2018-05-15T10:46:02-05:00 2017-06-30 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2016-07-01 560532309 HIGH POINT REGIONAL HEALTH HIGH 3368786000 PO BOX HP-5 HIGH POINT NC 27261 WILLIAM BRYANT CFO 3368786000 2018-05-15 1 JOHN NORMAN P01506766 7049985200 2018-05-15 2016 2022-09-23 18:48:47Z ERNIE BOVIO PO BOX HP-5 HIGH POINT NC 27261 293852350 0 X WWW.HIGHPOINTREGIONAL.COM X 1933 NC OPERATION OF HOSPITAL AND HEALTH CARE FACILITIES IN HIGH POINT, NC 20 15 3062 565 271000 -50550 2432959 8239835 275106363 279716562 1454564 269827 4788619 4885506 283782505 293111730 1393132 295473 0 0 122802072 121743342 0 0 0 170853923 162656914 295049127 284695729 -11266622 8416001 233256068 300096978 97201590 119868262 136054478 180228716 X TO PROVIDE EXCEPTIONAL HEALTH SERVICES TO THE PEOPLE OF OUR REGION. OUR VISION IS TO BE THE BEST HEALTHCARE ORGANIZATION IN EVERYTHING WE DO - THE BEST PLACE TO RECEIVE CARE, THE BEST PLACE TO WORK, AND THE BEST PLACE TO PRACTICE MEDICINE. OUR VALUES ARE TEAMWORK, COMPASSION, AND INTEGRITY. 0 0 248625614 295473 279445562 HIGH POINT REGIONAL HEALTH (HPRH) PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. HPRH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. ESTIMATED COST OF THE CHARGES IDENTIFIED AS CHARITY CARE WAS $8,702,206 FOR THE YEAR ENDED JUNE 30, 2017. IN PROVIDING CHARITY CARE TO PATIENTS, THE HOSPITAL INCURRED NONREIMBURSED COSTS RELATED TO TREATING MEDICARE AND MEDICAID PATIENTS AND PATIENTS FROM OTHER GOVERNMENT NON-NEGOTIATED PLANS. THE AMOUNT OF NON-REIMBURSED COSTS ASSOCIATED WITH TREATING MEDICARE AND MEDICAID PATIENTS, AND PATIENTS WITH OTHER GOVERNMENT NON-NEGOTIATED PLANS FOR THE YEAR WAS $20,328,820 AND $2,834,365 RESPECTIVELY (SEE SCHEDULE H FOR DETAILS). THE ESTIMATED COST OF RECORDED BAD DEBT EXPENSE IS $14,993,629 FOR THE YEAR. IN MEETING ITS OBJECTIVE OF PROVIDING QUALITY HEALTH CARE TO THE COMMUNITY, THE HOSPITAL PROVIDED MEDICAL SERVICE FOR AND DISCHARGED 16,600 PATIENTS DURING THE YEAR WITH TOTAL DAYS OF CARE AT 69,900. HPRH ALSO PROVIDED SEVERAL SUBSIDIZED SERVICES TO THE COMMUNITY. THERE ARE SEVERAL GREAT REASONS TO BE PROUD OF HIGH POINT REGIONAL:- HIGH POINT REGIONAL WAS RECOGNIZED AS PART OF THE JOINT COMMISSION'S 2015 ANNUAL REPORT "AMERICA'S HOSPITALS: IMPROVING QUALITY AND SAFETY," FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, SURGICAL CARE, STROKE AND PERINATAL CARE.- THE WOMEN'S IMAGING CENTER WAS THE FIRST COMPLETELY FULL-FIELD DIGITAL MAMMOGRAPHY FACILITY IN HIGH POINT TO OFFER BOTH DIAGNOSTIC AND SCREENING MAMMOGRAPHY SERVICES. THIS ADVANCED EQUIPMENT WAS FULLY FUNDED BY COMMUNITY DONORS THROUGH PROCEEDS FROM HPRH'S ENDOWMENT FUNDS. - THE HOSPITAL HAS A DA VINCI SI SURGICAL SYSTEM, ENHANCED HIGH-DEFINITTON 3D VISION THAT OFFERS OUR SURGEONS SUPERIOR CLINICAL CAPABILITY, INCREASED DEXTERITY FAR GREATER THAN THE HUMAN HAND, INTUITIVE MOTION TECHNOLOGY AND INTUITIVE INSTRUMENT CONTROL DURING MINIMALLY INVASIVE SURGERY FOR UROLOGY AND GYNECOLOGY. - HIGH POINT IS THE ONLY HOSPITAL IN THE TRIAD TO OFFER 24 HOUR CONTINUOUS ELECTRONIC MONITORING OF CRITICALLY ILL PATIENTS. - THE SOCIETY OF CHEST PAIN CENTERS ACCREDITS HIGH POINT REGIONAL AS AN OFFICIAL CHEST PAIN CENTER FOR MEETING AND EXCEEDING QUALITY-OF-CARE MEASURES IN ACUTE CARDIAC MEDICINE. - HIGH POINT REGIONAL QUALIFIED FOR THE AMERICAN HEART ASSOCIATION MISSION: LIFELINE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD IN 2015 ALONG WITH THE MISSION: LIFELINE GOLD PERFORMANCE ACHIEVEMENT AWARD IN 2012, 2013 AND 2014. THESE AWARDS RECOGNIZE HIGH POINT REGIONAL'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS THAT EFFECTIVELY IMPROVES THE SURVIVAL AND CARE OF STEMI (ST ELEVATION MYOCARDIAL INFARCTION) PATIENTS.- HIGH POINT IS THE SECOND LARGEST EMPLOYER OF HIGH PONT, NC, WITH OVER 3,000 TALENTED AND DEDICATED INDIVIDUALS WHO PROVIDE COMPASSIONATE CARE TO MORE THAN 130,000 PEOPLE EVERY YEAR. 248625614 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 128 0 3062 1 1 1 0 0 0 0 0 0 0 0 0 X 20 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CFO 3368786143 601 N ELM STREET HIGH POINT NC 27261 BRACK BRIGMAN DIRECTOR 2.00 X 0 0 0 JERRY CAMP DIRECTOR 2.00 X 0 0 0 BRADEN COVINGOTN DIRECTOR 2.00 X 0 0 0 CHRIS ELLINGTON DIRECTOR 2.00 58.00 X 0 746797 292071 ANDY ESKEW MD DIRECTOR 2.00 X 0 0 0 DAVID FISHER MD DIRECTOR 2.00 X 0 0 0 DARRELL FRYE DIRECTOR 2.00 X 0 0 0 VIJAYA GANDLA MD DIRECTOR 2.00 X 748196 0 19330 AB HENLEY DIRECTOR 2.00 X 0 0 0 JEFF HORNEY DIRECTOR 2.00 X 0 0 0 ANTHONY LINDSEY MD DIRECTOR 2.00 X 0 0 0 KEN MCALLISTER DIRECTOR 2.00 X 0 0 0 GARY PARK DIRECTOR 2.00 58.00 X 0 2030958 540181 LINDA SEKHON DIRECTOR 2.00 X 0 0 0 KEVIN SPEIGHT MD DIRECTOR 2.00 X 0 0 0 REVERAND FRANK THOMAS DIRECTOR 2.00 X 0 0 0 PATRICIA TRIPLETT MD DIRECTOR 2.00 X 161409 0 7086 ROYSTER TUCKER III DIRECTOR 2.00 X 0 0 0 DON WEBB DIRECTOR 2.00 X 0 0 0 ERNIE BOVIO PRESIDENT & DIRECTOR 58.00 2.00 X X 485606 0 84068 KEVIN SMITH SECRETARY 58.00 2.00 X 232435 0 15856 KIMBERLY CREWS TREASURER (LEFT 12/31/16) 58.00 2.00 X 341123 0 32713 WILLIAM BRYANT TREASURER (AS OF 12/19/2016) 58.00 2.00 X 0 0 2177 LAWRENCE WILLIAMS CMO 60.00 X 476218 0 32874 DENISE POTTER VP 60.00 X 231218 0 29662 KATHERINE BURNS VP 60.00 X 239938 0 30448 PETER BRATH PHYSICIAN 60.00 X 1230590 0 21724 VIJAY AGARWAL PHYSICIAN 60.00 X 880495 0 31164 ESHWAR LAL PHYSICIAN 60.00 X 809509 0 24005 PHILLIP ASENSO PHYSICIAN 60.00 X 779652 0 19814 CORY SESSOMS PHYSICIAN 60.00 X 704229 0 19473 GREG TAYLOR MD FORMER SECRETARY 0.00 X 147772 0 0 7468390 2777755 1202646 15 1 1 0 RENTENBACH CONSTRUCTORS INC 1102 GRECADE STREET GREENSBORO NC 27408 CONSTRUCTION 7806543 SOLSTAS LAB PARTNERS GROUP LLC 4380 FEDERAL DRIVE SUITE 100 GREENSBORO NC 27410 LABORATORY 2604082 CAROLINA ANESTHESIOLOGY PA PO BOX 2324 HIGH POINT NC 27261 ANESTHESIA SERVICES 2542300 SHIFTWISE INC 200 SW MARKET STREET SUITE 700 PORTLAND OR 97201 MEDICAL STAFFING 2043590 CORNERSTONE HEALTHCARE PA 1701 WESTCHESTER DRIVE HIGH POINT NC 27262 PHYSICIAN SERVICES 1810595 20 95744 7359046 785045 8239835 NET PATIENT REVENUE 621400 278403603 278403603 OTHER AFFILIATED REVENUE 900099 655561 655561 HP SURGERY CENTER 621400 386398 386398 REFERENCE LAB SERVICES 621500 271000 271000 279716562 213535 213535 3987253 654600 3332653 3332653 3332653 138886 0 82594 138886 -82594 56292 56292 2540 95744 3426 -886 -886 MISCELLANEOUS REVENUE 900099 1553739 1553739 1553739 293111730 279445562 271000 5155333 120001 120001 175472 175472 99758434 93323447 6434987 4467362 4183626 283736 10922207 9806520 1115687 6595339 5935805 659534 59285 59285 124693 124693 17499264 15749338 1749926 2126041 1913437 212604 1645228 1480705 164523 1229433 1229433 5710201 5139181 571020 382509 344259 38250 187692 187692 355478 319930 35548 15473488 13983502 1489986 1220496 1220496 PATIENT CARE SUPPLIES & 51263346 50588113 675233 BAD DEBT EXPENSE 36385767 36385767 HOME OFFICE ALLOCATION 21533063 21533063 MINOR EQUIPMENT AND R&M 5769372 5192435 576937 1691558 1350169 341389 284695729 248625614 36070115 0 16030531 32141646 30808 13366 40376553 90146830 3443181 3621750 1354054 4522888 427259307 269107359 151585465 158151948 15793599 8317001 1559510 958229 1797522 1438018 1284845 785302 233256068 300096978 88006237 109489333 9195353 10378929 97201590 119868262 X 133236740 177264068 2817738 2964648 136054478 180228716 233256068 300096978 X 8416001 2396551 33361686 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14899 14899 0 PART II-B, LINE 1: SCHEDULE C, PART II-B, LINE 1: HIGH POINT REGIONAL HEALTH (HPRH) BELIEVES IN MAINTAINING STRONG, OPEN AND EFFECTIVE RELATIONSHIPS WITH ELECTED OFFICIALS AND POLICY MAKERS AT THE LOCAL, STATE AND NATIONAL LEVELS. THE OBJECTIVE IS TO EDUCATE THESE GROUPS ON HEALTHCARE ISSUES, TO SERVE AS A RESOURCE AND TO COMMUNICATE HPRH'S POSITION IN SUPPORT OF ITS MISSION. AS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND NORTH CAROLINA HOSPITAL ASSOCIATION, A PERCENTAGE OF HPRH'S MEMBERSHIP DUES ARE ATTRIBUTED TO LOBBYING ACTIVITIES. 14987330 7115 14994445 14927143 60187 14987330 14819502 107641 14927143 14661458 158044 14819502 14449810 211648 14661458 1.00000 0 1 1 12207876 12207876 217395394 112598644 104796750 2360932 1027012 1333920 176901000 150079523 26821477 18394105 5402180 12991925 158151948 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 8368489 OTHER LIABILITIES 1367983 OTHER NOTES PAYABLE 642457 10378929 X PART V, LINE 4: HIGH POINT REGIONAL HEALTH'S (HPRH) ENDOWMENT CONSISTS OF A FUND ESTABLISHED FOR A VARIETY OF HEALTHCARE PROGRAMS AS DEEMED NECESSARY BY THE BOARD OF TRUSTEES. THE ENDOWMENT INCLUDES DONOR-RESTRICTED ENDOWMENT FUNDS AND AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. HPRH HAS ADOPTED INVESTMENT AND SPENDING POLICIES FDR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. ENDOWMENT ASSETS INCLUDE THOSE ASSETS OF DONOR-RESTRICTED FUNDS THAT THE ORGANIZATION MUST HOLD IN PERPETUITY. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF TRUSTEES, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EXCEED THE PRICE AND YIELD RESULTS OF THE S&P 500 INDEX WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. IN THE TAX YEAR 2010, THE ORGANIZATION TRANSFERRED THE ENDOWMENT TO THE HIGH POINT REGIONAL HEALTH FOUNDATION. FUTURE ACTIVITY OF THE ENDOWMENT IS TRACKED WITHIN THAT ORGANIZATION, AND AMOUNTS RELEASED FROM RESTRICTION ARE TRANSFERRED TO THE FILING ORGANIZATION AS CONTRIBUTIONS FROM THE FOUNDATION. SEE FORM 990 PART VIII, LINE 1. PART X, LINE 2: THE HEALTH SYSTEM AND ITS AFFILIATES, FOUNDATION AND HEALTH SERVICES, ARE EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF NORTH CAROLINA TAX LAWS. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE HEALTH SYSTEM'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE HEALTH SYSTEM HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2017. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2014 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. HEART & SOLE 5K 37412 34872 2540 2876 LOVELINE TREELIGHTING 60872 60872 550 98284 95744 2540 3426 3426 -886 1 1 X 1 X 0 1 1 0 1 1 8702206 8702206 0.03500 31725646 28891281 2834365 0.01140 40427852 28891281 11536571 0.04640 175472 175472 0.00070 175472 175472 0.00070 40603324 28891281 11712043 0.04710 1 36385767 24378464 104408840 124737660 -20328820 X 1 1 1 HIGH POINT SURGERY CENTER AMBULATORY SURGERY CENTER 0.90000 0.00000 0.10000 1 1 HIGH POINT REGIONAL HEALTH SYSTEM 601 NORTH ELM STREET HIGH POINT NC 27262 WWW.HIGHPOINTREGIONAL.COM X X X DISPROPORTIONATE SHARE HOSPITAL HIGH POINT REGIONAL HEALTH 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE PART V X 1 15 1 SEE PART V 0 1 X 250.000000000000 X X X X 1 1 X X X X 1 X SEE PART V X SEE PART V X SEE PART V X X X X X X 1 0 X X X X 1 X 0 0 HIGH POINT REGIONAL HEALTH PART V, SECTION B, LINE 5: TO GAUGE PUBLIC OPINION REGARDING THE PRIORITY HEALTH ISSUES FACING GUILFORD COUNTY, THE HOSPITAL PARTICIPATED IN PUBLIC ASSESSMENT MEETINGS THAT TOOK PLACE IN GREENSBORO AND HIGH POINT. FACILITATORS AT THESE MEETINGS SHARED RECENT COUNTY DATA BASED ON THE INDICATORS IN THE POPULATION HEALTH MODEL. ATTENDEES SHARED THEIR VIEWS ABOUT HEALTH ISSUES AND HEALTH NEEDS IN THEIR COMMUNITIES. DATA WERE COLLECTED FROM MEETING PARTICIPANTS ON THE PRIORITY HEALTH ISSUES FACING THE COUNTY. IN ADDITION TO COMMUNITY MEETINGS, COMMUNITY INPUT WAS OBTAINED THROUGH AN ONLINE WEBINAR IN WHICH COMMUNITY DATA WERE PRESENTED AND WEBINAR PARTICIPANTS IDENTIFIED PRIORITY HEALTH ISSUES THROUGH AN ONLINE SURVEY. HIGH POINT REGIONAL HEALTH PART V, SECTION B, LINE 6A: THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH CONE HEALTH, CONSISTING OF MOSES CONE HOSPITAL, WOMEN'S HOSPITAL, WESLEY LONG HOSPITAL AND BEHAVIORAL HEALTH HOSPITAL. HIGH POINT REGIONAL HEALTH PART V, SECTION B, LINE 6B: THE ORGANIZATION'S CHNA WAS ALSO CONDUCTED IN CONJUNCTION WITH THE GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO'S CENTER FOR SOCIAL, COMMUNITY AND HEALTH RESEARCH AND EVALUATION. HIGH POINT REGIONAL HEALTH PART V, SECTION B, LINE 11: THE ORGANIZATION IS ADDRESSING THE FOLLOWING TOP IDENTIFIED AREAS:HEALTHY EATING/ACTIVE LIVING: CHRONIC DISEASES, SUCH AS HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE CAN OFTEN BE PREVENTED BY A HEALTHY LIFESTYLE, WHICH INCLUDES DIETS RICH IN FRUITS AND VEGETABLES, LEAN PROTEINS AND WHOLE GRAINS AND AT LEAST 150 MINUTES OF MODERATE PHYSICAL ACTIVITY EACH WEEK. CHRONIC DISEASES, ESPECIALLY CANCER AND HEART DISEASE, ARE THE LEADING CAUSES OF MORTALITY AND DRIVERS OF HEALTH CARE COSTS IN GUILFORD COUNTY. PROMOTING HEALTHY EATING AND ACTIVE LIVING CAN IMPROVE RATES OF MORBIDITY AND MORTALITY. HIGH POINT REGIONAL, IN COLLABORATION WITH COMMUNITY PARTNERS, WILL PROVIDE ACCESSIBLE RESOURCES TO THE COMMUNITY AND EMPLOYEES TO ADDRESS OBESITY, PHYSICAL ACTIVITY, DIET AND NUTRITION AND SUBSTANCE USE. SOME OF THE WAYS THIS WILL BE ACCOMPLISHED INCLUDE PROVIDING OVERALL EDUCATION ON HEALTHY FOODS AND PHYSICAL EXERCISE, PROVIDING ACCESS TO RESOURCES FOR DISCHARGED PATIENTS WITH LACK OF ACCESS TO HEALTHY FOODS, PROMOTING PHYSICAL EXERCISE THROUGH THE ORGANIZATION'S FITNESS CENTER BY PROVIDING SCHOLARSHIPS FOR LOW INCOME RESIDENTS AND INCREASING THE NUMBER OF HEALTH SCREENINGS AND EDUCATIONAL EVENTS. SOCIAL DETERMINANTS OF HEALTH: SOCIAL CONDITIONS, SUCH AS INCOME, EMPLOYMENT AND CRIME, HAVE A SIGNIFICANT IMPACT ON THE HEALTH OF INDIVIDUALS. ASSESSMENT DATA SHOWED VERY STRONG RELATIONSHIPS BETWEEN EDUCATIONAL ATTAINMENT AND INCOME WITH LIFE EXPECTANCY, CHRONIC DISEASE, MORTALITY AND OTHER HEALTH CONDITIONS. HIGH POINT REGIONAL'S GOAL WILL BE FOR ALL RESIDENTS TO HAVE ACCESS TO HIGH QUALITY EDUCATION, BE ABLE TO SECURE JOBS THAT PAY A LIVABLE WAGE AND LIVE IN SAFE HOMES AND NEIGHBORHOODS. TO ACCOMPLISH THIS GOAL, HIGH POINT REGIONAL WILL PROVIDE HEALTH EDUCATION IN A MANNER THE PATIENT CAN UNDERSTAND, PROVIDE ACCESS TO CARE FOR UNINSURED AND INCREASE THE NUMBER OF PATIENTS APPROVED FOR CHARITY AND/OR MEDICAID, PROVIDE TUITION REIMBURSEMENT FOR EMPLOYEES, INTRODUCE HEALTH CAREERS TO HIGH SCHOOL STUDENTS AND PROVIDE JOBS THAT PAY A LIVABLE WAGE. BEHAVIORAL HEALTH: MENTAL HEALTH AND ITS RELATIONSHIP TO A FUNDAMENTAL SENSE OF WELL-BEING AND MEANING ARE VERY IMPORTANT TO OVERALL HEALTH. THE TERM "BEHAVIORAL HEALTH" IS OFTEN USED TO DESCRIBE THE CONNECTION BETWEEN OUR BEHAVIORS AND THIS FUNDAMENTAL SENSE OF WELL-BEING. HIGH POINT REGIONAL WILL COLLABORATE WITH COMMUNITY PARTNERS TO PROVIDE INFORMATION, EDUCATION, SOCIAL SUPPORT AND HIGH QUALITY BEHAVIORAL HEALTHCARE. MATERNAL AND CHILD CARE: WOMEN AND THEIR CHILDREN (IF THEY CHOOSE TO HAVE THEM) BENEFIT FROM HEALTHY NUTRITION AND DAILY PHYSICAL ACTIVITY, CLOSE FAMILY AND FRIENDS, EFFECTIVE COPING STRATEGIES, TRUSTED HEALTH CARE PROVIDERS, ACCESS TO EFFECTIVE BIRTH CONTROL AND SUPPORTIVE NEIGHBORHOODS AND COMMUNITIES WITH A VARIETY OF RESOURCES AND POLICIES THAT SUPPORT WOMEN AND CHILDREN. DEFICITS AND DISADVANTAGES IN THESE AREAS MAY LEAD TO POOR BIRTH OUTCOMES OF PRE-TERM BIRTH, LOW BIRTH WEIGHT AND INFANT MORTALITY. POOR BIRTH OUTCOMES ARE A SIGNIFICANT PROBLEM FOR GUILFORD COUNTY WITH RATES HIGHER THEN NATIONAL BENCHMARKS AND OBJECTIVES. HIGH POINT REGIONAL WILL COLLABORATE WITH COMMUNITY PARTNERS TO INSURE ALL WOMEN IN GUILFORD COUNTY HAVE ACCESS TO AND UTILIZE HEALTH CARE BEFORE, DURING AND AFTER PREGNANCY; AND THEIR BABIES ARE BORN AT A HEALTHY BIRTH WEIGHT WITH GOOD OUTCOMES. TO ACHIEVE THIS GOAL, THEY WILL LAUNCH A HEALTH COMMUNICATION CAMPAIGN TO PROMOTE AVAILABLE RESOURCES, WORK WITH PHYSICIAN OFFICES PRIOR TO BIRTH TO EDUCATE PREGNANT WOMEN ON BREASTFEEDING AND WORK WITH FOOD BANKS AND COMMUNITY CENTERS TO CREATE AN ENVIRONMENT WHERE WOMEN ARE INCENTIVIZED TO COME IN DURING THE FIRST 12 WEEKS OF PREGNANCY FOR PROPER PRENATAL CARE. PART V, SECTION B, LINES 7A AND 10A HTTP://WWW.HIGHPOINTREGIONAL.COM/ABOUT_US/COMMUNITY_HEALTH_NEEDS_ASSESSMENT PART V, SECTION B, LINES 16A-C HTTP://WWW.UNCMEDICALCENTER.ORG/UNCMC/PATIENTS-VISITORS/BILLING/FINANCIAL-ASSISTANCE-PROGRAMS/ 5 1 - REGIONAL PSYCHIATRIC ASSOCIATION 320 BOULEVARD ST HIGH POINT NC 27262 BEHAVIORAL HEALTH 2 - HIGH POINT WEST 1720 WESTCHESTER DR HIGH POINT NC 27262 PHYSICAL THERAPY 3 - THOMASVILLE MEDICAL OFFICE BUILDING 711 NATIONAL HWY THOMASVILLE NC 27360 REHABILITATION 6 - REHAB AT NORTH HIGH POINT 4590 PREMIER DR HIGH POINT NC 27265 REHABILITATION 7 - PHYSICIANS OFFICES 222 W RAY ST HIGH POINT NC 27262 PATHOLOGY PART I, LINE 3C: PERSONS WHO HAVE NO HEALTH INSURANCE, NO COVERAGE FROM ANY OTHER THIRD PARTY, OR WHO OBTAIN SERVICES NOT COVERED BY THEIR HEALTH INSURANCE, WILL BE ELIGIBLE FOR A 40% DISCOUNT ON CHARGES, EXCLUDING CERTAIN EXCEPTIONS. THIS DISCOUNT WILL BE GIVEN REGARDLESS OF INCOME OR NORTH CAROLINA RESIDENCY. THE FINANCIAL ASSISTANCE OVERSIGHT COMMITTEE WILL REVIEW THE DISCOUNT AMOUNT ON AN INTERIM BASIS TO INSURE CHARGE AMOUNT PARITY AMONG ALL PATIENTS -- THOSE WITH INSURANCE, THOSE WITHOUT INSURANCE, AND THOSE RECEIVING FINANCIAL ASSISTANCE. PART I, LINE 6A: N/A PART I, LINE 7: THE ORGANIZATION HAS USED THE ANDI (ADVOCACY NEEDS DATA INITIATIVE) METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGES AS DESCRIBED IN THE 2010 NORTH CAROLINA HOSPITAL ASSOCIATION COMMUNITY BENEFIT GUIDELINES TO DETERMINE FINANCIAL ASSISTANCE, UNREIMBURSED MEDICAID AND OTHER AMOUNTS. PART I, LINE 7G: TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25 INCLUDES A BAD DEBT EXPENSE OF $36,385,767, WHICH HAS BEEN REMOVED FOR PURPOSES OF CALCULATING COMMUNITY BENEFIT PERCENTAGE ON LINE 7, COLUMN (F). PART I, LN 7 COL(F): PATIENT ACCOUNTS RECEIVABLES ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR CONTRACTUAL DISCOUNTS AND UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS AND HISTORICAL COLLECTION EXPERIENCE. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS WHEN RECEIVED. PART II, COMMUNITY BUILDING ACTIVITIES: HIGH POINT REGIONAL HEALTH (HPRH) PROMOTED THE HEALTH OF THE COMMUNITY IT SERVES BY SPONSORING ORGANIZATIONS THAT PROVIDE SERVICES INVOLVING ECONOMIC DEVELOPMENT AND COMMUNITY SUPPORT. ECONOMIC SUPPORT HAS BEEN PROVIDED TO THE FOLLOWING ORGANIZATIONS:-- HIGH POINT CHAMBER OF COMMERCE EXISTS TO ASSIST AND GROW A PROSPEROUS BUSINESS ENVIRONMENT AND THRIVING WORKFORCE WHILE STANDING AS THE UNITED VOICE FOR BUSINESS IN THE TRIAD AREA.-- ARCHDALE-TRINITY CHAMBER OF COMMERCE HAS A RICH HERITAGE AS AN ASSOCIATION OF BUSINESSES, ORGANIZATIONS, AND INDIVIDUALS WHO WANT TO MAKE THINGS BETTER - SCHOOLS, TRANSPORTATION SYSTEM, ENVIRONMENT, AND QUALITY OF LIFE.COMMUNITY SUPPORT HAS BEEN PROVIDED TO THE FOLLOWING ORGANIZATIONS:-- SPECIAL OLYMPICS AIMS TO COMBINE HIGH QUALITY SPORTS WITH A WIDE AUDIENCE AND BE A DRIVING FORCE FOR SOCIAL INCLUSION OF PEOPLE WITH INTELLECTUAL DISABILITIES. -- HOSPICE OF THE PIEDMONT PROVIDES PATIENTS WITH COMPASSIONATE PAIN CONTROL AND SYMPTOM MANAGEMENT.-- PENNYBURN NURSING HOME IS A SENIOR LIVING RESIDENCE FOR PEOPLE WITH LONG-TERM CARE NEEDS OR FULL-TIME NURSING OR REHABILITATION SERVICES. PART III, LINE 3: APPROXIMATELY 67% OF ALL BAD DEBT CHARGES ARE ATTRIBUTABLE TO UNINSURED PATIENTS OF THE HOSPITAL. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE IS CALCULATED USING THE ANDI (ADVOCACY NEEDS DATA INITIATIVE) METHODOLOGY, WHICH USES A FACILITY-WIDE RATIO OF COST TO CHARGE. THE ENTIRE MEDICARE SHORTFALL AMOUNT SHOULD BE TREATED AS A COMMUNITY BENEFIT. MEDICARE RATES AND NUMBERS OF MEDICARE PATIENTS ARE NOT NEGOTIATED. AS REIMBURSEMENT RATES DECLINE RELATIVE TO COSTS OF CARE, THE HOSPITAL CONTINUES TO SERVE THE MEDICARE POPULATION. IN FY 2017, MEDICARE ACCOUNTED FOR APPROXIMATELY HALF OF THE HOSPITAL'S BUSINESS. WITHOUT THIS SERVICE, THESE PATIENTS WOULD BECOME AN OBLIGATION TO THE GOVERNMENT. ANY UNREIMBURSED COST OF THIS CARE REPRESENTS A COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT. PART III, LINE 9B: AFTER SCREENING FOR CHARITY CARE DETERMINES THAT A PATIENT IS NOT ELIGIBLE, HPRH OFFERS PATIENTS DIFFERENT OPTIONS FOR PAYING THEIR BILLS, INCLUDING PROMPT PAY DISCOUNTS, TWELVE MONTH NO INTEREST PLANS, AND EXTENDED PAYMENT PLANS. THE HOSPITAL USES A THIRD-PARTY VENDOR, PARALLON, TO COLLECT PATIENT RESPONSIBILITY BALANCES BEGINNING AT 45 DAYS AFTER DISCHARGE DATE. IF THE PATIENT HAS NOT PAID WITHIN 120 DAYS, THE BALANCE IS TRANSFERRED TO PARAGON OR PROFESSIONAL RECOVERY CONSULTANTS FOR DEBT COLLECTION. THE HOSPITAL DISCONTINUED THE PRACTICE OF PURSUING ANY LEGAL REMEDIES. PART VI, LINE 2: AS A PART OF THE YEARLY STRATEGIC PLANNING PROCESS, DEMOGRAPHIC TRENDS AND PROJECTIONS,INCLUDING POPULATION GROWTH, AGE DISTRIBUTION AND HOUSEHOLD INCOME BY ZIP CODE IN PRIMARY AND SECONDARY SERVICE AREAS, ARE USED TO IDENTIFY FUTURE SERVICE NEEDS. THIS DATA IS COLLECTED BY THE ORGANIZATION'S PLANNING DEPARTMENT. DATA SOURCES INCLUDE CLARITAS, NC DIVISION OF AGING AND ADULT SERVICES, STATEHEALTHFACTS.ORG, THE HIGH POINT ECONOMIC DEVELOPMENT CORPORATION AND OTHERS. A LIAISON FROM THE DEVELOPMENT DEPARTMENT ALSO WORKS WITH THE LOCAL UNITED WAY AGENCY, PROVIDING THE HOSPITAL WITH A METHOD FOR SHARING THE DATA GATHERED THROUGH THEIR ANNUAL COMMUNITY NEEDS ASSESSMENT. ADDITIONALLY, THERE IS EVALUATION OF SERVICE GROWTH OPPORTUNITES DEFINED IN THE NORTH CAROLINA STATE MEDICAL FACILITIES PLAN. DATA IS ALSO COLLECTED AND TRENDED THROUGH VOICE-OF-THE-CUSTOMER METHODS, INCLUDING PATIENT COMMENTS ON SATISFACTION SURVEYS AND THROUGH OUR SERVICE RECOVERY PROCESS. THIS DATA INFORMS THE ORGANIZATION'S STRATEGIC DECISION-MAKERS REGARDING NEW OR IMPROVED HEALTH CARE ACCESS POINTS, PROGRAMS, COLLABORATIVE EFFORTS AND TECHNOLOGY NEEDED TO SERVE CHANGING POPULATION DEMOGRAPHICS. PART VI, LINE 3: DURING THE PATIENT REGISTRATION PROCESS FOR SCHEDULED PROCEDURES, IF A PATIENT DECLINES ALL PAYMENT OPTIONS AND EXPRESSES CONCERN ABOUT THEIR ABILITY TO PAY FOR THE SERVICES RENDERED, THE REGISTRAR OFFERS TWO OPTIONS - THE PATIENT CAN BE SCREENED FOR MEDICAID ELIGIBILITY OR BE SCREENED FOR HIGH POINT REGIONAL HEALTH'S (HPRH) CHARITY CARE PROGRAM WITH HELP FROM TRAINED FINANCIAL COUNSELORS IN THE HOSPITAL'S FINANCIAL ASSISTANCE UNIT. COUNSELORS DIRECT PATIENTS TO AS MANY PROGRAMS FOR FINANCIAL ASSISTANCE AS POSSIBLE, INCLUDING SOCIAL SECURITY DISABILITY, MEDICAID, CRIME VICTIMS, SANE FOR RAPE VICTIMS, PURCHASE OF MEDICAL CARE FOR CANCER AND ANY OTHER STATE, LOCAL OR FEDERAL PROGRAM OFFERED TO ASSIST PEOPLE WITH THEIR MEDICAL BILLS OR ACCESS TO CONTINUED CARE.FOR PATIENTS WITH UNSCHEDULED CARE THAT IS EMERGENT OR URGENT, THIS PROCESS IS COMPLETED EITHER DURING THE PATIENT'S STAY OR AT DISCHARGE. THIS INFORMATION IS AVAILABLE IN A PACKET IN BOTH ENGLISH AND SPANISH VERSIONS. ADDITIONALLY, HPRH PROVIDES AN OVERALL SUMMARY OF THE CHARITY POLICY AND HOW TO APPLY ON THE HPRH'S WEBSITE AT HTTP://WWW.HIGHPOINTREGIONAL.COM/PATIENTSANDVISITORS/PAYMENT/PAY.ASP.THE HPRH PATIENT CARE STAFF IS ALSO TRAINED TO RECOGNIZE FINANCIAL NEED IN PATIENTS AND REFER THEM FOR ASSISTANCE. PATIENTS WHO HAVE FURTHER QUESTIONS REGARDING THEIR HOSPITAL BILL CAN CALL AN AUTOMATED BILLING SYSTEM 24 HOURS A DAY, 7 DAYS A WEEK TO OBTAIN BALANCE INFORMATION OR REQUEST A COPY OF AN ITEMIZED BILL. CUSTOMER SERVICE REPRESENTATIVES ARE ALSO ON DUTY MONDAY-FRIDAY, 8AM TO 5PM TO ANSWER ACCOUNT QUESTIONS. PART VI, LINE 4: HIGH POINT REGIONAL HEALTH (HPRH) HAS A PRIMARY SERVICE AREA COMPRISED OF THE GEOGRAPHIC AREA THAT INCLUDES HIGH POINT, ARCHDALE, TRINITY, THOMASVILLE AND JAMESTOWN, NORTH CAROLINA. THE SECONDARY SERVICE AREA INCLUDES COLFAX, DENTON, SOUTHWESTERN GREENSBORO, KERNERSVILLE, LEXINGTON, ASHEBORO, RANDLEMAN, SOPHIA AND SOUTHEASTERN WINSTON-SALEM, NORTH CAROLINA. HPRH'S COMBINED PRIMARY AND SECONDARY SERVICE AREAS SERVE AN ESTIMATED DEPENDENT POPULATION OF 145,000 OF THE COMBINED PRIMARY AND SECONDARY SERVICE AREAS ESTIMATED TOTAL POPULATION OF 513,000. THE UNEMPLOYMENT RATE FOR GUILFORD COUNTY, WHICH INCLUDES THE LARGEST PERCENTAGE OF HPRH'S COMBINED SERVICE AREA, WAS LESS THAN THE UNEMPLOYMENT RATE FOR NORTH CAROLINA. PART VI, LINE 5: A MAJORITY OF HIGH POINT REGIONAL HEALTH'S (HPRH) GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS OR BUSINESS ASSOCIATES OF SUCH PERSONS. HPRH UTILIZES SURPLUS FUNDS TO IMPROVE THE QUALITY OF PATIENT CARE AND TO UPDATE OUR FACILITES. HPRH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PROFESSIONALLY COMPETENT PHYSICIANS WHO MEET ETHICAL STANDARDS. THIS HOLDS TRUE THROUGHOUT ALL HOSPITAL AREAS AND DEPARTMENTS. ALSO, CONSTRUCTION IS IN PROGRESS FOR AN EXPANSION OF THE SURGICAL ROOMS ON THE THIRD FLOOR. THE FOCUS OF THE RENOVATION WILL BE TO CREATE A STATE-OF-THE-ART SURGICAL SUITE COMPLETE WITH A CARDIOVASCULAR OPERATING ROOM, EXPAND AND CONSOLIDATE THE CARDIAC CATH, ELECTROPHYSIOLOGY AND CARDIOLOGY SERVICES. CONSTRUCTION IS TO BE COMPLETED EARLY NEXT YEAR. PART VI, LINE 6: HIGH POINT REGIONAL HEALTH (HPRH) IS A SUBSIDIARY OF THE UNC HEALTH CARE SYSTEM IN CHAPEL HILL. THAT SYSTEM SERVES PATIENTS FROM ALL 100 COUNTIES, REGARDLESS OF THEIR ABILITY TO PAY, PROVIDING MORE THAN $300 MILLION A YEAR IN UNCOMPENSATED CARE. AS A PART OF THE INTEGRATED SYSTEM, HPRH STRIVES TO IMPROVE ACCESS AND SERVICES TO ITS GROWING AND UNDERSERVED SERVICE AREAS. HPRH CAREGIVERS ALSO WORK CLOSELY WITH THEIR COUNTERPARTS AT UNC HEALTH CARE TO FIND WAYS TO IMPROVE CARE AND QUALITY, REACH MORE UNINSURED PATIENTS AND MORE. HPRH'S BOARD REPRESENTS A CROSS-SECTION OF THE COMMUNITY, WITH VOLUNTEERS THAT INCLUDE BUSINESS LEADERS, COMMUNITY PHYSICIANS AND OTHERS. THIS BOARD WORKS CLOSELY WITH UNC HEALTH CARE TO DETERMINE THE BEST WAYS TO PLAY A LARGER ROLE IN IMPROVING THE COMMUNITY'S HEALTH AND HPRH'S ROLE IN THE BIGGER SYSTEM'S MISSION. PART VI, LINE 7, REPORTS FILED WITH STATES NC 1 THE COMMUNITY CLINIC OF HIGH POINT INC PO BOX 5607 HIGH POINT NC 27262 561795022 501(C)(3) 75901 SUPPORT FOR HEALTH CARE OF INDIGENT POPULATION; CLINIC PHARMACIST HIGH POINT CHAMBER OF COMMERCE 1634 NORTH MAIN STREET HIGH POINT NC 27262 560473292 501(C)(6) 34100 SPONSORSHIP & DUES PIEDMONT SOCCER ALLIANCE 550 HEDGECOCK ROAD HIGH POINT NC 27265 561404343 501(C)(3) 10000 SPONSORSHIP & DUES LOVELINE CANCER SUPPORT 344 98398 HEART STRIDES CARDIAC & PULMONARY REHAB SCHOLARSHIPS FOR HEART AND LUNG PATIENTS 29 35803 PATIENT PRESCRIPTION ASSISTANCE FOR BEHAVIORAL HEALTH INDIGENT PATIENTS 231 31735 MAMMOGRAM ASSISTANCE PROGRAM 73 9536 PART I, LINE 2: HIGH POINT REGIONAL HEALTH (HPRH) ADMINISTERS CONTRIBUTED DOLLARS EXACTLY AS THE DONORS DIRECT WHEN GIFTS ARE MADE. EACH FUND FOR GRANTMAKING HAS A POLICY THAT DETAILS THE SPECIFIC USES FOR THE FUNDS. A VICE PRESIDENT OF THE ORGANIZATION IS ASSIGNED OVERSIGHT OF THE FUND ALONG WITH THE COMMITTEE FOR THE FUND. IN ORDER TO RECEIVE ASSISTANCE, GRANTEES AND AID RECIPIENTS MUST DEMONSTRATE FINANCIAL NEED IN THE APPLICATION PROCESS. THIS IS ACCOMPLISHED BY HAVING A HOSPITAL FINANCIAL COUNSELOR CONDUCT A CONSULTATION WITH THE APPLICANT. ONCE AN APPLICANT IS DETERMINED TO BE ELIGIBLE, A MEMBER OF THE COMMITTEE MAY AUTHORIZE EXPENDITURES FOR APPROVAL WITHIN THE POLICY CRITERIA. DISBURSEMENT FORMS MUST BE SIGNED BY THE VICE PRESIDENT CHARGED WITH OVERSIGHT, BEFORE THEY ARE SUBMITTED TO THE FINANCE COMMITTEE FOR PROCESSING. COMPLETE RECORDS OF EXPENDITURES ARE KEPT IN A CENTRAL LOCATION, THE OFFICE OF THE DEPARTMENT OF SPIRITUAL CARE, ETHICS, AND DIVERSITY (DSCED). WHEN APPROVAL FOR ASSISTANCE IS GIVEN, THE DSCED OFFICE MUST BE IMMEDIATLEY PROVIDED WITH THE FOLLOWING INFORMATION: THE NAME OF THE PATIENT, THE NATURE OF THE EXPENDITURE, THE EXACT AMOUNT, THE VENDOR'S NAME, AND DETAILS ON HOW THE EXPENSE IS TO BE PAID. MAXIMUM AMOUNTS FOR ASSISTANCE GRANTED TO EACH PER PERSON ARE STRICLTY MONITORED. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 CHRIS ELLINGTON DIRECTOR 0 527349 0 91578 0 127870 0 272019 0 20052 0 1038868 0 81588 VIJAYA GANDLA MD DIRECTOR 217893 0 47573 0 482730 0 10502 0 8828 0 767526 0 0 0 GARY PARK DIRECTOR 0 810343 0 140626 0 1079989 0 520598 0 19583 0 2571139 0 1052629 PATRICIA TRIPLETT MD DIRECTOR 154546 0 0 0 6863 0 0 0 7086 0 168495 0 0 0 ERNIE BOVIO PRESIDENT & DIRECTOR 475489 0 0 0 10117 0 69000 0 15068 0 569674 0 0 0 KEVIN SMITH SECRETARY 231785 0 0 0 650 0 1684 0 14172 0 248291 0 0 0 KIMBERLY CREWS TREASURER (LEFT 12/31/16) 322050 0 0 0 19073 0 27823 0 4890 0 373836 0 0 0 LAWRENCE WILLIAMS CMO 342492 0 114653 0 19073 0 27674 0 5200 0 509092 0 0 0 DENISE POTTER VP 212145 0 0 0 19073 0 24376 0 5286 0 260880 0 0 0 KATHERINE BURNS VP 214794 0 9595 0 15549 0 21312 0 9136 0 270386 0 0 0 PETER BRATH PHYSICIAN 559555 0 670385 0 650 0 6656 0 15068 0 1252314 0 0 0 VIJAY AGARWAL PHYSICIAN 566783 0 313062 0 650 0 22109 0 9055 0 911659 0 0 0 ESHWAR LAL PHYSICIAN 560033 0 243976 0 5500 0 8937 0 15068 0 833514 0 0 0 PHILLIP ASENSO PHYSICIAN 649418 0 129584 0 650 0 5642 0 14172 0 799466 0 0 0 CORY SESSOMS PHYSICIAN 591995 0 105584 0 6650 0 4405 0 15068 0 723702 0 0 0 GREG TAYLOR MD FORMER SECRETARY 0 0 0 0 147772 0 0 0 0 0 147772 0 76331 0 PART I, LINE 1A HIGH POINT REGIONAL HEALTH PROVIDES A CORPORATE MEMBERSHIP TO A LOCAL SOCIAL CLUB FOR USE BY OFFICERS OF THE ORGANIZATION. PART I, LINE 4B HIGH POINT REGIONAL HEALTH, A RELATED ORGANIZATION, HAS ESTABLISHED A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. IN GENERAL, THE ORGANIZATION CONTRIBUTES AMOUNTS TO THE PLAN IN AMOUNTS EQUAL TO AN EMPLOYEE'S APPLICABLE PERCENTAGE MULTIPLIED BY HIS COMPENSATION FOR A PLAN YEAR, LESS ANY AMOUNTS CONTRIBUTED TO THE HOSPITAL'S 457(B) EXECUTIVE SAVINGS PLAN. VESTING IN THE PLAN OCCURS UPON A PARTICIPANT REACHING HIS ESTABLISHED PAYMENT DATE OR HIS INVOLUNTARY TERMINATION OF CONTINUOUS SERVICE. DURING THE CALENDAR YEAR 2016, THE FOLLOWING INDIVIDUALS RECEIVED DISTRIBUTIONS FROM A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN (457(F)): CHRIS ELLINGTON (DIRECTOR) $81,588, GARY PARK (DIRECTOR) $1,052,629, AND GREG TAYLOR (FORMER OFFICER) $76,331. CHRIS ELLINGTON ALSO EARNED COMPENSATION UNDER THE PLAN TOTALING $166,417, WHICH IS PAYABLE IN THE FUTURE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER IS UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM HAS THE POWER TO APPOINT AND TO REMOVE OFFICERS OF THE ORGANIZATION AND INDIVIDUAL MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S BOARD REQUIRES PRIOR APPROVAL OF THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM FOR CERTAIN POWERS, INCLUDING BUT NOT LIMITED TO PLANNING AND ESTABLISHING POLICY, ADDITION OF NEW ENTITIES, IMPLEMENTATION OF CONSTRUCTION AND RENOVATION PROJECTS AND APPROVAL OF ALL MANAGED CARE AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, MANAGEMENT MADE A DETAILED REVIEW OF THE DRAFT FORM 990. FOLLOWING MANAGEMENT'S REVIEW, THE RETURN WAS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C HIGH POINT REGIONAL HEALTH REQUIRES BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE SYSTEM HAS ADMINISTRATIVE STAFF MONITOR AND TRACK THAT ALL FORMS ARE COMPLETE. IF ANY ISSUES ARE RAISED ON THOSE DISCLOSURES, THE APPROPRIATE INDIVIDUALS ARE NOTIFIED OF THE SITUATION AND APPROPRIATE MEASURES ARE TAKEN AT THE BOARD'S DISCRETION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES SETS COMPENSATION FOR THE CEO AND APPROVES COMPENSATION FOR VICE PRESIDENTS. AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM, THE HAY GROUP, EVALUATES THESE POSITIONS AND PROVIDES COMPARISONS AGAINST A NATIONAL DATABASE. COMPENSATION IS SET AGAINST THE 50TH PERCENTILE OF THE MARKET. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM UNC 34,665,000. HCS ASSESSMENTS -1,297,653. RESTRICTED EXPENSES -276,716. RESTRICTED CONTRIBUTIONS 271,055. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. 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