Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 07-01-2018 , and ending 06-30-2019
BCheck if applicable:
CName of organization
DUKE QUALITY NETWORK INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
324 BLACKWELL ST WASHIN BLDG NO 850
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DURHAM, NC27701
D Employer identification number

46-1340679
E Telephone number

G Gross receipts $ 0
F Name and address of principal officer:
WILLIAM J FULKERSON MD
615 DOUGLAS ST STE 700
DURHAM,NC27705
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2013
M State of legal domicile: NC
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O FOR ORGANIZATION'S MISSION STATEMENTDUKE QUALITY NETWORK, INC. WAS CREATED TO SUPPORT DUKE UNIVERSITY HEALTH SYSTEM, INC.'S CHARITABLE AND EDUCATIONAL ACTIVITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 3
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 0
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 629,269 0
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 629,269 0
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 0 0
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 0 0
19 Revenue less expenses. Subtract line 18 from line 12....... 629,269 0
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 0 0
21 Total liabilities (Part X, line 26)............. 0 0
22 Net assets or fund balances. Subtract line 21 from line 20..... 0 0
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: DUKE QUALITY NETWORK, INC. WAS CREATED TO SUPPORT DUKE UNIVERSITY HEALTH SYSTEM, INC.'S CHARITABLE AND EDUCATIONAL ACTIVITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
HOLD PARTNERSHIP INVESTMENT - PARTNERSHIP ENTITY WAS CREATED TO IMPLEMENT CLINICAL QUALITY PROGRAMS IN RURAL HOSPITALS OR IN HOSPITALS IN AREAS WITH UNDERSERVED MEDICAL POPULATIONS TO SUPPORT EFFECTIVE CARE, DEVELOP HEALTH PROFESSIONALS' CLINICAL SKILLS, AND IMPROVE PATIENT SAFETY AT SUCH HOSPITALS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI....................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
3
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletBETSY CASSIDY615 DOUGLAS STREET STE 700   DURHAM,NC27705 (919) 668-8910
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) WILLIAM J FULKERSON MD......................................................................
DIRECTOR/PRESIDENT
0.10
.................
60.60
X   X       0 1,852,249 38,933
(2) PAUL LINDIA......................................................................
DIRECTOR/VICE PRESIDENT
0.10
.................
60.20
X   X       0 470,896 81,092
(3) KENNETH C MORRIS......................................................................
DIRECTOR/TREASURER
0.10
.................
40.90
X   X       0 1,385,444 44,047
(4) CHRISTY M GUDAITIS......................................................................
SECRETARY
4.00
.................
58.00
    X       0 343,737 49,028


























Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 4,052,326 213,100
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet  
 Program Service RevenueAmt Business Code
2a
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet  
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet        
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss)......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss).....MediumBullet        
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 0 0 0 0
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21    
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees ....        
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal .........        
c Accounting ...........        
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)        
12 Advertising and promotion ....        
13 Office expenses .......        
14 Information technology ......        
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ...        
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 0 0 0 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 0
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net .............   4  
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6  
7 Notes and loans receivable, net ....   7  
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ......   9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation 10b     10c  
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 34)... 0 16 0
Liabilities 17 Accounts payable and accrued expenses .....   17  
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D   25  
26 Total liabilities. Add lines 17 through 25.. 0 26 0
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 0 27 0
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 0 33 0
34 Total liabilities and net assets/fund balances ........ 0 34 0
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
0
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
0
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
0
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
0
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
0
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
 
No
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
DUKE QUALITY NETWORK INC
 
Employer identification number

46-1340679
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................1
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) DUHS INC
 
562070036 3 Yes   0 0
Total
1
0 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
Yes
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
Yes
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2018 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2018
(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2019. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
DUKE QUALITY NETWORK INC
 
Employer identification number

46-1340679
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
7,173
j
Total. Add lines 1c through 1i ....................................................................................................
7,173
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: DUKE QUALITY NETWORK, INC. HAS 3% OWNERSHIP IN A PARTNERSHIP WHICH HAS MINIMAL LOBBYING EXPENSES.
Schedule C (Form 990 or 990EZ) 2018


Additional Data


Software ID:  
Software Version:  

SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
DUKE QUALITY NETWORK INC
 
Employer identification number

46-1340679
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    213,272 0 213,272  
b Medicaid (from Worksheet 3, column a) . . . . .     6,293,385 5,458,549 834,836  
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     83,105 84,972 0  
d Total Financial Assistance and Means-Tested Government Programs . . . . .     6,589,762 5,543,521 1,048,108 0 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     21,090 1,719 19,371  
f Health professions education (from Worksheet 5) . . .     819,552 460,267 359,285  
g Subsidized health services (from Worksheet 6) . . . .     594,578 0 594,578  
h Research (from Worksheet 7) .     16,438 11,860 4,578  
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     4,650 0 4,650  
j Total. Other Benefits . .     1,456,308 473,846 982,462 0 %
k Total. Add lines 7d and 7j .     8,046,070 6,017,367 2,030,570 0 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     0 0    
2 Economic development     880 0 880  
3 Community support     127 0 127  
4 Environmental improvements     0 0    
5 Leadership development and
training for community members
    0 0    
6 Coalition building     0 0    
7 Community health improvement advocacy     1,073 0 1,073  
8 Workforce development     297 0 297  
9 Other     3,217 0 3,217  
10 Total     5,594   5,594 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
 
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
11,222,165
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
10,928,266
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
293,899
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?14Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 DLP CONEMAUGH MEMORIAL MED CEN LLC
1086 FRANKLIN STREET
JOHNSTOWN,PA15905
WWW.CONEMAUGH.ORG
035601
X X   X   X X   3% OWNERSHIP IN JOINT VENTURE A
2 DLP MARQUETTE GENERAL HOSPITAL
850 W BARAGA AVENUE
MARQUETTE,MI49855
WWW.MGH.ORG
1060000027-520050
X X   X     X X 3% OWNERSHIP IN JOINT VENTURE  
3 HAYWOOD REGIONAL MEDICAL CENTER
262 LEROY GEORGE DR
CLYDE,NC28721
WWW.MYHAYWOODREGIONAL.COM
H0025
X X         X   3% OWNERSHIP IN JOINT VENTURE  
4 FRYE REGIONAL MEDICAL CENTER
420 NORTH CENTER STREET
HICKORY,NC28601
WWW.FRYEMEDCTR.COM
H0053
X X         X   3% OWNERSHIP IN JOINT VENTURE  
5 DLP MARIA PARHAM HEALTH
566 RUIN CREEK ROAD
HENDERSON,NC27536
WWW.MARIAPARHAM.COM
H0267
X X         X   3% OWNERSHIP IN JOINT VENTURE  
6 WILSON MEDICAL CENTER
1705 TARBORO ST SW
WILSON,NC27893
WWW.WILSONMEDICAL.COM
H0210
X X         X   3% OWNERSHIP IN JOINT VENTURE  
7 HARRIS REGIONAL HOSPITAL
68 HOSPITAL ROAD
SYLVA,NC28779
WWW.MYHARRISREGIONAL.COM
H0087
X X         X   3% OWNERSHIP IN JOINT VENTURE  
8 RUTHERFORD REGIONAL MEDICAL CENTER
288 S RIDGECREST STREET
RUTHERFORDTON,NC28139
WWW.MYRUTHERFORDREGIONAL.COM
H0039
X X         X   3% OWNERSHIP IN JOINT VENTURE  
9 CENTRAL CAROLINA MEDICAL CENTER
1135 CARTHAGE STREET
SANFORD,NC27330
WWW.CENTRALCAROLINAHOSP.COM
H0243
X X         X   3% OWNERSHIP IN JOINT VENTURE  
10 TWIN COUNTY REGIONAL HEALTHCARE
200 HOSPITAL DRIVE
GALAX,VA24333
WWW.TCRH.ORG
H1909
X X         X   3% OWNERSHIP IN JOINT VENTURE  
11 DLP CONEMAUGH MEYERSDALE MED CEN LLC
200 HOSPITAL DRIVE
MEYERSDALE,PA15552
WWW.CONEMAUGH.ORG
391101
X X     X   X   3% OWNERSHIP IN JOINT VENTURE A
12 DLP CONEMAUGH MINERS MED CEN LLC
290 HAIDA AVENUE
HASTINGS,PA16646
WWW.CONEMAUGH.ORG
10850100
X X         X   3% OWNERSHIP IN JOINT VENTURE A
13 PERSON MEMORIAL HOSPITAL
615 RIDGE ROAD
ROXBORO,NC27573
WWW.PERSONHOSPITAL.COM
H0066
X X         X   3% OWNERSHIP IN JOINT VENTURE  
14 SWAIN COMMUNITY HOSPITAL
45 PLATEAU STREET
BRYSON CITY,NC28713
WWW.MYSWAINCOMMUNITY.COM
H0069
X       X   X   3% OWNERSHIP IN JOINT VENTURE  
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
DLP CONEMAUGH MEMORIAL MED CEN LLC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.CONEMAUGH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-INFORMATION/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
DLP CONEMAUGH MEMORIAL MED CEN LLC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.CONEMAUGH.ORG
b
WWW.CONEMAUGH.ORG
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
DLP CONEMAUGH MEMORIAL MED CEN LLC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
DLP CONEMAUGH MEMORIAL MED CEN LLC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
DLP MARQUETTE GENERAL HOSPITAL DLP
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.MGH.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
DLP MARQUETTE GENERAL HOSPITAL DLP
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.MGH.ORG
b
WWW.MGH.ORG
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
DLP MARQUETTE GENERAL HOSPITAL DLP
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
DLP MARQUETTE GENERAL HOSPITAL DLP
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HAYWOOD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.MYHAYWOODREGIONAL.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HAYWOOD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.MYHAYWOODREGIONAL.COM
b
WWW.MYHAYWOODREGIONAL.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
HAYWOOD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HAYWOOD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FRYE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.FRYEMEDCTR.COM/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FRYE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.FRYEMEDCTR.COM
b
HTTP://WWW.FRYEMEDCTR.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
FRYE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FRYE REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MARIA PARHAM HEALTH
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.MARIAPARHAM.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MARIA PARHAM HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.MARIAPARHAM.COM
b
HTTP://WWW.MARIAPARHAM.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
MARIA PARHAM HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MARIA PARHAM HEALTH
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
WILSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.WILSONMEDICAL.COM/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
WILSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.WILSONMEDICAL.COM
b
HTTP://WWW.WILSONMEDICAL.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
WILSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
WILSON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HARRIS REGIONAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.MYHARRISREGIONAL.COM/OUTREACH/COMMUNITY
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HARRIS REGIONAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.MYHARRISREGIONAL.COM
b
HTTP://WWW.MYHARRISREGIONAL.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
HARRIS REGIONAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HARRIS REGIONAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
RUTHERFORD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.MYRUTHERFORDREGIONAL.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
RUTHERFORD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.MYRUTHERFORDREGIONAL.COM
b
HTTP://WWW.MYRUTHERFORDREGIONAL.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
RUTHERFORD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
RUTHERFORD REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CENTRAL CAROLINA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
9
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.CENTRALCAROLINAHOSP.COM/FOR-PATIENTS-AND-VISITORS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CENTRAL CAROLINA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.CENTRALCAROLINAHOSP.COM
b
HTTP://WWW.CENTRALCAROLINAHOSP.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
CENTRAL CAROLINA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CENTRAL CAROLINA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
TWIN COUNTY REGIONAL HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
10
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.TCRH.ORG - CLICK "COMMUNITY", AND "COMMUNITY HEALTH NEEDS ASSESSMENT"
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
TWIN COUNTY REGIONAL HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.TCRH.ORG
b
HTTP://WWW.TCRH.ORG
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
TWIN COUNTY REGIONAL HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
TWIN COUNTY REGIONAL HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
PERSON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
13
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://PERSONHOSPITAL.COM/FOR-PATIENTS-AND-VISITORS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
PERSON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://PERSONHOSPITAL.COM
b
HTTP://PERSONHOSPITAL.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
PERSON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
PERSON MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SWAIN COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
14
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.MYSWAINCOMMUNITY.COM/FOR-PATIENTS-AND-VISITORS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SWAIN COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://WWW.MYSWAINCOMMUNITY.COM
b
HTTP://WWW.MYSWAINCOMMUNITY.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
SWAIN COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SWAIN COMMUNITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
REPORTING GROUP A DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTER PART V, SECTION B, LINE 5:INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) CONDUCTING A FOCUS GROUP COMPRISED OF 25 COMMUNITY MEMBERS, NFP ORGANIZATIONS, FOUNDATIONS, SCHOOLS, HEALTH PROVIDERS, AND GOVERNMENT; (2) PHYSICIAN AND EMPLOYEE SURVEYS; (3) COMMUNITY SURVEYS; (4) A COMMUNITY HEALTH SUMMIT WITH ALMOST 70 COMMUNITY STAKEHOLDERS, AND (5) INFORMATION GATHERING FROM SECONDARY PUBLIC HEALTH SOURCES.REPORTING GROUP ADLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTERPART V, SECTION B, LINE 6A:THREE HOSPITALS WITHIN CONEMAUGH HEALTH SYSTEM - DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTERREPORTING GROUP ADLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTERPART V, SECTION B, LINE 6B:UNITED WAY OF THE LAUREL HIGHLANDSREPORTING GROUP ADLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTER PART V, SECTION B, LINE 11:CONEMAUGH HEALTH SYSTEM (CHS) IS ADDRESSING THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA AS FOLLOWS:1. SUBSTANCE ABUSE (INCLUDES ADDRESSING VIOLENCE)CHS IMPLEMENTED A WARM HAND OFF PROCESS IN ALL THREE EMERGENCY DEPARTMENTS IN CAMBRIA AND SOMERSET COUNTY, INCREASING PATIENT PLACEMENT IN TREATMENT PROGRAMS. CHS ALSO IMPLEMENTED EXTENSIVE EDUCATION ON DRUG ADDICTION, HIGH DOSE OPIOID PRESCRIPTIONS, INFECTIOUS DISEASES, DRUG TRENDS, PREVENTION, TREATMENT AND LAW ENFORCEMENT ACTIVITIES TO STAFF, PATIENTS, SCHOOLS, AND THE GENERAL PUBLIC. 2. DECREASE OBESITY/INCREASING HEALTHY LIVINGCHS CONTINUES TO PROMOTE HEALTH AND WELLNESS PROGRAMS INTERNALLY TO STAFF AS WELL AS TO THE GENERAL PUBLIC. THOUSANDS OF CHS EMPLOYEES PARTICIPATE IN EMPLOYEE HEALTH AND WELLNESS PROGRAMS EACH MONTH. A COMPREHENSIVE COMMUNITY OUTREACH PROGRAM HAS BEEN DEVELOPED AND WILL BE EXPANDED TO ENSURE OUTREACH AND EDUCATION IS OCCURRING IN ALL OF CHS' COMMUNITIES.3. MENTAL HEALTH NEEDSCHS CONTINUED TO FOCUS ON RECRUITMENT NEEDS FOR ADDITIONAL PSYCHIATRISTS, PSYCHOLOGISTS, AND MID-LEVEL PROVIDERS TO THE COMMUNITY, AS WELL AS BEHAVIORAL HEALTH NURSES AND SUPPORT STAFF.4. PARENTAL SUPPORT/YOUTH OPPORTUNITIES- ENCOURAGE EXPECTANT MOTHERS TO ENROLL INTO COMMUNITY PROGRAMS INCLUDING, BUT NOT LIMITED TO, PARENTS AS TEACHERS AND NURSE FAMILY PARTNERSHIP- SUPPORT COMMUNITY YOUTH WELLNESS ACTIVITIES THROUGH PARTNERSHIPS WITH VARIOUS COMMUNITY AGENCIES- WORK COLLABORATIVELY WITH UNITED WAY OF THE LAUREL HIGHLANDS AND OTHER COMMUNITY ORGANIZATIONS TO ENCOURAGE PARENTAL SUPPORT AND YOUTH OPPORTUNITIES IN OUR SERVICE AREAS5. ACCESS/AFFORDABLE HEALTHCARECHS CONTINUES TO FOCUS ON RECRUITMENT OF PRIMARY CARE AND SPECIALTY PHYSICIANS. SEVERAL PRACTICES HAVE BEEN CONSOLIDATED IN ORDER TO EXPAND HOURS FOR PATIENT APPOINTMENTS. THROUGH THE ADDITION OF OUTPATIENT CENTERS IN STRATEGIC MARKETS (RICHLAND, EBENSBURG AND SOMERSET) WITH GOOD ACCESS TO MAJOR HIGHWAYS, CHS IS WORKING TO MAKE OUTPATIENT SERVICE MORE CONVENIENT AND ACCESSIBLE THROUGHOUT CAMBRIA AND SOMERSET COUNTIES.6. JOBS/SOCIOECONOMICSCHS EXPANDED PROMOTION TO THE COMMUNITY OF CONEMAUGH EDUCATIONAL OPPORTUNITIES INCLUDING THE NURSING ASSISTANT CERTIFICATION, CONEMAUGH SCHOOL OF NURSING AND ALLIED HEALTH PROGRAMS, VIA JOB FAIRS, SCHOOL DISTRICTS, SOCIAL MEDIA AND OTHER MARKETING. IN ADDITION, CHS IS WORKING COLLABORATIVELY WITH ENTITIES SUCH AS THE CHAMBERS OF COMMERCE, JOHNSTOWN AREA REGIONAL INDUSTRIES, AND OTHER ORGANIZATIONS TO PROMOTE THE REGION TO PROSPECTIVE BUSINESSES.7. INFRASTRUCTURE/BEST PRACTICESCHS ASSISTED THE UNITED WAY OF THE LAUREL HIGHLANDS IN PROMOTING AND UPDATING INFORMATION IN THE 2-1-1 TELEPHONE PLATFORM, A FREE AND CONFIDENTIAL SERVICE THAT HELPS PEOPLE ACROSS NORTH AMERICA FIND THE LOCAL RESOURCES THEY NEED 24 HOURS A DAY, 7 DAYS A WEEK. CHS ALSO CO-SPONSORED A QUALITY OF LIFE SUMMIT IN MAY 2017 AND MAY 2019 TO FOCUS ON COMMUNITY HEALTH NEEDS OPPORTUNITIES AND COLLABORATIVE PARTNERSHIPS WITHIN CAMBRIA COUNTY. IN ADDITION, CHS CONTINUOUSLY COMMUNICATES TO ITS STAFF INFORMATION ON COMMUNITY RESOURCES AVAILABLE FOR PATIENTS. CONEMAUGH MEMORIAL, MEYERSDALE, MINERS MEDICAL CENTERS, 1889 FOUNDATION AND UNITED WAY OF THE LAUREL HIGHLANDS AS THE SPONSORS OF THE ASSESSMENT, ENGAGED NATIONAL LEADERS IN COMMUNITY HEALTH NEEDS ASSESSMENTS TO ASSIST IN THE PROJECT. STRATASAN, A HEALTHCARE ANALYTICS AND FACILITATION COMPANY BASED OUT OF NASHVILLE, TENNESSEE, PROVIDED THE ANALYSIS OF COMMUNITY HEALTH DATA AND SURVEYS, FACILITATED THE FOCUS GROUPS, AND FACILITATED A COMMUNITY HEALTH SUMMIT TO RECEIVE COMMUNITY INPUT INTO THE PRIORITIES AND BRAINSTORM GOALS AND ACTIONS THE COMMUNITY COULD TAKE TO IMPROVE HEALTH.
REPORTING GROUP A DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, DLP CONEMAUGH MEYERSDALE MEDICAL CENTERPART V, SECTION B, LINE 16J:THE ORGANIZATION IS GOVERNED BY THE CONEMAUGH HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY. A SUMMARY OF THIS POLICY IS MADE AVAILABLE VIA BROCHURES LOCATED AT ALL REGISTRATION SITES, AND IS INCLUDED IN THE ADMISSIONS PACKET. IN ADDITION, BILLING STATEMENTS INDICATE THAT "FINANCIAL ASSISTANCE PROGRAM APPLICATIONS ARE AVAILABLE ON REQUEST, OR VISIT OUR WEBSITE AT WWW.CONEMAUGH.ORG". DLP MARQUETTE GENERAL HOSPITAL, LLCPART V, SECTION B, LINE 5:INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) CONDUCTING A FOCUS GROUP COMPRISED OF 30 COMMUNITY MEMBERS REPRESENTING VARIOUS POPULATIONS; (2) EMPLOYEE SURVEYS; (3) PHYSICIAN SURVEYS; (4) A COMMUNITY SUMMIT AND (5) DATA FROM SECONDARY PUBLIC HEALTH SOURCES.DLP MARQUETTE GENERAL HOSPITAL, LLCPART V, SECTION B, LINE 6A:UP HEALTH SYSTEM - BELLDLP MARQUETTE GENERAL HOSPITAL, LLCPART V, SECTION B, LINE 11:BASED ON THE RESULTS OF THE CHNA, MARQUETTE SELECTED THE FOLLOWING TWO IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. BEHAVIORAL HEALTH AND ACCESS TO CARETO ADDRESS THE BEHAVIORAL HEALTH NEEDS INCLUDING MENTAL HEALTH AND SUBSTANCE USE, MARQUETTE DID THE FOLLOWING: 1. IDENTIFIED 4 PSYCHIATRIC CANDIDATES DURING ITS RECRUITMENT PROCESS, BUT DISCOVERED DURING THE RECRUITMENT PROCESS THAT PROVIDERS IN SUCH HIGH DEMAND PREFERRED NOT TO PROVIDE INPATIENT SERVICES OR BE ON CALL WHICH WOULD BE A SIGNIFICANT JOB REQUIREMENT. IN RESPONSE, MARQUETTE INITIATED A NEW PSYCHIATRIC RESIDENCY PROGRAM IN COLLABORATION WITH MICHIGAN STATE UNIVERSITY'S COLLEGE OF HUMAN MEDICINE - RURAL CAMPUS PROGRAM WHICH WILL BEGIN IN THE SUMMER OF 2020. IT WILL INITIALLY BEGIN WITH 1 RESIDENT PHYSICIAN IN JULY FOLLOWED BY ANOTHER 2 PHYSICIANS IN SEPTEMBER. THE TERMS OF THE RESIDENCY REQUIRE THESE PROVIDERS TO WORK AND SERVE IN A DESIGNATED RURAL COMMUNITY FOR AT LEAST 2 YEARS AFTER GRADUATION.2. PARTNERED WITH THE NATIONAL ALLIANCE FOR MENTAL ILLNESS-ALGER/MARQUETTE AS A MAJOR SPONSOR FOR THEIR NAMI WALKS IN 2018 AND 2019. THESE EVENTS RAISED OVER $40,000 TO INCREASE AWARENESS FOR MENTAL ILLNESS AND SUPPORT COMMUNITY RESOURCES AVAILABLE FOR THOSE WITH MENTAL ILLNESSES.3. PARTNERED WITH THE HENRY FORD HEALTH SYSTEM'S "ZERO SUICIDE" INITIATIVE IN MAY 2019 TO BRING GUEST SPEAKER DR. AHMEDANI TO MARQUETTE. DR. AHMEDANI DELIVERED LECTURES TO UPHS MEDICAL PROVIDERS, TARGETING PRIMARY CARE AND PEDIATRICIANS, AS WELL AS THE COMMUNITY ON HOW TO IDENTIFY THE SIGNS THAT SOMEONE IS CONSIDERING SUICIDE AND HOW TO SUCCESSFULLY INTERVENE. MARQUETTE ALSO HOSTS MARQUETTE'S LOCAL MENTAL HEALTH ADVISORY COMMITTEE, COMPRISED OF LAW ENFORCEMENT, CORRECTIONS, HEALTH DEPARTMENTS, CITIZENS, COMMUNITY MENTAL HEALTH AGENCIES, COMMUNITY RESOURCE AGENCIES, AND HEALTHCARE WORKERS QUARTERLY MEETINGS TO DISCUSS INITIATIVES.4. MARQUETTE PLANNED TO INCREASE THE NUMBER OF SUBSTANCE USE GROUP THERAPY OPPORTUNITIES IN THE OUTPATIENT CLINIC BUT HAS NOT BEEN ABLE TO DO SO DUE TO THE DEPARTURE OF SEVERAL SOCIAL WORKERS QUALIFIED TO CONDUCT THOSE MEETINGS. MARQUETTE IS ACTIVELY RECRUITING TO REPLACE THESE SOCIAL WORKERS AND EXPAND THE NUMBER OF GROUP THERAPY OPPORTUNITIES IN THE OUTPATIENT SETTING. TO HELP WITH THE PATIENT LOAD IN PSYCHIATRY AND ADDICTION MEDICINE, 3 FAMILY MEDICINE PHYSICIANS HAVE OBTAINED WAIVERS TO PRESCRIBE AND ADMINISTER SUBOXONE TO ANY PATIENT IN THEIR EXISTING PANEL WHO HAS BEEN DIAGNOSED WITH OPIOID USE DISORDER. MARQUETTE ALSO HOSTS MONTHLY NARCOTICS ANONYMOUS MEETINGS AT ITS FACILITY.5. COLLABORATED WITH LOCAL AND REGIONAL PRIMARY CARE OFFICES TO INTEGRATE BEHAVIORAL HEALTH SERVICES IN THE PRIMARY CARE SETTING AS FOLLOWS: - MICHIGAN STATE UNIVERSITY RECEIVED A GRANT TO EXPAND ITS MC3 PROGRAM IN MARQUETTE, WHICH PROVIDES A PEDIATRIC COUNSELOR FROM PATHWAYS, OUR CMH AGENCY, WHO WILL BE AVAILABLE TO SEE WHICHEVER PATIENTS OUR PEDIATRICIANS DEEM NECESSARY OF AN ASSESSMENT AND/OR COUNSELING SERVICES. - MICHIGAN STATE UNIVERSITY ALSO RECEIVED A GRANT TO IMPROVE THE TREATMENT OF OPIOID USE DISORDERS IN MARQUETTE. PROVISIONS INCLUDE A COUNSELOR EMBEDDED 2 DAYS A WEEK IN MARQUETTE'S FAMILY MEDICINE RESIDENCY OFFICE. PRIMARY CARE PROVIDERS FROM MARQUETTE CAN REFER DIRECTLY TO THE COUNSELOR, WHO WOULD THEN REFER TO THE CMH AGENCY, PATHWAYS, IF NECESSARY. BOTH OF THESE PROGRAMS WILL BEGIN IN JANUARY 2020.6. MARQUETTE HAS BEEN UTILIZING TELE-PSYCH SERVICES FOR MANY YEARS AND CONTINUES TO OFFER PROVIDER-PATIENT VISITS VIA TELEHEALTH WHEN POSSIBLE TO REDUCE THE TRANSPORTATION BURDEN OF PATIENTS.7. TO HELP ADDRESS ACCESS TO INPATIENT AND OUTPATIENT SPECIALTY CARE, A CONTRACT IS IN PLACE WITH MICHIGAN STATE UNIVERSITY TO SUPPLY MARQUETTE WITH MORE BEHAVIORAL HEALTH PROVIDERS AVAILABLE FOR TELE-PSYCH VISITS WITH PATIENTS AS SOON AS THEY HAVE THE RESOURCES AVAILABLE.8. MARQUETTE HAS TEACHING ROTATIONS IN PLACE FOR NURSING, SOCIAL WORK AND MEDICAL STUDENTS TO ROUND WITH APPROPRIATE PROFESSIONALS IN BEHAVIORAL HEALTH SETTINGS. THIS ROTATION IS OFFERED TO STUDENTS FROM ALL UPPER PENINSULA COLLEGES, EXCEPT FOR LAKE SUPERIOR STATE UNIVERSITY.TO ADDRESS THE ACCESS TO CARE NEED, MARQUETTE DID THE FOLLOWING:1. IDENTIFIED RECRUITING AND RETENTION OF MEDICAL STAFF AS OUR TOP PRIORITY. AN ADDITIONAL 28 PROVIDERS HAVE BEEN RECRUITED AND RETAINED TO INCREASE THE NUMBER OF PROVIDERS AVAILABLE IN AREAS INCLUDING; ANESTHESIA, BARIATRIC SURGERY, RADIATION ONCOLOGY, CVT SURGERY, CARDIOLOGY, PEDIATRIC CARDIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, PEDIATRICS, INTERVENTIONAL RADIOLOGY, ORTHOPEDIC SURGERY, PODIATRY AND WOUND CARE.A FULL-TIME SOURCING POSITION WAS ADDED TO MARQUETTE'S PROVIDER RECRUITMENT TEAM IN 2017, EFFECTIVELY DOUBLING MARQUETTE'S MANPOWER FOR THE RECRUITMENT OF NEW PROVIDERS. A SEPARATE RECRUITMENT WEB PAGE WAS ADDED, WORKATUPHS.COM, WHICH IS DEDICATED TO TARGETING AND ATTRACTING TALENT INTERESTED IN HEALTH CARE POSITIONS WITHIN OUR SYSTEM.A STATE-OF-THE-ART NEW UPHS MARQUETTE FACILITY WAS COMPLETED IN 2019, WHICH IS A TREMENDOUS ASSET TO OUR COMMUNITY AND A SIGNIFICANT RECRUITMENT TOOL.2. MARQUETTE HAS PARTNERED WITH LIFEPOINT HEALTH TO CREATE A CLINICALLY INTEGRATED NETWORK (CIN) IN THE UPPER PENINSULA. IN ITS SIMPLEST IMPLEMENTATION, A CIN IS A COLLECTION OF HEALTHCARE PROVIDERS, SUCH AS PHYSICIANS, HOSPITALS, AND POST-ACUTE CARE TREATMENT PROVIDERS, THAT COME TOGETHER TO IMPROVE PATIENT CARE AND REDUCE OVERALL HEALTHCARE COST. CIN'S RELY ON EVIDENCE BASED CARE GUIDELINES TO PROVIDE HIGH-QUALITY CARE ACROSS PARTICIPATING PROVIDERS INCLUDING:I. PREVENTION STRATEGIESII. ACUTE TREATMENTIII. ONGOING CONDITION MAINTENANCEADVANTAGE POINT HEALTH ALLIANCE, GREAT LAKES CHAPTER WAS CREATED BY LIFEPOINT TO COORDINATE A LOCAL CIN. A DEDICATED FULL-TIME POSITION WAS CREATED TO COORDINATE AND RECRUIT PRACTICES FOR THE CIN. CURRENTLY, THE GREAT LAKES CHAPTER INCLUDES MORE THAN 35 PRACTICES ACROSS THE UP, REPRESENTING OVER 35 UNIQUE SPECIALTIES AND SUBSPECIALTIES.MARQUETTE DID NOT ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS: SUBSTANCE ABUSE, OBESITY, SOCIOECONOMIC ISSUES, SENIOR CARE, AND TOBACCO. MARQUETTE DOES NOT HAVE THE EXPERTISE, HUMAN OR FINANCIAL RESOURCES TO ADEQUATELY ADDRESS THESE ISSUES. WE WILL DEFER TO AND SUPPORT OTHER COMMUNITY ORGANIZATIONS TO ADDRESS THESE ISSUES.HAYWOOD REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) CONDUCTING A FOCUS GROUP COMPRISED OF 17 MEMBERS REPRESENTING VARIOUS POPULATIONS INCLUDING MEDICALLY-UNDERSERVED, LOW-INCOME, MINORITIES, AND CHILDREN; (2) SURVEYS OF 20 HAYWOOD COUNTY LEADERS (3) COMMUNITY SURVEYS AND (5) INFORMATION GATHERING FROM SECONDARY PUBLIC HEALTH SOURCES.HAYWOOD REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11BASED ON THE RESULTS OF THE CHNA, HAYWOOD REGIONAL MEDICAL CENTER (HRMC) SELECTED THE FOLLOWING THREE OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. PHYSICAL ACTIVITY AND NUTRITION 2. SUBSTANCE ABUSE 3. MENTAL HEALTH
PRIORITY HEALTH ISSUE #1: PHYSICAL ACTIVITY AND NUTRITION - THE HOSPITAL IN CONJUNCTION WITH HEALTHY HAYWOOD DEVELOPED A FITNESS FINDER, WHICH SERVES AS A GUIDE TO LOCAL PHYSICAL FITNESS OPPORTUNITIES IN THE COUNTY. IN ADDITION, OVER 15 FITNESS FACILITIES, INCLUDING HAYWOOD REGIONAL HEALTH & FITNESS CENTER PARTICIPATE IN THE HEALTHY HAYWOOD FITNESS CHALLENGE IN WHICH FOR A SMALL FEE, PARTICIPANTS HAVE ACCESS TO ALL FACILITIES. - THE HOSPITAL PROVIDES BOTH IN-KIND AND FINANCIAL SUPPORT TO LOCAL FITNESS INITIATIVES. EXAMPLES INCLUDE "HEALTHY HAYWOOD AND PROVIDING FREE ANNUAL SPORTS PHYSICALS TO HAYWOOD COUNTY ATHLETES.- THE HOSPITAL FEATURES A DIABETES EDUCATION CENTER THAT HAS SPECIALLY TRAINED AND CERTIFIED NURSES, REGISTERED DIETITIANS, COUNSELORS, AND EXERCISE SPECIALISTS TO OFFER SUPPORT AND ASSISTANCE FOR MANAGING DIABETES. FEATURES OF THE PROGRAM INCLUDE COMPREHENSIVE DIABETES EDUCATION, NUTRITIONAL COUNSELING, BLOOD SUGAR SCREENING AND LIFESTYLE MANAGEMENT.
- THE HOSPITAL LOOKS FOR WAYS TO PARTNER WITH MOUNTAINWISE, TO LOOK FOR FUTURE PLANS AND FUNDING TO PROVIDE WORKSITE HEALTH PROMOTION INITIATIVES TO HAYWOOD COUNTY EMPLOYERS. THE HOSPITAL IS CURRENTLY WORKING TO REVIVE THE EMPLOYEE WELLNESS PROGRAMS FOR HOSPITAL EMPLOYEES AND WILL LOOK TO EXPANDING THE PROGRAM, IN PARTNERSHIP, WITH MOUNTAINWISE, TO OTHER BUSINESSES. THE FOCUS GROUP CONSENSUS WAS THAT PROGRAMS NEED TO BE MADE AVAILABLE WHERE PEOPLE ARE ALREADY, SUCH AS CHURCHES AND AT THE WORKSITE. - PARTICIPATES IN THE WEIGHT LOSS AND EXERCISE FOR COMMUNITIES WITH ARTHRITIS IN NORTH CAROLINA (WE-CAN) CLINICAL TRIAL.WAKE FOREST UNIVERSITY AND UNC CHAPEL HILL WORKING TOGETHER HAVE RECEIVED $6 MILLION IN FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH TO ENABLE HEALTH AND SCIENCE RESEARCHERS TO EXPAND THEIR PRIOR STUDY OF INDIVIDUALS WITH KNEE OSTEOARTHRITIS AND EXAMINE SUCCESSFUL TREATMENT MEASURES IN COMMUNITY SETTINGS. HAYWOOD REGIONAL MEDICAL CENTER IS ONE OF THREE CLINICAL RESEARCH SITES PARTICIPATING IN THE WE CAN TRIAL. OBESITY IS KNOWN TO BE A MODIFIABLE RISK FACTOR FOR KNEE OSTEOARTHRITIS (OA), AND WEIGHT LOSS IS AN EFFECTIVE NON-PHARMACOLOGIC TREATMENT TO REDUCE PAIN. NATIONALLY RECOGNIZED RESEARCHERS ARE SEEKING TO DEMONSTRATE THAT OVERWEIGHT AND OBESE ADULTS WITH KNEE OSTEOARTHRITIS CAN ACHIEVE SUBSTANTIAL PAIN RELIEF WITH WEIGHT LOSS AND EXERCISE IN THIS COMMUNITY BASED PROGRAM. MANY PHYSICIANS WHO TREAT PEOPLE WITH KNEE OA HAVE NO PRACTICAL MEANS TO IMPLEMENT WEIGHT LOSS AND EXERCISE TREATMENTS. THIS STUDY WILL TEST THE EFFECTIVENESS OF A LONG-AWAITED AND MUCH NEEDED COMMUNITY PROGRAM THAT WILL SERVE AS A BLUEPRINT FOR CLINICIANS AND PUBLIC HEALTH OFFICIALS IN URBAN AND RURAL COMMUNITIES WHO WISH TO IMPLEMENT A WEIGHT LOSS AND EXERCISE PROGRAM DESIGNED TO REDUCE KNEE PAIN AND IMPROVE OTHER CLINICAL OUTCOMES IN OVERWEIGHT AND OBESE ADULTS WITH KNEE OA. INDIVIDUALS WHO ENTER THE STUDY WILL BE RANDOMIZED TO AN 18 MONTH MANAGEMENT PROGRAM THAT COULD INCLUDE EITHER HEALTHY LIFESTYLE EDUCATION AND GUIDANCE; OR SUPERVISED EXERCISE AND WEIGHT LOSS. PRIORITY HEALTH ISSUE #2: SUBSTANCE ABUSE- HAYWOOD WORKED WITH A REGIONAL IMPLEMENTATION AND STRATEGY ORGANIZATION TO DEVELOP AN ELECTRONIC SCORECARD AND ESTABLISH DATA INDICATORS TO REPORT.WORKED WITH COMMUNITY AGENCIES AND OTHER PARTNERS FOR TOBACCO PREVENTION AND CESSATION, AND SUPPORTED COMMUNITY INITIATIVES THAT RAISE SUBSTANCE ABUSE AWARENESS. PRIORITY HEALTH ISSUE #3: MENTAL HEALTH - HAYWOOD OPENED ITS GERIATRIC PSYCH UNIT IN JULY 2017. HAYWOOD IS ALSO PROVIDING CONSUMER EDUCATION AND SPONSORING COMMUNITY EVENTS SUCH AS "SUICIDE PREVENTION MONTH", AND LAUNCHING A SAVE A LIFE RESOURCE PAGE ON THE HOSPITAL WEBSITE.HRMC DOES NOT INTEND TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS:1. INJURY AND VIOLENCE THE HOSPITAL FEELS THERE ARE OTHER ORGANIZATIONS WORKING ON THIS AND WE COULD HAVE LITTLE IMPACT. 2. CHRONIC DISEASETHE HOSPITAL ALREADY HAS MANY INITIATIVES UNDERWAY FOR THESE AND WANTED TO GO ALONG WITH THE CNA FOCUS NEEDS OF THE HEALTH HAYWOOD COALITION. A LOT OF WORK HAS BEEN DONE AND IS BEING DONE AROUND DIABETES IN THE PUBLIC HEALTH ARENA. 3. SOCIAL DETERMINANTS OF HEALTH/ACCESS TO CAREHRMC IS CURRENTLY FINANCIALLY SUPPORTIVE OF THE FQHC IMPLEMENTATION IN THE COUNTY. THE HOSPITAL ALSO HAS A PHYSICIAN RECRUITMENT PLAN TO ADDRESS THE PHYSICIAN POPULATION RATIO OF NEED PER POPULATION.FRYE REGIONAL MEDICAL CENTER (FRYE)PART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) COMMUNITY SURVEYS; (2) A COMMUNITY HEALTH SUMMIT WITH 80 COMMUNITY STAKEHOLDERS; (3) FOCUS GROUP INCLUDING REPRESENTATION FROM MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, AND CHILDREN AND (4) INFORMATION GATHERING FROM SECONDARY PUBLIC HEALTH SOURCES.FRYE REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11FRYE REGIONAL MEDICAL CENTER (FRMC) (FRYE) IS FOCUSING ON ADDRESSING THE FOLLOWING SIGNIFICANT HEALTH NEEDS:1. PHYSICAL ACTIVITY2. NUTRITION 3. CHRONIC DISEASE PHYSICAL ACTIVITYTO ENCOURAGE PHYSICAL ACTIVITY, FRYE REGIONAL MEDICAL CENTER HOSTED A NUMBER OF VISIBLE PUBLIC ACTIVITIES, INCLUDING HEALTH WALKS AND A 5K. FRMC SPONSORED AN ANNUAL MAKING COMMUNITIES HEALTHIER 5K RUN/WALK IN SEPTEMBER OF EACH YEAR TO ENCOURAGE MOVEMENT AND EXERCISE (DATES WERE 9/16/2017, 9/22/2018, 9/21/2019) AND AN ANNUAL COMMUNITY HEART AND STROKE WALK TO RECOGNIZE SURVIVORS, PROVIDE HEALTH INFORMATION AND HEALTH FAIR IN THE SPRING OF EACH YEAR (DATES WERE 4/22/2018, 5/5/2018, 5/4/2019). FRMC PROVIDES ONGOING ATHLETIC TRAINERS TO THREE AREA HIGH SCHOOLS (HICKORY HIGH, SOUTH CALDWELL, AND FRED T FOARD) FOCUSING ON INJURY PREVENTION, ON-SITE CARE AND SAFE RETURN TO SPORTS FOR STUDENTS. THE FRMC TRAINERS ALSO PROVIDE BASELINE IMPACT CONCUSSION TESTING TO BETTER CARE FOR ATHLETES.NUTRITION- FRMC SPONSORED A "LUNCH BUNCH" PROVIDING A HEALTHY LUNCH AND HEALTHY EATING EDUCATIONAL PRESENTATION TO COMMUNITY MEMBERS ON 10/20/2017.- FRMC HELPS SPONSOR THE YMCA MOBILE KITCHEN WHICH OFFERS HANDS-ON AFFORDABLE COOKING CLASSES FOR INDIVIDUALS AND GROUPS. PARTICIPANTS PREPARE A HEART-HEALTHY MAIN COURSE WITH APPROPRIATE SIDE DISHES TO TAKE HOME TO THEIR FAMILY ALONG WITH THE RECIPE USED. - FRMC EMPLOYEES DONATED WARM ITEMS FOR WINTER SUCH AS SOCKS, GLOVES, HATS; HEALTHY AND NOURISHING SNACKS; AND BASIC HYGIENE ITEMS TO THE HOMELESS AND VULNERABLE ADULTS AND CHILDREN IN THE COMMUNITY WHO RELY ON THE SOUP KITCHEN FOR A HOT MEAL. EMPLOYEES DONATED ENOUGH FOR 350 BAGS ON 11/21/2018.- FRMC STAFF VITALITY PROGRAM PROVIDES A TRACKING SYSTEM FOR WELLNESS INCENTIVES, INCLUDING NUTRITION EDUCATION MODULES AND INCLUDES A REWARD PROGRAM FOR PURCHASING HEALTHIER FOODS.- FRMC SPONSORED A SNACK DRIVE FOR THE GREATER HICKORY COOPERATIVE CHRISTIAN MINISTRY ON 7/30/2019.- FRMC HAS AN ONGOING DIABETES SUPPORT PROGRAM AS PART OF ITS DIABETES CARE CENTER TO SUPPORT AND ENCOURAGE DIABETES SELF-MANAGEMENT. THE GROUP MEETS QUARTERLY AT THE FRYECARE OUTPATIENT IMAGING CENTER AT 6:30 P.M.- FRMC HAS AN ONGOING BREASTFEEDING MOMS SUPPORT GROUP TO SHARE BREASTFEEDING EXPERIENCES ON HOW TO GET STARTED AND HOW TO MAINTAIN BREASTFEEDING WHILE CONTINUING TO WORK. A LACTATION CONSULTANT ANSWERS QUESTIONS AND MEETS MONTHLY AT THE FRMC THIRD FLOOR OB CLASSROOM.
CHRONIC DISEASE FRMC PERFORMED PRE-DIABETES SCREENINGS FOR THE HEALTH DEPARTMENT ON 5/20/2018 AND HELPS SPONSOR THE YMCA DIABETES PREVENTION PROGRAM. THE YMCA DIABETES PREVENTION PROGRAM IS PART OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION-LED NATIONAL DIABETES PREVENTION PROGRAM AND IS NATIONALLY SUPPORTED BY THE DIABETES PREVENTION AND CONTROL ALLIANCE. THE PROGRAM PROVIDES A SUPPORTIVE ENVIRONMENT WHERE PARTICIPANTS WORK TOGETHER IN A SMALL GROUP TO LEARN ABOUT HEALTHIER EATING AND INCREASING THEIR PHYSICAL ACTIVITY IN ORDER TO REDUCE THEIR RISK FOR DEVELOPING DIABETES. THE PROGRAM, WHICH IS LED BY A TRAINED LIFESTYLE COACH IN A CLASSROOM SETTING, IS DELIVERED OVER A 12-MONTH PERIOD, BEGINNING WITH 16 WEEKLY SESSIONS FOLLOWED BY MONTHLY MAINTENANCE.FRMC OFFERS ONGOING SMOKING CESSATION PROGRAMS TO LOCAL EMPLOYERS. THESE ARE SIX-WEEK NICOTINE CESSATION PROGRAMS WITH STRATEGIES THAT WORK.FRMC HELPS SPONSOR THE ANNUAL AMERICAN HEART ASSOCIATION CATAWBA VALLEY HEART BALL. THE HEART BALL HELPS THE AHA TO CONNECT, INNOVATE, INFLUENCE AND INVEST IN ADVANCING EFFORTS TO CHANGE HEALTH OUTCOMES AS THEY RELATE TO HEART DISEASE AND STROKE. IT OCCURED ON 2/23/2019.FRMC HOLDS CARDIAC SCREENINGS IN THE HEART TOWER FOR THE LAST 2.5 YEARS.FRMC HELD A CARDIOVASCULAR SYMPOSIUM ON 2/12/2019 FOR NURSES AND HEALTHCARE PROFESSIONALS TO LEARN ABOUT THE LATEST TRENDS IN CARDIOVASCULAR CARE. THE GOAL IS TO SHARE THE LATEST SCIENCE REGARDING INTERVENTIONS IN CARDIOVASCULAR CARE.FRMC CONDUCTS A STROKE SUPPORT GROUP FOR STROKE SURVIVORS, CARETAKERS AND FAMILY MEMBERS HELD MONTHLY AT THE HEART TOWER LOBBY FROM 4-5 P.M. FRMC HELD THE FOLLOWING FREE EVENTS:1) A HANDS-ONLY CPR EVENT ON 7/12/2018 TO EDUCATE ON THE NEW METHODS AND BENEFITS 2) BLOOD PRESSURE SCREENINGS AT THE CORNER TABLE SOUP KITCHEN ON 3/22/2018 3) SCREENINGS AT THE GREATER HICKORY COOPERATIVE CHRISTIAN MINISTRY ON 11/15/20194) HEART EDUCATION AT US CONNECT ON 9/20/20185) HEART AND STROKE EDUCATION FOR THE EMS/FIRE EXPO ON 5/4/2019 6) HEALTH FAIR FOR CENTRO LATINO ON 4/4/2019FRMC HAS A CANCER SUPPORT CENTER THAT PROVIDES EDUCATION, SUPPORT AND RECOVERY FOR ALL WHOSE LIVES ARE TOUCHED BY CANCER, FROM THE NEWLY DIAGNOSED TO SURVIVORS AND THEIR FAMILIES AND CAREGIVERS. CANCER SUPPORT SERVICES INCLUDE THE FOLLOWING: A) BREAST FRIENDS - CANCER SUPPORT GROUP MEETS QUARTERLYB) CLIMB (CHILDREN'S LIVES INCLUDE MOMENTS OF BRAVERY) - A SUPPORT GROUP FOR CHILDREN OF PATIENTS OR LOVED ONES WITH CANCER. MEETS MONTHLY FOR FOUR WEEKS PROVIDING EMOTIONAL SUPPORT FOR CHILDREN AGES 6 TO 10C) FEEL GOOD FRIDAY - A SUPPORT GROUP TO HELP CAREGIVERS AND PATIENTS COPE WITH A CANCER DIAGNOSIS HELD THE FIRST FRIDAY OF EACH QUARTERD) LIFE GOES ON - AN EDUCATIONAL SUPPORT GROUP FEATURING CANCER-RELATED TOPICS MEETS THE THIRD MONDAY OF EVERY OTHER MONTHE) LIVING WITH METASTATIC CANCER SUPPORT GROUP - QUARTERLY MEETINGS PROVIDE AN OPPORTUNITY TO SHARE WITH OTHERS LIVING WITH SIMILAR CHALLENGESF) MULTIPLE MYELOMA SUPPORT GROUP - A SUPPORT GROUP MEETING EVERY OTHER MONTH. G) YOGA - NEW BEGINNINGS FOR CANCER SURVIVORS, TUESDAY EVENINGS. YOGA FOR ALL CANCER SURVIVORS: GENTLE, CHAIR-BASED PRACTICE ON THURSDAY AFTERNOONS. YOGA AWARENESS IS AN 8-WEEK COURSE OF YOGA, GUIDED MEDITATION, BREATHING EXERCISES AND MINDFULNESS PRACTICEH) STRENGTH FOR LIFE - EXERCISE PROGRAM FOR CANCER SURVIVORS AND THOSE LIVING WITH CANCER ON TUESDAYS AND THURSDAYSFRMC ALSO PROVIDES MONTHLY RADIO SEGMENTS THAT HIGHLIGHT VARIOUS HEALTH TOPICS WITH THE MAJORITY SPECIFICALLY FOCUSING ON CHRONIC DISEASE. THE RADIO SEGMENTS ARE PRESENTED BY HEALTHCARE PROFESSIONALS AND PROVIDE EDUCATIONAL INFORMATION FOR THE PUBLIC.FRYE DID NOT FOCUS SUBSTANTIAL EFFORTS ON CANCER PREVENTION, THOUGH FRYE'S EFFORTS TO HELP IMPROVE PHYSICAL ACTIVITY, NUTRITION AND CHRONIC DISEASE ARE LIKELY TO INDIRECTLY IMPACT CANCER PATIENTS. WHILE FRYE CONTINUES TO OFFER THE AREA'S ONLY INPATIENT PSYCHIATRIC HOSPITAL AND IS ACTIVELY RECRUITING ANOTHER PSYCHIATRIST TO THE REGION, FRYE DID NOT OFFER ANY PROGRAMS THAT RELATE DIRECTLY TO SUICIDE PREVENTION. FRYE'S STROKE CARE COORDINATOR, OFFERS COMMUNITY EDUCATION AND OUTREACH ON AN ONGOING BASIS AS PART OF BEING AN ACCREDITED PRIMARY STROKE CENTER, BUT FRYE DID NOT OFFER ANY ADDITIONAL PROGRAMMING RELATED TO STROKE PREVENTION.DLP MARIA PARHAM MEDICAL CENTERPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) 185 DOOR-TO-DOOR INTERVIEWS; (2) A COMMUNITY HEALTH FORUM WITH 26 COMMUNITY STAKEHOLDERS; (3) A COMMUNITY FOCUS GROUP WITH 10 COMMUNITY STAKEHOLDERS, AND (4) INFORMATION GATHERING FROM SECONDARY PUBLIC HEALTH SOURCES.DLP MARIA PARHAM MEDICAL CENTERPART V, SECTION B, LINE 6BGRANVILLE VANCE PUBLIC HEALTH DEPARTMENT AND STRATASONDLP MARIA PARHAM MEDICAL CENTERPART V, SECTION B, LINE 11BASED ON THE RESULTS OF THE CHNA, MARIA PARHAM MEDICAL CENTER (MPMC) SELECTED THE FOLLOWING THREE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. MENTAL HEALTH AND SUBSTANCE ABUSE 2. EDUCATION 3. NUTRITION AND PHYSICAL EDUCATION MENTAL HEALTH AND SUBSTANCE ABUSE ACTION STEPS - PROVIDED FREE MENTAL HEALTH PRESENTATIONS FOR THE COMMUNITY, INCLUDING TARGETED PRESENTATIONS FOR STUDENTS AT VANCE GRANVILLE COMMUNITY COLLEGE. - MPMC OPENED A 13 BED GERIATRIC BEHAVIORAL HEALTH FACILITY IN 2018 AND WILL OPEN A 20 BED ADULT BEHAVIORAL UNIT IN THE SPRING OF 2020. - MPMC MAINTAINS CERTIFIED TRAINERS IN HANDLE WITH CARE (RECOGNIZING, ADDRESSING, AND DIFFUSING ELEVATED SITUATIONS WITH MENTAL HEALTH PATIENTS) AND HAVE TRAINED 221 STAFF BETWEEN 2018 AND 2019. ALL OF MPMC SECURITY PERSONNEL ARE TRAINED IN HANDLE WITH CARE.- MPMC HAS HOSTED MULTIPLE VITALITY CHALLENGES TO PROMOTE HEALTHY LIVING AMONG EMPLOYEES INCLUDING STEPS CHALLENGES AND EMPLOYEE HEALTH ASSESSMENT PARTICIPATION CHALLENGES. MARIA PARHAM ALSO PROVIDES COUNSELING TO EMPLOYEES AFTER STRESSFUL EVENTS THROUGH AN EMPLOYEE ASSISTANCE PROGRAM.- MPMC COLLABORATES WITH LOCAL ADDICTION SUPPORT AGENCIES TO HELP PROVIDE SUPPORT SERVICES TO THE COMMUNITY.- MPMC PROVIDES INFORMATION TO THE COMMUNITY ON MENTAL HEALTH AND SUBSTANCE ABUSE TOPICS THROUGH THE QUARTERLY HOSPITAL SPONSORED PUBLICATION HEALTHBEAT THAT IS PUBLISHED AND OFFERED THROUGH A LOCAL NEWSPAPER, THE DAILY DISPATCH. MENTAL HEALTH TOPICS COVERED HAVE INCLUDED STAY STRESS FREE THROUGH THE HOLIDAYS, SUICIDE AWARENESS, AND MENTAL HEALTH AWARENESS MONTH. - MPMC PROVIDED A CLINICAL SOCIAL WORKER IN THE EMERGENCY DEPARTMENT TO HELP CREATE TRANSITION PLANS FOR AND OFFER HELP AND SUPPORT TO MENTAL HEALTH PATIENTS.EDUCATION ACTION STEPS - PARTICIPATED IN 7 DIFFERENT CAREER DAYS AT 6 DIFFERENT SCHOOLS DURING 2016 THROUGH 2018 TO PROMOTE HEALTHCARE RELATED JOBS. - HOSTED THREE TEACHERS EXECUTIVE INSTITUTE (TEI) EVENTS FROM 2016-2018 TO SUPPORT TEACHER EFFORTS IN THE AREA.- PARTNERED WITH THE VANCE COUNTY PUBLIC SCHOOL FOUNDATION ON ACTIVITIES AND EDUCATION NEEDS AND OPPORTUNITIES IN THE COMMUNITY - PROVIDED OVER $86,299 IN TUITION REIMBURSEMENT TO 16 MPMC EMPLOYEES DURING CALENDAR YEAR 2016-2018.- PROVIDED INFORMATION TO THE COMMUNITY ON EDUCATION TOPICS INCLUDING VACCINES, FLU, HAND HYGIENE, HEALTHY EATING, EXERCISE, MENTAL HEALTH, AND OTHER HEALTH TOPICS THROUGH THE QUARTERLY HOSPITAL SPONSORED PUBLICATION HEALTHBEAT.- SUPPORTED MULTIPLE LOCAL ORGANIZATIONS, INCLUDING THE UNITED WAY, SMART START, AND THE BOYS AND GIRLS CLUB, THROUGH TIME AND CONTRIBUTIONS TOTALING OVER $30,000 DURING CALENDAR YEARS 2016-2018. NUTRITION AND PHYSICAL ACTIVITY ACTION STEPS - PROVIDED FREE EDUCATIONAL PROGRAMS FOR THE COMMUNITY ON TOPICS RELATED TO NUTRITION AND PHYSICAL ACTIVITY. - HOSTED A 5K RUN/WALK EVENT TO THE COMMUNITY DURING HOSPITAL WEEK ACCEPTING NONPERISHABLE FOODS FOR LOCAL FOOD BANK AS REGISTRATION FEE. - MPMC HAS PROVIDED SEVERAL FREE HEALTH SCREENINGS/TOPIC PRESENTATIONS TO THE COMMUNITY THROUGH THE LOCAL FARMER'S MARKET INCLUDING CHEST PAIN SYMPTOMS AND FREE BLOOD PRESSURE SCREENINGS. - MPMC HAS ATHLETIC TRAINERS IN 2 LOCAL HIGH SCHOOLS, WARREN COUNTY AND VANCE COUNTY SUPPORTING OVER 1,200 STUDENTS.- PROVIDES INFORMATION TO THE COMMUNITY ON NUTRITION AND PHYSICAL ACTIVITY TOPICS THROUGH THE QUARTERLY HOSPITAL SPONSORED PUBLICATION HEALTHBEAT THAT IS PUBLISHED AND OFFERED THROUGH A LOCAL NEWSPAPER, THE DAILY DISPATCH. - MPMC OFFERS FREE BREASTFEEDING TO THE COMMUNITY 4 TIMES PER YEAR AND LACTATION COUNSELING AVAILABLE TO NEW MOMS IN THE COMMUNITY. - MPMC LEADERSHIP HOSTED A FOOD DRIVE FOR THE LOCAL FOOD PANTRY.
MARIA PARHAM MEDICAL CENTER DOES NOT INTEND TO ADDRESS THE FOLLOWING SIGNIFICANT HEALTH NEEDS:1. ACCESS TO HEALTHCARE - MPMC BELIEVES THAT WE OFFER THE COMMUNITY COMPREHENSIVE HEALTHCARE AND CONTINUE TO STRIVE TO BRING PRIMARY CARE AND SPECIALTY PHYSICIANS TO OUR COMMUNITY. COLLABORATING WITH THE VANCE-GRANVILLE HEALTH DEPARTMENT WE WILL CONTINUE TO CLOSE THE GAP BETWEEN PEOPLE IN NEED OF HEALTHCARE AND ACCESS TO HEALTHCARE. 2. CHRONIC DISEASE MANAGEMENT - MPMC IS DEDICATED TO EDUCATING THE COMMUNITY ABOUT HOW TO STAY HEALTHY AND IMPROVE QUALITY OF LIFE FOR THOSE THAT HAVE CHRONIC DISEASES. WE WILL CONTINUE TO REACH OUT TO THE COMMUNITY TO PROVIDE EDUCATION AND RESOURCES TO THIS POPULATION BUT THIS IS NOT WITHIN THE SCOPE OF THE COMMUNITY ASSESSMENT. WE WILL CONTINUE TO PROVIDE HEALTH FAIRS, EDUCATION, AND COMMUNITY OUTREACH AS PART OF OUR CONTINUAL COMMUNITY SERVICE. 3. CRIME - MPMC FEELS THE IMPACT THAT CRIME AND NEGATIVE SOCIETAL FORCES HAVE ON OUR COMMUNITY AND HEALTHCARE. THIS IS ONE AREA THAT WE CAN PARTNER WITH LOCAL LAW ENFORCEMENT AGENCIES AND PROVIDE RESOURCES AS NEEDED BUT CANNOT POSITIVELY IMPACT WITHOUT COLLABORATION FROM ALL AGENCIES. WE ARE DEDICATED TO PROVIDING REFUGE FOR THE COMMUNITY FOR THOSE THAT ARE SEEKING ASSISTANCE WITH DRUG AND ALCOHOL ABUSE THAT LEAD TO CRIME. 4. MATERNAL AND INFANT HEALTH - MPMC OFFERS AND PROVIDES COMPREHENSIVE PROGRAMS TO HELP CREATE A POSITIVE IMPACT ON THE MOTHER AND BABY COMMUNITY. WE OFFER COMPLETE IN-HOUSE CARE, OUTPATIENT CLINICS, LACTATION CONSULTANTS, BREASTFEEDING BEST FEED CAMPAIGNS, AND REDUCE DELIVERIES OR C-SECTIONS OF BABIES LESS THAN 39 WEEKS WITHOUT MEDICAL CONDITIONS. 5. POVERTY - THIS IS AN OVER-REACHING THEME THAT IS DRIVING ALL OF THE INITIATIVES THAT MPMC WILL BE IMPLEMENTING. WE ARE DEDICATED TO IMPROVE THE WHOLE PERSON. 6. TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASES - MPMC IS DEDICATED TO COLLABORATING WITH THE VANCE-GRANVILLE HEALTH DEPARTMENT TO PROVIDE RESOURCES TO HELP CURB THE RATE OF PREGNANCY AND UNHEALTHY DECISIONS. WE WILL CONTINUE TO PROVIDE SERVICES TO THE COMMUNITY AND BE PART OF THE PLAN BUT FEEL THAT THIS IS NOT AS HIGH A PRIORITY, FOLLOWING THE COMMUNITY FORUMS. 7. TRANSPORTATION OPTIONS - AS A MEDICAL FACILITY WE CAN HELP PLAN AND PROVIDE RESOURCES TO CREATING AND IMPROVING OUR TRANSPORTATION OPTIONS BUT FEEL WE CANNOT DIRECTLY IMPACT THIS NEED.WILSON MEDICAL CENTERPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) A COMMUNITY FOCUS GROUP WITH 21 COMMUNITY MEMBERS PARTICIPATING; (2) SURVEYS OF 663 COMMUNITY MEMBERS AND 53 COMMUNITY PHYSICIANS AND (3) A COMMUNITY SUMMIT WITH 65 COMMUNITY STAKEHOLDERS IN ATTENDANCE.
WILSON MEDICAL CENTER PART V, SECTION B, LINE 6BHEALTHCARE FOUNDATION OF WILSON AND WILSON COUNTY HEALTH DEPARTMENTWILSON MEDICAL CENTERPART V, SECTION B, LINE 7DPAPER COPIES AVAILABLE AT HEALTHCARE FOUNDATION OF WILSON AT 2505-A NASH STREET NW, WILSON, NC 27896 AND WILSON COUNTY HEALTH DEPARTMENT AT 1801 GLENDALE DRIVE, WILSON, NC 27893WILSON MEDICAL CENTERPART V, SECTION B, LINE 11BASED ON THE RESULTS OF THE CHNA, WILSON SELECTED THE FOLLOWING IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS: OBESITY, MENTAL HEALTH, SUBSTANCE ABUSE, AND ACCESS TO HEALTHCARE TO HELP ADDRESS THESE NEEDS, WILSON MEDICAL CENTER HAS A PHYSICIAN REFERRAL LINE, COORDINATES EDUCATIONAL TALKS FOR THE COMMUNITY, WORKS WITH EMERGENCY MEDICAL SERVICES ON STROKE EDUCATION, AND PARTICIPATES IN WILSON COUNTY SCHOOL EVENTS AND HEALTH FAIRS PROMOTING VARIOUS HEALTH TOPICS, INCLUDING OBESITY AND FITNESS/NUTRITION. WILSON MEDICAL CENTER CONTINUES TO CARE FOR THOSE PATIENTS WITH MENTAL HEALTH DIAGNOSES AND IS WORKING ON ADDITIONAL RECRUITMENT OF PSYCHIATRIC PROVIDERS FOR INPATIENT AND OUTPATIENT SERVICES. IN ADDITION TO THE MENTAL HEALTH SERVICES OFFERED AT WILSON MEDICAL CENTER, COMMUNITY ORGANIZATIONS, SUCH AS THE WILSON CRISIS CENTER, ARE UTILIZED FREQUENTLY TO ASSIST WITH PATIENTS WITH THESE DIAGNOSES.HARRIS REGIONAL HOSPITALPART V, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH A SURVEY OF 200 RESIDENTS, 13 KEY STAKEHOLDER INTERVIEWS, 5 LISTENING SESSIONS, AND INFORMATION GATHERING FROM SECONDARY PUBLIC HEALTH SOURCES.HARRIS REGIONAL HOSPITALPART V, LINE 6ASWAIN COMMUNITY HOSPITALHARRIS REGIONAL HOSPITALPART V, LINE 6BJACKSON COUNTY DEPARTMENT OF PUBLIC HEALTHWNC HEALTHY IMPACTHARRIS REGIONAL HOSPITALPART V, LINE 11:THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE CHNA PROCESS. 1. PHYSICAL ACTIVITY AND NUTRITION2. INJURY AND SUBSTANCE ABUSE PREVENTION3. CHRONIC DISEASEHARRIS REGIONAL HOSPITAL (HRH) PLANNED TO MEET THESE SIGNIFICANT HEALTH NEEDS BY:1. CONTINUING TO FOCUS AND PROMOTE PREVENTIVE HEALTH CARE SERVICES BY PROVIDING HIGH QUALITY PRIMARY CARE AND SPECIALTY CARE. HARRIS REGIONAL HOSPITAL HAS EMPLOYED A CARDIOLOGIST AND HAS EXPANDED CARDIOVASCULAR SERVICES INCLUDING BECOMING AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. THE HEALTH MANAGEMENT DEPARTMENT OF THE FACILITY WILL PROVIDE COMMUNITY PROGRAMS 'TUESDAYS TO THRIVE', 'WNC GET FIT CHALLENGE' & ' BLAST OFF' TO ADDRESS THE CHRONIC DISEASE, PHYSICAL ACTIVITY AND NUTRITION NEEDS OF THE POPULATION. A COMPREHENSIVE EMPLOYER-BASED HEALTH AND WELLNESS PROGRAM IS OFFERED TO ALL AREA EMPLOYERS AND INCLUDES FOCUS ON PHYSICAL ACTIVITY, NUTRITION AND CHRONIC DISEASE PREVENTION. THROUGH THE EMERGENCY SERVICES AT HARRIS REGIONAL HOSPITAL A FOCUS IS PLACED ON SUBSTANCE ABUSE INCLUDING THE USE OF NARCAN AND SPECIALIZED TRAINING TO OUR EMT STAFF. 2. THE HOSPITAL WILL SUPPORT THE EFFORTS OF ALL DEPARTMENTS TO WORK IN COLLABORATION TO FULFILL THESE ACTION ITEMS. SPECIFICALLY THE HEALTH MANAGEMENT DEPARTMENT DEVOTES TWO FULL-TIME STAFF MEMBERS TO WORKING WITH COMMUNITY PARTNERS TO PROVIDE THE INTERVENTIONS AS LISTED ABOVE. AN INTERNAL COMMUNITY HEALTH ACTION TEAM HAS BEEN ASSEMBLED AND INCLUDES REPRESENTATIVES OF MOST DEPARTMENTS. THE HOSPITAL WILL ALSO FOCUS ON PROMOTING A HEALTHY ENVIRONMENT BY IMPLEMENTING OR UPDATING EXISTING HOSPITAL POLICIES INCLUDING A TOBACCO FREE CAMPUS POLICY, HEALTHY FOOD POLICY AND OTHERS. THE HOSPITAL ALSO OFFERS ACCESS TO WALKING ROUTES SURROUNDING THE MAIN CAMPUS. THE HOSPITAL PARTICIPATES IN ANNUAL HEALTH INSURANCE MARKETPLACE ENROLLMENT TO FACILITATE ACCESS TO AFFORDABLE HEALTHCARE. THE HOSPITAL ADMINISTRATION UNDERSTANDS THE IMPORTANCE OF THESE EFFORTS AND WILL COMMIT ANY RESOURCES NEEDED.3. THE HOSPITAL WILL CONTINUE TO COLLABORATE WITH THE LOCAL PUBLIC HEALTH DEPARTMENT, AREA EMPLOYERS INCLUDING THE PUBLIC SCHOOL SYSTEMS, WESTERN CAROLINA UNIVERSITY, SOUTHWESTERN COMMUNITY COLLEGE, LOCAL PHYSICIAN PRACTICES AND THE COMMUNITY AT-LARGE. OTHER PARTNERSHIPS WILL BE CULTIVATED AS THE NEED ARISES. OF NOTE THE HOSPITAL IS A PARTNER IN THE LOCAL HEALTHY CAROLINIANS COALITION THROUGH THE PUBLIC HEALTH DEPARTMENT. WE ARE ALSO A PROUD PARTNER OF WNC HEALTHY IMPACT, AN ORGANIZATION THAT CONNECTS HOSPITALS AND HEALTH DEPARTMENTS TO ACCOMPLISH INITIATIVES TO ADDRESS COMMUNITY HEALTH NEEDS.IN 2015, ROUGHLY 14.4% OF INDIVIDUALS IN SWAIN COUNTY REPORTED HAVING HEART DISEASE AND IN 2018 THAT NUMBER DECREASED TO 13.7%, WHICH CAN BE ATTRIBUTED TO THE EXPANSION OF CARDIOVASCULAR SERVICES AT HARRIS REGIONAL HOSPITAL, THE WNC GET FIT CHALLENGE, AND THE MAROON STRONG WELLNESS PROGRAM. THE CONSUMPTION OF FRUITS AND VEGETABLES IN SWAIN COUNTY INCREASED FROM 2015 AND 2018, WHICH CAN ALSO BE ATTRIBUTED TO THE MAROON STRONG AND SWAIN COUNTY GOVERNMENT WELLNESS PROGRAMS ESTABLISHED BY SWAIN COMMUNITY HOSPITAL. SWAIN COUNTY REPORTED THE LOWEST PERCENTAGE OF SMOKING IN 2018, SHOWING THAT THE TOBACCO POLICY INFLUENCE AS WELL AS PULMONARY SERVICES PLAYED A GREAT ROLE IN REDUCTION. IN ADDITION, SWAIN EMERGENCY MEDICAL SERVICES (EMS) AS WELL AS HARRIS REGIONAL HOSPITAL EMS EMPLOYEES CARRY NARCAN AS A RESULT OF TRAINING IN 2017/2018. IN 2018, RESIDENTS OF JACKSON COUNTY SAW AN INCREASE IN OBESITY AND A DECREASE IN THE TIME SPENT IN PHYSICAL ACTIVITY AS WELL AS CONSUMPTION OF FRUITS AND VEGETABLES. HARRIS REGIONAL HOSPITAL PARTNERED WITH JACKSON COUNTY DEPARTMENT OF PUBLIC HEALTH TO PROMOTE AND MAINTAIN WNC GET FIT THROUGH 2018, HOWEVER, THE PROGRAM WAS NOT AS EFFECTIVE AS HOPED RESULTING IN TERMINATION IN 2019. HARRIS REGIONAL HOSPITAL LAUNCHED '4 THE HEALTH OF IT' IN THE JACKSON PUBLIC SCHOOL SYSTEM TO COMBAT AILING HEALTH RESULTS, HOWEVER, RESULTS WERE NOT AVAILABLE IN 2018, BUT WILL BE FOR 2019. ACCORDING TO THE NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS, VITAL STATISTICS DEATH CERTIFICATE DATA, JACKSON COUNTY'S UNINTENTIONAL MEDICATION AND DRUG POISONING DEATHS HAVE ALMOST DOUBLED IN ONE YEAR; IN 2016 THE UNINTENTIONAL OPIOID POISONING ED VISIT WAS 13 AND 2017 IT JUMPED TO 24 (NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS, 2017). FURTHER, THE COMMONLY PRESCRIBED OPIOID POISONING ED VISIT HAS DECREASED IN THAT SAME YEAR THERE WERE 7 IN 2016 AND ONLY 5 IN 2017, WHICH IMPRESSES THE WORK BEING DONE BY PHYSICIANS AND PROVIDERS TO REDUCE PRESCRIPTION RATES (NORTH CAROLINA STATE CENTER FOR HEALTH STATISTICS, 2017). IN ACCORDANCE WITH THE WORK ON TOBACCO POLICIES AND PULMONOLOGY EXPANDING, THE PERCENTAGE OF PEOPLE SMOKING IS STABLE IN JACKSON COUNTY AND THE USE OF SMOKELESS TOBACCO IS THE LOWEST IT HAS EVER BEEN. IN ADDITION, HARRIS REGIONAL HOSPITAL EMS EMPLOYEES CARRY NARCAN TO TREAT AN OVERDOSE IN THE FIELD AS A RESULT OF TRAINING IN 2017/2018.HARRIS REGIONAL HOSPITAL:PART V, SECTION B, LINE 20E: EACH PATIENT STATEMENT INCLUDES IMPORTANTMESSAGE ON HOW TO OBTAIN THE FAP FORM, PLAIN LANGUAGE SUMMARY, ANDAPPLICATION.RUTHERFORD REGIONAL HEALTH SYSTEMPART V, SECTION B, LINE 5:INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) INFORMATION GATHERING USING SECONDARY PUBLIC HEALTH SOURCES; (2) A SURVEY OF 20 RUTHERFORD COUNTY COMMUNITY LEADERS; (3) 200 COMMUNITY SURVEYS CONDUCTED VIA PHONE; (4) A COMMUNITY FORUM WITH 39 COMMUNITY STAKEHOLDERS AND (5) A COMMUNITY FOCUS GROUP WITH 22 COMMUNITY MEMBERS PARTICIPATING.RUTHERFORD REGIONAL HEALTH SYSTEMPART V, SECTION B, LINE 11THE FOLLOWING THREE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED IN THE CHNA PROCESS:1. TOBACCO2. CHRONIC DISEASE - HEALTHY LIVING3. SUBSTANCE ABUSERUTHERFORD REGIONAL HEALTH SYSTEM (RRHS) PLANS TO MEET THE SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. TOBACCO- STRATEGY: HOLD QUARTERLY BUSINESS ENGAGEMENT GROUP (BEG) MEETINGS TO COORDINATE AND SCHEDULE SMOKING CESSATION CLASSES/OFFERINGS TO LOCAL EMPLOYERS ON THE WORKSITES. UPDATE: IMPLEMENTED.- STRATEGY: UTILIZE RRHS' STATUS AS THE COUNTY'S SECOND LARGEST EMPLOYER TO CONDUCT QUARTERLY LUNCH AND LEARNS WITH EMPLOYEES ABOUT SMOKING CESSATION THAT WOULD EARN PARTICIPANTS 500 VITALITY POINTS TO ATTEND. UPDATE: IMPLEMENTED.
2. CHRONIC DISEASE HEALTHY EATING, ACTIVE LIVING - STRATEGY: INCREASED EMPHASIS BY MARKETING, COMMUNITY RELATIONS AND EDUCATION DEPARTMENTS ON COMMEMORATING MONTHLY HEALTH OBSERVANCES IN THE COMMUNITY. UPDATE: IMPLEMENTED.- STRATEGY: HOLD QUARTERLY BUSINESS ENGAGEMENT GROUP (BEG) MEETINGS TO CONNECT EMPLOYERS WITH RRHS PROGRAMS AND PROFESSIONALS WHO ASSIST WITH MANAGING CHRONIC DISEASE. UPDATE: IMPLEMENTED.- STRATEGY: INCREASED PARTICIPATION BY THE RRHS CERTIFIED DIABETES INSTRUCTOR IN LOCAL HEALTHY LIVING EVENTS AND HEALTH FAIRS, INCLUDING THE PRIME OF LIFE FESTIVAL AND CHANGE 4 LIFE EXPO. UPDATE: IMPLEMENTED.3. SUBSTANCE ABUSE- STRATEGY: PROVIDE GREATER EDUCATION TO RRHS STAFF ABOUT HOW TO CONNECT PEOPLE TO THE MOBILE CRISIS HOTLINE AND REGIONAL WALK-IN CENTERS. UPDATE: IMPLEMENTED.CENTRAL CAROLINA HOSPITAL PART V, SECTION B, LINE 5: INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) INFORMATION GATHERING USING SECONDARY PUBLIC HEALTH SOURCES; (2) A COMMUNITY FOCUS GROUP WITH 23 COMMUNITY MEMBERS PARTICIPATING AND (3) A COMMUNITY SUMMIT WITH 35 COMMUNITY STAKEHOLDERS IN ATTENDANCE. CENTRAL CAROLINA HOSPITAL PART V, SECTION B, LINE 6B: BOYS & GIRLS CLUB, CENTRAL CAROLINA COMMUNITY COLLEGE, COALITION FOR FAMILIES, COUNTY EXTENSION, CUOC, DUKE LIFEPOINT, EL REFUGIO, FAMILY PROMISE OF LEE COUNTY, FIRST BAPTIST, HAVEN IN LEE COUNTY, HELPING HAND CLINIC, JONES PRINTING, LEE COUNTY HEALTH DEPARTMENT, LEE COUNTY PARTNERSHIP FOR CHILDREN, LEE COUNTY SCHOOLS, LEE COUNTY SENIOR SERVICES & COLTS, LEE COUNTY SHERRIF'S OFFICE, LEE COUNTY SOCIAL SERVICES, MERTEK, NAACP LEE COUNTY, RETIRED TEACHERS, SCHOOLS, ECA ASSOC, SANFORD AREA GROWTH ALLIANCE, CHAMBER OF COMMERCE, STAR OF HOPE BAPTIST CHURCH, THE SANFORD HERALD, UNITED WAY OF LEE COUNTY, YMCA CENTRAL CAROLINA HOSPITAL PART V, SECTION B, LINE 7D:PAPER COPIES AVAILABLE UPON REQUEST FREE OF CHARGE AT HOSPITAL FACILITY. CENTRAL CAROLINA HOSPITAL (CCH) PART V, SECTION B, LINE 11: CCH PLANS TO MEET THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AS FOLLOWS:OBESITY AND CHRONIC DISEASESTHE ACTIONS THE HOSPITAL INTENDS TO TAKE TO ADDRESS THE OBESITY AND CHRONIC DISEASE INCLUDE: A. NUTRITION EDUCATION AND PREVENTION-CENTRAL CAROLINA HOSPITAL HELD AND PARTICIPATED IN NUMEROUS HEALTH FAIRS AND FREE SCREENINGS. CENTRAL CAROLINA HOSPITAL'S DIETICIAN BEGAN DIABETES NUTRITION CLASSES AS WELL AS ONE ON ONE EDUCATION FOR RECENTLY DIAGNOSED DIABETES PATIENTS TO HELP EDUCATE THEM ON THE MANAGEMENT OF THEIR DISEASE. CENTRAL CAROLINA HOSPITAL OFFERS FREE LIPID AND GLUCOSE SCREENINGS TO THE COMMUNITY. ON AVERAGE, CENTRAL CAROLINA OFFERS 25 HEALTH AND WELLNESS EVENTS PER YEAR TO LOCAL GROUPS, SCHOOLS, MAJOR EMPLOYERS, AND EVENTS FOR THE COMMUNITY AT LARGE. B. FITNESS EDUCATION-CENTRAL CAROLINA HOSPITAL SPONSORED THE YMCA "WE BUILD PEOPLE" CAMPAIGN SUPPORTS THE ENERGIZE PROGRAM FOR AT RISK CHILDREN FOR OBESITY, LIVE STRONG FOR CANCER SURVIVORS AND THE AFTER SCHOOL PROGRAM THAT PROMOTES PHYSICAL ACTIVITY. THE COMMUNITY WELLNESS EDUCATOR PARTICIPATES IN HEALTH FAIRS AT INDUSTRIES AND SCHOOLS TO HELP EDUCATE COMMUNITIES ON IMPORTANCE OF FITNESS. C. SMOKING CESSATION - IN ADDITION TO BEING A TOBACCO FREE FACILITY, CCH PROVIDES RESOURCES TO HELP TOBACCO USERS TO QUIT SMOKING. D. STROKE, HEART FAILURE AND CHEST PAIN INITIATIVES - CCH PROVIDES EDUCATION REGARDING SIGNS AND SYMPTOMS OF STROKE BY DISTRIBUTING THE "STROKE MAGNETS" WHEN STAFF GO OUT TO SPEAK AND/OR HOLD A HEALTH FAIR. - CCH HAS BROCHURES ON DISPLAY AT THE ENRICHMENT CENTER REGARDING HEART FAILURE AND CHEST PAIN SIGNS AND SYMPTOMS. - PATIENTS IN THE HOSPITAL RECEIVE PATIENT EDUCATION MATERIALS WHEN ADMITTED ON HEART FAILURE "LIVING WELL WITH HEART FAILURE" PACKET (HEART FAILURE MAGNET AND WEIGHT DOCUMENTATION SHEET ENCLOSED); CHEST PAIN "LIVING WELL WITH HEART DISEASE" BOOKLET; AND STROKE "A STROKE EDUCATION GUIDE FOR PATIENTS AND FAMILIES" WHICH INCLUDES INFORMATION REGARDING STROKE SUPPORT GROUP. - CCH'S EMS TEAM HELPS EDUCATE COMMUNITY BY GIVING CPR HANDS ON DEMONSTRATIONS. - CCH SUPPLIES EDUCATIONAL MATERIALS TO CHURCH GROUPS, ETC. WHEN THEY ARE HOLDING AN EDUCATIONAL IN-SERVICE AT THEIR CHURCH, ETC. E. CENTRAL CAROLINA HOSPITAL CONTINUES TO PROVIDE THE COMMUNITY WELLNESS EDUCATOR, DIETICIAN, AND CENTER OF EXCELLENCE POSITIONS AND PROGRAMS THAT BRING RESOURCES AND EDUCATION TO OUR COMMUNITY. F. CENTRAL CAROLINA HOSPITAL JOINED THE HEALTH TASK FORCE WITH THE LEE COUNTY HEALTH DEPARTMENT, YMCA, COOPERATIVE EXTENSION, SCHOOL SYSTEM, AND OTHER COMMUNITY ORGANIZATIONS.CCH HAS ALSO TAKEN STEPS TO ENSURE THAT STAFF ARE ADHERING TO EVIDENCE-BASED PRACTICES FOR MANAGING PATIENTS WITH CHRONIC DISEASE. IN DECEMBER 2017, CCH ACHIEVED HEART FAILURE CERTIFICATION AND ACHIEVED DESIGNATION AS A CHEST PAIN CENTER IN JANUARY 2018. TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASE THE ACTIONS THE HOSPITAL INTENDS TO ADDRESS TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASE INCLUDE: A. PARTNERS WITH COMMUNITY ORGANIZATIONS DEDICATED TO PROVIDE SUPPORT AND RESOURCES TO YOUND ADULTS, INCLUDING COALITION FOR FAMILIES, THE BOYS AND GIRLS CLUB, UNITED WAY, AND THE INGRAM FAMILY YMCA. B. REFERS TEEN MOMS THAT GIVE BIRTH AT CENTRAL CAROLINA HOSPITAL TO THE COUNTY'S FAMILY PLANNING PROGRAM. C. REFERS PATIENTS TO THE HEALTH DEPARTMENT FOR ACCESS TO SCREENINGS AND BIRTH CONTROL.D. THE HOSPITAL SUPPORTS PROGRAMS AND GIVES RESOURCES ANNUALLY TO COALITION FOR FAMILIES AND THE BOYS AND GIRLS CLUB THAT OFFERS PROGRAMS LIKE ADOLESCENT PARENTING PROGRAM AND MAKING PROUD CHOICES TO HELP STUDENT INTERVENTION. MENTAL HEALTH AND SUBSTANCE ABUSEA. CENTRAL CAROLINA HOSPITAL WORKS WITH LOCAL LAW ENFORCEMENT TO EVALUATE TRAINING PROCEDURES IN REGARDS TO CRISIS INTERVENTION, REFERRAL PROCEDURES, AND INCIDENCE OF RESPONSE TO MENTAL HEALTH CRISIS WITH THE COMMUNITY. THE HOSPITAL PROVIDES DATA REGARDING THE INCIDENCE OF EMERGENCY ROOM VISITS FOR MENTAL HEALTH CRISIS DELIVERED BY LAW ENFORCEMENT. CCH PROVIDES HEALTH EDUCATION AND PROMOTION OF LOCAL MENTAL HEALTH SERVICES IN ORDER TO RAISE AWARENESS AND PROMOTE PROPER ACCESS OF SERVICES WITHIN THE COMMUNITY. B. CENTRAL CAROLINA HOSPITAL EMPLOYS A LICENSED CLINICAL SOCIAL WORKER TO HELP ASSIST WITH THESE EFFORTS. C. CENTRAL CAROLINA HOSPITAL IS A PART OF THE MENTAL HEALTH PARTNERS TASK FORCE, PROJECT LAZARUS, AND THE CIT THAT TEACHES LAW ENFORCEMENT HOW TO RECOGNIZE AND DE-ESCALATE SITUATIONS INVOLVING MENTAL HEALTH AND SUBSTANCE ABUSE PATIENTS. DUE TO RESOURCE LIMITATIONS, CCH IS NOT ADDRESSING ACCESS AND AFFORDABILITY AND SOCIOECONOMIC ISSUES AT THIS TIME.CENTRAL CAROLINA MEDICAL CENTER:PART V, SECTION B, LINE 20E: PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY OF THE FAP DURING INTAKE OR DISCHARGE PROCESS AS WELL AS BEING INCLUDED ON BILLING STATEMENTS.TWIN COUNTY REGIONAL HEALTHCAREPART V, SECTION B, LINE 5: INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) INFORMATION GATHERING USING SECONDARY PUBLIC HEALTH SOURCES; (2) A COMMUNITY FOCUS GROUP WITH 27 COMMUNITY MEMBERS PARTICIPATING AND (3) A COMMUNITY SUMMIT WITH 24 COMMUNITY STAKEHOLDERS IN ATTENDANCE.
TWIN COUNTY REGIONAL HEALTHCARE PART V, SECTION B, LINE 7D:EMAILED THE CHNA WEBSITE LINK LISTED ABOVE UPON REQUEST TO ASSIST COMMUNITY AGENCIES/PARTNERS/GROUPS/MEMBERSTWIN COUNTY REGIONAL HEALTHCAREPART V, SECTION B, LINE 11:TWIN COUNTY PLANS TO MEET THE IDENTIFIED SIGNIFICANT HEALTH NEEDS AS FOLLOWS:1. CHRONIC DISEASE/AGING - OFFERS ONGOING CHRONIC DISEASE SPECIFIC EDUCATION AND SUPPORT, INCLUDING A BETTER BREATHERS CLUB THROUGH AMERICAN LUNG ASSOCIATION (MEETS MONTHLY), AN ASTHMA SUPPORT GROUP, CARDIAC REHAB SUPPORT GROUP (MEETS QUARTERLY), AND A MONTHLY DIABETES EDUCATION CLASS. 2. HEALTHY LIFESTYLE/OBESITY- HELD ITS SECOND WOMEN'S HEALTH EXPO AND CONTINUED COMMUNITY OUTREACH FOR EHAC EDUCATION AND EDUCATION ABOUT TWIN COUNTY'S CHEST PAIN ACCREDITATION AND STROKE CENTER ACCREDITATION THROUGH EMPLOYER HEALTH EVENTS AND OUR PARTNERSHIPS WITH AREA EMS GROUPS DURING 2018.- OFFERED LACTATION COUNSELING SERVICES AT TWIN COUNTY PEDIATRICS AND PROMOTED WELL CHILD SCREENINGS FOR ANXIETY, DEPRESSION, AND SUBSTANCE ABUSE. - PARTNERED WITH THE VIRGINIA DEPARTMENT OF HEALTH TO OFFER COOKING MATTERS AND, REV YOU BEV. COOKING MATTERS AND REV YOU BEV ARE GEARED TOWARDS CHILDREN AND ADOLESCENTS, ALONG WITH THEIR FAMILIES TO TEACH COOKING ON A BUDGET AND HEALTHY FOOD AND DRINK CHOICES. 3. SOCIOECONOMIC ISSUES- TWIN PARTNERS WITH TWIN COUNTY PREVENTION COALITION GROUP AND THE FREE CLINIC OF THE TWIN COUNTIES, WHICH PROVIDES FREE MEDICAL SERVICES TO THE COMMUNITY. TWIN ALSO CONTINUES TO PARTNER WITH THE VA DEPT OF HEALTH IN THE MEDICATION ASSISTANCE PROGRAM AND OFFERS FREE STROKE SUPPORT GROUP MEETINGS AND DIABETES EDUCATION CLASSES TO THE PUBLIC.TWIN COUNTY DOES NOT INTEND TO ADDRESS SIGNIFICANT HEALTH NEEDS OF MENTAL HEALTH AND SUBSTANCE ABUSE, ADVERSE CHILDHOOD EXPERIENCES/TRAUMA, AND WATER/AIR ISSUES. THESE ISSUES ARE BEING ADDRESSED BY OTHER COMMUNITY AGENCIES WHICH SPECIALIZE IN THESE AREAS.
PERSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) INFORMATION GATHERING USING SECONDARY PUBLIC HEALTH SOURCES; (2) A COMMUNITY FOCUS GROUP WITH 12 COMMUNITY MEMBERS PARTICIPATING AND (3) A COMMUNITY SUMMIT WITH 12 COMMUNITY STAKEHOLDERS IN ATTENDANCE.PERSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 6B: PERSON COUNTY UNITED WAY, ROXBORO FAMILY MED., ROXBORO REHAB, CAMBRIDGE HILLS ASSISTED LIVING, CASWELL FAMILY MEDICAL CENTER, COMM. CARE OF NC, DUKE UNIVERSITY HEALTH SYSTEM, FREEDOM HOUSE REC. CTR., NC COOP. EXT., NORTHERN PIEDMONT COMM. CARE, PERSON CTY BD. OF EDUC., PERSON CTY EMS, PERSON CTY HEALTH DEPT.PART V, SECTION B, LINE 11:BASED ON THE RESULTS OF THE CHNA, PERSON MEMORIAL HOSPITAL (PMH) SELECTED THE FOLLOWING THREE OF THE IDENTIFIED SIGNIFICANT HEALTH NEEDS TO ADDRESS. 1. DIABETES PREVENTION AND MANAGEMENT2. EARLY IDENTIFICATION OF HEART DISEASE3. EARLY IDENTIFICATION OF CANCERPMH PLANS TO MEET THE SIGNIFICANT HEALTH NEED BY:1. PROVIDE COMMUNITY LEADERSHIP AND FACILITATE COMMUNITY WIDE PARTICIPATION IN A COLLABORATIVE TO COORDINATE CARE IN RECOGNIZING AND TREATING CONGESTIVE HEART FAILURE AND HEART DISEASE.2. PROVIDE QUARTERLY EDUCATION INVOLVING EARLY IDENTIFICATION OF HEART ATTACKS.3. PROVIDE QUARTERLY COMMUNITY OUTREACH AND EDUCATION EVENTS TO PROVIDE EDUCATION ON IMPORTANCE OF EARLY IDENTIFICATION, BEHAVIORS, AND SCREENING FOR BREAST AND COLON CANCER.4. PROVIDE QUARTERLY COMMUNITY EDUCATION ON EVIDENCE BASED BEST PRACTICES FOR BEST PREVENTING AND MANAGING DIABETES.5. PERSON MEMORIAL HOSPITAL WILL DEDICATE STAFF TIME AND OTHER RESOURCES TO HELP RAISE AWARENESS AND VISIBILITY REGARDING THESE CRITICAL DISEASES.DUE TO RESOURCE LIMITATIONS, PMH IS NOT ADDRESSING HEALTH BEHAVIOR IMPROVEMENTS AROUND TEEN PREGNANCY AND ALCOHOL CONSUMPTION AS WELL AS KEY SOCIAL ECONOMIC OPPORTUNITIES.PERSON MEMORIAL HOSPITAL PART V, SECTION B, LINE 20E:OFFERED PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICY DURING INTAKE OR DISCHARGE PROCESS, INCLUDE NOTICE ON BILLING STATEMENTS.SWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 5INPUT WAS SOUGHT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY THROUGH: (1) A CORE SURVEY OF 200 RESIDENTS; (2) 50 SWAIN COUNTY KEY INFORMANT SURVEYS AND INTERVIEWS AND (3) INFORMATION GATHERING USING SECONDARY PUBLIC HEALTH SOURCES.SWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 6ADLP HARRIS REGIONAL HOSPITALSWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 6BSWAIN COUNTY HEALTH DEPARTMENTWNC HEALTHY IMPACTSWAIN COMMUNITY HOSPITAL (SCH)PART V, SECTION B, LINE 11THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE SELECTED IN THE CHNA: 1. CHRONIC DISEASE (HEART DISEASE, STROKE AND DIABETES PREVENTION) 2. REDUCE SUBSTANCE ABUSE 3. PROMOTE A HEALTHY ENVIRONMENT SCH PLANS TO MEET THE SIGNIFICANT HEALTH NEEDS IN THE FOLLOWING WAYS:CONTINUING TO FOCUS AND PROMOTE PREVENTIVE HEALTH CARE SERVICES BY PROVIDING HIGH QUALITY PRIMARY CARE AND SPECIALTY CARE. SWAIN COMMUNITY HOSPITAL, WITH HARRIS REGIONAL HOSPITAL, HAS EMPLOYED A CARDIOLOGIST AND EXPANDED CARDIOVASCULAR SERVICES INCLUDING BECOMING AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. THE HEALTH MANAGEMENT DEPARTMENT OF THE FACILITY WILL PROVIDE COMMUNITY PROGRAMS 'TUESDAYS TO THRIVE', 'WNC GET FIT CHALLENGE' & ' BLAST OFF' TO HELP ADDRESS THE HIGHER RATES OF HEART DISEASE, STROKE AND DIABETES. OUR HOSPITAL ALSO OFFERS A VARIETY OF DIABETES EDUCATION SERVICES. A COMPREHENSIVE EMPLOYER-BASED HEALTH AND WELLNESS PROGRAM IS OFFERED TO ALL AREA EMPLOYERS AND INCLUDES FOCUS ON PHYSICAL ACTIVITY, NUTRITION AND CHRONIC DISEASE PREVENTION. THE HEALTH MANAGEMENT DEPARTMENT DEVOTES TWO FULL-TIME STAFF MEMBERS TO WORKING WITH COMMUNITY PARTNERS TO PROVIDE THE INTERVENTIONS AS LISTED ABOVE. THE HOSPITAL WILL ALSO FOCUS ON PROMOTING A HEALTHY ENVIRONMENT BY IMPLEMENTING OR UPDATING EXISTING HOSPITAL POLICIES INCLUDING A TOBACCO FREE CAMPUS POLICY, HEALTHY FOOD POLICY AND OTHERS. THE HOSPITAL ALSO OFFERS ACCESS TO WALKING ROUTES SURROUNDING THE MAIN CAMPUS AND PARTICIPATES IN ANNUAL HEALTH INSURANCE MARKETPLACE ENROLLMENT TO FACILITATE ACCESS TO AFFORDABLE HEALTHCARE.SWAIN COMMUNITY HOSPITALPART V, SECTION B, LINE 20E:EACH PATIENT STATEMENT INCLUDES IMPORTANT MESSAGE ON HOW TO OBTAIN FINANCIAL ASSISTANCE POLICY FORM, PLAIN LANGUAGE SUMMARY, & APPLICATION.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?160
Name and address Type of Facility (describe)
1 1 - CONEMAUGH PHYSICIAN GROUP
564 THEATRE ROAD
CARROLLTOWN,PA15722
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
2 2 - CONEMAUGH PHYSICIAN GROUP
815 SECOND STREET
CRESSON,PA16630
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
3 3 - CONEMAUGH PHYSICIAN GROUP
1792 PLANK RD
DUNCANSVILLE,PA16635
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
4 4 - CONEMAUGH PHYSICIAN GROUP
861 HILLS PLAZA DRIVE SUITE 140
EBENSBURG,PA15931
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
5 5 - CONEMAUGH PHYSICIAN GROUP
2262 QUAKER VALLEY RD SUITE 4
FISHERTOWN,PA15539
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
6 6 - CONEMAUGH PHYSICIAN GROUP
290 HAIDA AVENUE
HASTINGS,PA16646
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
7 7 - CONEMAUGH PHYSICIAN GROUP
207 WOODSTOWN HIGHWAY
HOLLSOPPLE,PA15935
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
8 8 - CONEMAUGH EAST HILLS
1450 SCALP AVENUE
JOHNSTOWN,PA15904
MULTISPECIALTY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
9 9 - CONEMAUGH RICHLAND
1481 EISENHOWER BLVD
JOHNSTOWN,PA15904
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
10 10 - CONEMAUGH PHYSICIAN GROUP
1940 WILLIAM PENN AVENUE
JOHNSTOWN,PA15909
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
11 11 - CONEMAUGH PHYSICIAN GROUP
1060 LLOYD STREET
NANTY GLO,PA15943
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
12 12 - CONEMAUGH PHYSICIAN GROUP
ONE TECH PARK DRIVE
JOHNSTOWN,PA15901
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
13 13 - TRANSITIONAL CARE UNIT
320 MAIN STREET
JOHNSTOWN,PA15901
SKILLED NURSING - 3% OWNERSHIP IN JOINT VENTURE
14 14 - CONEMAUGH COUNSELING ASSOCIATES
320 MAIN STREET
JOHNSTOWN,PA15901
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
15 15 - CONEMAUGH PHYSICIAN GROUP
1111 FRANKLIN STREET
JOHNSTOWN,PA15905
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
16 16 - CONEMAUGH PHYSICIAN GROUP
1015 FRANKLIN ST LEVEL C WESSELL BL
JOHNSTOWN,PA15905
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
17 17 - CONEMAUGH PHYSICIAN GROUP
1020 FRANKLIN ST
JOHNSTOWN,PA15901
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
18 18 - CONEMAUGH PHYSICIAN GROUP
200 HOSPITAL DRIVE
JOHNSTOWN,PA15905
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
19 19 - CONEMAUGH PHYSICIAN GROUP
200 WEST MAIN STREET
LIGONIER,PA15658
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
20 20 - CONEMAUGH PHYSICIAN GROUP
4186 CORTLAND DRIVE PO BOX 367
NEW PARIS,PA15554
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
21 21 - CONEMAUGH PHYSICIAN GROUP
3670 PORTAGE STREET SUITE 105
PORTAGE,PA15946
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
22 22 - CONEMAUGH PHYSICIAN GROUP
6854 ROUTE 711
SEWARD,PA15954
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
23 23 - CONEMAUGH PHYSICIAN GROUP
4324 GLADES PIKE
SOMERSET,PA15501
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
24 24 - CONEMAUGH PHYSICIAN GROUP
339 W UNION STREET
SOMERSET,PA15501
PHYSICIAN & SPECIALTY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
25 25 - CONEMAUGH PHYSICIAN GROUP
140 SOUTH ANDERSON ST
BEFORD,PA15522
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
26 26 - CONEMAUGH PHYSICIAN GROUP
321 MAIN ST
JOHNSTOWN,PA15901
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
27 27 - CONEMAUGH PHYSICIAN GROUP
171 LOVELL AVENUE
EBENSBURG,PA15931
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
28 28 - CONEMAUGH PHYSICIAN GROUP
517 GEORGIAN PLACE
SOMERSET,PA15501
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
29 29 - CONEMAUGH PHYSICIAN GROUP
600 ABERDEEN DRIVE
SOMERSET,PA15501
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
30 30 - CONEMAUGH PHYSICIAN GROUP
415 NAPOLEON PLACE
JOHNSTOWN,PA15905
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
31 31 - FAMILY HEALTHCARE RURAL CLINIC
202 BEACHLEY STREET
MEYERSDALE,PA15552
RURAL HEALTH CLINIC - 3% OWNERSHIP IN JOINT VENTURE
32 32 - CONEMAUGH MEYERSDALE OP CTR-FAMILY HEALT
7160 MASON DIXON HWY
MEYERSDALE,PA15552
RURAL HEALTH CLINIC - 3% OWNERSHIP IN JOINT VENTURE
33 33 - FAMILY HEALTHCARE RHC SALISBURY
231 ORD STREET
SALISBURY,PA15558
RURAL HEALTH CLINIC - 3% OWNERSHIP IN JOINT VENTURE
34 34 - CRICHTON REHABILITATION CENTER
320 MAIN STREET
JOHNSTOWN,PA15901
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
35 35 - LEE AMBULATORY SURGICAL CENTER
320 MAIN STREET
JOHNSTOWN,PA15901
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
36 36 - MARQUETTE MEDICAL CLINIC
1414 WEST FAIR AVENUE
MARQUETTE,MI49855
OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE
37 37 - CHIPPEWA MEDICAL ASSOCIATES
AVERY SQUARE 510 ASHUM SUITE 5
SAULT STE MARIE,MI49783
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
38 38 - MARQUETTE MEDICAL CLINIC
800 EAST BOULEVARD
KINGSFORD,MI49802
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
39 39 - LAKEWOOD MEDICAL ASSOCIATES
5087 US 41 SOUTH
MARQUETTE,MI49855
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
40 40 - MARQUETTE MEDICAL CLINIC
710 SOUTH LINCOLN ROAD
ESCANABA,MI49829
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
41 41 - MARQUETTE MEDICAL CLINIC
405 US 41 EAST
NEGAUNEE,MI49866
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
42 42 - MARQUETTE MEDICAL CLINIC
2002 MINNEAPOLIS AVENUE
GLADSTONE,MI49837
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
43 43 - MARQUETTE MEDICAL CLINIC
COMMUNITY BUILDING
TRENARY,MI49891
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
44 44 - UP SURGERY CENTER
1414 WEST FAIR AVENUE
MARQUETTE,MI49855
OP SURGERY CENTER- 3% OWNERSHIP IN JOINT VENTURE
45 45 - UPHS SPORTS MEDICINE
1414 WEST FAIR AVENUE
MARQUETTE,MI49855
OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE
46 46 - UPHS THERAPIES - ESCANABA
710 SOUTH LINCOLN ROAD
ESCANABA,MI49829
OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE
47 47 - UPHS THERAPIES - NEGAUNEE
400 US 41 EAST
NEGAUNEE,MI49866
OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE
48 48 - UPHS THERAPIES - MARQUETTE
555 COUNTY ROAD HQ
MARQUETTE,MI49855
OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE
49 49 - UPHS THERAPIES - SAWYER
301 EXPLORER STREET
GWINN,MI49841
OP REHAB SERVICE- 3% OWNERSHIP IN JOINT VENTURE
50 50 - UPHS MEDICAL CENTER LAB
1414 WEST FAIR AVENUE
MARQUETTE,MI49855
LABORATORY- 3% OWNERSHIP IN JOINT VENTURE
51 51 - MARIA PARHAM WOMEN'S CARE
1209 SE INDUSTRY DRIVE
OXFORD,NC27565
PHYSICIAN PRACTICE (WOMEN'S HEALTH) - 3% OWNERSHIP IN JOINT VENTURE
52 52 - DLP MARIA PARHAM PHYSICIAN PRACTICES
120 CHARLES ROLLINS ROAD SUITE 206
HENDERSON,NC27536
OUTPATIENT CLINICS - 3% OWNERSHIP IN JOINT VENTUREE
53 53 - DLP MARIA PARHAM PRIMARY CARE
511 RUIN CREEK ROAD SUITE 101
HENDERSON,NC27536
PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE
54 54 - TWIN COUNTY PEDIATRICS
606 EAST STUART DRIVE
GALAX,VA24333
PHYSICIAN PRACTICE (PEDIATRICS) - 3% OWNERSHIP IN JOINT VENTURE
55 55 - INDEPENDENCE FAMILY CARE CENTER
217 S INDEPENDENCE AVENUE
INDEPENDENCE,VA24348
PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE
56 56 - TWIN COUNTY UROLOGY
104 CRANBERRY ROAD SUITE 200B
GALAX,VA24333
PHYSICIAN PRACTICE (UROLOGY) - 3% OWNERSHIP IN JOINT VENTURE
57 57 - TWIN COUNTY ORTHOPEDICS
106 DOCTORS PARK
GALAX,VA24333
PHYSICIAN PRACTICE (ORTHOPEDICS) - 3% OWNERSHIP IN JOINT VENTURE
58 58 - TWIN COUNTY SURGERY
225 HOSPITAL DRIVE
GALAX,VA24333
PHYSICIAN PRACTICE (SURGERY) - 3% OWNERSHIP IN JOINT VENTURE
59 59 - HILLSVILLE FAMILY CARE
702 PINE STREET
HILLSVILLE,VA24343
PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE
60 60 - GALAX FAMILY CARE
104 CRANBERRY ROAD SUITE 200A
GALAX,VA24333
PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE
61 61 - TWIN COUNTY PAIN CLINIC
200 HOSPITAL DRIVE
GALAX,VA24333
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
62 62 - TWIN COUNTY CT FOR BEHAVIORAL HEALTH
500 GLENDALE ROAD
GALAX,VA24333
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
63 63 - TWIN COUNTY URGENT CARE
961 E STUART DRIVE
GALAX,VA24333
PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE
64 64 - TWIN COUNTY GASTROENTEROLOGY
225 HOSPITAL DRIVE
GALAX,VA24333
PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE
65 65 - TWIN COUNTY CARDIOLOGY
105 DOCTORS PARK
GALAX,VA24333
PHYSICIAN OFFICE - 3% OWNERSHIP IN JOINT VENTURE
66 66 - ONE SOURCE REHAB
2270 HWY 74-A
FOREST CITY,NC28043
OUTPATIENT REHAB - 3% OWNERSHIP IN JOINT VENTURE
67 67 - RUTHERFORD ORTHOPEDICS
139 DR HENRY MORRIS DRIVE
RUTHERFORDTON,NC28139
SPECIALTY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
68 68 - RUTHERFORD SURGICAL ASSOCIATES
330 NC HIGHWAY 108
RUTHERFORDTON,NC28139
SURGICAL PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
69 69 - POLK MEDICAL SPECIALISTS
45 E MILLS ST
COLUMBUS,NC28722
FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE
70 70 - PERSON HEALTH PRIMARY CARE
3762 DURHAM ROAD SUITE B
ROXBORO,NC27573
PHYSICIAN PRACTICE (PRIMARY CARE) - 3% OWNERSHIP IN JOINT VENTURE
71 71 - FOREST CITY FAMILY CENTER
212 ALLENDALE DRIVE
FOREST CITY,NC28043
FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE
72 72 - RUTHERFORD CHILDREN'S CARE
162 COMMERCIAL DR
FOREST CITY,NC28043
PEDIATRIC SERVICES - 3% OWNERSHIP IN JOINT VENTURE
73 73 - CHASE FAMILY CARE
1269 HWY 221A
FOREST CITY,NC28043
FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE
74 74 - RUTHERFORD EAST FAMILY CARE
605 NC 120 HIGHWAY
MOORESBORO,NC28114
FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE
75 75 - WALK IN CLINIC AT FOREST CITY
212 ALLENDALE DRIVE
FOREST CITY,NC28043
FAMILY GENERAL MEDICINE - 3% OWNERSHIP IN JOINT VENTURE
76 76 - WILSON REHABILITATION & NURSING CTR
1705 TARBORO STREET SW
WILSON,NC27803
NURSING CARE & REHABILITATION CENTER - 3% OWNERSHIP IN JOINT VENTURE
77 77 - URGENT CARE - CANTON
55 BUCKEYE COVE ROAD
CANTON,NC28716
URGENT CARE - 3% OWNERSHIP IN JOINT VENTURE
78 78 - URGENT CARE - WAYNESVILLE
556 HAZELWOOD ROAD
WAYNESVILLE,NC28786
URGENT CARE - 3% OWNERSHIP IN JOINT VENTURE
79 79 - BLUE MOUNTAIN UROLOGY
15 BRETTWOOD TRACE
CLYDE,NC28721
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
80 80 - HAYWOOD FAMILY PRACTICE
119 PARK STREET
CANTON,NC28716
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
81 81 - HAYWOOD MEDICAL ASSOCIATES
16 PHYSICIAN DRIVE
CLYDE,NC28721
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
82 82 - HAYWOOD SURGICAL ASSOCIATES
40 BRETTWOOD TRACE
CLYDE,NC28721
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
83 83 - HAYWOOD THORACIC AND VASCULAR
581 LEROY GEORGE DRIVE SUITE 380
CLYDE,NC28721
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
84 84 - HAYWOOD WOMENS MEDICAL CENTER
35 FACILITY DRIVE
CLYDE,NC28721
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
85 85 - MOUNTAIN MEDICAL ASSOCIATES
600 HOSPITAL DRIVE
CLYDE,NC28721
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
86 86 - MOUNTAIN PEDIATRIC GROUP
24 FALCON CREST LANE
CLYDE,NC28721
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
87 87 - MOUNTAIN SPINECARE
581 LEROY GEORGE DRIVE SUITE 380
CLYDE,NC28721
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
88 88 - MOUNTAIN SPINECARE
68 HOSPITAL DRIVE SUITE 101
SYLVA,NC28779
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
89 89 - WAYNESVILLE FAMILY PRACTICE
1272 EAST STREET
WAYNESVILLE,NC28786
PHYSICIAN PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
90 90 - WESTERN CAROLINA CARDIOLOGY
32 PHYSICIANS DRIVE
CLYDE,NC28721
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
91 91 - WESTERN CAROLINA ORTHO SPECIALISTS
581 LEROY GEORGE DRIVE SUITE 300
CLYDE,NC28721
SPECIALITY PRACTICE - 3% OWNERSHIP IN JOINT VENTURE
92 92 - WILSON REGINAL ORTHOPEDICS
1700 TARBORO STREET SUITE 205
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
93 93 - WILSON GASTROENTEROLOGY
2605 FOREST HILLS ROAD SUITE A
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
94 94 - WILSON NEUROLOGY
1700 TARBORO STREET SUITE 200
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
95 95 - WILSON WOUND HEALING CENTER
1701 MEDICAL PARK DR
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
96 96 - WILSON PRIMARY CARE
1700 TARBORO STREET SUITE 200
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
97 97 - WILSON OUTPATIENT IMAGING
1711 MEDICAL PARK DR
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
98 98 - WILSON NEW HOPE PRIMARY CARE
2508 WARD BLVD
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
99 99 - WILSON RADIATION ONCOLOGY
1703 MEDICAL PARK DR
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
100 100 - WILSON INTERNAL MEDICINE
1701 TARBORO STREET SUITE 100
WILSON,NC27893
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
101 101 - WESTERN REGIONAL RADIATION THERAPY CTR
14 MEDICAL PARK LOOP
SYLVA,NC28779
ONCOLOGY RADIATION- 3% OWNERSHIP IN JOINT VENTURE
102 102 - CENTRAL CAROLINA SANDHILLS FAMILY CARE
1125 CARTHAGE STREET
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
103 103 - CENTRAL CAROLINA SANDHILLS FAMILY CARE
101 CHURCH STREET
BROADWAY,NC27505
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
104 104 - CENTRAL CAROLINA COMMUNITY FAMILY CARE
2412 WILKINS DRIVE
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
105 105 - CENTRAL CAROLINA COMMUNITY FAMILY CARE
855 EAST STREET
PITTSBORO,NC27312
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
106 106 - CENTRAL CAROLINA INTERNAL MED ASSOC
1139 CARTHAGE STREET SUITE 110-A
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
107 107 - CENTRAL CAROLINA FAMILY CARE SOUTH
4546 NC HIGHWAY 87 SOUTH
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
108 108 - CENTRAL CAROLINA UROLOGY
1139 CARTHAGE STREET SUITE 110-B
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
109 109 - CENTRAL CAROLINA GENERAL SURGERY
709 WICKER STREET SUITE B
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
110 110 - CENTRAL CAROLINA GENERAL SURGERY
1139 CARTHAGE STREET SUITE 110-B
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
111 111 - CENTRAL CAROLINA WOUND CARE & HYPERBARIC
117 DENNIS DRIVE
SANFORD,NC27330
PHYSICIAN PRACTICE- 3% OWNERSHIP IN JOINT VENTURE
112 112 - CENTRAL CAROLINA CARDIOLOGY
709 WICKER STREET SUITE A
SANFORD,NC27330
PHYSICIAN PRACTICE (CARDIOLOGY) - 3% OWNERSHIP IN JOINT VENTURE
113 113 - PERSON EXTENDED CARE
615 RIDGE ROAD
ROXBORO,NC27573
SKILLED NURSING FACILITY- 3% OWNERSHIP IN JOINT VENTURE
114 114 - PERSON GENERAL SURGERY
515 RIDGE ROAD
ROXBORO,NC27573
OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE
115 115 - PERSON HEALTH CARDIOLOGY
601 RIDGE ROAD
ROXBORO,NC27573
OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE
116 116 - PERSON HEALTH GASTROENTEROLOGY
615 RIDGE ROAD
ROXBORO,NC27573
OUTPATIENT CLINIC- 3% OWNERSHIP IN JOINT VENTURE
117 117 - PERSON URGENT CARE ROXBORO
3762 DURHAM ROAD SUITE A
ROXBORO,NC27573
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
118 118 - RUTHERFORD OCCUPATIONAL MEDICINE
288 SOUTH RIDGECREST AVENUE
RUTHERFORDTON,NC28139
OCCUPATIONAL/INDUSTRIAL HEALTH - 3% OWNERSHIP IN JOINT VENTURE
119 119 - RUTHERFORD UROLOGY
288 SOUTH RIDGECREST AVENUE
RUTHERFORDTON,NC28139
UROLOGICAL SERVICES - 3% OWNERSHIP IN JOINT VENTURE
120 120 - PERSON URGENT CARE CHAPEL HILL
1840 MARTIN LUTHER KING JR BLVD
SUITE
CHAPEL HILL,NC27514
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
121 121 - PERSON URGENT CARE YOUNGSVILLE
700 US HWY 1 SUITE 100
YOUNGSVILLE,NC27705
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
122 122 - PERSON URGENT CARE DURHAM
3200 CROASDAILE DRIVE SUITE 405
DURHAM,NC27705
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
123 123 - PERSON ORTHOPEDICS
503 RIDGE ROAD
ROXBORO,NC27573
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
124 124 - PERSON GYNECOLOGY
503 RIDGE ROAD
ROXBORO,NC27573
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
125 125 - SWAIN FAMILY CARE
45 PLATEAU STREET SUITE 250
BRYSON CITY,NC28713
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
126 126 - HARRIS FAMILY CARE CULLOWHEE
4121 LITTLE SAVANNAH RD
CULLOWHEE,NC28723
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
127 127 - HARRIS SURGICAL ASSOCIATES
98 DOCTORS DRIVE SUITE 320
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
128 128 - HARRIS CARDIOLOGY
68 HOSPITAL ROAD SUITE 201
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
129 129 - HARRIS ORTHOPEDICS
80 HEALTHCARE DR SUITE 203
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
130 130 - HARRIS PEDIATRICS
98 DOCTORS DRIVE SUITE 300
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
131 131 - HARRIS WOMENS
70 THE VILLAGE OVERLOOK
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
132 132 - HARRIS GI
98 DOCTORS DRIVE SUITE 310
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
133 133 - HARRIS FAMILY CARE FRANKLIN
55 HOLLY SPRINGS PARK DRIVE
FRANKLIN,NC28734
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
134 134 - HARRIS PULMONARY AND SLEEP
186 MEDICAL PARK LOOP SUITE 503
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
135 135 - HARRIS UROLOGY
98 DOCTORS DRIVE SUITE 100
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
136 136 - HARRIS MEDICAL ASSOCIATES
98 DOCTORS DRIVE SUITE 200
SYLVA,NC28779
OUTPATIENT CLINIC - 3% OWNERSHIP IN JOINT VENTURE
137 137 - FRYECARE BEHAVIORAL HEALTH
915 TATE BOULEVARD SOUTHEAST SUITE
186
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
138 138 - FRYECARE CARDIOLOGY ASSOC - LENOIR
602 MORGANTON BOULEVARD SOUTHWEST
LENOIR,NC28645
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
139 139 - FRYECARE CARDIOLOGY ASSOC - LINCOLNTON
1470 EAST GASTON STREET SUITE 400
LINCOLNTON,NC28092
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
140 140 - FRYECARE CARDIOLOGY ASSOC - PIEDMONT
2660 TATE BOULEVARD SOUTHEAST
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
141 141 - FRYECARE CARDIOLOGY ASSOC- TAYLORSVILLE
1668 NC HWY 16 SOUTH
TAYLORSVILLE,NC28681
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
142 142 - FRYECARE CARDIOLOGY ASSOC - VALDESE
721-B MALCOLM BLVD
RUTHERFORD COLLEGE,NC28671
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
143 143 - FRYECARE FAMILY PHYSICIANS
915 TATE BOULEVARD SOUTHEAST SUITE
186
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
144 144 - FRYECARE GENERATIONS FAMILY
2810 16TH STREET NORTHEAST
HICKORY,NC28601
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
145 145 - FRYECARE HARTER FAMILY PRACTICE
237 LONGVUE ROAD SUITE A
BOONE,NC28607
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
146 146 - FRYECARE HEART LUNG AND VASCULAR
415 NORTH CENTER STREET SUITE 204
HICKORY,NC28601
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
147 147 - FRYECARE HICKORY FAMILY PRACTICE ASSOC
52 12TH AVENUE NORTHEAST
HICKORY,NC28601
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
148 148 - FRYECARE INTERNAL MEDICINE
915 TATE BOULEVARD SOUTHEAST SUITE
186
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
149 149 - FRYECARE PIEDMONT OBGYN - HICKORY
210 13TH AVENUE PLACE NORTHWEST
HICKORY,NC28601
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
150 150 - FRYECARE PIEDMONT OBGYN - HUDSON
3060 HICKORY BLVD
HUDSON,NC28638
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
151 151 - FRYECARE PULMONOLOGY ASSOCIATES
915 TATE BOULEVARD SOUTHEAST SUITE
182
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
152 152 - FRYECARE SPECIALTY CENTER
415 NORTH CENTER STREET SUITE 203
HICKORY,NC28601
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
153 153 - FRYECARE URGENT CARE
1105 FAIRGROVE CHURCH ROAD
SOUTHEAST
CONOVER,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
154 154 - FRYECARE WOMEN'S SERVICES
1781 TATE BOULEVARD SOUTHEAST SUITE
201
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
155 155 - HART INDUSTRIAL CLINIC
2850 TATE BOULEVARD SOUTHEAST
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
156 156 - HICKORY CARDIOLOGY ASSOC - BOONE
178 NC-105 EXTENSION SUITE 202
BOONE,NC28607
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
157 157 - HICKORY CARDIOLOGY ASSOC - LENOIR
315 WILKESBORO BOULEVARD SUITE 1B
2B
LENOIR,NC28645
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
158 158 - HICKORY CARDIOLOGY ASSOC - MORGANTON
137 WEST PARKER ROAD SUITE B C
MORGANTON,NC28655
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
159 159 - HICKORY CARDIOLOGY ASSOC - HICKORY
1771 TATE BOULEVARD SOUTHEAST
HICKORY,NC28602
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
160 160 - HICKORY CARDIOLOGY ASSOC- LINCOLNTON
1531 NORTH ASPEN STREET
LINCOLNTON,NC28092
CLINIC- 3% OWNERSHIP IN JOINT VENTURE
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 6A: DUKE QUALITY NETWORK, INC (DQN) HOLDS A 3% OWNERSHIP IN A PARTNERSHIP THAT IN TURN HOLDS A PERCENTAGE OWNERSHIP IN EACH OF THE HOSPITALS LISTED IN PART V, SECTION A. ACCORDINGLY, THE HOSPITAL FACILITIES PREPARE COMMUNITY BENEFIT REPORTS AS NECESSARY.PART I, LINE 7:THIS ANSWER IS BASED ON THE HOSPITAL FACILITIES THAT SERVED THE LARGEST NUMBER OF THE ORGANIZATION'S PATIENTS DURING THE TAX YEAR. THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7A, 7B, AND 7C WAS BASED ON THE COST ACCOUNTING SYSTEM AND ADDRESSES ALL PATIENT SEGMENTS. THE METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED ON PART I, LINES 7E-7I, AS APPLICABLE, WAS BASED ON ACTUAL INCURRED REVENUES AND EXPENSES.PART II, COMMUNITY BUILDING ACTIVITIES;THE CONEMAUGH HEALTH SYSTEM'S OFFICE OF COMMUNITY HEALTH (OCH) BRINGS COMMUNITY GROUPS TOGETHER TO WORK COLLABORATIVELY TO IMPROVE THE OVERALL HEALTH AND WELL BEING OF AREA RESIDENTS AND TO ENCOURAGE THEIR ACTIVE PARTICIPATION IN DECISIONS RELATING TO THE HEALTH OF THE COMMUNITY IN WHICH THEY LIVE. SOME OF THE OCH INITIATIVES INCLUDE: COMMUNITY HEALTH FAIRS, PHARMACIST PRESCRIPTION MEDICATION REVIEWS AND FREE HEALTH SCREENINGS FOR DIABETES, CARDIOVASCULAR DISEASE, SLEEP DISORDERS, OSTEOPOROSIS, CANCER AND MORE.MEMORIAL MEDICAL CENTER ALSO MADE VARIOUS CONTRIBUTIONS TO ORGANIZATIONS TO PROMOTE THE HEALTH, SAFETY, AND WELL BEING OF THE COMMUNITY. THESE CONTRIBUTIONS WERE MADE IN LINE WITH THE GOALS OF THE HEALTH SYSTEM TO SUPPORT ORGANIZATIONS AND PROGRAMS THAT FOCUS ON COMMUNITY HEALTH AND WELLNESS, ENHANCE THE DEVELOPMENT OF AREA YOUTH, ENRICH THE LIVES AND ENHANCE THE CULTURE OF THE REGION, AND CONTRIBUTE TO THE OVERALL GOOD OF THE COMMUNITY.DLP MARQUETTE GENERAL HOSPITAL CONTRIBUTED TOWARDS WORKFORCE DEVELOPMENT.PART III, LINE 2:UPON ADOPTION OF FINANCIAL ACCOUNTING STANDARDS BOARD ACCOUNTING STANDARDS UPDATE 2014-09, "REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606)" (ASU 2014-09) AND CONSISTENT WITH THE REVISED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, THE ESTIMATED UNCOLLECTIBLE AMOUNTS FROM SELF-PAY PATIENTS THAT WERE PREVIOUSLY REPORTED AS BAD DEBT EXPENSE PRIOR TO ADOPTION OF ASU 2014-09 ARE NOW CONSIDERED IMPLICIT PRICE CONCESSIONS DIRECTLY REDUCING NET PATIENT SERVICE REVENUE.PART III, LINE 4:NOT APPLICABLEPART III, LINE 8:THIS ANSWER IS BASED ON THE HOSPITAL FACILITIES THAT SERVED THE LARGEST NUMBER OF THE ORGANIZATION'S PATIENTS DURING THE TAX YEAR. THE ORGANIZATION USE ITS COST ACCOUNTING SYSTEM TO ESTIMATE THE AMOUNT REPORTED ON LINE 6.PART V, SECTION A:EACH HOSPITAL LISTED IS PART OF DQN'S 3% OWNERSHIP INTEREST IN A JOINT VENTURE WITH LIFEPOINT HOSPITALS, INC.NEEDS ASSESSMENT: PART VI, LINE 2:CONEMAUGHCONEMAUGH'S PATIENT ADVISORY COMMITTEE PROVIDES CONTINUOUS FEEDBACK ON OPPORTUNITIES TO BETTER SERVE PATIENTS IN THE COMMUNITY. MEMBERS OF CONEMAUGH HEALTH SYSTEM'S LEADERSHIP TEAM SERVE ON COMMUNITY ORGANIZATIONAL BOARDS. CONEMAUGH RECEIVES INPUT THROUGH OUTREACH TO THE EMS COMMUNITY, OUTREACH TO ITS PRIMARY AND SPECIALTY CARE PROVIDERS, ATTENDANCE AT COMMUNITY HEALTH FAIRS AND EVENTS, AND REVIEW OF COUNTY HEALTH RANKINGS TO IDENTIFY OPPORTUNITIES. IN ADDITION, CONEMAUGH HAS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY OF LAUREL HIGHLANDS, 1889 FOUNDATION, AND JEFFERSON CENTER FOR POPULATION HEALTH. MONTHLY COMMUNITY EDUCATION SESSIONS PROVIDE AN OPPORTUNITY FOR FEEDBACK FROM COMMUNITY MEMBERS.FRYE REGIONAL MEDICAL CENTERFRYE REGIONAL IS ACTIVELY REPRESENTED ON A NUMBER OF BOARDS FOR COMMUNITY ORGANIZATIONS THAT ARE INVESTED IN SERVING THE HEALTHCARE NEEDS OF ITS COMMUNITY AND TAKES A LEADERSHIP ROLE IN ADDRESSING THOSE NEEDS. CHIEF EXECUTIVE OFFICER GAR ATCHISON SERVES ON THE CATAWBA COUNTY CHAMBER OF COMMERCE BOARD OF DIRECTORS; VICE PRESIDENT DANA KILLIAN SERVES ON THE CATAWBA COUNTY HEALTH PARTNERS BOARD; CHIEF NURSING OFFICER MICHELLE DICKERSON SERVES ON THE SALVATION ARMY BOARD OF DIRECTORS; DIRECTOR MOE MCMAHON SERVES ON THE CATAWBA COUNTY SENIOR INFORMATION RESOURCE NETWORK (SIR) BOARD; AND MARKETING MANAGER MICHELLE SHULER SERVES ON THE LOCAL AMERICAN HEART ASSOCIATION BOARD OF DIRECTORS.THROUGH ITS INVOLVEMENT AT A LEADERSHIP LEVEL WITH THESE KEY ORGANIZATIONS, FRYE REMAINS CONNECTED TO THE NEEDS OF ITS COUNTY AS THEY DEVELOP, WHETHER IT IS WITHIN THE SENIOR CARE COMMUNITY, BUSINESS COMMUNITY OR UNDERSTANDING THE NEEDS OF THE UNDERSERVED POPULATION.WILSON MEDICAL CENTERWILSON ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH PARTICIPATION IN COMMUNITY EVENTS/HEALTH FAIRS, SUPPORT GROUPS, PATIENT ADMISSION/ED, PHYSICIAN REFERRAL LINE CALLERS, AND RESPONSE TO MEDIA. TWIN COUNTY REGIONAL HEALTHCARETHE ORGANIZATION PROVIDES MANY HEALTH EVENTS AND SCREENINGS THROUGHOUT THE YEAR IN THE COMMUNITY. THE HOSPITAL ALSO WORKS WITH SEVERAL LOCAL EMPLOYERS TO OFFER SCREENINGS FOR EMPLOYEES, PROMOTES LACTATION SERVICES IN THE HOSPITAL AND PEDIATRIC CLINIC, AND ALSO PROVIDES MOBILE BREAST FEEDING STATIONS AT COMMUNITY EVENTS. PERSON MEMORIAL HOSPITALPERSON MEMORIAL HOSPITAL (PHM) REACHES OUT TO THE COMMUNITY THROUGH COMMUNITY AND HOSPITAL SPONSORED EVENTS WHICH ALLOWS RESIDENTS TO ADDRESS ITEMS THAT ARE WANTED THROUGH THE HOSPITAL. PMH ALSO HAS STARTED A PATIENT PROGRAM THAT ALLOWS PATIENTS TO WORK WITH THE HOSPITAL TO BETTER SERVE THE COMMUNITY.
PATIENT ELIGIBILITY FOR ASSISTANCE: PART VI, LINE 3:REPORTING GROUP A:DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTERCONEMAUGH HEALTH SYSTEM (CHS) COMMUNICATES TO PATIENTS THE AVAILABILITY OF FINANCIAL ASSISTANCE UNDER FEDERAL, STATE AND LOCAL PROGRAMS, AS WELL AS THE CHARITY CARE PROGRAM, ON ITS WEBSITE,WWW.CONEMAUGH.ORG. THE WEBSITE INCLUDES A DOWNLOADABLE CHARITY CARE APPLICATION AND INSTRUCTIONS. TABLE TOP BROCHURES ARE PROVIDED AT ALL POINTS OF REGISTRATION, AND BROCHURES ARE INCLUDED IN PATIENT ADMISSION PACKETS. INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS ALSO INCLUDED ON PATIENT STATEMENTS. ASSISTANCE IS PROVIDED TO PATIENTS TO APPLY FOR MEDICAL ASSISTANCE THROUGH A THIRD-PARTY VENDOR. A ROBUST FINANCIAL COUNSELING AND CUSTOMER SERVICE DEPARTMENT IS AVAILABLE TO HANDLE SPECIFIC PATIENT NEEDS.DLP MARQUETTE GENERAL HOSPITALALL SELF-PAY PATIENTS ARE ADDRESSED FIRST BY OUR MEDICAID ELIGIBILITY VENDOR FOR POSSIBLE STATE BENEFITS. IF THE PATIENT DOES NOT QUALIFY FOR AID, THEY ARE REFERRED TO A FINANCIAL COUNSELOR TO GO OVER FAP AND OTHER PAYMENT OPTIONS OR ARRANGEMENTS.HAYWOOD REGIONAL MEDICAL CENTERHAYWOOD'S FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY ARE POSTED AT ALL REGISTRATION AREAS. PATIENTS ARE GIVEN AN APPLICATION IF THEY ARE INTERESTED. OUR FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION ARE ON OUR WEB-SITE. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID BY MEDASSIT, OUR MEDICAID VENDOR. IF NOT ELIGIBLE FOR MEDICAID, PATIENTS ARE INFORMED ON HOW TO APPLY FOR FINANCIAL ASSISTANCE. INFORMATION ON STATEMENTS DIRECT PATIENTS WHO NEED FINANCIAL ASSISTANCE TO OUR WEBSITE THAT HAS OUR POLICY, PLAIN LANGUAGE SUMMARY AND APPLICATION. THERE IS ALSO A PHONE NUMBER TO CALL TO OBTAIN INFORMATION. FRYE REGIONAL MEDICAL CENTERIN 2017, FRYE POSTED THE "PLAIN LANGUAGE SUMMARY FINANCIAL ASSISTANCE PROGRAM" IN COMMON AREAS OF OUR FACILITIES AND ON OUR WEBSITE, MYFRYEREGIONAL.COM IN THE ONLINE BILL PAY SECTION. FRYE ALSO GIVES A COPY OF THE PLAIN LANGUAGE SUMMARY TO EVERY PATIENT.FOR PATIENTS WHO INDICATE THEY ARE UNINSURED DURING REGISTRATION, FRYE FOLLOWS UP WITH THOSE INDIVIDUALS THROUGH THE MEC PROGRAM, WHICH WORKS WITH THEM TO DETERMINE THEIR ELIGIBILITY FOR MEDICAID ASSISTANCE. REGISTRATION STAFF ALSO HAVE FINANCIAL ASSISTANCE APPLICATIONS AVAILABLE UPON REQUEST.DLP MARIA PARHAM MEDICAL CENTERCOPIES OF THE FINANCIAL ASSISTANCE POLICY, THE FINANCIAL ASSISTANCE APPLICATION, AND ASSOCIATED INSTRUCTIONS ARE AVAILABLE FREE OF CHARGE UPON REQUEST AND CAN BE FOUND IN THE EMERGENCY ROOM AND ADDMISSION AREAS OF THE HOSPITAL. ALL PATIENT BILLING STATEMENTS INCLUDE A NOTICE REGARDING THE FINANCIAL ASSISTANCE POLICY.WILSON MEDICAL CENTERWILSON MEDICAL CENTER POSTS INFORMATION AT ALL PATIENT ACCESS POINTS AS WELL AS CONTAINS VERBIAGE ON PATIENT STATEMENTS AND ON THE HOSPITAL WEBSITE TO INFORM AND EDUCATE PATIENTS AND OTHERS ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE. THIS INFORMATION IS ALSO PROVIDED TO THE WILSON COUNTY HEALTH DEPARTMENT. WILSON MEDICAL CENTER HAS FINANCIAL COUNSELORS IN-HOUSE WHO ALSO INFORM AND EDUCATE PATIENTS REGARDING THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. HARRIS REGIONAL HOSPITALTO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE HOSPITAL'S WEBSITE HAS A "FOR PATIENTS AND VISITORS" MENU WHERE PATIENTS CAN GO TO VIEW INFORMATION ABOUT PAYMENT POLICIES, INSURANCE INFORMATION, AND THE HOSPITAL FINANCIAL ASSISTANCE (CARE ASSISTANCE) PROGRAM. THE WEBSITE PROVIDES THE POLICY, THE APPLICATION WHICH INCLUDES THE CONTACT NUMBER TO THE FINANCIAL ASSISTANCE BENEFITS ADVISOR. THE HOSPITAL'S CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE HOSPITAL'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFFS, SOCIAL WORKERS, CHAPLAINS, PATIENT ADVOCATES, ETC.).RUTHERFORD REGIONAL HEALTH SYSTEMPATIENTS WITH ESTIMATED BALANCES AFTER INSURANCE ARE CONTACTED PRIOR TO VISIT. THIS ALLOWS THE ESTIMATE TO BE PROVIDED TO THE PATIENT, AND TO DISCUSS INSURANCE BENEFITS AND ESTIMATED BALANCES AFTER INSURANCE. THIS DOES INCLUDE ALL SELF PAY PATIENTS AS WELL. A FINANCIAL COUNSELOR MAKES THIS CALL AND EXPLAINS ALL PAYMENT OPTIONS AND OPPORTUNITIES TO APPLY FOR MEDICAL ASSISTANCE. PATIENT REPRESENTATIVES ALSO FOLLOW UP WITH ALL SELF PAY PATIENTS TO PURSUE QUALIFICATION OF PATIENT INTO SOME TYPE OF ASSISTANCE (NCMEDICAID, DISABILITY, CRIME VICTIMS, VOCATIONAL REHAB OR OTHER POSSIBLE PAYMENT SOURCE). IF NO RESOURCES ARE IDENTIFIED FROM PATIENT REPRESENTATIVES, THE REPRESENTATIVE FACILITATES GETTING A MEDICAL ASSISTANCE APPLICATION TO THE PATIENT FOR POSSIBLE QUALIFICATION. REGISTRATION EMPLOYEES HAVE MEDICAL ASSISTANCE FORMS AND ARE TO PROVIDE THESE TO PATIENTS AT TIME OF REGISTRATION. EXTENDED BUSINESS OFFICE STAFF ALSO HAVE MEDICAL ASSISTANCE APPLICATIONS AND ARE TO PROVIDE THESE AS NECESSARY TO PATIENTS AFTER PHONE CONTACT. THE MEDICAL ASSISTANCE POLICY IS ON THE RUTHERFORD REGIONAL HEALTH SYSTEM (RRHS) WEBSITE FOR PUBLIC VIEWING, ALONG WITH THE APPLICATION THAT CAN BE PRINTED FOR COMPLETION FROM THE INDIVIDUAL REQUESTING ASSISTANCE.CENTRAL CAROLINA MEDICAL CENTEROUR ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS FOUND ON OUR WEBSITEAT HTTP://WWW.CENTRALCAROLINAHOSP.COM/FOR-PATIENTS-AND-VISITORS/PATIENT-FINANCIAL-INFORMATION.
TWIN COUNTY REGIONAL HOSPITAL TWIN COUNTY REGIONAL HEALTHCARE HAS AN ELIGIBILITY WORKER ON SITE IN PARTNERSHIP WITH MED ASSIST FOR PATIENT EDUCATION OF ELIGIBILITY. CASHIERS AND EARLY OUT OF BUSINESS OFFICE EMPLOYEES ARE TRAINED TO HELP ESTABLISH PAYMENT PLANS FOR PATIENTS WHO DO NOT QUALIFY FOR ANY KIND OF FINANCIAL ASSISTANCE. TWIN COUNTY ALSO OFFERS A "PRE-PAY" PROGRAM AS WELL AS A "LAB DIRECT" WHICH DISCOUNTS SOME OF THE MOST POPULAR SERVICES OFFERED. BROCHURES DESCRIBING OUR POLICY ARE AVAILABLE AT LOCAL PHYSICIAN OFFICES AND ENTRY POINTS AT TWIN COUNTY REGIONAL HOSPITAL.PERSON MEMORIAL HOSPITALREGISTRARS PROVIDE UNINSURED PATIENTS WITH A COPY OF THE 501R PLAIN LANGUAGE SUMMARY.SWAIN COMMUNITY HOSPITALTO COMMUNICATE THE HOSPITAL'S FINANCIAL POLICY TO THE PATIENT, THE HOSPITAL'S WEBSITE HAS A "FOR PATIENTS AND VISITORS" MENU WHERE PATIENTS CAN GO TO VIEW INFORMATION ABOUT PAYMENT POLICIES, INSURANCE INFORMATION, AND THE HOSPITAL FINANCIAL ASSISTANCE (501 R CARE ASSISTANCE) PROGRAM. THE WEBSITE PROVIDES THE POLICY, THE APPLICATION WHICH INCLUDES THE CONTACT NUMBER TO THE FINANCIAL ASSISTANCE BENEFITS ADVISOR. THE HOSPITAL'S CHARITY CARE POLICY AND FINANCIAL ASSISTANCE CONTACT INFORMATION IS POSTED IN THE ADMISSIONS AREAS, EMERGENCY AREAS, AND OTHER AREAS OF THE HOSPITAL'S FACILITIES IN WHICH ELIGIBLE PATIENTS MAY BE PRESENT. ALL STAFF WITH PATIENT CONTACT ARE KNOWLEDGEABLE ABOUT THE CHARITY CARE POLICY (ADMITTING AND BILLING CLERKS, NURSING AND MEDICAL STAFFS, SOCIAL WORKERS, CHAPLAINS, PATIENT ADVOCATES, ETC.).COMMUNITY INFORMATION:PART VI, LINE 4:REPORTING GROUP A:DLP CONEMAUGH MEMORIAL MEDICAL CENTER, LLC, DLP CONEMAUGH MINERS MEDICAL CENTER, LLC AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTER, LLCCONEMAUGH SERVES CAMBRIA AND SOMERSET COUNTIES IN PENNSYLVANIA. THE FOLLOWING DEMOGRAPHIC INFORMATION IS BASED ON 2015 DATA USED IN THE CHNA: CAMBRIA AND SOMERSET COUNTIES POPULATIONS ARE 140,863 AND 76,746, RESPECTIVELY. THE POPULATION OF CAMBRIA AND SOMERSET COUNTIES ARE PROJECTED TO DECREASE FROM 2015 TO 2020 (0.46% PER YEAR IN CAMBRIA AND 0.38% PER YEAR IN SOMERSET) WHILE THE POPULATION IN PENNSYLVANIA IS PROJECTED TO INCREASE SLIGHTLY. CAMBRIA AND SOMERSET COUNTIES BOTH HAVE OLDER POPULATIONS (44.9 MEDIAN AGE IN CAMBRIA AND 45.5 MEDIAN AGE IN SOMERSET) THAN PA (41.0) AND HAVE LOWER MEDIAN HOUSEHOLD INCOMES ($41,335 IN CAMBRIA AND $41,236 IN SOMERSET) THAN PA ($53,104) AND THE US ($53,217).DLP MARQUETTE GENERAL HOSPITAL DLPMARQUETTE PRIMARILY SERVES THE COMMUNITY IN MARQUETTE, DELTA, AND HOUGHTON COUNTIES IN MICHIGAN. THE FOLLOWING DEMOGRAPHIC INFORMATION IS BASED ON 2015 DATA USED IN THE CHNA. THE PROJECTED POPULATION INCREASES FROM 2015 TO 2020 BY COUNTY WAS AS FOLLOWS: MARQUETTE COUNTY WAS PROJECTED TO INCREASE SLIGHTLY AT 0.18% PER YEAR, DELTA COUNTY WAS PROJECTED TO INCREASE SLIGHTLY AT 0.13% PER YEAR, AND HOUGHTON COUNTY WAS PROJECTED TO INCREASE 0.26% PER YEAR. THE COMPARATIVE INCREASE FOR THE STATE OF MI WAS 0.15% AND THE U.S WAS 0.75%. THE POPULATION OF MARQUETTE COUNTY WAS OLDER (40.2 MEDIAN AGE) THAN MI, AND THE U.S. AND HAD LOWER MEDIAN HOUSEHOLD INCOME ($42,522) THAN MI AND THE U.S. DELTA COUNTY WAS SIGNIFICANTLY OLDER (46.8 MEDIAN AGE) THAN MI AND THE U.S. AND HAD LOWER MEDIAN HOUSEHOLD INCOME ($40,503) THAN BOTH MI AND THE U.S. HOUGHTON COUNTY WAS YOUNGER (33.6 MEDIAN AGE) THAN MI AND THE U.S. AND HAD LOWER MEDIAN HOUSEHOLD INCOME ($36,454) THAN BOTH MI AND THE U.S. THE INCOME DISTRIBUTION OF MARQUETTE COUNTY WAS 13% HIGHER INCOME (OVER $100,000), 58% MIDDLE INCOME, AND 29% LOWER INCOME (UNDER $24,999). THE INCOME DISTRIBUTION OF DELTA COUNTY WAS 15% HIGHER INCOME (OVER $100,000), 61% MIDDLE INCOME, AND 23% LOWER INCOME (UNDER $24,999). THE INCOME DISTRIBUTION OF HOUGHTON COUNTY WAS 9% HIGHER INCOME (OVER $100,000), 56% MIDDLE INCOME AND 35% LOWER INCOME (UNDER $24,999).HAYWOOD REGIONAL MEDICAL CENTERHAYWOOD PRIMARILY SERVES THE COMMUNITY IN HAYWOOD COUNTY, NORTH CAROLINA. THE FOLLOWING DEMOGRAPHIC INFORMATION IS EXTRACTED FROM THE 2016 CHNA. HAYWOOD COUNTY HAD 59,471 RESIDENTS IN 2014. THE HAYWOOD COUNTY POPULATION HAS A SLIGHTLY HIGHER PROPORTION OF FEMALES THAN MALES. THE MEDIAN AGE OF THE HAYWOOD COUNTY POPULATION (45.6 YEARS) IS 0.9 YEARS "OLDER" THAN WNC REGIONAL AVERAGE AND 8.2 YEARS "OLDER" THAN THE NC AVERAGE. HAYWOOD COUNTY HAS LOWER PROPORTIONS OF "YOUNGER PERSONS AND HIGHER PROPORTIONS OF THE "OLDER PERSONS" THAN NC AS A WHOLE. THE RACIAL MAKE-UP OF HAYWOOD COUNTY WAS 97% WHITE, 1 % BLACK, 1 % ASIAN/PACIFIC ISLANDER, AND 4% HISPANIC ORIGIN. 23.7% OF THE POPULATION IS 65 AND OLDER. (THE NUMBERS WILL TOTAL TO OVER 100% DUE TO HISPANIC BEING AN ETHNIC GROUP, NOT A RACE). THE MEDIAN HOUSEHOLD INCOME FOR HAYWOOD COUNTY WAS $41,557. THIS IS $4,777 LESS THAN THE MEDIAN HOUSEHOLD INCOME FOR NORTH CAROLINA (US CENSUS BUREAU, 2009-2013). IN 2014, HAYWOOD COUNTY HAD AN UNEMPLOYMENT RATE OF 5.1%, HAVING STEADILY DECLINED SINCE 2010. (NC DEPARTMENT OF COMMERCE)FRYE REGIONAL MEDICAL CENTERFRYE PRIMARILY SERVES THE COMMUNITY IN CATAWBA COUNTY, NORTH CAROLINA. THE FOLLOWING DEMOGRAPHIC INFORMATION IS BASED ON 2015 DATA USED IN THE CHNA. THE POPULATION OF CATAWBA COUNTY WAS 155,331 IN 2015. THE POPULATION OF CATAWBA COUNTY WAS PROJECTED TO INCREASE FROM 2015 TO 2020 (0.19% PER YEAR), LOWER THAN THE RATE OF NC AT 1.10% AND THE U.S. AT 0.75%. CATAWBA COUNTY WAS OLDER (41. 1 MEDIAN AGE) THAN NC AND THE U.S. AND HAD LOWER MEDIAN HOUSEHOLD INCOME ($43,208) THAN BOTH NC AND THE U.S. THE RACIAL MAKE-UP OF CATAWBA COUNTY WAS 80% WHITE. 9% BLACK, 4% ASIAN/PACIFIC ISLANDER, 4% TWO OR MORE RACES, 2% OTHER, AND 9% HISPANIC ORIGIN. (THE NUMBERS WILL TOTAL TO OVER 100% DUE TO HISPANIC BEING AN ETHNIC GROUP, NOT A RACE). THE MEDIAN HOUSEHOLD INCOME DISTRIBUTION OF CATAWBA COUNTY WAS 15% HIGHER INCOME (OVER $100,000), 58% MIDDLE INCOME, AND 27% LOWER INCOME (UNDER $24,999). THE RATE OF POVERTY IN CATAWBA COUNTY WAS 15.2% (2009-2013 DATA), WHICH WAS BELOW NC (17.5%), THE U.S. (15.4%) AND CONTIGUOUS COUNTIES. THE POVERTY PERCENTAGE WAS LOWER THAN CONTIGUOUS COUNTIES. THERE HAS BEEN AN INCREASE IN POVERTY AMONG RESIDENTS, ESPECIALLY AMONG CHILDREN. IN 2009, 12.2% OF CATAWBA COUNTY RESIDENTS WERE LIVING IN POVERTY. THIS HAS INCREASED TO 15.3%, OR 23,265 COMMUNITY RESIDENTS, LIVING IN POVERTY IN 2014. POVERTY AMONG CHILDREN HAS INCREASED BY 36% BETWEEN 2009 AND 20 14, WITH 23.4% OF CHILDREN IN THE COMMUNITY LIVING IN POVERTY. CATAWBA COUNTY'S UNEMPLOYMENT WAS 5.3% COMPARED TO 5.6% FOR NORTH CAROLINA AND 5.0% FOR THE U.S. UNEMPLOYMENT DECREASED SIGNIFICANTLY IN THE LAST FEW YEARS.DLP MARIA PARHAM MEDICAL CENTERMARIA PARHAM PRIMARILY SERVES VANCE COUNTY, NORTH CAROLINA. THE FOLLOWING DEMOGRAPHIC DATA IS TAKEN FROM THE CHNA: THE POPULATION ESTIMATE FOR VANCE COUNTY WAS 44,614 WITH THE OVERALL MEDIAN AGE OF RESIDENTS IN VANCE COUNTY BEING 40 WHICH WAS SLIGHTLY OLDER THAN THE NC MEDIAN OF 38.2 YEARS. AS OF APRIL 2016, UNEMPLOYMENT ESTIMATE FOR VANCE COUNTY WAS 8.2% COMPARED TO THE NC ESTIMATE OF 5.5%. APPROXIMATELY 28% OF VANCE COUNTY RESIDENTS LIVE BELOW THE POVERTY LEVEL. AMONG THE WORKING POPULATION, NEARLY ONE-THIRD OF VANCE COUNTY RESIDENTS WORK OUTSIDE OF THE COUNTY.WILSON MEDICAL CENTERWILSON PRIMARILY SERVES WILSON COUNTY, NORTH CAROLINA. DEMOGRAPHICS ARE DESCRIBED IN THE CHNA REPORT PAGE 19. IN SUMMARY: 2015 WILSON COUNTY MEDIAN AGE IS 39.7 (OLDER THAN NC AND THE US) WITH MEDIAN HOUSEHOLD INCOME OF $38,017 (LOWER THAN NC AND US). THE RACIAL MAKE-UP OF WILSON COUNTY WAS 50% WHITE, 39% BLACK, 1% AMERICAN INDIAN, 1% ASIAN/PACIFIC ISLANDER, 2% MIXED RACE, 7% OTHER RACE AND 11% HISPANIC ORIGIN. THE MEDICAL CARE INDEX FOR WILSON COUNTY WAS 71 VS. 100 FOR THE U.S (SPENT 29% LESS THAN THE AVERAGE US HOUSEHOLD OUT OF POCKET ON MEDICAL CARE). MEDIAN HOUSEHOLD INCOME DISTRIBUTION OF WILSON COUNTY WAS 12% HIGHER INCOME (OVER $100,000), 55% MIDDLE INCOME AND 33% LOWER INCOME (UNDER $24,999). POVERTY RATE FOR WILSON COUNTY WAS 23.9% (2014 DATA) WHICH IS HIGHER THAN NC AT 17.2% AND THE US AT 15.5%. UNEMPLOYMENT WAS 8.7% VS. 5.1% IN NC AND 4.9% IN THE US.
HARRIS REGIONAL HOSPITAL (HRH) THE HOSPITAL IS LOCATED IN SYLVA, JACKSON COUNTY, WHICH IS IN RURAL WESTERN NORTH CAROLINA. APPROXIMATELY 55% OF THE PATIENTS SERVED BY HARRIS HOSPITAL RESIDE IN JACKSON COUNTY. MORE THAN 15% OF THE PATIENTS SERVED BY HRH RESIDE IN JACKSON'S NEIGHBORING COUNTY, SWAIN. THE FOLLOWING DEMOGRAPHIC DATA IS TAKEN FROM THE CHNA. IN 2014, 40,981 RESIDENTS LIVED IN JACKSON COUNTY - AN 1.8% INCREASE FROM 2010. THE MAJORITY OF RESIDENTS ARE CAUCASIAN (85.2%) WITH MINORITIES REPRESENTED AS FOLLOWS: AMERICAN INDIAN/ALASKAN NATIVE (9.6%), HISPANIC/LATINO (5 .1%), AFRICAN AMERICANS (2.3%), AND ASIAN (1.0%). JACKSON COUNTY HAS A SIGNIFICANTLY HIGHER PROPORTION OF AMERICAN INDIANS AND SIGNIFICANTLY LOWER PROPORTION OF AFRICAN AMERICANS (AND OTHER MINORITY GROUPS) THAN THE WNC REGION AND NC AS A WHOLE. THE MEDIAN AGE OF JACKSON COUNTY RESIDENTS IS 36.3 YEARS-8 YEARS YOUNGER THAN THE WNC REGIONAL AVERAGE AND 1.1 YEARS YOUNGER THAN THE NC AVERAGE. NEVERTHELESS, JACKSON COUNTY HAS A LOWER PROPORTION OF YOUNGER PERSONS AND A HIGHER PROPORTION OF OLDER PERSONS THAN NC. IN FACT, THE POPULATION IN EACH MAJOR AGE GROUP AGE 65 YEARS AND OLDER IN JACKSON COUNTY WILL INCREASE BETWEEN 2010 AND 2030. THE PROPORTION OF THE POPULATION AGE 85 YEARS AND OLDER WILL MORE THAN DOUBLE IN THAT PERIOD-A PREDICTED INCREASE OF 87%. BY 2030, ESTIMATES PROJECT THAT THERE WILL BE MORE THAN 9,500 PERSONS AGE 65+ IN JACKSON COUNTY.RUTHERFORD REGIONAL HEALTH SYSTEMRUTHERFORD PRIMARILY SERVES THE COMMUNITY IN RUTHERFORD COUNTY, NORTH CAROLINA. ACCORDING TO DATA FROM THE 2010 US CENSUS, THE POPULATION OF RUTHERFORD COUNTY IN 2015 WAS 67,810. THE POPULATION OF RUTHERFORD COUNTY WAS PROJECTED TO INCREASE FROM 2015 TO 2020 (0.35% PER YEAR), LESS THAN HALF THE RATE OF NC AT 1.1% AND THE US AT 0.75%. THE MEDIAN AGE IN RUTHERFORD COUNTY IS 42.5, WHILE THE REGIONAL MEAN MEDIAN AGE IS 44.7 YEARS AND THE STATE MEDIAN AGE IS 37.4 YEARS. THE MEDIAN HOUSEHOLD INCOME WAS $42,636 FOR THE MOST CURRENT PERIOD, WHICH IS $14,292 BELOW THE NC AVERAGE.CENTRAL CAROLINA MEDICAL CENTERCENTRAL CAROLINA SERVES LEE COUNTY, NORTH CAROLINA. ITS CHNA DESCRIBES THE COMMUNITY AS FOLLOWS: THE POPULATION OF LEE COUNTY WAS PROJECTED TO GROW 0.62% PER YEAR FROM 2015 TO 2020, LOWER THAN THE RATE OF NC AT 1.16%, THE U.S. AT 0.75%. LEE COUNTY WAS YOUNGER (38.1 MEDIAN AGE) THAN NC AND SLIGHTLY OLDER THAN THE U.S., WITH 15.3% 65 OR OVER, AND HAD LOWER MEDIAN HOUSEHOLD INCOME ($43,610) THAN BOTH NC AND THE U.S. THE RACIAL MAKE-UP OF LEE COUNTY WAS 67% WHITE, 20% BLACK, 1% AMERICAN INDIAN, 2% ASIAN/PACIFIC ISLANDER, 3% MIXED RACE, 11% SOME OTHER RACE, AND 22% HISPANIC ORIGIN. (THESE PERCENTAGES TOTAL TO OVER 100% DUE TO HISPANIC ORIGIN BEING AN ETHNICITY NOT A RACE.) THE MEDIAN HOUSEHOLD INCOME DISTRIBUTION OF LEE COUNTY WAS 15% HIGHER INCOME (OVER $100,000), 55% MIDDLE INCOME AND 30% LOWER INCOME (UNDER $24,999).TWIN COUNTY REGIONAL HEALTHCARETWIN COUNTY REGIONAL HEALTHCARE'S PRIMARY SERVICE AREAS ARE THE CITY OF GALAX, AND THE COUNTIES OF CARROLL AND GRAYSON IN VIRGINA. THESE COUNTIES ARE LOCATED IN SW VIRGINIA. GALAX CITY POPULATION IS AROUND 7,000 AND THE SURROUNDING COUNTIES OF GRAYSON AND CARROLL ADD ANOTHER 16,000 AND 30,000 RESPECTIVELY. THE AREA IS RURAL WITH SEVERAL PHYSICIAN OFFICES MEETING THE NEEDS OF RESIDENTS. MORE THAN 22% OF CARROLL RESIDENTS AND 23% OF GRAYSON RESIDENTS ARE OVER 65 YEARS OLD. HIGH SCHOOL GRADUATION WAS 89% IN THE CITY OF GALAX, 91% IN CARROLL COUNTY, AND 96% IN GRAYSON COUNTY. THE UNEMPLOYMENT OF THE AREAS IS AROUND 3-4% AND MOST JOBS ARE MANUFACTURING AND HEALTHCARE. AROUND 15-19% OF CITIZENS ARE BELOW THE POVERTY GUIDELINES IN CARROLL AND GRAYSON COUNTIES WITH AROUND 13% OF PERSONS WITHOUT HEALTH INSURANCE (UNDER 65 YEARS OF AGE). 19% OF WORKERS IN THE CITY OF GALAX, 34% OF WORKERS IN CARROLL COUNTY, AND 40% OF WORKERS IN GRAYSON COUNTY WHO COMMUTE ALONE HAVE A COMMUTE OF OVER 30 MINUTES TO WORK.
PERSON MEMORIAL HOSPITAL PERSON PRIMARILY SERVES THE COMMUNITY OF PERSON COUNTY, NORTH CAROLINA. THE POPULATION OF PERSON COUNTY WAS PROJECTED TO REMAIN FLAT FROM 2015 TO 2020 (.00% CHANGE PER YEAR), LOWER THAN THE RATE OF NC AT 1.1%, THE U.S. AT .75%. 88% PMH'S INPATIENTS CAME FROM PERSON COUNTY. PERSON COUNTY WAS OLDER (43.0 MEDIAN AGE) THAN NC AND THE U.S., WITH 17.5% 65 OR OVER, AND HAD LOWER MEDIAN HOUSEHOLD INCOME ($42,561) THAN BOTH NC AND THE U.S. THE RACIAL MAKE-UP OF PERSON COUNTY WAS 68% WHITE, 27% BLACK, 1% AMERICAN INDIAN, 2% MIXED RACE, 2% SOME OTHER RACE, AND 4% HISPANIC ORIGIN. (THESE PERCENTAGES TOTAL TO OVER 100% DUE TO HISPANIC ORIGIN BEING AN ETHNICITY NOT A RACE.) THE MEDIAN HOUSEHOLD INCOME DISTRIBUTION OF PERSON COUNTY WAS 14% HIGHER INCOME (OVER $100,000), 57% MIDDLE INCOME AND 29% LOWER INCOME (UNDER $24,999).SWAIN COMMUNITY HOSPITALTHE HOSPITAL IS LOCATED IN BRYSON CITY, SWAIN COUNTY WHICH IS IN RURAL WESTERN NORTH CAROLINA. APPROXIMATELY 63% OF THE PATIENTS SERVED BY SWAIN RESIDE IN SWAIN COUNTY. MORE THAN 16% OF THE PATIENTS SERVED BY SWAIN RESIDE IN SWAIN'S NEIGHBORING COUNTY, GRAHAM. THE FOLLOWING INFORMATION IS TAKEN FROM SWAIN'S CHNA. SWAIN COUNTY POPULATION WAS 14,274 IN 2014 WHICH GREW 2.1% FROM 2010. THE POPULATION GROWTH RATE IS MUCH LOWER THAN THE STATE AVERAGE RATE OF 4.3%. THE MEDIAN HOUSEHOLD INCOME OF SWAIN COUNTY WAS $34,632, LOWER THAN NC'S AVERAGE OF $46,693 IN 2010-2014. THE POVERTY RATE IN SWAIN COUNTY WAS 19.3%, HIGHER THAN THE NC RATE OF 17.2%. SWAIN COUNTY IS A TIER ONE, 100% RURAL COUNTY. THE RACIAL COMPOSITION OF SWAIN COUNTY IN 2014 WAS CAUCASIAN (65.7%), BLACK (1.3%), HISPANIC (4.7%), AND NATIVE AMERICAN (27.9%).PROMOTION OF COMMUNITY HEALTH:PART VI, LINE 5:REPORTING GROUP A:DLP CONEMAUGH MEMORIAL MEDICAL CENTER, DLP CONEMAUGH MINERS MEDICAL CENTER, AND DLP CONEMAUGH MEYERSDALE MEDICAL CENTEREXTENSIVE OUTREACH IS CONDUCTED THROUGHOUT THE COMMUNITY BY THE CONEMAUGH HEALTH SYSTEM VIA HEALTH FAIRS, COMMUNITY FORUMS, SPEAKING ENGAGEMENTS, EDUCATIONAL OPPORTUNITIES, ETC. IN ADDITION, CHS HAS DEVELOPED COLLABORATIVE RELATIONSHIPS WITH MANY COMMUNITY ORGANIZATIONS INCLUDING THE UNITED WAY OF THE LAUREL HIGHLANDS, 1889 FOUNDATION, CAMBRIA COUNTY DRUG COALITION, COMMUNITY FOUNDATION FOR THE ALLEGHENIES, JOHNSTOWN VISION 2025 AND MANY OTHERS. THESE COLLABORATIONS HAVE RESULTED IN SEVERAL COMMUNITY HEALTH INITIATIVES BEING IMPLEMENTED, MANY OUTLINED IN THE CHNA IMPLEMENTATION PLAN SUBMITTED.FRYE REGIONAL MEDICAL CENTERFRYE REGIONAL HAS EMBRACED ITS MISSION OF "KEEPING COMMUNITIES HEALTHIER AND IS COMMITTED TO LOOKING FOR WAYS TO HELP OUR COMMUNITIES BECOME HEALTHIER. WE INVEST BACK IN OUR COMMUNITY, THROUGH VOLUNTEERING AND SPONSORSHIP OF A NUMBER OF ORGANIZATIONS, INCLUDING 5KS AND ROAD RACES, THE AMERICAN CANCER SOCIETY, COUNCIL ON ADOLESCENTS OF CATAWBA COUNTY, YMCA, WESTERN PIEDMONT COUNCIL OF GOVERNMENTS, SALVATION ARMY, CATAWBA COUNTY HEALTH PARTNERS, CHILDREN'S ADVOCACY CENTER AND SUSAN G. KOMEN.FRYE REGIONAL ALSO PROVIDES ATHLETIC TRAINERS TO FOUR LOCAL SCHOOLS, INCLUDING HICKORY HIGH, FRED T. FOARD, SOUTH CALDWELL AND HICKORY CHRISTIAN. THE TRAINERS ATTEND SPORTING EVENTS AND PRACTICES AND WORK WITH STUDENTS TO ASSESS THEM AFTER AN INJURY. IN 2016, FRYE BEGAN OFFERING IMPACT CONCUSSION BASELINE TESTING TO ALL OF OUR LOCAL SCHOOLS FREE OF CHARGE.OUR HEALTHCARE SYSTEM IS ACTIVELY INVOLVED IN WAYS WE CAN EDUCATE AND ENGAGE OUR COMMUNITY ABOUT ITS HEALTH AND WE LOOK FOR WAYS WE ARE ABLE TO TAKE OUR MESSAGE AND MISSION OUT INTO OUR COMMUNITY.WILSON MEDICAL CENTERWILSON MEDICAL CENTER FREQUENTLY PARTICIPATES IN COMMUNITY HEALTH FAIRS AND SPEAKS TO CIVIC GROUPS, ORGANIZATIONS AND BUSINESSES IN THE COMMUNITY. DLP MARIA PARHAM MEDICAL CENTERAS A HOSPITAL, WE ARE GUIDED BY A FUNDAMENTAL GOAL TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH WE CONDUCT EVERY 3 YEARS, ESTABLISHES IN CLEAR TERMS THE UNIQUE NEEDS OF OUR COMMUNITY, ENSURES WE HAVE THE INFORMATION WE NEED TO WORK TOWARDS THOSE GOALS, AND PROVIDES AN OPPORTUNITY TO IMPROVE COORDINATION BETWEEN HOSPITAL COMMUNITY BENEFITS AND OTHER COMMUNITY HEALTH INITIATIVES.HARRIS REGIONAL HOSPITALTHE HOSPITAL IS DEDICATED TO SERVING THE COMMUNITY BY IMPROVING THE QUALITY OF LIFE OF THE COMMUNITY THROUGH BETTER HEALTH. THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A CARING ENVIRONMENT THAT FULFILLS THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES, AND COMMUNITY. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL USES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND, OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY.RUTHERFORD REGIONAL MEDICAL CENTERRUTHERFORD REGIONAL MEDICAL CENTER SPENT 2017 EXPLORING WAYS TO ADVANCE THEIR MISSION OF MAKING THEIR COMMUNITIES HEALTHIER. RRMC FOCUSED THEIR EFFORTS ON CREATING A PLACE WHERE PEOPLE CHOOSE TO COME FOR HEALTHCARE, PHYSICIANS WANT TO PRACTICE, AND EMPLOYEES WANT TO WORK. CENTRAL CAROLINA MEDICAL CENTERCENTRAL CAROLINA HOSPITAL HAS A DIRECTOR OF GROWTH AND COMMUNITY WELLNESS THAT PROMOTES THE HEALTH OF THE COMMUNITY THROUGH HEALTH FAIRS, SCREENINGS AND ETC.
TWIN COUNTY REGIONAL HEALTHCARE THE HOSPITAL SPONSORS MANY HEALTH FAIRS AT LOCAL EMPLOYERS AND COMMUNITY EVENTS TO HELP ADVISE CITIZENS HOW/WHERE TO OBTAIN THE SERVICES THEY NEED.PERSON MEMORIAL HOSPITALPERSON MEMORIAL (PMH) PROMOTES COMMUNITY HEALTH THROUGH A VARIETY OF VEHICLES AND CHANNELS. PMH MAINTAINS A LEGACY BOARD FOCUSED ON IDENTIFYING AND FINANCIALLY SUPPORTING COMMUNITY HEALTH INITIATIVES NECESSARY TO ENHANCE THE HEALTH OF ITS COMMUNITY. IN ADDITION, PHM PARTICIPATES IN COMMUNITY EVENTS AND PROVIDES PREVENTION EDUCATION TO RAISE AWARENESS AROUND STROKE AND OTHER DISEASES' EARLY IDENTIFICATION & PREVENTION BEHAVIORS. FINALLY, TO FURTHER EXTEND THE ORGANIZATION'S REACH, PMH IS AN ACTIVE MEMBER OF THE NORTH CAROLINA HOSPITAL ASSOCIATION (NCHA) WORKING DILIGENTLY TO IMPROVE NC'S ABILITY TO ENHANCE THE QUALITY OF CARE DELIVERED AS WELL AS THEIR RESPONSE TO ACTS OF BIOTERRORISM, DISEASE OUTBREAKS, EMERGING INFECTIONS AND OTHER PUBLIC HEALTH EMERGENCIES.SWAIN COMMUNITY HOSPITALTHE HOSPITAL IS DEDICATED TO SERVING THE COMMUNITY BY IMPROVING THE QUALITY OF LIFE OF THE COMMUNITY THROUGH BETTER HEALTH. THE HOSPITAL IS COMMITTED TO PROVIDING QUALITY HEALTH CARE SERVICES IN A CARING ENVIRONMENT THAT FULFILLS THE NEEDS OF OUR PATIENTS, PHYSICIANS, EMPLOYERS, EMPLOYEES, AND COMMUNITY. THE HOSPITAL OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS, WITHOUT REGARD TO THE ABILITY TO PAY. THE HOSPITAL USES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND, OR IMPROVE ITS FACILITIES, AND ADVANCE ITS MEDICAL TRAINING, EDUCATION AND RESEARCH PROGRAMS. THE HOSPITAL'S BOARD OF DIRECTORS CONSISTS OF INDIVIDUALS REPRESENTING THE COMMUNITY. THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, WITH MEMBERSHIP AND PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS AND HEALTHCARE PROFESSIONALS. IN THESE AND OTHER RESPECTS, THE HOSPITAL IS ORGANIZED AND OPERATED IN A MANNER THAT PROMOTES THE HEALTH OF THE COMMUNITY.AFFILIATED HEALTH CARE SYSTEM ROLES:PART VI, LINE 6:DQN DOES NOT DIRECTLY CONTROL OR MANAGE ANY HOSPITALS; HOWEVER, THE ORGANIZATION HAS A 3% OWNERSHIP IN A PARTNERSHIP THAT MANAGES THE HOSPITAL FACILITIES LISTED IN PART V, SECTION A.LIST OF ALL STATES WHICH ORGANIZATION FILES A COMMUNITY BENEFIT REPORT:PART VI, LINE 7NORTH CAROLINA, VIRGINIA
Schedule H (Form 990) 2018
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
DUKE QUALITY NETWORK INC
 
Employer identification number

46-1340679
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1WILLIAM J FULKERSON MD
DIRECTOR/PRESIDENT
(i)

(ii)
0
-------------
923,411
0
-------------
802,931
0
-------------
125,907
0
-------------
33,548
0
-------------
8,383
0
-------------
1,894,180
0
-------------
0
2PAUL LINDIA
DIRECTOR/VICE PRESIDENT
(i)

(ii)
0
-------------
323,735
0
-------------
114,354
0
-------------
32,807
0
-------------
33,548
0
-------------
48,578
0
-------------
553,022
0
-------------
0
3KENNETH C MORRIS
DIRECTOR/TREASURER
(i)

(ii)
0
-------------
777,630
0
-------------
601,648
0
-------------
6,166
0
-------------
33,548
0
-------------
13,013
0
-------------
1,432,005
0
-------------
0
4CHRISTY M GUDAITIS
SECRETARY
(i)

(ii)
0
-------------
325,737
0
-------------
0
0
-------------
18,000
0
-------------
33,548
0
-------------
16,494
0
-------------
393,779
0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J (Form 990) 2018
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
DUKE QUALITY NETWORK INC
 
Employer identification number

46-1340679
Return Reference Explanation
FORM 990, PART V, LINE 3B THE ORGANIZATION DID NOT HAVE UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE FISCAL YEAR ENDED JUNE 30, 2019. AS A RESULT, FORM 990-T IS NOT REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2019.
FORM 990, PART VI, SECTION A, LINE 2 WILLIAM J. FULKERSON, MD AND KENNETH C. MORRIS SERVED AS OFFICERS OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DURING FISCAL YEAR ENDED JUNE 30, 2019. PAUL LINDIA WAS AN EMPLOYEE OF DUKE UNIVERSITY HEALTH SYSTEM, INC. DURING FISCAL YEAR ENDED JUNE 30, 2019. WILLIAM J. FULKERSON, MD, AND KENNETH C. MORRIS SERVED AS DIRECTORS AND OFFICERS OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. DURING FISCAL YEAR ENDED JUNE 30, 2019. PAUL LINDIA WAS AN OFFICER OF HEALTH SYSTEM MEDICAL STRATEGIES, INC. DURING FISCAL YEAR ENDED JUNE 30, 2019. WILLIAM J. FULKERSON, MD, AND KENNETH C. MORRIS SERVED AS DIRECTORS AND OFFICERS OF DURHAM CASUALTY COMPANY, LTD. DURING FISCAL YEAR ENDED JUNE 30, 2019.
FORM 990, PART VI, SECTION A, LINE 7A APPOINTMENT TO THE BOARD OF DIRECTORS OF DUKE QUALITY NETWORK, INC. IS CONTROLLED BY DUKE UNIVERSITY HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7B THE ANNUAL BUDGET FOR DUKE QUALITY NETWORK, INC. IS APPROVED BY DUKE UNIVERSITY HEALTH SYSTEM, INC. MANAGEMENT AND BOARD.
FORM 990, PART VI, SECTION B, LINE 11B AFTER STAFF PREPARATION AND MANAGEMENT REVIEW, DUKE QUALITY NETWORK, INC. FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. BOARD LEVEL COMMENT AND DISCUSSION ARE INCORPORATED INTO THE FORM AS APPROPRIATE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C DUKE QUALITY NETWORK, INC. MONITORS AND ENFORCES COMPLIANCE RELATED TO CONFLICT OF INTEREST VIA DUKE QUALITY NETWORK, INC.'S FORM 990 CONFLICT OF INTEREST QUESTIONNAIRE. THIS QUESTIONNAIRE IS COMPLETED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 18 DUKE QUALITY NETWORK, INC.'S FORM 990 IS AVAILABLE TO THE PUBLIC ON WWW.GUIDESTAR.ORG. GUIDESTAR INDEPENDENTLY POSTS TAX-EXEMPT ORGANIZATIONS' FORM 990'S ON THEIR WEBSITE, OBTAINED FROM THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION C, LINE 19 DUKE QUALITY NETWORK, INC. GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND ANY SUBSEQUENT AMENDMENTS OR RESTATEMENTS) ARE AVAILABLE TO THE PUBLIC ON THE NORTH CAROLINA SECRETARY OF STATE WEBSITE. DUKE QUALITY NETWORK, INC. IS INCLUDED IN CONSOLIDATED, INDEPENDENTLY AUDITED FINANCIAL STATEMENTS OF DUHS WHICH ARE AVAILABLE TO THE PUBLIC AT: HTTPS://CORPORATE.DUKEHEALTH.ORG/FINANCIAL-INFORMATION
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
DUKE QUALITY NETWORK INC
 
Employer identification number

46-1340679
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)AMER ASSOC FOR GIFTED CHILDREN - 56-1686219
324 BLACKWELL STREET STE 850

DURHAM,NC27701
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(2)ASSOCIATED HEALTH SVCS INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1845329
HEALTHCARE NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC
 
 
No
(3)DU SPECIAL VENTURES FUND INC
280 S MANGUM STREET STE 210

DURHAM,NC27701
56-1465177
INVESTMENTS NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(4)DUKE ALUMNI ASSOCIATION INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1594088
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(5)DUKE CORPORATE EDUCATION
310 BLACKWELL ST

DURHAM,NC27701
42-1672476
EDUCATION NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(6)DUKE GIFT PROPERTIES INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
57-1211078
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(7)DUKE GLOBAL INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
61-1588319
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(8)DUKE INTEGRATED NETWORK INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
46-3129771
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC
 
 
No
(9)DUKE MEDICINE GLOBAL SUPP CORP- 61-1593721
324 BLACKWELL STREET STE 850

DURHAM,NC27701
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(10)DUKE UNIV AFFILIATED PHYSICIANS
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1902501
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC
 
 
No
(11)DUKE SCHOLARLY EXHIBITS INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1701245
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(12)DUKE UNIV HEALTH SYSTEM INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-2070036
HEALTHCARE NC 501(C)(3) LINE 3 DUKE UNIVERSITY
 
 
No
(13)DUKE UNIV PHILANTHROPIES INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
57-1211099
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(14)DUKE UNIV SCH OF MED RESEARCH FDN 56-2247203
324 BLACKWELL STREET STE 850

DURHAM,NC27701
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(15)DUKE UNIVERSITY
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-0532129
EDUCATION NC 501(C)(3) LINE 2 N/A
 
No
(16)DUMAC INC
280 S MANGUM STREET STE 210

DURHAM,NC27701
90-0754895
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(17)DURHAM ASSET MGMT COMPANY INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1757238
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(18)DURHAM REALTY INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1917936
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(19)GOTHIC CORPORATION
280 S MANGUM STREET STE 210

DURHAM,NC27701
56-1776668
INVESTMENTS NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(20)GOTHIC HSP CORPORATION
280 S MANGUM STREET STE 210

DURHAM,NC27701
27-1325761
INVESTMENTS NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC
 
 
No
(21)HIGH POINT REALTY ASSOC INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1917939
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(22)INNOVATIONS IN HEALTHCARE INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
32-0358709
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(23)RUTH K BROAD BIOMED RES FDN
324 BLACKWELL STREET STE 850

DURHAM,NC27701
65-0045051
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(24)THE CTR FOR DOCUMENTARY STUDIES
1317 PETTIGREW STREET

DURHAM,NC27705
56-1655039
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(25)THE LORD FDN OF NORTH CAROLINA
324 BLACKWELL STREET STE 850

DURHAM,NC27701
56-1415423
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(26)DUKE JANJUN SERVICES INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
47-1150667
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(27)DUKE JULDEC SERVICES INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
47-1143245
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(28)DUKE ALLMO SERVICES INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
47-1133466
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(29)DUKE INVESTMENT EDUCATION INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
47-5555092
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(30)FSB REALTY INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
81-1309454
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(31)DUKE AFFILIATIONS NETWORK INC
324 BLACKWELL STREET STE 850

DURHAM,NC27701
81-2623775
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC
 
 
No
(32)TRIANGLE FIBER GROUP
310 BLACKWELL STREET 4TH FLOOR

DURHAM,NC27701
81-5328550
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY
 
 
No
(33)DUKE UNIV FED CRED UNION
2200 WEST MAIN STREET

DURHAM,NC27705
56-1632379
BANKING NC 501(C)(1)   N/A
 
No
(34)WATTS COLLEGE OF NURSING INC
324 BLACKWELL STEET STE 850

DURHAM,NC27701
83-3076664
SUPPORT NC 501(C)(3) 12 TYPE 1 DUKE UNIVERSITY HEALTH SYSTEM INC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) BLACKWELL PARTNERS LLC - SERIES A - 20-8075455

280 S MANGUM ST STE 210
DURHAM,NC27701
INVESTMENTS DE N/A
N/A       No     No  
(2) CANYON BLUE INV FD 27-0186996

AVE OF STARS
LA,CA90067
INVESTMENTS DE N/A
N/A       No     No  
(3) CD FUND LP - 27-0130641

MCKINNEY AVE
DALLAS,TX75201
INVESTMENTS TX N/A
N/A       No     No  
(4) LIQUID REALTY PTR 05-0537755

LINDA MESA
DANVILLE,CA94526
INVESTMENTS DE N/A
N/A       No     No  
(5) LYRICAL BLUE RL PT 27-2994514

32 N DEAN ST
ENGLEWOOD,NJ07631
INVESTMENTS DE N/A
N/A       No     No  
(6) LYRICAL-BLUE RGNT 45-3626577

32 N DEAN ST
ENGLEWOOD,NJ07631
INVESTMENTS DE N/A
N/A       No     No  
(7) SBER LUCKY STRIKE 20-3891303

310 BLACKWELL ST
DURHAM,NC27701
REAL ESTATE NC N/A
N/A       No     No  
(8) MANGUM II LLC - 46-5135858

280 S MANGUM STREET STE 210
DURHAM,NC27701
INVESTMENTS NC N/A
N/A       No     No  
(9) LS INVESTOR LLC 20-3891381

310 BLACKWELL ST
DURHAM,NC27701
REAL ESTATE NC N/A
N/A       No     No  
(10) DILWEG BLUE PF LP 47-1225569

5310 S ALSTON AVE STE 210
DURHAM,NC27713
INVESTMENTS DE N/A
N/A       No     No  
(11) LYRICAL BLUE RL PT IV 47-2172270

32 N DEAN ST
ENGLEWOOD,NJ07631
INVESTMENTS DE N/A
N/A       No     No  
(12) LYRICAL BLUE CHP PT 35-2503856

32 N DEAN ST
ENGLEWOOD,NJ07631
INVESTMENTS DE N/A
N/A       No     No  
(13) LIQUID RLT PTR II TE - 20-4362819

10 MARKET ST 769 CAMANA BAY
GRAND CAYMAN   KY1-9006
CJ
INVESTMENTS DE N/A
N/A       No     No  
(14) STRATUS CAPITAL PARTNERS C LP

50 LOTHIAN ROAD FESTIVAL SQUARE
EDINBURGH   EH3 9WJ
UK
INVESTMENTS UK N/A
N/A       No     No  
(15) ALTOS HYBRID D LLC - 47-3996176

2882 SAND HILL ROAD SUITE 100
MENLO PARK,CA94025
INVESTMENTS DE N/A
N/A       No     No  
(16) GPE HOLDCO LLC - 47-5652832

2000 AVE OF THE STARS 11TH FL
LOS ANGELES,CA90067
INVESTMENTS DE N/A
N/A       No     No  
(17) BLACKWELL PARTNERS LLC - SERIES C - 81-1264533

280 S MANGUM ST STE 210
DURHAM,NC27701
INVESTMENTS DE N/A
N/A       No     No  
(18) BLACKWELL PARTNERS LLC - SERIES B

280 S MANGUM ST STE 210
DALLAS,NC27701
47-2530719
INVESTMENTS DE N/A
N/A       No     No  
(19) BLACKWELL PARTNERS LLC - SERIES D

280 S MANGUM ST STE 210
DURHAM,NC27701
81-3385353
INVESTMENTS DE N/A
N/A       No     No  
(20) BLACKWELL PARTNERS LLC - SERIES E

280 S MANGUM ST STE 210
DURHAM,NC27701
81-1511048
INVESTMENTS DE N/A
N/A       No     No  
(21) ALTOS HYBRID 2D LLC - 81-5176567

2882 SAND HILL ROAD STE 100
MENLO PARK,CA94025
INVESTMENTS DE N/A
N/A       No     No  
(22) GILEAD CAPITAL PARTNERS LP

157 COLUMBUS AVE SUITE 403
NEW YORK,NY10023
32-0520146
INVESTMENTS DE N/A
N/A       No     No  
(23) TOWER VIEW LIMITED

89 NEXUS WAY CAMANA BAY
GRAND CAYMAN   KY1-9007
CJ
INVESTMENTS CJ N/A
N/A       No     No  
(24) ENIAC SPECIAL GAMMA LLC

604 MISSION STREET 10TH FL
SAN FRANCSICO,CA94105
85-5033123
INVESTMENTS DE N/A
N/A       No     No  
(25) FOURPOINT HOLDINGS LLC

100 ST PAUL STREET STE 400
DENVER,CO80206
46-4275257
INVESTMENTS DE N/A
N/A       No     No  
(26) LYRICAL-BLUE 100 KINGSHIGHWAY PARTNERS LP

32 N DEAN ST
ENGLEWOOD,NJ07631
82-3708328
INVESTMENTS DE N/A
N/A       No     No  
(27) LYRICAL-BLUE SOTP PARTNERS LP

32 N DEAN ST
ENGLEWOOD,NJ07631
81-4468378
INVESTMENTS DE N/A
N/A       No     No  
(28) WASHINGTON GOTHIC LP

593 WASHINGTON STREET
WELLESLEY,MA02482
83-4516893
INVESTMENTS DE N/A
N/A       No     No  
(29) DUKE TRIANGLE ENDOSCOPY CENTER LLC

1A BURTON HILLS BLVD
NASHVILLE,TN37215
20-4257024
HEALTHCARE NC N/A
N/A       No     No  
(30) COLONY INVESTORS III LP

515 S FLOWER ST 44TH FL
LOS ANGELES,CA90071
95-4665622
INVESTMENTS DE N/A
N/A       No     No  
(31) DWELLWORKS CO-INVESTMENT LLC

7 TIMES SQUARE STE 4307
NEW YORK,NY10036
83-2165945
INVESTMENTS DE N/A
N/A       No     No  
(32) BEP LEGACY 1C LLC

1001 FANNIN ST STE 800
HOUSTON,TX77002
27-3871932
INVESTMENTS DE N/A
N/A       No     No  
(33) WELLINGTON TRUST CO NA - CTF OPP FIXED INC ALLOC II POR

280 CONGRESS STREET
BOSTON,MA02210
83-1264831
INVESTMENTS DE N/A
N/A       No     No  
(34) INNOVEX CO-INVEST FUND LP

1221 MCKINNEY ST STE 4100
HOUSTON,TX77010
84-1799796
INVESTMENTS DE N/A
N/A       No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) DUKE CE LS INC

310 BLACKWELL STREET
DURHAM,NC27701
20-2004016
REAL ESTATE NC N/A
C         No
(2) DUKE CE (SEA) PRIVATE LIMITED

1 RAFFLES PLACE TOWER 2
SINGAPORE   048616
SN
SUPPORT SN N/A
C         No
(3) DUKE CORP EDU INDIA PRIVATE

ACADEMIC BLOCK NEW CAMPUS
VASTRAPUR,AHMEDABAD380015
IN
42-1672476
CONSULTING IN N/A
C         No
(4) DUKE CORPORATE EDUCATION LIM

165 FLEET STREET
LONDON   EC4A 2DY
UK
42-1672476
EDUCATION CONSULTING UK N/A
C         No
(5) DUKE CORPORATE EDUCATION RSA

GROUND FLOOR TWICKEHNHAM BLDG
BRYANSTON,JOHANNESBURG02021
SF
42-1672476
CONSULTING SF N/A
C         No
(6) DUKE GLOBAL CONSULTING (KUNSHAN)

1666 WEI CHEN NAN RD
KUNSHAN PR,KUNSHAN215300
CH
CONSULTING CH N/A
C         No
(7) DUKE MEDICAL STRATEGIES INC

2200 WEST MAIN STREET STE 920
DURHAM,NC27705
56-1993799
HEALTHCARE NC N/A
C         No
(8) DUKE MEDICINE ASIA PTE LTD

5 SHENTON WAY 07-00 UIC BLD
SING   0688
SN
MEDICAL RESEARCH SN N/A
C         No
(9) DURHAM CASUALTY COMPANY LTD

AON HOUSE 30 WOODBOURNE AVE
PEMBROKE   HM 08
BD
98-0113277
INSURANCE BD N/A
C         No
(10) DUSVF EUROPEAN LP

7 CAVENDISH SQUARE
LONDON   W1G 0PE
UK
98-0346042
INVESTMENTS UK N/A
C         No
(11) GOTHIC INTERNATIONAL LTD

113 S CHURCH STREET QUEENSGATE HOU
GRAND CAYMAN   KY1-1108
CJ
INVESTMENTS CJ N/A
C         No
(12) MARATHON BLUE CAYMAN FUND

89 NEXUS WAY PO BOX 31106
GRAND CAYMAN   KY1-1205
CJ
INVESTMENTS CJ N/A
C         No
(13) GHI HOLDINGS MAURITIUS

9TH FL ORANGE TOWER CYBERCITY
EBENE    
MP
INVESTMENTS MP N/A
C         No
(14) GHI ERP LTD

9TH FL ORANGE TOWER CYBERCITY
EBENE    
MP
INVESTMENTS MP N/A
C         No
(15) GHI HSP LTD

9TH FL ORANGE TOWER CYBERCITY
EBENE    
MP
INVESTMENTS MP N/A
C         No
(16) GHI JBD LTD

9TH FL ORANGE TOWER CYBERCITY
EBENE    
MP
INVESTMENTS MP N/A
C         No
(17) GHI LTP LTD

9TH FL ORANGE TOWER CYBERCITY
EBENE    
MP
INVESTMENTS MP N/A
C         No
(18) MCP PRIVATE CAPITAL (FEEDER) FUND I LP

6 RUE GABRIEL LIPPMANN
LUXEMBOURG   L-5365
LU
INVESTMENTS LU N/A
C         No
(19) DUKE INDIA SERVICES PRIVATE LIMITED

302 PRIDE ELITE 10 MUSEUM ROAD
BANGALORE,KARNATAKA560001
IN
MEDICAL RESEARCH IN N/A
C         No
(20) CPP OFFICE PORTFOLIO (FEEDER) LP

50 LOTHIAN ROAD FESTIVAL SQUARE
EDINBURGH   EH3 9WJ
UK
98-1152490
REAL ESTATE UK N/A
C         No
(21) HEALTH SYSTEM MEDICAL STRATEGIES INC

324 BLACKWELL STREET STE 850
DURHAM,NC27701
56-2222444
HEALTHCARE NC N/A
C         No
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2018

Additional Data


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