2026-05-04T11:05:03+00:00 2025-06-30 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-07-01 823745228 UNC ROCKINGHAM HEALTH CARE INC UNCR 3366239711 117 EAST KINGS HIGHWAY EDEN NC 27288 KAREN SHADOWENS CFO 3366239711 2026-05-04 true true SANDRA L FEINSMITH P01064157 9197549370 2026-05-04 2024 2025-03-06 01:10:19Z UNC HEALTH ROCKINGHAM STEVE EBLIN 117 EAST KINGS HIGHWAY EDEN NC 27288 65930685 false X WWW.UNCROCKINGHAM.ORG X 2017 NC TO IMPROVE THE HEALTH AND WELL-BEING OF NORTH CAROLINIANS AND OTHERS WHOM WE SERVE BY PROVIDING LEADERSHIP AND EXCELLENCE IN THE AREAS OF PATIENT CARE, EDUCATION, AND RESEARCH. 16 10 398 10 0 545409 661770 64628386 64211224 481207 399714 875630 654683 66530632 65927391 907486 982196 0 0 33010663 33226685 0 0 0 45666600 43932045 79584749 78140926 -13054117 -12213535 36262338 37573572 52248637 65773406 -15986299 -28199834 TO IMPROVE THE HEALTH AND WELL-BEING OF NORTH CAROLINIANS AND OTHERS WHOM WE SERVE BY PROVIDING LEADERSHIP AND EXCELLENCE IN THE INTERRELATED AREAS OF PATIENT CARE, EDUCATION, AND RESEARCH. false false 64251169 982196 64642768 UNC ROCKINGHAM HEALTH CARE, INC. IS A NONPROFIT, 108 BED COMMUNITY HOSPITAL PRESERVING EXCELLENT, COMPASSIONATE AND TRUSTED CARE WHERE IT IS NEEDED MOST, CLOSE TO HOME. AS A CORNERSTONE IN EDEN, NC AND A MAJOR EMPLOYER, THE HOSPITAL SERVES PEOPLE THROUGHOUT ROCKINGHAM COUNTY AND IN NEIGHBORING SOUTHERN VIRGINIA AREAS. IN ADDITION TO INPATIENT, OUTPATIENT, SURGICAL AND EMERGENCY CARE, THE HOSPITAL OFFERS DIAGNOSTIC AND TREATMENT SERVICES, PROVIDES SCREENINGS AND TESTS AND LEADS WELLNESS INITIATIVES. OUR STRONG COMMUNITY TIES MOTIVATE US TO RAISE OUR STANDARDS EVERY DAY, ASSURING THAT WE PROVIDE TRUSTED CARE, CLOSE TO HOME. HIGHLIGHTS - A STATE OF THE ART BIRTHING CENTER WHERE MOTHERS LABOR IN WELL-APPOINTED, HOME-LIKE COMFORT, - AN ON-CAMPUS, 121 BED LONG TERM CARE FACILITY OFFERING SKILLED NURSING AND REHABILITATION, - A WOUND CARE CENTER OFFERING STATE OF THE ART CARE FOR DIFFICULT TO HEAL WOUNDS, - AN OCCUPATIONAL HEALTH CENTER THAT SUPPORTS LOCAL INDUSTRIES AND BUSINESSES WITH WELLNESS AND INJURY AND WORKER'S COMPENSATION MANAGEMENT, - AN ON-SITE CANCER CENTER MAKING IT POSSIBLE FOR PATIENTS TO RECEIVE TREATMENT IN THE COMFORT OF THEIR COMMUNITY, - AN URGENT CARE CENTER, UNC ROCKINGHAM URGENT CARE, IN MAYODAN, NC, - MORE THAN 15 SERVICE AREAS AND CLINICS ROUND OUT OUR DELIVERY OF COMMUNITY BASED HEALTH AND WELLNESS, - WE HAVE AN ACTIVE MEDICAL STAFF OF 19, CONSULTING STAFF OF 30, COURTESY STAFF OF 37, CONTINGENT STAFF OF 124 AND AN ALLIED HEALTH PROFESSIONAL STAFF OF 43, - MODERN EQUIPMENT S: ELECTRONIC MEDICAL RECORDS SYSTEM, CT, MRI, VASCULAR LABORATORY, LASER SURGERY, ANGIOGRAPHY, DIGITAL MAMMOGRAPHY WITH TOMOSYNTHESIS, STEREOTACTIC BREAST BIOPSY PROCEDURES, - 108 BEDS INCLUDING 87 MED-SURG, 9 INTENSIVE CARE, 12 BIRTHING CENTER (LDRP) 64251169 true true false true false false false false false false true false false false true true true false false false false false false false false false true true true false true false false false false false false false false false false false false false false false true false false false false true 73 0 true 398 true false false false false false false false false false false false false X 16 10 false false false false true true true true true false false false true true true true true true true true false false X KAREN SHADOWENS 3366239711 117 EAST KINGS HIGHWAY EDEN NC 27288 Jeffrey Parris Director/Chairman 4.0 0 X X 0 0 0 Steve Eblin Director/President 60.0 0 X X 0 376984 93294 William Flynt Director/Vice Chairman 4.0 0 X X 0 0 0 A Reece Pyrtle Director 2.0 0 X 0 0 0 B Anthony Lindsey MD Director 2.0 58.0 X 0 1292000 227681 Casey Vincent Director 2.0 0 X 0 0 0 James Burnette Director 2.0 0 X 0 0 0 John Dabbs DC Director 2.0 0 X 0 0 0 Judy Rouse Director 2.0 0 X 0 0 0 Lamont Cathey MD Director 2.0 58.0 X 0 403907 53329 Mary Bus Director 2.0 58.0 X 0 285619 111606 Micky Silvers Director 2.0 0 X 0 0 0 Peggy McNaull MD Director 2.0 0 X 0 0 0 Phillip Stetler DO Director 2.0 58.0 X 0 720577 32743 Tammy Scarborough Director 2.0 58.0 X 0 1377814 220370 W Eugene Russell Director 2.0 0 X 0 0 0 William McLeod MD Director 2.0 0 X 0 0 0 Candace Bradley MD CMO/Director of Hospitalists 60.0 0 X 388877 0 39755 Karen Shadowens CFO/VP Finance 30.0 30.0 X 347480 0 34911 Thresa Hardy MD COO & CNO 60.0 0 X 227808 0 38465 Wade Williams CIO/Information Systems 60.0 0 X 0 169523 28031 Afrim Hasanaj Clinical Nurse III 60.0 0 X 255642 0 42107 Jane Younts Director of Pharmacy 60.0 0 X 193076 0 17496 John Ellington Pharmacist 60.0 0 X 162439 0 30069 Rebecca Autry Pharmacist Coordinator 60.0 0 X 156836 0 14020 Vicki Rembold Nursing Administrator 60.0 0 X 196189 0 20729 1928347 4626424 1004606 53 false true false SODEXO MANAGEMENT INC 915 MEETING STREET NORTH BETHESDA MD 20852 CAFETERIA MANAGEMENT 4107722 360 ANESTHESIA PLLC 5550 FRANKLIN PIKE SUITE 201 NASHVILLE TN 37220 ANESTHESIA 1296428 CROTHALL HEALTHCARE INC 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 19087 STAFFING 746950 NC EMERGENCY PHYSICIAN SERVICES 117 E KINGS HWY EDEN NC 27288 ED STAFFING 673558 LEGACY HEALTHCARE SERVICES INC 110 HORIZON DRIVE SUITE 310 RALEIGH NC 27615 THERAPY 649630 21 661770 661770 Patient Service Revenue 524113 64211224 64211224 0 0 0 0 64211224 54900 54900 226433 3294 223139 0 223139 223139 344814 0 0 344814 344814 344814 Other Revenue 900099 431544 431544 0 0 0 0 431544 65927391 64642768 0 622853 X 982196 982196 0 0 943640 943640 29791246 27110034 2681212 675540 614741 60799 56257 51194 5063 1760002 1601602 158400 123948 123948 5189 5189 9122478 8301455 821023 0 151281 137666 13615 528197 480660 47537 33637 30610 3027 1105039 1005585 99454 33574 30552 3022 1382 1382 4645318 4645318 2861433 2603904 257529 547596 498313 49283 PATIENT CARE SUPPLIES & SERVICES 9608085 9608085 BAD DEBT EXPENSE 5296177 5296177 HOME OFFICE ALLOCATION 8491704 8491704 MINOR EQUIPMENT AND R&M 661768 602209 59559 715239 650868 64371 0 78140926 64251169 13889757 0 117978 474877 0 0 0 0 11702030 11998799 0 0 0 0 0 0 1207969 1370250 3704413 3627013 32669407 12566774 19529948 20102633 0 0 0 0 0 0 0 0 36262338 37573572 6625037 6481108 0 0 2070945 1210757 0 0 0 0 0 0 0 0 0 0 43552655 58081541 52248637 65773406 X -15986299 -28199834 0 0 -15986299 -28199834 36262338 37573572 -12213535 0 X X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5189 5189 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY ANNUAL DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND NORTH CAROLINA HEALTHCARE ASSOCIATION (NCHA). A PERCENTAGE, DETERMINED BY THE AHA AND NCHA, WAS ESTIMATED TO BE EXPENDITURES USED IN LOBBYING ACTIVITIES BY THESE ORGANIZATIONS. 3221580 3221580 16004612 5619357 10385255 78934 52562 26372 9829290 6803513 3025777 3534991 91342 3443649 20102633 Federal Income Taxes DUE TO UNC HCS DUE TO INTERCOMPANY 58081541 58081541 X 60634508 -5292883 -5292883 65927391 0 0 65927391 72848043 3294 3294 72844749 5296177 5296177 78140926 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote ROCKINGHAM IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THIS EXEMPTION WAS APPROVED BY THE INTERNAL REVENUE SERVICE DURING THE YEAR ENDED JUNE 30, 2020 AND IS RETROACTIVE TO THE DATE OF FORMATION. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 BAD DEBT EXPENSE - -5296177 RENTAL EXPENSE - 3294 - Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSE - 3294 Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements BAD DEBT EXPENSE - 5296177 true true X true X 300 false 5658402 5658402 0.07768 16267961 32986456 0 0.0 0 0.0 0 0 21926363 32986456 5658402 0.07768 450347 450347 0.00618 117711 117711 0.00162 0 0.0 0 0.0 0 0.0 0 0 568058 0 568058 0.00780 0 0 22494421 32986456 6226460 0.08548 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 982196 634823 347373 0.00477 0 0 982196 634823 347373 0.00477 true 5296177 0 19529950 30264854 -10734904 X true true 0 0 0 1 1 UNC ROCKINGHAM HEALTH CARE INC 117 EAST KINGS HIGHWAY EDEN NC 27288 WWW.UNCROCKINGHAM.ORG H0072 X X X HIGH DISPROPORTIONATE SHARE HOSPITAL UNC ROCKINGHAM HEALTH CARE INC 1 false false true X X X X X X X X X 22 true false true true X https://www.uncrockingham.org/about-us/community-health-needs-assessment/ X true 22 true https://www.uncrockingham.org/about-us/community-health-needs-assessment/ false true X 300.0 0 X X true true X X X X true X https://www.uncrockingham.org/patients-visitors/billing-financial-assistance/financial-assistance/ X https://www.uncrockingham.org/patients-visitors/billing-financial-assistance/financial-assistance/ X https://www.uncrockingham.org/patients-visitors/billing-financial-assistance/financial-assistance/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - UNC ROCKINGHAM HEALTH CARE, INC.. ROCKINGHAM COUNTY DIVISION OF PUBLIC HEALTH, COMMUNITY PARTNERS AND RESIDENTS OF ROCKINGHAM COUNTY WORKED COLLABORATIVELY TO CONDUCT THE 2019 COMMUNITY HEALTH ASSESSMENT (CHA). THERE WERE EIGHT PHASES TO THE CHA, COLLECTING PRIMARY AND SECONDARY DATA CAN BE THE MOST TIME CONSUMING PHASE. ONCE DATA WAS COLLECTED AND ANALYZED, THE TOP THREE HEALTH PRIORITIES OF ROCKINGHAM COUNTY WERE IDENTIFIED. OVER THE COURSE OF THE THREE-YEAR PERIOD BETWEEN COMMUNITY HEALTH ASSESSMENT REPORTING, THE ROCKINGHAM COUNTY DIVISION OF PUBLIC HEALTH,COMMUNITY PARTNERS, INCLUDING UNC HEALTH ROCKINGHAM, HAVE COMPLETED ANNUAL STATE OF THE COUNTY HEALTH REPORTING PROCESSES. PRIOR TO COMPLETION OF UNC HEALTH ROCKINGHAM'S 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), A SELECT FOCUS GROUP WAS USED IN ORDER TO PROVIDE FEEDBACK ABOUT THE RESULTS FROM THE PREVIOUS PUBLIC SURVEY, COMMENTARY ABOUT THE PREVIOUS CHNA, AND IF THE NEWLY AND PREVIOUSLY IDENTIFIED NEEDS ARE STILL A PRIORITY AS PART OF THE ANNUAL 2021-2022 STATE OF THE COUNTY HEALTH REPORT PROCESS AND KICK-OFF FOR THE 2022 COMMUNITY HEALTH ASSESSMENT. AS A RESULT OF THESE DISCUSSIONS, TAKING INTO CONSIDERATION THE PROGRESS-TO-GOAL LIMITATIONS THAT OCCURRED AS A RESULT OF THE COVID-19/CORONA VIRUS PANDEMIC, UNC HEALTH ROCKINGHAM HAS DETERMINED THAT THE SAME HEALTH PRIORITIES HAVE PERSISTED AS THE COUNTY'S MOST PRESSING HEALTH NEEDS FOR ITS CITIZENS. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - UNC ROCKINGHAM HEALTH CARE, INC.. THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED WITH THE ROCKINGHAM COUNTY DIVISION OF PUBLIC HEALTH AND OTHER COMMUNITY PARTNERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - UNC ROCKINGHAM HEALTH CARE, INC.. UNC HEALTH ROCKINGHAM HAS DETERMINED THAT THE SAME HEALTH PRIORITIES HAVE PERSISTED AS THE COUNTY'S MOST PRESSING HEALTH NEEDS FOR ITS CITIZENS AND THEY ARE AS FOLLOWS: MENTAL HEALTH AND SUBSTANCE ABUSE WITH A FOCUS ON OPIOIDS MENTAL HEALTH AFFECTS PEOPLE FROM ALL WALKS OF LIFE AND ALL AGE GROUPS. MENTAL HEALTH INCLUDES ONES EMOTIONAL, PSYCHOLOGICAL AND SOCIAL WELL-BEING. IT AFFECTS HOW A PERSON THINKS, FEELS AND ACTS. IT ALSO HELPS DETERMINE HOW ONE HANDLES STRESS, RELATES TO OTHERS AND MAKES CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD. THERE ARE MANY FACTORS THAT CONTRIBUTE TO MENTAL HEALTH ISSUES, INCLUDING: BIOLOGICAL FACTORS, LIFE EXPERIENCES AND FAMILY HISTORY OF MENTAL HEALTH PROBLEMS. OPIOIDS ARE USED TO REDUCE OR RELIEVE PAIN AND ARE HIGHLY ADDICTIVE. DUE TO DECADES OF PRESCRIBING MORE OPIOIDS AT HIGHER DOSES, NORTH CAROLINA IS EXPERIENCING AN OPIOID EPIDEMIC. MORE NORTH CAROLINIANS DIE FROM OPIOID OVERDOSES THAN MOTOR VEHICLE CRASHES. DRUG OVERDOSE DEATHS AND OPIOID-INVOLVED DEATHS CONTINUE TO INCREASE IN THE UNITED STATES AND IN NORTH CAROLINA. IN 2020, MORE THAN NINE NORTH CAROLINIANS DIED EACH DAY FROM DRUG OVERDOSES. UNC HEALTH ROCKINGHAM STRATEGY: 1.PROVIDE EDUCATION TO ALL PATIENTS ON PROPER MEDICATION USE AND STORAGE AS THEY EXIT UNC HEALTH ROCKINGHAM FACILITIES. 2.ESTABLISH STRUCTURED LOCAL SMOKING CESSATION PROGRAMS AND PROMOTE AT COMMUNITY EVENTS. 3.INSTITUTE AN INTERNAL SOCIAL WORKER/CASE MANAGEMENT REFERRAL PROGRAM FOR EXPECTANT/NEW MOTHERS WITH ELEVATED RISK FOR NEGATIVE OUTCOME FOR THEIR OVERALL HEALTH, WITH A HISTORY OF MENTAL HEALTH OR SUBSTANCE USE AUTOMATICALLY TRIGGERING THE REFERRAL. 4.PARTNER WITH COMMUNITY GROUPS TO ADVOCATE FOR ADDITIONAL COMMUNITY RESOURCES FOR THOSE PATIENTS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS OUTSIDE OF EMERGENCY DEPARTMENTS AND INVOLUNTARY COMMITMENT HOLDS. PHYSICAL ACTIVITY AND NUTRITION WITH A FOCUS ON DIABETES BEING PHYSICALLY ACTIVE CAN IMPROVE YOUR HEALTH TODAY, TOMORROW AND IN THE FUTURE. HOWEVER, MOST PEOPLE DO NOT DO ENOUGH PHYSICAL ACTIVITY. PEOPLE OF ALL SHAPES, SIZES AND ABILITIES CAN BENEFIT FROM BEING PHYSICALLY ACTIVE. THE MORE A PERSON DOES, THE GREATER THE HEALTH BENEFITS AND THE BETTER ONE WILL FEEL. PHYSICAL ACTIVITY CAN NOT ONLY HELP INDIVIDUALS WITH THEIR HEALTH AND WELLNESS GOALS, IT CAN ALSO HELP REDUCE THE RISK OF CHRONIC DISEASES INCLUDING DIABETES. IN 2019 DIABETES PREVALENCE FOR ROCKINGHAM COUNTY WAS REPORTED AT 14%, 3% ABOVE THE STATE AND 4% ABOVE THE NATIONAL AVERAGE. THIS HAS IMPROVED OVER THE THREE YEAR PERIOD WITH 2023 REPORTS SHOWING A 3% DECREASE TO AN 11% PREVALENCE IN ROCKINGHAM COUNTY. UNC HEALTH ROCKINGHAM STRATEGY: 1.PROMOTE PHYSICAL THERAPY AND NUTRITIONIST VISITS AS AN OPPORTUNITY FOR PATIENT EDUCATION ON THE BENEFITS OF STAYING ACTIVE AND MANAGING CHRONIC DISEASE THROUGH PROPER NUTRITION. 2.ENSURE CONTINUITY OF CARE FOR PATIENTS EXITING UNC HEALTH ROCKINGHAM FACILITIES THROUGH COORDINATING SERVICES WITH HOME HEALTH AND FAMILIES MEMBERS. 3.PROMOTE EARLIER DIETICIAN ACCESS FOR EXPECTANT MOTHERS WITH DIABETES OR GESTATIONAL DIABETES THROUGH LOCAL PHYSICIANS AND CHILDBIRTH CLASSES. 4.CONTINUE IMPLEMENTATION OF PATIENT MOBILITY PROGRAMMING THROUGHOUT ALL HOSPITAL DEPARTMENTS. 5.EXPLORE OPPORTUNITIES WITH SODEXHO FOR OUTPATIENT DIETARY CONSULTS FOR RECENTLY DISCHARGED PATIENTS. 6.ESTABLISH A DIABETES-SPECIFIC PHYSICAL THERAPY AND EDUCATIONAL PROGRAM FOR IN-PATIENT AND OUT-PATIENT FOLLOW-UP. 7.CREATE STANDARDIZED EDUCATIONAL MATERIALS FOR PROMOTIONAL USE THAT IS SPECIFIC TO DIABETES DIAGNOSIS AND MANAGEMENT AND AVAILABLE FOR ALL DEPARTMENTS. SOCIAL DETERMINANTS OF HEALTH WITH A FOCUS ON EDUCATION THE LEVEL OF EDUCATIONAL ATTAINMENT IS INCREASINGLY BEING RECOGNIZED AS AN IMPORTANT SOCIAL DETERMINANT OF HEALTH. EDUCATION CAN INCREASE THE CAPACITY FOR BETTER DECISION-MAKING REGARDING ONE'S HEALTH AND CAN ALSO INCREASE SOCIAL AND PERSONAL RESOURCES THAT ARE VITAL TO MENTAL HEALTH. UNC HEALTH ROCKINGHAM STRATEGY: 1.CREATE FREE EDUCATIONAL CLASSES RELATED TO HEALTH AND WELL-BEING THAT IMPROVE COMMUNITY UNDERSTANDING OF PREVENTATIVE CARE, SCREENINGS, PARTNERSHIPS BETWEEN PROVIDERS AND PATIENTS. 2.CREATE SUPPORT GROUPS THAT FOCUS ON EDUCATING PATIENTS ON SPECIFIC HEALTH CHALLENGES. 3.ENSURE THE HOSPITAL IS PRESENT AND REPRESENTED AT COMMUNITY EVENTS, INCLUDING LARGE PUBLIC FAIRS AND CAREER FAIRS TO PROVIDE EDUCATION ABOUT PERSONAL HEALTH AND WELL-BEING ALONG WITH CAREER OPPORTUNITIES FOR STUDENTS. 4.CREATE AN ONLINE, INTERNAL RESOURCE/REFERRAL PAGE FOR STAFF TO PROVIDE ADDITIONAL EDUCATIONAL MATERIALS OR REFERRALS FOR PARTNERING ORGANIZATION TO ASSIST FAMILIES IN ACCESSING CARE. 5.ESTABLISH A WEBSITE RESOURCE PAGE FOR PATIENTS AND FAMILIES NEEDING ADDITIONAL SUPPORT FOLLOWING DISCHARGE. 6.EVALUATE CURRENT EQUITY AND INCLUSION EFFORTS WITHIN THE HOSPITAL AND INSTITUTE A STRATEGIC PLAN FOR PRIORITY POPULATIONS WHO CURRENTLY EXPERIENCE HEALTH DISPARITIES. WHILE UNC HEALTH ROCKINGHAM RECOGNIZES OTHER HEALTH NEEDS, THEIR RESOURCES ARE BETTER USED IN ADDRESSING THE TOP THREE HEALTH PRIORITIES LISTED ABOVE. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - UNC ROCKINGHAM HEALTH CARE, INC.. THE FINANCIAL ASSISTANCE POLICY IMPLEMENTED NON-INCOME BASED FINANCIAL ASSISTANCE CRITERIA AS OF 1/1/2025. THE NON-INCOME ELIGIBILITY CRITERIA INCLUDE HOMELESSNESS, MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF, PATIENT OR CHILD IN PATIENT'S HOUSEHOLD ENROLLED IN ANY MEDICAID OR MANAGED MEDICAID INSURANCE, AND ENROLLMENT IN ANOTHER MEANS-TESTED PUBLIC ASSISTANCE PROGRAM INCLUDING, BUT NOT LIMITED TO: WOMEN, INFANTS AND CHILDREN NUTRITION PROGRAM (WIC), SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF). Schedule H, Part V, Section B, Line 15 Facility , 1 Facility , 1 - UNC ROCKINGHAM HEALTH CARE, INC.. FINANCIAL ASSISTANCE APPLICATIONS CAN BE RETURNED SEVERAL WAYS INCLUDING US POSTAL MAIL IN PROVIDED PRE-PAID ENVELOPE, IN PERSON AT THE FINANCIAL ASSISTANCE DEPARTMENT OR WITH A FINANCIAL NAVIGATOR, VIA SECURE PATIENT PORTAL, OR BY SECURE FAX. 4 UNC ROCKINGHAM REHAB AND NURSING CARE CT 205 E KINGS HIGHWAY EDEN NC 27288 REHABILITATION CENTER UNC ROCKINGHAM REHABILITATION THERAPY 518 S VAN BUREN ROAD SUITE 3 EDEN NC 27288 REHABILITATION THERAPY UNC ROCKINGHAM WRIGHT IMAGING CENTER 618 S PIERCE STREET EDEN NC 27288 IMAGING CENTER UNC ROCKINGHAM HEALTH CARE OCCUPATIONAL 518 S VAN BUREN ROAD SUITE 7 EDEN NC 27288 OCCUPATIONAL HEALTH Schedule H, Part I, Line 7 COLUMN (F), BAD DEBT EXPENSE THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24(B) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN, IS $5,296,177. Schedule H, Part I, Line 7 HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) DURING MARCH 2023, THE HEALTHCARE ACCESS AND STABILIZATION PROGRAM (HASP) WAS ENACTED BY THE STATE OF NORTH CAROLINA AND IS A FEDERALLY FUNDED PROGRAM THROUGH CMS TO ENHANCE MEDICAID REIMBURSEMENT. HASP PROVIDES FOR INCREASED REIMBURSEMENTS TO HOSPITALS AND INCREASES HOSPITAL ASSESSMENTS TO FUND THE PROGRAM. AS PART OF THE HASP PROCESS, WE EXPECT OUR COMMUNITY BENEFIT TO RISE AS WE IMPLEMENT DEBT MITIGATION EFFORTS. Schedule H, Part III, Line 2 BAD DEBT & HASP REQUIREMENTS To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year. Schedule H, Part II Community Building Activities UNC HEALTH ROCKINGHAM PARTICIPATES IN SEVERAL COMMUNITY BUILDING ACTIVITIES. UNC HEALTH ROCKINGHAM COLLECTS SCHOOL SUPPLIES THAT ARE DONATED TO LOCAL COUNTY SCHOOLS TO BE SHARED WITH STUDENTS IN NEED. ALSO, UNC HEALTH ROCKINGHAM COLLECTS FOOD FOR A FOOD DRIVE TO BE DONATED TO THE LOCAL FOOD BANK AND GIVEN TO FAMILIES THAT STRUGGLE WITH FOOD INSECURITY. UNC HEALTH ROCKINGHAM PARTICIPATED IN SALVATION ARMY'S ANGEL TREE WHICH PROVIDES NECESSARY ITEMS TO CHILDREN IN NEED, INCLUDING COATS, CLOTHES AND OTHER PRESENTS. IN COMPLIANCE WITH THE AFFORDABLE CARE ACT, UNC HEALTH ROCKINGHAM PARTICIPATES WITH OTHER ROCKINGHAM COUNTY ORGANIZATIONS TO PREPARE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS. THE MOST CURRENT CHNA WAS CONDUCTED IN TAX YEAR 2022 AND THE THREE TOP PRIORITIES FOR UNC HEALTH ROCKINGHAM ARE MENTAL HEALTH AND SUBSTANCE ABUSE WITH A FOCUS ON OPIOIDS, PHYSICAL ACTIVITY AND NUTRITION WITH A FOCUS ON DIABETES AND SOCIAL DETERMINANTS OF HEALTH WITH A FOCUS ON EDUCATION. BY FOCUSING ON THESE PRIORITY ITEMS, UNC HEALTH ROCKINGHAM CAN MAKE AN EFFECTIVE HEALTH IMPACT IN THE COMMUNITY. UNC HEALTH ROCKINGHAM STAFFS AND SUPPORTS THE ROCKINGHAM COUNTY SCHOOLS STUDENT HEALTH CENTERS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE ORGANIZATION'S BAD DEBT EXPENSE AS REPORTED ON THE AUDITED FINANCIAL STATEMENTS AND FORM 990, PART IX. THE COST-TO-CHARGE RATIO FOR THE YEAR WAS APPLIED TO THE GROSS BAD DEBT CHARGES FOR THE YEAR. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION'S BAD DEBT DOES NOT INCLUDE ANY AMOUNTS ATTRIBUTABLE TO THOSE PATIENTS WHO APPLIED FOR AND RECEIVED FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS DUE TO FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs UNC ROCKINGHAM PROVIDES SERVICES TO PATIENTS REGARDLESS OF ABILITY TO PAY. AS A RESULT, THE HOSPITAL HAS INCURRED LOSSES BY SERVING MEDICARE PATIENTS. THE UNREIMBURSED SERVICES THE HOSPITAL PROVIDES TO THE COMMUNITY SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE THE HEALTHCARE NEEDS OF THE COMMUNITY WOULD OTHER WISE BE UNMET. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance UNC ROCKINGHAM DOES NOT SUBJECT ANY PATIENTS TO A COLLECTION AGENCY WHO HAS QUALIFIED FOR FINANCIAL ASSISTANCE GUIDELINES. Schedule H, Part V, Section B, Line 16a FAP website - UNC ROCKINGHAM HEALTH CARE, INC.: Line 16a URL: https://www.uncrockingham.org/patients-visitors/billing-financial-assistance/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - UNC ROCKINGHAM HEALTH CARE, INC.: Line 16b URL: https://www.uncrockingham.org/patients-visitors/billing-financial-assistance/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - UNC ROCKINGHAM HEALTH CARE, INC.: Line 16c URL: https://www.uncrockingham.org/patients-visitors/billing-financial-assistance/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment UNC ROCKINGHAM ADDRESSES THE COMMUNITY'S EMERGENCY HEALTH NEEDS BY PROVIDING 24-HOUR EMERGENCY SERVICES AND THE ORGANIZATION IS HEAVILY INVOLVED IN COMMUNITY ACTIVITIES. IN ADDITION TO INPATIENT, OUTPATIENT, SURGICAL AND EMERGENCY CARE, THE ORGANIZATION OFFERS DIAGNOSTIC AND TREATMENT SERVICES, PROVIDE SCREENINGS AND TESTS AND LEAD WELLNESS INITIATIVES. UNC ROCKINGHAM'S STRONG COMMUNITY TIES MOTIVATE US TO RAISE OUR STANDARDS EVERY DAY, ASSURING THAT WE PROVIDE TRUSTED CARE, CLOSE TO HOME. UNC ROCKINGHAM PARTICIPATES IN THE CHNA PROCESS WHICH IS FEDERALLY REGULATED TO BE PERFORMED EVERY THREE YEARS. DURING THIS PROCESS, UNC ROCKINGHAM COLLECTS INFORMATION FROM THE PUBLIC VIA DOOR-TO-DOOR SURVEYS, TARGET POPULATION FOCUS GROUPS AND COMPILING DATA FROM A VARIETY OF CREDIBLE SOURCES. THE CHNA PROCESS REQUIRES THE ORGANIZATION TO CHOOSE AND FOCUS ON THE TOP THREE IDENTIFIED HEALTH PRIORITIES. HOWEVER, ALL THE INFORMATION COMPILED ALLOWS UNC ROCKINGHAM TO ASSESS HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance UNC ROCKINGHAM HEALTH CARE (UNCR) PROVIDES NEEDED HEALTHCARE SERVICES TO ANYONE REGARDLESS OF THAT PERSON'S ABILITY TO PAY. UNCR'S FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ASSIST PATIENTS WHO ARE FINANCIALLY UNABLE TO PAY FOR HEALTHCARE SERVICES. A LINK TO THE POLICY CAN BE FOUND ON UNCR'S PUBLIC WEBSITE. UNCR DISPLAYS INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ITS EMERGENCY ROOM, REGISTRATION AREAS IN THE HOSPITAL AND CLINICS, AND FINANCIAL COUNSELOR OFFICES. IN ADDITION TO FINANCIAL ASSISTANCE INFORMATION DISPLAYED ON UNCR'S PROPERTY, FINANCIAL ASSISTANCE INFORMATION IS DISTRIBUTED AT LOCAL COMMUNITY EVENTS AND VIA ADVERTISEMENTS ON TV AND SOCIAL MEDIA PLATFORMS. A LINK IS ALSO PROVIDED ON UNCR'S WEBSITE TO THE AVAILABILITY OF FINANCIAL ASSISTANCE AND ITS FINANCIAL ASSISTANCE POLICY, ALONG WITH AN ON-LINE APPLICATION. INPATIENT CASE MANAGERS ALSO PROVIDE INFORMATION TO THE PATIENTS REGARDING AVAILABLE PROGRAMS AND THE ORGANIZATION'S FINANCIAL POLICY. CONSULTATION WITH FINANCIAL COUNSELORS IS ALSO AVAILABLE TO ALL PATIENTS AS NEEDED. Schedule H, Part VI, Line 4 Community information UNC ROCKINGHAM IN EDEN, NC SERVES ROCKINGHAM COUNTY. ROCKINGHAM COUNTY, NORTH CAROLINA IS NESTLED IN THE GENTLY RISING FOOTHILLS OF THE BLUE RIDGE MOUNTAINS AND MADE UP OF SIX MUNICIPALITIES. THE AREA IS APPROXIMATELY 572 SQUARE MILES WITH A POPULATION OVER 91,000 RESIDENTS. ROCKINGHAM COUNTY'S PRIMARY CARE PHYSICIAN TO PATIENT RATIOS REMAIN MUCH LOWER THAN STATE RATIO AT 1:600 (PRIMARY CARE PHYSICIAN TO PATIENT), AS A COMPARISON GUILFORD COUNTY, DIRECTLY TO THE SOUTH OF ROCKINGHAM, HAS A RATIO OF 1:246 WHICH IS NEAR TO TOP DECILE. AROUND 9.4% OF RESIDENTS IN ROCKINGHAM COUNTY ARE UNINSURED COMPARED TO 11.4% AT THE STATE LEVEL. THE POPULATION BY RACE OF ROCKINGHAM COUNTY IS 72% WHITE, 19% BLACK/AFRICAN AMERICAN, 7% HISPANIC AND 2% OTHER. THE POPULATION BY AGE OF ROCKINGHAM COUNTY IS 25.2% CHILDREN (0-17), 53.6% ADULTS (18-59) AND 21.2% OLDER ADULTS (60+). THE EXPECTATION OVER THE NEXT TWO DECADES IS THAT THE CHILD POPULATION WILL REMAIN FLAT WHILE THE OLDER ADULT POPULATION WILL INCREASE BY 20.5%. Schedule H, Part VI, Line 5 Promotion of community health UNC ROCKINGHAM IS OPERATED BY A COMMUNITY BOARD IN ADDITION TO TRADITIONAL HOSPITAL SERVICES. THE ORGANIZATION PROVIDES A CLINICAL TRAINING SITE FOR MEDICAL AND NURSING STUDENTS, PHARMACISTS, RADIOLOGY TECHNICIANS, PHYSICAL THERAPISTS, RESPIRATORY THERAPISTS AND DIETITIANS. Schedule H, Part VI, Line 6 Affiliated health care system UNC ROCKINGHAM IS A SUBSIDIARY OF THE UNC HEALTH CARE SYSTEM (UNC HCS) IN CHAPEL HILL, NORTH CAROLINA. THE UNC HCS 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,UNC ROCKINGHAM STRIVES TO IMPROVE ACCESS AND SERVICES IN ROCKINGHAM COUNTY. UNC ROCKINGHAM CAREGIVERS WORK CLOSELY WITH THEIR COUNTERPARTS AT UNC HCS TO FIND MORE WAYS TO IMPROVE CARE AND QUALITY, REACH MORE UNINSURED PATIENTS AND SO MUCH MORE. true ROCKINGHAM COUNTY SCHOOLS 511 HARRINGTON HIGHWAY EDEN NC 27288 561813738 GOVERNMENT ENTITY 982196 COST STAFFING AND SUPPORT OF STUDENT HEALTH CENTERS STAFFING AND SUPPORT OF STUDENT HEALTH CENTERS 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds UNC ROCKINGHAM WORKS CLOSELY WITH THE COMMUNITY GROUPS THAT IT SUPPORTS AND RECEIVES FREQUENT UPDATES ON THE WORK AND PROGRESS. UNC ROCKINGHAM STAFFS AND SUPPORTS THE ROCKINGHAM COUNTY SCHOOLS' STUDENT HEALTH CENTERS AND BEING ONSITE ALLOWS THEM TO HAVE FIRST HAND ACCOUNT TO MONITOR THIS SUPPORT. X X X X false false false false false true true false false Steve Eblin Director/President 0 304475 0 72509 0 0 0 72847 0 20447 0 470278 0 0 Tammy Scarborough Director 0 879121 0 476840 0 21853 0 204048 0 16322 0 1598184 0 0 Mary Bus Director 0 208029 0 69814 0 7776 0 74744 0 36862 0 397225 0 0 Lamont Cathey MD Director 0 390085 0 13200 0 622 0 22207 0 31122 0 457236 0 0 B Anthony Lindsey MD Director 0 571143 0 489971 0 230886 0 178141 0 49540 0 1519681 0 0 Phillip Stetler DO Director 0 674955 0 15000 0 30622 0 10150 0 22593 0 753320 0 0 Karen Shadowens CFO/VP Finance 270775 0 76705 0 0 0 14464 0 20447 0 382391 0 0 0 Thresa Hardy MD COO & CNO 186293 0 39364 0 2151 0 7034 0 31431 0 266273 0 0 0 Candace Bradley MD CMO/Director of Hospitalists 305653 0 70759 0 12465 0 11633 0 28122 0 428632 0 0 0 Wade Williams CIO/Information Systems 0 137805 0 22423 0 9295 0 7100 0 20931 0 197554 0 0 Afrim Hasanaj Clinical Nurse III 105662 0 143248 0 6732 0 10049 0 32058 0 297749 0 0 0 Vicki Rembold Nursing Administrator 140092 0 14726 0 41371 0 8415 0 12314 0 216918 0 0 0 Jane Younts Director of Pharmacy 176679 0 16397 0 0 0 7172 0 10324 0 210572 0 0 0 John Ellington Pharmacist 145503 0 10916 0 6020 0 6540 0 23529 0 192508 0 0 0 Rebecca Autry Pharmacist Coordinator 148217 0 8619 0 0 0 6066 0 7954 0 170856 0 0 0 Schedule J, Part I LINE 6 - COMP. CONTINGENT ON NET EARNINGS OF ORGANIZATION & RELATED ORGANIZATIONS EMPLOYEES IN MANAGERIAL ROLES PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN APPROVED ANNUALLY BY THE UNC HCS BOARD OF DIRECTORS. THE COMPENSATION EARNED UNDER THIS PLAN IS BASED PARTLY ON THE NET EARNINGS OF THE ORGANIZATION AND THE UNC HCS. OTHER PERFORMANCE MEASURES USED TO DETERMINE INCENTIVE COMPENSATION ARE PATIENT SATISFACTION, PATIENT CARE QUALITY OUTCOMES AND INNOVATIVE INITIATIVES TO IMPROVE OPERATIONS AND CARE DELIVERY. Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION'S SOLE MEMBER IS THE UNIVERSITY OF NORTH CAROLINA HEALTHCARE SYSTEM. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM SHALL APPOINT THREE (3) MEMBERS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE ORGANIZATION'S BOARD REQUIRES PRIOR APPROVAL OF THE UNIVERSITY OF NORTH CAROLINA HEALTH CARE SYSTEM FOR CERTAIN POWERS, INCLUDING BUT NOT LIMITED TO AMENDMENTS TO GOVERNING DOCUMENTS; MERGER, CONSOLIDATION OR DISSOLUTION OF THE ORGANIZATION; ANY DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS; ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF STRATEGIC AND BUSINESS PLANS; INDEBTEDNESS; CERTAIN THRESHOLDS OF PURCHASE AND SALE PRICES FOR REAL AND MATERIAL ASSETS; ANY ADDITION OR DELETION OF HEALTH CARE SERVICES; EXTRAORDINARY FILINGS WITH REGULATORY AGENCIES AND CREATION OF JOINT VENTURES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. THE ORGANIZATION'S PRESIDENT AND CFO REVIEWED THE FORM 990 AND THE FULL BOARD RECEIVED A COPY OF THE FORM 990 PRIOR TO FILING. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT-OF-INTEREST POLICY BY REQUIRING ALL BOARD MEMBERS AND OFFICERS TO ANNUALLY COMPLETE AND SIGN A QUESTIONNAIRE DOCUMENTING ANY AREA OF CONFLICT OF INTEREST. THE BOARD MEMBERS ARE REQUIRED TO REPORT AND DOCUMENT ANY NEW AREAS OF CONFLICT OF INTEREST AS THEY ARISE. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE COMPENSATION OF THE OFFICERS OF THE ORGANIZATION SHALL BE FIXED FROM TIME-TO-TIME BY THE BOARD, EXCEPT THAT THE BOARD MAY DELEGATE TO ANY OFFICER WHO HAS BEEN GIVEN POWER TO APPOINT SUBORDINATE OFFICERS OR AGENTS THE AUTHORITY TO FIX THE SALARIES OR OTHER COMPENSATION OF ANY SUCH OFFICERS OR AGENTS APPOINTED BY HIM OR HER. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE COMPENSATION OF THE OFFICERS OF THE ORGANIZATION SHALL BE FIXED FROM TIME-TO-TIME BY THE BOARD, EXCEPT THAT THE BOARD MAY DELEGATE TO ANY OFFICER WHO HAS BEEN GIVEN POWER TO APPOINT SUBORDINATE OFFICERS OR AGENTS THE AUTHORITY TO FIX THE SALARIES OR OTHER COMPENSATION OF ANY SUCH OFFICERS OR AGENTS APPOINTED BY HIM OR HER. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICES. Form 990, Part VII, Section A, Line 1b AVERAGE HOURS PER WEEK BOARD MEMBERS AND OFFICERS CONTRIBUTE THEIR TIME AND SERVICES UPON REQUEST AND ON AN AS-NEEDED BASIS, WHICH, THROUGHOUT THE YEAR, MAY DIFFER FROM THE AVERAGE NUMBER OF HOURS PER WEEK REPORTED ON PART VII, LINE 1B. Form 990, Part IX, Line 11g Other Fees CONTRACTED SERVICES - Total Expense: 6728345, Program Service Expense: 6122794, Management and General Expenses: 605551, Fundraising Expenses: 0; HOUSEKEEPING - Total Expense: 1563886, Program Service Expense: 1423136, Management and General Expenses: 140750, Fundraising Expenses: 0; CONTRACTED PROF. SERVICES - Total Expense: 830247, Program Service Expense: 755525, Management and General Expenses: 74722, Fundraising Expenses: 0; Form 990, Part XII, Line 2c Change of oversight process or selection process PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Form 990, Parts VIII & IX and Schedule H BAD DEBT & HASP Requirements To comply with the Healthcare Access and Stabilization Program (HASP) requirements for FY2025, the North Carolina Department of Health and Human Services mandated all North Carolina hospitals to attest to implementing a standardized, enhanced medical debt policy. This applies to North Carolina residents who are actively enrolled in Medicaid or Managed Medicaid or fall below certain federal poverty levels. Historical debt remaining in our system was impacted. In FY2025, the filing organization implemented the North Carolina Medical Debt Relief and Mitigation policy as required by HASP. This policy reduced Bad Debt expense and increased Charity Care for the filing year. 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