONTGOMERY AND SCOTLAND COUNTIES. FIRSTHEALTH CONTRIBUTED $11,402 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE TOBACCO CESSATION PROGRAMS IN FISCAL 2010.	STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS
	FIRSTHEALTH RESOURCE ASSISTANCE FIRSTHEALTH PROVIDES A BILINGUAL RESOURCE COORDINATOR TO ASSIST MOORE COUNTY RESIDENTS IN NEED WITH FINDING INFORMATION ON NUMEROUS RESOURCE ASSISTANCE PROGRAMS SUCH AS MEDICAID ELIGIBILITY, HEALTH CHOICE AND THE FEDERAL FOOD STAMP PROGRAM. THE RESOURCE COORDINATOR ALSO LINKS INDIVIDUALS TO COMMUNITY RESOURCES INCLUDING TRANSPORTATION, HOUSING ASSISTANCE AND FOOD SUPPORT THOUGH COMMUNITY ASSISTANCE PROGRAMS SUCH AS THE MOORE FREE CARE CLINIC, MOORE COUNTY DEPARTMENT OF SOCIAL SERVICES AND THE FIRSTHEALTH MOBILE HEALTH SERVICES. A KEY SERVICE PROVIDED IS INTERPRETATION AND TRANSLATION SERVICES FOR SPANISH-SPEAKING RESIDENTS OF MOORE COUNTY. DURING FISCAL 2010, 292 PEOPLE WERE ASSISTED WITH INTERPRETATION AND TRANSLATION SERVICES AND 100% OF THESE INDIVIDUALS WERE SCREENED FOR AVAILABLE SERVICES AND REFERRED TO APPROPRIATE SERVICES AVAILABLE WITHIN THE COUNTY. 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 $307,662 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE SCHOOL HEALTH NURSE PROGRAM AND THE SCHOOL BASED CENTERS IN FISCAL 2010. 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 2010, 177 PATIENTS WERE SERVED, WITH 4,428 MEDICATIONS RECEIVED, AT AN AVERAGE WHOLESALE PRICE OF $2,201,451 IF THE PATIENTS HAD TO PURCHASE THESE MEDICATIONS. 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. FOR FISCAL 2010 THE FIRSTHEALTH DENTAL CARE CENTERS PROVIDED DENTAL CARE TO NEARLY 21% OF MEDICAID-ENROLLED CHILDREN IN HOKE, MONTGOMERY AND MOORE COUNTIES. IN FISCAL 2010, FIRSTHEALTH'S DENTAL CARE SERVICES LOGGED 13,476 DENTAL CARE VISITS TO 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 2010, FIRSTHEALTH ASSISTED 673 CHILDREN WITH SCHOLARSHIPS TO PAY HEALTH CHOICE ENROLLMENT FEES. FIRSTPLAN, A HEALTH INSURANCE PRODUCT SPONSORED BY FIRSTHEALTH FOR SMALL BUSINESSES, SUBMITTED 66 PROPOSALS TO BUSINESSES AND 12.6% OF MEMBERS SUBSEQUENTLY ENROLLED WERE PREVIOUSLY UNINSURED. A TOTAL OF 2,302 PEOPLE WERE SERVED THROUGH THESE PROGRAMS AT A COST OF $311,880 IN FISCAL 2010. 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 1,390 DIABETICS RECEIVED ASSISTANCE THROUGH THIS PROGRAM IN FISCAL 2010. 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 THREE SPECIFIC PROGRAMS: THE ACTIVE LIVING EVERY DAY (ALED) AND THE HEALTH EATING EVERY DAY (HEED) AND THE HAPPY KITCHEN (THK) PROGRAMS. APPROXIMATELY 70% OF THE PARTICIPANTS IN THESE PROGRAMS WERE FINANCIALLY NEEDY, WITH FAMILY INCOMES AT OR BELOW 200% THE FEDERAL POVERTY LEVEL. 113 LOW-INCOME INDIVIDUALS ENROLLED IN THE ALED PROGRAM AND 433 ENROLLED IN THE HEED/THK PROGRAMS IN FISCAL 2010. FIRSTHEALTH PROVIDED $15,090 OF FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE HEALTH LIVING INITIATIVES IN FISCAL 2010. SUPPORT IN THE COMMUNITY FIRSTHEALTH EMPLOYEES IDENTIFY LOCAL NEEDS AND RECOMMEND IN-KIND AND FINANCIAL SUPPORT TO ORGANIZATIONS IN NEED. DURING FISCAL 2010, FIRSTHEALTH SUPPORTED HEALTH EDUCATION EVENTS, DISTRIBUTED EQUIPMENT AND PROMOTED COMMUNITY-BASED HEALTH INITIATIVES. FIRSTHEALTH ALSO PROVIDED MEALS FOR 50 COMMUNITY MEETINGS AND EVENTS. THOUGH THESE INITIATIVES, FIRSTHEALTH SERVED 23,180 PEOPLE AT A COST OF $329,553 FOR FISCAL 2010. 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. OVER 3,000 PEOPLE WERE SERVED AT A COST OF $26,404 IN FISCAL 2010. FAMILY ASSISTANCE FIRSTHEALTH'S PASTORAL CARE SERVICES PROVIDED FREE MEALS FOR MORE THAN 650 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 2009 TOTALED $7,992, WITH AN ADDITIONAL $12,991 PAID TO AREA HOTELS FOR TEMPORARY HOUSING PROVIDED TO FAMILY MEMBERS. MOORE 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 2010 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. THE $321,779 COST OF PROVIDING THESE SERVICES IN FISCAL 2010 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.
	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 2010, FIRSTHEALTH PARTICIPATED IN SEARCHES FOR TWO PSYCHIATRISTS AND A PEDIATRICIAN IN MOORE COUNTY AND TWO CARDIOLOGISTS AND AN INTERNAL MEDICINE PHYSICIAN IN RICHMOND COUNTY, AT A COST TO FIRSTHEALTH OF $36,888.

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	3620000	TotalIncome
EOY Assets	19872595	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

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	Direct Controlling Entity NADirectControllingEntityNA
FOUNDATION OF FIRSTHEALTH INC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	510191937	FUNDRAISING	NC	501(c)(3)	Line 11a, I	N/A
MONTGOMERY COUNTY PRIMARY CARE CORPORATION
155 MEMORIAL DRIVE	PINEHURST	NC	28374	582069393	HEALTHCARE SERVICES	NC	501(c)(3)	Line 9	N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
FIRSTIMAGING OF THE CAROLINAS LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	300313534	MEDICAL SERVICES	NC	N/A	RELATED	424608	446190	0	0
SURGERY CENTER OF PINEHURST LLC
10 FIRSTVILLAGE DRIVE	PINEHURST	NC	28374	680561185	MEDICAL SERVICES	NC	N/A	RELATED	1120706	839410	0	1
FIRSTHEALTH-UNCHCS LLC (DBA SANFORD HEMATOLOGY & ONCOLOGY)
155 MEMORIAL DRIVE	PINEHURST	NC	28374	262568199	MEDICAL SERVICES	NC	N/A	RELATED	726633	811533	0	0
FIRSTCAROLINACARE INSURANCE SERVICES LLC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	261708544	INSURANCE SERVICES	NC	N/A	RELATED	3251	28193	0	0
SURGERY CENTER OF PINEHURST PROPERTIES LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	680561188	REAL ESTATE	NC	N/A	RELATED	349569	4171991	0	1

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	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	N/A	C	213000	16765000	1.00000
FIRSTCAROLINACARE INSURANCE COMPANY INC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	331160597	INSURANCE COMPANY	NC	N/A	C	953884	368333	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	0	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	538417
SURGERY CENTER OF PINEHURST LLC
R	946802
SURGERY CENTER OF PINEHURST PROPERTIES LLC
R	469364
FOUNDATION OF FIRSTHEALTH INC
C	1644796
FOUNDATION OF FIRSTHEALTH INC
O	813631
FOUNDATION OF FIRSTHEALTH INC
I	45900
FOUNDATION OF FIRSTHEALTH INC
P	745057
MONTGOMERY COUNTY PRIMARY CARE CORPORATION
O	10011000
MONTGOMERY COUNTY PRIMARY CARE CORPORATION
P	7638265
FIRSTCAROLINACARE INSURANCE COMPANY INC
I	67428
FIRSTCAROLINACARE INSURANCE COMPANY INC
K	306000
FIRSTCAROLINACARE INSURANCE COMPANY INC
L	1805679
FIRSTCAROLINACARE INSURANCE COMPANY INC
O	21135977
FIRSTCAROLINACARE INSURANCE COMPANY INC
P	14110783