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WESTERN REGION 50.0 X 262576 0 10918 SUSAN BEATY CHIEF NURSING OFFICER 50.0 X 381674 0 61527 GIRIDHAR CHINTALAPUDI MD PHYSICIAN 50.0 X 996195 0 35038 MARK LANDERS MD PHYSICIAN 50.0 X 1242293 0 51040 PETER ELLMAN MD PHYSICIAN 50.0 X 865315 0 51040 WILLIAM HARRIS MD PHYSICIAN 50.0 X 905178 0 44192 WILLIAM KITCHENS MD PHYSICIAN 50.0 X 827535 0 51140 13910362 0 1341578 1113 false true false PINEHURST MEDICAL CLINIC 205 PAGE ROAD PINEHURST NC 28374 MEDICAL ONCOLOGY - PHYSICIAN SERVICES 26543895 PINEHURST SURGICAL CLINIC 5 FIRSTVILLAGE DRIVE PINEHURST NC 28374 PHYSICIAN SERVICES 25762199 MCKESSON SPECIALTY CARE DISTRIBUTION 10101 WOODLOCH FOREST DRIVE THE WOODLANDS TX 77380 MEDICAL SUPPLIES, PHARMACEUTICAL DISTRIBUTION & HEALTHCARE TECHNOLOGY 21122347 SOUTHERN PINES WOMEN'S HEALTH CENTER 145 APPLECROSS ROAD SOUTHERN PINES NC 28388 PHYSICIAN SERVICES 13181007 QUALIVIS LLC 5930 CORNERSTONE CT W 300 SAN DIEGO CA 92121 CONTRACT HEALTHCARE STAFFING SERVICES 12241164 138 10790692 1009311 1042565 12842568 NET PATIENT SERVICE REVENUE 621110 1018673306 1018673306 PHARMACY INCOME 621110 54871615 54871615 OTHER OPERATING REVENUE 621110 10385930 9408033 977897 EMS REVENUE 621110 8686709 8686709 HEALTH AND FITNESS 713940 7365307 6862771 502536 0 0 0 0 1099982867 27397529 27397529 2005616 3092230 -1086614 0 -1086614 -126829 -959785 39881580 9178320 39881580 -9178320 30703260 30703260 780596 681481 99115 99115 FOOD SERVICE 900099 4045261 4045261 LAUNDRY 812300 3077021 3077021 DISCOUNTS AND REBATES 900099 2152063 2152063 0 0 0 0 9274345 1179213070 1098601549 1353604 66415349 X 2367715 2367715 10182975 10182975 284188 284188 406601654 326281083 80320571 25806445 20184616 5621829 54763987 42833875 11930112 30302199 23700988 6601211 4162447 1687142 2475305 767959 767959 274225 274225 252491 252491 183325707 146915947 36409760 0 938811 86010 852801 30936168 17203643 13732525 90035 90035 15787506 6273597 9513909 1902893 1385249 517644 327454 204645 122809 2136644 2136644 47497615 47497615 5426111 717868 4708243 MEDICAL SUPPLIES 250884680 250884680 DIETARY EXP 6458240 723304 5734936 MISCELLANEOUS 167233 124678 42555 0 0 0 0 1081645382 891583522 190061860 0 23265112 53856640 132732584 140321006 2084210 2171477 0 0 17550304 20173574 11218688 19663206 1317179750 813386627 495267544 503793123 890716342 953480840 0 99000 99000 20266299 19808999 97124820 89938039 1690324903 1803305904 106703909 124116302 542333 793845 155220000 153570000 0 0 76305000 68950000 35159927 29317283 373931169 376747430 X 1313691447 1423414171 2702287 3144303 1316393734 1426558474 1690324903 1803305904 X 97567688 20531152 -7934100 X X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 84000 84000 68724 152724 84000 264294898 264447622 84000 1000000 16800 250000 4200 0 79800 0 67200 1000000 1000000 1000000 1000000 4000000 6000000 51461 70286 121096 152724 395567 250000 250000 250000 250000 1000000 1500000 50506 60000 55000 84000 249506 17067116 17067116 685482755 331183025 354299730 6887953 6887953 567817428 467725677 100091751 39924498 14477925 25446573 503793123 FEDERAL INCOME TAXES PROFESSIONAL LIABILITY RESERVE 8363122 THIRD PARTY PAYABLES 868599 DUE TO AFFILIATE -931708 LEASE LIABILITY 21017270 29317283 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE 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. true true X true X true X 360 true true true false true true 46081400 46081400 0.04260 127502937 99997273 27505664 0.02543 0 0.0 0 0 173584337 99997273 73587064 0.06803 24096748 12489851 11606897 0.01073 0 0.0 7644700 6488835 1155865 0.00107 578651 578651 0 0.0 2880862 2880862 0.00266 0 0 35200961 19557337 15643624 0.01446 0 0 208785298 119554610 89230688 0.08250 0 0.0 0 0.0 62789 62789 0.00006 0 0.0 0 0.0 1127 1127 0.00000 7754 7754 0.00001 16732 16732 0.00002 0 0.0 0 0 88402 0 88402 0.00008 true 0 128907217 152411646 -23504429 X true true 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 4 1 FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST 155 MEMORIAL DRIVE PO BOX 3000 PINEHURST NC 28374 H0100 X A 2 FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL 520 ALLEN STREET PO BOX 486 TROY NC 37371 H0003 X A 3 FIRSTHEALTH MOORE REGIONAL HOSPITAL RICHMOND CAMPUS 925 LONG DRIVE ROCKINGHAM NC 28379 H0158 X A 4 FIRSTHEALTH MOORE REGIONAL HOSPITAL HOKE 6408 FAYETTEVILLE ROAD RAEFORD NC 28376 H0287 X A A 4 false false true X X X X X X X X X X 24 true false false true X https://www.firsthealth.org/about-us/community-health-needs-assessment/ X true 24 true https://www.firsthealth.org/about-us/community-health-needs-assessment/implementation-plan/ false true X 200.0 360.0 X X X X true true X X X true X HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE#5 X SEE PART VI X HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY A, 1 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. 0 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 true BOYS AND GIRLS CLUB OF THE SANDHILLS 160 MEMORIAL PARK COURT PO BOX 1 SOUTHERN PINES NC 28388 911877405 501(C)(3) 13000 GENERAL SUPPORT VILLAGE OF PINEHURST 395 MAGNOLIA ROAD PINEHURST NC 28374 561211319 501(C)(3) 27480 GENERAL SUPPORT MOORE COUNTY 100 DOWD STREET CARTHAGE NC 28327 566000322 501(C)(3) 45635 GENERAL SUPPORT MOORE FREE & CHARITABLE CLINIC 211 TRIMBLE PLANT ROAD SUITE C SOUTHERN PINES NC 28387 010781234 501(C)(3) 100000 GENERAL SUPPORT MOORE COUNTY SCHOOLS 5277 HIGHWAY 15-501 SOUTH CARTHAGE NC 28327 566001078 501(C)(3) 5000 GENERAL SUPPORT HOKE COUNTY DOMESTIC VIOLENCE & SEXUAL ASSAULT CENTER 225 S MAIN STREET RAEFORD NC 28376 262780222 501(C)(3) 5000 GENERAL SUPPORT HOKE COUNTY DEPARTMENT OF SOCIAL SERVICES PO BOX 340 RAEFORD NC 28374 566001525 GOV 5000 GENERAL SUPPORT RICHMOND COUNTY SHERIFF DEPARTMENT 114E FRANKLIN STREET SUITE 105 ROCKINGHAM NC 28379 566000334 GOV 5000 GENERAL SUPPORT OUR DAILY BREAD FOOD MINISTRY PO BOX 264 GRAND RAPIDS MI 49501 421755754 501(C)(3) 5000 GENERAL SUPPORT RICHMOND COUNTY SAMARITAN COLONY 136 SAMARITAN DRIVE ROCKINGHAM NC 28379 561121850 501(C)(3) 5000 GENERAL SUPPORT HABITAT FOR HUMANITY 2268 NC HIGHWAY 5 ABERDEEN NC 28315 561596170 501(C)(3) 6600 GENERAL SUPPORT FRIEND TO FRIEND PO BOX 1508 CARTHAGE NC 28327 581779218 501(C)(3) 5000 GENERAL SUPPORT CHATHAM COUNTY OUTREACH ALLIANCE 40 CAMP DRIVE PITTSBORO NC 27312 561668767 501(C)(3) 5000 GENERAL SUPPORT CHATHAM COUNTY SHERIFF ANIMAL RESCUE 724 RENAISSANCE DRIVE PITTSBORO NC 27312 566000284 GOV 5000 GENERAL SUPPORT MONTGOMERY COUNTY COUNCIL ON AGING PO BOX 697 TROY NC 27371 561173830 501(C)(3) 10000 GENERAL SUPPORT COMMUNITIES IN SCHOOLS OF MONTGOMERY COUNTY PO BOX 624 BISCOE NC 27209 562617697 501(C)(3) 10000 GENERAL SUPPORT SANFORD FARMERS MARKET 2420 TRAMWAY ROAD SANFORD NC 27332 372091404 501(C)(3) 5000 GENERAL SUPPORT SANFORD AREA GROWTH ALLIANCE 115 CHATHAM STREET SANFORD NC 27330 561459769 501(C)(6) 5000 GENERAL SUPPORT AMERICAN RED CROSS - DISASTER RELIEF FUND PO BOX 37839 BOONE IA 50037 561814954 501(C)(3) 16650 HURRICANE HELENE RELIEF UNITED WAY OF NORTH CAROLINA 1235 TWO HANOVER SQUARE RALEIGH NC 28601 560564547 501(C)(3) 16650 HURRICANE HELENE RELIEF SAMARITAN'S PURSE PO BOX 3000 BOONE NC 28607 581437002 501(C)(3) 16750 HURRICANE HELENE RELIEF NC BAPTISTS ON MISSION 205 CONVENTION DRIVE CARY NC 27512 560556746 501(C)(3) 16650 HURRICANE HELENE RELIEF NC FOUNDATION FOR NURSING 4350 LASSITER AT NORTH HILLS AVE S RALEIGH NC 27609 561651319 501(C)(3) 16650 HURRICANE HELENE RELIEF NC HEALTHCARE FOUNDATION PO BOX 4449 CARY NC 27519 560773039 501(C)(3) 16650 HURRICANE HELENE RELIEF THE FOUNDATION OF FIRSTHEALTH INC 155 MEMORIAL DRIVE PINEHURST NC 28374 510191937 501(C) 2000000 FIRSTFUTURES PROGRAM 24 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. X X X X X false true true true false false false false false MICKEY FOSTER PRESIDENT & CEO 1055721 0 514864 0 44230 0 176463 0 26540 0 1817818 0 141178 0 JEFFREY CASEY CHIEF FINANCIAL OFFICER 478387 0 208152 0 51183 0 63308 0 24890 0 825920 0 0 0 DANIEL BARNES DO PRESIDENT, FHPG 535707 0 233074 0 53403 0 67851 0 26519 0 916554 0 0 0 CHRIS BEASLEY CHIEF INFORMATION OFFICER 316370 0 145228 0 40270 0 51576 0 26210 0 579654 0 0 0 SUSAN BEATY CHIEF NURSING OFFICER 234971 0 107305 0 39398 0 49175 0 12352 0 443201 0 0 0 JENIFIR BRUNO CHIEF MEDICAL OFFICER 450577 0 197332 0 45740 0 60421 0 26394 0 780464 0 0 0 REBECCA CARTER PRESIDENT - WESTERN REGION 213436 0 12602 0 36538 0 0 0 10918 0 273494 0 0 0 JONATHAN DAVIS CHIEF OPERATING OFFICER 563958 0 243700 0 40931 0 69930 0 26540 0 945059 0 0 0 CHRISTOPHER FRALEY VP, FINANCE 263778 0 122057 0 42882 0 47202 0 19280 0 495199 0 0 0 AMY GRAHAM CHIEF STRATEGY/INNOVATION OFFICER 327371 0 152273 0 53208 0 52892 0 26454 0 612198 0 0 0 CHRISTY LAND PRESIDENT, SOUTHERN REGION 239931 0 105947 0 30121 0 43786 0 1692 0 421477 0 0 0 JACKLYNN LESNIAK VP, MRH PATIENT CARE SVCS. 285760 0 191603 0 100419 0 0 0 10918 0 588700 0 0 0 CYNTHIA MCNEILL-MCDONALD CHIEF QUALITY OFFICER 253254 0 128976 0 45424 0 45864 0 12761 0 486279 0 0 0 MATTHEW PRESTWOOD PRESIDENT, EASTERN REGION 206270 0 99780 0 33921 0 45150 0 19034 0 404155 0 0 0 BERNI SZCZEPANSKI CHIEF PEOPLE OFFICER 341944 0 149649 0 36201 0 52403 0 12605 0 592802 0 0 0 MARK LANDERS MD PHYSICIAN 777215 0 421210 0 43868 0 24500 0 26540 0 1293333 0 0 0 GIRIDHAR CHINTALAPUDI MD PHYSICIAN 469628 0 486929 0 39638 0 24500 0 10538 0 1031233 0 0 0 WILLIAM HARRIS MD PHYSICIAN 748846 0 127041 0 29291 0 24500 0 19692 0 949370 0 0 0 PETER ELLMAN MD PHYSICIAN 756847 0 67705 0 40763 0 24500 0 26540 0 916355 0 0 0 WILLIAM KITCHENS MD PHYSICIAN 709589 0 75750 0 42196 0 24500 0 26640 0 878675 0 0 0 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. A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2017-10-11 45225000 SERIES 2017C - REFUND 04/24/2012 ISSUE false false false B NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2014-07-01 18160000 SERIES 2014A - REFUND PORTION OF ISSUE DATES 12/9/09 false false false C NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2017-08-03 38090000 SERIES 2017A - REFUND PORTION OF ISSUE DATES 3/4/12 false false false D NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 2017-08-24 29630000 SERIES 2017B - REFUND PORTION OF ISSUE DATES 1/6/10 false false false A 675000 44855000 45225000 136219 true false true true B 4925000 17530000 18160000 193083 true false true true C 40830000 38090000 122864 true false true true D 525000 29535000 29630000 92803 true false true true A false false false false false false 0 0 0.0 true false 0 false true B false false false false false false 0 0 0.0 true false 0 false true C false false false false false false 0 0 0.0 true false 0 false true D false false false false false false 0.021 0 0.021 true false 0 false true A false false false false true false 0 false false false 0 false false true B false false false false false false 0 false false false 0 false false true C false false false false true false 0 false false false 0 false false true D false false false false true false 0 false false false 0 false false true A true B true C true D true A NORTH CAROLINA MEDICAL CARE COMMISSION 521309402 65821DVR9 2017-09-13 28590000 SERIES 2017D - REFUND PORTIO OF ISSUE DATE 10/3/12 false false false A 28435000 28590000 142879 true false true true A false false false false false false 0 0 0.0 true false 0 false true A false false false false true false 0 false false false 0 false false true A true MICKEY FOSTER CEO SUPP. RETIREMENT CASD X 2000000 2171477 false true true 2171477 MATHESON MCDONALD CYNTHIA MCNEILL-MCDONALD 149613 COMPENSATION: PA - HOSPITALIST false JOSHUA BARNES DANIEL BARNES, D.O. 87975 COMPENSATION: DIRECTOR OF OPERATIONS-OCC. HEALTH & WELLNESS false KELLY BARNES DANIEL BARNES, D.O. 46600 COMPENSATION: PATIENT EDUCATOR - CDE false SCHEDULE L, PART II 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. 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. 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