FIRST HEALTH OF THE CAROLINAS INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: FIRST HEALTH OF THE CAROLINAS INC (EIN 56-1936354)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-14
IRS object ID: 202542269349302964
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-14T16:37:28+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 Ridgefield Court	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28806	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	561936354	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEFFREY CASEY	PersonNm
Person Title	CORPORATE CFO	PersonTitleTxt
Signature	2025-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2025-08-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,194,512,522	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.FIRSTHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO SERVICE THE COMMUNITY'S TOTAL HEALTH CARE NEEDS.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	7101	TotalEmployeeCnt
Total Volunteers	596	TotalVolunteersCnt
Total Gross UBI	$1,299,505	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$31,712	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$22,848,711	PYContributionsGrantsAmt
CY Contributions Grants	$13,121,104	CYContributionsGrantsAmt
PY Program Service Revenue	$1,108,047,583	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,133,223,600	CYProgramServiceRevenueAmt
PY Investment Income	$31,126,905	PYInvestmentIncomeAmt
CY Investment Income	$35,774,027	CYInvestmentIncomeAmt
PY Other Revenue	$8,013,574	PYOtherRevenueAmt
CY Other Revenue	$8,740,612	CYOtherRevenueAmt
PY Total Revenue	$1,170,036,773	PYTotalRevenueAmt
CY Total Revenue	$1,190,859,343	CYTotalRevenueAmt
PY Grants And Similar Paid	$255,615	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$355,983	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$451,601,009	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$493,108,609	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$644,790,243	PYOtherExpensesAmt
CY Other Expenses	$615,166,605	CYOtherExpensesAmt
PY Total Expenses	$1,096,646,867	PYTotalExpensesAmt
CY Total Expenses	$1,108,631,197	CYTotalExpensesAmt
PY Revenues Less Expenses	$73,389,906	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$82,228,146	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,504,469,833	TotalAssetsBOYAmt
Total Assets EOY	$1,690,324,903	TotalAssetsEOYAmt
Total Liabilities BOY	$377,254,634	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$373,931,169	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,127,215,199	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,316,393,734	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$929,391,750	ExpenseAmt
Grant	$355,983	GrantAmt
Revenue	$1,131,818,618	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$929,391,750	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	903	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7101	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jeffrey Casey Corporate CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9107151561	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 3000 155 Memorial Drive	AddressLine1Txt
City	Pinehurst	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28374	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Arthur Medeiros
Member (thru 12/31/2023) Secretary (as of 1/1/2024)	1.0	Yes (X)	Yes (X)	$0	$0	$0
Cindy Goodman
Vice Chair/Treasurer (thru 12/31/2023) Chair (as of 1/1/2024)	2.0	Yes (X)	Yes (X)	$0	$0	$0
David Wood
Secretary (thru 12/31/2023) Vice Chair (as of 1/1/2024	2.0	Yes (X)	Yes (X)	$0	$0	$0
Gary Von Cannon
Chair (thru 12/21/2023) Immediate Past Chair (as of 1/1/2024)	2.0	Yes (X)	Yes (X)	$0	$0	$0
Mickey Foster
President and CEO	50.0	Yes (X)	Yes (X)	$1,570,478	$0	$187,144
Ray Allen
Member (thru 12/31/2023) Treasurer (as of 1/1/2024)	1.0	Yes (X)	Yes (X)	$0	$0	$0
Sherwood Blackwood
Immed. Past Chair (thru 12/31/2023)	2.0	Yes (X)	Yes (X)	$0	$0	$0
Ben Jones
Member	1.0	Yes (X)		$0	$0	$0
Brian McMurray
Member	1.0	Yes (X)		$0	$0	$0
David Grantham MD
Member	1.0	Yes (X)		$0	$0	$0
Elizabeth Webster
Member	1.0	Yes (X)		$0	$0	$0
James Obi
Member	1.0	Yes (X)		$0	$0	$0
Jason Jerry MD
Member	1.0	Yes (X)		$0	$0	$0
Jefferson Kilpatrick MD
Member	1.0	Yes (X)		$0	$0	$0
Kamron Monroe DDS
Member	1.0	Yes (X)		$0	$0	$0
Matthew Harmody MD
Member	1.0	Yes (X)		$0	$0	$0
Michael Antil MD
Member	1.0	Yes (X)		$0	$0	$0
Susan Keller
Member	1.0	Yes (X)		$0	$0	$0
Sushma Patel MD
Member	1.0	Yes (X)		$0	$0	$0
Tom Pashley
Member	1.0	Yes (X)		$0	$0	$0
Wayne Lucas MD
Member	1.0	Yes (X)		$0	$0	$0
Jeffrey Casey
Corporate CFO	50.0		Yes (X)	$713,120	$0	$67,728
Amy Graham
V.P. - Strategy & Innovation	50.0			$491,214	$0	$60,854	Yes (X)
Berni Szczepanski
Chief People Officer	50.0			$501,624	$0	$52,700	Yes (X)
Chris Beasley
Corporate CIO	50.0			$449,165	$0	$59,620	Yes (X)
Christopher Fraley
V.P - Corporate Finance	50.0			$421,134	$0	$52,978	Yes (X)
Christy Land
President - Southern Region	50.0			$357,771	$0	$37,975	Yes (X)
Cynthia McNeill-McDonald
Chief Quality Officer	50.0			$421,804	$0	$34,089	Yes (X)
Daniel Barnes DO
President, FHPG	50.0			$802,647	$0	$70,891	Yes (X)
Jacklynn Lesniak
V.P. - MRH Patient Care Services	50.0			$521,328	$0	$52,883	Yes (X)
Jenifer Bruno MD
Corporate CMO	50.0			$673,071	$0	$66,365	Yes (X)
Jonathan Davis
Corp. COO / President - MRH	50.0			$822,774	$0	$72,334	Yes (X)
Matthew Prestwood
V.P. - MRH Operations	50.0			$327,679	$0	$49,946	Yes (X)
Rebecca Carter
President - Western Region	50.0			$356,345	$0	$28,884	Yes (X)
Sharon Harrell DDS
Chief Diversity Officer	50.0			$311,518	$0	$7,510	Yes (X)
Susan Beaty
President - Eastern Region	50.0			$373,192	$0	$47,110	Yes (X)
Giridhar Chintalapudi MD
Physician	50.0			$859,656	$0	$31,956		Yes (X)
Mark Landers MD
Physician	50.0			$1,195,320	$0	$41,724		Yes (X)
Peter Ellman MD
Physician	50.0			$826,870	$0	$41,724		Yes (X)
William Harris MD
Physician	50.0			$846,404	$0	$41,724		Yes (X)
William Kitchens MD
Physician	50.0			$852,878	$0	$41,724		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$13,695,992	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,147,863	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1013	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Pinehurst Surgical Clinic
5 FirstVillage Drive	Pinehurst	NC	28374	Physician Services	$26,678,116
Pinehurst Medical Clinic
205 Page Road	Pinehurst	NC	28374	Medical Oncology - Physician Services	$25,878,662
McKesson Specialty Care Distribution
10101 Woodloch Forest Drive	The Woodlands	TX	77380	Medical Supplies, Pharmaceutical Distribution & Healthcare Technology	$21,951,970
Qualivis LLC
5930 Cornerstone Ct W 300	San Diego	CA	92121	Contract HealthCare Staffing Services	$16,713,027
Southern Pines Women's Health Center
145 Applecross Road	Southern Pines	NC	28388	Physician Services	$11,372,803

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	903	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,483,085	RelatedOrganizationsAmt
Government Grants	$1,434,705	GovernmentGrantsAmt
All Other Contributions	$1,203,314	AllOtherContributionsAmt
Total Contributions	$13,121,104	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$1,058,288,150	$1,058,288,150
PHARMACY INCOME	621110	$44,658,131	$44,658,131
OTHER OPERATING REVENUE	621110	$16,048,469	$15,077,499	$970,970
EMS REVENUE	621110	$7,709,233	$7,709,233
HEALTH AND FITNESS	713940	$6,519,617	$6,071,724	$447,893

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,133,223,600	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,230,674	TotalRevenueColumnAmt
Exclusion	$24,230,674	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,020,975	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,016,162	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$995,187	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$995,187	TotalRevenueColumnAmt
Unrelated Business Revenue	-$119,358	UnrelatedBusinessRevenueAmt
Exclusion	-$875,829	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$11,494,952	SecuritiesAmt
Other	$48,401	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$11,494,952	SecuritiesAmt
Other	$48,401	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,543,353	TotalRevenueColumnAmt
Exclusion	$11,543,353	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$650,898	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$637,017	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,881	TotalRevenueColumnAmt
Related Or Exempt Func Income	$13,881	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
FOOD SERVICE	900099	$3,829,807	$3,829,807
LAUNDRY	812300	$3,152,227	$3,152,227
DISCOUNTS AND REBATES	900099	$2,739,884	$2,739,884

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$9,721,918	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,190,859,343	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,131,818,618	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,299,505	UnrelatedBusinessRevenueAmt
Exclusion	$44,620,116	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$355,983	TotalAmt
Program Services	$355,983	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,065,877	TotalAmt
Management And General	$10,065,877	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$163,982	TotalAmt
Program Services	$163,982	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$380,639,753	TotalAmt
Program Services	$310,817,966	ProgramServicesAmt
Management And General	$69,821,787	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,385,778	TotalAmt
Program Services	$18,356,266	ProgramServicesAmt
Management And General	$5,029,512	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$49,959,617	TotalAmt
Program Services	$39,214,947	ProgramServicesAmt
Management And General	$10,744,670	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$28,893,602	TotalAmt
Program Services	$22,679,539	ProgramServicesAmt
Management And General	$6,214,063	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,853,489	TotalAmt
Program Services	$2,279,845	ProgramServicesAmt
Management And General	$2,573,644	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$768,256	TotalAmt
Management And General	$768,256	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$268,382	TotalAmt
Management And General	$268,382	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$175,989	TotalAmt
Management And General	$175,989	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$178,081,272	TotalAmt
Program Services	$144,596,758	ProgramServicesAmt
Management And General	$33,484,514	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,006,905	TotalAmt
Program Services	$107,099	ProgramServicesAmt
Management And General	$899,806	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,679,285	TotalAmt
Program Services	$18,748,688	ProgramServicesAmt
Management And General	$12,930,597	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$123,581	TotalAmt
Program Services	$123,581	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,005,108	TotalAmt
Program Services	$5,943,401	ProgramServicesAmt
Management And General	$10,061,707	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,916,711	TotalAmt
Program Services	$1,401,731	ProgramServicesAmt
Management And General	$514,980	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$385,574	TotalAmt
Program Services	$193,359	ProgramServicesAmt
Management And General	$192,215	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,042,555	TotalAmt
Program Services	$129,986	ProgramServicesAmt
Management And General	$3,912,569	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$44,640,564	TotalAmt
Program Services	$42,873,179	ProgramServicesAmt
Management And General	$1,767,385	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,854,830	TotalAmt
Program Services	$639,022	ProgramServicesAmt
Management And General	$4,215,808	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$232,541,549	$232,541,549
Bad debt	$86,717,825	$86,717,825
Dietary exp	$5,927,870	$704,345	$5,223,525
Miscellaneous	$1,176,860	$802,699	$374,161

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,108,631,197	TotalAmt
Program Services	$929,391,750	ProgramServicesAmt
Management And General	$179,239,447	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,845,392	BOYAmt
EOY	$23,265,112	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$131,729,618	BOYAmt
EOY	$132,732,584	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$2,000,225	BOYAmt
EOY	$2,084,210	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,224,687	BOYAmt
EOY	$17,550,304	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,480,227	BOYAmt
EOY	$11,218,688	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,268,055,913	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$772,788,369	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$474,375,802	BOYAmt
EOY	$495,267,544	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$715,528,721	BOYAmt
EOY	$890,716,342	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,759,230	BOYAmt
EOY	$20,266,299	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$103,426,931	BOYAmt
EOY	$97,124,820	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,504,469,833	BOYAmt
EOY	$1,690,324,903	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$103,363,094	BOYAmt
EOY	$106,703,909	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$432,141	BOYAmt
EOY	$542,333	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,355,000	BOYAmt
EOY	$155,220,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$83,965,000	BOYAmt
EOY	$76,305,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,139,399	BOYAmt
EOY	$35,159,927	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$377,254,634	BOYAmt
EOY	$373,931,169	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,124,885,353	BOYAmt
EOY	$1,313,691,447	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,329,846	BOYAmt
EOY	$2,702,287	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,127,215,199	BOYAmt
EOY	$1,316,393,734	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,504,469,833	BOYAmt
EOY	$1,690,324,903	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$82,228,146	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$99,165,443	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$7,784,946	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$55,000	FilingOrganizationsTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$66,096	FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$121,096	FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$929,008,239	FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$929,129,335	FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$0	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$0	FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$52,787	CurrentYearMinus3Amt
Current Year Minus2	$51,461	CurrentYearMinus2Amt
Current Year Minus1	$70,286	CurrentYearMinus1Amt
Current Year	$121,096	CurrentYearAmt
Total	$295,630	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

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

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$60,504	CurrentYearMinus3Amt
Current Year Minus2	$50,506	CurrentYearMinus2Amt
Current Year Minus1	$60,000	CurrentYearMinus1Amt
Current Year	$55,000	CurrentYearAmt
Total	$226,010	TotalAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,957,116	OtherCostOrOtherBasisAmt
Book Value	$18,957,116	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$612,900,262	OtherCostOrOtherBasisAmt
Depreciation	$316,221,815	DepreciationAmt
Book Value	$296,678,447	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,783,499	OtherCostOrOtherBasisAmt
Book Value	$6,783,499	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$545,875,871	OtherCostOrOtherBasisAmt
Depreciation	$442,105,548	DepreciationAmt
Book Value	$103,770,323	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,539,165	OtherCostOrOtherBasisAmt
Depreciation	$14,461,006	DepreciationAmt
Book Value	$69,078,159	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$495,267,544	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$50,825,788
SWAP TRANSACTION	$23,842,775
rou assets	$20,643,249
Split dollar plan loan receivable	$1,813,008

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$97,124,820	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY RESERVE	$8,645,869
Third Party Payables	$6,515,716
DUE to AFFILIATE	-$985,654
lease liability	$20,983,996

Field	Value	IRS element (for citing)
Total Liability	$35,159,927	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,075,751	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,075,751	NetCommunityBenefitExpnsAmt
Total Expense	0.0109	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,552,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,654,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,898,724	NetCommunityBenefitExpnsAmt
Total Expense	0.0207	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$124,628,582	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,654,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,974,475	NetCommunityBenefitExpnsAmt
Total Expense	0.0315	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,928,361	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,186,983	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,741,378	NetCommunityBenefitExpnsAmt
Total Expense	0.0124	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,909,272	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,196,397	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,712,875	NetCommunityBenefitExpnsAmt
Total Expense	0.0015	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$556,587	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$556,587	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,708,826	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,708,826	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$34,103,046	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,383,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,719,666	NetCommunityBenefitExpnsAmt
Total Expense	0.0169	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$158,731,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$105,037,487	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,694,141	NetCommunityBenefitExpnsAmt
Total Expense	0.0484	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,108	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$51,108	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,667	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,667	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,551	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,551	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,291	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,291	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$145,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$145,617	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,223,804	BadDebtExpenseAmt
Reimbursed By Medicare	$130,551,918	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$153,076,487	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,524,569	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

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

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

Hospital Facilities HospitalFacilitiesGrp (4 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	4	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.FIRSTHEALTH.ORG/MEDIA/7942/CHNA.PDF	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.FIRSTHEALTH.ORG/MEDIA/8106/FIRSTHEALTH-OF-THE-CAROLINAS-IMPLEMENTATION-PLAN-2023.PDF	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	360.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE#5	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.FIRSTHEALTH.ORG/MEDIA/2974/APPLICATION-FOR-FINANCIAL-ASSISTANCE.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

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

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B FACILITY REPORTING GROUP A CONSISTS OF	- FACILITY 1: FIRSTHEALTH MOORE REGIONAL HOSPITAL - PINEHURST - FACILITY 2: FIRSTHEALTH MONTGOMERY MEMORIAL HOSPITAL - FACILITY 3: FIRSTHEALTH MOORE REGIONAL HOSPITAL RICHMOND - FACILITY 4: FIRSTHEALTH MOORE REGIONAL HOSPITAL HOKE
Schedule H, Part V, Section B, Line 22	If a patient is unable to pay, financial counselors are available to help identify programs they may qualify for, including Medicaid, Vocational Rehabilitation and North Carolina Purchase of Care Services. Criteria to qualify for federal or state programs are based on specific guidelines for the program. In the event a patient does not qualify for any type of government assistance program, they may qualify for aid through FirstHealth's Financial Assistance Program. The amount of assistance is based on a percentage of the most recent federal poverty guidelines published by the Department of Health and Human Services, available on-line at https://aspe.hhs.gov/poverty-guidelines, as well as the guidelines established by FirstHealth of the Carolinas, Inc. The financial aid percentage discount considers the "amount generally billed" by FirstHealth of the Carolinas, Inc. The amount is calculated on an annual basis by the Vice President of Finance and Support Services, and is updated in conjunction with changes to the federal poverty guidelines. The "amount generally billed" is an estimate based on a historical review of FirstHealth's overall estimate of Net Revenue divided by Total Charges. This amount will also be the financial aid percentage used in the third tier of the federal poverty guidelines to ensure any patient that qualifies for financial assistance under FirstHealth's Financial Assistance Program will only be responsible for the amount generally billed to the entire patient population.
Schedule H, Part I, Line 7 COL(F)	TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $86,717,825 THAT HAS BEEN REMOVED FOR PURPOSES OF COMPUTING PERCENTAGE OF TOTAL EXPENSE ON COLUMN (F).
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE ORGANIZATION USED WORKSHEET 2 OF THE 2023 SCHEDULE H INSTRUCTIONS TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST.
Schedule H, Part II Community Building Activities	FIRSTHEALTH OF THE CAROLINAS WORKS WITH THE COMMUNITIES WE SERVE TO CREATE OPPORTUNITIES TO IMPROVE THE PHYSICAL ENVIRONMENT FOR BETTER HEALTH. FIRSTHEALTH PERSONNEL WORK IN COLLABORATION WITH VARIOUS COMMUNITY GROUPS AND CIVIC ORGANIZATIONS TO PROMOTE THE HEALTH AND WELLNESS OF OUR REGION AND THE LOCAL COMMUNITIES WE SERVE. FIRSTHEALTH ACCOMPLISHES THESE GOALS BY OBTAINING PUBLIC AND PRIVATE GRANTS TO INCREASE ACCESS TO WALKING TRAILS AND SIDEWALKS, BUILDING COMMUNITY GARDENS, PROMOTING HEALTH AND WELLNESS THROUGH LOCAL BUSINESSES, SCHOOLS, AND THE CHAMBER OF COMMERCE, AND FACILITATING OF AND PARTICIPATING ON COMMUNITY-BASED COMMITTEES CONSISTING OF KEY LEADERS IN THE HEALTH FIELD TO HELP CREATE A HEALTHIER COMMUNITY AND REGION.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE FOOTNOTE ON BAD DEBT EXPENSE. WORKSHEET 2 OF THE 2023 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE BAD DEBT EXPENSE AT COST FOR PURPOSES OF LINE PART III, LINE 2.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE MEDICARE COST REPORT WAS USED TO CALCULATE THE OVERALL SHORTFALL. THE ORGANIZATION BELIEVES THE ENTIRE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT.
Schedule H, Part V, Section B, Line 16a FAP website	A - FirstHealth Moore Regional Hospital - PINEHURST: Line 16a URL: HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE#5;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - FirstHealth Moore Regional Hospital - PINEHURST: Line 16b URL: HTTPS://WWW.FIRSTHEALTH.ORG/MEDIA/2974/APPLICATION-FOR-FINANCIAL-ASSISTANCE.PDF;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - FirstHealth Moore Regional Hospital - PINEHURST: Line 16c URL: HTTPS://WWW.FIRSTHEALTH.ORG/POLICIES-AND-TERMS/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	FIRSTHEALTH OF THE CAROLINAS CONDUCTS A PERIODIC COMMUNITY SURVEY (EVERY 3 -4 YEARS) TO ASSESS THE HEALTH CONDITION OF THE POPULATION OF OUR PRIMARY SERVICE AREA (MOORE, MONTGOMERY, RICHMOND, AND HOKE COUNTIES) AS WELL AS Lee COUNTY, AND TRACKS THIS INFORMATION OVER TIME. THE FIRST SURVEY WAS CONDUCTED IN 1999 AND THE MOST RECENT SURVEY WAS CONDUCTED IN 2024. ADDITIONALLY, FIRSTHEALH OF THE CAROLINAS CONVENES COMMUNITY VISION GROUPS THROUGHOUT OUR PRIMARY SERVICE AREA TO OBTAIN AN "ON THE GROUND PERSPECTIVE" OF THE POPULATION'S HEALTH STATUS AND DEVELOP ACTION PLAN TO ADDRESS IDENTIFIED HEALTH ISSUES. THE GROUPS CONSIST OF KEY COMMUNITY HEALTH LEADERS IN EACH COUNTY.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ANYONE WHO VISITS A FIRSTHEALTH HOSPITAL FOR MEDICAL CARE IS TREATED REGARDLESS OF HIS/HER ABILITY TO PAY. ALTHOUGH AN EFFORT IS MADE TO COLLECT A PORTION OF THE BILL ON ADMISSION OR AT DISCHARGE, THE FIRSTHEALTH STAFF IS TRAINED TO IDENTIFY THOSE WHO MAY NEED FINANCIAL ASSISTANCE. FOR SOME, THIS COULD SIMPLY INVOLVE ESTABLISHING A PAYMENT PLAN THAT FITS WITH THE FAMILY BUDGET. FOR OTHERS, THE HELP IS MORE COMPLEX. WHEN PATIENTS ARE UNABLE TO HELP WITH MEDICAL EXPENSES, FINANCIAL COUNSELORS MEET WITH THEM ONE ON ONE TO IDENTIFY ANY PROGRAM FOR WHICH THEY MIGHT QUALIFY. THESE INCLUDE MEDICAID, VOCATIONAL REHABILITATION AND NORTH CAROLINA PURCHASE OF CASE SERVICES. WHEN NECESSARY, THE HOSPITAL ITSELF ABSORBS SOME OR ALL OF THE COST OF CASE FOR THOSE THAT MEET DESIGNATED CRITERIA. THE AMOUNT OF ASSISTANCE DEPENDS ON FAMILY INCOME. PATIENTS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES QUALIFY FOR 100% FINANCIAL ASSISTANCE FOR THE FIRSTHEALTH FINANCIAL ASSISTANCE PROGRAM. PATIENTS WHOSE INCOME EXCEEDS 200% MAY STILL QUALIFY FOR ASSISTANCE DEPENDING ON THEIR INDIVIDUAL FINANCIAL CIRCUMSTANCES. INFORMATION ABOUT FEDERAL, STATE, AND LOCAL PROGRAMS, AS WELL AS FIRSTHEALTH'S FINANCIAL AID PROGRAM IS OFFERED TO ALL PATIENTS IN THE FIRSTHEALTH OF THE CAROLINAS PATIENT HANDBOOK AND CAN BE FOUND ON OUR CORPORATE WEBSITE, WWW.FIRSTHEALTH.ORG.
Schedule H, Part VI, Line 4 Community information	FIRSTHEALTH OF THE CAROLINAS OWNS AND OPERATES A HEALTH CARE DELIVERY SYSTEM THAT PROVIDES HEALTH CARE SERVICES to a primary region of five-counties region in North Carolina and a 15-county secondary region. FIRSTHEALTH OF THE CAROLINAS OPERATES Four ACUTE CARE HOSPITALS IN THIS SERVICE AREA. FIRSTHEALTH DRAWS APPROXIMATELY 64.1% OF ITS PATIENTS FROM MOORE, MONTGOMERY AND RICHMOND COUNTIES IN NORTH CAROLINA AND APPROXIMATELY 17.2% OF ITS PATIENTS FROM THE TWO SURROUNDING COUNTIES OF HOKE and LEE. THESE FIVE COUNTIES COLLECTIVELY COMPRISE FIRSTHEALTH'S PRIMARY SERVICE AREA. FIRSTHEALTH'S PRIMARY SERVICE AREA REFLECTS A POPULATION BASE OF APPROXIMATELY 296,812.
Schedule H, Part VI, Line 5 Promotion of community health	FIRSTHEALTH OF THE CAROLINAS ALSO FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY BY EXTENDING MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS OF THE COMMUNITY. IN ADDITION, A MAJORITY OF FIRSTHEALTH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN FIRSTHEALTH'S PRIMARY SERVICE AREA WHO ARE INDEPENDENT MEMBERS OF THE COMMUNITY.
Schedule H, Part VI, Line 7 State filing of community benefit report	NC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Sandhills Moore Coalition for Human Care
1500 WIndiana Avenue	Southern Pines	NC	28387	571522956	501c(3)	$10,000	General Support
United Way of Moore County
375-D SE Broad Street	Southern Pines	NC	28387	237016427	501c(3)	$10,000	General Support
Moore County
100 Dowd Street	Carthage	NC	28327	566000322	501c(3)	$55,635	General Support
Moore County Schools
5277 Highway 15-501 South	Carthage	NC	28327	566001078	501c(3)	$10,000	General Support
Village of Pinehurst
395 Magnolia Road	Pinehurst	NC	28374	561211319	501c(3)	$27,480	General Support
Moore County Free & Charitable Clinic
211 Trimble Plaant Road	Southern Pines	NC	28387	010781234	501c(3)	$75,000	General Support
Montgomery County Council on Aging
PO Box 697	Troy	NC	27371	561173830	501c(3)	$10,000	General Support
Montgomery Community College Foundation
1011 Page Street	Troy	NC	27371	561834221	501c(3)	$10,000	General Support
West Chatham Caring Communities
PO Box 254	Siler City	NC	27344	510634273	501c(3)	$7,500	General Support
Carolina Animal Rescue & Adoption
PO Box 2642	Sanford	NC	27331	581502865	501c(3)	$5,000	General Support
Richmond County
1401 Fayetteville Road	Rockingham	NC	28379	566000334	501c(3)	$20,000	General Support
Richmond County Schools
118 Vance Street	Hamlet	NC	28345	566002508	501c(3)	$5,000	General Support
Communities in Schools of Montgomery County
PO Box 624	Biscoe	NC	27209	562617697	501c(3)	$10,000	General Support
Chatham County
725 Renaissance Drive	Pittsboro	NC	27312	566000284	501c(3)	$5,000	General Support
Chatham Outreach Alliance
PO Box 1326	Pittsboro	NC	27312	561668767	501c(3)	$7,500	General Support
Catholic Charities - Diocese of Raleigh
7200 Stonehenge Drive	Raleigh	NC	27613	560529943	501c(3)	$9,000	General Support
Hoke County Schools
310 Wooley Street	Raeford	NC	28376	566001051	501c(3)	$10,000	General Support
Hoke County Sheriff's Department
2348 W Andrew Jackson Hwy	Raeford	NC	28376	465394197	501c(3)	$12,268	General Support
NC Community Foundation - Hoke Foundation
3737 Glenwood Avenue	Raleigh	NC	27612	581661700	501c(3)	$10,000	General Support
New Horizons Life & Family Service
115A West Franklin Street	Rockingham	NC	28379	581758410	501c(3)	$5,000	General Support
Habitat for Humanity
2268 NC Highway 5	Aberdeen	NC	28315	561596170	501c(3)	$6,600	General Support
Outreach Mission Inc
225 S Steele Street	Sanford	NC	27330	561653062	501c(3)	$10,000	General Support
Our Daily Bread Ministries - Food Pantry
PO Box 264	Grand Rapids	MI	49501	421722754	501c(3)	$5,000	General Support
Boys & Girl Clubs of the Sandhills
160 Memorial Park Court	Southern Pines	NC	28388	911877405	501c(3)	$10,000	General Support
Boys & Girl Clubs of Central Carolina
1414 Bragg Street	Sanford	NC	27330	561923703	501c(3)	$10,000	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	25	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	FIRSTHEALTH OF THE CAROLINAS, INC.("FIRSTHEALTH") SUPPORTS VARIOUS COMMUNITY-BASED TAX-EXEMPT ORGANIZATIONS AND LOCAL GOVERNMENTAL UNITS THROUGH CASH DONATIONS. FIRSTHEALTH DOES NOT RESTRICT THE USE OF THESE DONATIONS AND SUPPORT PAYMENTS. THE RECEIVING EXEMPT ORGANIZATIONS OR GOVERNMENTAL UNITS MAY USE THE DONATION/SUPPORT PAYMENT AT WILL TO FURTHER THEIR EXEMPT PURPOSES.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mickey Foster
President and CEO	$1,005,213	$0	$521,737	$0	$43,528	$0	$168,520	$0	$18,624	$0	$1,757,622	$0	$119,780	$0
Jeffrey Casey
Corporate CFO	$455,875	$0	$208,254	$0	$48,991	$0	$49,250	$0	$18,478	$0	$780,848	$0	$0	$0
Daniel Barnes DO
President, FHPG	$516,010	$0	$235,403	$0	$51,234	$0	$52,312	$0	$18,579	$0	$873,538	$0	$0	$0
Chris Beasley
Corporate CIO	$275,918	$0	$134,493	$0	$38,754	$0	$41,345	$0	$18,275	$0	$508,785	$0	$0	$0
Susan Beaty
President - Eastern Region	$222,804	$0	$111,934	$0	$38,454	$0	$36,580	$0	$10,530	$0	$420,302	$0	$0	$0
Jenifer Bruno MD
Corporate CMO	$441,801	$0	$200,714	$0	$30,556	$0	$47,890	$0	$18,475	$0	$739,436	$0	$0	$0
Rebecca Carter
President - Western Region	$206,844	$0	$113,454	$0	$36,047	$0	$18,417	$0	$10,467	$0	$385,229	$0	$0	$0
Jonathan Davis
Corp. COO / President - MRH	$534,924	$0	$247,630	$0	$40,220	$0	$53,716	$0	$18,618	$0	$895,108	$0	$0	$0
Christopher Fraley
V.P - Corporate Finance	$263,000	$0	$123,715	$0	$34,419	$0	$38,395	$0	$14,583	$0	$474,112	$0	$0	$0
Amy Graham
V.P. - Strategy & Innovation	$295,082	$0	$146,322	$0	$49,810	$0	$42,230	$0	$18,624	$0	$552,068	$0	$0	$0
Sharon Harrell DDS
Chief Diversity Officer	$224,361	$0	$63,954	$0	$23,203	$0	$0	$0	$7,510	$0	$319,028	$0	$0	$0
Christy Land
President - Southern Region	$227,742	$0	$105,591	$0	$24,438	$0	$36,410	$0	$1,565	$0	$395,746	$0	$0	$0
Jacklynn Lesniak
V.P. - MRH Patient Care Services	$342,218	$0	$153,379	$0	$25,731	$0	$42,065	$0	$10,818	$0	$574,211	$0	$0	$0
Cynthia McNeill-McDonald
Chief Quality Officer	$245,580	$0	$131,309	$0	$44,915	$0	$23,100	$0	$10,989	$0	$455,893	$0	$0	$0
Matthew Prestwood
V.P. - MRH Operations	$207,845	$0	$99,431	$0	$20,403	$0	$35,635	$0	$14,311	$0	$377,625	$0	$0	$0
Berni Szczepanski
Chief People Officer	$318,353	$0	$147,739	$0	$35,532	$0	$41,900	$0	$10,800	$0	$554,324	$0	$0	$0
Mark Landers MD
Physician	$777,069	$0	$376,336	$0	$41,915	$0	$23,100	$0	$18,624	$0	$1,237,044	$0	$0	$0
Giridhar Chintalapudi MD
Physician	$435,258	$0	$385,260	$0	$39,138	$0	$23,100	$0	$8,856	$0	$891,612	$0	$0	$0
William Kitchens MD
Physician	$725,443	$0	$86,300	$0	$41,135	$0	$23,100	$0	$18,624	$0	$894,602	$0	$0	$0
William Harris MD
Physician	$727,780	$0	$89,885	$0	$28,739	$0	$23,100	$0	$18,624	$0	$888,128	$0	$0	$0
Peter Ellman MD
Physician	$720,139	$0	$76,300	$0	$30,431	$0	$23,100	$0	$18,624	$0	$868,594	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The following individual PARTICIPATED IN CAP-EX (a split dollar life insurance arrangement in place of a traditional SERP). During 2023 the following received amounts paid under the terms of the SERP: -Mickey Foster: $119,780
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	PHYSICIANS ARE PAID UNDER A PRODUCTIVITY-BASED COMPENSATION MODEL, WHICH TIES TOTAL COMPENSATION TO A RELATIVE VALUE UNIT (RVU). AN RVU IS A DOLLAR AMOUNT ASSIGNED TO EACH PATIENT ENCOUNTER OR MEDICAL TEST/PROCEDURE PERFORMED.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$615,000	$44,855,000	$45,225,000	$136,219	Yes (true)	false	Yes (true)	Yes (true)
B	$3,860,000	$17,530,000	$18,160,000	$193,083	Yes (true)	false	Yes (true)	Yes (true)
C		$40,830,000	$38,090,000	$122,864	Yes (true)	false	Yes (true)	Yes (true)
D		$29,535,000	$29,630,000	$92,803	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship With Org	CEO	RelationshipWithOrgTxt
Loan Purpose	Supp. retirement CASD	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$2,000,000	OriginalPrincipalAmt
Balance Due	$2,084,210	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$2,084,210	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Matheson McDonald
Cynthia McNeill-McDonald	$21,948	Compensation: PA - Hospitalist	false
Joshua Barnes
Daniel Barnes, D.O.	$83,658	Compensation: Director, Innovation & Strategic Partners	false
Kelly Barnes
Daniel Barnes, D.O.	$58,376	Compensation: Patient Educator - CDE	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part II	FormAndLineReferenceDesc
Explanation	The Company provides supplemental retirement benefits through an alternative funding arrangement the IRS calls "collateral assignment split dollar" (CASD). Although the IRS requires reporting in the loan section of Schedule L, CASD is not a loan because no funds are transferred to the executive. Rather, the "loan" treatment applies because after the executive has received retirement benefits, the company recovers all of its outlays plus interest. The recovery right is a key advantage of CASD for the company. Rather than paying retirement benefits to the executive that would never be recovered, under CASD the company recovers not only its outlays but also consideration for the time value of money. CASD works as follows. The company deposits funds into cash value life insurance policies on the executive's life. During life, to the extent the executive fulfills service and vesting requirements, the executive can borrow against the cash surrender value to supplement retirement income. Policy performance is closely monitored. If policy performance lags, the executive's borrowing rights are reduced to protect the company's recovery rights. At the executive's death, the policy death proceeds are first used to repay the company its deposits plus compounded interest (at the IRS long-term applicable federal rate). The executive's beneficiary then receives any remaining death proceeds.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	FirstHealth of the Carolinas, Inc. ("FirstHealth") provides a comprehensive community benefits program in its primary and secondary service areas. FirstHealth plays a pivotal role in delivering health care in the mid-Carolinas and is both the infrastructure and safety net for health care in its communities. FirstHealth operates two hospitals: FirstHealth Moore Regional Hospital and FirstHealth Montgomery Memorial Hospital. FirstHealth Moore Regional Hospital has licensed beds in three locations: the main campus in Pinehurst, North Carolina and remote locations in Rockingham and Raeford, North Carolina. Hospital care is the cornerstone of health care in most communities, but FirstHealth goes beyond the walls of these facilities to enhance the health and wellness of the residents of its service areas. FirstHealth provides low-cost and, in many cases, free programs to our most vulnerable patient populations. One of FirstHealth's most important financial contributions is bridging the gap created by underpayments from Medicare and Medicaid and other government programs, while continuing to provide access to free or low-cost health screenings and diagnostic services, as well as health/wellness educational programs in the communities FirstHealth serves. Free and Discounted Charity Care to Eligible Patients Served Anyone who visits a FirstHealth hospital for medical care is treated regardless of his or her ability to pay for the treatment provided. When patients are unable to help with their medical expenses, FirstHealth absorbs some or all the cost of care for those that meet designated financial criteria, depending on family income. Patients with family incomes at or below 200 percent of the federal poverty guideline qualify for 100 percent financial assistance under FirstHealth's Financial Assistance Program. FirstHealth's net cost of free care (treating patients that qualified for 100% financial assistance) was $12,075,751 in fiscal 2024. Through its Financial Assistance Program, FirstHealth also offers varying levels of discounted care to patients who are poor and/or meet certain income guidelines. Patients with family incomes between 201 and 360 percent of the federal poverty guideline qualify for discounts against FirstHealth's list price for services rendered. FirstHealth also incurs bad debt expense each year for patients who have been determined to have the financial capacity to pay for healthcare services provided but are unwilling/financially unable to settle the claim. FirstHealth continues to provide all necessary healthcare services to this patient population. In fiscal 2024, the cost to FirstHealth for these services was $15,223,804. FirstHealth's Financial Counselors work closely with patients and families to help determine eligibility for assistance or qualification for public programs. FirstHealth requests that patients provide appropriate documentation, such as tax returns, current pay stubs, or other relevant information, that is used to demonstrate financial need. FirstHealth also offers interest-free extended payment plans that will vary in length, depending on the balance of the patient's account. FirstHealth assists patients with finding available governmental programs that match patients' needs, such as Medicaid, Vocational Rehabilitation, Crime Victim Assistance, etc. FirstHealth also posts detailed information about its Financial Assistance Program on its website (www.firsthealth.org) so the public can be aware of its availability. Medicaid Shortfall FirstHealth provides Medicaid services in its two hospitals, as well as through its home care, hospice and palliative care, dental care, and other health care services in its primary and secondary service areas. Approximately 11.5% of FirstHealth's fiscal 2024 net patient revenue for acute care services came from the Medicaid program. The Medicaid program, which provides health care coverage for low-income families and individuals, is funded by the state and federal governments. In North Carolina, as in many states, Medicaid payments are well below the provider's actual cost of treating Medicaid patients and the reimbursement level is predicted to decline as financial pressures on the federal and state government operating budgets mount. In fiscal 2024, FirstHealth's unpaid costs from Medicaid totaled $22,898,724. Medicare Shortfall FirstHealth provides services to Medicare beneficiaries in its two hospitals. In addition, Medicare beneficiaries are served by FirstHealth's home care, hospice and palliative care and other health care programs and services. The Medicare shortfall represents the difference between the actual cost of care rendered and the reimbursement received for delivering that care to patients. Approximately 57.6% of FirstHealth's fiscal 2024 net patient revenue for acute care services came from the Medicare program. The cost of delivering care includes, but is not limited to, personnel costs, technology, supplies, pharmaceuticals, medical devices, facility operating costs, etc. FirstHealth's financial shortfall from providing these Medicare services in fiscal 2024 was $22,524,569. Subsidized Medically Essential Services As a rural health care provider, FirstHealth is many times the provider of last resort for our patients. In order to offer a full spectrum of health care services, FirstHealth provides services and programs that yield negative operating margins. However, because these services are essential to the overall health of the communities served, FirstHealth continues to provide them. Subsidized medically necessary hospital services provided by FirstHealth include, but are not limited to: inpatient psychiatry unit and outpatient mental health services; inpatient physical rehabilitation unit; neonatal intensive care unit; emergency departments (approximately 128,808 patient encounters in fiscal 2024); women's and children's services; inpatient medical and radiation oncology services; renal dialysis services; diabetes care; and a number of other outpatient services. In addition, FirstHealth, through its Regional Emergency Medical Services business line, provided 25,313 emergency 911 transports to residents of Chatham, Lee, Montgomery and Richmond counties in fiscal 2024. FirstHealth received $8,704,017 in fiscal 2024 operating subsidies from these counties to help offset the unreimbursed operating costs of providing these essential transport services. FirstHealth also provided $3,165,586 in direct financial subsidies to offset the unfunded operating costs of the Regional Emergency Medical Services business line in fiscal 2024. FirstHealth Community Health Services Initiatives (FHCS) Health Programs - Tobacco Cessation, Diabetes and Disease Prevention, Health Coaching The Health Program team addresses the health needs of residents based on current health system data and county-based community health needs assessments. The Community Health Programs team provides classes and one-on-one programs to address chronic disease and health behavior modification such as Pre-Diabetes (Prevent T2), Tobacco/Vaping Cessation (FirstQuit), Cardiovascular Health (Million Hearts), Health Coaching and access to Health Foods (Food Pantries). FirstQuit, an outpatient program, includes a combination of counseling and nicotine replacement therapies to assist residents in the service area to quit nicotine use. For fiscal 2024, 422 people enrolled in the outpatient program. The conservative six-month quit rate was 22%. 70 community education programs/health screenings to address chronic disease and physical activity were provided, with 76% targeted to low-income and underserved populations in the five-county primary service area of Moore, Montgomery, Hoke, Richmond and Lee counties. In addition, there were 706 health coaching encounters, with 77% of the participants showing improved blood pressure and/or weight status and 50 participants enrolled in Prevent T2 classes with 60% of the participants completing the program reporting 5-7% weight loss from the start of the class. Participants reported an overall 100% satisfaction rating. In total, FirstHealth leveraged $1.89 in grant funds for every $1 provided by FirstHealth. School-Based Health Centers FirstHealth offers on-site medical care at three clinic sites within the Montgomery County Schools (East Middle School, West Middle School and Central High School).. Hundreds of school children in Montgomery County have access to acute and preventive medical care on the school campus just steps away from the classroom doors.
Form 990, Part III, Line 4a	New in FY 2024 was the addition of behavioral health support for students and family members through a program supported financially by the North Carolina Office of Rural Health. The School-Based Health Centers provide on-site medical care that was easily accessible, valuable, and open to any child in the Montgomery County School System. FirstHealth provided $282,309 in financial subsidies to offset the unfunded operating costs of the School-Based Health Centers in fiscal 2024. FirstHealth Medication Assistance Program FirstHealth Cares assists low-income individuals in Moore, Montgomery, Hoke and Richmond counties in securing free or low-cost prescription medications through pharmaceutical companies' indigent care programs. Financially needy adults are eligible for assistance based on medication needs, lack of eligibility for prescription drug coverage, and individual pharmaceutical company program guidelines (typically less than 150 % to 200% of Federal Poverty Level). In fiscal 2024, 1,843 unique individuals were assisted through the FirstHealth CARES program with obtaining prescription medications. 88% of medication requests were filled, resulting in an Average Wholesale Value of over $19 million in medications dispensed. Dental Care Centers FirstHealth operates three Dental Care Centers: one site in Southern Pines (Moore County) and two sites at East Middle School and West Middle School (Montgomery County). Each Dental Care Center provides comprehensive dental care services to Medicaid and HealthChoice-eligible children and young adults up to age 21. Since few dentists in these counties participate in Medicaid's Dental program, the FirstHealth Dental Care Centers provides a tremendous unmet need in the region. When the Dental Care Centers opened in 1997, nearly half of the children of low-income families in FirstHealth's service area were getting little to no dental care services. During fiscal 2024, the Dental Care Centers provided 6,349 dental care visits to 2,872 children and young adults residing in the counties served. The Dental Care Centers recognized $375,998 in FirstHealth financial subsidies and external grant funding to offset the unfunded operating costs in fiscal 2024. Diabetes & Nutrition Education Center This group of clinical professionals provides services for both diabetes education and outpatient nutrition, serving all ages. Both programs help educate patients on how to better manage their diabetes diagnosis and/or make dietary and lifestyle changes to reduce health risk. Services are provided in-person in Moore, Richmond, Montgomery and Hoke counties, with the option of utilizing a telehealth platform. 61% of patients who completed a diabetes self-management workshop scheduled an individual session or group follow-up class. 37% of patients demonstrated a reduction of hemoglobin A1c at a post-program follow-up session or phone call. By offering both in-person and telehealth appointments to maintain continuity of treatment, the program has been able to improve patient access. Task Force Support and Policy Work FirstHealth Community Health Services supports county-based, disease-specific and grassroots task forces to collaborate on needs identification, resource acquisition and program implementation. Groups supported include MooreHealth, Safe Kids Mid-Carolinas Region, the Richmond Health Impact Team, Better Together Montgomery and Sandhills Opioid Response Consortium (SORC). Through work on task forces and those referenced below under "Corporate Initiatives," relationships and partnerships were built to promote healthy lifestyle policy at the local and state level. Support in the Community - Cash and In-Kind Contributions During fiscal 2024, FirstHealth supported health education events, distributed equipment and promoted community-based health initiatives. Through these initiatives, FirstHealth served an estimated 11,393 people at a cost of $558,767. Workforce Development and Community Building Activities FirstHealth provides assistance to the community in the areas of leadership development, planning, resource identification, and Board leadership. FirstHealth participated in and provided administrative support to county-based multi-agency groups including MooreHealth, Richmond County Chamber of Commerce, Moore County United Way, Boys and Girls Club of the Sandhills, and Richmond Healthy Carolinians. Also, FirstHealth coordinates the regional coalition, Safe Kids Mid-Carolinas, in Hoke, Montgomery, Moore, Richmond and Scotland counties as part of the statewide initiative to reduce childhood injuries. FirstHealth also provided financial resources to recruit providers to rural, low-income counties in the region. Family Assistance and Clara McLean House FirstHealth's Pastoral Care Services provided 363 free meals to family members staying with loved ones in the hospital who could not afford meals. The cost to FirstHealth for these free meals provided in fiscal 2024 totaled $2,181. The Clara McLean House ("Clara's House") has served over 13,500 guests since its inception in 2012. This encompasses 24,700 room nights with guests visiting from 48 states and 8 countries. In addition, over 7,500 visits were made to the on-site Healing Garden by guests and the Pinehurst community at-large. In fiscal year 2024, Clara's House focused in on the cancer patient population as its main housing market. With the cancer center entering its second year of operation, the number of room nights for cancer patients staying at Clara's increased by 17%. Thanks to the generous philanthropic support of the community through The Foundation of FirstHealth, Clara's House offered 1,172 nights to more than 240 cancer patients at no charge, equating to an approximate value of $244,340 in accommodations. Many patients and their support person stayed for up to 6 weeks during treatment regimens, which has required staff to step into a more refined skill set to accompany folks through this varied and often arduous portion of their medical and healing journey. Volunteers still come every Monday and make a hot lunch which is a welcome relief as many guests are not only transportation but food insecure as well. From the overall lodging standpoint, 947 guests stayed a total of 1,753 room nights, with 567 of those guests being first time visitors. Guests traveled a mean distance of 80 miles and stayed an average of 2.2 nights. Top diagnostic groups remain oncology, orthopedic and heart patients with the top three counties being served from Cumberland, Robeson and Richmond. Over 115 of those nights were dedicated to provider recruitment, retention and those in service to FirstHealth. Clara's House remains a central hub for community navigation, outreach and advocacy, hosting over 10 different support groups. Over 1,400 visits have been made to Parkinson's, Dementia, Traumatic Brain Injury, Stroke Recovery and Chronic Kidney Disease groups. Music and Art therapy as well as Centering Prayer and Book Club are still going strong after being in service more than a decade from this location. Additionally, four FirstHealth departments currently operate out of Clara's House, including FirstFutures. Nearly 500 meetings have taken place both in Shadowlawn and the House at large, requiring turning the children's playroom into a multi-purpose space to accommodate the influx of activities. Volunteers have provided more than 5,000 brownies/baked goods/healthy snacks to be deployed across FirstHealth entities as a morale booster to ultimately enhance patient care and employee satisfaction. $578,697 of the FY 2024 operating costs of Clara's House were reimbursed to FirstHealth by The Foundation of FirstHealth, Inc. Moore Free and Charitable Clinic The Moore Free and Charitable Clinic ("MFCC") is a private, volunteer-based, non-profit organization that provides primary health care services at no cost to the limited-income residents of Moore County that lack health care insurance coverage. FirstHealth provided direct financial support totaling $75,000 in fiscal 2024 to MFCC in furtherance of its mission. Patients of MFCC that required inpatient/outpatient acute care services were referred to FirstHealth Moore Regional and FirstHealth Montgomery Hospitals for care, resulting in a total of 9,471patient encounters in fiscal 2024. The $2,338,592 cost of providing these services in fiscal 2024 was absorbed by FirstHealth.
Form 990, Part III, Line 4a	Medical Staff Development / Physician Recruitment Assistance FirstHealth provides financial assistance to area physician practices and individual physicians for the recruitment of physicians to practice in the geographic areas served by the FirstHealth hospitals discussed previously. Under FirstHealth's Medical Staff Development Plan, recruitment assistance is appropriate to: (1) add physicians in an under-served geographic location; (2) add or enhance a service of the hospital or community; and (3) increase physician coverage where there is an existing shortage During fiscal 2024, FirstHealth participated in searches for specialists in cardiology, interventional pain, neurology, palliative care, primary care, psychiatry, hematology/oncology, OB/GYN, radiation oncology, orthopedics and URO/GYN. FirstHealth also forgave approximately $293,053 in payments made in prior years toward the recruitment of specialists to practices in FirstHealth's service area (Moore, Montgomery, Richmond, Hoke, Lee, Cumberland and Scotland counties) when the forgiveness criteria were met, and the physician had provided patient care in the community over that forgiveness period. In addition to recruitment assistance provided to the area physician practices, FirstHealth recruited a total of three (3) physicians and three (3) mid-level practitioners into its hospitalist programs in fiscal 2024. Research and Clinical Trials Initiatives FirstHealth Moore Regional Hospital, drawing on its state-of-the-art radiation oncology and medical oncology services, participates in several research and clinical trials with staff physicians. At any point in time, there were 40-45 trials open to accrual (actively enrolling new patients). The trials covered a variety of cancer types including but not limited to lung, breast, kidney, colon, prostate, and gynecology. Additionally, several cancer prevention and quality of life studies begun in prior years continued in fiscal 2024. The trials were chosen to match the population of cancer patients seen through the FirstHealth Cancer Center and provide them with the best research treatment opportunities. Providing clinical trials for cancer care is a requirement for the FirstHealth Cancer Center to maintain its ACOS Comprehensive Cancer Center designation. Outside of oncology, there are trials open in uro-gynecology, obstetrics gynecology, vascular medicine, pulmonology, medical diagnostic, and orthopedics. A total of $556,587 in external grant funding covered the operating costs of the research and clinical trials initiatives in fiscal 2024. FirstHealth Hospice & Palliative Care FirstHealth Hospice & Palliative Care provides compassionate, quality care for persons with life-limiting illnesses and support to their families. * FirstHealth Hospice cares for people who seek comfort over aggressive treatment and have an estimated six-month life expectancy. Hospice services include pain and symptom management, personal hygiene care, spiritual and volunteer services, and counseling for patients and families. Most hospice patients receive care in their homes, but patients with uncontrolled pain and other symptoms can be treated in the FirstHealth Hospice House, an 11-bed acute care facility. Grief counseling from master's level counselors is available to anyone who lost a loved one, regardless if the loved one was a FirstHealth Hospice patient. * FirstHealth Palliative Care supports people with life-impacting conditions while they seek aggressive care. Palliative care patients' life expectancy is greater than six months. Palliative care services include pain and symptom management, health care navigation, goals of care and advance directive support, counseling, and connection to community resources. People can receive palliative care in their homes, the hospital, by telehealth, or at palliative care clinics in Pinehurst and Rockingham. During fiscal 2024, FirstHealth Hospice maintained an average daily census of 168 patients in service, down from 193.6 in fiscal 2023. Competition from for-profit providers has impacted referrals. FirstHealth Palliative Care completed over 2100 new consults between inpatient and outpatient services and referred 576 patients to FirstHealth Hospice.
Form 990, Part VI, Line 15	FirstHealth's Board of Directors determines compensation for the CEO through its Compensation Committee ("Committee"). The Committee is composed of Board members who are independent of FirstHealth management, have no personal interest in the compensation arrangements, are not related to or under the control of any individual whose compensation arrangement is being reviewed, have no material business relationship with FirstHealth, and are not paid for their services as a Board member. The Committee retains an independent consultant to conduct periodic compensation analyses to help ensure FirstHealth's compensation practices and compensation levels are reasonable. This consultant provides only advisory services related to compensation matters to FirstHealth. To attract and retain the highest caliber of healthcare professionals needed to sustain the quality of the healthcare FirstHealth provides to the communities that it serves, compensation must be competitive with that provided by other competing organizations in the area job market. When executive positions are filled, FirstHealth typically conducts national searches. FirstHealth benchmarks against organizations of comparable size and mission, across the region and the nation. Market data is assembled for all elements of executive compensation (i.e. cash compensation, benefits and perquisites). Compensation levels reflect the scope of the CEO's responsibilities, educational background, experience and industry standing, as well as individual and organization performance. The most recent review was performed during fiscal year 2024. A similar process to that for the CEO is affected for determining the compensation of the other corporate officers or key employees of FirstHealth (i.e. use of independent consultant, comparable industry data, etc.). The Committee reviews and approves the CEO's performance assessments and compensation recommendations for other corporate officer and key employees. All compensation decisions are made in a manner that is consistent with FirstHealth's Board-approved compensation philosophy. The most recent year review was performed during fiscal year 2024.
Form 990, Part VI, Line 18	THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AND ON WWW.GUIDESTAR.ORG.
Form 990, Part VI, Line 11b Review of form 990 by governing body	FirstHealth's Form 990 is initially reviewed by qualified members of Administration, including the corporate CEO and CFO, and Compliance departments. The entire return is reviewed by the Board's Compensation Committee and the FirstHealth Board of Directors prior to filing with the IRS. FirstHealth's independent tax preparer, FORVIS MAZARS, LLP, also conducts a review of the return during their preparation process. Once the return is successfully e-filed with the IRS, a copy of the return is made available to all members of the FirstHealth Board of Directors. In addition to the posting of the FirstHealth return on GuideStar, a public inspection copy of the Form 990 is made available for review.
Form 990, Part VI, Line 12c Conflict of interest policy	FIRSTHEALTH STRIVES TO MAINTAIN THE HIGHEST ETHICAL STANDARDS AND HAS ADOPTED A CONFLICT OF INTEREST/DUALITY OF INTEREST POLICY THAT APPLIES TO ANY DIRECTOR, TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE, OR ANY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST OR DUALITY OF INTEREST WITH ANY ORGANIZATION SEEKING TO DO BUSINESS WITH OR IS IN AN ACTUAL OR POTENTIAL ADVERSARIAL RELATIONSHIP WITH FIRSTHEALTH. ANY COVERED INDIVIDUAL WITH AN ACTUAL OR POSSIBLE CONFLICT MUST DISCLOSE THE EXISTENCE OF THE CONFLICT TO THE DIRECTORS, TRUSTEES AND MEMBERS OF BOARD COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION, ARRANGEMENT OR ISSUE. EACH TRUSTEE, OFFICER OR MEMBER OF A BOARD COMMITTEE WITH BOARD-DELEGATED POWERS COMPLETES AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT, AND ALL REPORTED CONFLICTS ARE REPORTED TO AND REVIEWED BY THE FIRSTHEALTH BOARD OF DIRECTORS. ALL MANAGEMENT EMPLOYEES ALSO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS, WHICH ARE SUMMARIZED AND REVIEWED WITH SENIOR MANAGEMENT.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. In addition, quarterly and annual financial statements are posted to the Digital Assurance Certification (DAC) website and filed with the North Carolina Medical Care Commission in accordance with existing debt covenants.
Form 990, Part IX, Line 11g Other Fees	PROFESSIONAL FEES - Total Expense: 60025582, Program Service Expense: 59178834, Management and General Expenses: 846748, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 30094524, Program Service Expense: 28963788, Management and General Expenses: 1130736, Fundraising Expenses: ; CONSULTANT FEES - Total Expense: 2268135, Program Service Expense: , Management and General Expenses: 2268135, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 85693031, Program Service Expense: 56454136, Management and General Expenses: 29238895, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	GAIN ON SWAP MARKET ADJUSTMENT - 9686946; TRANSFER OF EQUITY - -1902000;
Form 990, Part XII, Line 2c Change of oversight process or selection process	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FIRSTHEALTH PHYSICIANS GROUP LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	463774942	MEDICAL SERVICES	NC	-$50,259,000	$35,510,000	FIRSTHEALTH OF THE CAROLINAS INC
STARFIRST LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	561936354	CAPTIVE INSURANCE	SC	$1,241,000	$25,609,000	FIRSTHEALTH OF THE CAROLINAS INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
FIRSTIMAGING OF THE CAROLINAS LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	300313534	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	Related	-$355,917	$3,480,300	false	false	0.5
SURGERY CENTER OF PINEHURST LLC
10 FIRSTVILLAGE DRIVE	PINEHURST	NC	28374	680561185	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	Related	$1,279,183	$19,009,047	false	Yes (true)	0.3
FIRSTCAROLINACARE INSURANCE SERVICES LLC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	261708544	INSURANCE SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	Related	$0	$0	false	false	0.51
SURGERY CENTER OF PINEHURST PROPERTIES LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	680561188	REAL ESTATE	NC	FIRSTHEALTH OF THE CAROLINAS INC	Related	-$138,355	$2,670,565	false	false	0.35
CARDIOVASCULAR CENTER OF SCOTLAND COUNTY LLC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	262335801	MEDICAL SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	Related	$124,377	$2,233,018	false	false	0.5
Southern Pines Surgery Center Properties LLC
5 FIRSTVILLAGE DRIVE	PINEHURST	NC	28374	884125656	REAL ESTATE	NC	fIRSTHEALTH OF THE CAROLINAS INC	Related	$0	$0	false	false	0.25

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
FIRSTHEALTH PROFESSIONAL SERVICES INC
155 MEMORIAL DRIVE	PINEHURST	NC	28374	561885149	HEALTHCARE SERVICES	NC	FIRSTHEALTH OF THE CAROLINAS INC	C Corporation	-$2,000	-$21,000	1	Yes (true)
FIRSTCAROLINACARE INSURANCE COMPANY INC
42 MEMORIAL DRIVE	PINEHURST	NC	28374	331160597	INSURANCE COMPANY	NC	FIRSTHEALTH OF THE CAROLINAS INC	C Corporation	$387,300	-$2,316,567	0.2	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FirstImaging of the Carolinas LLC
S	$1,457,500	FMV
Surgery Center of Pinehurst
S	$1,177,058	FMV
Surgery Center of Pinehurst Properties LLC
S	$229,342	FMV
Foundation of FirstHealth Inc
C	$10,483,085	FMV
Foundation of FirstHealth Inc
J	$55,812	FMV
Foundation of FirstHealth Inc
P	$2,061,814	FMV
Foundation of FirstHealth Inc
Q	$1,900,103	FMV