FIRST HEALTH OF THE CAROLINAS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: FIRST HEALTH OF THE CAROLINAS INC (EIN 56-1936354)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202612269349302806
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T13:04:18+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS MAZARS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE OAK ST SUITE 300	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28801	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	561936354	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FIRSTHEALTH OF THE CAROLINAS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	FIRS	BusinessNameControlTxt
Phone	9107151000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 MEMORIAL DRIVE	AddressLine1Txt
City	PINEHURST	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28374	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY CASEY	PersonNm
Person Title	CORPORATE CFO	PersonTitleTxt
Phone	9107151000	PhoneNum
Signature	2026-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2026-08-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICKEY FOSTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 MEMORIAL DRIVE	AddressLine1Txt
City	PINEHURST	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28374	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,192,165,101	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FIRSTHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO SERVICE THE COMMUNITY'S TOTAL HEALTH CARE NEEDS.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	7487	TotalEmployeeCnt
Total Volunteers	740	TotalVolunteersCnt
Total Gross UBI	$1,353,604	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$44,549	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$13,121,104	PYContributionsGrantsAmt
CY Contributions Grants	$12,842,568	CYContributionsGrantsAmt
PY Program Service Revenue	$1,133,223,600	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,099,982,867	CYProgramServiceRevenueAmt
PY Investment Income	$35,774,027	PYInvestmentIncomeAmt
CY Investment Income	$58,100,789	CYInvestmentIncomeAmt
PY Other Revenue	$8,740,612	PYOtherRevenueAmt
CY Other Revenue	$8,286,846	CYOtherRevenueAmt
PY Total Revenue	$1,190,859,343	PYTotalRevenueAmt
CY Total Revenue	$1,179,213,070	CYTotalRevenueAmt
PY Grants And Similar Paid	$355,983	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,367,715	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$493,108,609	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$527,941,448	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$615,166,605	PYOtherExpensesAmt
CY Other Expenses	$551,336,219	CYOtherExpensesAmt
PY Total Expenses	$1,108,631,197	PYTotalExpensesAmt
CY Total Expenses	$1,081,645,382	CYTotalExpensesAmt
PY Revenues Less Expenses	$82,228,146	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$97,567,688	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,690,324,903	TotalAssetsBOYAmt
Total Assets EOY	$1,803,305,904	TotalAssetsEOYAmt
Total Liabilities BOY	$373,931,169	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$376,747,430	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,316,393,734	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,426,558,474	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$891,583,522	ExpenseAmt
Grant	$2,367,715	GrantAmt
Revenue	$1,098,601,549	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$891,583,522	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	912	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7487	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AUTUMN MCFANN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9107151561	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3000 155 MEMORIAL DRIVE	AddressLine1Txt
City	PINEHURST	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28374	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ARTHUR MEDEIROS
SECRETARY	2.0	Yes (X)	Yes (X)	$0	$0	$0
CINDY GOODMAN
CHAIR	2.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID WOOD
VICE CHAIR	2.0	Yes (X)	Yes (X)	$0	$0	$0
GARY VONCANNON
IMMEDIATE PAST CHAIR	2.0	Yes (X)	Yes (X)	$0	$0	$0
MICKEY FOSTER
PRESIDENT & CEO	50.0	Yes (X)	Yes (X)	$1,614,815	$0	$203,003
RAY ALLEN
TREASURER	2.0	Yes (X)	Yes (X)	$0	$0	$0
ALEXANDER SANDY STEWART MD
MEMBER (AS OF 1/1/2025)	1.0	Yes (X)		$0	$0	$0
BEN JONES
MEMBER	1.0	Yes (X)		$0	$0	$0
BRIAN MCMURRAY
MEMBER ( THRU 12/31/2024)	1.0	Yes (X)		$0	$0	$0
CHARLES KUZMA
MEMBER (AS OF 1/1/2025)	1.0	Yes (X)		$0	$0	$0
ELIZABETH WEBSTER
MEMBER	1.0	Yes (X)		$0	$0	$0
JAMES OBI
MEMBER	1.0	Yes (X)		$0	$0	$0
JASON JERRY MD
MEMBER ( THRU 12/31/2024)	1.0	Yes (X)		$0	$0	$0
JEFFERSON KILPATRICK MD
MEMBER	1.0	Yes (X)		$0	$0	$0
MATTHEW HARMODY MD
MEMBER	1.0	Yes (X)		$0	$0	$0
SUSAN KELLER
MEMBER	1.0	Yes (X)		$0	$0	$0
SUSHMA PATEL
MEMBER	1.0	Yes (X)		$0	$0	$0
TOM PASHLEY
MEMBER	1.0	Yes (X)		$0	$0	$0
WAYNE LUCAS MD
MEMBER	1.0	Yes (X)		$0	$0	$0
JEFFREY CASEY
CHIEF FINANCIAL OFFICER	50.0		Yes (X)	$737,722	$0	$88,198
AMY GRAHAM
CHIEF STRATEGY/INNOVATION OFFICER	50.0			$532,852	$0	$79,346	Yes (X)
BERNI SZCZEPANSKI
CHIEF PEOPLE OFFICER	50.0			$527,794	$0	$65,008	Yes (X)
CHRIS BEASLEY
CHIEF INFORMATION OFFICER	50.0			$501,868	$0	$77,786	Yes (X)
CHRISTOPHER FRALEY
VP, FINANCE	50.0			$428,717	$0	$66,482	Yes (X)
CHRISTY LAND
PRESIDENT, SOUTHERN REGION	50.0			$375,999	$0	$45,478	Yes (X)
CYNTHIA MCNEILL-MCDONALD
CHIEF QUALITY OFFICER	50.0			$427,654	$0	$58,625	Yes (X)
DANIEL BARNES DO
PRESIDENT, FHPG	50.0			$822,184	$0	$94,370	Yes (X)
JACKLYNN LESNIAK
VP, MRH PATIENT CARE SVCS.	50.0			$577,782	$0	$10,918	Yes (X)
JENIFIR BRUNO
CHIEF MEDICAL OFFICER	50.0			$693,649	$0	$86,815	Yes (X)
JONATHAN DAVIS
CHIEF OPERATING OFFICER	50.0			$848,589	$0	$96,470	Yes (X)
MATTHEW PRESTWOOD
PRESIDENT, EASTERN REGION	50.0			$339,971	$0	$64,184	Yes (X)
REBECCA CARTER
PRESIDENT - WESTERN REGION	50.0			$262,576	$0	$10,918	Yes (X)
SUSAN BEATY
CHIEF NURSING OFFICER	50.0			$381,674	$0	$61,527	Yes (X)
GIRIDHAR CHINTALAPUDI MD
PHYSICIAN	50.0			$996,195	$0	$35,038		Yes (X)
MARK LANDERS MD
PHYSICIAN	50.0			$1,242,293	$0	$51,040		Yes (X)
PETER ELLMAN MD
PHYSICIAN	50.0			$865,315	$0	$51,040		Yes (X)
WILLIAM HARRIS MD
PHYSICIAN	50.0			$905,178	$0	$44,192		Yes (X)
WILLIAM KITCHENS MD
PHYSICIAN	50.0			$827,535	$0	$51,140		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,910,362	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,341,578	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1113	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PINEHURST MEDICAL CLINIC
205 PAGE ROAD	PINEHURST	NC	28374	MEDICAL ONCOLOGY - PHYSICIAN SERVICES	$26,543,895
PINEHURST SURGICAL CLINIC
5 FIRSTVILLAGE DRIVE	PINEHURST	NC	28374	PHYSICIAN SERVICES	$25,762,199
MCKESSON SPECIALTY CARE DISTRIBUTION
10101 WOODLOCH FOREST DRIVE	THE WOODLANDS	TX	77380	MEDICAL SUPPLIES, PHARMACEUTICAL DISTRIBUTION & HEALTHCARE TECHNOLOGY	$21,122,347
SOUTHERN PINES WOMEN'S HEALTH CENTER
145 APPLECROSS ROAD	SOUTHERN PINES	NC	28388	PHYSICIAN SERVICES	$13,181,007
QUALIVIS LLC
5930 CORNERSTONE CT W 300	SAN DIEGO	CA	92121	CONTRACT HEALTHCARE STAFFING SERVICES	$12,241,164

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	138	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,790,692	RelatedOrganizationsAmt
Government Grants	$1,009,311	GovernmentGrantsAmt
All Other Contributions	$1,042,565	AllOtherContributionsAmt
Total Contributions	$12,842,568	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$1,018,673,306	$1,018,673,306
PHARMACY INCOME	621110	$54,871,615	$54,871,615
OTHER OPERATING REVENUE	621110	$10,385,930	$9,408,033	$977,897
EMS REVENUE	621110	$8,686,709	$8,686,709
HEALTH AND FITNESS	713940	$7,365,307	$6,862,771	$502,536

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,099,982,867	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,397,529	TotalRevenueColumnAmt
Exclusion	$27,397,529	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,005,616	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,092,230	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,086,614	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,086,614	TotalRevenueColumnAmt
Unrelated Business Revenue	-$126,829	UnrelatedBusinessRevenueAmt
Exclusion	-$959,785	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$39,881,580	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$9,178,320	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$39,881,580	SecuritiesAmt
Other	-$9,178,320	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,703,260	TotalRevenueColumnAmt
Exclusion	$30,703,260	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$780,596	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$681,481	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$99,115	TotalRevenueColumnAmt
Related Or Exempt Func Income	$99,115	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
FOOD SERVICE	900099	$4,045,261	$4,045,261
LAUNDRY	812300	$3,077,021	$3,077,021
DISCOUNTS AND REBATES	900099	$2,152,063	$2,152,063

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$9,274,345	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,179,213,070	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,098,601,549	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,353,604	UnrelatedBusinessRevenueAmt
Exclusion	$66,415,349	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,367,715	TotalAmt
Program Services	$2,367,715	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,182,975	TotalAmt
Management And General	$10,182,975	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$284,188	TotalAmt
Program Services	$284,188	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$406,601,654	TotalAmt
Program Services	$326,281,083	ProgramServicesAmt
Management And General	$80,320,571	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,806,445	TotalAmt
Program Services	$20,184,616	ProgramServicesAmt
Management And General	$5,621,829	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$54,763,987	TotalAmt
Program Services	$42,833,875	ProgramServicesAmt
Management And General	$11,930,112	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,302,199	TotalAmt
Program Services	$23,700,988	ProgramServicesAmt
Management And General	$6,601,211	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,162,447	TotalAmt
Program Services	$1,687,142	ProgramServicesAmt
Management And General	$2,475,305	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$767,959	TotalAmt
Management And General	$767,959	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$274,225	TotalAmt
Management And General	$274,225	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$252,491	TotalAmt
Management And General	$252,491	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$183,325,707	TotalAmt
Program Services	$146,915,947	ProgramServicesAmt
Management And General	$36,409,760	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$938,811	TotalAmt
Program Services	$86,010	ProgramServicesAmt
Management And General	$852,801	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,936,168	TotalAmt
Program Services	$17,203,643	ProgramServicesAmt
Management And General	$13,732,525	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$90,035	TotalAmt
Program Services	$90,035	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,787,506	TotalAmt
Program Services	$6,273,597	ProgramServicesAmt
Management And General	$9,513,909	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,902,893	TotalAmt
Program Services	$1,385,249	ProgramServicesAmt
Management And General	$517,644	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$327,454	TotalAmt
Program Services	$204,645	ProgramServicesAmt
Management And General	$122,809	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,136,644	TotalAmt
Program Services	$2,136,644	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$47,497,615	TotalAmt
Program Services	$47,497,615	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,426,111	TotalAmt
Program Services	$717,868	ProgramServicesAmt
Management And General	$4,708,243	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$250,884,680	$250,884,680
DIETARY EXP	$6,458,240	$723,304	$5,734,936
MISCELLANEOUS	$167,233	$124,678	$42,555

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,081,645,382	TotalAmt
Program Services	$891,583,522	ProgramServicesAmt
Management And General	$190,061,860	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,265,112	BOYAmt
EOY	$53,856,640	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$132,732,584	BOYAmt
EOY	$140,321,006	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,084,210	BOYAmt
EOY	$2,171,477	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,550,304	BOYAmt
EOY	$20,173,574	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,218,688	BOYAmt
EOY	$19,663,206	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,317,179,750	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$813,386,627	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$495,267,544	BOYAmt
EOY	$503,793,123	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$890,716,342	BOYAmt
EOY	$953,480,840	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$99,000	BOYAmt
EOY	$99,000	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,266,299	BOYAmt
EOY	$19,808,999	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$97,124,820	BOYAmt
EOY	$89,938,039	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,690,324,903	BOYAmt
EOY	$1,803,305,904	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$106,703,909	BOYAmt
EOY	$124,116,302	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$542,333	BOYAmt
EOY	$793,845	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$155,220,000	BOYAmt
EOY	$153,570,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$76,305,000	BOYAmt
EOY	$68,950,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,159,927	BOYAmt
EOY	$29,317,283	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$373,931,169	BOYAmt
EOY	$376,747,430	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,313,691,447	BOYAmt
EOY	$1,423,414,171	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,702,287	BOYAmt
EOY	$3,144,303	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,316,393,734	BOYAmt
EOY	$1,426,558,474	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,690,324,903	BOYAmt
EOY	$1,803,305,904	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$97,567,688	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$20,531,152	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$7,934,100	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$84,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$84,000	AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$68,724	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$152,724	FilingOrganizationsTotalAmt
Affiliated Group Total	$84,000	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$264,294,898	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$264,447,622	FilingOrganizationsTotalAmt
Affiliated Group Total	$84,000	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$16,800	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$4,200	AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$79,800	AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt
Affiliated Group Total	$67,200	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$51,461	CurrentYearMinus3Amt
Current Year Minus2	$70,286	CurrentYearMinus2Amt
Current Year Minus1	$121,096	CurrentYearMinus1Amt
Current Year	$152,724	CurrentYearAmt
Total	$395,567	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$50,506	CurrentYearMinus3Amt
Current Year Minus2	$60,000	CurrentYearMinus2Amt
Current Year Minus1	$55,000	CurrentYearMinus1Amt
Current Year	$84,000	CurrentYearAmt
Total	$249,506	TotalAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,067,116	OtherCostOrOtherBasisAmt
Book Value	$17,067,116	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$685,482,755	OtherCostOrOtherBasisAmt
Depreciation	$331,183,025	DepreciationAmt
Book Value	$354,299,730	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,887,953	OtherCostOrOtherBasisAmt
Book Value	$6,887,953	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$567,817,428	OtherCostOrOtherBasisAmt
Depreciation	$467,725,677	DepreciationAmt
Book Value	$100,091,751	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,924,498	OtherCostOrOtherBasisAmt
Depreciation	$14,477,925	DepreciationAmt
Book Value	$25,446,573	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$503,793,123	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
PROFESSIONAL LIABILITY RESERVE	$8,363,122
THIRD PARTY PAYABLES	$868,599
DUE TO AFFILIATE	-$931,708
LEASE LIABILITY	$21,017,270

Field	Value	IRS element (for citing)
Total Liability	$29,317,283	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE	FormAndLineReferenceDesc
Explanation	FIRSTHEALTH OF THE CAROLINA, INC. IS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). RELATED INCOME IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE TAXES. FIRSTHEALTH ADOPTED THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THIS STANDARD HAS HAD NO SIGNIFICANT IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	360	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,081,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$46,081,400	NetCommunityBenefitExpnsAmt
Total Expense	0.04260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,502,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,997,273	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,505,664	NetCommunityBenefitExpnsAmt
Total Expense	0.02543	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$173,584,337	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,997,273	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,587,064	NetCommunityBenefitExpnsAmt
Total Expense	0.06803	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,096,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,489,851	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,606,897	NetCommunityBenefitExpnsAmt
Total Expense	0.01073	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,644,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,488,835	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,155,865	NetCommunityBenefitExpnsAmt
Total Expense	0.00107	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$578,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$578,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,880,862	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,880,862	NetCommunityBenefitExpnsAmt
Total Expense	0.00266	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$35,200,961	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,557,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,643,624	NetCommunityBenefitExpnsAmt
Total Expense	0.01446	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$208,785,298	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$119,554,610	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,230,688	NetCommunityBenefitExpnsAmt
Total Expense	0.08250	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,789	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$62,789	NetCommunityBenefitExpnsAmt
Total Expense	0.00006	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,127	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,127	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,754	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,754	NetCommunityBenefitExpnsAmt
Total Expense	0.00001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,732	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,732	NetCommunityBenefitExpnsAmt
Total Expense	0.00002	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$88,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,402	NetCommunityBenefitExpnsAmt
Total Expense	0.00008	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Reimbursed By Medicare	$128,907,217	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$152,411,646	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,504,429	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
FIRST IMAGING OF THE CAROLINAS LLC
MOBILE IMAGING SERVICES	0.5	0.0	0.5
SURGERY CENTER OF PINEHURST LLC
AMBULATORY SURGERY CENTER	0.3	0.0	0.3

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST
1	155 MEMORIAL DRIVE PO BOX 3000	PINEHURST	NC	28374	H0100	Yes (X)	A
FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL
2	520 ALLEN STREET PO BOX 486	TROY	NC	37371	H0003		A	Yes (X)
FIRSTHEALTH MOORE REGIONAL HOSPITAL RICHMOND CAMPUS
3	925 LONG DRIVE	ROCKINGHAM	NC	28379	H0158	Yes (X)	A
FIRSTHEALTH MOORE REGIONAL HOSPITAL HOKE
4	6408 FAYETTEVILLE ROAD	RAEFORD	NC	28376	H0287	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	4	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.firsthealth.org/about-us/community-health-needs-assessment/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.firsthealth.org/about-us/community-health-needs-assessment/implementation-plan/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	360.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE#5	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY A, 1	FormAndLineReferenceDesc
Explanation	FACILITY A, 1 - GROUP A. FIRSTHEALTH OF THE CAROLINAS HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS. THESE SURVEYS ARE CONDUCTED VIA RANDOM-DIGIT DIAL PHONE CALLS WITH QUESTIONS THAT MIRROR THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AT THE STATE AND NATIONAL LEVELS. FIRSTHEALTH CONTRACTS WITH PROFESSIONAL RESEARCH CONSULTANTS FOR THIS SURVEY. IN ADDITION, TO THE COMMUNITY HEALTH DATA COLLECTION, FIRSTHEALTH REALIZED THE NEED TO FORMALLY MEASURE COMMUNITY HEALTH INDICATOR GOALS AS PART OF THE FIRST-IN-HEALTH 2020 VISION. AS SUCH, THE SYSTEM IN PARTNERSHIP WITH WAKE FOREST UNIVERSITY DEVELOPED A PROCESS FOR TRACKING AND MONITORING THE FIRST-IN-HEALTH GOALS THROUGH THE DESIGNATION OF NINE HEALTH CATEGORIES AND 58 HEALTH INDICATORS.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B FACILITY REPORTING GROUP A CONSISTS OF	- FACILITY 1: FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST - FACILITY 2: FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL - FACILITY 3: FIRSTHEALTH MOORE REGIONAL HOSPITAL RICHMOND - FACILITY 4: FIRSTHEALTH MOORE REGIONAL HOSPITAL HOKE
SCHEDULE H, PART V, SECTION B, LINE 22	IF A PATIENT IS UNABLE TO PAY, FINANCIAL COUNSELORS ARE AVAILABLE TO HELP IDENTIFY PROGRAMS THEY MAY QUALIFY FOR, INCLUDING MEDICAID, VOCATIONAL REHABILITATION AND NORTH CAROLINA PURCHASE OF CARE SERVICES. CRITERIA TO QUALIFY FOR FEDERAL OR STATE PROGRAMS ARE BASED ON SPECIFIC GUIDELINES FOR THE PROGRAM. IN THE EVENT A PATIENT DOES NOT QUALIFY FOR ANY TYPE OF GOVERNMENT ASSISTANCE PROGRAM, THEY MAY QUALIFY FOR AID THROUGH FIRSTHEALTH'S FINANCIAL ASSISTANCE PROGRAM. THE AMOUNT OF ASSISTANCE IS BASED ON A PERCENTAGE OF THE MOST RECENT FEDERAL POVERTY GUIDELINES PUBLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, AVAILABLE ON-LINE AT HTTPS://ASPE.HHS.GOV/POVERTY-GUIDELINES, AS WELL AS THE GUIDELINES ESTABLISHED BY FIRSTHEALTH OF THE CAROLINAS, INC. THE FINANCIAL AID PERCENTAGE DISCOUNT CONSIDERS THE "AMOUNT GENERALLY BILLED" BY FIRSTHEALTH OF THE CAROLINAS, INC. THE AMOUNT IS CALCULATED ON AN ANNUAL BASIS BY THE VICE PRESIDENT OF FINANCE AND SUPPORT SERVICES, AND IS UPDATED IN CONJUNCTION WITH CHANGES TO THE FEDERAL POVERTY GUIDELINES. THE "AMOUNT GENERALLY BILLED" IS AN ESTIMATE BASED ON A HISTORICAL REVIEW OF FIRSTHEALTH'S OVERALL ESTIMATE OF NET REVENUE DIVIDED BY TOTAL CHARGES. THIS AMOUNT WILL ALSO BE THE FINANCIAL AID PERCENTAGE USED IN THE THIRD TIER OF THE FEDERAL POVERTY GUIDELINES TO ENSURE ANY PATIENT THAT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER FIRSTHEALTH'S FINANCIAL ASSISTANCE PROGRAM WILL ONLY BE RESPONSIBLE FOR THE AMOUNT GENERALLY BILLED TO THE ENTIRE PATIENT POPULATION.
SCHEDULE H, PART I, LINE 7 COL(F)	TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF -$127,288,624 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
SCHEDULE H, PART V, SECTION B, LINE 16B	https://www.firsthealth.org/app/files/public/90b09c0f-e564-48af-8674-4ab697f9c9a6/Billing%20and%20Insurance/application-for-financial-assistance.pdf
SCHEDULE H, PART VI	PART V SECTION D: OTHER HEALTHCARE FACILITIES FIRSTHEALTH ALSO PROVIDES PRIMARY CARE SERVICES AT TWENTY-NINE MEDICAL CLINICS AND NINE CONVENIENT CARE CLINICS, SPECIALTY SERVICES AT FORTY-NINE CLINICS (INCLUDING NEUROSURGERY, NEUROLOGY, CARDIOLOGY, CARDIOTHORACIC SURGERY, WOMEN'S CARE, WOUND CARE, INFECTIOUS DISEASE, TRANSITION CARE, INTERVENTIONAL PAIN MEDICINE, MEDICAL ONCOLOGY AND CONCIERGE MEDICINE), HOME HEALTH SERVICES, HEALTH AND FITNESS CENTERS, DENTAL CLINICS, INPATIENT AND OUTPATIENT BEHAVIORAL PROGRAMS, OCCUPATIONAL HEALTH PROGRAMS, MOBILE HEALTH SERVICES, 11-BED INPATIENT HOSPICE FACILITY AND IN-HOME HOSPICE SERVICES, INPATIENT AND OUTPATIENT REHABILITATION, AND REGIONAL EMERGENCY MEDICAL TRANSPORT SERVICES. FIRSTHEALTH IS THE LEADER IN CARDIOLOGY, ONCOLOGY, ORTHOPEDIC AND NEUROSCIENCE SERVICES IN THE TOTAL SERVICE AREA. FIRSTHEALTH OPERATES THE ONLY DEDICATED COMPREHENSIVE HEART AND VASCULAR HOSPITAL IN THE PRIMARY SERVICE AREA - THE REID HEART CENTER, AS WELL AS A COMPREHENSIVE COMMUNITY CANCER CENTER, AND OFFERS A FULL ARRAY OF NEUROLOGY AND NEUROSURGERY SERVICES. SEE HTTPS://WWW.FIRSTHEALTH.ORG/HOSPITALS-LOCATIONS/ FOR ADDITIONAL INFORMATION
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	THE ORGANIZATION USED WORKSHEET 2 OF THE 2024 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	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.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE. WORKSHEET 2 OF THE 2024 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.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	A - FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST: LINE 16A URL: HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE#5;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	A - FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST: LINE 16B URL: SEE PART VI;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	A - FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST: LINE 16C URL: HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	FIRSTHEALTH OF THE CAROLINAS CONDUCTS A PERIODIC COMMUNITY 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 LEE COUNTY, AND TRACKS THIS INFORMATION OVER TIME. THE FIRST SURVEY WAS CONDUCTED IN 1999 AND THE MOST RECENT SURVEY WAS CONDUCTED IN 2024. ADDITIONALLY, FIRSTHEALH OF THE CAROLINAS CONVENES COMMUNITY 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.
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	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.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	FIRSTHEALTH OF THE CAROLINAS OWNS AND OPERATES A HEALTH CARE DELIVERY SYSTEM THAT PROVIDES HEALTH CARE SERVICES TO A PRIMARY REGION OF FIVE-COUNTIES REGION IN NORTH CAROLINA AND A 15-COUNTY SECONDARY REGION. FIRSTHEALTH OF THE CAROLINAS OPERATES FOUR ACUTE CARE HOSPITALS IN THIS SERVICE AREA. FIRSTHEALTH DRAWS APPROXIMATELY 64.1% OF ITS PATIENTS FROM MOORE, MONTGOMERY AND RICHMOND COUNTIES IN NORTH CAROLINA AND APPROXIMATELY 17.2% OF ITS PATIENTS FROM THE TWO SURROUNDING COUNTIES OF HOKE AND LEE. THESE FIVE COUNTIES COLLECTIVELY COMPRISE FIRSTHEALTH'S PRIMARY SERVICE AREA. FIRSTHEALTH'S PRIMARY SERVICE AREA REFLECTS A POPULATION BASE OF APPROXIMATELY 300,690.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	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.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	NC

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
BOYS AND GIRLS CLUB OF THE SANDHILLS
160 MEMORIAL PARK COURT PO BOX 1	SOUTHERN PINES	NC	28388	911877405	501(C)(3)	$13,000	GENERAL SUPPORT
VILLAGE OF PINEHURST
395 MAGNOLIA ROAD	PINEHURST	NC	28374	561211319	501(C)(3)	$27,480	GENERAL SUPPORT
MOORE COUNTY
100 DOWD STREET	CARTHAGE	NC	28327	566000322	501(C)(3)	$45,635	GENERAL SUPPORT
MOORE FREE & CHARITABLE CLINIC
211 TRIMBLE PLANT ROAD SUITE C	SOUTHERN PINES	NC	28387	010781234	501(C)(3)	$100,000	GENERAL SUPPORT
MOORE COUNTY SCHOOLS
5277 HIGHWAY 15-501 SOUTH	CARTHAGE	NC	28327	566001078	501(C)(3)	$5,000	GENERAL SUPPORT
HOKE COUNTY DOMESTIC VIOLENCE & SEXUAL ASSAULT CENTER
225 S MAIN STREET	RAEFORD	NC	28376	262780222	501(C)(3)	$5,000	GENERAL SUPPORT
HOKE COUNTY DEPARTMENT OF SOCIAL SERVICES
PO BOX 340	RAEFORD	NC	28374	566001525	GOV	$5,000	GENERAL SUPPORT
RICHMOND COUNTY SHERIFF DEPARTMENT
114E FRANKLIN STREET SUITE 105	ROCKINGHAM	NC	28379	566000334	GOV	$5,000	GENERAL SUPPORT
OUR DAILY BREAD FOOD MINISTRY
PO BOX 264	GRAND RAPIDS	MI	49501	421755754	501(C)(3)	$5,000	GENERAL SUPPORT
RICHMOND COUNTY SAMARITAN COLONY
136 SAMARITAN DRIVE	ROCKINGHAM	NC	28379	561121850	501(C)(3)	$5,000	GENERAL SUPPORT
HABITAT FOR HUMANITY
2268 NC HIGHWAY 5	ABERDEEN	NC	28315	561596170	501(C)(3)	$6,600	GENERAL SUPPORT
FRIEND TO FRIEND
PO BOX 1508	CARTHAGE	NC	28327	581779218	501(C)(3)	$5,000	GENERAL SUPPORT
CHATHAM COUNTY OUTREACH ALLIANCE
40 CAMP DRIVE	PITTSBORO	NC	27312	561668767	501(C)(3)	$5,000	GENERAL SUPPORT
CHATHAM COUNTY SHERIFF ANIMAL RESCUE
724 RENAISSANCE DRIVE	PITTSBORO	NC	27312	566000284	GOV	$5,000	GENERAL SUPPORT
MONTGOMERY COUNTY COUNCIL ON AGING
PO BOX 697	TROY	NC	27371	561173830	501(C)(3)	$10,000	GENERAL SUPPORT
COMMUNITIES IN SCHOOLS OF MONTGOMERY COUNTY
PO BOX 624	BISCOE	NC	27209	562617697	501(C)(3)	$10,000	GENERAL SUPPORT
SANFORD FARMERS MARKET
2420 TRAMWAY ROAD	SANFORD	NC	27332	372091404	501(C)(3)	$5,000	GENERAL SUPPORT
SANFORD AREA GROWTH ALLIANCE
115 CHATHAM STREET	SANFORD	NC	27330	561459769	501(C)(6)	$5,000	GENERAL SUPPORT
AMERICAN RED CROSS - DISASTER RELIEF FUND
PO BOX 37839	BOONE	IA	50037	561814954	501(C)(3)	$16,650	HURRICANE HELENE RELIEF
UNITED WAY OF NORTH CAROLINA
1235 TWO HANOVER SQUARE	RALEIGH	NC	28601	560564547	501(C)(3)	$16,650	HURRICANE HELENE RELIEF
SAMARITAN'S PURSE
PO BOX 3000	BOONE	NC	28607	581437002	501(C)(3)	$16,750	HURRICANE HELENE RELIEF
NC BAPTISTS ON MISSION
205 CONVENTION DRIVE	CARY	NC	27512	560556746	501(C)(3)	$16,650	HURRICANE HELENE RELIEF
NC FOUNDATION FOR NURSING
4350 LASSITER	RALEIGH	NC	27609	561651319	501(C)(3)	$16,650	HURRICANE HELENE RELIEF	AT NORTH HILLS AVE S
NC HEALTHCARE FOUNDATION
PO BOX 4449	CARY	NC	27519	560773039	501(C)(3)	$16,650	HURRICANE HELENE RELIEF
THE FOUNDATION OF FIRSTHEALTH INC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	510191937	501(C)	$2,000,000	FIRSTFUTURES PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	24	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	Yes (true)	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICKEY FOSTER
PRESIDENT & CEO	$1,055,721	$0	$514,864	$0	$44,230	$0	$176,463	$0	$26,540	$0	$1,817,818	$0	$141,178	$0
JEFFREY CASEY
CHIEF FINANCIAL OFFICER	$478,387	$0	$208,152	$0	$51,183	$0	$63,308	$0	$24,890	$0	$825,920	$0	$0	$0
DANIEL BARNES DO
PRESIDENT, FHPG	$535,707	$0	$233,074	$0	$53,403	$0	$67,851	$0	$26,519	$0	$916,554	$0	$0	$0
CHRIS BEASLEY
CHIEF INFORMATION OFFICER	$316,370	$0	$145,228	$0	$40,270	$0	$51,576	$0	$26,210	$0	$579,654	$0	$0	$0
SUSAN BEATY
CHIEF NURSING OFFICER	$234,971	$0	$107,305	$0	$39,398	$0	$49,175	$0	$12,352	$0	$443,201	$0	$0	$0
JENIFIR BRUNO
CHIEF MEDICAL OFFICER	$450,577	$0	$197,332	$0	$45,740	$0	$60,421	$0	$26,394	$0	$780,464	$0	$0	$0
REBECCA CARTER
PRESIDENT - WESTERN REGION	$213,436	$0	$12,602	$0	$36,538	$0	$0	$0	$10,918	$0	$273,494	$0	$0	$0
JONATHAN DAVIS
CHIEF OPERATING OFFICER	$563,958	$0	$243,700	$0	$40,931	$0	$69,930	$0	$26,540	$0	$945,059	$0	$0	$0
CHRISTOPHER FRALEY
VP, FINANCE	$263,778	$0	$122,057	$0	$42,882	$0	$47,202	$0	$19,280	$0	$495,199	$0	$0	$0
AMY GRAHAM
CHIEF STRATEGY/INNOVATION OFFICER	$327,371	$0	$152,273	$0	$53,208	$0	$52,892	$0	$26,454	$0	$612,198	$0	$0	$0
CHRISTY LAND
PRESIDENT, SOUTHERN REGION	$239,931	$0	$105,947	$0	$30,121	$0	$43,786	$0	$1,692	$0	$421,477	$0	$0	$0
JACKLYNN LESNIAK
VP, MRH PATIENT CARE SVCS.	$285,760	$0	$191,603	$0	$100,419	$0	$0	$0	$10,918	$0	$588,700	$0	$0	$0
CYNTHIA MCNEILL-MCDONALD
CHIEF QUALITY OFFICER	$253,254	$0	$128,976	$0	$45,424	$0	$45,864	$0	$12,761	$0	$486,279	$0	$0	$0
MATTHEW PRESTWOOD
PRESIDENT, EASTERN REGION	$206,270	$0	$99,780	$0	$33,921	$0	$45,150	$0	$19,034	$0	$404,155	$0	$0	$0
BERNI SZCZEPANSKI
CHIEF PEOPLE OFFICER	$341,944	$0	$149,649	$0	$36,201	$0	$52,403	$0	$12,605	$0	$592,802	$0	$0	$0
MARK LANDERS MD
PHYSICIAN	$777,215	$0	$421,210	$0	$43,868	$0	$24,500	$0	$26,540	$0	$1,293,333	$0	$0	$0
GIRIDHAR CHINTALAPUDI MD
PHYSICIAN	$469,628	$0	$486,929	$0	$39,638	$0	$24,500	$0	$10,538	$0	$1,031,233	$0	$0	$0
WILLIAM HARRIS MD
PHYSICIAN	$748,846	$0	$127,041	$0	$29,291	$0	$24,500	$0	$19,692	$0	$949,370	$0	$0	$0
PETER ELLMAN MD
PHYSICIAN	$756,847	$0	$67,705	$0	$40,763	$0	$24,500	$0	$26,540	$0	$916,355	$0	$0	$0
WILLIAM KITCHENS MD
PHYSICIAN	$709,589	$0	$75,750	$0	$42,196	$0	$24,500	$0	$26,640	$0	$878,675	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN	THE FOLLOWING INDIVIDUAL PARTICIPATED IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT IN PLACE OF A TRADITIONAL SERP). DURING 2024 THE FOLLOWING RECEIVED AMOUNTS PAID UNDER THE TERMS OF THE SERP: -MICKEY FOSTER: $141,178
SCHEDULE J, PART I, LINE 4C EQUITY-BASED COMPENSATION ARRANGEMENT	JACKLYNN LESNIAK, FORMER VP - MRH PATIENT CARE SERVICES, RECEIVED A SEVERANCE PAYMENT OF $58,355
SCHEDULE J, PART I, LINE 5A COMPENSATION CONTINGENT ON REVENUES OF THE ORGANIZATION	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

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NORTH CAROLINA MEDICAL CARE COMMISSION
A	521309402	2017-10-11	$45,225,000	SERIES 2017C - REFUND 04/24/2012 ISSUE	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
B	521309402	2014-07-01	$18,160,000	SERIES 2014A - REFUND PORTION OF ISSUE DATES 12/9/09	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
C	521309402	2017-08-03	$38,090,000	SERIES 2017A - REFUND PORTION OF ISSUE DATES 3/4/12	false	false	false
NORTH CAROLINA MEDICAL CARE COMMISSION
D	521309402	2017-08-24	$29,630,000	SERIES 2017B - REFUND PORTION OF ISSUE DATES 1/6/10	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$675,000	$44,855,000	$45,225,000	$136,219	Yes (true)	false	Yes (true)	Yes (true)
B	$4,925,000	$17,530,000	$18,160,000	$193,083	Yes (true)	false	Yes (true)	Yes (true)
C		$40,830,000	$38,090,000	$122,864	Yes (true)	false	Yes (true)	Yes (true)
D	$525,000	$29,535,000	$29,630,000	$92,803	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	0	0.0	Yes (true)	false	false	Yes (true)
B	false	false	false	false	false	false	0	0.0	Yes (true)	false	false	Yes (true)
C	false	false	false	false	false	false	0	0.0	Yes (true)	false	false	Yes (true)
D	false	false	false	false	false	false	0.021	0.021	Yes (true)	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	Yes (true)	false	false	false	false	false	false	Yes (true)
D	false	false	false	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NORTH CAROLINA MEDICAL CARE COMMISSION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521309402	BondIssuerEIN
CUSIP	65821DVR9	CUSIPNum
Bond Issued	2017-09-13	BondIssuedDt
Issue Price	$28,590,000	IssuePriceAmt
Purpose	SERIES 2017D - REFUND PORTIO OF ISSUE DATE 10/3/12	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Bond Defeased	$28,435,000	BondDefeasedAmt
Total Proceeds	$28,590,000	TotalProceedsAmt
Issuance Costs From Proceeds	$142,879	IssuanceCostsFromProceedsAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICKEY FOSTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship With Org	CEO	RelationshipWithOrgTxt
Loan Purpose	SUPP. RETIREMENT CASD	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$2,000,000	OriginalPrincipalAmt
Balance Due	$2,171,477	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$2,171,477	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MATHESON MCDONALD
CYNTHIA MCNEILL-MCDONALD	$149,613	COMPENSATION: PA - HOSPITALIST	false
JOSHUA BARNES
DANIEL BARNES, D.O.	$87,975	COMPENSATION: DIRECTOR OF OPERATIONS-OCC. HEALTH & WELLNESS	false
KELLY BARNES
DANIEL BARNES, D.O.	$46,600	COMPENSATION: PATIENT EDUCATOR - CDE	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART II	FormAndLineReferenceDesc
Explanation	THE COMPANY PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT A LOAN BECAUSE NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE COMPANY RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE COMPANY. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD THE COMPANY RECOVERS NOT ONLY ITS OUTLAYS BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. CASD WORKS AS FOLLOWS. THE COMPANY DEPOSITS FUNDS INTO CASH VALUE LIFE INSURANCE POLICIES ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST THE CASH SURRENDER VALUE TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE COMPANY'S RECOVERY RIGHTS. AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE COMPANY ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY REMAINING DEATH PROCEEDS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	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. FIRSTHEALTH OPERATES TWO HOSPITALS: FIRSTHEALTH MOORE REGIONAL HOSPITAL AND FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL. FIRSTHEALTH MOORE REGIONAL HOSPITAL HAS LICENSED BEDS IN THREE LOCATIONS: THE MAIN CAMPUS IN PINEHURST, NORTH CAROLINA AND REMOTE LOCATIONS IN ROCKINGHAM AND RAEFORD, NORTH CAROLINA. HOSPITAL CARE IS THE CORNERSTONE OF HEALTH CARE IN MOST COMMUNITIES, BUT FIRSTHEALTH GOES BEYOND THE WALLS OF THESE FACILITIES 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 IN FY 2025, FIRSTHEALTH PARTICIPATED IN THE NORTH CAROLINA MEDICAL DEBT MITIGATION PROGRAM (MDMP), WHICH REQUIRED FINANCIAL ASSISTANCE FOR PATIENTS THAT QUALIFIED FOR MEDICAID DATING BACK TO 2014, AS WELL AS SPECIFIC NON-INCOME-BASED ELIGIBILITY SCREENING CRITERIA. AS A RESULT, FIRSTHEALTH RELIEVED THE DEBT OF MORE THAN 37,000 PATIENTS WITH DATES OF SERVICE PRIOR TO FY 2025. THIS DEBT RELIEF RESULTED IN A RECLASSIFICATION OF THE COST OF THIS DEBT RELIEF FROM BAD DEBT TO FREE/CHARITY CARE. 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 THE COST OF CARE FOR THOSE THAT MEET DESIGNATED FINANCIAL CRITERIA, DEPENDING ON FAMILY INCOME. PATIENTS WITH FAMILY INCOMES AT OR BELOW 200 PERCENT OF THE FEDERAL POVERTY GUIDELINE QUALIFY FOR 100 PERCENT FINANCIAL ASSISTANCE UNDER FIRSTHEALTH'S FINANCIAL ASSISTANCE PROGRAM. FIRSTHEALTH'S NET COST OF FREE CARE (TREATING PATIENTS THAT QUALIFIED FOR 100% FINANCIAL ASSISTANCE) WAS $46,081,400 IN FISCAL 2025. THROUGH ITS FINANCIAL ASSISTANCE PROGRAM, FIRSTHEALTH ALSO OFFERS VARYING LEVELS OF DISCOUNTED CARE TO PATIENTS WHO ARE POOR AND/OR MEET CERTAIN INCOME GUIDELINES. PATIENTS WITH FAMILY INCOMES BETWEEN 201 AND 360 PERCENT OF THE FEDERAL POVERTY GUIDELINE QUALIFY FOR DISCOUNTS AGAINST FIRSTHEALTH'S LIST PRICE FOR SERVICES RENDERED. FIRSTHEALTH ALSO INCURS BAD DEBT EXPENSE EACH YEAR FOR PATIENTS WHO HAVE BEEN DETERMINED TO HAVE THE FINANCIAL CAPACITY TO PAY FOR HEALTHCARE SERVICES PROVIDED BUT ARE UNWILLING/FINANCIALLY UNABLE TO SETTLE THE CLAIM. FIRSTHEALTH CONTINUES TO PROVIDE ALL NECESSARY HEALTHCARE SERVICES TO THIS PATIENT POPULATION. 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 INTEREST-FREE 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 TWO HOSPITALS, AS WELL AS THROUGH ITS HOME CARE, HOSPICE AND PALLIATIVE CARE, DENTAL CARE, AND OTHER HEALTH CARE SERVICES IN ITS PRIMARY AND SECONDARY SERVICE AREAS. APPROXIMATELY 12.4% OF FIRSTHEALTH'S FISCAL 2025 NET PATIENT REVENUE FOR ACUTE CARE SERVICES CAME FROM THE MEDICAID PROGRAM. 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 2025, FIRSTHEALTH'S UNPAID COSTS FROM MEDICAID TOTALED $27,505,664. MEDICARE SHORTFALL FIRSTHEALTH PROVIDES SERVICES TO MEDICARE BENEFICIARIES IN ITS TWO HOSPITALS. IN ADDITION, MEDICARE BENEFICIARIES ARE SERVED BY FIRSTHEALTH'S HOME CARE, HOSPICE AND PALLIATIVE CARE AND OTHER HEALTH CARE PROGRAMS AND SERVICES. THE MEDICARE SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE ACTUAL COST OF CARE RENDERED AND THE REIMBURSEMENT RECEIVED FOR DELIVERING THAT CARE TO PATIENTS. APPROXIMATELY 56.9% OF FIRSTHEALTH'S FISCAL 2025 NET PATIENT REVENUE FOR ACUTE CARE SERVICES CAME FROM THE MEDICARE PROGRAM. 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 2025 WAS $23,504,429. 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 149,554 PATIENT ENCOUNTERS IN FISCAL 2025); 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, THROUGH ITS REGIONAL EMERGENCY MEDICAL SERVICES BUSINESS LINE, PROVIDED 25,157 EMERGENCY 911 TRANSPORTS TO RESIDENTS OF CHATHAM, LEE, MONTGOMERY AND RICHMOND COUNTIES IN FISCAL 2025. FIRSTHEALTH RECEIVED $9,731,887 IN FISCAL 2025 OPERATING SUBSIDIES FROM THESE COUNTIES TO HELP OFFSET THE UNREIMBURSED OPERATING COSTS OF PROVIDING THESE ESSENTIAL TRANSPORT SERVICES. FIRSTHEALTH ALSO PROVIDED $1,701,232 IN DIRECT FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE REGIONAL EMERGENCY MEDICAL SERVICES BUSINESS LINE IN FISCAL 2025. FIRSTHEALTH COMMUNITY HEALTH SERVICES INITIATIVES (FHCS) FCHS CONSISTED OF THE FOLLOWING OUTREACH SERVICES AND HEALTH PROGRAMS: CHILD HEALTH CARE CONSULTANT IN CONTRACT WITH THE MOORE COUNTY PARTNERS FOR CHILDREN AND FAMILIES, A FIRSTHEALTH REGISTERED NURSE PROVIDED TECHNICAL AND CONSULTATIVE SERVICES TO APPROXIMATELY 65 CHILDCARE FACILITIES IN MOORE COUNTY. THE NURSE WAS CERTIFIED THROUGH THE STATE OF NORTH CAROLINA AS A CERTIFIED CHILD HEALTH CARE CONSULTANT (CCHC-C) AND PROVIDED ON-SITE CONSULTATIONS AND EDUCATIONAL OPPORTUNITIES FOR CHILDREN AGED 0-5. SERVICES WERE OFFERED TO OPERATORS, PROVIDERS AND PARENTS IN ORDER TO STANDARDIZE CARE FOR CHILDREN AND INCREASE THE NUMBER OF QUALITY DAY CARE OPERATIONS IN MOORE COUNTY. THE CARE SUITE A FOCUS ON SYSTEMIC WHOLE-PERSON CARE WAS THE DRIVING PURPOSE FOR THE CREATION OF THE CENTER FOR HEALTH AND SOCIAL CARE: THE CARE SUITE. THIS TEAM OF HEALTH AND SOCIAL CARE SPECIALISTS WORKED WITH AREA SOCIAL AND HEALTH CARE SERVICE PROVIDERS, FIRSTHEALTH PHYSICIAN GROUP AND HOSPITALS TO ADDRESS SELF-REPORTED SOCIAL HEALTH CONCERNS BY FIRSTHEALTH PATIENTS. THE USE OF DATA TO PRIORITIZE THE PATIENTS WHO ARE ENGAGED AND TO SHAPE THE CONVERSATION WITH EACH OF THESE PATIENTS, PRODUCED OUTCOMES THAT LEAD TO BETTER SELF-HEALTH MANAGEMENT AND TRUST IN THE HEALTH CARE SYSTEM.
FORM 990, PART III, LINE 4A	FIRSTHEALTH CARES THIS PROGRAM ASSISTED LOW-INCOME AND UNDERINSURED INDIVIDUALS IN SECURING FREE PRESCRIPTION MEDICATIONS THROUGH PHARMACEUTICAL PATIENT ASSISTANCE PROGRAMS (PAPS) AND THROUGH A FIRSTHEALTH SUPPORTED GENERICS PROGRAM. ADULTS WHO MEET FINANCIAL GUIDELINES WERE ELIGIBLE FOR ASSISTANCE BASED ON MEDICATION AVAILABILITY, PRESCRIPTION DRUG COVERAGE GAPS AND INDIVIDUAL PHARMACEUTICAL COMPANY PROGRAM GUIDELINES (TYPICALLY LESS THAN 150% TO 200% OF FEDERAL POVERTY LEVEL). THIS APPROXIMATE $279,000 PROGRAM EXPENSE TO FIRSTHEALTH RESULTED IN MORE THAN $21 MILLION OF FREE MEDICATIONS FOR RESIDENTS IN OUR COMMUNITIES. SAFE KIDS MID-CAROLINAS REGION FIRSTHEALTH SERVED AS THE LEAD AGENCY FOR THE FIVE-COUNTY MID-CAROLINAS REGION RISK REDUCTION INITIATIVE FOR CHILDREN AND FAMILIES. THE FOCUS WAS ON INJURIES THAT CAUSE LASTING/PERMANENT EFFECTS OR DEATH. HOKE, MONTGOMERY, MOORE, RICHMOND AND SCOTLAND COUNTIES ESTABLISHED LOCAL COMMITTEES TO DETERMINE PROGRAMMING AND EVENTS. EFFORTS WERE BEING MADE TO ESTABLISH A COMMITTEE IN LEE COUNTY. FOCUS AREAS INCLUDED CHILD PASSENGER SAFETY, POISON PREVENTION, FIRE AND BURN PREVENTION, ATV SAFETY, WATER SAFETY, PEDESTRIAN/BIKE SAFETY AND GUN SAFETY. THIS INITIATIVE WAS A PART OF THE SAFE KIDS WORLDWIDE PROGRAM AND SAFE KIDS NORTH CAROLINA LED BY THE NC DEPARTMENT OF INSURANCE AND THE OFFICE OF THE STATE FIRE MARSHAL. FIRSTQUIT FIRSTQUIT WAS A TOBACCO CESSATION PROGRAM LED BY CERTIFIED TOBACCO TREATMENT SPECIALISTS (TTS). EDUCATION WAS OFFERED IN GROUPS AS WELL AS ONE-ON-ONE SESSIONS. SESSIONS WERE OFFERED VIA TELEHEALTH/TELEPHONIC TECHNOLOGY. THE PROGRAM OFFERS FORMALIZED TOBACCO CESSATION EDUCATION COMBINED WITH SIX WEEKS OF NICOTINE REPLACEMENT THERAPY THAT INCLUDED GUM, PATCHES AND LOZENGES. THE TTS FOLLOWED UP WITH PATIENTS A MINIMUM OF EVERY TWO WEEKS. HEALTH COACHING EACH HEALTH EDUCATION SPECIALIST WAS A CERTIFIED HEALTH COACH. HEALTH COACHING WAS AVAILABLE TO ASSIST INDIVIDUALS WITH INCREMENTAL LIFESTYLE CHANGES. HEALTH COACHES WORKED ONE-ON-ONE WITH INDIVIDUALS TO SET SMART GOALS (SPECIFIC, MEASURABLE, ATTAINABLE, REALISTIC AND TIMEBOUND), TO ADOPT HEALTHIER LIFESTYLE HABITS THAT ULTIMATELY IMPROVED HEALTH OUTCOMES. HEALTH OUTCOMES WERE MONITORED FOR IMPROVEMENT IN WEIGHT LOSS, BLOOD SUGAR, ACTIVITY MINUTES AND HYPERTENSION CONTROL. EVIDENCE-BASED BEHAVIOR CHANGE PROGRAMS FOR HEALTHY LIFESTYLE HABITS AND PREDIABETES: THE MINORITY DIABETES PREVENTION PROGRAM THROUGH THE CDC'S DIABETES PREVENTION PROGRAM "PREVENT T2" WAS OFFERED IN THE COMMUNITY SETTING AS WELL AS INTEGRATED INTO THE OVERALL CARE PLAN FOR FIRSTHEALTH PATIENTS. SERVICES WERE AVAILABLE THROUGH TELEHEALTH. OPIOID OVERDOSE PREVENTION AND RECOVERY COORDINATION FIRSTHEALTH AND OUR PARTNERS ENVISIONED A FUTURE WHERE COMMUNITIES NO LONGER EXPERIENCE THE DESTRUCTION OF LIVES, FAMILIES AND NEIGHBORHOODS DUE TO OPIOID USE DISORDER. THIS VISION INCLUDED A COMMUNITY THAT UNDERSTANDS THE IMPACT OF OPIOID USE DISORDER AND HAD THE RESOURCES TO HELP PREVENT AND ADDRESS THESE ADDICTIONS IN WAYS THAT WERE GROUNDED IN EVIDENCE-BASED PRACTICE, COLLABORATION AND COMPASSION. TO ACHIEVE THIS VISION, FIRSTHEALTH AND OUR PARTNERS ESTABLISHED THE SANDHILLS OPIOID RESPONSE CONSORTIUM (SORC). THE SORC, LED BY FIRSTHEALTH, INCLUDED LOCAL PARTICIPANTS REPRESENTING PUBLIC HEALTH, SOCIAL SERVICES, LAW ENFORCEMENT, COMMUNITY HEATH AND BEHAVIORAL HEALTH. THE GOAL OF THE SORC WAS TO IMPLEMENT A TIERED APPROACH TO IDENTIFYING AND LINKING INDIVIDUALS TO RECOVERY AND TREATMENT PROGRAMS, STRENGTHENING TREATMENT AND RECOVERY SAFETY NETS, IMPLEMENTING HARM REDUCTION STRATEGIES, AND INCREASING COMMUNITY AND PROFESSIONAL AWARENESS REGARDING OPIOID USE DISORDER AND STIGMA EDUCATION. THROUGH THIS WORK, FIRSTHEALTH AND OUR PARTNERS ESTABLISHED A ROBUST PEER SUPPORT SPECIALIST PROGRAM THAT ASSISTED WITH LINKING INDIVIDUALS TO TREATMENT AND RECOVERY RESOURCES AND PROVIDED HARM REDUCTION EDUCATION. FUNDING FOR THIS INITIATIVE WAS PROVIDED THROUGH COUNTY LEVEL OPIOID SETTLEMENT FUNDS. TASK FORCE SUPPORT AND POLICY WORK: FHCS SUPPORTED COUNTY-BASED, DISEASE-SPECIFIC AND GRASSROOTS TASK FORCES AND FACILITATED COLLABORATION ON NEEDS IDENTIFICATION, RESOURCE ACQUISITION AND PROGRAM IMPLEMENTATION. GROUPS SUPPORTED INCLUDED MOOREHEALTH AND SAFE KIDS MID-CAROLINAS REGION. THROUGH WORK ON TASK FORCES AND THOSE REFERENCED BELOW UNDER "CORPORATE INITIATIVES," RELATIONSHIPS AND PARTNERSHIPS WERE BUILT TO PROMOTE HEALTHY LIFESTYLE POLICY AT THE LOCAL AND STATE LEVEL. WITH THE COOPERATION OF THE FOOD BANK OF CENTRAL AND EASTERN NORTH CAROLINA AND THE SECOND HARVEST FOOD BANK OF THE METROLINAS, HEALTHY FOOD PANTRIES WERE BEING ESTABLISHED IN OUR HOSPITALS TO ADDRESS FOOD INSECURITY AND PROVIDE ACCESS TO HEALTHY FOODS TO ENHANCE RECOVERY AT DISCHARGE. "FIRST IN HEALTH" COMMUNITY GROUPS: GROUPS WERE ESTABLISHED IN MONTGOMERY AND RICHMOND COUNTIES WITH THE ONGOING AGENDA OF IMPROVING THE HEALTH OF THOSE COMMUNITIES. COMMUNITY HEALTH HAS OPERATIONALIZED THIS CONCEPT IN EACH COUNTY THROUGH THE DEVELOPMENT AND FACILITATION OF THESE COMMUNITY GROUPS COMPRISED OF PROFESSIONAL AND LAY LEADERS. IN ADDITION, COMMUNITY HEALTH ACTIVELY PARTICIPATED WITH MOOREHEALTH AND THE HOKE COUNTY HEALTH DEPARTMENT TO IMPROVE THE HEALTH STATUS OF RESIDENTS IN MOORE AND HOKE COUNTIES. BASED ON THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS CONDUCTED EVERY THREE YEARS, EFFORTS WERE TARGETED AT HEALTH ISSUES SPECIFIC TO EACH COUNTY. FHCS PROVIDED IN-KIND RESOURCES AS WELL AS LEVERAGED FISCAL RESOURCES TO IMPLEMENT THE FOLLOWING COMMUNITY HEALTH PROGRAMS: * THROUGH FIRSTQUIT, HEALTH COACHING, PREVENT T2, SAFE KIDS, HEALTHY LIVING CLASSES, CHILDCARE HEALTH CONSULTANT, AND COMMUNITY OUTREACH, FHCS PARTICIPATED IN 229 COMMUNITY ENGAGEMENT ACTIVITIES. * THROUGH EFFORTS SUCH AS FIRSTQUIT, HEALTH COACHING, FOOD INSECURITY INITIATIVES, CONGESTIVE HEART FAILURE INTERVENTION, AND WELLNESS INITIATIVES, THERE WERE 1,510 PATIENT ENCOUNTERS. * THE CARE SUITE COORDINATED COST-SHARING ACTIVITIES WITH 59 COMMUNITY PARTNERS ANNUALLY, PROVIDING SOCIAL CARE ASSISTANCE TO PATIENTS. * CARE SUITE PATIENTS SHOWED A 25 PERCENT REDUCTION IN PRE-VS-POST ED UTILIZATION. * AS A RESULT OF THE IDENTIFICATION AND APPLICATION PROCESS, FIRSTHEALTH CARES MEDICATION ASSISTANCE PROGRAM PROVIDED $21 MILLION ARP OF FREE MEDICATIONS TO PATIENTS IN THE REGION. PARTICIPANTS REPORTED AN OVERALL SATISFACTION RATING OF 100 PERCENT. * 1771 HARM REDUCTION KITS CONTAINING NARCAN WERE DISTRIBUTED TO PARTNERS AND FIRST RESPONDERS IN THE FIVE-COUNTY REGION. PARTNERS REPORTED AN OVERALL SATISFACTION RATING OF 90 PERCENT. * THE PEER SUPPORT SPECIALISTS HAD 4,141 ENCOUNTERS WITH INDIVIDUALS SEEKING RESOURCES AND SUPPORT FOR OPIOID AND SUBSTANCE USE DISORDER. THE PEER SUPPORT SPECIALISTS MADE 520 REFERRALS TO TREATMENT, RECOVERY, SUPPORT, SOCIAL NEED AND HARM REDUCTION RESOURCES AND PROGRAMS. PEER SUPPORT SPECIALISTS REPORTED AN OVERALL SATISFACTION RATING OF 95 PERCENT. FIRSTHEALTH LEVERAGED $1.59 IN GRANT FUNDS FOR EVERY $1 PROVIDED BY FIRSTHEALTH. SCHOOL-BASED HEALTH CENTERS FIRSTHEALTH OFFERED ON-SITE MEDICAL CARE AT THREE CLINIC SITES WITHIN THE MONTGOMERY COUNTY SCHOOLS (EAST MIDDLE SCHOOL, WEST MIDDLE SCHOOL AND CENTRAL HIGH SCHOOL). HUNDREDS OF SCHOOL CHILDREN IN MONTGOMERY COUNTY HAD ACCESS TO ACUTE AND PREVENTIVE MEDICAL CARE ON THE SCHOOL CAMPUS JUST STEPS AWAY FROM THE CLASSROOM DOORS. BEHAVIORAL HEALTH SUPPORT FOR STUDENTS AND FAMILY MEMBERS CONTINUED IN FISCAL 2025, THROUGH A PROGRAM SUPPORTED FINANCIALLY BY THE NORTH CAROLINA OFFICE OF RURAL HEALTH. THE SCHOOL-BASED HEALTH CENTERS PROVIDED ON-SITE MEDICAL CARE THAT WAS EASILY ACCESSIBLE, VALUABLE, AND OPEN TO ANY CHILD IN THE MONTGOMERY COUNTY SCHOOL SYSTEM. FIRSTHEALTH PROVIDED $293,644 IN FINANCIAL SUBSIDIES TO OFFSET THE UNFUNDED OPERATING COSTS OF THE SCHOOL-BASED HEALTH CENTERS IN FISCAL 2025. DENTAL CARE CENTERS FIRSTHEALTH OPERATED THREE DENTAL CARE CENTERS: ONE SITE IN SOUTHERN PINES (MOORE COUNTY) AND TWO SITES AT EAST MIDDLE SCHOOL AND WEST MIDDLE SCHOOL (MONTGOMERY COUNTY). EACH DENTAL CARE CENTER PROVIDED COMPREHENSIVE DENTAL CARE SERVICES TO MEDICAID AND HEALTHCHOICE-ELIGIBLE CHILDREN AND YOUNG ADULTS UP TO AGE 21. SINCE FEW DENTISTS IN THESE COUNTIES PARTICIPATED IN MEDICAID'S DENTAL PROGRAM, THE FIRSTHEALTH DENTAL CARE CENTERS PROVIDED 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. DURING FISCAL 2025, THE DENTAL CARE CENTERS PROVIDED 6,952 DENTAL CARE VISITS TO 3,335 CHILDREN AND YOUNG ADULTS THAT RESIDED IN THE COUNTIES SERVED. THE DENTAL CARE CENTERS RECOGNIZED $76,802 IN FIRSTHEALTH FINANCIAL SUBSIDIES AND $481,984 IN EXTERNAL GRANT FUNDING TO OFFSET THE UNFUNDED OPERATING COSTS IN FISCAL 2025.
FORM 990, PART III, LINE 4A	MOORE FREE AND CHARITABLE CLINIC THE MOORE FREE AND CHARITABLE CLINIC ("MFCC") IS A PRIVATE, VOLUNTEER-BASED, NON-PROFIT ORGANIZATION THAT PROVIDED PRIMARY HEALTH CARE SERVICES AT NO COST TO THE LIMITED-INCOME RESIDENTS OF MOORE COUNTY THAT LACKED HEALTH CARE INSURANCE COVERAGE. FIRSTHEALTH PROVIDED DIRECT FINANCIAL SUPPORT TOTALING $100,000 IN FISCAL 2025 TO MFCC IN FURTHERANCE OF ITS MISSION. PATIENTS OF MFCC THAT REQUIRED INPATIENT/OUTPATIENT ACUTE CARE SERVICES WERE REFERRED TO FIRSTHEALTH MOORE REGIONAL AND FIRSTHEALTH MONTGOMERY HOSPITALS FOR CARE, RESULTING IN A TOTAL OF 5,272 PATIENT ENCOUNTERS IN FISCAL 2025. THE $2,513,001 COST OF PROVIDING THESE SERVICES IN FISCAL 2025 WAS ABSORBED BY FIRSTHEALTH. MEDICAL STAFF DEVELOPMENT / PHYSICIAN RECRUITMENT ASSISTANCE FIRSTHEALTH PROVIDED FINANCIAL ASSISTANCE TO AREA PHYSICIAN PRACTICES AND INDIVIDUAL PHYSICIANS FOR THE RECRUITMENT OF PHYSICIANS TO PRACTICE IN THE GEOGRAPHIC AREAS SERVED BY THE FIRSTHEALTH HOSPITALS DISCUSSED PREVIOUSLY. 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; AND (3) INCREASE PHYSICIAN COVERAGE WHERE THERE IS AN EXISTING SHORTAGE DURING FISCAL 2025, FIRSTHEALTH PARTICIPATED IN SEARCHES FOR SPECIALISTS IN CARDIOLOGY, ANESTHESIA, DENTAL CLINICS, PRIMARY CARE, ONCOLOGY, NEONATOLOGY, NEUROLOGY, BEHAVIORAL SERVICES, PALLIATIVE CARE AND UTILIZATION MANAGEMENT. FIRSTHEALTH ALSO FORGAVE APPROXIMATELY $266,297 IN PAYMENTS MADE IN PRIOR YEARS TOWARD THE RECRUITMENT OF SPECIALISTS INTO PRACTICES IN FIRSTHEALTH'S SERVICE AREA (MOORE, MONTGOMERY, RICHMOND, HOKE, LEE, CUMBERLAND AND SCOTLAND COUNTIES) WHEN THE FORGIVENESS CRITERIA WERE MET, AND THE PHYSICIAN HAD PROVIDED PATIENT CARE IN THE COMMUNITY OVER THAT FORGIVENESS PERIOD. IN ADDITION TO RECRUITMENT ASSISTANCE PROVIDED TO THE AREA PHYSICIAN PRACTICES, FIRSTHEALTH RECRUITED A TOTAL OF ELEVEN (11) PHYSICIANS AND FIVE (5) MID-LEVEL PRACTITIONERS INTO ITS HOSPITALIST PROGRAMS IN FISCAL 2025. RESEARCH AND CLINICAL TRIALS INITIATIVES FIRSTHEALTH MOORE REGIONAL HOSPITAL, DRAWING ON ITS STATE-OF-THE-ART RADIATION ONCOLOGY AND MEDICAL ONCOLOGY SERVICES, PARTICIPATED IN SEVERAL RESEARCH AND CLINICAL TRIALS WITH STAFF PHYSICIANS. AT ANY POINT IN TIME, THERE WERE 40-45 TRIALS OPEN TO ACCRUAL (ACTIVELY ENROLLING NEW PATIENTS). THE TRIALS COVERED A VARIETY OF CANCER TYPES INCLUDING BUT NOT LIMITED TO LUNG, BREAST, KIDNEY, COLON, PROSTATE, AND GYNECOLOGY. ADDITIONALLY, SEVERAL CANCER PREVENTION AND QUALITY OF LIFE STUDIES, BEGUN IN PRIOR YEARS, CONTINUED IN FISCAL 2025. THE TRIALS WERE CHOSEN TO MATCH THE POPULATION OF CANCER PATIENTS SEEN THROUGH THE FIRSTHEALTH CANCER CENTER AND PROVIDE THEM WITH THE BEST RESEARCH TREATMENT OPPORTUNITIES. PROVIDING CLINICAL TRIALS FOR CANCER CARE WAS A REQUIREMENT FOR THE FIRSTHEALTH CANCER CENTER TO MAINTAIN ITS ACOS COMPREHENSIVE CANCER CENTER DESIGNATION. OUTSIDE OF ONCOLOGY, THERE WERE TRIALS OPEN IN URO-GYNECOLOGY, OBSTETRICS GYNECOLOGY, VASCULAR MEDICINE, PULMONOLOGY, MEDICAL DIAGNOSTIC, AND ORTHOPEDICS. A TOTAL OF $578,651 IN EXTERNAL GRANT FUNDING COVERED THE OPERATING COSTS OF THE RESEARCH AND CLINICAL TRIALS INITIATIVES IN FISCAL 2025. FIRSTHEALTH HOSPICE & PALLIATIVE CARE FIRSTHEALTH HOSPICE & PALLIATIVE CARE PROVIDED COMPASSIONATE, QUALITY CARE FOR PERSONS WITH LIFE-LIMITING ILLNESSES AND SUPPORT TO THEIR FAMILIES. * FIRSTHEALTH HOSPICE CARES FOR PEOPLE WHO SEEK COMFORT OVER AGGRESSIVE TREATMENT AND HAVE AN ESTIMATED SIX-MONTH LIFE EXPECTANCY. HOSPICE SERVICES INCLUDE PAIN AND SYMPTOM MANAGEMENT, PERSONAL HYGIENE CARE, SPIRITUAL AND VOLUNTEER SERVICES, AND COUNSELING FOR PATIENTS AND FAMILIES. MOST HOSPICE PATIENTS RECEIVE CARE IN THEIR HOMES, BUT PATIENTS WITH UNCONTROLLED PAIN AND OTHER SYMPTOMS CAN BE TREATED IN THE FIRSTHEALTH HOSPICE HOUSE, AN 11-BED ACUTE CARE FACILITY. GRIEF COUNSELING FROM MASTER'S LEVEL COUNSELORS IS AVAILABLE TO ANYONE WHO LOST A LOVED ONE, REGARDLESS IF THE LOVED ONE WAS A FIRSTHEALTH HOSPICE PATIENT. * FIRSTHEALTH PALLIATIVE CARE SUPPORTS PEOPLE WITH LIFE-IMPACTING CONDITIONS WHILE THEY SEEK AGGRESSIVE CARE. PALLIATIVE CARE PATIENTS' LIFE EXPECTANCY IS GREATER THAN SIX MONTHS. PALLIATIVE CARE SERVICES INCLUDE PAIN AND SYMPTOM MANAGEMENT, HEALTH CARE NAVIGATION, GOALS OF CARE AND ADVANCE DIRECTIVE SUPPORT, COUNSELING, AND CONNECTION TO COMMUNITY RESOURCES. PEOPLE CAN RECEIVE PALLIATIVE CARE IN THEIR HOMES, THE HOSPITAL, BY TELEHEALTH, OR AT PALLIATIVE CARE CLINICS IN PINEHURST AND ROCKINGHAM. DURING FISCAL 2025, FIRSTHEALTH HOSPICE MAINTAINED AN AVERAGE DAILY CENSUS OF 174 PATIENTS IN SERVICE. COMPETITION FROM FOR-PROFIT PROVIDERS CONTINUED TO IMPACT REFERRALS. FIRSTHEALTH PALLIATIVE CARE COMPLETED OVER 1,994 NEW CONSULTS BETWEEN INPATIENT AND OUTPATIENT SERVICES. FIRSTHEALTH HOSPICE FIELD STAFF PROVIDED 60,925 DAYS OF CARE TO 774 PATIENTS IN THEIR HOMES, ADDITIONALLY, THE FIRSTHEALTH HOSPICE HOUSE PROVIDED 2,479 DAYS OF CARE TO 525 ELIGIBLE INPATIENTS. FAMILY ASSISTANCE AND CLARA MCLEAN HOUSE FIRSTHEALTH'S PASTORAL CARE SERVICES PROVIDED 285 FREE MEALS TO FAMILY MEMBERS STAYING WITH LOVED ONES IN THE HOSPITAL WHO COULD NOT AFFORD MEALS. THE COST TO FIRSTHEALTH FOR THESE FREE MEALS PROVIDED IN FISCAL 2025 TOTALED $1,564. THE CLARA MCLEAN HOUSE ("CLARA'S HOUSE") SERVED 16,499 GUESTS SINCE ITS INCEPTION IN 2012. THIS ENCOMPASSED 27,029 ROOM NIGHTS WITH GUESTS VISITING FROM 48 STATES AND 8 COUNTRIES. IN ADDITION, OVER 9,500 VISITS WERE MADE TO THE ON-SITE HEALING GARDEN BY GUESTS AND THE PINEHURST COMMUNITY AT-LARGE. IN FISCAL YEAR 2025, CLARA'S HOUSE CONTINUED ITS FOCUS ON THE CANCER PATIENT POPULATION AS ITS MAIN HOUSING MARKET. WITH THE CANCER CENTER ENTERING ITS THIRD YEAR OF OPERATION, THE NUMBER OF ROOM NIGHTS FOR CANCER PATIENTS STAYING AT CLARA'S HOUSE MADE UP 58% OF ALL ROOM NIGHTS PROVIDED. THANKS TO THE GENEROUS PHILANTHROPIC SUPPORT OF THE COMMUNITY THROUGH THE FOUNDATION OF FIRSTHEALTH, CLARA'S HOUSE PROVIDED 979 NIGHTS TO MORE THAN 240 CANCER PATIENTS AT NO CHARGE, EQUATING TO AN APPROXIMATE VALUE OF $186,010 IN ACCOMMODATIONS. MANY PATIENTS AND THEIR CAREGIVER(S) STAYED FOR UP TO 6 WEEKS DURING TREATMENT REGIMENS, WHICH REQUIRED STAFF TO STEP INTO A MORE REFINED SKILL SET TO ACCOMPANY FOLKS THROUGH THIS VARIED AND OFTEN ARDUOUS PORTION OF THEIR MEDICAL AND HEALING JOURNEY. THERE WERE 25 VOLUNTEERS WHO SERVED THE GUESTS IN CLARA'S HOUSE AND 25 VOLUNTEERS WHO MAINTAINED THE HEALING GARDENS. THESE VOLUNTEERS PROVIDED 1,671 HOURS OF SERVICE IN 2025, AT A VALUE OF $58,100. THE HOUSE VOLUNTEERS PROVIDED MEALS AND SNACKS FOR GUESTS, ADDRESSED THEIR ON-GOING NEEDS, AND ASSISTED WITH DAILY HOUSE NEEDS. WITH MANY OF THE GUESTS NOT HAVING TRANSPORTATION AVAILABILITY, THESE EFFORTS PROVIDED DAILY INTERACTIONS AND COMMUNICATION ESSENTIAL TO THE HEALING PROCESS. FROM THE OVERALL LODGING STANDPOINT, 905 GUESTS STAYED A TOTAL OF 1,675 ROOM NIGHTS, WITH 466 OF THOSE GUESTS BEING FIRST TIME VISITORS. GUESTS TRAVELED A MEAN DISTANCE OF 83 MILES AND STAYED AN AVERAGE OF 2.0 NIGHTS. TOP DIAGNOSTIC GROUPS REMAINED ONCOLOGY, ORTHOPEDIC AND HEART PATIENTS, WITH THE TOP THREE COUNTIES BEING SERVED FROM CUMBERLAND, ROBESON AND RICHMOND. OVER 108 OF THOSE NIGHTS WERE DEDICATED TO PROVIDER RECRUITMENT, RETENTION AND THOSE IN SERVICE TO FIRSTHEALTH. CLARA'S HOUSE REMAINED A CENTRAL HUB FOR COMMUNITY NAVIGATION, OUTREACH AND ADVOCACY, HOSTING 11 DIFFERENT SUPPORT GROUPS. OVER 1,612 VISITS HAD BEEN MADE TO PARKINSON'S, DEMENTIA, TRAUMATIC BRAIN INJURY, STROKE RECOVERY AND CHRONIC KIDNEY DISEASE GROUPS. MUSIC AND ART THERAPY, AS WELL AS CENTERING PRAYER AND BOOK CLUB, WERE STILL GOING STRONG AFTER BEING IN SERVICE MORE THAN A DECADE FROM THIS LOCATION. ADDITIONALLY, THREE FIRSTHEALTH DEPARTMENTS OPERATED OUT OF CLARA'S HOUSE, INCLUDING FIRSTFUTURES AND TELEHEALTH SERVICES. CLARA'S HOUSE HOSTED 584 MEETINGS IN SHADOWLAWN AND THE HOUSE AT LARGE, IN SUPPORT OF THE SPACE NEEDS ON THE FIRSTHEALTH MOORE REGIONAL HOSPITAL CAMPUS.
FORM 990, PART VI, 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 2024. 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 OFFICER 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 2024.
FORM 990, PART VI, LINE 18	THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	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 BOARD'S COMPENSATION COMMITTEE AND THE FIRSTHEALTH BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FIRSTHEALTH'S INDEPENDENT TAX PREPARER, FORVIS MAZARS, 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, LINE 12C CONFLICT OF INTEREST POLICY	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, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	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 AND FILED WITH THE NORTH CAROLINA MEDICAL CARE COMMISSION IN ACCORDANCE WITH EXISTING DEBT COVENANTS.
FORM 990, PART IX, LINE 11G OTHER FEES	PROFESSIONAL FEES - TOTAL EXPENSE: 61684023, PROGRAM SERVICE EXPENSE: 60623449, MANAGEMENT AND GENERAL EXPENSES: 1060574, FUNDRAISING EXPENSES: ; CONTRACT LABOR - TOTAL EXPENSE: 26514987, PROGRAM SERVICE EXPENSE: 25650965, MANAGEMENT AND GENERAL EXPENSES: 864022, FUNDRAISING EXPENSES: ; CONSULTANT FEES - TOTAL EXPENSE: 1903396, PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: 1903396, FUNDRAISING EXPENSES: ; PURCHASED SERVICES - TOTAL EXPENSE: 93223301, PROGRAM SERVICE EXPENSE: 60641533, MANAGEMENT AND GENERAL EXPENSES: 32581768, FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; - TOTAL EXPENSE: , PROGRAM SERVICE EXPENSE: , MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ;
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	LOSS ON SWAP MARKET ADJUSTMENT - -7934100; TOTAL - -7934100;
FORM 990, PART XII, LINE 2C CHANGE OF OVERSIGHT PROCESS OR SELECTION PROCESS	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FIRSTHEALTH PHYSICIANS GROUP LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	463774942	MEDICAL SERVICES	NC	-$50,923,000	$35,618,000	FIRSTHEALTH OF THE CAROLINAS INC
STARFIRST LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	561936354	CAPTIVE INSURANCE	SC	$1,028,000	$24,460,000	FIRSTHEALTH OF THE CAROLINAS INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FOUNDATION OF FIRSTHEALTH INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 MEMORIAL DRIVE	AddressLine1Txt
City	PINEHURST	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28374	ZIPCd

Field	Value	IRS element (for citing)
EIN	510191937	EIN
Primary Activities	FUNDRAISING	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	TYPE II	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	FIRSTHEALTH OF THE CAROLINAS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FIRSTIMAGING OF THE CAROLINAS LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	300313534	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	-$602,292	$2,804,373	false	false	0.5
SURGERY CENTER OF PINEHURST LLC
10 FIRSTVILLAGE DRIVE	PINEHURST	NC	28374	680561185	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	$1,150,219	$20,159,266	false	Yes (true)	0.25
FIRSTCAROLINACARE INSURANCE SERVICES LLC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	261708544	INSURANCE SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	$0	-$8,788	false	false	0.51
SURGERY CENTER OF PINEHURST PROPERTIES LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	680561188	REAL ESTATE	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	-$100,750	$2,569,233	false	false	0.35
CARDIOVASCULAR CENTER OF SCOTLAND COUNTY LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	262335801	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	$234,972	$2,512,369	false	false	0.5
SOUTHERN PINES SURGERY CENTER PROPERTIES LLC
5 FIRSTVILLAGE DRIVE	PINEHURST	NC	28374	884125656	REAL ESTATE	NC	FIRSTHEALTH OF THE CAROLINAS INC	RELATED	$0	$0	false	false	0.25

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
FIRSTHEALTH PROFESSIONAL SERVICES INC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	561885149	HEALTHCARE SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	C CORPORATION	-$2,000	-$20,000	1	Yes (true)
FIRSTCAROLINACARE INSURANCE COMPANY INC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	331160597	INSURANCE COMPANY	NC	FIRSTHEALTH OF THE CAROLINAS INC	C CORPORATION	$547,052	-$1,769,515	0.2	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (true)	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (true)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FIRSTIMAGING OF THE CAROLINAS LLC
S	$1,133,000	FMV
SURGERY CENTER OF PINEHURST
S	$1,221,912	FMV
SURGERY CENTER OF PINEHURST PROPERTIES LLC
S	$229,511	FMV
FOUNDATION OF FIRSTHEALTH INC
C	$10,790,692	FMV
FOUNDATION OF FIRSTHEALTH INC
J	$55,812	FMV
FOUNDATION OF FIRSTHEALTH INC
P	$1,996,894	FMV
FOUNDATION OF FIRSTHEALTH INC
Q	$1,935,496	FMV